2271 Records downloaded - Sat May 26 15:58:10 UTC 2018
RECORD 1
TITLE
Population-level predictions from cannabis risk perceptions to active
cannabis use prevalence in the United States, 1991–2014
AUTHOR NAMES
Parker M.A.
Anthony J.C.
AUTHOR ADDRESSES
(Parker M.A., maria.parker@uvm.edu; Anthony J.C.) Department of Epidemiology
& Biostatistics, College of Human Medicine, Michigan State University, West
Fee Hall, 909 Fee Road, East Lansing, United States.
CORRESPONDENCE ADDRESS
M.A. Parker, Vermont Center on Behavior & Health, University of Vermont, 1
South Prospect Street, SATC-UHC, Burlington, United States. Email:
maria.parker@uvm.edu
SOURCE
Addictive Behaviors (2018) 82 (101-104). Date of Publication: 1 Jul 2018
ISSN
1873-6327 (electronic)
0306-4603
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Introduction: A mosaic of evidence links risk perceptions with drug use in
adolescence, including population summaries to guide public health
campaigns, as well as subject-specific estimates on preventing an
adolescent's drug use by manipulating that individual's prior risk
perceptions. We re-visit these issues with a public health perspective,
asking whether population-level cannabis risk perceptions of
school-attending adolescents at one grade level might predict cannabis use
prevalence two and four grade levels later. Methods: From 1991 to 2014, each
year's United States “Monitoring the Future” (MTF) study population included
8th-, 10th-, & 12th-graders. Two and four years later, statistically
independent school samples of the same cohorts were drawn and assessed (n ~
16,000/year). Population-level modeling estimated cannabis use prevalence at
time “t” (12th-grade) regressed on that same cohort's cannabis risk
perceptions as had been measured at time “t-4” (8th-grade) and time “t-2”
(10th-grade). Results: Higher cannabis risk perception levels for
10th-graders predict lower cannabis use prevalence when 10th-graders have
become 12th-graders (β̂=−0.12), and higher cannabis risk perception levels
of 8th-graders predict lower cannabis prevalence when 8th-graders have
become 10th-graders (β̂=−0.27); p-values < 0.05. Across four-year spans, the
prediction is null (p-value = 0.619). Conclusions: This within-cohort
across-grade population-level prediction prompts questions for drug
prevention specialists, including “Would a relatively small upward shift in
a local area population's appraisal of risk perceptions be followed, two
years later, by reduced population prevalence of cannabis use?” Future
randomized trial designs, health education, or prevention efforts focused on
altering early adolescent cannabis risk perceptions might provide the most
convincing and definitive evidence.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent smoking
cannabis use
medical education
prevalence
risk assessment
EMTREE MEDICAL INDEX TERMS
adolescent
article
cohort analysis
controlled study
human
nonparametric test
population research
prediction
questionnaire
sample size
standardization
United States
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180152989
PUI
L620932745
DOI
10.1016/j.addbeh.2018.02.030
FULL TEXT LINK
http://dx.doi.org/10.1016/j.addbeh.2018.02.030
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 2
TITLE
The Use of Smartphones in Different Phases of Medical School and its
Relationship to Internet Addiction and Learning Approaches
AUTHOR NAMES
Loredo e Silva M.P.
de Souza Matos B.D.
da Silva Ezequiel O.
Lucchetti A.L.G.
Lucchetti G.
AUTHOR ADDRESSES
(Loredo e Silva M.P.; de Souza Matos B.D.; da Silva Ezequiel O.; Lucchetti
A.L.G.; Lucchetti G., g.lucchetti@yahoo.com.br) School of Medicine, Federal
University of Juiz de Fora, Avenida Eugênio do Nascimento s/n – Dom Bosco,
Juiz de Fora, Brazil.
CORRESPONDENCE ADDRESS
G. Lucchetti, School of Medicine, Federal University of Juiz de Fora,
Avenida Eugênio do Nascimento s/n – Dom Bosco, Juiz de Fora, Brazil. Email:
g.lucchetti@yahoo.com.br
SOURCE
Journal of Medical Systems (2018) 42:6 Article Number: 106. Date of
Publication: 1 Jun 2018
ISSN
1573-689X (electronic)
0148-5598
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
The use of smartphones is revolutionizing the way information is acquired,
leading to profound modifications in teaching medicine. Nevertheless,
inadvertent use can negatively affect student learning. The present study
aims to evaluate smartphone use in the educational context as well as
Internet addiction and its repercussions on surface and deep learning and to
compare them during the different phases of medical students’ education.
This is a cross-sectional study involving medical students in all phases of
education. Sociodemographic data, type and frequency of smartphone use,
degree of digital addiction (Internet Addiction Test - IAT), and surface and
deep approaches to learning (Biggs) were analyzed. A total of 710 students
were included. Almost all students had a smartphone and a total of 96.8%
used it during lectures, classes, and meetings. Less than half of the
students (47.3%) reported using a smartphone for more than 10 min for
educational purposes, a usage that is higher among clerkship students. At
least 95% reported using a smartphone in the classroom for activities not
related to medicine (social media and searching for general information) and
68.2% were considered problematic Internet users according to the IAT. The
most common reasons for noneducational use were that the class was
uninteresting, students needed to receive or make an important call, and the
educational strategy was not stimulating. The “frequency of smartphone use”
and higher “internet addiction” were correlated to both higher levels of
surface learning and lower levels of deep learning. Educators should advise
and educate their students about conscientious use of this tool to avoid
detrimental impact on the learning process.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction
learning
medical education
medical school
smartphone
EMTREE MEDICAL INDEX TERMS
access to information
adult
article
cross-sectional study
female
human
information seeking
male
medical student
social media
student attitude
young adult
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180301984
PUI
L621863203
DOI
10.1007/s10916-018-0958-x
FULL TEXT LINK
http://dx.doi.org/10.1007/s10916-018-0958-x
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 3
TITLE
Addressing the educational needs of adolescents and young adults with sickle
cell disease as they transition to the adult healthcare system: A pilot
study
AUTHOR NAMES
Reinish A.
Andolina J.
Pulcino T.
Busick H.
Bruckner L.
Asante A.
Fries C.
Noronha S.
AUTHOR ADDRESSES
(Reinish A.; Andolina J.; Pulcino T.; Busick H.; Bruckner L.; Asante A.;
Fries C.; Noronha S.) University of Rochester Medical Center, Rochester,
United States.
CORRESPONDENCE ADDRESS
A. Reinish, University of Rochester Medical Center, Rochester, United
States.
SOURCE
Pediatric Blood and Cancer (2018) 65 Supplement 1 (S98). Date of
Publication: 1 Jun 2018
CONFERENCE NAME
2018 American Society of Pediatric Hematology/Oncology, ASPHO 2018
CONFERENCE LOCATION
Pittsburgh, PA, United States
CONFERENCE DATE
2018-05-02 to 2018-05-05
ISSN
1545-5017
BOOK PUBLISHER
John Wiley and Sons Inc.
ABSTRACT
Background: Patients with sickle cell disease (SCD) face worsening morbidity
and mortality between ages 18 and 30, when they must transition from
pediatric to adult healthcare.( 1) An effective curriculum addressing
disease knowledge, educational and vocational skills, self-efficacy, and
social supports is critical to a successful transition. Traditional didactic
approaches have not led to durable knowledge retention.( 2) Technology-based
methods have been attempted, but the best educational approach remains
unknown. Objectives: 1. To understand how adolescent and young adult (AYA)
patients with SCD view existing transition education. 2. To include patient
preferences in improving our transition curriculum. Design/Method: We
developed a qualitative survey to assess patient views of existing
approaches for learning about SCD and their opinions about preferred
transition topics. Thirty patients with SCD aged 12 to 24 years old were
recruited between January and December 2017. Responses were managed using
REDCap electronic data tools hosted at theUniversity of Rochester.(3,4)
Qualitative and quantitative data analyses were performed, including
independent t-testing to compare responses between age groups. Results:
Approximately 68% of subjects were under 18 years of age, while 32% were 18
or older. Seventy-one percent had a computer, and 93.5% had a cell phone,
with most reporting daily use. Subjects reported greatest satisfaction with
learning from their doctor during clinic visits (83.9% agree or strongly
agree) and websites on a cell phone (77.4% agree or strongly agree); the
least popular methods were online chat rooms and Microsoft® PowerPoint
presentations. Satisfaction was similar across age groups. Recommended
transition topics were viewed positively, with subjects ranking highest
understanding their bloodwork (87.1% agree or strongly agree) and
understanding laws protecting students with chronic disease (93.6% agree or
strongly agree). Older subjects (18-24 years old) agreed more strongly with
learning about opioid addiction and understanding differences between adult
and pediatric doctors than did younger subjects (12-17 years old) (p <
0.05). Conclusion: This pilot study was successful in helping us to
understand the educational needs of AYA patients with SCD. Preliminary data
underscore the importance of education provided by the pediatric
hematologist. Our results also suggest that the optimal use of
technology-based methods requires further investigation and that tailoring
transition education by age group may be useful.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care system
pilot study
sickle cell anemia
EMTREE MEDICAL INDEX TERMS
adolescent
adult
child
clinical article
conference abstract
controlled study
curriculum
data analysis
female
groups by age
hematologist
human
learning
male
mobile phone
opiate addiction
outcome assessment
patient preference
preliminary data
satisfaction
student
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621728778
DOI
10.1002/pbc.27057
FULL TEXT LINK
http://dx.doi.org/10.1002/pbc.27057
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 4
TITLE
Trends in cigarette smoking among adults with HIV compared with the general
adult population, United States - 2009–2014
AUTHOR NAMES
Frazier E.L.
Sutton M.Y.
Brooks J.T.
Shouse R.L.
Weiser J.
AUTHOR ADDRESSES
(Frazier E.L.; Sutton M.Y., msutton@cdc.gov; Brooks J.T.; Shouse R.L.;
Weiser J.) Division of HIV/AIDS Prevention, National Center for HIV/AIDS,
Viral Hepatitis, STD, and TB Prevention, U.S. Centers for Disease Control
and Prevention, United States.
CORRESPONDENCE ADDRESS
M.Y. Sutton, DHAP/NCHHSTP/CDC, 1600 Clifton Rd NE MS E-45, Atlanta, United
States. Email: msutton@cdc.gov
SOURCE
Preventive Medicine (2018) 111 (231-234). Date of Publication: 1 Jun 2018
ISSN
1096-0260 (electronic)
0091-7435
BOOK PUBLISHER
Academic Press Inc., apjcs@harcourt.com
ABSTRACT
Smoking increases HIV-related and non-HIV-related morbidity and mortality
for persons with HIV infection. We estimated changes in cigarette smoking
among adults with HIV and adults in the general U.S. population from 2009 to
2014 to inform HIV smoking cessation programs. Among HIV-positive adults,
rates of current smoking declined from 37.6% (confidence interval [CI]:
34.7–40.6) in 2009 to 33.6% (CI: 29.8–37.8) in 2014. Current smoking among
U.S. adults declined from 20.6% (CI: 19.9–21.3) in 2009 to 16.8% (CI:
16.2–17.4) in 2014. HIV-positive adults in care were significantly more
likely to be current smokers compared with the general U.S. population; they
were also less likely to quit smoking. For both HIV-positive adults in care
and the general population, disparities were noted by racial/ethnic,
educational level, and poverty-level subgroups. For most years, non-Hispanic
blacks, those with less than high school education, and those living below
poverty level were more likely to be current smokers and less likely to quit
smoking compared with non-Hispanic whites, those with greater than high
school education, and those living above poverty level, respectively. To
decrease smoking-related causes of illness and death and to decrease
HIV-related disparities, smoking cessation interventions are vital as part
of routine care with HIV-positive persons. Clinicians who care for
HIV-positive persons who smoke should utilize opportunities to discuss and
implement smoking cessation strategies during routine clinical visits.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Human immunodeficiency virus infected patient
medical education
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
Black person
Caucasian
cause of death
controlled study
cross-sectional study
human
informed consent
population research
poverty
priority journal
self report
smoking cessation program
trend study
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180201960
PUI
L2000566551
DOI
10.1016/j.ypmed.2018.03.007
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2018.03.007
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 5
TITLE
Effect of educational intervention on intention of University students’
disuse of Hookah smoking: BASNEF model
AUTHOR NAMES
Momenabadi V.
Kaveh M.H.
Hashemi S.Y.
AUTHOR ADDRESSES
(Momenabadi V.) Department of Health Education and Health Promotion, School
of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
(Kaveh M.H.) Research Center for Health Sciences Institute of health, Shiraz
University of Medical Sciences, Shiraz, Iran.
(Hashemi S.Y., s.yaser.hashemi@gmail.com) Department of Environmental Health
Engineering, School of Public Health, Tehran University of Medical Sciences,
Tehran, Iran.
CORRESPONDENCE ADDRESS
S.Y. Hashemi, Department of Environmental Health Engineering, School of
Public Health, Tehran University of Medical Sciences, Tehran, Iran. Email:
s.yaser.hashemi@gmail.com
SOURCE
Journal of Substance Use (2018) 23:3 (262-267). Date of Publication: 4 May
2018
ISSN
1475-9942 (electronic)
1465-9891
BOOK PUBLISHER
Taylor and Francis Ltd, healthcare.enquiries@informa.com
ABSTRACT
There has been an increase in hookah smoking over the past years, hence
implementing an intervention plan for its reduction is necessary. The
present quasi-experimental study aimed to determine the effect of
educational intervention on the hookah smoking behavior of dormitory
students in Kerman University of Medical Sciences based on BASNEF model.
SPSS/16 was used to analyze the data; the mean scores of attitude
(P < 0.66), subjective norms (P < 0.103), and behavioral intention
(P < 0.13) were no different prior to education in both intervention and
control groups. The model decreased water pipe smoking among university
students and the educational intervention positively influenced individuals
’attitude, subjective norms, and behavioral intention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
hookah
smoking
student attitude
university student
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
education
female
friend
human
incidence
intervention study
male
mortality
priority journal
publication
questionnaire
resident
smoking cessation
social interaction
tobacco use
water pipe smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170768030
PUI
L619064565
DOI
10.1080/14659891.2017.1394376
FULL TEXT LINK
http://dx.doi.org/10.1080/14659891.2017.1394376
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 6
TITLE
Gender differences and risk factors for smoking among patients with various
psychiatric disorders in Saudi Arabia: A cross-sectional study
AUTHOR NAMES
Alosaimi F.D.
Abalhassan M.
Alhaddad B.
Fallata E.O.
Alhabbad A.
Alshenqiti R.
Alassiry M.Z.
AUTHOR ADDRESSES
(Alosaimi F.D., dr.fahad.alosaimi@gmail.com) King Saud University,
Department of Psychiatry, #55, King Khalid University Hospital, P.O. Box
7805, Riyadh, Saudi Arabia.
(Abalhassan M., dr.mfma@hotmail.com) Prince Sattam Bin Abdulaziz University,
Department of Medicine, Alkharj, Saudi Arabia.
(Alhaddad B., banderali256@hotmail.com) Al-Imam Mohammad Bin Saud
University, Department of neurosciences, Riyadh, Saudi Arabia.
(Fallata E.O., ebtilolo2002@hotmail.com) Mental Health Hospital, Jeddah,
Saudi Arabia.
(Alhabbad A., alhabbad@hotmail.com) Prince Mohammed Medical City, Aljouf,
Saudi Arabia.
(Alshenqiti R., omwesam65@yahoo.com) Al-Amal Complex for Mental Health,
Dammam, Saudi Arabia.
(Alassiry M.Z., alassiry20063@gmail.com) Mental Health Hospital, Abha, Saudi
Arabia.
CORRESPONDENCE ADDRESS
F.D. Alosaimi, King Saud University, Department of Psychiatry, #55, King
Khalid University Hospital, P.O. Box 7805, Riyadh, Saudi Arabia. Email:
dr.fahad.alosaimi@gmail.com
SOURCE
International Journal of Mental Health Systems (2018) 12:1 Article Number:
21. Date of Publication: 3 May 2018
ISSN
1752-4458 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., info@biomedcentral.com
ABSTRACT
Background: The higher prevalence of smoking among psychiatric patients is
well established. However, gender-specific associations have rarely been the
focus of studies among patients with various psychiatric disorders. The aim
of this study was to estimate the gender-specific prevalence of current
smoking by psychiatric patients and its association with various psychiatric
disorders and the use of psychotropic medications. Methods: A
cross-sectional observational study was performed between July 2012 and June
2014. Patients were recruited from six hospitals located in the five regions
of Saudi Arabia. Results: Of the 1193 patients, 402 (33.7%) were current
smokers. The incidence of current smoking was much higher among males than
females (58.3% versus 6.7%, p < 0.001). In one or both genders, current
smoking was associated with marital status, education, family income,
residence, obesity, physical activity, substance abuse, inpatient status,
previous psychiatric hospitalization, and age at onset of psychiatric
illness. In both gender, smoking was higher in patients who had a secondary
psychiatric disorder (66.7% versus 37.5%, respectively), those who had a
primary psychotic disorder (63.7% versus 12.3%), and those taking
antipsychotic medication (64.1% versus 8.3%) but lower in patients who had a
primary depressive disorder (40.3% versus 4.3%), those who had a primary
anxiety disorder (45.8% versus 0.0%), and those taking antidepressant
medications (53.7% versus 3.6%). In a multivariate analysis adjusted for
demographic/clinical characteristics and psychiatric disorders, current
smoking was independently associated with primary psychotic disorders in
females (OR = 3.47, 1.45-8.27, p = 0.005) but not in males. In a
multivariate analysis adjusted for demographic/clinical characteristics and
psychotropic medications, current smoking was independently associated with
antipsychotic medication use in males (OR = 1.79, 1.10-2.93, p = 0.020).
Current smoking was strongly associated with substance abuse in both
univariate and multivariate analyses. Conclusion: The prevalence of current
smoking is high with marked gender difference in a large sample of mixed
psychiatric patients in Saudi Arabia. Smoking-cessation programs may be
urgently needed for these vulnerable patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease
risk factor
Saudi Arabia
sex difference
smoking
EMTREE MEDICAL INDEX TERMS
adult
anxiety disorder
article
controlled study
cross-sectional study
depression
drug use
educational status
family income
female
high risk population
hospital patient
human
major clinical study
male
marriage
multicenter study
obesity
observational study
onset age
physical activity
priority journal
residential area
risk assessment
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180322987
PUI
L621965424
DOI
10.1186/s13033-018-0201-7
FULL TEXT LINK
http://dx.doi.org/10.1186/s13033-018-0201-7
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 7
TITLE
Opioid Prescribing Education in Surgical Residencies: A Program Director
Survey
AUTHOR NAMES
Yorkgitis B.K.
Bryant E.
Raygor D.
Brat G.
Smink D.S.
Crandall M.
AUTHOR ADDRESSES
(Yorkgitis B.K., Brian.yorkgitis2@jax.ufl.edu; Raygor D.; Crandall M.)
Division of Acute Care Surgery, University of Florida College of Medicine,
Jacksonville, United States.
(Bryant E.) Brigham and Women's Hospital, Trauma, Burns, and Surgical
Critical Care, Boston, United States.
(Brat G.) Beth Israel Deaconess Medical Center, Acute Care Surgery, Boston,
United States.
(Smink D.S.) Department of Surgery, Brigham and Women's Hospital, Boston,
United States.
CORRESPONDENCE ADDRESS
B.K. Yorkgitis, Division of Acute Care Surgery, University of Florida
College of Medicine, 655 West 8th Street, Jacksonville, United States.
Email: Brian.yorkgitis2@jax.ufl.edu
SOURCE
Journal of Surgical Education (2018) 75:3 (552-556). Date of Publication: 1
May 2018
ISSN
1878-7452 (electronic)
1931-7204
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Background: Opioid abuse and misuse is a public health crisis. A national
effort to reduce this phenomenon is ongoing. Residents represent a large
pool of opioid prescribers but, are often not the target for opioid
prescribing education (OPE). We developed a survey to assess current opioid
prescribing practices and education among surgical residents. Study Design:
An Institutional Review Board and Association of Program Directors in
Surgery approved survey was electronically mailed to surgical program
directors (PDs). The survey included questions regarding residency type,
location, number of graduates per year, perceived value of OPE, residency
policy on prescribing outpatients controlled substances, presence of OPE,
and preferred method of OPE. Materials and Methods: A total of 248 PDs were
e-mailed the survey with 110 complete responses (44.4%). Of all 104 (94.5%)
allow residents to prescribe outpatient opioids with 24 (23.1%) limiting the
opioid class prescribed. A total of 29 (27.9%) programs require residents to
obtain their own Drug Enforcement Administration registration. Only 22
(20.0%) programs had in place mandatory OPE, 7 (6.4%) PDs were unsure if OPE
was a mandatory educational requirement. Furthermore, 70 (79.5%) of programs
currently without OPE are considering adding it. Didactic lecture (18,
81.8%) is the most common modality for OPE. The mode time dedicated to OPE
was 1 hour. When PDs were asked about which method would be best to deliver
OPE, the most common response was case-based scenarios (39, 35.5%).
Bivariate statistics were performed and no association was found between OPE
and program characteristics’. Conclusions: Most surgical residency programs
allow residents to prescribe outpatient opioids, very few require OPE. The
most common method of OPE was didactic lectures. To enhance a resident's
knowledge in prescribing opioids, programs should incorporate OPE into their
curriculum.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription
residency education
surgical training
EMTREE MEDICAL INDEX TERMS
article
government
human
mandatory program
medical director
outpatient
priority journal
registration
vignette
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Surgery (9)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170627722
PUI
L618162266
DOI
10.1016/j.jsurg.2017.08.023
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsurg.2017.08.023
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 8
TITLE
Tobacco-nicotine education and training for health-care professional
students and practitioners: A systematic review
AUTHOR NAMES
Ye L.
Goldie C.
Sharma T.
John S.
Bamford M.
Smith P.M.
Selby P.
Schultz A.S.H.
AUTHOR ADDRESSES
(Ye L., lisaye123@gmail.com; Sharma T.; John S.; Bamford M.) International
Affairs and Best Practice Guidelines, Registered Nurses' Association of
Ontario, Toronto, Canada.
(Goldie C.) Faculty of Health Sciences, School of Nursing, Queen's
University, Kingston, Canada.
(Smith P.M.) Human Science Division, Northern Ontario School of Medicine,
Canada.
(Selby P.) Centre for Addiction and Mental Health, Toronto, Canada.
(Selby P.) Dalla Lana School of Public Health, University of Toronto,
Toronto, Canada.
(Schultz A.S.H.) College of Nursing, Rady Faculty of Health Sciences,
University of Manitoba, Asper Clinical Research Institute, Winnipeg, Canada.
CORRESPONDENCE ADDRESS
L. Ye, International Affairs and Best Practice Guidelines, Registered
Nurses' Association of Ontario, 158 Pearl Street, Toronto, Canada. Email:
lisaye123@gmail.com
SOURCE
Nicotine and Tobacco Research (2018) 20:5 (531-542). Date of Publication: 2
Apr 2018
ISSN
1469-994X (electronic)
1462-2203
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Introduction: The objective of this systematic review was to investigate
what education and training characteristics prepares and supports
health-care professionals (HCPs) in the delivery of competent and effective
care to clients who use tobacco-nicotine. Aims and Methods: A search of
eight bibliographic databases for English-language peer-reviewed
publications from January 2006 to March 2015. Studies were included if they
met the a priori inclusion criteria, which consisted of: (1) quantitative
study design and (2) focus on tobacco-nicotine education or training for HCP
students and practitioners. All studies were independently screened for
inclusion by two reviewers. Data from included studies were extracted for
study characteristics and key outcomes then critically appraised for
methodological quality. Results: Fifty-nine studies were included for
narrative synthesis. Two categories emerged: (1) curriculum characteristics
(n = 10) and (2) education and training interventions (n = 49). Included
curriculum studies identified the following themes: content, intensity,
competencies evaluation, and barriers. Study findings about education and
training interventions were grouped by level of education (prelicensure,
post-licensure, and faculty training), teaching modality, health discipline,
and the associated HCP and client outcomes. Conclusions: This comprehensive
review suggests that there is a lack of consistency in HCP tobacco-nicotine
education and training characteristics. This paper provides valuable
categorization of the most frequently utilized components of academic
curriculum and discusses the interventions in relation to HCP and client
outcomes. Gaps in the literature are highlighted, and the need for
standardization of tobacco-nicotine training competencies and evaluation is
discussed. Future research investigating the most effective approaches to
training is needed. Implications: This systematic review summarizes existing
tobacco-related curriculum components (content, intensity, competency
evaluation, and barriers) and training interventions for healthcare
professionals worldwide and demonstrates that they are associated with
positive health-care professional outcomes (knowledge, attitudes, behaviors,
and skills) and client outcomes (quit attempts and smoking abstinence).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health practitioner
medical education
tobacco use
EMTREE MEDICAL INDEX TERMS
clinical competence
curriculum
education program
health care delivery
health personnel attitude
human
priority journal
professional knowledge
review
smoking cessation
systematic review
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180281709
PUI
L621730423
DOI
10.1093/ntr/ntx072
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/ntx072
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 9
TITLE
Medical Students’ Acquisition of Adolescent Interview Skills after Coached
Role Play
AUTHOR NAMES
Kaul P.
Fisher J.H.
Hanson J.L.
AUTHOR ADDRESSES
(Kaul P., paritosh.kaul@childrenscolorado.org) Section of Adolescent
Medicine, University of Colorado School of Medicine, Children's Hospital
Colorado, Aurora, United States.
(Fisher J.H.) University of Colorado Anschutz Medical Campus, College of
Nursing, Aurora, United States.
(Hanson J.L.) Department of Pediatrics, University of Colorado School of
Medicine, Children's Hospital Colorado, Aurora, United States.
CORRESPONDENCE ADDRESS
P. Kaul, Section of Adolescent Medicine, University of Colorado School of
Medicine, Children's Hospital Colorado, 13123 E 16th Ave, Box B025, Aurora,
United States. Email: paritosh.kaul@childrenscolorado.org
SOURCE
Journal of Pediatric and Adolescent Gynecology (2018) 31:2 (102-106). Date
of Publication: 1 Apr 2018
ISSN
1873-4332 (electronic)
1083-3188
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Study Objective: To develop and evaluate an educational activity designed to
teach the adolescent Home, Education and employment, Eating, Activities,
Drugs, Sexuality, Suicide/depression, and Safety (HEADS) examination.
Design, Setting, Participants, Interventions, and Main Outcome Measures:
Participants were third-year medical students in their pediatric clerkships.
Students received an article on the HEADS interview and attended an
adolescent medicine educational session. The session included individualized
goal-setting and coached role play. Students’ skills in doing a HEADS
interview were evaluated through a standardized patient encounter (SPE) with
a checklist and a retrospective pre- and post-test survey. The SPE checklist
was used to assess whether the students included questions in 6 key areas of
a HEADS interview. Results: One hundred fifty-two students participated.
During the SPE, 90% of students queried the adolescent's home life, 91%
education, 82% activities, 84% drug/substance abuse, 95% sexual history, and
61% symptoms of depression. Pre- and postintervention data were compared
using the Kruskal-Wallis Test and showed a statistically significant
difference in the students’ ability to list key topic areas of the HEADS
exam (P <.001) and to use the skills needed for an adolescent interview
using the HEADS exam (P <.001). Conclusion: After an introduction to the
HEADS examination, most students covered almost all of the topic areas of
this screening interview during a SPE. Only three-fifths of the students,
however, included questions about symptoms of depression. Coached role play
with goal-setting facilitated effective learning of this approach to
adolescent interviewing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
medical education
role playing
EMTREE MEDICAL INDEX TERMS
adolescent
article
checklist
controlled study
depression
drug abuse
employment
human
Kruskal Wallis test
major clinical study
medical student
patient education
priority journal
retrospective study
suicide
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170905837
MEDLINE PMID
29175430 (http://www.ncbi.nlm.nih.gov/pubmed/29175430)
PUI
L619965543
DOI
10.1016/j.jpag.2017.11.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpag.2017.11.003
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 10
TITLE
Study of pattern of cases on alcoholism recorded at gmers medical college
and general hospital, Vadodara
AUTHOR NAMES
Solanki U.
Rathod H.
Shah V.
Sailor T.
AUTHOR ADDRESSES
(Solanki U.; Rathod H.; Shah V.; Sailor T.) Department of Forensic Medicine
and Toxicology, GMERS Medical College and General Hospital, Gotri, Vadodara,
India.
CORRESPONDENCE ADDRESS
U. Solanki, Department of Forensic Medicine and Toxicology, GMERS Medical
College and General Hospital, Gotri, Vadodara, India.
SOURCE
Indian Journal of Forensic Medicine and Toxicology (2018) 12:2 (99-101).
Date of Publication: 1 Apr 2018
ISSN
0973-9130 (electronic)
0973-9122
BOOK PUBLISHER
Indian Journal of Forensic Medicine and Toxicology, ijfmt@hotmail.com
ABSTRACT
Gujarat is a dry state for almost six decades. Now has plan to make
prohibition law more stringent, particularly for locals who could end up in
jail for three years and pay Rs 5 lakh fine if caught with liquor bottle.
For visitors and tourists access to alcohol has been made easier. This study
was carried out in GMERS Medical College and General Hospital, Vadodara.
Total 1276 cases were recorded from April 2015 to march 2016. During the
year number of cases found increased during the winter months and decreased
during summer months. More cases are recorded from people of low economical
communities. Law implementation, education, employment and reduced work
stress will definitely help to reduce alcohol intake and to build nation.
EMTREE DRUG INDEX TERMS
sodium fluoride
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
behavior
general hospital
medical school
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
alcohol consumption
article
behavioral economics
blood
climate change
cohort analysis
controlled study
female
gas chromatography
government
Gujarat
health care planning
human
law
legal service
Maharashtra
major clinical study
male
middle aged
prison
punishment
retrospective study
summer
winter
young adult
CAS REGISTRY NUMBERS
sodium fluoride (51668-54-3, 7681-49-4, 79933-27-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Biochemistry (29)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180334421
PUI
L622095473
DOI
10.5958/0973-9130.2018.00082.8
FULL TEXT LINK
http://dx.doi.org/10.5958/0973-9130.2018.00082.8
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 11
TITLE
A qualitative study comparing physician-reported barriers to treating
addiction using buprenorphine and extended-release naltrexone in U.S.
office-based practices
AUTHOR NAMES
Andraka-Christou B.
Capone M.J.
AUTHOR ADDRESSES
(Andraka-Christou B., barbara.andraka@ucf.edu) Department of Health
Management & Informatics, College of Health & Public Affairs, University of
Central Florida-Orlando, United States.
(Capone M.J.) Department of Biology, College of Arts & Sciences, Indiana
University-Bloomington, United States.
CORRESPONDENCE ADDRESS
B. Andraka-Christou, 564E Graham Place, Bloomington, United States. Email:
barbara.andraka@ucf.edu
SOURCE
International Journal of Drug Policy (2018) 54 (9-17). Date of Publication:
1 Apr 2018
ISSN
1873-4758 (electronic)
0955-3959
BOOK PUBLISHER
Elsevier B.V.
ABSTRACT
Aim Our aim was to compare physician-reported barriers to sublingual
buprenorphine (BUP) and extended-release naltrexone (XR-NLT) prescribing in
U.S. office-based practices, and to identify potential policies for
minimizing these barriers. Only one previous qualitative study has examined
physician-reported barriers to prescribing XR-NLT and no qualitative study
has compared physician-reported barriers between the two medications.
Methods Researchers conducted individual semi-structured and in-depth
interviews with 20 licensed physicians in four U.S. states between January
2016 and May 2017. Interview questions included general barriers to
addiction treatment in office-based settings, barriers specific to BUP and
XR-NLT prescribing, and potential government policies to decrease barriers.
Researchers conducted thematic analysis of transcribed interviews. They
developed and pilot tested a coding template based on a sample of
transcripts, independently coded transcripts in Dedoose software, conducted
consensus coding to eliminate coding discrepancies, and then assessed data
for themes using research questions as a guide. Results General barriers to
office-based OUD treatment included limited physician education, limited
insurance reimbursement, stigma, and perceptions of “difficult” patients.
Barriers specific to BUP prescribing included regulatory restrictions,
liability fears, and restrictions imposed by the criminal justice system.
Barriers specific to XR-NLT prescribing included limited access to
medically-supervised opioid detoxification, lack of awareness of the
medication, and patient fears or disinterest. Participants without
experience prescribing either medication emphasized barriers to treating OUD
in general. Participants with experience prescribing BUP and/or XR-NLT
described barriers to treating OUD in general as well as barriers specific
to each medication. Policy makers should increase access to addiction
medicine education, mandate insurance coverage of both medications and
inpatient detoxification, prohibit excessive insurance prior authorization
requirements, increase insurance reimbursement for behavioral healthcare,
and incentivize interdisciplinary collaboration. Conclusions While overlap
exists, some barriers to BUP prescribing differ from barriers to XR-NLT
prescribing.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug comparison, drug therapy, sublingual drug
administration)
naltrexone (drug comparison, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (drug therapy, drug therapy)
medical practice
EMTREE MEDICAL INDEX TERMS
article
awareness
comparative study
criminal justice
drug detoxification
female
government regulation
health care access
health care policy
human
in depth interview
interview
male
medical education
medical liability
patient attitude
perception
personnel shortage
physician attitude
prescription
priority journal
qualitative research
reimbursement
semi structured interview
stigma
thematic analysis
United States
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
naltrexone (16590-41-3, 16676-29-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180028229
PUI
L620175003
DOI
10.1016/j.drugpo.2017.11.021
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugpo.2017.11.021
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 12
TITLE
Trends in PrEP uptake, adherence, and discontinuation among YMSM in Chicago
AUTHOR NAMES
Morgan E.
Ryan D.T.
Morgan K.
D'Aquila R.
Newcomb M.E.
Mustanski B.
AUTHOR ADDRESSES
(Morgan E.; Ryan D.T.; Morgan K.; D'Aquila R.; Newcomb M.E.; Mustanski B.)
Northwestern University, Chicago, United States.
CORRESPONDENCE ADDRESS
E. Morgan, Northwestern University, Chicago, United States.
SOURCE
Topics in Antiviral Medicine (2018) 26 Supplement 1 (462s). Date of
Publication: 1 Apr 2018
CONFERENCE NAME
25th Conference on Retroviruses and Opportunistic Infections, CROI 2018
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2018-03-04 to 2018-03-07
ISSN
2161-5853
BOOK PUBLISHER
International Antiviral Society
ABSTRACT
Background: Understanding utilization and discontinuation of pre-exposure
prophylaxis (PrEP) among young men who have sex with men (YMSM) outside
trials and demonstration projects is key in order to inform interventions
utilizing PrEP to slow the spread of HIV through this highly impacted
population. Methods: Data came from RADAR (N = 1031), an ongoing
longitudinal cohort of YMSM (aged 16-29) in Chicago. Trends in PrEP use,
adherence, and discontinuation were assessed across five time points of data
collection. Poisson regression was utilized to assess trends in PrEP uptake,
stratifying by race and ethnicity. Unadjusted and adjusted logistic
regression models were utilized to assess the relationship between baseline
characteristics and past six-month PrEP use. Results: Across the first three
visits in 2015 to 2017, PrEP use in the past six months increased: 6.6% in
visit one to 17.5% in visit three. These increases were significant only
among white (IRR=1.45; 95% CI: 1.04-2.02) and Hispanic (IRR=1.59; 95% CI:
1.11-2.28) participants; no significant increase was observed among black
participants. PrEP use was significantly associated with condomless sex
(AOR=2.95; 95% CI: 1.38-6.28), having more sexual partners (AOR = 1.07; 95%
CI: 1.03-1.12), and older age (AOR=1.18; 95% CI: 1.07-1.30). Those who used
marijuana were also significantly less likely to use PrEP (AOR=0.94; 95% CI:
0.89-0.99). PrEP use was not significantly associated with rectal STIs
(AOR=1.34; 95% CI: 0.65-2.75). No significant association was observed
between PrEP use and education, alcohol use, or other substance use. We also
observed that a majority of individuals reported being at least 90% adherent
to their PrEP medication across visits one (77.1%), two (83.3%), and three
(81.8%). Sixty-five (33.0%) participants discontinued PrEP use prior to the
interview date. Primary reasons for PrEP discontinuation included trouble
getting to doctor's appointments (21.5%) and issues related to insurance
coverage or loss (20.0%). Conclusion: We observed an increasing trend of
six-month PrEP use among white YMSM in Chicago, and not among those of other
race/ethnicity, from 2015 to 2017. Individuals who reported high risk HIV
behaviors were also more likely to have used PrEP. Future research should be
targeted at understanding longitudinal time- or age-related trends in PrEP
uptake as well the drivers of decisions about other prevention strategies
following discontinuation of PrEP.
EMTREE DRUG INDEX TERMS
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Illinois
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
alcohol consumption
cohort analysis
conference abstract
driver
drug withdrawal
education
ethnicity
Hispanic
human
Human immunodeficiency virus
information processing
insurance
interview
major clinical study
male
men who have sex with men
nonhuman
pre-exposure prophylaxis
race
rectum
sexuality
telecommunication
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621728950
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 13
TITLE
Risk of fentanyl-involved overdose among those with past year incarceration:
Findings from a recent outbreak in 2014 and 2015
AUTHOR NAMES
Brinkley-Rubinstein L.
Macmadu A.
Marshall B.D.L.
Heise A.
Ranapurwala S.I.
Rich J.D.
Green T.C.
AUTHOR ADDRESSES
(Brinkley-Rubinstein L., Lauren_Brinkley@med.unc.edu) Department of Social
Medicine, University of North Carolina, 333 S. Columbia St., Chapel Hill,
United States.
(Brinkley-Rubinstein L., Lauren_Brinkley@med.unc.edu; Heise A.) Center for
Health Equity Research, University of North Carolina at Chapel Hill, 335 S.
Columbia St., Chapel Hill, United States.
(Macmadu A.; Rich J.D.) Center for Prisoner Health and Human Rights, The
Miriam Hospital, 8 Third St., 2nd floor, Providence, United States.
(Macmadu A.) Department of Health Services, Policy and Practice, Brown
University School of Public Health, 121 South Main St., Providence, United
States.
(Marshall B.D.L.; Rich J.D.) Department of Epidemiology, Brown University
School of Public Health, 121 South Main St., Providence, United States.
(Ranapurwala S.I.) Department of Epidemiology, University of North Carolina,
135 Dauer Dr., Chapel Hill, United States.
(Green T.C.) Department of Emergency Medicine, Boston University, 1 Boston
Medical Center Pl., Boston, United States.
(Green T.C.) Injury Prevention Research Center, Boston University, 1 Boston
Medical Center Pl., Boston, United States.
CORRESPONDENCE ADDRESS
L. Brinkley-Rubinstein, Department of Social Medicine, University of North
Carolina, 333 S. Columbia St., Chapel Hill, United States. Email:
Lauren_Brinkley@med.unc.edu
SOURCE
Drug and Alcohol Dependence (2018) 185 (189-191). Date of Publication: 1 Apr
2018
ISSN
1879-0046 (electronic)
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Overdose is the leading cause of unintentional injury-related death. Rhode
Island (RI) has the highest rate of illicit drug use nationally and the 5th
highest overdose mortality rate. RI has experienced an outbreak of
fentanyl-related overdoses. In incarcerated populations, risk of overdose is
greatly elevated. However, little is known about fentanyl-related overdose
post-release. In the current analyses, we identify changes in
fentanyl-related fatal overdose among those who died in 2014 and 2015 who
were incarcerated in the year before death. We linked data from the RI
Office of the Medical Examiner with records from the RI Department of
Corrections. We calculated risk ratios and 95% confidence intervals using
log-binomial regression to compare risk of fentanyl-involved overdose death.
We also compared median time to death since release, median sentence length,
and median number of incarcerations in 2014 and 2015. Results indicate that
the risk of dying of a fentanyl-related overdose increased (RR: 1.99 (95%
CI: 1.11–3.57, p = 0.014)) from 2014 to 2015 among those with past year
incarceration. This study is one of the first to describe fentanyl-related
fatal overdose among those with past year incarceration. In 2015 the median
sentence was longer among those with a fentanyl-related overdose death and
the median time from release to death among all who had past year
incarceration extended past 90 days. Access to medications for addiction
treatment, overdose education, and naloxone should be available during
community re-entry and extended beyond the early post-release period.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
fentanyl
EMTREE DRUG INDEX TERMS
naloxone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug overdose
prisoner
risk assessment
EMTREE MEDICAL INDEX TERMS
adult
article
calculation
controlled study
coroner
death
drug identification
female
human
major clinical study
male
mortality rate
narcotic dependence
priority journal
punishment
Rhode Island
CAS REGISTRY NUMBERS
fentanyl (437-38-7)
naloxone (357-08-4, 465-65-6)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180221322
PUI
L2000591752
DOI
10.1016/j.drugalcdep.2017.12.014
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2017.12.014
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 14
TITLE
Indicators to facilitate the early identification of patients with major
depressive disorder in need of highly specialized care: A concept mapping
study
AUTHOR NAMES
van Krugten F.C.W.
Goorden M.
van Balkom A.J.L.M.
Spijker J.
Brouwer W.B.F.
Hakkaart-van Roijen L.
AUTHOR ADDRESSES
(van Krugten F.C.W., vankrugten@eshpm.eur.nl; Goorden M.; Brouwer W.B.F.;
Hakkaart-van Roijen L.) Erasmus School of Health Policy & Management,
Erasmus University Rotterdam, Rotterdam, Netherlands.
(van Balkom A.J.L.M.) Department of Psychiatry, VU University Medical
Center, Amsterdam, Netherlands.
(van Balkom A.J.L.M.) GGZ inGeest, Amsterdam, Netherlands.
(Spijker J.) Behavioural Science Institute, Radboud University Medical
Center, Nijmegen, Netherlands.
(Spijker J.) Pro Persona Mental Health Care, Nijmegen, Netherlands.
()
CORRESPONDENCE ADDRESS
F.C.W. van Krugten, Erasmus School of Health Policy & Management, Erasmus
University Rotterdam, Rotterdam, Netherlands. Email: vankrugten@eshpm.eur.nl
SOURCE
Depression and Anxiety (2018) 35:4 (346-352). Date of Publication: 1 Apr
2018
ISSN
1520-6394 (electronic)
1091-4269
BOOK PUBLISHER
Blackwell Publishing Inc., subscrip@blackwellpub.com
ABSTRACT
Background: Early identification of the subgroup of patients with major
depressive disorder (MDD) in need of highly specialized care could enhance
personalized intervention. This, in turn, may reduce the number of treatment
steps needed to achieve and sustain an adequate treatment response. The aim
of this study was to identify patient-related indicators that could
facilitate the early identification of the subgroup of patients with MDD in
need of highly specialized care. Methods: Initial patient indicators were
derived from a systematic review. Subsequently, a structured
conceptualization methodology known as concept mapping was employed to
complement the initial list of indicators by clinical expertise and develop
a consensus-based conceptual framework. Subject-matter experts were invited
to participate in the subsequent steps (brainstorming, sorting, and rating)
of the concept mapping process. A final concept map solution was generated
using nonmetric multidimensional scaling and agglomerative hierarchical
cluster analyses. Results: In total, 67 subject-matter experts participated
in the concept mapping process. The final concept map revealed the following
10 major clusters of indicators: 1-depression severity, 2-onset and
(treatment) course, 3-comorbid personality disorder, 4-comorbid substance
use disorder, 5-other psychiatric comorbidity, 6-somatic comorbidity,
7-maladaptive coping, 8-childhood trauma, 9-social factors, and
10-psychosocial dysfunction. Conclusions: The study findings highlight the
need for a comprehensive assessment of patient indicators in determining the
need for highly specialized care, and suggest that the treatment allocation
of patients with MDD to highly specialized mental healthcare settings should
be guided by the assessment of clinical and nonclinical patient factors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
major depression (therapy)
patient care
patient identification
treatment indication
EMTREE MEDICAL INDEX TERMS
adult
article
brainstorming
childhood injury (therapy)
comorbidity
concept mapping
controlled study
decision support system
depression (therapy)
drug dependence (therapy)
female
human
male
medical expert
middle aged
patient selection
personality disorder (therapy)
priority journal
professional competence
professional knowledge
psychosocial disorder (therapy)
social aspect
specialization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180225927
PUI
L621443028
DOI
10.1002/da.22741
FULL TEXT LINK
http://dx.doi.org/10.1002/da.22741
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 15
TITLE
A research coding method to evaluate a smoking cessation model for training
residents—A preliminary report
AUTHOR NAMES
Grayson-Sneed K.A.
Smith R.C.
AUTHOR ADDRESSES
(Grayson-Sneed K.A.; Smith R.C., robert.smith@ht.msu.edu) Michigan State
University, Department of Medicine, 788 Service Road, East Lansing, United
States.
(Grayson-Sneed K.A.) Michigan State University, Department of Communication,
404 Wilson Road, East Lansing, United States.
CORRESPONDENCE ADDRESS
R.C. Smith, Michigan State University, Department of Medicine, 788 Service
Road, East Lansing, United States. Email: robert.smith@ht.msu.edu
SOURCE
Patient Education and Counseling (2018) 101:3 (541-545). Date of
Publication: 1 Mar 2018
ISSN
1873-5134 (electronic)
0738-3991
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Objective: Develop a reliable coding method of a cigarette cessation model
used to train residents – a preliminary report. Methods: Two trained (30 h)
undergraduates coded videotaped interviews from 161 resident-simulated
patient (SP) interactions. To establish reliability, coders coded 33 (20%)
of 161 study set tapes for the BHTM. Cohen's Kappa and percent of agreement
were used to measure coders’ reliability in unitizing and coding residents’
skills for eliciting 5 variables: Educating, Informing, and Motivating (3
items); Commitment and Goals (3 items); Negotiate Plan (7 items);
Patient-Centered Skills (9 items); Emotional Skills (6 items). Results: 50
items were dichotomized a priori from analysis of the training model and
were reduced to 28 during training. Kappa ranged from 0.73 to 0.87 for the 5
variables and 28 individual items. The overall kappa was 0.84, and percent
of agreement was 93%. Percent of agreement by item ranged from 82 to 100%.
Conclusions: A highly reliable coding method, weighted (by no. of items) to
highlight the key elements of the teaching, is recommended for investigators
wishing to better focus on the partnership, emotions, and planning. Practice
implications: This is a unique way to integrate patient-centered skills into
motivational interviewing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
emotion assessment
female
health behavior
health care planning
human
male
medical information
medical student
motivational interviewing
patient care
priority journal
resident
simulation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170672965
PUI
L618435142
DOI
10.1016/j.pec.2017.09.010
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pec.2017.09.010
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 16
TITLE
e-Addictology: An overview of new technologies for assessing and intervening
in addictive behaviors
AUTHOR NAMES
Ferreri F.
Bourla A.
Mouchabac S.
Karila L.
AUTHOR ADDRESSES
(Ferreri F., alexis.bourla@aphp.fr; Bourla A.; Mouchabac S.) Sorbonne
Université, UPMC, Department of Adult Psychiatry and Medical Psychology,
APHP, Saint-Antoine Hospital, Paris, France.
(Karila L.) Université Paris Sud - INSERM U1000, Addiction Research and
Treatment Center, APHP, Paul Brousse Hospital, Villejuif, France.
CORRESPONDENCE ADDRESS
F. Ferreri, Sorbonne Université, UPMC, Department of Adult Psychiatry and
Medical Psychology, APHP, Saint-Antoine Hospital, Paris, France. Email:
alexis.bourla@aphp.fr
SOURCE
Frontiers in Psychiatry (2018) 9:MAR Article Number: 51. Date of
Publication: 1 Mar 2018
ISSN
1664-0640 (electronic)
BOOK PUBLISHER
Frontiers Media S.A., info@frontiersin.org
ABSTRACT
Background: New technologies can profoundly change the way we understand
psychiatric pathologies and addictive disorders. New concepts are emerging
with the development of more accurate means of collecting live data,
computerized questionnaires, and the use of passive data. Digital
phenotyping, a paradigmatic example, refers to the use of computerized
measurement tools to capture the characteristics of different psychiatric
disorders. Similarly, machine learning-a form of artificial intelligence-can
improve the classification of patients based on patterns that clinicians
have not always considered in the past. Remote or automated interventions
(web-based or smartphone-based apps), as well as virtual reality and
neurofeedback, are already available or under development. Objective: These
recent changes have the potential to disrupt practices, as well as
practitioners' beliefs, ethics and representations, and may even call into
question their professional culture. However, the impact of new technologies
on health professionals' practice in addictive disorder care has yet to be
determined. In the present paper, we therefore present an overview of new
technology in the field of addiction medicine. Method: Using the keywords
[e-health], [m-health], [computer], [mobile], [smartphone], [wearable],
[digital], [machine learning], [ecological momentary assessment],
[biofeedback] and [virtual reality], we searched the PubMed database for the
most representative articles in the field of assessment and interventions in
substance use disorders. Results: We screened 595 abstracts and analyzed 92
articles, dividing them into seven categories: e-health program and
web-based interventions, machine learning, computerized adaptive testing,
wearable devices and digital phenotyping, ecological momentary assessment,
biofeedback, and virtual reality. Conclusion: This overview shows that new
technologies can improve assessment and interventions in the field of
addictive disorders. The precise role of connected devices, artificial
intelligence and remote monitoring remains to be defined. If they are to be
used effectively, these tools must be explained and adapted to the different
profiles of physicians and patients. The involvement of patients, caregivers
and other health professionals is essential to their design and assessment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior assessment
behavioral addiction (therapy)
EMTREE MEDICAL INDEX TERMS
addiction medicine
behavior therapy
biofeedback
computerized adaptive testing
drug dependence (therapy)
ecological momentary assessment
ecological momentary intervention
electronic device
health program
human
machine learning
neurofeedback
patient assessment
phenotype
review
smartphone
virtual reality
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180158968
PUI
L620938457
DOI
10.3389/fpsyt.2018.00051
FULL TEXT LINK
http://dx.doi.org/10.3389/fpsyt.2018.00051
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 17
TITLE
A career in addiction medicine: An interview with patrick G. O’Connor, MD,
MPH, FACP
AUTHOR NAMES
Horien C.
AUTHOR ADDRESSES
(Horien C., corey.horien@yale.edu) Yale School of Medicine MD-PhD Program,
New Haven, United States.
CORRESPONDENCE ADDRESS
C. Horien, Yale School of Medicine MD-PhD Program, New Haven, United States.
Email: corey.horien@yale.edu
SOURCE
Yale Journal of Biology and Medicine (2018) 91:1 (67-71). Date of
Publication: 1 Mar 2018
ISSN
0044-0086
BOOK PUBLISHER
Yale Journal of Biology and Medicine Inc.
EMTREE DRUG INDEX TERMS
buprenorphine (clinical trial, drug therapy)
diamorphine
methadone (drug therapy)
naltrexone (drug therapy)
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction medicine
EMTREE MEDICAL INDEX TERMS
alcoholism (drug therapy)
detoxification
disease transmission
drug approval
drug efficacy
health care policy
health service
human
Human immunodeficiency virus infection
medical education
medical practice
medical research
methadone treatment
note
opiate addiction (drug therapy)
pain (drug therapy)
pain assessment
patient care
primary medical care
substance abuse
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
naltrexone (16590-41-3, 16676-29-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20180245413
PUI
L621543294
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 18
TITLE
Validation of the Internet Addiction Test in Students at a Pakistani Medical
and Dental School
AUTHOR NAMES
Waqas A.
Farooq F.
Raza M.
Javed S.T.
Khan S.
Ghumman M.E.
Naveed S.
Haddad M.
AUTHOR ADDRESSES
(Waqas A., ahmedwaqas1990@hotmail.com; Farooq F.,
faisalfarooq123@hotmail.com; Raza M., azar.nishom@gmail.com; Javed S.T.,
saamia32@hotmail.com; Khan S., spogmaikhan@rocketmail.com; Ghumman M.E.,
ghuman9191@gmail.com) CMH Lahore Medical College and Institute of Dentistry,
Lahore Cantt, Pakistan.
(Naveed S., snaveed@kvc.org) KVC Health Systems, United States.
(Haddad M., Mark.Haddad.1@city.ac.uk) Centre for Mental Health Research,
School of Health Sciences, City University London, Northampton Square,
London, United Kingdom.
CORRESPONDENCE ADDRESS
A. Waqas, CMH Lahore Medical College and Institute of Dentistry, Lahore
Cantt, Pakistan. Email: ahmedwaqas1990@hotmail.com
SOURCE
Psychiatric Quarterly (2018) 89:1 (235-247). Date of Publication: 1 Mar 2018
ISSN
1573-6709 (electronic)
0033-2720
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
Despite growing concerns over pathological internet usage, studies based on
validated psychometric instruments are still lacking in Pakistan. This study
aimed to examine the psychometric properties of the Internet Addiction Test
(IAT) in a sample of Pakistani students. A total of 522 students of medicine
and dentistry completed the questionnaire, which consisted of four sections:
(a) demographics, (b) number of hours spent on the Internet per day, (c)
English version of the IAT, and (d) the Defense Style Questionnaire-40.
Maximum likelihood analysis and principal axis factoring were used to
validate the factor structure of the IAT. Convergent and criterion validity
were assessed by correlating IAT scores with number of hours spent online
and defense styles. Exploratory and confirmatory factor analysis reflected
the goodness of fit of a unidimensional structure of the IAT, with a high
alpha coefficient. The IAT had good face and convergent validity and no
floor and ceiling effects, and was judged easy to read by participants.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dental education
internet addiction
Internet Addiction Test
medical school
medical student
mental disease assessment
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
confirmatory factor analysis
convergent validity
criterion related validity
dental student
exploratory factor analysis
female
game addiction
histogram
human
Internet
item total correlation
major clinical study
male
maximum likelihood method
Pakistani
test retest reliability
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170586590
PUI
L617839170
DOI
10.1007/s11126-017-9528-5
FULL TEXT LINK
http://dx.doi.org/10.1007/s11126-017-9528-5
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 19
TITLE
Utilization of outpatient medical care and substance use among rural
stimulant users: Do the number of visits matter?
AUTHOR NAMES
Cucciare M.A.
Kennedy K.M.
Han X.
Timko C.
Zaller N.
Booth B.M.
AUTHOR ADDRESSES
(Cucciare M.A., macucciare@uams.edu; Kennedy K.M.; Han X.; Booth B.M.)
Department of Psychiatry, University of Arkansas for Medical Sciences,
Little Rock, United States.
(Kennedy K.M.) Department of Psychology and Counseling, University of
Central Arkansas, Conway, United States.
(Cucciare M.A., macucciare@uams.edu; Han X.) Center for Mental Healthcare
and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System,
North Little Rock, United States.
(Cucciare M.A., macucciare@uams.edu) VA South Central Mental Illness
Research, Education, and Clinical Center, Central Arkansas Veterans
Healthcare System (CAVHS), North Little Rock, United States.
(Timko C.) Center for Innovation to Implementation, Veterans Affairs (VA)
Health Care System, Menlo Park, United States.
(Timko C.) Department of Psychiatry and Behavioral Sciences, Stanford
University School of Medicine, Stanford, United States.
(Zaller N.) College of Public Health, Department of Health Behavior and
Health Education, University of Arkansas for Medical Sciences, Little Rock,
United States.
CORRESPONDENCE ADDRESS
M.A. Cucciare, Division of Health Services Research, Department of
Psychiatry/Psychiatric Research Institute, College of Medicine, University
of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock,
United States. Email: macucciare@uams.edu
SOURCE
Journal of Substance Abuse Treatment (2018) 86 (78-85). Date of Publication:
1 Mar 2018
ISSN
1873-6483 (electronic)
0740-5472
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Rural substance users are less likely than their urban peers to use formal
substance use treatment. It is therefore important to understand how the
utilization of potentially more appealing care options, such as outpatient
medical care (OMC), may affect substance use over time. This study sought to
examine whether the number of OMC visits, after controlling for important
covariates, was associated with days of alcohol, crack and powder cocaine,
and methamphetamine use among a sample of rural stimulant users over a three
year period. Data were collected from a natural history study of 710
stimulant users living in rural communities in Arkansas, Kentucky, and Ohio.
Participants were adults, not in drug treatment, and reporting stimulant use
in the last 30 days. In terms of alcohol use, for participants with higher
employment-related problems, having 3 or more OMC visits (relative to none)
was associated with fewer days of alcohol use. The results for days of
cocaine and methamphetamine use were mixed. However, we did find that for
participants reporting at least one substance use treatment or mutual help
care visit in the past 6-months, having 1–2 OMC visits (compared to none)
was associated with fewer days of crack cocaine use. Regarding
methamphetamine use, results showed that for participants without medical
insurance, having 3 or more OMC visits (compared to none) was associated
with significantly fewer days of methamphetamine use if they also reported
greater than or equal to a high school education. The findings from this
study may help us begin to understand some of the characteristics of rural
drug users, who utilize OMCs, associated with reductions in substance use.
These findings may help health care administrators better plan, coordinate,
and allocate resources to rural OMCs to more effectively address substance
use in this population.
EMTREE DRUG INDEX TERMS
alcohol
cocaine
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care utilization
medical education
patient care
rural area
substance use
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
controlled study
descriptive research
employment
female
follow up
health insurance
human
informed consent
Kentucky
male
observational study
Ohio
population research
priority journal
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cocaine (50-36-2, 53-21-4, 5937-29-1)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180220784
PUI
L2000589309
DOI
10.1016/j.jsat.2018.01.004
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2018.01.004
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 20
TITLE
Survey assessing medical student and physician knowledge and attitudes
regarding the opioid crisis
AUTHOR NAMES
Chouinard S.
Prasad A.
Brown R.
AUTHOR ADDRESSES
(Chouinard S.; Prasad A.; Brown R., randy.brown@fammed.wisc.edu) University
of Wisconsin (UW), School of Medicine and Public Health, Madison, United
States.
(Brown R., randy.brown@fammed.wisc.edu) Department of Family Medicine and
Community Health, UW-Madison, Madison, United States.
CORRESPONDENCE ADDRESS
R. Brown, Department of Family Medicine and Community Health, University of
Wisconsin- Madison, 1100 Delaplaine Ct, Madison, United States. Email:
randy.brown@fammed.wisc.edu
SOURCE
Wisconsin Medical Journal (2018) 117:1 (34-37). Date of Publication: 1 Mar
2018
ISSN
1098-1861
BOOK PUBLISHER
State Medical Society of Wisconsin, communications@wismed.org
ABSTRACT
Background: There is a national opioid misuse and overdose crisis. Consensus
guidelines seek to inform practice and reduce risk; however, effect on
clinician attitudes and knowledge remains unclear. Methods: We surveyed 228
medical students and physicians in Wisconsin to assess their knowledge
regarding at-risk patients, alternatives to opioids, and best treatment
practices for opioid addiction. We also assessed attitudes about prescribing
naloxone, relapse likelihood, and responsibility for the crisis. Results:
Knowledge and attitudes were similar, including that overprescribing by
health care professionals is a driving factor. Attitudes on relapse
likelihood were different, but both groups believed sustained recovery from
addiction was possible. Discussion: Enhancement of opioid-related education
is both necessary to address knowledge gaps and desired by students and
physicians.
EMTREE DRUG INDEX TERMS
naloxone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health survey
opiate addiction
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
data analysis
family medicine
female
health care
health care personnel
high risk patient
human
major clinical study
male
medical education
medical ethics
medical student
nuclear magnetic resonance imaging
physiotherapy
prescription
questionnaire
retrospective study
treatment response
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180264450
PUI
L621631768
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 21
TITLE
Efficacy of Treating Sexual Trauma in a Substance Abuse Residential Program
for Women
AUTHOR NAMES
Hemma G.
McNab A.
Katz L.S.
AUTHOR ADDRESSES
(Hemma G.) Sunrise Solutions, Sandy, United States.
(McNab A.) University Neuropsychiatric Institute, Salt Lake City, United
States.
(Katz L.S., Lorikmail@yahoo.com) VA Puget Sound Health Care System, 9600
Veterans Dr SW, Tacoma, United States.
CORRESPONDENCE ADDRESS
L.S. Katz, VA Puget Sound Health Care System, 9600 Veterans Dr SW, Tacoma,
United States. Email: Lorikmail@yahoo.com
SOURCE
Journal of Contemporary Psychotherapy (2018) 48:1. Date of Publication: 1
Mar 2018
ISSN
1573-3564 (electronic)
0022-0116
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
This is a program evaluation of treating sexual trauma in a residential
substance abuse treatment program for women. Residents who were seeking
treatment for their substance abuse disorder (SUD), also had a history of
both childhood and adult sexual trauma. Given the literature supporting
concurrent trauma-SUD treatment, the Warrior Renew (WR) protocol (Katz,
Warrior Renew: Healing from military sexual trauma, Springer, New York,
2014) was added to the curriculum of Alcoholics Anonymous 12-step groups,
relapse prevention, and substance abuse education classes. The WR manual
consists of coping skills to address sleep and anxiety, and
cognitive/experiential restructuring to address anger/resentments due to
injustice, betrayal, and self-blame. It also addresses interpersonal factors
such as relationship patterns and healthy interpersonal skills. This
evaluation was conducted as part of routine clinical care in a naturalistic
setting. Nineteen residents graduated the program and opted to complete
pre-and post-treatment assessments. Findings revealed significant decreases
in symptoms of anxiety, depression, posttraumatic negative thinking, and
PTSD, and significant increases in positive factors of optimism and
self-esteem-- all with large effect sizes. In addition, 95% of the sample
had a reliable change at the 95% confidence interval. Resident’s feedback to
staff reflected strong positive endorsement of the WR program. Results
suggest WR is a promising effective treatment for women who have had sexual
trauma in a substance abuse residential treatment program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
psychotrauma
sexual trauma
EMTREE MEDICAL INDEX TERMS
adult
alcoholics anonymous
anger
anxiety
article
cognition
communication skill
coping behavior
curriculum
depression
distress syndrome
effect size
feedback system
female
human
major clinical study
posttraumatic stress disorder
program evaluation
relapse
residential care
self esteem
sleep
social competence
substance abuse
thinking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170552807
PUI
L617611452
DOI
10.1007/s10879-017-9365-8
FULL TEXT LINK
http://dx.doi.org/10.1007/s10879-017-9365-8
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 22
TITLE
Barriers to and Facilitators of Alcohol Use Disorder Pharmacotherapy in
Primary Care: A Qualitative Study in Five VA Clinics
AUTHOR NAMES
Williams E.C.
Achtmeyer C.E.
Young J.P.
Berger D.
Curran G.
Bradley K.A.
Richards J.
Siegel M.B.
Ludman E.J.
Lapham G.T.
Forehand M.
Harris A.H.S.
AUTHOR ADDRESSES
(Williams E.C., emily.williams3@va.gov; Achtmeyer C.E.; Young J.P.; Bradley
K.A.; Richards J.; Lapham G.T.) Health Services Research & Development
(HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care,
Veterans Affairs (VA) Puget Sound Health Care System, 1660 S. Columbian Way,
S-152, Seattle, United States.
(Williams E.C., emily.williams3@va.gov; Bradley K.A.; Richards J.)
Department of Health Services, University of Washington, Seattle, United
States.
(Achtmeyer C.E.; Berger D.) General Medicine Service, Veterans Affairs (VA)
Puget Sound Health Care System – Seattle Division, Seattle, United States.
(Achtmeyer C.E.; Bradley K.A.; Lapham G.T.) Center of Excellence in
Substance Abuse Treatment and Education, Veterans Affairs (VA) Puget Sound
Health Care System – Seattle Division, Seattle, United States.
(Berger D.; Bradley K.A.) Department of Medicine, University of Washington,
Seattle, United States.
(Curran G.) Central Arkansas Veterans Health Care System, Little Rock,
United States.
(Siegel M.B.) Department of Community Health Sciences, Boston University
School of Public Heath, Boston, United States.
(Ludman E.J.) Department of Psychiatry and Behavioral Sciences, University
of Washington, Seattle, United States.
(Forehand M.) Foster School of Business, University of Washington, Seattle,
United States.
(Harris A.H.S.) Center for Innovation to Implementation, VA Palo Alto Health
Care System, Palo Alto, United States.
CORRESPONDENCE ADDRESS
E.C. Williams, Health Services Research & Development (HSR&D), Center of
Innovation for Veteran-Centered Value-Driven Care, Veterans Affairs (VA)
Puget Sound Health Care System, 1660 S. Columbian Way, S-152, Seattle,
United States. Email: emily.williams3@va.gov
SOURCE
Journal of General Internal Medicine (2018) 33:3 (258-267). Date of
Publication: 1 Mar 2018
ISSN
1525-1497 (electronic)
0884-8734
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
Background: Three medications are FDA-approved and recommended for treating
alcohol use disorders (AUD) but they are not offered to most patients with
AUD. Primary care (PC) may be an optimal setting in which to offer and
prescribe AUD medications, but multiple barriers are likely. Objective: This
qualitative study used social marketing theory, a behavior change approach
that employs business marketing techniques including “segmenting the
market,” to describe (1) barriers and facilitators to prescribing AUD
medications in PC, and (2) beliefs of PC providers after they were segmented
into groups more and less willing to prescribe AUD medications. Design:
Qualitative, interview-based study. Participants: Twenty-four providers from
five VA PC clinics. Approach: Providers completed in-person semi-structured
interviews, which were recorded, transcribed, and analyzed using social
marketing theory and thematic analysis. Providers were divided into two
groups based on consensus review. Key Results: Barriers included lack of
knowledge and experience, beliefs that medications cannot replace specialty
addiction treatment, and alcohol-related stigma. Facilitators included
training, support for prescribing, and behavioral staff to support
follow-up. Providers more willing to prescribe viewed prescribing for AUD as
part of their role as a PC provider, framed medications as a potentially
effective “tool” or “foot in the door” for treating AUD, and believed that
providing AUD medications in PC might catalyze change while reducing stigma
and addressing other barriers to specialty treatment. Those less willing
believed that medications could not effectively treat AUD, and that treating
AUD was the role of specialty addiction treatment providers, not PC
providers, and would require time and expertise they do not have.
Conclusions: We identified barriers to and facilitators of prescribing AUD
medications in PC, which, if addressed and/or capitalized on, may increase
provision of AUD medications. Providers more willing to prescribe may be the
optimal target of a customized implementation intervention to promote
changes in prescribing.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
drugs used in the treatment of addiction (drug therapy)
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (drug therapy, drug therapy)
health belief
pharmaceutical care
physician attitude
prescription
primary medical care
risk factor
EMTREE MEDICAL INDEX TERMS
article
behavior change
commercial phenomena
doctor patient relation
drug efficacy
female
health care facility
health care personnel
human
interview
major clinical study
male
medical expert
medical specialist
personal experience
professional knowledge
qualitative research
risk reduction
semi structured interview
social marketing
social stigma
thematic analysis
theory
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170768352
PUI
L619065700
DOI
10.1007/s11606-017-4202-z
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-017-4202-z
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 23
TITLE
Creating a complex case review committee to review psychosocial barriers to
HSCT
AUTHOR NAMES
Sharf S.E.
Shea T.C.
Armistead P.M.
Kasow K.A.
Alexander M.
Covington D.
Sharf A.
Riches M.L.
AUTHOR ADDRESSES
(Sharf S.E.) Adult and Pediatric Stem Cell Transplant Program, University of
North Carolina, Chapel Hill, United States.
(Shea T.C.; Armistead P.M.; Sharf A.) Division of Hematology/Oncology,
University of North Carolina, Chapel Hill, United States.
(Kasow K.A.; Riches M.L.) University of North Carolina, Chapel Hill, United
States.
(Alexander M.) Department of Pharmacy, UNC Medical Center, North Carolina
Cancer Hospital, Chapel Hill, United States.
(Covington D.) Bone Marrow Transplant, UNC Hospitals, Chapel Hill, United
States.
CORRESPONDENCE ADDRESS
S.E. Sharf, Adult and Pediatric Stem Cell Transplant Program, University of
North Carolina, Chapel Hill, United States.
SOURCE
Biology of Blood and Marrow Transplantation (2018) 24:3 Supplement 1 (S128).
Date of Publication: 1 Mar 2018
CONFERENCE NAME
2018 Blood and Marrow Transplantation Tandem Meetings, BMT 2018
CONFERENCE LOCATION
Salt Lake City, UT, United States
CONFERENCE DATE
2018-02-21 to 2018-02-25
ISSN
1523-6536
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
While objective physical barriers affecting outcomes for hematopoietic stem
cell transplant (HSCT) candidates exist, psychosocial barriers with
potential consequences are more subjective and harder to quantify but also
important for determining transplant outcomes. Psychosocial barriers may be
due to limited social support, constrained resources, and/or impaired coping
mechanisms. At our institution, despite obtaining a comprehensive
psychosocial evaluation pretransplant, the approach to management of
identified problems varied between providers. Unfortunately, this resulted
in concerns from inpatient staff and post-transplant providers due to
perceived inconsistencies regarding patient/caregiver expectations.
Consequently, more thorough discussions and clearer standards for addressing
psychoso-cial concerns needed to occur pre-transplant. In 2014, we created
the BMT Complex Case Review Committee (CCRC) to address psychosocial
concerns with the intent to provide candidates the best tools to augment
their potential for success after transplant. Input from the hospital's
Legal and Ethics departments was incorporated into the initial development
of the committee structure including referral guidelines, committee member
qualifications, meeting frequency, and methods to convey recommendations.
Because repetitive themes prompting referral to this committee were
identified, such as substance abuse, lack of a reliable caregiver plan or
history of non-compliance, creation of and/or modification to several
programmatic guidelines and policies occurred as the CCRC evolved. These
include 1) creation of patient-focused educational material outlining
potential health risks of continued substance use (ex: tobacco, alcohol,
marijuana); 2) clear programmatic policies addressing compliance criteria
that must be met prior to admission; and, 3) a "Patient Agreement" form to
be reviewed with each patient and acknowledged via signature pre-transplant.
Since this committee's inception, 76 patients have been reviewed
(approximately 10% of total transplants) to date. As a result of this
committee, we are now utilizing more objective psychosocial criteria that
providers and support staff refer to when reviewing eligibility with
potential HSCT candidates. Alignment between transplant physicians has
improved and communication has been enhanced between the
Inpatient/Outpatient teams as both are represented on the committee.
Development of the CCRC has created a more robust framework to address
psychosocial obstacles and offer tangible solutions for candidates
proceeding with HSCT to afford them their best opportunity for success.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
case study
EMTREE MEDICAL INDEX TERMS
adult
caregiver
conference abstract
ethics
expectation
female
health hazard
hematopoietic stem cell
human
human cell
major clinical study
male
nonhuman
outpatient
patient referral
practice guideline
social support
substance abuse
substance use
tobacco
transplantation
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621899713
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 24
TITLE
A new graduate medical school curriculum in Psychiatry and Addiction
Medicine: reflections on a decade of development
AUTHOR NAMES
Bonner D.
Maguire P.
Cartledge B.
Keightley P.
Reay R.
Parige R.
Cubis J.
Tedeschi M.
Craigie P.
Looi J.C.L.
AUTHOR ADDRESSES
(Bonner D., daniel.bonner@anu.edu.au) Lecturer in Psychiatry, Academic
Coordinator and Acting Co-Deputy Head, Academic Unit of Psychiatry and
Addiction Medicine, Australian National University Medical School, Garran,
ACT, and; Staff Specialist, Mental Health ACT, Canberra, ACT, Australia
(Maguire P.) Lecturer in Adult Psychiatry and Acting Co-Deputy Head,
Academic Unit of Psychiatry and Addiction Medicine, Australian National
University Medical School, Garran, ACT, and; Staff Specialist, ACT Health,
Canberra, ACT, Australia
(Cartledge B.) Associate Lecturer in Adult Psychiatry, Academic Unit of
Psychiatry and Addiction Medicine, Australian National University Medical
School, Garran, ACT, and; Staff Specialist, ACT Health, Canberra, ACT,
Australia
(Keightley P.) Lecturer in Adult Psychiatry, Academic Unit of Psychiatry and
Addiction Medicine, Australian National University Medical School, Garran,
ACT, and; Staff Specialist, ACT Health, Canberra, ACT, Australia
(Reay R.) Lecturer and Research Officer, Academic Unit of Psychiatry and
Addiction Medicine, Australian National University Medical School, Garran,
ACT, and; ACT Health, Canberra, ACT, Australia
(Parige R.) Clinical Lecturer in Addiction Medicine, Academic Unit of
Psychiatry and Addiction Medicine, Australian National University Medical
School, Garran, ACT, and; Staff Specialist, ACT Health, Canberra, ACT,
Australia
(Cubis J.) Senior Lecturer in Child and Adolescent Psychiatry, Academic Unit
of Psychiatry and Addiction Medicine, Australian National University Medical
School, Garran, ACT, and; Senior Staff Specialist, ACT Health, Canberra,
ACT, Australia
(Tedeschi M.) Clinical Senior Lecturer in Addiction Medicine, Academic Unit
of Psychiatry and Addiction Medicine, Australian National University Medical
School, Garran, ACT, and; Staff Specialist, ACT Health, Canberra, ACT,
Australia
(Craigie P.) Student Coordinator and Departmental Administrator, Academic
Unit of Psychiatry and Addiction Medicine, Australian National University
Medical School, Garran, ACT, and; ACT Health, Canberra, ACT, Australia
(Looi J.C.L.) Associate Professor, Psychiatry, Neuropsychiatry and
Psychiatry of Old Age, Acting Discipline Lead and Head, Academic Unit of
Psychiatry and Addiction Medicine, Australian National University Medical
School, Garran, ACT, and; Senior Staff Specialist, ACT Health, Canberra,
ACT, Australia
CORRESPONDENCE ADDRESS
D. Bonner, Lecturer in Psychiatry, Academic Coordinator and Acting Co-Deputy
Head, Academic Unit of Psychiatry and Addiction Medicine, Australian
National University Medical School, Garran, ACT, and; Staff Specialist,
Mental Health ACT, Canberra, ACT, Australia Email: daniel.bonner@anu.edu.au
SOURCE
Australasian Psychiatry (2018). Date of Publication: 1 Feb 2018
ISSN
1440-1665 (electronic)
1039-8562
BOOK PUBLISHER
SAGE Publications Inc., michael.wagreich@univie.ac.at
ABSTRACT
Objectives: The aim of this study is to reflect upon the rationale, design
and development of the Psychiatry and Addiction Medicine curriculum at the
Australian National University Medical School, Canberra, Australian Capital
Territory, Australia. Conclusions: We conclude that the development of the
fourth-year curriculum of a four-year graduate medical degree was a complex
evolutionary process.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction medicine
curriculum development
decision making
medical school
psychiatry
total quality management
EMTREE MEDICAL INDEX TERMS
article
Australian Capital Territory
human
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180144801
PUI
L620916053
DOI
10.1177/1039856218758561
FULL TEXT LINK
http://dx.doi.org/10.1177/1039856218758561
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 25
TITLE
Evaluating adolescent health training in guatemala
AUTHOR NAMES
Reyes J.C.M.
Stamoulis C.
Teich H.
Golub S.
Calgua E.H.
Hassan A.
AUTHOR ADDRESSES
(Reyes J.C.M.) Hospital General San Juan de Dios, Guatemala.
(Stamoulis C.; Teich H.; Golub S.; Hassan A.) Boston Children's Hospital,
United States.
(Calgua E.H.) Universidad de San Carlos de Guatemala, Guatemala.
CORRESPONDENCE ADDRESS
J.C.M. Reyes, Hospital General San Juan de Dios, Guatemala.
SOURCE
Journal of Adolescent Health (2018) 62:2 Supplement 1 (S31-S32). Date of
Publication: 1 Feb 2018
CONFERENCE NAME
Society for Adolescent Health and Medicine Annual Meeting 2018
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2018-03-14 to 2018-03-17
ISSN
1879-1972
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: Today's generation of adolescents is the largest in history,
creating a major challenge for low and middle-income countries faced with
the necessity of addressing their health care. Our objectives were to (1)
assess gaps in adolescent medicine competencies in Guatemala and (2) examine
the extent to which health care providers are trained, knowledgeable and
feel comfortable with providing services to this growing population.
Methods: We conducted a national survey of active physicians who currently
provide care to adolescents in Guatemala. The survey contained a total of
101 questions including yes/no, Likert scale, and check all that apply. The
survey was pilot tested with 8 healthcare providers prior to being
distributed. Emails with the survey link were sent via REDCap to members of
the Colegio de Medicos y Cirujanos. Descriptive statistics were used to
report training in 35 adolescent medicine topics, current screening
practices, and availability of educational opportunities. We used chi-square
tests to examine response differences by provider characteristics
(specialty, age, trainee status, and geographic location). Results:
Four-hundred eight-four (90.6%) providers who opened our survey link
consented to completing the questionnaire. Of these, 391 (80.1%) were
currently caring for adolescents meeting inclusion criteria for our final
sample. Ninety-five (24.3%) identified as pediatricians; 178 (45.5%)
practiced in the capital city. Our sample was young with a median age of
31.0 years [(25th, 75th) quartiles = (29.0, 40.0) years; 3.1% missing].
Almost two thirds [250 (63.9%)] were currently in train-ing. More than 50%
of physicians felt that only 3 out of 35 core topics, specifically
pregnancy, sexually transmitted diseases and HIV/AIDS, had been covered
“well” or “very well” during medical school and residency training.
Behavioral health (e.g. school performance, substance use, mood disorders)
and communication-related topics (e.g. obtaining consent, maintaining
confidentiality) were perceived as particularly poorly covered. Despite
guidelines recommending screening for risk behaviors and confidential time
during annual health visits, few providers asked “all” or the “majority” of
the time about violence at home [62 (15.9%)], substance use [79 (20.2%)],
depression [(65) 16.6%], and sexual activity [23.0% (90)] with only 90
providers (23.0%) asking parents to leave the room for part of the visit.
Although most providers [322 (82.4%)] felt comfortable discussing
contraception with their adolescent patients, far fewer [164 (41.9%)] would
provide a prescription. We found significant differences by spe-cialty.
Psychiatrists were significantly more likely to have parents leave the room
(p <.01) and screen for violence and depression; OB-GYNs screened more
frequently for sexual activity (p <.01) and prescribed contraception (p
<.01) than others, while both pediatricians and OB-GYN physicians were more
likely to discuss contraception (p <.01). Over 90% of providers [358
(91.6%)] felt strongly about the need for additional training in Adolescent
Medicine. Conclusions: There are significant gaps in adolescent medicine
training. The majority of providers are not screening for risk factors and
behaviors strongly linked to morbidity and mortality. There is strong
support for the creation of a credentialed fellowship program to address
shortcomings in caring for this vulnerable population. Sources of Support:
HRSA/MCH LEAH #T71MC00009.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
Guatemala
EMTREE MEDICAL INDEX TERMS
academic achievement
acquired immune deficiency syndrome
adolescent
adult
chi square test
clinical article
conference abstract
confidentiality
contraception
drug dependence
e-mail
female
human
Likert scale
medical school
medicine
mood disorder
morbidity
mortality
pediatrician
practice guideline
pregnancy
prescription
psychiatrist
questionnaire
residency education
risk factor
sexual behavior
sexually transmitted disease
statistics
student
violence
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620799287
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 26
TITLE
Creation and implementation of the community resource education and training
exercise (create) at the mount sinai adolescent health center
AUTHOR NAMES
Crawford C.
Lee J.
Bentsianov S.
Rosenthal L.
Barangan C.
Diaz A.
AUTHOR ADDRESSES
(Crawford C.) Icahn School of Medicine at Mount Sinai, United States.
(Lee J.; Bentsianov S.; Rosenthal L.; Barangan C.; Diaz A.) Mount Sinai
Adolescent Health Center, United States.
CORRESPONDENCE ADDRESS
C. Crawford, Icahn School of Medicine at Mount Sinai, United States.
SOURCE
Journal of Adolescent Health (2018) 62:2 Supplement 1 (S108). Date of
Publication: 1 Feb 2018
CONFERENCE NAME
Society for Adolescent Health and Medicine Annual Meeting 2018
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2018-03-14 to 2018-03-17
ISSN
1879-1972
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: Online, mobile, and community resources are valuable ad-juncts to
patient care. Providers who understand the breadth of resources within their
communities can offer more informed recommendations to patients who require
services outside of the scope of their primary provider. We created and
implemented the Community Resource Education and Training Exercise (CREATE)
program to (1) provide medical trainees rotating at the Mount Sinai
Adolescent Health Center (MSAHC) with the opportunity to learn about local,
online, and mobile resources that are available to the adolescents served by
the center, and (2) create a comprehensive list of adolescent-friendly
resources related to mental health, nutrition, sexual health, trouble at
home, substance abuse, and healthy lifestyles for providers at the MSAHC.
Methods: The CREATE curriculum was designed during Summer 2016 to educate
new residents, fellows, and medical students rotating at the AHC. The
primary method of instruction involves case scenarios of “typical patients”
that seek care at the MSAHC related to mental health, nutrition, sexual
health, trouble at home, substance abuse, and healthy lifestyles. Trainees
are assigned one case and instructed to educate themselves about the
resources required by the patient de-scribed in the scenario. Trainees have
approximately one week to complete this task. Following completion,
participants debrief with the MSAHC fellows and other trainees through a
10-15 minute presentation describing the resources they found and utilized.
Finally, participants are asked to complete a 10-15 minute survey that
evaluates their learning and requests feedback. The survey also asks
participants to list the resources they found while completing the CREATE
curriculum. This information is compiled into an ongoing document and made
available to providers at the MSAHC. Results: The CREATE program was
successfully launched as a pilot program at the MSAHC in January 2017. Two
trainees have completed the program and were assigned the Sexual Health
CREATE case. After completion, the participants reported increased
confidence in their ability to advise an adolescent on the process of
obtaining Plan B and free contraception in New York City. They also reported
an improved understanding of the barriers that face adolescents seeking such
resources. We are in the process of administering the CREATE program to a
new cohort of trainees. Conclusions: Through this curriculum, trainees and
providers become better informed about the benefits, downsides, and barriers
associated with the resources available to adolescents in our community. By
enabling trainees to immerse themselves in the experience of seeking online,
mobile, and local resources, the CREATE program forms the basis for
providing more informed, personalized care to MSAHC patients. Sources of
Support: N/A.
EMTREE DRUG INDEX TERMS
levonorgestrel
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
curriculum
exercise
EMTREE MEDICAL INDEX TERMS
adolescent
conference abstract
contraception
healthy lifestyle
human
learning
medical student
mental health
New York
nutrition
resident
sexual health
substance abuse
summer
CAS REGISTRY NUMBERS
levonorgestrel (797-63-7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620799319
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 27
TITLE
Study to evaluate the prevalence of internet addiction and its correlation
with depression, anxiety and stress among medical students of guwahati
medical college
AUTHOR NAMES
Singh S.K.
Phookun H.R.
AUTHOR ADDRESSES
(Singh S.K., dr.sanjaysingh46@gmail.com; Phookun H.R.) Gmch, Guwahati,
Guwahati, Assam, India.
CORRESPONDENCE ADDRESS
S.K. Singh, Gmch, Guwahati, Guwahati, Assam, India. Email:
dr.sanjaysingh46@gmail.com
SOURCE
Indian Journal of Psychiatry (2018) 60:5 Supplement 1 (S64). Date of
Publication: 1 Feb 2018
CONFERENCE NAME
70th Annual National Conference of Indian Psychiatric Society, ANCIPS 2018
CONFERENCE LOCATION
Ranchi, India
CONFERENCE DATE
2018-02-05 to 2018-02-08
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Introduction-The use of the Internet has increased dramatically due to the
development and spread of cheaper and more user-friendly computer technology
and software. Despite its inherent benefts, the Internet is not without its
problems, especially when its use becomes excessive. The Internet itself is
mostly a harmless tool, but the overuse and incorrect use of it encourages
the risk of addiction and psychiatric co-morbidity. Aims-To assess the
prevalence, pattern and factors infuencing internet addiction and its
correlation with depression, anxiety and stress. Methodology-The study was
carried out in 100 students of Guwahati Medical College, GMCH. IAT and DASS
21 was applied and a semi-structured interview was done to assess the
socio-demographic variables. Results-The study results showed the prevalence
of internet addiction was 33% and depression was found in 58% clients and
among those 16. 7% having mild, 38. 5% having moderate, 54. 5% having severe
and 88. 9% of the clients having extreme severe depression were having
internet addiction, 67% had anxiety and 46% of the participants were
suffering from varying degree of stress. Most of the internet addicts were
in the 24-26 years of age group though no significant relation was found
between gender, domicile and educational level and internet addiction. A
significant correlation was observed between internet addiction and
depression (p value <0. 001), anxiety (p value <0. 001) and stress (p value
<0. 001). Conclusion-The study results show that most of the internet
addicts were in the 24-26 years of age group though no significant relation
was found between gender, domicile and educational level and internet
addiction. A significant correlation was observed between internet addiction
and depression, anxiety and stress (p value <0. 001).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anxiety
internet addiction
medical school
medical student
prevalence
stress
EMTREE MEDICAL INDEX TERMS
adult
conference abstract
controlled study
drug dependence
female
gender
human
Internet
major clinical study
male
semi structured interview
statistical significance
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621267819
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 28
TITLE
Pattern of substance use among a medical college students in a metropolitan
city: A cross-sectional study
AUTHOR NAMES
Mukherjee S.
Uzzaman S.A.
AUTHOR ADDRESSES
(Mukherjee S., mukherjeesumit26@gmail.com; Uzzaman S.A.) R. G. Kar Medical
College, Kolkata, West Bengal, India.
CORRESPONDENCE ADDRESS
S. Mukherjee, R. G. Kar Medical College, Kolkata, West Bengal, India. Email:
mukherjeesumit26@gmail.com
SOURCE
Indian Journal of Psychiatry (2018) 60:5 Supplement 1 (S91). Date of
Publication: 1 Feb 2018
CONFERENCE NAME
70th Annual National Conference of Indian Psychiatric Society, ANCIPS 2018
CONFERENCE LOCATION
Ranchi, India
CONFERENCE DATE
2018-02-05 to 2018-02-08
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Background: Substance use and its associated problems are a global concern
in recent time. Doctors are extremely vulnerable to substance use due to
easy accessibility to the substances. Adolescence is the most critical
period for substance use. Among adolescents, students are particularly
vulnerable due to various reasons. Substance use assumes a special
signifcance among medical students as they are the future medical
practitioners and have a potential role in treating and counselling the
patients of substance abuse disorder. Materials and Method: Approval from
the Institutional ethics committee was obtained. Written informed consent
was also taken. A structured questionnaire designed and validated in-house
was administered to obtain information. Briefy, the themes under which the
questions were asked included demographic details, details of the substance
use and its source, attempt to quit in the past, ill-effects and legal
consequences of substance use etc. The main aim of the study is simply to
identify the type of substances being used, reason of use and effects in
different spheres of life. 200 students were recruited from a medical
college of a metropolitan city. Descriptive analysis was used for analyzing
various categorical variables. Chi-square test was used to analyse the
association of various categories. Results: Among 200 participants, 142 were
male and 58 were female. It has been seen that much lesser number students
from Muslim community is taking substance and the result is significant
statistically (p= 0. 000983). It has also seen that rising trend of
substance use from first year to internee batch (p= 0. 006595). Students who
are staying at hostel are taking substance more (p= 0. 024183). Conclusion:
Various substances like Alcohol, Tobacco, Cannabis are being used commonly.
Problem of substance abuse should be taken seriously as it may have an
impact on their professional judgement and in family life.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
cross-sectional study
medical school
medical student
substance use
EMTREE MEDICAL INDEX TERMS
adolescent
chi square test
conference abstract
controlled study
counseling
decision making
family life
female
halfway house
human
informed consent
institutional ethics
major clinical study
male
Muslim
nonhuman
physician
structured questionnaire
substance abuse
tobacco
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621267851
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 29
TITLE
Alcohol use and the wage returns to education and work experience
AUTHOR NAMES
Bray J.W.
Hinde J.M.
Aldridge A.P.
AUTHOR ADDRESSES
(Bray J.W., jwbray@uncg.edu) Department of Economics, The University of
North Carolina at Greensboro, Greensboro, United States.
(Hinde J.M.; Aldridge A.P.) RTI International, Durham, United States.
(Hinde J.M.) Department of Public Policy, The University of North Carolina
at Chapel Hill, Chapel Hill, United States.
CORRESPONDENCE ADDRESS
J.W. Bray, Department of Economics, The University of North Carolina at
Greensboro, Greensboro, United States. Email: jwbray@uncg.edu
SOURCE
Health Economics (United Kingdom) (2018) 27:2 (e87-e100). Date of
Publication: 1 Feb 2018
ISSN
1099-1050 (electronic)
1057-9230
BOOK PUBLISHER
John Wiley and Sons Ltd, Southern Gate, Chichester, West Sussex, United
Kingdom. vgorayska@wiley.com
ABSTRACT
Despite a widely held belief that alcohol use should negatively impact
wages, much of the literature on the topic suggests a positive relationship
between nonproblematic alcohol use and wages. Studies on the effect of
alcohol use on educational attainment have also failed to find a consistent,
negative effect of alcohol use on years of education. Thus, the connections
between alcohol use, human capital, and wages remain a topic of debate in
the literature. In this study, we use the 1997 cohort of the National
Longitudinal Survey of Youth to estimate a theoretical model of wage
determination that links alcohol use to wages via human capital. We find
that nonbinge drinking is associated with lower wage returns to education
whereas binge drinking is associated with increased wage returns to both
education and work experience. We interpret these counterintuitive results
as evidence that alcohol use affects wages through both the allocative and
productive efficiency of human capital formation and that these effects
operate in offsetting directions. We suggest that alcohol control policies
should be more nuanced to target alcohol consumption in the contexts within
which it causes harm.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
economic aspect
medical education
return to work
wage
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Black person
child
controlled study
cross-sectional study
descriptive research
employment
female
health care policy
health survey
Hispanic
human
male
priority journal
school child
self report
theoretical model
trend study
work experience
young adult
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170594171
PUI
L617926079
DOI
10.1002/hec.3565
FULL TEXT LINK
http://dx.doi.org/10.1002/hec.3565
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 30
TITLE
A study on prevalence of internet addiction in medical students and its
relationship with personality traits
AUTHOR NAMES
Kumari M.M.
Babu S.
AUTHOR ADDRESSES
(Kumari M.M., meenamedikonda@gmail.com; Babu S.) Asram Medical College,
Eluru, Andhrapradesh, India.
CORRESPONDENCE ADDRESS
M.M. Kumari, Asram Medical College, Eluru, Andhrapradesh, India. Email:
meenamedikonda@gmail.com
SOURCE
Indian Journal of Psychiatry (2018) 60:5 Supplement 1 (S147). Date of
Publication: 1 Feb 2018
CONFERENCE NAME
70th Annual National Conference of Indian Psychiatric Society, ANCIPS 2018
CONFERENCE LOCATION
Ranchi, India
CONFERENCE DATE
2018-02-05 to 2018-02-08
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Objective: To assess the prevalence of internet addiction and its
relationship with the personality traits in undergraduate medical students.
Materials and Methods: The present study employed a descriptive, correlative
method and the sample comprised 100 undergraduate medical students of Asram
Medical College, Eluru. The tools used are Internet Addiction test (IAT)
designed and developed by Young and NEO-Five Factor Inventory (NEO-FFI)
questionnaires. Results: Results indicated that 88% of medical students are
addicted to internet, and internet addiction is significantly correlated
with neuroticism. Conclusion: The study demonstrated that there is high
prevalence of internet addiction in medical students, so to prevent internet
addiction in adolescents we should take measures like teaching and
counselling them regarding the pathological effects of internet addiction
and also personality screening to be done during the start of
undergraduation to identify the risk personalities and to counsel them from
being addicted.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction
medical student
personality
prevalence
EMTREE MEDICAL INDEX TERMS
adolescent
conference abstract
counseling
female
human
Internet
major clinical study
male
medical school
neurosis
prevention
questionnaire
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621267889
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 31
TITLE
Burden and coping among caregivers of children with psychological disorders
AUTHOR NAMES
Suresh H.V.
Prasanna Kumar N.
Harikrishna N.
AUTHOR ADDRESSES
(Suresh H.V., sureshnew29@gmail.com; Prasanna Kumar N.; Harikrishna N.)
Andhra Medical College, Visakhapatnam, Andhra Pradesh, India.
CORRESPONDENCE ADDRESS
H.V. Suresh, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India.
SOURCE
Indian Journal of Psychiatry (2018) 60:5 Supplement 1 (S117). Date of
Publication: 1 Feb 2018
CONFERENCE NAME
70th Annual National Conference of Indian Psychiatric Society, ANCIPS 2018
CONFERENCE LOCATION
Ranchi, India
CONFERENCE DATE
2018-02-05 to 2018-02-08
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Introduction: Children suffer from behavioural and mental illnesses like
autism, hyperkinetic disorders, learning disorders, depression, anxiety
disorders, conduct disorders, substance abuse, eating disorders and
psychosis. These children are very diffcult to manage for both the doctors
and family caregivers. They are prone to burden and psychological disorders
due to the impact of caring them. In India there are less studies regarding
the caregiver's suffering. Aim: To study the burden and coping among
caregivers of children with psychological disorders Methodology and study
tools: A cross sectional study on 70 caregivers of children and adolescents
with different psychological disorders including mental retardation
attending the Government hospital for Mental Care, Visakhapatnam. Children
and adolescents with psychological disorders attributed to underlying
medical or neurological illnesses are excluded from the study. Burden
assessment schedule and Cope Scale were used in the study. The differences
in the scores for each individual will be compared with their
sociodemographic factors as well. Data were collected via interview using
semi structured questionnaires, and results were computed using appropriate
statistical tests. Results and conclusion: Results and conclusion will be
discussed in the conference.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
caregiver
mental deficiency
EMTREE MEDICAL INDEX TERMS
adolescent
child
conference abstract
cross-sectional study
female
government
human
India
interview
male
structured questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621267626
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 32
TITLE
Managing Concerning Behaviors in Patients Prescribed Opioids for Chronic
Pain: A Delphi Study
AUTHOR NAMES
Merlin J.S.
Young S.R.
Starrels J.L.
Azari S.
Edelman E.J.
Pomeranz J.
Roy P.
Saini S.
Becker W.C.
Liebschutz J.M.
AUTHOR ADDRESSES
(Merlin J.S., merlinjs@pitt.edu; Young S.R.) Division of Infectious
Diseases, University of Alabama at Birmingham, Birmingham, United States.
(Merlin J.S., merlinjs@pitt.edu) Division of Gerontology, Geriatrics, and
Palliative Care, University of Alabama at Birmingham, Birmingham, United
States.
(Young S.R.) Department of Social Work, College of Community and Public
Affairs, Binghamton University, Binghamton, United States.
(Starrels J.L.) Division of General Internal Medicine, Albert Einstein
College of Medicine and Montefiore Medical Center, Bronx, United States.
(Azari S.) Division of General Internal Medicine, San Francisco General
Hospital, University of California San Francisco, San Francisco, United
States.
(Edelman E.J.; Becker W.C.) Department of Internal Medicine, Yale University
School of Medicine, New Haven, United States.
(Pomeranz J.) Department of Occupational Therapy, University of Florida,
Gainesville, United States.
(Roy P.; Liebschutz J.M.) Clinical Addiction Research and Education (CARE)
Unit, Section of General Internal Medicine, Boston Medical Center, Boston
University School of Medicine, Boston, United States.
(Saini S.) Department of Medicine, Information Technology, University of
Alabama at Birmingham, Birmingham, United States.
(Becker W.C.) VA Connecticut Healthcare System, West Haven, United States.
CORRESPONDENCE ADDRESS
J.S. Merlin, Division of Infectious Diseases, University of Alabama at
Birmingham, Birmingham, United States. Email: merlinjs@pitt.edu
SOURCE
Journal of General Internal Medicine (2018) 33:2 (166-176). Date of
Publication: 1 Feb 2018
ISSN
1525-1497 (electronic)
0884-8734
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
Background: Current guideline-recommended monitoring of patients prescribed
long-term opioid therapy (LTOT) for chronic pain will likely result in
increased identification of behaviors of concern for misuse and addiction,
but there is a dearth of empiric evidence about how these behaviors should
be managed. Objective: To establish expert consensus about treatment
approaches for common and challenging concerning behaviors that arise among
patients on LTOT. Design: We used a Delphi approach, which allows for
generation of consensus. Participants: Participants were clinical experts in
chronic pain and opioid prescribing recruited from professional societies
and other expert groups. Main Measures: The Delphi process was conducted
online, and consisted of an initial brainstorming round to identify common
and challenging behaviors, a second round to identify management strategies
for each behavior, and two rounds to establish consensus and explore
disagreement/uncertainty. Key Results: Forty-two participants completed
round 1, 22 completed round 2, 30 completed round 3, and 28 completed round
4. Half of round 1 participants were female (52%), and the majority were
white (83%). Most (71%) were physicians, and most participants practiced in
academic primary (40%) or specialty care (19%).The most frequently cited
common and challenging behaviors were missing appointments, taking opioids
for symptoms other than pain, using more opioid medication than prescribed,
asking for an increase in opioid dose, aggressive behavior, and alcohol and
other substance use. Across behaviors, participants agreed that patient
education and information gathering were important approaches. Participants
also agreed that stopping opioids is not important initially, but if initial
approaches do not work, tapering opioids and stopping opioids immediately
may become important approaches. Conclusions: This study presents clinical
expert consensus on how to manage concerning behaviors among patients on
LTOT. Future research is needed to investigate how implementing these
management strategies would impact patient outcomes, practice and policy.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE DRUG INDEX TERMS
benzodiazepine
cocaine
diamorphine
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy, drug therapy)
patient attitude
prescription
EMTREE MEDICAL INDEX TERMS
aggression
alcohol consumption
anxiety
article
clinical decision making
controlled study
Delphi study
depression (drug therapy)
drug misuse
female
human
male
patient education
qualitative analysis
risk assessment
sleep
substance use
threat
treatment withdrawal
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170854414
PUI
L619529764
DOI
10.1007/s11606-017-4211-y
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-017-4211-y
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 33
TITLE
Use of technology in clinical care delivery, capacity building and research
in addiction psychiatry: ENDDTC
AUTHOR NAMES
Balhara Y.P.S.
Sarkar S.
AUTHOR ADDRESSES
(Balhara Y.P.S., ypsbalhara@gmail.com; Sarkar S.) AIIMS, New Delhi, India.
CORRESPONDENCE ADDRESS
Y.P.S. Balhara, AIIMS, New Delhi, India. Email: ypsbalhara@gmail.com
SOURCE
Indian Journal of Psychiatry (2018) 60:5 Supplement 1 (S46). Date of
Publication: 1 Feb 2018
CONFERENCE NAME
70th Annual National Conference of Indian Psychiatric Society, ANCIPS 2018
CONFERENCE LOCATION
Ranchi, India
CONFERENCE DATE
2018-02-05 to 2018-02-08
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Technological advances have changed the way we live. These technological
advances have impacted each and every aspect of the present day living.
Medical sciences has also witnessed multiple, significant technological
advances in the recent past. Use of electronic media and internet has been
one such advancement. Electronic media and internet offer multiple unique
options and opportunities to strengthen the clinical care delivery, capacity
building and research in addiction psychiatry. The current shall focus on
use of technology in clinical care delivery, capacity building and research
in addiction psychiatry. It shall also present an overview of the
initiatives that have been undertaken and are being planned by eNDDTC in
this regard. Role of electronic media and internet in clinical care
delivery, capacity building and research in addiction psychiatry This
presentation shall focus on the role of electronic media and internet in
clinical care delivery, capacity building and research in addiction
psychiatry. The presentation shall provide the rationale and benefts of use
of such an approach. It shall also offer understanding into the set up and
logistic requirements for integration of electronic media and internet in
clinical care delivery, capacity building and research in addiction
psychiatry. It shall also cite the best practice examples in this regard.
eNDDTC: Overview and Initiatives This presentation shall provide an overview
of eNDDTC-the online portal of National Drug Dependence Treatment Center
(NDDTC), All India Institute of Medical Sciences (AIIMS), New Delhi. It
shall also provide information on the initiatives that have been undertaken
so far, and future plans. This shall include the initiatives with regards to
the academic program at NDDTC, DM (addiction Psychiatry) training, Project
ECHO related initiatives, online training courses among others.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
capacity building
psychiatry
EMTREE MEDICAL INDEX TERMS
conference abstract
drug dependence treatment
human
India
Internet
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621267552
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 34
TITLE
Latent class analysis of substance use and predictors of latent class
membership among adolescents in the Republic of Korea
AUTHOR NAMES
Park S.
Kim J.
AUTHOR ADDRESSES
(Park S., spark@khu.ac.kr) College of Nursing Science, East-West Nursing
Research Institute, Kyung Hee University, Seoul, South Korea.
(Kim J.) Department of Nursing, Graduate School, Kyung Hee University,
Seoul, South Korea.
CORRESPONDENCE ADDRESS
S. Park, College of Nursing Science, Kyung Hee University, 26
Kyunghee-daero, Dongdaemun-gu, Seoul, South Korea. Email: spark@khu.ac.kr
SOURCE
Journal of Substance Use (2018) 23:1 (20-28). Date of Publication: 2 Jan
2018
ISSN
1475-9942 (electronic)
1465-9891
BOOK PUBLISHER
Taylor and Francis Ltd, healthcare.enquiries@informa.com
ABSTRACT
Purpose: We aimed to investigate substance use patterns and identify
predictors of homogeneous subgroups of adolescent substance users. Methods:
We analyzed nationally representative secondary data collected from Korean
adolescents (N = 72,435). To investigate substance use patterns, we
conducted latent class analysis using seven behaviors linked to alcohol,
cigarette, and e-cigarette use. After choosing the best latent class model,
we investigated predictors of latent class membership (LCM) for substance
use, using demographics and mental health conditions. Results: A four-latent
class model best fit the data. Non-users (74%) had low likelihoods of
reporting lifetime and current use of alcohol, cigarette, and e-cigarette.
Experimenters (10%) had high likelihoods of reporting lifetime alcohol and
cigarette use. Current drinkers (10%) had high likelihoods of reporting
lifetime and current alcohol use. Multi-substance users (6%) had high
likelihoods of reporting lifetime and current use of alcohol and cigarettes,
lifetime e-cigarette use, and current binge drinking. Additionally,
demographics (gender, grades, socioeconomic status, co-residence with family
members, and grade point average) and mental health conditions (depression,
suicidal ideation, and subjective unhappiness) successfully predicted LCM.
Conclusions: In developing interventions for addressing substance-related
issues, health professionals should focus on adolescent substance use
patterns and take into account factors predicting LCM.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent behavior
substance use
EMTREE MEDICAL INDEX TERMS
adolescent
alcohol consumption
article
cigarette smoking
depression
electronic cigarette
female
human
latent class analysis
major clinical study
male
priority journal
sex difference
social status
South Korea
suicidal ideation
unhappiness
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170616614
PUI
L618082063
DOI
10.1080/14659891.2017.1333162
FULL TEXT LINK
http://dx.doi.org/10.1080/14659891.2017.1333162
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 35
TITLE
Trainees as Agents of Change in the Opioid Epidemic: Optimizing the Opioid
Prescription Practices of Surgical Residents
AUTHOR NAMES
Chiu A.S.
Healy J.M.
DeWane M.P.
Longo W.E.
Yoo P.S.
AUTHOR ADDRESSES
(Chiu A.S.; Healy J.M.; DeWane M.P.; Longo W.E.; Yoo P.S.,
Peter.Yoo@Yale.edu) Department of Surgery, Yale School of Medicine, New
Haven, United States.
CORRESPONDENCE ADDRESS
P.S. Yoo, Department of Surgery, Yale School of Medicine, 330 Cedar Street,
FMB 107, New Haven, United States. Email: Peter.Yoo@Yale.edu
SOURCE
Journal of Surgical Education (2018) 75:1 (65-71). Date of Publication: 1
Jan 2018
ISSN
1878-7452 (electronic)
1931-7204
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Objective: Opioid abuse has become an epidemic in the United States, causing
nearly 50,000 deaths a year. Postoperative pain is an unavoidable
consequence of most surgery, and surgeons must balance the need for
sufficient analgesia with the risks of overprescribing. Prescribing
narcotics is often the responsibility of surgical residents, yet little is
known about their opioid-prescribing habits, influences, and training
experience. Design: Anonymous online survey that assessed the amounts of
postoperative opioid prescribed by residents, including type of analgesia,
dosage, and number of pills, for a series of common general surgery
procedures. Additional questions investigated influences on opioid
prescription, use of nonnarcotic analgesia, degree of engagement in patient
education on opioids, and degree of training received on analgesia and
opioid prescription. Setting: Accreditation Council for Graduate Medical
Education accredited general surgery program at a university-based tertiary
hospital. Participants: Categorical and preliminary general surgery
residents of all postgraduate years. Results: The percentage of residents
prescribing opioids postprocedure ranged from 75.5% for incision and
drainage to 100% for open hernia repair. Residents report prescribing 166.3
morphine milligram equivalents of opioid for a laparoscopic cholecystectomy,
yet believe patients will only need an average of 113.9 morphine milligram
equivalents. The most commonly reported influences on opioid-prescribing
habits include attending preference (95.2%), concern for patient
satisfaction (59.5%), and fear of potential opioid abuse (59.5%). Only 35.8%
of residents routinely perform a narcotic risk assessment before prescribing
and 6.2% instruct patients how to properly dispose of excess opioids. More
than 90% of residents have not had formal training in best practices of pain
management or opioid prescription. Conclusion and Relevance: Surgical
trainees are relying almost exclusively on opioids for postoperative
analgesia, often in excessive amounts. Residents are heavily influenced by
their superiors, but are not receiving formal opioid-prescribing education,
pointing to a great need for increased resident education on postoperative
pain and opioid management to help change prescribing habits.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug dose, drug therapy)
EMTREE DRUG INDEX TERMS
analgesic agent (drug therapy)
morphine (drug therapy)
oxycodone (drug therapy)
paracetamol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
general surgery
prescription
residency education
resident
surgical training
EMTREE MEDICAL INDEX TERMS
abscess drainage
accreditation
adult
ambulatory surgery
article
bedside buttock abscess incision and drainage
female
health survey
hemicolectomy
hernioplasty
human
incision
inguinal hernia (surgery)
laparoscopic cholecystectomy
laparoscopic surgery
male
open surgery
patient education
patient preference
patient satisfaction
pill
postgraduate student
postoperative analgesia
postoperative pain (drug therapy)
priority journal
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
paracetamol (103-90-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Gastroenterology (48)
Surgery (9)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170497015
PUI
L617276280
DOI
10.1016/j.jsurg.2017.06.020
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsurg.2017.06.020
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 36
TITLE
American pediatric society's 2017 John Howland award acceptance lecture: A
tale of two toxicants: Childhood exposure to lead and tobacco
AUTHOR NAMES
Weitzman M.
AUTHOR ADDRESSES
(Weitzman M., Michael.weitzman@nyumc.org) Department of Pediatrics, New York
University School of Medicine, New York City, United States.
(Weitzman M., Michael.weitzman@nyumc.org) Department of Environmental
Medicine, New York University School of Medicine, New York City, United
States.
(Weitzman M., Michael.weitzman@nyumc.org) College of Global Public Health,
New York University, New York City, United States.
(Weitzman M., Michael.weitzman@nyumc.org) NYU/Abu Dhabi Public Health
Research Center, Abu Dhabi, United Arab Emirates.
CORRESPONDENCE ADDRESS
M. Weitzman, Department of Pediatrics, New York University School of
Medicine, New York City, United States. Email: Michael.weitzman@nyumc.org
SOURCE
Pediatric Research (2018) 83:1 (23-30). Date of Publication: 1 Jan 2018
ISSN
1530-0447 (electronic)
0031-3998
BOOK PUBLISHER
Nature Publishing Group, Houndmills, Basingstoke, Hampshire, United Kingdom.
ABSTRACT
This article summarizes the presentation of the 2017 Howland Award to
Michael Weitzman, MD, at the Annual Pediatric Academic Society Meetings. It
summarizes the remarkable advances in understanding the effects and pathways
of exposure of the two most common and pernicious of our nation's child
environmental exposures, namely lead and tobacco. It also summarizes the
profound effect of the translation of these findings into prudent and
effective clinical and public health policies such that exposure to both has
dramatically decreased over the past 40 years due to the tenacious
activities of pediatricians, other child-related professionals, government
agencies at all levels, and the American Academy of Pediatrics. Research and
clinical activities, although essential, were not sufficient to produce
these successes, but required extensive mentoring to produce a generation of
academic pediatricians capable of conducting the requisite research, and
extensive advocacy by pediatricians and others to overcome the formidable
inertia and outright opposition to efforts to protect our children from
these exposures. Moreover, the article highlights that both of these
environmental exposures have roots in social and environmental injustice and
neither is solved, and that there is no safe level of exposure to either of
these toxicants.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
lead
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
achievement
environmental exposure
society
tobacco
EMTREE MEDICAL INDEX TERMS
American
government
health care policy
human
lead poisoning
pediatrician
priority journal
public health
review
tobacco use
CAS REGISTRY NUMBERS
lead (7439-92-1, 13966-28-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180111651
PUI
L620706330
DOI
10.1038/pr.2017.240
FULL TEXT LINK
http://dx.doi.org/10.1038/pr.2017.240
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 37
TITLE
Effects of an education program on the medication knowledge of the community
and school
AUTHOR NAMES
Lei T.-H.
You J.-R.
Zhang R.-M.
Su B.
Tseng C.-T.
Chen L.-C.
AUTHOR ADDRESSES
(Lei T.-H.; You J.-R.; Zhang R.-M.; Su B.; Tseng C.-T.) Department of
Pharmacy, Taipei City Hospital Yangming Branch, Taiwan.
(Chen L.-C.) Department of Pharmacy, Taipei City Hospital, Taipei, Taiwan.
CORRESPONDENCE ADDRESS
T.-H. Lei, Department of Pharmacy, Taipei City Hospital Yangming Branch,
Taiwan.
SOURCE
International Journal of Clinical Pharmacy (2018) 40:1 (313). Date of
Publication: 2018
CONFERENCE NAME
46th ESCP Symposium on Clinical Pharmacy
CONFERENCE LOCATION
Heidelberg, Germany
CONFERENCE DATE
2017-10-09 to 2017-10-11
ISSN
2210-7711
BOOK PUBLISHER
Springer Netherlands
ABSTRACT
Background and Objective: The lack of medication usage and the safety of
medicines by the general public has long been a problem in Taiwan. One of
the reasons responsible for the phenomena might be the lack of an active
role of pharmacists in large scale health education program. This research
aimed to understand the community residents and the junior high school
students' health literacy on medication and med-ication conceptions in
Taiwan. And designed a program to change the medication knowledge among the
participants. Setting and Method: First, collected the correlations of
knowledge, attitude and behaviour regarding correct medication use of
residents and students by interview at a campus activities. The interview
questionnaire was composed by 10 questions, including medication storage,
the usage of medications and drug safety. Second, according to the results
of the interview, designed an education program. The general medication
knowledge of the participants was evaluated before and after the course.
SPSS was used as statistical software. Main outcome measures: To determine
community residents and the junior high school students' health literacy. To
evaluate the effects of education program, and to improve the general
medication knowledge of the public. Results: The first interview was 62
community residents and students. The average age was 40 years old, there
was 15 people under 20 years old. Most participants were female (72.58%).
Long-term use of drugs in family was 61.29 and 69.35% agreed that to have
the knowledge of medication is important. However, participants didn't
understand the release of prescriptions (accuracy is 85.71%), the categories
of the medicines (accuracy is 75.00%), and the dangerous of drugs(accuracy
is 66.67%). According to the result, we designed an education program of
addiction and misuse of medication. To evaluate the effects of the lessons,
this study was a single group pre-and post-comparison. The final evaluation
of this study included 96 students and 60 residents who participated in the
education program. Most participants were female (57.70%). All participants
showed significant improvement in general medication knowledge (p\0.05)
after the program. Conclusion: Through the investigation of public awareness
of medication, and arranged medication education program can effectively
deliver the knowledge of medication usage and general medication to the
public. It is therefore suggested that pharmacists be more active in
participating in the public education on drug usage and related health
information.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
EMTREE MEDICAL INDEX TERMS
addiction
adult
awareness
conception
conference abstract
data analysis software
drug safety
female
health literacy
high school student
human
interview
major clinical study
medical information
outcome assessment
pharmacist
prescription
questionnaire
resident
storage
Taiwan
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621398777
DOI
10.1007/s11096-017-0565-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-017-0565-9
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 38
TITLE
Editorial Comment on “Factors Related to Psychoactive Substance use in an
Educational Institution in Jamundí Valle, Colombia”
ORIGINAL (NON-ENGLISH) TITLE
Comentario editorial sobre «Factores relacionados con el consumo de
sustancias psicoactivas en una institución educativa de Jamundí Valle,
Colombia»
AUTHOR NAMES
Simancas Pallares M.
AUTHOR ADDRESSES
(Simancas Pallares M., msimancasp@unicartagena.edu.co) Departamento de
Investigaciones, Facultad de Odontología, Universidad de Cartagena,
Cartagena, Colombia.
CORRESPONDENCE ADDRESS
M. Simancas Pallares, Departamento de Investigaciones, Facultad de
Odontología, Universidad de Cartagena, Cartagena, Colombia. Email:
msimancasp@unicartagena.edu.co
SOURCE
Revista Colombiana de Psiquiatria (2018) 47:1 (56-64). Date of Publication:
1 Jan 2018
ISSN
0034-7450
BOOK PUBLISHER
Elsevier Doyma, editorial@elsevier.com
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
substance use
EMTREE MEDICAL INDEX TERMS
Colombia
letter
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English, Spanish
EMBASE ACCESSION NUMBER
20170145961
MEDLINE PMID
29428117 (http://www.ncbi.nlm.nih.gov/pubmed/29428117)
PUI
L614558684
DOI
10.1016/j.rcp.2017.01.005
FULL TEXT LINK
http://dx.doi.org/10.1016/j.rcp.2017.01.005
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 39
TITLE
Student pharmacist perceptions of participation in hands-on naloxone
counseling
AUTHOR NAMES
Hines J.
Deja E.
Black E.P.
AUTHOR ADDRESSES
(Hines J., Julie.Hines@uky.edu; Deja E., Erin.Deja@uky.edu; Black E.P.,
Penni.Black@uky.edu) University of Kentucky, College of Pharmacy, Lexington,
United States.
CORRESPONDENCE ADDRESS
E.P. Black, University of Kentucky, College of Pharmacy, 789 S. Limestone,
Rm 343, Lexington, United States. Email: Penni.Black@uky.edu
SOURCE
Currents in Pharmacy Teaching and Learning (2018). Date of Publication: 2018
ISSN
1877-1300 (electronic)
1877-1297
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Background and purpose: Opioid overdose is a leading cause of death across
the United States. Rho Chi Pharmacy Honor Society students at the University
of Kentucky initiated a project to provide fellow students a volunteer
opportunity to educate at-risk patients about naloxone using a
physician-approved protocol. The goal was to improve student counseling
skills by allowing them to apply knowledge learned during didactic and
simulated training. Educational activity and setting: Third and fourth year
pharmacy students at the University of Kentucky voluntarily provided opioid
overdose and naloxone counseling to patients at the health department and
other locations. Students who counseled at the health department were asked
to complete an Institutional Review Board (IRB)-approved, anonymous,
electronic survey at the end to gauge their perceptions of the experience.
Findings: Thirty-five of forty-five participating students responded to the
survey, indicating a 78% response rate. The results suggested that student
comfort with naloxone counseling increased after real-world counseling,
compared with their perceived comfort levels entering the experience. The
majority of the respondents (77%, n = 27) reported a change in their
personal views on drug addiction and the associated patient population.
Ninety-one percent (n = 32) of students plan to pursue certification to
dispense naloxone as part of their future pharmacy practice. Most (94%, n =
33) perceived the counseling experience as practical application of their
didactic education. Discussion and conclusions: As opioid addiction and
accidental overdose plagues the nation, pharmacists are prepared to lead the
battle against this disease. Pharmacy education and hands-on opportunities
provide students with the practical knowledge and skills necessary to have
impact on their patients and the opioid epidemic.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
certification
counseling
opiate addiction
perception
pharmacy student
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
comfort
drug overdose
education
epidemic
female
gauge
human
institutional review
Kentucky
male
plague
public health service
skill
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180259444
PUI
L2000633062
DOI
10.1016/j.cptl.2018.03.002
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cptl.2018.03.002
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 40
TITLE
Dispensing Naloxone Without a Prescription: Survey Evaluation of Ohio
Pharmacists
AUTHOR NAMES
Thompson E.L.
Rao P.S.S.
Hayes C.
Purtill C.
AUTHOR ADDRESSES
(Thompson E.L., rao@findlay.edu) Department of Pharmacy Practice, The
University of Findlay, Findlay, OH, USA
(Rao P.S.S., rao@findlay.edu) Department of Pharmaceutical Sciences, The
University of Findlay, Findlay, OH, USA
(Hayes C.; Purtill C.) College of Pharmacy, The University of Findlay,
Findlay, OH, USA
CORRESPONDENCE ADDRESS
E.L. Thompson, Department of Pharmacy Practice, The University of Findlay,
Findlay, OH, USA Email: rao@findlay.edu
SOURCE
Journal of Pharmacy Practice (2018). Date of Publication: 2018
ISSN
1531-1937 (electronic)
0897-1900
BOOK PUBLISHER
SAGE Publications Inc., claims@sagepub.com
ABSTRACT
Background: The Centers for Disease Control and Prevention (CDC) reports a
200% escalation in the rate of opioid overdose deaths in the United States.
Unfortunately, Ohio has been deemed the epicenter of the nation’s opioid
epidemic. In 2015, Ohio passed a bill that permits a pharmacist to
distribute naloxone without a prescription. Objectives: This survey was
aimed to discover pharmacists’ knowledge of naloxone and Ohio law, perceived
barriers that may prohibit naloxone dispensing, and Ohio pharmacists’
general confidence, comfort, perception, and experience dispensing naloxone
per physician protocol. Methods: Pharmacists’ knowledge of naloxone and Ohio
law pertaining to dispensing naloxone; perceived barriers to naloxone
distribution; and overall experience, willingness, comfort, and perceptions
of personally supplying naloxone were assessed using multiple-choice and
Likert-type scale questions through an e-mail survey. Results: Overall, Ohio
pharmacists were knowledgeable about naloxone and displayed confidence in
their training and ability to provide patient education on naloxone.
Pharmacists were less certain about Ohio law pertaining to naloxone
distribution, especially those who have been in practice longer. Pharmacists
indicated several barriers to dispensing naloxone and the need for more
training. Younger pharmacists were more likely to report a concern with
clientele who would frequent their pharmacy and moral and ethical concerns
as barriers to dispensing naloxone. Conclusion: Additional educational
programs should be delivered to Ohio pharmacists to inform them of the state
law and policies. Continuing education programs that review substance abuse
and attempt to reduce social stigma may assist with increasing naloxone
distribution to those in need, especially, if directed toward younger
pharmacists in Ohio.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Ohio
opiate addiction
pharmacist
prescription
EMTREE MEDICAL INDEX TERMS
adult
article
comfort
continuing education
drug combination
drug overdose
e-mail
human
Likert scale
morality
patient education
perception
pharmacokinetics
pharmacy
physician
social stigma
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180142672
PUI
L620902928
DOI
10.1177/0897190018759225
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190018759225
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 41
TITLE
Diffusion of medication drop-boxes in North Carolina from 2007 to 2016
AUTHOR NAMES
Egan K.L.
Wolfson M.
Dudley W.N.
Francisco V.T.
Strack R.W.
Wyrick D.L.
Perko M.A.
AUTHOR ADDRESSES
(Egan K.L., kateegan@ufl.edu) Department of Epidemiology, College of Public
Health and Health Professions, College of Medicine, University of Florida
Gainesville, United States.
(Wolfson M.) Department of Social Science and Health Policy, Wake Forest
School of Medicine, Winston-Salem, United States.
(Wolfson M.) Center for Research on Substance Use and Addiction, Wake Forest
School of Medicine, Winston-Salem, United States.
(Dudley W.N.; Strack R.W.; Wyrick D.L.; Perko M.A.) Department of Public
Health Education, University of North Carolina at Greensboro, Greensboro,
United States.
(Francisco V.T.) Department of Applied Behavioral Science, University of
Kansas, Lawrence, United States.
CORRESPONDENCE ADDRESS
K.L. Egan, Department of Epidemiology, College of Public Health and Health
Professions, College of Medicine, University of Florida, 2004 Mowry Road, PO
Box 100231, Gainesville, United States. Email: kateegan@ufl.edu
SOURCE
Addictive Behaviors (2018). Date of Publication: 2018
ISSN
1873-6327 (electronic)
0306-4603
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Introduction: A permanent drug donation box (“drop-box”) is one strategy
implemented in communities across the United States to reduce the
availability of excess controlled medications, including prescription
opioids, for diversion. The objective of this study was to examine
correlates of the diffusion and implementation of drop-boxes in North
Carolina. Methods: We assessed the number and location of drop-boxes
implemented in North Carolina. Cox proportional hazards models were used to
examine covariates associated with drop-box implementation in NC counties (n
= 100) between 2007 and 2016. Results: There were 311 drop-boxes implemented
in 91 (out of 100) counties. Most drop-boxes were in law enforcement
agencies (78.8%) and a growing number were in pharmacies (14.5%). Counties
with a higher percentage of whites, more educated residents, a substance
abuse prevention coalition, higher rates of controlled medications dispensed
and prescription opioid overdose, and that were Appalachian were more likely
to be early adopters. Rural counties were less likely to have a drop-box. In
the multivariate model, only higher rate of controlled medicines dispensed
was significant. Conclusions: A growing number of drop-boxes are being
implemented in law enforcement offices and pharmacies. Given that
communities with higher rates of controlled medication dispensing likely
have the highest need for disposal opportunities, it is promising that they
are early adopters of drop-boxes. Future research should assess the
effectiveness of drop-boxes as they become more widespread in a variety of
locations.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
prescription drug
EMTREE DRUG INDEX TERMS
controlled substance
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diffusion
North Carolina
EMTREE MEDICAL INDEX TERMS
adult
article
Caucasian
comparative effectiveness
drug overdose
female
human
law enforcement
major clinical study
male
pharmacy
prescription
prevention
proportional hazards model
resident
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180252260
PUI
L2000630503
DOI
10.1016/j.addbeh.2018.03.029
FULL TEXT LINK
http://dx.doi.org/10.1016/j.addbeh.2018.03.029
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 42
TITLE
Multidisciplinary teaching of tobacco cessation - students' perceptions
AUTHOR NAMES
Siitonen P.
Tanskanen P.
Sandstrm P.
Kauhanen J.
Suhonen M.
Hyvärinen M.-L.
Vainio K.
AUTHOR ADDRESSES
(Siitonen P.; Tanskanen P.; Vainio K.) University of Eastern Finland, School
of Pharmacy, Kuopio, Finland.
(Sandstrm P.) Finnish Lung Health Association, Finland.
(Kauhanen J.) University of Eastern Finland, School of Medicine, Kuopio,
Finland.
(Suhonen M.) Savonia University of Applied Sciences, Kuopio, Finland.
(Hyvärinen M.-L.) University of Eastern Finland, Language Centre, Kuopio,
Finland.
CORRESPONDENCE ADDRESS
P. Siitonen, University of Eastern Finland, School of Pharmacy, Kuopio,
Finland.
SOURCE
Pharmacy Education (2018) 18:1 (24). Date of Publication: 2018
CONFERENCE NAME
23rd Annual European Association of Faculties of Pharmacy Conference, EAFP
2017
CONFERENCE LOCATION
Helsinki, Finland
CONFERENCE DATE
2017-05-17 to 2017-05-19
ISSN
1477-2701
BOOK PUBLISHER
International Pharmaceutical Federation
ABSTRACT
Introduction: In Finland, about one in five adults use tobacco or other
nicotine products constituting significant health risks and costs in health
care1. These can be prevented by tobacco dependence treatment, which is most
successful when carried out in multi-professional cooperation1. In
University of Eastern Finland, tobacco cessation is taught in a
multidisciplinary way for students of health sciences together with students
of Savonia University of Applied Sciences. Firstly, students study
independently in an e-learning environment the theoretical basis of tobacco
addiction, health risks and, tobacco dependence treatment2. Secondly, the
students independently interview a person using tobacco to evaluate the
addiction, cessation and counselling. Thirdly, on a workshop day, short
multi-professional lectures are given, and students are divided into
multi-professional groups in order to discuss their interview cases and
simulation profiles. Finally, the students evaluate their learning and ideas
about multidisciplinary teaching by giving course feedback. The aim of this
presentation is to describe students' perceptions of multi-professional
cooperation. Method: Data were collected as a course feedback using an
electronic form in October 2016. Students' (N=145) experiences were assessed
using Likert scale questions. Results: Of the participants, 45% were
pharmacy, 30% medicine, 11% health nurse, 8% dental hygienist, 4% nutrition,
2% dentistry and public health students. Ninetytwo percent of students
considered that the course helped them to perceive their professional role
in tobacco cessation well or quite well, and 96% perceived that they skills
in cessation counselling increased. 92% stated that there should be more
multidisciplinary courses for students in health sciences. Discussion:
Students perceived that the multidisciplinary course increased their
understanding of their own professional role as well as the role of other
health professionals in tobacco cessation and counselling, and they
expressed the need to have more multidisciplinary courses.
Multi-professional cooperation in teaching tobacco cessation needs to be
promoted to gain successful results.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
perception
public health student
smoking cessation
teaching
EMTREE MEDICAL INDEX TERMS
adult
conference abstract
counseling
dental hygienist
dentistry
female
health hazard
health science
human
interview
learning environment
Likert scale
major clinical study
male
nurse
nutrition
pharmacy
professional standard
simulation
skill
theoretical study
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620611828
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 43
TITLE
An Interprofessional Course on Substance Use Disorders for Health
Professions Students
AUTHOR NAMES
Muzyk A.J.
Tew C.
Thomas-Fannin A.
Dayal S.
Maeda R.
Schramm-Sapyta N.
Andolsek K.M.
Holmer S.
AUTHOR ADDRESSES
(Muzyk A.J.) A.J. Muzyk is associate professor, Department of Pharmacy
Practice, Campbell University College of Pharmacy and Health Sciences, Buies
Creek, North Carolina, and adjunct assistant professor, Department of
Psychiatry and Behavioral Science, Duke University School of Medicine,
Durham, North Carolina. C. Tew is a licensed addiction specialist,
Department of Psychiatry and Behavioral Science, Duke University School of
Medicine, Durham, North Carolina. A. Thomas-Fannin is a psychiatrist,
Department of Psychiatry, Good Samaritan Hospital, Vincennes, Indiana. S.
Dayal is a fourth-year psychiatry resident, Department of Psychiatry and
Behavioral Science, Duke University School of Medicine, Durham, North
Carolina. R. Maeda is a geriatric psychiatry fellow, Department of
Psychiatry and Behavioral Sciences, University of Washington School of
Medicine, Seattle, Washington. N. Schramm-Sapyta is assistant professor,
Duke Institute of Brain Sciences, Duke University, Durham, North Carolina.
K.M. Andolsek is professor, Department of Community and Family Medicine,
Duke University School of Medicine, Durham, North Carolina. S. Holmer is
assistant professor, Department of Psychiatry and Behavioral Science, Duke
University School of Medicine, Durham, North Carolina
(Tew C.; Thomas-Fannin A.; Dayal S.; Maeda R.; Schramm-Sapyta N.; Andolsek
K.M.; Holmer S.)
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(2017) 92:12 (1704-1708). Date of Publication: 1 Dec 2017
ISSN
1938-808X (electronic)
ABSTRACT
PROBLEM: Substance use disorders (SUDs) affect millions of Americans.
Nevertheless, there is insufficient health care resource allocation for
these patients. One reason may be the lack of education and training about
SUDs in health professions programs.APPROACH: The authors developed a
required, interprofessional SUDs course for health professions students
completing a one-month psychiatry clerkship within the Duke University
Health System starting in November 2015. Students participated in six 1-hour
class sessions led by an interdisciplinary faculty. Sessions focused on core
areas in SUDs education and used either a lecture with discussion or a
small-group team-based learning format. Students completed one motivational
interview, attended a 12-step recovery meeting, and wrote a reflection
paper. On the first and last day of the clerkship, students measured their
attitudes toward individuals with SUDs using the Substance Abuse Attitude
Scale (SAAS) and toward interprofessionalism using the Interprofessional
Attitudes Scale (IPAS).OUTCOMES: Seventy-one students participated in the
course from November 2015 to May 2016. Fifty-nine (83%) students had paired
pre- and postcourse SAAS and IPAS data. On the SAAS, students showed
significant improvement in their median total score and nonmoralizing,
treatment optimism, and treatment intervention scores. On the IPAS, students
showed significant improvement in their median score on the teamwork, roles,
and responsibilities domain.NEXT STEPS: The authors will continue to assess
the course. Starting in academic year 2016-2017, the course will include
four additional elements, and beginning in July 2016, accelerated bachelor
of science in nursing students will participate in the course.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
curriculum
drug dependence (therapy)
education
medical student
public relations
EMTREE MEDICAL INDEX TERMS
human
psychiatry
questionnaire
retrospective study
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28537951 (http://www.ncbi.nlm.nih.gov/pubmed/28537951)
PUI
L620088521
DOI
10.1097/ACM.0000000000001766
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0000000000001766
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 44
TITLE
Partnering with Psychiatry to Close the Education Gap: An Approach to the
Addiction Epidemic
AUTHOR NAMES
Tetrault J.M.
Petrakis I.L.
AUTHOR ADDRESSES
(Tetrault J.M., jeanette.tetrault@yale.edu) Department of Internal Medicine,
Yale University School of Medicine, 367 Cedar Street, Suite 305, New Haven,
United States.
(Petrakis I.L.) Department of Psychiatry, Yale University School of
Medicine, New Haven, United States.
(Petrakis I.L.) VA Connecticut Healthcare System, West Haven, United States.
CORRESPONDENCE ADDRESS
J.M. Tetrault, Department of Internal Medicine, Yale University School of
Medicine, 367 Cedar Street, Suite 305, New Haven, United States. Email:
jeanette.tetrault@yale.edu
SOURCE
Journal of General Internal Medicine (2017) 32:12 (1387-1389). Date of
Publication: 1 Dec 2017
ISSN
1525-1497 (electronic)
0884-8734
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
Addiction has reached epidemic proportions in the U.S., yet the workforce
prepared to care for this population is woefully inadequate. Of the 23
million Americans suffering from addiction, only 11% receive treatment,
creating a substantial treatment gap. There have been calls to improve
addiction education at all levels of training in order to prepare medical
providers with the skills to identify patients with substance use, briefly
treat if indicated, and/or refer more complex cases to specialty care. These
calls have been put forth to address the education gap, wherein physicians
in training are exposed to numerous patients who are suffering from
addiction but have few curricular hours dedicated to the identification and
management of this population. We propose that strategic partnerships
between psychiatry and internal medicine can address the education gap that
exists with regard to addiction, ultimately addressing the treatment gap
which is plaguing this country.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
internal medicine
medical education
psychiatry
EMTREE MEDICAL INDEX TERMS
comorbidity
curriculum development
epidemic
evidence based medicine
health care access
human
intoxication
note
residency education
stigma
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170552406
PUI
L617610271
DOI
10.1007/s11606-017-4140-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-017-4140-9
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 45
TITLE
Prenatal exposure to antipsychotic medication and use of primary health care
system in childhood: A population-based cohort study in Denmark
AUTHOR NAMES
Würtz A.M.L.
Vestergaard C.H.
Rytter D.
Sørensen M.J.
Christensen J.
Vestergaard M.
Bech B.H.
AUTHOR ADDRESSES
(Würtz A.M.L.; Vestergaard C.H.; Vestergaard M.; Bech B.H., bhb@ph.au.dk)
Research Unit for General Practice, Aarhus, Denmark.
(Würtz A.M.L.; Rytter D.; Bech B.H., bhb@ph.au.dk) Section for Epidemiology,
Department of Public Health, Aarhus University, Aarhus, Denmark.
(Sørensen M.J.) Regional Centre for Child and Adolescent Psychiatry, Aarhus,
Denmark.
(Christensen J.) Department of Neurology, Aarhus University Hospital,
Aarhus, Denmark.
(Vestergaard M.) Section for General Practice, Department of Public Health,
Aarhus University, Aarhus, Denmark.
CORRESPONDENCE ADDRESS
B.H. Bech, Department of Public Health, Aarhus University, Bartholins Allé
2, Aarhus C, Denmark. Email: bhb@ph.au.dk
SOURCE
Clinical Epidemiology (2017) 9 (657-666). Date of Publication: 1 Dec 2017
ISSN
1179-1349 (electronic)
BOOK PUBLISHER
Dove Medical Press Ltd, PO Box 300-008, Albany, 44 Corinthian Drive,
Albany,Auckland, New Zealand. angela@dovepress.com
ABSTRACT
Background: Antipsychotic (AP) medication is increasingly used for many
health conditions. Prenatal exposure to AP medication has been associated
with several adverse outcomes, but the findings remain inconsistent.
Purpose: We aimed to investigate prenatal exposure to AP medication and the
use of primary health care system in childhood. Subjects and methods: All
live-born singletons in Denmark during 1997–2012 were identified in the
nationwide Danish National Patient Register and followed until December 31,
2013 (n = 963,010). Information on prenatal exposure to AP medication was
obtained from the Danish Register of Medicinal Product Statistics. Contacts
to the general practitioner (GP) were used as a proxy for the overall health
of the children. Negative binomial regression was used to calculate
incidence rate ratios (IRRs) and 95% confidence intervals (CIs) for the
association between prenatal exposure to AP medication and number and type
of GP contacts, excluding routine well-child visits and vaccinations. The
models were adjusted for sex and birth date of the child, maternal age,
parity, cohabitation status, income, education, smoking status, diagnosis of
substance abuse, severe psychiatric disorder, depression and epilepsy as
well as the use of antiepileptic drugs, antidepressants, benzodiazepines and
insulin. Results: The prenatally AP-exposed children had 7% more GP contacts
than unexposed children, IRR: 1.07 (95% CI: 1.03, 1.11). The association was
slightly stronger among children of mothers with no diagnosis of severe
psychiatric disorder (IRR: 1.08, 95% CI: 1.04–1.13) than among children of
mothers with severe psychiatric disorder (IRR: 1.03, 95% CI: 0.96–1.11), but
the difference was not statistically significant. We found no difference
between prenatally AP-exposed children and their unexposed siblings, IRR:
1.00 (95% CI: 0.97–1.04) for total contacts. Conclusion: Children of women
using AP medication in pregnancy had more GP contacts in childhood than
children of mothers not using AP medication. However, this might be
explained by confounding from maternal behavior and mental illness.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent (drug therapy)
EMTREE DRUG INDEX TERMS
anticonvulsive agent (drug therapy)
antidepressant agent (drug therapy)
benzodiazepine (drug therapy)
insulin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care utilization
prenatal exposure
primary health care
EMTREE MEDICAL INDEX TERMS
adult
article
child
cohabitation
cohort analysis
controlled study
Denmark
depression
disease severity
doctor patient relation
educational status
epilepsy
family income
female
general practitioner
gestational age
health care survey
human
major clinical study
male
maternal age
maternal behavior
mental disease (drug therapy)
outcome assessment
parity
population research
sex difference
smoking habit
substance abuse
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
insulin (9004-10-8)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180092859
PUI
L620538066
DOI
10.2147/CLEP.S145524
FULL TEXT LINK
http://dx.doi.org/10.2147/CLEP.S145524
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 46
TITLE
The Harnessing Online Peer Education (HOPE) intervention for reducing
prescription drug abuse: A qualitative study
AUTHOR NAMES
Young S.D.
Heinzerling K.
AUTHOR ADDRESSES
(Young S.D., sdyoung@mednet.ucla.edu; Heinzerling K.) Department of Family
Medicine, David Geffen School of Medicine, University of California, Los
Angeles, United States.
CORRESPONDENCE ADDRESS
S.D. Young, Department of Family Medicine, David Geffen School of Medicine,
University of California, Los Angeles 10880 Wilshire Blvd., Suite 1800, Los
Angeles, United States. Email: sdyoung@mednet.ucla.edu
SOURCE
Journal of Substance Use (2017) 22:6 (592-596). Date of Publication: 2 Nov
2017
ISSN
1475-9942 (electronic)
1465-9891
BOOK PUBLISHER
Taylor and Francis Ltd, healthcare.enquiries@informa.com
ABSTRACT
Social media technologies are newly emerging tools that can be used to
address the growing prescription drug epidemic. In this study, we sought to
determine the feasibility and acceptability of using social media to reduce
complications of opioid use among patients experiencing chronic pain.
Specifically, we evaluated the utility of the Harnessing Online Peer
Education (HOPE) social media intervention to reduce the risk of addiction
and overdose among non-cancer pain patients receiving chronic opioid
therapy. University of California, Los Angeles (UCLA) patients receiving
chronic opioid therapy and UCLA staff were invited to participate in
interviews regarding the HOPE intervention. Questions focused on resources
used to manage pain, the limitations and benefits of these approaches, and
the likelihood of using an online community to reduce complications of
opioid therapy. Using an open-coding process, three topics were identified
for the patients: (1) online social support is important for improving
outcomes, (2) offline social support is helpful for some patients but has
limitations, and (3) a tailored, online peer support intervention is needed.
Interviews with staff confirmed these results. The HOPE social media
intervention and other online communities appear to be an acceptable
technology for patients on chronic opioid therapy.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy, drug therapy)
drug abuse
prescription
social media
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
clinical outcome
female
human
male
medical staff
peer group
perception
priority journal
qualitative research
social support
young adult
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170092871
PUI
L614299164
DOI
10.1080/14659891.2016.1271039
FULL TEXT LINK
http://dx.doi.org/10.1080/14659891.2016.1271039
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 47
TITLE
Cigar Box Arthroscopy: A Randomized Controlled Trial Validates Nonanatomic
Simulation Training of Novice Arthroscopy Skills
AUTHOR NAMES
Sandberg R.P.
Sherman N.C.
Latt L.D.
Hardy J.C.
AUTHOR ADDRESSES
(Sandberg R.P.; Latt L.D.; Hardy J.C.) Department of Orthopedic Surgery,
University of Arizona, Tucson, United States.
(Sherman N.C., nsherman@email.arizona.edu) College of Medicine, University
of Arizona, Tucson, United States.
CORRESPONDENCE ADDRESS
N.C. Sherman, College of Medicine, University of Arizona, 1501 North
Campbell Avenue, Tucson, United States. Email: nsherman@email.arizona.edu
SOURCE
Arthroscopy - Journal of Arthroscopic and Related Surgery (2017) 33:11
(2015-2023.e3). Date of Publication: 1 Nov 2017
ISSN
1526-3231 (electronic)
0749-8063
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
Purpose The goal of this study was to validate the cigar box arthroscopy
trainer (CBAT) as a training tool and then compare its effectiveness to
didactic training and to another previously validated low-fidelity but
anatomic model, the anatomic knee arthroscopy trainer (AKAT). Methods A
nonanatomic knee arthroscopy training module was developed at our
institution. Twenty-four medical students with no prior arthroscopic or
laparoscopic experience were enrolled as subjects. Eight subjects served as
controls. The remaining 16 subjects were randomized to participate in 4
hours of either the CBAT or a previously validated AKAT. Subjects' skills
were assessed by 1 of 2 faculty members through repeated attempts at
performing a diagnostic knee arthroscopy on a cadaveric specimen. Objective
scores were given using a minimally adapted version of the Basic
Arthroscopic Knee Skill Scoring System. Total cost differences were
calculated. Results Seventy-five percent of subjects in the CBAT and AKAT
groups succeeded in reaching minimum proficiency in the allotted time
compared with 25% in the control group (P <.05). There was no significant
difference in the number of attempts to reach proficiency between the CBAT
and AKAT groups. The cost to build the CBAT was $44.12, whereas the cost was
$324.33 for the AKAT. Conclusions This pilot study suggests the CBAT is an
effective knee arthroscopy trainer that may decrease the learning curve of
residents without significant cost to a residency program. This study
demonstrates the need for an agreed-upon objective scoring system to
properly evaluate residents and compare the effectiveness of different
training tools.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigar box knee arthroscopy
clinical competence
knee arthroscopy
simulation training
surgical training
EMTREE MEDICAL INDEX TERMS
adult
anatomic model
article
Basic Arthroscopic Knee Skill Scoring System
cadaver
comparative effectiveness
comparative study
controlled study
cost
didactic training
female
human
male
medical student
performance measurement system
randomized controlled trial
scoring system
single blind procedure
university
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Orthopedic Surgery (33)
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT02752451)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170467229
PUI
L617036682
DOI
10.1016/j.arthro.2017.04.022
FULL TEXT LINK
http://dx.doi.org/10.1016/j.arthro.2017.04.022
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 48
TITLE
Themed Issue on the Opioid Epidemic: What Have We Learned? Where Do We Go
From Here?
AUTHOR NAMES
Benzon H.T.
Anderson T.A.
AUTHOR ADDRESSES
(Benzon H.T.) From the *Department of Anesthesiology, Northwestern
University Feinberg School of Medicine, Chicago, Illinois; and †Stanford
University School of Medicine, Stanford, California
(Anderson T.A.)
SOURCE
Anesthesia and analgesia (2017) 125:5 (1435-1437). Date of Publication: 1
Nov 2017
ISSN
1526-7598 (electronic)
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
epidemic
standards
EMTREE MEDICAL INDEX TERMS
anesthesiologist
human
learning
opiate addiction (epidemiology, therapy)
prescription
trends
LANGUAGE OF ARTICLE
English
MEDLINE PMID
29049105 (http://www.ncbi.nlm.nih.gov/pubmed/29049105)
PUI
L620284829
DOI
10.1213/ANE.0000000000002537
FULL TEXT LINK
http://dx.doi.org/10.1213/ANE.0000000000002537
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 49
TITLE
Medical students’ knowledge, attitudes and behaviours related to substance
use in Lebanon: A cross-sectional survey
ORIGINAL (NON-ENGLISH) TITLE
Connaissances, attitudes et comportements des étudiants en médecine en
matière de consommation de substances psychoactives au Liban : Étude
transversale
AUTHOR NAMES
Assaf G.
Noureddine S.
Kouyoumdjian S.P.
El Khoury J.
AUTHOR ADDRESSES
(Assaf G.) Department of Family Medicine, Faculty of Medicine, American
University of Beirut, Beirut, Lebanon.
(Noureddine S., sn00@aub.edu.lb) Hariri School of Nursing, American
University of Beirut, Beirut, Lebanon.
(Kouyoumdjian S.P.) Infectious Disease Epidemiology Group, Weill Cornell
Medical College, Qatar.
(El Khoury J.) Beirut, Lebanon.
CORRESPONDENCE ADDRESS
S. Noureddine, Hariri School of Nursing, American University of Beirut,
Beirut, Lebanon. Email: sn00@aub.edu.lb
SOURCE
Eastern Mediterranean Health Journal (2017) 23:11 (734-743). Date of
Publication: 1 Nov 2017
ISSN
1020-3397
BOOK PUBLISHER
World Health Organization, emro@who.sci.eg
ABSTRACT
The study aims were to explore the knowledge, attitudes and behaviours of
Lebanese medical students related to substance use and to determine
prevalence and psychosocial predictors. A cross-sectional survey of 231
medical students (48.6% male; 53.1% preclinical, 46.9% clinical) was
conducted during June 2012–July 2013. The questionnaire addressed knowledge
and attitudes about substance use, religiosity, depression, anxiety and
demographic characteristics. The knowledge score was 52.7% (standard
deviation 14.4%), and was significantly lower in 2nd year students (48.53%)
than in 3rd and 4th year students (57.5% and 57.4%) (P < 0.05). Students
reported more training in drug abuse than alcohol abuse (38.2% vs. 34.4%).
One-fourth reported smoking, 57.7% using alcohol and 46.8% using drugs.
Significant predictors of lower substance use included intrinsic religiosity
and interest in working in the field. The findings reveal inadequate
knowledge and considerable substance use in Lebanese medical students.
Therefore, training in substance use and counseling of students are
necessary.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
substance use
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
Alcohol Use Disorders Identification Test
anxiety disorder
article
cross-sectional study
depression
Drug Abuse Screening Test
Duke Depression and Anxiety scale
Duke University Religiosity Scale
female
human
male
prevalence
questionnaire
religion
scoring system
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Arabic, French
EMBASE ACCESSION NUMBER
20180044362
PUI
L620313116
DOI
10.26719/2017.23.11.734
FULL TEXT LINK
http://dx.doi.org/10.26719/2017.23.11.734
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 50
TITLE
The gut microbiome modulates motivational properties of self-administered
cocaine
AUTHOR NAMES
Peck E.
Godino A.
Mervosh N.
Calipari E.
Kiraly D.
AUTHOR ADDRESSES
(Peck E.; Godino A.; Mervosh N.; Calipari E.; Kiraly D.) Icahn School of
Medicine at Mount Sinai, New York, United States.
CORRESPONDENCE ADDRESS
D. Kiraly, Icahn School of Medicine at Mount Sinai, New York, United States.
SOURCE
Neuropsychopharmacology (2017) 43 Supplement 1 (S264-S265). Date of
Publication: 1 Nov 2017
CONFERENCE NAME
56th Annual Meeting of the American College of Neuropsychopharmacology, ACNP
2017
CONFERENCE LOCATION
Palm Springs, CA, United States
CONFERENCE DATE
2017-12-03 to 2017-12-07
ISSN
1740-634X
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Background: The resident bacteria of the gastrointestinal tract,
collectively dubbed the gut microbiome, have been shown to have profound
effects on both brain and behavior. The microbiome and its metabolites
affect neuronal architecture, microglial responsiveness, function of the
blood brain barrier, and many other aspects of brain function. To date, the
majority of research into the effects of the microbiome in neuropsychiatric
pathology has focused on affective and neurodegenerative disorders. However,
our group recently demonstrated that altering the gut microbiome has a
marked effect on behavioral and neurobiological responses to cocaine.
Animals with depleted gut flora exhibited increased locomotor sensitization
and a lower threshold for conditioned place preference for cocaine.
Additionally, these mice had altered regulation of the genes encoding
brain-derived neurotrophic factor, the D1 dopamine receptor, and other
important regulators of behavioral response to cocaine. These data suggest
the possibility that targeted manipulations of the endogenous gut flora, may
be able to affect the course of addiction behavior in patients with cocaine
use disorder - a recalcitrant condition with significant morbidity for which
there are no currently available pharmacotherapies. Methods: To knock down
the gut microbiome, Sprague- Dawley rats were given a cocktail of
non-absorbable broadspectrum antibiotics (Neomycin 2 mg/ml, Bacitracin 0.5
mg/ ml, Vancomycin 0.4 mg/ml) via their drinking water for two weeks prior
to any experimental manipulation. Rats were then implanted with indwelling
jugular venous catheters, and trained to self-administer cocaine (0.8
mg/kg/infusion) on an FR1 schedule until they were stably responding. We
then assessed drug seeking and intake utilizing a behavioral economics
threshold task in which the “price” (lever presses/ mg cocaine) is slowly
increased throughout the session. After completing this task, the animals
were returned to FR1 responding for several days before going through five
days of extinction training in which lever presses were not associated with
any drug reward. Once responding was extinguished, animals were returned to
their home cage for ten days to allow for incubation of cocaine craving.
Following this incubation, animals were returned to test boxes and underwent
either cue or cocaine-induced reinstatement of drug seeking. Following this
final behavioral analysis, brains were dissected and processed for analysis
of both protein and gene expression changes. Results: While control and
antibiotic-treated animals showed no differences in FR1 acquisition of
cocaine administration, animals with depleted gut flora showed significantly
enhanced responding for cocaine particularly at low levels of reinforcement.
When the rats were subsequently put through an extinction task, the
antibiotic-treated animals showed a more rapid extinction of drug seeking
behaviors - most pronounced in the first two days of the task. After a
period of incubation in the home cage, reinstatement of cocaine-seeking
behavior was assessed. Interestingly, the antibiotic-treated animals showed
a significant increase in cocaine but not cue-induced reinstatement of
cocaine seeking. Ongoing molecular analyses have demonstrated alterations in
activation of key dopamine-responsive signaling pathways in the nucleus
accumbens of antibiotic- treated animals following final cocaine-induced
reinstatement. Conclusions: These experiments demonstrate that manipulations
of the gut microbiome significantly affect drug intake and seeking in a
translationally-relevant animal model of drug addiction. Interestingly,
depletion of gut flora affected all phases of the behavioral response.
Additionally, molecular analyses suggest that changes in key molecular
signaling pathways are altered in a manner that correlates with these
behaviors. While these findings are still preliminary and will require
considerably more follow-up and mechanistic insight, they do suggest that
targeting the gut microbiome may represent a tractable therapeutic strategy
for altering the course of substance use disorders in human patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE DRUG INDEX TERMS
bacitracin
brain derived neurotrophic factor
dopamine
dopamine 1 receptor
drinking water
endogenous compound
vancomycin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug self administration
gastrointestinal tract
inflammation
microbiome
EMTREE MEDICAL INDEX TERMS
adult
animal experiment
animal model
behavioral economics
cocaine dependence
drug seeking behavior
female
flora
follow up
infusion
intravenous catheter
jugular vein
male
morbidity
mouse
nonhuman
nucleus accumbens
place preference
rat
reinforcement
reward
sensitization
signal transduction
Sprague Dawley rat
CAS REGISTRY NUMBERS
bacitracin (1405-87-4)
brain derived neurotrophic factor (218441-99-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
dopamine (51-61-6, 62-31-7)
vancomycin (1404-90-6, 1404-93-9)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619900636
DOI
10.1038/npp.2017.264
FULL TEXT LINK
http://dx.doi.org/10.1038/npp.2017.264
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 51
TITLE
Quality of life of patients with CKD: A. cross sectional analysis from the
ICKD cohort
AUTHOR NAMES
Bhansali S.
Modi G.K.
Yadav A.K.
Kumar V.
Prasad N.
Sahay M.
Parameswaran S.
Gang S.
Varughese S.
Singh S.
Sircar D.
Ojha J.P.
Pandey R.
Jha V.
AUTHOR ADDRESSES
(Bhansali S.; Yadav A.K.; Kumar V.) Postgraduate Institute of Medical
Education and Research, Chandigarh, India.
(Modi G.K.) Samarpan Kidney Institute and Research Center, Bhopal, Madhya
Pradesh, India.
(Prasad N.) Jawaharlal Institute of Postgraduate Medical Education and
Research, Puducherry, India.
(Sahay M.) Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow,
India.
(Parameswaran S.) Osmania Medical College, Osmania General Hospital,
Hyderabad, Telangana, India.
(Gang S.) Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.
(Varughese S.) Institute of Medical Science, Banaras Hindu University,
Varanasi; Uttar Pradesh, India.
(Singh S.; Ojha J.P.) Christian Medical College, Vellore, Tamil Nadu, India.
(Sircar D.; Pandey R.) Institute of Post Graduate Medical Education and
Research, Kolkata, West Bengal, India.
(Jha V.) George Institute for Global Health, New Delhi, India.
CORRESPONDENCE ADDRESS
S. Bhansali, Postgraduate Institute of Medical Education and Research,
Chandigarh, India.
SOURCE
Indian Journal of Nephrology (2017) 27 Supplement 1 (S23). Date of
Publication: 1 Nov 2017
CONFERENCE NAME
48th Annual Conference of Indian Society of Nephrology
CONFERENCE LOCATION
New Delhi, India
CONFERENCE DATE
2017-12-14 to 2017-12-17
ISSN
1998-3662
BOOK PUBLISHER
Medknow Publications
ABSTRACT
BACKGROUND: Improving symptoms and function in daily life are important
patient centered outcomes in chronic diseases. Health-related quality of
life (QOL) is a key indicator of how a condition affects patient's life. QOL
is expressed as across the physical; psychological and social domains of
functioning. AIM OF THE STUDY: We report QOL in patients with early stages
of CKD who have been enrolled in an on-going longitudinal multicentric study
of subjects with early CKD in India. METHODS: All subjects; who had been
enrolled till June 30; 2017 and had KDQOL-36TM survey data recorded at
baseline were eligible. QOL is assessed by KDQOL-36TM; a validated Kidney
Disease Quality of Life Instrument (KDQOL; RAND Corporation); available free
for non-commercial use. Raw scores are converted to subscale scores using
the Microsoft Excel tool (KDQOL-36TM Scoring Program; v 2.0). Mental
Component Summary (MCS); Physical Component Summary (PCS); Symptoms; Effect
and Burden subscales were scored between 0-100; with higher scores
indicating better quality of life. Age; sex; BMI; marital status;
educational status; residential setting; diet pattern; occupational
exposure; addictions; presence of diabetes or hypertension or CVD; annual
income and eGFR were studied for association with QOL. Low QOL was defined
as subscale score that was 1 SD less than the mean for the respective
subscale. RESULTS: The mean scores for KDQOL-36TM subscales were 48.81±9.93;
44.17±9.49; 65.29±31.40; 81.31±24.70 and 86.68±21.43 for PCS; MCS; burden;
effects and symptoms; respectively. Urban residence; non-vegetarian dietary
pattern; education below high school; occupational exposure and lower income
were associated with lower scores across all subscales (p<0.05).
Professional workers had high score across all subscales compared to
farmers; housewife and unemployed subjects (p<0.01). Increasing quartile of
annual income was associated with higher scores in all subscales (p<0.01).
Higher score for older age (p<0.0001) and females (p=0.001) were noted in
PCS subscale. Low QOL was observed in 7%; 10.1%; 23.7%; 17.1% and 17.7% of
study population with respect to symptoms; effect; burden; PCS and MSC
subscales; respectively. Education below high school; lower eGFR; low annual
income and BMI <18 kg/m2 were associated with low QOL in all subscales
(p<0.01) except in symptoms subscale. CONCLUSIONS: We identified the
association between a number of clinical and socio-economic variables
related and one or more KDQOL-36TM subscales.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cohort analysis
cross-sectional study
quality of life
EMTREE MEDICAL INDEX TERMS
addiction
aged
agricultural worker
body mass
controlled study
diabetes mellitus
diet
educational status
estimated glomerular filtration rate
female
high school
housewife
human
hypertension
India
kidney disease
marriage
mental health
occupational exposure
unemployment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619369130
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 52
TITLE
Specialty addiction and psychiatry treatment initiation and engagement:
Results from an SBIRT randomized trial in pediatrics
AUTHOR NAMES
Sterling S.
Kline-Simon A.H.
Jones A.
Satre D.D.
Parthasarathy S.
Weisner C.
AUTHOR ADDRESSES
(Sterling S., stacy.a.sterling@kp.org; Kline-Simon A.H.,
andrea.h.kline-simon@kp.org; Jones A., ashley.l.jones@kp.org; Satre D.D.,
derek.satre@kp.org; Parthasarathy S., sujaya.x.parthasarathy@kp.org; Weisner
C., constance.weisner@kp.org) Division of Research, Kaiser Permanente
Northern California, 2000 Broadway, 3rd Floor, Oakland, United States.
(Satre D.D., derek.satre@kp.org; Weisner C., constance.weisner@kp.org)
Department of Psychiatry, UCSF Weill Institute for Neurosciences, University
of California, San Francisco, 401 Parnassus Avenue, San Francisco, United
States.
CORRESPONDENCE ADDRESS
S. Sterling, Division of Research, Kaiser Permanente Northern California,
2000 Broadway, 3rd Floor, Oakland, United States. Email:
stacy.a.sterling@kp.org
SOURCE
Journal of Substance Abuse Treatment (2017) 82 (48-54). Date of Publication:
1 Nov 2017
ISSN
1873-6483 (electronic)
0740-5472
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Objective Many adolescents needing specialty addiction or psychiatry
treatment never access care. We examined initiation and engagement with
addiction and/or psychiatry treatment among adolescents referred to
treatment from a trial comparing two different modalities of delivering
Screening, Brief Intervention and Referral to Treatment (SBIRT) to Usual
Care in pediatric primary care. We hypothesized that both intervention arms
would have higher initiation and engagement rates than usual care. Methods
We randomized all pediatricians (n = 52) in a pediatric primary care clinic
to three arms: 1) pediatrician-only arm, in which pediatricians were trained
to deliver SBIRT for substance use and/or mental health problems; 2)
embedded-behavioral health clinician (embedded-BHC arm), in which
pediatricians referred adolescents who endorsed substance use and/or mental
health problems to a BHC; and 3) Usual Care (UC). We used electronic health
record (EHR) data to examine specialty addiction and psychiatry treatment
initiation and engagement rates after referral. Results Among patients who
screened positive for substance use and/or mental health problems and were
referred to specialty addiction and/or psychiatry (n = 333), those in the
embedded-BHC arm had almost four times higher odds of initiating treatment
than those in the pediatrician-only arm, OR = 3.99, 95% CI = [1.99–8.00].
Compared to UC, those in the pediatrician-only arm had lower odds of
treatment initiation (OR = 0.53, 95% CI = [0.28–0.99]), while patients in
the embedded-BHC arm had marginally higher odds (OR = 1.83, 95% CI =
[0.99–3.38]). Black patients and those with other/unknown race/ethnicity had
lower odds of treatment initiation compared with white adolescents; there
were no gender or age differences. We found no differences in treatment
engagement across the three arms. Conclusions Embedded BHCs can have a
significant positive impact on facilitating treatment initiation for
pediatric primary care adolescents referred to addiction and/or psychiatry
services. Clinical Trials Registration: ClinicalTrials.gov #NCT02408952.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
psychiatric treatment
EMTREE MEDICAL INDEX TERMS
adolescent
article
Asian
Black person
Caucasian
controlled study
female
Hispanic
human
major clinical study
male
pediatrician
priority journal
race difference
randomized controlled trial
substance abuse
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170650438
PUI
L618247573
DOI
10.1016/j.jsat.2017.09.005
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2017.09.005
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 53
TITLE
Development of a sustainable curriculum on substance use disorders for
emergency medicine residents at cooper university hospital
AUTHOR NAMES
Gruber E.
Zapp Z.
Pescatore R.
Salzman M.
Haroz R.
Nyce A.
AUTHOR ADDRESSES
(Gruber E.; Zapp Z.; Pescatore R.; Salzman M.; Haroz R.; Nyce A.) Cooper
University Hospital, Camden, United States.
CORRESPONDENCE ADDRESS
E. Gruber, Cooper University Hospital, Camden, United States.
SOURCE
Annals of Emergency Medicine (2017) 70:4 Supplement 1 (S71). Date of
Publication: 1 Oct 2017
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2017 Research Forum
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-10-29 to 2017-10-31
ISSN
1097-6760
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: Substance use disorders (SUD) are estimated to afflict
nearly 1 in 5 emergency department (ED) patients, while the incidence of
overdose, particularly 176 177 opiate-related, continues to rise. Emergency
physicians are on the front line of this epidemic. Through a grant
co-sponsored by EMF (Emergency Medicine Foundation) and NIDA (National
Institute on Drug Abuse), we designed a curriculum for EM residents relating
to the comprehensive management of SUD in the ED. To the best of our
knowledge, through literature searches and discussion with national SUD
leaders, such a curriculum specific to EM providers is a first. In doing so,
we align with the CDC and NIDA goals of reducing exposure to opioids,
expanding access to medication-assisted treatment, and promoting the use of
prescription drug monitoring programs. Methods: The curriculum was designed
through the help of two medical toxicologists with addiction medicine
training, social workers with invaluable insight into community SUD
resources, and input from ED program leadership. Funding for the project
began in April 2016; the formal curriculum started in July 2016 and is
ongoing for all EM residents at Cooper University Hospital. To assess the
impact on residents thus far, we utilized pre and mid-curriculum assessments
for all residents (excluding authors) completed at the onset of the
curriculum and 8 months later. Results: The SUD curriculum will be a
requirement for all EM residents to prior to graduation. It consists of
formal didactic lectures during structured EM resident weekly conferences,
clinical exposure in multiple settings including the ED, outreach clinic,
and inpatient detoxification consultation, and synthesis of all material
through personalized care plans for SUD ED super-utilizer patients. Lectures
are generated from evidence-based literature relating to a variety of SUD
topics from management of the acutely intoxicated/withdrawing patient to
referral to appropriate outpatient resources; addiction medicine specialists
are in attendance for lectures and available to further discussion. Table 1
summarizes a checklist of clinical exposures and tasks required for
residents to successfully the curriculum. Data from resident assessment
scores (initial assessment at onset of curriculum, second assessment at
8-month point) showed improvement in resident comfort level treating
patients with SUD and overall SUD knowledge base. Furthermore, residents
demonstrated better understanding of appropriate outpatient resources and
referrals while improving upon opioid prescribing practices and augmenting
use of alternatives to opioids for treatment of acute pain. Conclusions: EM
residents at Cooper University Hospital must our designed SUD curriculum to
graduate. We have received positive feedback and data thus far; however, the
curriculum continues to be a work in progress. There are multiple areas for
improvement including focus on sustainability and better patient education.
We are confident Cooper residents will emerge well equipped to tackle the
challenges of the current SUD epidemic in their future practice. [Table
Presented].
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
drug dependence
emergency medicine
resident
university hospital
EMTREE MEDICAL INDEX TERMS
addiction medicine
adult
checklist
clinical article
comfort
conference abstract
detoxification
drug therapy
drug withdrawal
emergency ward
epidemic
female
funding
hospital patient
human
knowledge base
leadership
male
outpatient
pain
patient education
patient referral
positive feedback
prescription drug monitoring program
social worker
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620857734
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 54
TITLE
Impact of brief educational intervention among medical students on knowledge
regarding tobacco and alcohol use disorders
AUTHOR NAMES
Jacob G.P.
Kulkarni M.M.
Vibha S.P.
Sravan Kumar Reddy T.
Praharaj S.K.
Thippeswamy V.
Sanjeev Kumar M.
AUTHOR ADDRESSES
(Jacob G.P.; Kulkarni M.M., murali.kulkarni@manipal.edu; Sravan Kumar Reddy
T.) Department of Community Medicine, Kasturba Medical College, Manipal
University, Manipal, India.
(Vibha S.P.; Praharaj S.K.; Thippeswamy V.; Sanjeev Kumar M.) Department of
Psychiatry, Kasturba Medical College, Manipal University, Manipal, India.
CORRESPONDENCE ADDRESS
M.M. Kulkarni, Dept. of Community Medicine, Kasturba Medical College,
Manipal University, Manipal, India. Email: murali.kulkarni@manipal.edu
SOURCE
Indian Journal of Public Health Research and Development (2017) 8:4
(220-224). Date of Publication: 1 Oct 2017
ISSN
0976-0245
BOOK PUBLISHER
Indian Journal of Public Health Research and Development, Aster-06/603,
Supertech Emerald Court,, Sector - 93 A, Expressway, NOIDA, UTTAR PRADESH,
India.
ABSTRACT
Background: Substance abuse is a major public health challenge across the
globe. Medical professionals of all branches of medicine are very likely to
encounter individuals with substance related health issues.Tobacco and
alcohol use are among the leading causes of morbidity and mortality
world-wide. Both these habits can be reduced by brief clinical interventions
that are highly cost-effective. Objective: To assess the impact of brief
educational intervention on knowledge about management of tobacco and
alcohol use disorders among medical students. Methodology: This educational
interventional study was conducted among third year medical students during
Community Medicine postings. The session was of three hours duration carried
out by faculty from Department of Community Medicine and Psychiatry as part
of integrated teaching. The session had two components, initially
presentation by the faculty followed by role plays by the medical students
on specific scenarios. The effectiveness was assessed using a pre-tested,
structured, self-administered questionnaire to assess the knowledge
regarding tobacco and alcohol use disorders at baseline and after the
educational intervention. Results: There was a statistically significant
increase in mean scores in both knowledge (p<.001) and perception regarding
management of substance use (p<.001) after the educational intervention as
compared to baseline scores. Also, 88% of students agreed that this
integrated methodology helped them to improve their skills needed to counsel
patients with substance use disorders Conclusion: Educational intervention
with role play by students is an effective tool to influence the knowledge
regarding tobacco and alcohol use disorders. Also, integrated teaching is
well appreciated by the students as effective method for teaching on
substance use disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
medical student
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
cost effectiveness analysis
female
human
informed consent
intervention study
Likert scale
male
scoring system
structured questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170886468
PUI
L619851613
DOI
10.5958/0976-5506.2017.00343.6
FULL TEXT LINK
http://dx.doi.org/10.5958/0976-5506.2017.00343.6
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 55
TITLE
Pennsylvania state core competencies for education on opioids and addiction
AUTHOR NAMES
Ashburn M.A.
Levine R.L.
AUTHOR ADDRESSES
(Ashburn M.A., michael.ashburn@uphs.upenn.edu) Department of Anesthesiology
and Critical Care, Perelman School of Medicine at the University of
Pennsylvania, Philadelphia, United States.
(Levine R.L.) Physician General of the Commonwealth of Pennsylvania,
Hershey, United States.
(Levine R.L.) Departments of Pediatrics and Psychiatry, Penn State College
of Medicine, Hershey, United States.
CORRESPONDENCE ADDRESS
M.A. Ashburn, Penn Pain Medicine Center, 1840 South Street, Philadelphia,
United States. Email: michael.ashburn@uphs.upenn.edu
SOURCE
Pain Medicine (United States) (2017) 18:10 (1890-1894). Date of Publication:
1 Oct 2017
ISSN
1526-4637 (electronic)
1526-2375
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
ABSTRACT
Objective. The objective of this project was to develop core competencies
for education on opioids and addiction to be used in all Pennsylvania
medical schools. Methods. The Pennsylvania Physician General created a task
force that was responsible for the creation of the core competencies. A
literature review was completed, and a survey of graduating medical students
was conducted. The task force then developed, reviewed, and approved the
core competencies. Results. The competencies were grouped into nine domains:
understanding core aspects of addiction; patient screening for substance use
disorder; proper referral for specialty evaluation and treatment of
substance use disorder; proper patient assessment when treating pain; proper
use of multimodal treatment options when treating acute pain; proper use of
opioids for the treatment of acute pain (after consideration of
alternatives); the role of opioids in the treatment of chronic noncancer
pain; patient risk assessment related to the use of opioids to treat chronic
noncancer pain, including the assessment for substance use disorder or
increased risk for aberrant drug-related behavior; and the process for
patient education, initiation of treatment, careful patient monitoring, and
discontinuation of therapy when using opioids to treat chronic noncancer
pain. Specific competencies were developed for each domain. Conclusions.
These competencies will be incorporated into the educational process at all
Pennsylvania medical schools. It is hoped that these curriculum changes will
improve student knowledge and attitudes in these areas, thus improving
patient outcomes.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
medical education
opiate addiction
EMTREE MEDICAL INDEX TERMS
curriculum development
education program
health care planning
human
medical school
medical student
pain (drug therapy)
patient assessment
patient education
patient monitoring
Pennsylvania
review
risk assessment
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170871942
PUI
L619626288
DOI
10.1093/pm/pnw348
FULL TEXT LINK
http://dx.doi.org/10.1093/pm/pnw348
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 56
TITLE
A comparative analysis of online vs in-person opioid overdose prevention
training for first year medical students as an adjunct to first responder
training using cardiopulmonary resuscitation
AUTHOR NAMES
Berland N.
Lugassy D.
Fox A.D.
Tofighi B.
Hanley K.
AUTHOR ADDRESSES
(Berland N.; Lugassy D.; Fox A.D.; Tofighi B.; Hanley K.) SUNY Downstate
Kings County, Brooklyn, NY; New York University School of Medicine, New
York, NY; Montefiore Medical Center, Bronx, NY
CORRESPONDENCE ADDRESS
N. Berland,
SOURCE
Annals of Emergency Medicine (2017) 70:4 Supplement 1 (S71-S72). Date of
Publication: 1 Oct 2017
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2017 Research Forum
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-10-29 to 2017-10-31
ISSN
1097-6760
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: To help address the growing opioid overdose epidemic and
help teach a core toxicological emergency, the authors taught the use of
naloxone as an antidote to an opioid overdose, for all first-year medical
students as a part of first responder training using cardiopulmonary
resuscitation, as an online and in-person training over three years.
Previously we demonstrated that in-person opioid overdose prevention
training as an adjunct to BLST improves knowledge and preparedness. To
compare the educational outcomes; knowledge, preparedness, and attitudes,
for online vs in-person opioid overdose prevention training. Methods: Opioid
overdose prevention trainings were conducted in person in 2014 and 2015, and
online in 2016. First year students completed pre-and post-training surveys
covering three measures: knowledge (11-point scale), attitudes (66-point
scale) towards patients with opioid use disorders, and self-reported
preparedness (60-point scale) to respond to an opioid overdose. Online and
in-person scores across all three measures were compared using analysis of
covariance (ANCOVA) methods across two years of trainings. Results: After
controlling for pre-test scores, there were very small and not meaningful
differences in attitude and knowledge scores between in-person training and
online training. The estimated difference for knowledge was-0.06 (95%
CI-0.48-0.35) and for attitudes was 0.64 (95% CI-0.22-1.50). The average
scores related to preparedness were higher for the students who took the
course online, estimated at 2.10 points (95% CI 0.97-3.22). Feedback was
generally positive, with 96% of the in-person group saying future classes
should receive the training and 95% of the online group saying all medical
schools should provide the training. Conclusions: Online training has become
a more common method of medical education due to its many advantages
including standardization, scalability and flexibility to accommodate
asynchronous learning. However, few studies have performed analyses of
online training vs in-person training for relative effectiveness. The
authors have demonstrated that for training medical students to administer
naloxone as an antidote to an opioid overdose, online training is comparable
to in-person training. These results support the use of online training for
adding training on administering naloxone.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
antidote
naloxone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
resuscitation
EMTREE MEDICAL INDEX TERMS
adult
analysis of covariance
conference abstract
controlled study
drug overdose
drug therapy
human
learning
medical school
prevention
standardization
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620857742
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 57
TITLE
Postoperative surgical trainee opioid prescribing practices: An
institutional study
AUTHOR NAMES
Hall D.J.
Olsen K.R.
Mira J.C.
Underwood P.W.
Vasilopoulos T.
Antony A.B.
Sarosi G.A.
AUTHOR ADDRESSES
(Hall D.J.; Olsen K.R.; Mira J.C.; Underwood P.W.; Vasilopoulos T.; Antony
A.B.; Sarosi G.A.) University of Florida, Gainesville, United States.
CORRESPONDENCE ADDRESS
D.J. Hall, University of Florida, Gainesville, United States.
SOURCE
Journal of the American College of Surgeons (2017) 225:4 Supplement 1
(S179-S180). Date of Publication: 1 Oct 2017
CONFERENCE NAME
2017 Clinical Congress of the 3rd Owen H Wangesteen Scientific Forum
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2017-10-22 to 2017-10-26
ISSN
1879-1190
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
INTRODUCTION: Rising mortality from opioid overdoses has prompted increased
focus on prescribing practices of physicians. Unfortunately, resident
physicians rarely receive formal education in effective opioid prescribing
practices or pain management. Data to inform surgical training programs
regarding the utility and feasibility of formal training are lacking.
METHODS: After IRB approval, a single institution's resident physicians who
had completed at least 1 surgical rotation were sur-veyed to assess
knowledge of pain management and evaluate opioid prescribing practices.
RESULTS: Fifty-two respondents (67% male, 33% female) completed the survey.
Most respondents denied receiving formal instruction in opioid pain
medication prescribing practices during either medical school (61.5%) or
residency (57.7%); however, 89% of respondents stated they were aware of the
side effects of opioid pain medications and 69% felt confident in their
knowledge of opioid pharmacokinetics and pharmacody-namics. Of the
respondents, 46% either “agreed” or “strongly agreed” that they prescribed
more opioid medications than necessary to patients being discharged after a
surgical procedure. Over 75% of respondents felt that patients'
comor-bidities influenced their prescribing practices. Individual case
scenario responses demonstrated variability in number of doses prescribed
across different general surgery procedures (p < 0.001, Figure).
CONCLUSIONS: This pilot study shows wide variability in opioid prescribing
practices and attitudes toward pain management among surgical trainees,
illustrating the potential utility of formal education in pain management
and effective prescribing of these medications. A broader assessment of
surgical trainees' knowledge and perception of opioid prescribing practices
is warranted to facilitate the development of such a program.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription
student
EMTREE MEDICAL INDEX TERMS
adult
adverse drug reaction
analgesia
clinical trial
drug overdose
drug therapy
feasibility study
female
general surgery
human
major clinical study
male
medical school
mortality
perception
pharmacokinetics
pilot study
resident
rotation
side effect
surgery
surgical technique
surgical training
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619285345
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 58
TITLE
Alcohol consumption and awareness of associated risks among medical school
students
AUTHOR NAMES
Konidaki M.
Georgopoulou V.
Valatas V.
Mouzas I.
AUTHOR ADDRESSES
(Konidaki M.; Georgopoulou V.; Mouzas I.) Medical School, University of
Crete, Heraklion, Greece.
(Valatas V.; Mouzas I.) Gastroenterology Department, University Hospital,
Heraklion, Greece.
CORRESPONDENCE ADDRESS
M. Konidaki, Medical School, University of Crete, Heraklion, Greece.
SOURCE
Alcohol and Alcoholism (2017) 52 Supplement 1 (i31). Date of Publication: 1
Oct 2017
CONFERENCE NAME
16th Congress of the European Society for Biomedical Research on Alcoholism
CONFERENCE LOCATION
Heraklion, Greece
CONFERENCE DATE
2017-10-08 to 2017-10-11
ISSN
1464-3502
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Although alcohol use begins before students arrive at college, hazardous and
harmful drinking is intensified during college years due among others to the
intense need for socialization, exposure to new norms about alcohol use and
the absence of parental supervision. This study examines the social patterns
and investigates the behaviors that are related to the various levels of
alcohol consumption of students of the Medical School of the University of
Crete. We distributed structured questionnaires to 328 Medical School
students (women 53.7%). The questionnaires were filled out anonymously by
the students and were collected three weeks after distribution. Results: 1)
The beginning age of alcohol consumption in medical students is around 16-18
years (54%), 2) 81.1% of medical students have gone drunk at least once, 3)
69% of them do not report hazardous and/or harmful drinking and have no
indication of alcohol dependence, 4) the preferred type of drink is wine
(32%), 5) medical students feel more comfortable with people of the other
sex when consuming alcohol (78%), 6) Many of them (64%) spend less than 10
euros weekly for alcohol consumption, and 7) most of them (79.6%) are well
familiar with the mid and long-term consequences of heavy alcohol
consumption. Conclusions: The subjects of our study, identified as students
of Medicine, although they are aware of the health and social consequences
of alcohol consumption have a behavior that does not correspond to this
knowledge. Further research is probably needed to compare these preliminary
findings in medical students to university students of other academic areas.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
awareness
medical school
medical student
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
controlled study
female
human
major clinical study
medicine
structured questionnaire
university student
wine
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619557411
DOI
10.1093/alcalc/agx074
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agx074
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 59
TITLE
Smoke out: Educating oncology providers to improve tobacco cessation among
cancer patients
AUTHOR NAMES
Silver B.
Kodiyan J.
Yechieli R.
Ramey S.J.
AUTHOR ADDRESSES
(Silver B.; Kodiyan J.) University of Miami, Miami, United States.
(Yechieli R.) Department of Radiation Oncology, University of Miami,
Sylvester Comprehensive Cancer Center, Miami, United States.
(Ramey S.J.) University of Miami, Jackson Health System, Miami, United
States.
CORRESPONDENCE ADDRESS
B. Silver, University of Miami, Miami, United States.
SOURCE
International Journal of Radiation Oncology Biology Physics (2017) 99:2
Supplement 1 (E128). Date of Publication: 1 Oct 2017
CONFERENCE NAME
59th Annual Meeting of the American Society for Radiation Oncology, ASTRO
2017
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2017-09-24 to 2017-09-27
ISSN
0360-3016
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Purpose/Objective(s): Cancer patients who smoke have an increased risk of
all-cause mortality, cancer specific mortality, cancer recurrence, and
treatment toxicities when compared to those who do not smoke. National
guidelines are explicit in their recommendations that all cancer patients
who are using tobacco should receive cessation counseling and assistance
with quitting. Unfortunately, some cancer patients are not even advised to
quit and many are offered no assistance with quitting. This study evaluated
whether educating radiation oncology providers on smoking cessation benefits
and treatment guidelines for cancer patients will result in improved
provider knowledge and likelihood to assist patients with tobacco cessation.
Purpose/Objective(s): This prospective analysis consisted of a radiation
oncology department "Grand Rounds" lecture on tobacco cessation for the
oncology provider with pre-and post-lecture surveys conducted to evaluate
provider knowledge, perceptions, previous training, and self-reported
behaviors related to tobacco cessation. Surveys were sent through REDCap to
all attending physicians, nurses, PA's, and resident physicians working in
the academic radiation oncology center. Post-lecture surveys were sent only
to providers who responded to the pre-lecture survey. Comparison of repeated
pre-and post-lecture questions was done using an "N-1" Chi-Squared test.
Results: Thirty-six eligible participants received the pre-lecture survey,
34 responded, and 19 attended the lecture. Of the respondents, 35.3% were
residents or physician assistants, 35.3% were attending physicians, and
29.4% were nurses. After the lecture, 100% of participants either agreed or
strongly agreed that they feel more comfortable discussing smoking
cessation, 73.7% were more likely to prescribe medications, 84.2% were more
likely to refer patients, and 89.5% felt more knowledgeable about potential
harmful effects. When comparing pre-and post-lecture surveys, there was a
36.8% (p=0.0039) increase in respondents saying, "I feel confident I know
how to refer patients to smoking cessation services," and a 26.3% (p=0.0392)
increase in respondents correctly identifying the likelihood of quitting
with first line therapies. There was an increase in all confidence and
knowledge questions after the lecture when compared to before. However, none
of the other prompts were statistically significant, most likely due to the
small sample size. Conclusion: Attending a short lecture increased both
oncology providers' knowledge and confidence related to assisting patients
with tobacco cessation. A similar lecture may be worthwhile for oncology
trainees and staff members nationwide to improve tobacco cessation. This
study also plans to assess clinical efficacy by retrospectively comparing
tobacco cessation counseling and referral in the radiation oncology clinic
before and after the lecture.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer patient
radiation oncology
smoke
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
clinical article
comparative effectiveness
controlled study
counseling
doctor nurse relation
female
human
male
patient referral
perception
physician assistant
practice guideline
prospective study
resident
sample size
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L618559928
DOI
10.1016/j.ijrobp.2017.06.906
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ijrobp.2017.06.906
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 60
TITLE
Mental health and addictions capacity building for community health centres
in Ontario
AUTHOR NAMES
Khenti A.
Thomas F.C.
Mohamoud S.
Diaz P.
Vaccarino O.
Dunbar K.
Sapag J.C.
AUTHOR ADDRESSES
(Khenti A.) Office of Transformative Global Health (OTGH), Institute for
Mental Health Policy Research, Centre for Addiction and Mental Health
(CAMH), Toronto, Canada.
(Khenti A.) Dalla Lana School of Public Health, University of Toronto,
Toronto, Canada.
(Thomas F.C.) Department of Psychology, Ryerson University, Toronto, Canada.
(Thomas F.C.; Vaccarino O.; Sapag J.C., jaime.sapag@camh.ca) CAMH, Toronto,
Canada.
(Mohamoud S.) Ministry of Health and Long-Term Care, Toronto, Canada.
(Diaz P.) Schizophrenia Program, CAMH, Toronto, Canada.
(Diaz P.) Department of Psychiatry, University of Toronto, Toronto, Canada.
(Vaccarino O.) University of Guelph, Guelph, Canada.
(Dunbar K.) Institute for Mental Health Policy Research, CAMH, Toronto,
Canada.
(Sapag J.C., jaime.sapag@camh.ca) Department of Public Health, School of
Medicine of the Faculty of Medicine, Pontificia Universidad Católica de
Chile, Chile.
CORRESPONDENCE ADDRESS
J.C. Sapag, CAMH, Toronto, Canada. Email: jaime.sapag@camh.ca
SOURCE
Canadian Family Physician (2017) 63:10 (e416-e424). Date of Publication: 1
Oct 2017
ISSN
0008-350X
BOOK PUBLISHER
College of Family Physicians of Canada
ABSTRACT
Problem addressed In recent years, there has been increased recognition in
Canada of the need to strengthen mental health services in primary health
care (PHC). Collaborative models, including partnerships between PHC and
specialized mental health care providers, have emerged as effective ways for
improving access to mental health care and strengthening clinical capacity.
Primary health care physicians and other health professionals are well
positioned to facilitate the early detection of mental disorders and provide
appropriate treatment and follow-up care, helping to tackle stigma toward
mental health problems in the process. Objective of program This 4-year
mental health and addiction capacity-building initiative for PHC addressed
competency needs at the individual, interprofessional, and organizational
levels. Program description The program included 5 key components: A needs
assessment; interprofessional education; mentoring; development of
organizational mental health and addiction action plans for each
participating community health centre; and creation of an advanced resource
manual to support holistic and culturally competent collaborative mental
health care. A comprehensive evaluation framework using a mixed-methods
approach was applied from the initiation of the program. A total of 184
health workers in 10 community health centres in Ontario participated in the
program, including physicians, nurses, social workers, and administrative
staff. Conclusion Evaluation findings demonstrated high satisfaction with
the training, improved competencies, and individual behavioural and
organizational changes. By building capacity to integrate holistic and
culturally appropriate care, this competency-based program is a promising
model with strong potential to be adapted and scaled up for PHC
organizations nationally and internationally.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
mental health
EMTREE MEDICAL INDEX TERMS
administrative personnel
anxiety disorder
article
behavior change
capacity building
community care
follow up
human
mental health care
mentoring
mood disorder
needs assessment
normal human
nurse
nurse practitioner
Ontario
physician
program evaluation
psychosis
self care
social worker
substance use
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
20170732081
PUI
L618809803
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 61
TITLE
Improving primary care training for the evaluation and therapy of hepatitis
C in the community-based test and cure of hepatitis C program
AUTHOR NAMES
Scott J.
Aronsohn A.I.
Irvin R.
Kowdley K.V.
Kleinman M.
Johnson D.
Millman A.J.
AUTHOR ADDRESSES
(Scott J.) Medicine, University of Washington, Seattle, United States.
(Aronsohn A.I.) Medicine, University of Chicago, Chicago, United States.
(Irvin R.) Medicine, Johns Hopkins University School of Medicine, Baltimore,
United States.
(Kowdley K.V.) Medicine, Swedish/Providence Health, Seattle, United States.
(Kleinman M.) Maryland Department of Health and Mental Hygiene, Baltimore,
United States.
(Johnson D.) Pediatrics, University of Chicago, Chicago, United States.
(Millman A.J.) Centers of Disease Control and Prevention, Atlanta, United
States.
CORRESPONDENCE ADDRESS
J. Scott, Medicine, University of Washington, Seattle, United States.
SOURCE
Hepatology (2017) 66 Supplement 1 (311A). Date of Publication: 1 Oct 2017
CONFERENCE NAME
68th Annual Meeting of the American Association for the Study of Liver
Diseases, AASLD 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-10-20 to 2017-10-24
ISSN
1527-3350
BOOK PUBLISHER
John Wiley and Sons Inc.
ABSTRACT
Background: With simplified screening guidelines for hepatitis C virus (HCV)
and improved therapies, more patients have been identified and are eligible
for therapy, yet access to specialist care is limited particularly in rural
and underserved communities. Restrictions by payers further limit PCPs
ability to prescribe HCV antivirals. AASLD guidelines recommend that primary
care practitioners (PCP) participate in models of care involving
collaboration between PCPs and specialists. We describe three training
programs for PCPs and their impact on treatment access. Methods: The CDC
supported a 4 year community-based initiative to improve testing and care of
HCV-infected patients at three sites (Seattle-King County, Chicago, and
Baltimore) beginning in September 2014. Sites developed PCP training
programs applying various methodologies including an online curriculum,
mentored teleconferences (Project ECHO (Extension for Community Health
Outcomes)), large group didactics, and in-clinic mentorship. Consultations
are provided by Infectious Disease, Hepatology, Addiction Medicine and
Psychiatry experts. The curriculum included teaching on HCV clinical care as
well as methods for addressing case management and prior authorization
approvals. Results: Data in Table 1 describe the number of PCP trained, the
number of clinics with trained providers contributing data on HCV treatment,
and the number of patients treated at clinics with trained providers
contributing data on HCV treatment, based on training site and methods used.
Conclusion: Training of PCPs through the Community-based Test and Cure of
Hepatitis C Program allowed for treatment of ∼700 patients in clinics not
otherwise authorized to provide HCV treatment. Educational partnerships
between PCPs and specialists can effectively scale up the number of
providers able to provide HCV care and treatment. Various training models
for PCPs can increase patient access to curative HCV treatment in primary
care settings while ensuring the delivery of HCV-directed care (Table
presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
hepatitis C
EMTREE MEDICAL INDEX TERMS
addiction
adult
case management
communicable disease
consultation
curriculum
female
Hepatitis C virus
human
Illinois
major clinical study
male
Maryland
mentor
nonhuman
outcome assessment
psychiatry
public health
scale up
teaching
teleconference
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L618935586
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 62
TITLE
Working with parents and families to improve outcomes for adolescents with
substance use disorders: Incorporating family-centered care into your
practice
AUTHOR NAMES
Hammond C.
Krakower S.
Jackson P.
Fishman M.
Atkinson D.L.
AUTHOR ADDRESSES
(Hammond C., chammo20@jhmi.edu; Fishman M., mjfishman@comcast.net) Johns
Hopkins University, United States.
(Krakower S., skrakowe@northwell.edu) Northwell Health - Zucker Hillside
Hospital, Long Island Jewish Medical Center, United States.
(Jackson P., prjackson@partners.org) Massachusetts General Hospital and
McLean Hospital, United States.
(Atkinson D.L., str8xdave@yahoo.com) University of Texas Southwestern
Medical Center, United States.
CORRESPONDENCE ADDRESS
C. Hammond, Johns Hopkins University, United States. Email:
chammo20@jhmi.edu
SOURCE
Journal of the American Academy of Child and Adolescent Psychiatry (2017)
56:10 (S349-S350). Date of Publication: 1 Oct 2017
CONFERENCE NAME
64th Annual Meeting American Academy of Child and Adolescent Psychiatry,
AACAP 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-10-23 to 2017-10-28
ISSN
1527-5418
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives: Despite its significant role in the treatment of adolescent
substance use disorders (SUDs), parent- and family-based treatment
approaches toward substance use receive little focus in child and adolescent
psychiatry fellowship training and continuing education. Addictions are
neurodevelopmental and intergenerational disorders that affect and are
affected by the family systems in which they present. Family dynamics,
parent-child relationships, and parental attitudes, beliefs, and behaviors
relating to drug use can all represent either risk or protective factors for
adolescent SUDs. Working with parents and families can have a significant
impact on treatment response. Family-based therapies (FBT) are one of the
most thoroughly studied treatment modalities for adolescent SUDs and are
backed by extensive empirical support. In fact, some studies suggest that
FBT may be the treatment of choice for adolescent SUDs. Given the evidence
of effectiveness of FBT, the dissemination and implementation of these
approaches carry the potential to improve SUD treatment outcomes and reduce
morbidity and mortality. Methods: We will provide a clinically focused
interactive workshop on working with parents and families of youth with SUDs
targeted for child and adolescent mental health practitioners. The workshop
will use an interactive audiencedriven learning approach that incorporates
brief presentations of core clinical principles framed in the context of
clinical case material/vignettes, with ample discussion/audience
participation, some group break-out sessions to reinforce skills learned,
and audience questions and answers with the panel. Results: By the end of
the workshop, audience members will be able to 1) describe the role of the
family system in adolescent SUD and ways targeting the family can improve
SUD treatment outcomes; 2) talk to and work with parents and families of
adolescents with SUDs; and 3) incorporate a familycentered care approach
into their clinical practice. Conclusions: Improved dissemination of
family-centered approaches for adolescent SUD treatment to child and
adolescent mental health providers has the potential to enhance SUD outcomes
for adolescents in mental health settings. Participants will acquire
expanded skills on how to work with parents and families of youth with SUDs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
EMTREE MEDICAL INDEX TERMS
adolescent
child
clinical practice
female
human
juvenile
learning
male
mental health
morbidity
mortality
skill
treatment response
vignette
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620081687
DOI
10.1016/j.jaac.2017.07.747
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jaac.2017.07.747
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 63
TITLE
Public health interventions in schools for child and adolescent
psychiatrists
AUTHOR NAMES
Ladegard K.
Kataoka S.
AUTHOR ADDRESSES
(Ladegard K., kristie.ladegard@dhha.org) Denver Health and Hospital
Authority, United States.
(Kataoka S., SKataoka@mednet.ucla.edu) University of California, Los Angeles
Child and Adolescent Psychiatry Training Program, United States.
CORRESPONDENCE ADDRESS
K. Ladegard, Denver Health and Hospital Authority, United States. Email:
kristie.ladegard@dhha.org
SOURCE
Journal of the American Academy of Child and Adolescent Psychiatry (2017)
56:10 (S342-S343). Date of Publication: 1 Oct 2017
CONFERENCE NAME
64th Annual Meeting American Academy of Child and Adolescent Psychiatry,
AACAP 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-10-23 to 2017-10-28
ISSN
1527-5418
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives: Child and adolescent psychiatrists are being called on by
community agencies to develop policies that help deliver critical
psychiatric treatments to pediatric populations with mental health needs.
Working with schools is an important way for child and adolescent
psychiatrists to accomplish this mission and increase access to care.
Specific examples of school-based programs led by child and adolescent
psychiatrists with positive mental health, educational, and substance use
outcomes will be discussed. Methods: Four programs implemented in school
settings, where child and adolescent psychiatrists played an integral role
in providing direct mental health interventions for youth but also
collaborated with multiple systems, will be described. Specific case
examples and strategies illustrating how child and adolescent psychiatrists
can collaborate with teachers, pediatricians, and school districts will be
reviewed. Results: Dr. Ladegard will discuss mental health and educational
outcomes of a program that delivers comprehensive mental health care to
youth in 11 inner city school-based clinics in Denver. Dr. Thurstone will
describe how he collaborated directly with school administrators to develop
a program that provides substance use treatment to adolescents directly on
school grounds. Substance use and educational outcomes of this program will
be reviewed. Dr. Erickson will explain specific techniques that child and
adolescent psychiatrists can use to provide integrated care to pregnant and
parenting teenagers in school clinics by working directly with
pediatricians. Dr. Ryst will describe how a program that trained educators
to recognize mental health issues in youth and subsequently referred them to
in-school treatment programs, thus improving access to mental health
treatment in rural communities. Dr. Kataoka will summarize useful clinical
implications for child and adolescent psychiatrists and discuss future
directions on how child and adolescent psychiatrists can work with schools
to develop public health interventions. Conclusions: Child psychiatrists
have an important role in the development of public health policies that
increase access to mental healthcare for all youth. Collaborating with
schools can help deliver critical psychiatric services to underserved
populations and create a healthy and positive community for our youth.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child psychiatry
mental health service
EMTREE MEDICAL INDEX TERMS
adolescent
adult
child
child parent relation
female
human
human experiment
juvenile
male
mental health care
pediatrician
pregnancy
rural population
school administrator
substance use
teacher
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620081189
DOI
10.1016/j.jaac.2017.07.729
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jaac.2017.07.729
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 64
TITLE
Raising generation D: What parents and clinicians should know about children
and compulsive internet use
AUTHOR NAMES
Greenfield D.
AUTHOR ADDRESSES
(Greenfield D., psydoc47@gmail.com) Center for Internet and Technology
Addiction, University of Connecticut, School of Medicine, United States.
CORRESPONDENCE ADDRESS
D. Greenfield, Center for Internet and Technology Addiction, University of
Connecticut, School of Medicine, United States. Email: psydoc47@gmail.com
SOURCE
Journal of the American Academy of Child and Adolescent Psychiatry (2017)
56:10 (S7). Date of Publication: 1 Oct 2017
CONFERENCE NAME
64th Annual Meeting American Academy of Child and Adolescent Psychiatry,
AACAP 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-10-23 to 2017-10-28
ISSN
1527-5418
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives: The goal of this session is to provide clinicians with an
understanding of clinical and practical issues associated with internet use
disorders (IUD). A particular emphasis will be given to family dynamics,
safety issues, and setting limits and boundaries, including digital
technology monitoring, filtering, and blocking. Treatment of IUDs involves
educating parents in creating a comprehensive addiction management and
relapse prevention program. Methods: Based on a review of the clinical,
didactic, and research literature and nearly 20 years of clinical and
research experience treating IUDs and related problems, we have been able to
extract many of the most relevant and useful therapeutic and clinical
management treatments; with the use of the internet as a “drug of choice”
for a sizable percentage of our youth population, specialized internet
addiction treatment measures are necessary. As in all addiction medicine
issues, the disorder is a family problem and treatment must actively involve
the family, particularly the parents. Results: The treatment and management
of IUDs are most effective when using a multimodal approach involving
psychotherapeutic and psychoeducational techniques for both identified
patients and their parents. Parents must be educated on the etiology of
IUDs, neurobiology of addiction, and ways to control the use of these
devices in their home. They must be taught about safety issues, digital
youth culture, and generational hierarchy boundary issues. Additional safety
issues involving the ever-present smartphone and aspects of digital
distraction in school, social relationships, and while driving will be
addressed. Conclusions: Pathological, compulsive use of the internet is
highly prevalent in our youth today. It is no longer acceptable to relegate
excessive and addictive levels of technology use as “normal youth behavior.”
Many psychiatric practitioners have not adequately educated their patients
and families on the critical components of internet abuse/addiction
treatment and relapse management. For many of our patients, pathological
technology use causes negative sequelae in many functional life spheres,
including family life, academic and work performance, social relationship,
physical health, safety, and loss of sleep. Practitioners must understand
the psychoactive nature of the internet and its addictive potential.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction
EMTREE MEDICAL INDEX TERMS
child
complication
family life
health
human
Internet
job performance
juvenile
medicine
neurobiology
physician
relapse
sleep
smartphone
social interaction
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620081595
DOI
10.1016/j.jaac.2017.07.028
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jaac.2017.07.028
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 65
TITLE
Treating sedative and benzodiazepine abuse in college students
AUTHOR NAMES
Tau G.
AUTHOR ADDRESSES
(Tau G., gregtau@gmail.com) Columbia University, New York State Psychiatric
Institute, United States.
CORRESPONDENCE ADDRESS
G. Tau, Columbia University, New York State Psychiatric Institute, United
States. Email: gregtau@gmail.com
SOURCE
Journal of the American Academy of Child and Adolescent Psychiatry (2017)
56:10 (S79). Date of Publication: 1 Oct 2017
CONFERENCE NAME
64th Annual Meeting American Academy of Child and Adolescent Psychiatry,
AACAP 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-10-23 to 2017-10-28
ISSN
1527-5418
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives: Prescription benzodiazepines and sleep aids are available on
college campuses through illicit means. Misuse of this class of prescription
medications can quickly lead to substance use disorder and its dangerous
sequelae. In this presentation, participants will 1) learn the epidemiology
of problem sedative-hypnotic use on college campuses; 2) understand the ways
that this class of prescription medication is used alone and in combination
with other substances; 3) be given strategies to identify and assess
high-risk individuals; and 4) understand specific treatment approaches to
population. Methods: The epidemiology and clinical literature on
sedative-hypnotic use in transitional youth will be reviewed. This will
include the literature on the use of sedative-hypnotics in combination with
other substances and problem sedative-hypnotic use in individuals with
psychiatric comorbidities. Results: Benzodiazepines are coveted by a
population of college-aged transitional youth, which sustains a black market
for diverted prescriptions and “street press” or home-made benzodiazepine
tablets. Specific jargon has been developed to describe the medications and
their use. College students may use these substances to alleviate stress or
anxiety, experience euphoria, enhance or alter the intoxicating effects of
other substances, or treat withdrawal symptoms from other drugs of abuse.
Benzodiazepine misuse alone, and especially in combination, can easily lead
to morbidity, which includes accidents, victimization, and extreme sedation
leading to emergency department visits. Nevertheless, the dangers of illicit
use of this class of medications are minimized by college students, and
because benzodiazepines are reinforcing drugs, their use persists despite
repeated untoward sequelae. Conclusions: Although sedative-hypnotic use
disorder is not one of the most common addictive problems in college-aged
transitional youth, it is one that is associated with higher morbidity and
mortality than most. Furthermore, benzodiazepine-involved students are
particularly challenging for treatment because their illness is more severe
than their peers. It is crucial for child and adolescent psychiatrists to be
familiar with the nature of this substance use disorder on college campuses
and be able to identify, assess, engage, and treat this vulnerable and
challenging population.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine
sedative agent
EMTREE DRUG INDEX TERMS
hypnotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college student
EMTREE MEDICAL INDEX TERMS
accident
anxiety
child
comorbidity
complication
drug combination
drug dependence
drug therapy
emergency ward
euphoria
human
juvenile
market
morbidity
mortality
prescription
psychiatrist
risk assessment
sedation
stress
tablet
withdrawal syndrome
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620079333
DOI
10.1016/j.jaac.2017.07.308
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jaac.2017.07.308
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 66
TITLE
Barriers and facilitators to implementing addiction medicine fellowships: a
qualitative study with fellows, medical students, residents and preceptors
AUTHOR NAMES
Klimas J.
Small W.
Ahamad K.
Cullen W.
Mead A.
Rieb L.
Wood E.
McNeil R.
AUTHOR ADDRESSES
(Klimas J.; Small W.; Ahamad K.; Mead A.; Rieb L.; Wood E.; McNeil R.,
rmcneil@cfenet.ubc.ca) Department of Medicine, B.C. Centre on Substance Use,
St. Paul's Hospital, University of British Columbia, 608-1081 Burrard
Street, Vancouver, BC, V6Z 1Y6, Canada
(Klimas J.; Cullen W.; Wood E.) School of Medicine, Coombe Healthcare
Centre, University College Dublin, Dolphins Barn, Dublin 8, Ireland
(Small W.) Faculty of Health Sciences, Simon Fraser University, Blusson
Hall, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada
(Ahamad K.; Mead A.; Rieb L.) Department of Family Practice, University of
British Columbia, 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada
(Ahamad K.; Mead A.; Rieb L.) Department of Family and Community Medicine,
St. Paul's Hospital, 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada
SOURCE
Addiction science & clinical practice (2017) 12:1 (21). Date of Publication:
20 Sep 2017
ISSN
1940-0640 (electronic)
ABSTRACT
BACKGROUND: Although progress in science has driven advances in addiction
medicine, this subject has not been adequately taught to medical trainees
and physicians. As a result, there has been poor integration of
evidence-based practices in addiction medicine into physician training which
has impeded addiction treatment and care. Recently, a number of training
initiatives have emerged internationally, including the addiction medicine
fellowships in Vancouver, Canada. This study was undertaken to examine
barriers and facilitators of implementing addiction medicine
fellowships.METHODS: We interviewed trainees and faculty from clinical and
research training programmes in addiction medicine at St Paul's Hospital in
Vancouver, Canada (N = 26) about barriers and facilitators to implementation
of physician training in addiction medicine. We included medical students,
residents, fellows and supervising physicians from a variety of
specialities. We analysed interview transcripts thematically by using NVivo
software.RESULTS: We identified six domains relating to training
implementation: (1) organisational, (2) structural, (3) teacher, (4)
learner, (5) patient and (6) community related variables either hindered or
fostered addiction medicine education, depending on context. Human
resources, variety of rotations, peer support and mentoring fostered
implementation of addiction training. Money, time and space limitations
hindered implementation. Participant accounts underscored how faculty and
staff facilitated the implementation of both the clinical and the research
training.CONCLUSIONS: Implementation of addiction medicine fellowships
appears feasible, although a number of barriers exist. Research into factors
within the local/practice environment that shape delivery of education to
ensure consistent and quality education scale-up is a priority.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
health personnel attitude
organization and management
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
Canada
drug dependence (therapy)
health service
human
medical education
specialization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28927448 (http://www.ncbi.nlm.nih.gov/pubmed/28927448)
PUI
L620493581
DOI
10.1186/s13722-017-0086-9
FULL TEXT LINK
http://dx.doi.org/10.1186/s13722-017-0086-9
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 67
TITLE
Educational intervention for physicians to address the risk of opioid abuse
AUTHOR NAMES
Pasquale M.K.
Sheer R.L.
Mardekian J.
Masters E.T.
Patel N.C.
Hurwitch A.R.
Weber J.J.
Jorga A.
Roland C.L.
AUTHOR ADDRESSES
(Pasquale M.K.; Sheer R.L.; Patel N.C.) Comprehensive Health Insights, Inc.,
Louisville, United States.
(Mardekian J.; Jorga A.) Pfizer Inc., New York, United States.
(Masters E.T.) Outcomes and Evidence, Pfizer Inc., New York, United States.
(Hurwitch A.R.) Adverse Events-Pharmacy Patient Safety Programs Humana
Pharmacy Solutions, Louisville, United States.
(Weber J.J.) Pharmacy Patient Safety Programs Humana Pharmacy Solutions,
Louisville, United States.
(Roland C.L.) Global Innovative Pharma Business Clinical Sciences and
Outcomes and Evidence Pfizer Inc., Durham, United States.
SOURCE
Journal of Opioid Management (2017) 13:5 (303-313). Date of Publication: 1
Sep 2017
ISSN
2375-0146 (electronic)
1551-7489
BOOK PUBLISHER
Weston Medical Publishing, jom@pnpco.com
ABSTRACT
Objective: To evaluate the impact of a pilot intervention for physicians to
support their treatment of patients at risk for opioid abuse. Setting,
design and patients, participants: Patients at risk for opioid abuse
enrolled in Medicare plans were identified from July 1, 2012 to April 30,
2014 (N = 2,391), based on a published predictive model, and linked to 4,353
opioidprescribing physicians. Patient-physician clusters were randomly
assigned to one of four interventions using factorial design. Interventions:
Physicians received one of the following: Arm 1, patient information; Arm 2,
links to educational materials for diagnosis and management of pain; Arm 3,
both patient information and links to educational materials; or Arm 4, no
communication. Main outcome measures: Difference-in-difference analyses
compared opioid and pain prescriptions, chronic high-dose opioid use,
uncoordinated opioid use, and opioid-related emergency department (ED)
visits. Logistic regression compared diagnosis of opioid abuse between cases
and controls postindex. Results: Mailings had no significant impact on
numbers of opioid or pain medications filled, chronic high-dose opioid use,
uncoordinated opioid use, ED visits, or rate of diagnosed opioid abuse.
Relative to Arm 4, odds ratios (95% CI) for diagnosed opioid abuse were Arm
1, 0.95(0.63-1.42); Arm 2, 0.83(0.55-1.27); Arm 3, 0.72(0.46-1.13). While
84.7 percent had ≥ 1 psychiatric diagnoses during preindex (p = 0.89 between
arms), only 9.5 percent had ≥ 1 visit with mental health specialists (p =
0.53 between arms). Conclusions: Although this intervention did not affect
pain-related outcomes, future interventions involving care coordination
across primary care and mental health may impact opioid abuse and improve
quality of life of patients with pain.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
opiate addiction (side effect, diagnosis, disease management, side effect,
therapy)
psychiatric treatment
EMTREE MEDICAL INDEX TERMS
adult
analgesia
article
backache (diagnosis, drug therapy)
chronic pain (diagnosis, drug therapy)
controlled study
drug megadose
female
follow up
human
low back pain (diagnosis, drug therapy)
major clinical study
male
medical specialist
medicare
middle aged
neuropathic pain (diagnosis, drug therapy)
pain (diagnosis, drug therapy)
patient information
pilot study
prescription
psychiatric diagnosis
quality of life
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180225562
MEDLINE PMID
29199396 (http://www.ncbi.nlm.nih.gov/pubmed/29199396)
PUI
L621440854
DOI
10.5055/jom.2017.0399
FULL TEXT LINK
http://dx.doi.org/10.5055/jom.2017.0399
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 68
TITLE
Development and Pilot Implementation of a Trauma-Informed Care Curriculum
for Pediatric Residents
AUTHOR NAMES
Schiff D.M.
Zuckerman B.
Hutton E.
Genatossio C.
Michelson C.
Bair-Merritt M.
AUTHOR ADDRESSES
(Schiff D.M., Davida.Schiff@bmc.org; Zuckerman B.; Hutton E.; Michelson C.;
Bair-Merritt M.) Department of Pediatrics, Boston Medical Center, Boston,
United States.
(Genatossio C.) Department of Nursing, Boston Medical Center, Boston, United
States.
(Schiff D.M., Davida.Schiff@bmc.org; Zuckerman B.; Hutton E.; Michelson C.;
Bair-Merritt M.) Boston University School of Medicine, Boston, United
States.
CORRESPONDENCE ADDRESS
D.M. Schiff, Department of Pediatrics, Boston Medical Center, 88 E Newton,
Boston, United States. Email: Davida.Schiff@bmc.org
SOURCE
Academic Pediatrics (2017) 17:7 (794-796). Date of Publication: 1 Sep 2017
ISSN
1876-2867 (electronic)
1876-2859
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health program
pediatrics
residency education
trauma informed care
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
female
health care survey
human
Likert scale
male
mother child relation
needs assessment
neonatal abstinence syndrome
physician attitude
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20170321985
PUI
L615926194
DOI
10.1016/j.acap.2017.03.011
FULL TEXT LINK
http://dx.doi.org/10.1016/j.acap.2017.03.011
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 69
TITLE
National and Northern New England opioid prescribing patterns, 2013-2014
AUTHOR NAMES
Toth A.R.
Possidente C.J.
Sawyer L.M.
DiParlo M.A.
Fanciullo G.J.
AUTHOR ADDRESSES
(Toth A.R., adam.r.toth@hitchcock.org) Anesthesiology, Dartmouth Hitchcock
Medical Center, Lebanon, United States.
(Sawyer L.M.) Pharmacy, Dartmouth Hitchcock Medical Center, Lebanon, United
States.
(Fanciullo G.J.) Pain Management Center, Dartmouth Hitchcock Medical Center,
Lebanon, United States.
(Possidente C.J.) Medical Outcomes, Pfizer Inc., Jericho, United States.
(DiParlo M.A.) Pharmacy, University of Vermont Fletcher Allen Health Care,
Burlington, United States.
CORRESPONDENCE ADDRESS
A.R. Toth, 15 Spring Street, Lebanon, United States. Email:
adam.r.toth@hitchcock.org
SOURCE
Pain Medicine (United States) (2017) 18:9 (1706-1714). Date of Publication:
1 Sep 2017
ISSN
1526-4637 (electronic)
1526-2375
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
ABSTRACT
Objective. To evaluate current opioid prescribing patterns nationally and
regionally across several northern New England states and compare with
prescription data on an institutional level over a twoyear period, between
2013 and 2014. Design, Setting, and Subjects. The IMS Health National
Prescription Audit (NPA) database was used to obtain prescription data from
US retail pharmacies between 2013 and 2014. Methods. Our study compared
noninjectable opioid dispensing between two time periods: January-June 2013
and July-December 2014. Opioid prescription data were obtained nationally
and in New Hampshire, Vermont, Maine, and Massachusetts. Institutional
prescription data were supplied by Dartmouth Hitchcock Medical Center (DHMC)
and University of Vermont Medical Center (UVMC) pharmacies. Results. There
was a 3.4% (P50.81) decrease in opioid prescriptions filled nationally.
Among New England states, opioid prescribing decreased in Maine (25.20%,
P50.72), Massachusetts (24.4%, P50.78), and Vermont (22.2%, P50.89) but
increased in New Hampshire by 1.3% (P50.94). Examination of local
institutional opioid utilization revealed a 13.6% decline in prescriptions
filled at UVMC, and only a 0.4% decrease at DHMC. Conclusions. The review of
opioid prescriptions filled in 2013-14 suggests that national opioid
utilization may be reaching a plateau. Initiatives such as prescription
monitoring programs, prescriber opioid education, addiction treatment
programs, public addiction awareness, and availability of medical cannabis
may play a role in interstate variability of opioid use. National and
regional data served as a benchmark for local institutional comparison,
laying groundwork for efforts to explore areas where opioids can be
prescribed more judiciously.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE DRUG INDEX TERMS
hydrocodone (drug therapy)
hydromorphone (drug therapy)
oxycodone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
health care system
pain (drug therapy, drug therapy)
prescription
EMTREE MEDICAL INDEX TERMS
analgesic activity
article
awareness
cancer pain
data base
distress syndrome
geographic distribution
health care organization
health care utilization
human
monitoring
United States
CAS REGISTRY NUMBERS
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
hydromorphone (466-99-9, 71-68-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170877123
PUI
L619722619
DOI
10.1093/pm/pnw231
FULL TEXT LINK
http://dx.doi.org/10.1093/pm/pnw231
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 70
TITLE
Practice Patterns Among Eye Care Providers at US Teaching Hospitals With
Regard to Assessing and Educating Patients About Smoking
AUTHOR NAMES
Landis Z.C.
Rolius R.
Scott I.U.
AUTHOR ADDRESSES
(Landis Z.C.; Rolius R.; Scott I.U., iscott@pennstatehealth.psu.edu) Penn
State Eye Center, Department of Ophthalmology, Penn State College of
Medicine, Hershey, United States.
(Scott I.U., iscott@pennstatehealth.psu.edu) Department of Public Health
Sciences, Penn State College of Medicine, Hershey, United States.
CORRESPONDENCE ADDRESS
I.U. Scott, Department of Ophthalmology, Penn State College of Medicine, 500
University Dr, HU19, Hershey, United States. Email:
iscott@pennstatehealth.psu.edu
SOURCE
American Journal of Ophthalmology (2017) 180 (86-90). Date of Publication: 1
Aug 2017
ISSN
1879-1891 (electronic)
0002-9394
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Purpose To investigate practice patterns of eye care providers at academic
medical centers in the United States (US) with regard to assessing patients'
smoking status and exposure, educating patients regarding ocular risks of
smoking, and counseling patients about smoking cessation. Design
Cross-sectional survey. Methods An anonymous survey including multiple
choice and Likert-style questions was constructed on
http://www.surveymonkey.com and emailed to the coordinators of all 113 US
ophthalmology residency programs, with a request to forward to all faculty,
fellows, residents, and optometrists at their institution. Main outcome
measures include proportion of eye care providers who assess patients'
smoking status, educate patients regarding ocular risks of smoking, and
discuss with patients smoking cessation options. Results Of the 292
respondents, 229 (78%) “always” or “periodically” ask patients about their
smoking status, 251 (86%) “seldom” or “never” ask patients about secondhand
smoke exposure, 245 (84%) “always” or “periodically” educate patients about
ocular diseases associated with smoking, 142 (49%) “seldom” or “never” ask
patients who smoke about their willingness to quit smoking, and 249 (85%)
“seldom” or “never” discuss potential methods and resources to assist with
smoking cessation. Conclusions Most eye care providers assess patients'
smoking status and educate patients regarding ocular risks of smoking.
However, approximately half do not ask, or seldom ask, about patients'
willingness to quit smoking, and most do not discuss smoking cessation
options.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical practice
patient education
smoking
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
e-mail
eye disease (etiology)
health survey
human
major clinical study
optometrist
passive smoking
patient counseling
priority journal
resident
risk factor
smoking cessation
teaching hospital
university
EMBASE CLASSIFICATIONS
Ophthalmology (12)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170440326
MEDLINE PMID
28579064 (http://www.ncbi.nlm.nih.gov/pubmed/28579064)
PUI
L616811344
DOI
10.1016/j.ajo.2017.05.023
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ajo.2017.05.023
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 71
TITLE
A parenting education program for women in treatment for opioid-use disorder
at an outpatient medical practice
AUTHOR NAMES
Kahn L.S.
Mendel W.E.
Fallin K.L.
Borngraber E.A.
Nochajski T.H.
Rea W.E.
Blondell R.D.
AUTHOR ADDRESSES
(Kahn L.S.; Blondell R.D.) a Department of Family Medicine , Primary Care
Research Institute, University at Buffalo , Buffalo , NY , USA
(Mendel W.E.) b Master of Public Health Program, Daemen College , Amherst ,
NY , USA
(Fallin K.L.; Borngraber E.A.; Nochajski T.H.) c School of Social Work ,
University at Buffalo , Amherst , NY , USA
(Rea W.E.) d Center for Development of Human Services , Institute for
Community Health Promotion , Rochester , NY , USA
SOURCE
Social work in health care (2017) 56:7 (649-665). Date of Publication: 1 Aug
2017
ISSN
1541-034X (electronic)
ABSTRACT
Opioid use during pregnancy poses serious risks for the mother and the
unborn child. Opioid-use disorder may be managed with medication-assisted
treatment (MAT) in an outpatient setting, but few MAT practices specifically
address the challenges faced by pregnant women. This article describes a
medical office-based educational support group for women in MAT for
opioid-use disorder who were pregnant and/or parenting young children. Focus
groups were conducted to elicit patient feedback. Women indicated that they
found the educational support groups beneficial and offered suggestions.
In-office educational support groups for pregnant women in treatment for
opioid-use disorder are feasible and well received.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
outpatient department
procedures
EMTREE MEDICAL INDEX TERMS
adult
education
female
human
mother
opiate addiction (therapy)
pregnancy
pregnancy complication (therapy)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28594601 (http://www.ncbi.nlm.nih.gov/pubmed/28594601)
PUI
L621895021
DOI
10.1080/00981389.2017.1327470
FULL TEXT LINK
http://dx.doi.org/10.1080/00981389.2017.1327470
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 72
TITLE
The impact of educational interventions on attitudes of emergency department
staff towards patients with substance-related presentations: A quantitative
systematic review
AUTHOR NAMES
Gonzalez M.
Clarke D.E.
Pereira A.
Boyce-Gaudreau K.
Waldman C.
Demczuk L.
Legare C.
AUTHOR ADDRESSES
(Gonzalez M., Miriam.Gonzalez@umanitoba.ca; Clarke D.E.) College of Nursing,
Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
(Gonzalez M., Miriam.Gonzalez@umanitoba.ca; Clarke D.E.; Pereira A.)
Manitoba Centre for Nursing and Health Research, University of Manitoba,
Winnipeg, Canada.
(Clarke D.E.; Pereira A.; Legare C.) Health Sciences Centre, Winnipeg,
Canada.
(Boyce-Gaudreau K.) College of Nursing, Red River College, Winnipeg, Canada.
(Demczuk L.) Elizabeth Dafoe Library, University of Manitoba, Winnipeg,
Canada.
(Waldman C.)
CORRESPONDENCE ADDRESS
M. Gonzalez, College of Nursing, Faculty of Health Sciences, University of
Manitoba, Winnipeg, Canada. Email: Miriam.Gonzalez@umanitoba.ca
SOURCE
JBI Database of Systematic Reviews and Implementation Reports (2017) 15:8
(2153-2181). Date of Publication: 1 Aug 2017
ISSN
2202-4433 (electronic)
BOOK PUBLISHER
Joanna Briggs Institute, jbi@adelaide.edu.au
ABSTRACT
Background Visits to emergency departments for substance use/abuse are
common worldwide. However, emergency department health care providers
perceive substance-using patients as a challenging group to manage which can
lead to negative attitudes. Providing education or experience-based
exercises may impact positively on behaviors towards this patient
population. Whether staff attitudes are similarly impacted by knowledge
acquired through educational interventions remains unknown. Objectives To
synthesize available evidence on the relationship between new knowledge
gained through substance use educational interventions and emergency
department health care providers' attitudes towards patients with
substance-related presentations. Inclusion criteria Types of participants
Health care providers working in urban and rural emergency departments of
healthcare facilities worldwide providing care to adult patients with
substance-related presentations. Type of intervention Quantitative papers
examining the impact of substance use educational interventions on health
care providers' attitudes towards substance using patients. Types of studies
Experimental and non-experimental study designs. Outcomes Emergency
department staff attitudes towards patients presenting with substance
use/abuse. Search strategy A three-step search strategy was conducted in
August 2015 with a search update in March 2017. Studies published since 1995
in English, French or Spanish were considered for inclusion. Methodological
quality Two reviewers assessed studies for methodological quality using
critical appraisal checklists from the Joanna Briggs Institute Meta-Analysis
of Statistics Assessment and Review Instrument (JBI-MAStARI). Reviewers
agreed on JBIMAStARI methodological criteria a study must meet in order to
be included in the review (e.g. appropriate use of statistical analysis).
Data extraction and synthesis The data extraction instrument from
JBI-MAStARI was used. As statistical pooling of the data was not possible,
the findings are presented in narrative form. Results A total of 900
articles were identified as relevant for this review. Following abstract and
full text screening, four articles were selected and assessed for
methodological quality. One article met methodological criteria for
inclusion in the review: use of random assignment and comparable study
groups and measurement outcomes in a reliable and consistent manner. The
included study was a cluster randomized controlled trial. Participants were
emergency medicine residents with a mean age of 30 years. The study assessed
the impact of a skills-based educational intervention on residents'
attitudes, knowledge and practice towards patients with alcohol problems.
While knowledge and practice behaviors improved one year following the
intervention, there were no significant differences between groups on
attitudinal measures. Conclusions Employing educational interventions to
improve the attitudes of emergency department staff towards individuals with
drug and alcohol related presentations is not supported by evidence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency ward
health personnel attitude
hospital personnel
professional knowledge
substance use
EMTREE MEDICAL INDEX TERMS
alcoholism
clinical practice
human
quantitative study
randomized controlled trial (topic)
resident
review
skill
systematic review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170589375
PUI
L617893008
DOI
10.11124/JBISRIR-2016-003006
FULL TEXT LINK
http://dx.doi.org/10.11124/JBISRIR-2016-003006
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 73
TITLE
Neurobiology of addiction
AUTHOR NAMES
Robbins T.W.
AUTHOR ADDRESSES
(Robbins T.W.) Department of Psychology and Behavioural, Clinical
Neuroscience Institute, University of Cambridge, United Kingdom.
CORRESPONDENCE ADDRESS
T.W. Robbins, Department of Psychology and Behavioural, Clinical
Neuroscience Institute, University of Cambridge, United Kingdom.
SOURCE
Journal of Neurology, Neurosurgery and Psychiatry (2017) 88:8 (e5). Date of
Publication: 1 Aug 2017
CONFERENCE NAME
30th Annual Meeting of the British NeuroPsychiatry Association, BNPA 2017
CONFERENCE LOCATION
London, United Kingdom
CONFERENCE DATE
2017-02-22 to 2017-02-24
ISSN
1468-330X
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Trevor is Professor of Cognitive Neuroscience, being elected to the Chair of
Expt. Psychology (and Head of Department) at the University of Cambridge,
from October 2002. He is a Fellow of the British Psychological Society
(1990), the Academy of Medical Sciences (2000), and the Royal Society
(2005). He received the Distinguished Scientific Contribution Award for 2011
from the American Psychological Association. He has published about 750 full
papers, with an H index of about 167. He has co-edited eight books, most
recently Translational Neuropsychopharmacology (Springer, 2016). Trevor
directs the University of Cambridge 'Behavioural and Clinical Neuroscience
Institute', the mission of which is to enhance translation from basic to
clinical neuroscience. His interest in translation began with his
co-invention of the CANTAB computerised neuropsychological battery, which is
currently used in over 700 institutes and clinical centres worldwide. He
stepped down as President of the British Neuroscience Association in 2011
and was made a CBE in the New Year's Honours list of the U.K. in 2012. In
2014, he shared the 'Brain Prize' of the Grete Lundbeck European Brain
Research Foundation, the most valuable in neuroscience, and in 2015 he
received the "Lifetime Achievement Award" of the British Association for
Psychopharmacology'. Much evidence, based on experimental studies of
intravenous drug self-administration in experimental animals and
neuroimaging studies in humans now supports the view that drug addiction
results in part from aberrant learning mediated by dopaminedependent
processes of the limbic-striatal interface, including the amygdala and
nucleus accumbens. The neural systems of this interface and other
frontostriatal networks mediate several relevant forms of learning,
including Pavlovian conditioning, goaldirected, action-outcome learning, and
stimulus-response habit learning (which is not controlled by outcomes or
goals). Hypothetically, drug addiction involves an imbalance between
instrumental behaviour controlled by outcomes and habitual responding
mediated by stimulus-response associations, corresponding hypothetically to
a devolution of neurobehavioural control from (i) the prefrontal cortex to
the striatum, and (ii) from the ventral to the dorsal striatum (Everitt and
Robbins 2016). I will consider the experimental evidence relevant to these
predictions from studies of both experimental animals and humans with
substance use disorders. I will focus especially on stimulant drugs, but
will consider other substance use disorders, as well the latter as part of a
'impulse-compulsive' spectrum of mental health disorders. For human drug
abuse, it is difficult to unravel predispositions or causal neurobehavioural
factors contributing to addiction, from potential neurotoxic effects of the
drugs themselves. I will thus describe strategies for determining the
aetiological role of these factors, based on evidence from (i) experimental
animals, using several techniques and (ii) human drug abusers or vulnerable
adolescents, based on functional neuroimaging methods, employing both
longitudinal and endophenotype designs. I will conclude that both types of
influence contribute to the drive to addiction. Finally, I will consider
implications of this evidence for possible new therapeutic approaches to
drug addiction, whether pharmacological or behavioural.
EMTREE DRUG INDEX TERMS
central stimulant agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
neurobiology
EMTREE MEDICAL INDEX TERMS
adolescent
amygdala
awards and prizes
cognitive neuroscience
conditioned reflex
controlled study
dorsal striatum
drug abuse
drug self administration
endophenotype
experimental study
functional neuroimaging
head
human
invention
learning
male
medicine
neurotoxicity
prediction
prefrontal cortex
psychopharmacology
stimulus response
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619083522
DOI
10.1136/jnnp-2017-BNPA.9
FULL TEXT LINK
http://dx.doi.org/10.1136/jnnp-2017-BNPA.9
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 74
TITLE
Depression, anxiety, and smartphone addiction in university students- A
cross sectional study
AUTHOR NAMES
Matar Boumosleh J.
Jaalouk D.
AUTHOR ADDRESSES
(Matar Boumosleh J., jboumosleh@ndu.edu.lb; Jaalouk D.) Department of
Nursing and Health Sciences, Notre Dame University-Louaize, Zouk Mosbeh,
Lebanon.
CORRESPONDENCE ADDRESS
J. Matar Boumosleh, Department of Nursing and Health Sciences, Notre Dame
University-Louaize, Zouk Mosbeh, Lebanon. Email: jboumosleh@ndu.edu.lb
SOURCE
PLoS ONE (2017) 12:8 Article Number: e0182239. Date of Publication: 1 Aug
2017
ISSN
1932-6203 (electronic)
BOOK PUBLISHER
Public Library of Science, plos@plos.org
ABSTRACT
Objectives: The study aims to assess prevalence of smartphone addiction
symptoms, and to ascertain whether depression or anxiety, independently,
contributes to smartphone addiction level among a sample of Lebanese
university students, while adjusting simultaneously for important
sociodemographic, academic, lifestyle, personality trait, and
smartphone-related variables. Methods: A random sample of 688 undergraduate
university students (mean age = 20.64 ±1.88 years; 53% men) completed a
survey composed of a) questions about socio-demographics, academics,
lifestyle behaviors, personality type, and smartphone use-related variables;
b) 26-item Smartphone Addiction Inventory (SPAI) Scale; and c) brief
screeners of depression and anxiety (PHQ-2 and GAD-2), which constitute the
two core DSM-IV items for major depressive disorder and generalized anxiety
disorder, respectively. Results: Prevalence rates of smartphone-related
compulsive behavior, functional impairment, tolerance and withdrawal
symptoms were substantial. 35.9% felt tired during daytime due to late-night
smartphone use, 38.1% acknowledged decreased sleep quality, and 35.8% slept
less than four hours due to smartphone use more than once. Whereas gender,
residence, work hours per week, faculty, academic performance (GPA),
lifestyle habits (smoking and alcohol drinking), and religious practice did
not associate with smartphone addiction score; personality type A, class
(year 2 vs. year 3), younger age at first smartphone use, excessive use
during a weekday, using it for entertainment and not using it to call family
members, and having depression or anxiety, showed statistically significant
associations with smartphone addiction. Depression and anxiety scores
emerged as independent positive predictors of smartphone addiction, after
adjustment for confounders. Conclusion: Several independent positive
predictors of smartphone addiction emerged including depression and anxiety.
It could be that young adults with personality type A experiencing high
stress level and low mood may lack positive stress coping mechanisms and
mood management techniques and are thus highly susceptible to smartphone
addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
computer addiction
generalized anxiety disorder
major depression
university student
EMTREE MEDICAL INDEX TERMS
academic achievement
adult
article
compulsion
cross-sectional study
drinking behavior
fatigue
female
functional disease
human
Lebanese
lifestyle
major clinical study
male
personality
prevalence
religion
sex difference
sleep quality
sleep time
smoking
university
withdrawal syndrome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170567785
MEDLINE PMID
28777828 (http://www.ncbi.nlm.nih.gov/pubmed/28777828)
PUI
L617649695
DOI
10.1371/journal.pone.0182239
FULL TEXT LINK
http://dx.doi.org/10.1371/journal.pone.0182239
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 75
TITLE
A Medical Student-Delivered Smoking Prevention Program, Education Against
Tobacco, for Secondary Schools in Germany: Randomized Controlled Trial
AUTHOR NAMES
Brinker T.J.
Owczarek A.D.
Seeger W.
Groneberg D.A.
Brieske C.M.
Jansen P.
Klode J.
Stoffels I.
Schadendorf D.
Izar B.
Fries F.N.
Hofmann F.J.
AUTHOR ADDRESSES
(Brinker T.J.; Owczarek A.D.; Seeger W.; Hofmann F.J.) Universities of
Giessen and Marburg Lung Center; Member of the German Center for Lung
Research (DZL), Department of Internal Medicine, Justus-Liebig-University of
Giessen, Giessen, Germany
(Brinker T.J.; Groneberg D.A.) Institute of Occupational Medicine, Social
Medicine and Environmental Medicine, Goethe-University, Frankfurt am Main,
Germany
(Brinker T.J.; Brieske C.M.; Jansen P.; Klode J.; Stoffels I.; Schadendorf
D.) Essen University Hospital, Department of Dermatology, Venerology and
Allergology, University of Duisburg-Essen, Essen, Germany
(Brinker T.J.; Brieske C.M.; Jansen P.; Klode J.; Stoffels I.; Schadendorf
D.) West German Cancer Center, University Duisburg-Essen, Essen, Germany
(Brinker T.J.; Brieske C.M.; Jansen P.; Klode J.; Stoffels I.; Schadendorf
D.) German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg,
Germany
(Izar B.) Dana-Farber Cancer Institute, Department of Medical Oncology,
Boston, MA, United States
(Fries F.N.) Saarland University Medical Center and Saarland University
Faculty of Medicine, Department of Ophthalmology, University of Homburg,
Homburg, Germany
SOURCE
Journal of medical Internet research (2017) 19:6 (e199). Date of
Publication: 6 Jun 2017
ISSN
1438-8871 (electronic)
ABSTRACT
BACKGROUND: More than 8.5 million Germans suffer from chronic diseases
attributable to smoking. Education Against Tobacco (EAT) is a multinational
network of medical students who volunteer for school-based prevention in the
classroom setting, amongst other activities. EAT has been implemented in 28
medical schools in Germany and is present in 13 additional countries around
the globe. A recent quasi-experimental study showed significant short-term
smoking cessation effects on 11-to-15-year-old adolescents.OBJECTIVE: The
aim of this study was to provide the first randomized long-term evaluation
of the optimized 2014 EAT curriculum involving a photoaging software for its
effectiveness in reducing the smoking prevalence among 11-to-15-year-old
pupils in German secondary schools.METHODS: A randomized controlled trial
was undertaken with 1504 adolescents from 9 German secondary schools, aged
11-15 years in grades 6-8, of which 718 (47.74%) were identifiable for the
prospective sample at the 12-month follow-up. The experimental study design
included measurements at baseline (t1), 6 months (t2), and 12 months
postintervention (t3), via questionnaire. The study groups consisted of 40
randomized classes that received the standardized EAT intervention (two
medical student-led interactive modules taking 120 minutes total) and 34
control classes within the same schools (no intervention). The primary
endpoint was the difference in smoking prevalence from t1 to t3 in the
control group versus the difference from t1 to t3 in the intervention group.
The differences in smoking behavior (smoking onset, quitting) between the
two groups, as well as gender-specific effects, were studied as secondary
outcomes.RESULTS: None of the effects were significant due to a high
loss-to-follow-up effect (52.26%, 786/1504). From baseline to the two
follow-up time points, the prevalence of smoking increased from 3.1% to 5.2%
to 7.2% in the control group and from 3.0% to 5.4% to 5.8% in the
intervention group (number needed to treat [NNT]=68). Notable differences
were observed between the groups for the female gender (4.2% to 9.5% for
control vs 4.0% to 5.2% for intervention; NNT=24 for females vs NNT=207 for
males), low educational background (7.3% to 12% for control vs 6.1% to 8.7%
for intervention; NNT=30), and migrational background (students who claimed
that at least one parent was not born in Germany) at the 12-month follow-up.
The intervention appears to prevent smoking onset (NNT=63) but does not
appear to initiate quitting.CONCLUSIONS: The intervention appears to prevent
smoking, especially in females and students with a low educational
background.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
procedures
psychology
utilization
EMTREE MEDICAL INDEX TERMS
adolescent
child
controlled study
epidemiology
female
Germany
human
male
medical student
methodology
prospective study
questionnaire
randomized controlled trial
school
school health service
smoking
smoking cessation
smoking prevention
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28588007 (http://www.ncbi.nlm.nih.gov/pubmed/28588007)
PUI
L620047645
DOI
10.2196/jmir.7906
FULL TEXT LINK
http://dx.doi.org/10.2196/jmir.7906
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 76
TITLE
Physicians’ Knowledge of and Attitudes Toward Use of Opioids in Long-Term
Care Facilities
AUTHOR NAMES
Griffioen C.
Willems E.G.
Kouwenhoven S.M.
Caljouw M.A.A.
Achterberg W.P.
AUTHOR ADDRESSES
(Griffioen C., C.Griffioen@lumc.nl; Willems E.G.; Kouwenhoven S.M.; Caljouw
M.A.A.; Achterberg W.P.) Department of Public Health and Primary Care,
Leiden University Medical Centre, Leiden, Netherlands.
CORRESPONDENCE ADDRESS
C. Griffioen, Department of Public Health and Primary Care, Leiden
University Medical Centre, Leiden, Netherlands. Email: C.Griffioen@lumc.nl
SOURCE
Pain Practice (2017) 17:5 (625-632). Date of Publication: 1 Jun 2017
ISSN
1533-2500 (electronic)
1530-7085
BOOK PUBLISHER
Blackwell Publishing Inc., subscrip@blackwellpub.com
ABSTRACT
Background: Insufficient pain management in vulnerable older persons living
in long-term care facilities is common, and opiophobia might contribute to
this. As opiophobia and its related factors have not been investigated in
long-term care, this study evaluates the degree of knowledge of opioids
among elderly-care physicians (ECPs) and ECP trainees, as well as their
attitudes and other factors possibly influencing the clinical use of opioids
in these facilities. Methods: A questionnaire was designed and distributed
among ECPs and ECP trainees by email, regional symposia, and all three
university training faculties for elderly-care medicine in the Netherlands.
Results: Respondents were 324 ECPs and 111 ECP trainees. Fear of addiction
did not influence the prescription of opioids. Main barriers to the clinical
use of opioids were patients’ reluctance to take opioids (83.3%); unknown
degree of pain (79.2%); and pain of unknown origin (51.4%). ECPs’ average
knowledge scores were sufficient: those who felt that their knowledge of
opioids was poor scored lower than those who felt that their knowledge was
good. Conclusions: Factors identified in this study may help provide better
pain management for vulnerable older persons living in a long-term care
facility. Also, more patient information on the pros and cons of opioid use
is needed, as well as appropriate tools for better clinical assessment of
pain in a long-term care population.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug information
elderly care physician
physician
physician attitude
student
EMTREE MEDICAL INDEX TERMS
age
article
drug dependence
drug use
e-mail
fear
gender
health care facility
human
long term care
Netherlands
pain assessment
pain intensity
prescription
questionnaire
scoring system
symposium
training
university
unknown origin
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160751187
MEDLINE PMID
27739258 (http://www.ncbi.nlm.nih.gov/pubmed/27739258)
PUI
L612819100
DOI
10.1111/papr.12492
FULL TEXT LINK
http://dx.doi.org/10.1111/papr.12492
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 77
TITLE
Treatment entry and alcohol dependence among poly-victimized youth: A latent
class discrete time survival analysis
AUTHOR NAMES
Davis J.P.
Dumas T.
Wagner E.C.
Tan K.
Merrin G.J.
AUTHOR ADDRESSES
(Davis J.P.; Dumas T.; Wagner E.C.; Tan K.; Merrin G.J.) University of
Illinois at Urbana Champaign, Urbana, United States.
CORRESPONDENCE ADDRESS
J.P. Davis, University of Illinois at Urbana Champaign, Urbana, United
States.
SOURCE
Alcoholism: Clinical and Experimental Research (2017) 41 Supplement 1
(245A). Date of Publication: 1 Jun 2017
CONFERENCE NAME
40th Annual Scientific Meeting of the Research Society on Alcoholism
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2017-06-24 to 2017-06-28
ISSN
1530-0277
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Background and Purpose: Youth experiencing poly-victimization are at a
higher risk alcohol use, dependence diagnosis, and entering treatment. This
is especially pertinent for youth involved with the juvenile justice system
who have five times higher rate of alcohol use and two times higher
incidence of victimization than community samples. The purpose of this study
is to investigate how experiences of poly-victimization influence time to
treatment entry and dependence diagnosis from adolescence through young
adulthood. Method: Participants (N = 1,354) are from the Pathways to
Desistance study. The time variable was age (15-25 years old), the event
variables were entry into alcohol treatment and dependence diagnosis. Three
stepmethod was used to determine concurrent classes of victimization and
substance use at baseline (latent class analysis). Once classes were
determined discrete time survival analysis was used to predict entry into
treatment as well as dependence diagnosis by class. Posttraumatic stress
disorder (PTSD) as a predictor of class membership as well as survival time.
Results: A three class solution emerged for victimization and substance use:
poly-victimization and poly-substance use (PV-PS; n = 226),
poly-victimization and alcohol use only (PV-A; n = 285); polyvictimization
and no substance use (PV-N; n = 838). Youth in the PV-PS class had
significantly faster time to treatment entry, alcohol dependence, and drug
dependence than the PV-A and PV-N classes. By age 18 the PV-PS class had
40%enter treatment, PV-A 23%and PV-N 10%. Similar results were found for
dependence diagnoses across classes. Finally, across classes those in the
PV-PS were 3.2 times more likely to have a diagnosis of PTSD than the PV-N
and 2.6 time more likely than the PV-A class. PTSD significantly predicted
faster entry into treatment (but not dependence) for all classes.
Conclusion: Results suggest that youth who are PV-PS users are more likely
to enter treatment earlier and be diagnosed with alcohol or drug dependence.
PTSD was a significant predictor of treatment entry across classes - which
was especially prominent for youth categorized as PV-PS. It may be
advantageous for practitioners to understand victimization and utilize
trauma focused therapy as a part of substance use treatment.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
juvenile
survival analysis
EMTREE MEDICAL INDEX TERMS
adolescence
adolescent
adult
adulthood
diagnosis
female
human
major clinical study
male
physician
posttraumatic stress disorder
survival time
time to treatment
young adult
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L616801427
DOI
10.1111/acer.13391
FULL TEXT LINK
http://dx.doi.org/10.1111/acer.13391
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 78
TITLE
Long-Term Effect of a Stigma-Reduction Educational Intervention for
Physician Assistants
AUTHOR NAMES
Crapanzano K.
Vath R.J.
AUTHOR ADDRESSES
(Crapanzano K.) Kathleen Crapanzano, MD, is an assistant professor of
clinical psychiatry at the Louisiana State University Health Sciences Center
in Baton Rouge, Louisiana. Richard J. Vath, MAEd, is the academic research
director in the Division of Academic Affairs at Our Lady of the Lake
Regional Medical Center in Baton Rouge, Louisiana
(Vath R.J.)
SOURCE
The journal of physician assistant education : the official journal of the
Physician Assistant Education Association (2017) 28:2 (92-95). Date of
Publication: 1 Jun 2017
ISSN
1941-9430
ABSTRACT
PURPOSE: Stigma towards people with substance use disorders is a common
phenomenon with far reaching effects. This study evaluated the long-term
effect of using an educational intervention on the attitudes of physician
assistant students.METHODS: Physician assistant students received a one-week
educational intervention focused on substance abuse. Changes in student
attitudes were measured one year later using the Attitude to Mental Health
Questionnaire (AMIQ).RESULTS: Significant and sustained improvement was
noted in attitudes in the AMIQ score for the opiate use disorder vignette;
no significant change was noted in the alcohol use disorder
vignette.CONCLUSIONS: The persistence of improved attitudes (although they
remained negative) in study participants towards people with opiate use
disorders is a cautiously encouraging finding. Educational interventions can
have a sustained effect on stigma reduction, but much more work on the
etiology of these implicit and explicit beliefs is needed to inform robust
future interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health personnel attitude
social stigma
EMTREE MEDICAL INDEX TERMS
education
human
physician assistant
time factor
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28509838 (http://www.ncbi.nlm.nih.gov/pubmed/28509838)
PUI
L619665597
DOI
10.1097/JPA.0000000000000117
FULL TEXT LINK
http://dx.doi.org/10.1097/JPA.0000000000000117
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 79
TITLE
Access to treatment for opioid use disorders: Medical student preparation
AUTHOR NAMES
McCance-Katz E.F.
George P.
Scott N.A.
Dollase R.
Tunkel A.R.
McDonald J.
AUTHOR ADDRESSES
(McCance-Katz E.F., emccancekatz@gmail.com; George P.; Scott N.A.; Dollase
R.; Tunkel A.R.) The Warren Alpert Medical School of Brown University,
Providence, United States.
(McCance-Katz E.F., emccancekatz@gmail.com) Rhode Island Department of
Behavioral Healthcare, Developmental Disabilities and Hospitals, Cranston,
United States.
(Scott N.A.; McDonald J.) Rhode Island Department of Health, Providence,
United States.
CORRESPONDENCE ADDRESS
E.F. McCance-Katz, The Warren Alpert Medical School of Brown University,
Providence, United States. Email: emccancekatz@gmail.com
SOURCE
American Journal on Addictions (2017) 26:4 (316-318). Date of Publication: 1
Jun 2017
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley Blackwell, info@royensoc.co.uk
ABSTRACT
The current opioid epidemic requires new approaches to increasing access to
treatment for patients with opioid use disorders and to improve availability
of medication assisted treatment. We propose a model where medical students
complete the necessary training to be eligible for the waiver to prescribe
opioid medications to treat these disorders by the time of medical school
graduation. This plan would increase the number of Drug Abuse Treatment Act
of 2000 (DATA 2000) waivered physicians who could gain additional experience
in treating substance use disorders during residency and provide the access
to clinical care needed for individuals suffering with opioid use disorder.
(Am J Addict 2017;26:316–318).
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
health care access
medical education
medical student
opiate addiction
EMTREE MEDICAL INDEX TERMS
article
curriculum development
human
medical school
Rhode Island
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170275374
MEDLINE PMID
28394437 (http://www.ncbi.nlm.nih.gov/pubmed/28394437)
PUI
L615378147
DOI
10.1111/ajad.12550
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12550
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 80
TITLE
Household smoking cessation in children with cystic fibrosis and asthma in
West and East Yorkshire-from which group can we learn more?
AUTHOR NAMES
O'Reilly D.
Lee T.
Sowerby C.
AUTHOR ADDRESSES
(O'Reilly D.) York Hospital, Paediatrics, York, United Kingdom.
(Lee T.; Sowerby C.) Leeds Regional Paediatric CF Centre, Leeds, United
Kingdom.
CORRESPONDENCE ADDRESS
D. O'Reilly, York Hospital, Paediatrics, York, United Kingdom.
SOURCE
Journal of Cystic Fibrosis (2017) 16 Supplement 1 (S46-S47). Date of
Publication: 1 Jun 2017
CONFERENCE NAME
40th European Cystic Fibrosis Conference
CONFERENCE LOCATION
Seville, Spain
CONFERENCE DATE
2017-06-07 to 2017-06-10
ISSN
1873-5010
BOOK PUBLISHER
Elsevier B.V.
ABSTRACT
Objectives: There is little known with respect to differences in smoking
cessation success rates and the use of adjuvant therapies in households of
children with asthma or Cystic Fibrosis (CF). We reviewed smoking incidence
and success rates of cessation among our populations in West and East
Yorkshire. Adjuvant therapies used and the approach to cessation in
outpatient appointments were also reviewed. Methods: A multi-centre
questionnaire-based study was conducted in outpatient departments in Leeds,
Hull and Bradford Hospitals between December 2015 and June 2016.
Smoke-exposure-based questionnaires were offered to parents and teenagers
attending clinics with a diagnosis of CF or asthma. Further information was
collated from patient notes. Results: 108 questionnaires were returned. Of
the CF respondents, 26% had been exposed tohousehold smoke at diagnosis with
15% exposed currently. In the asthma group, the figures were 29% and 25%
respectively. Cessation attempts were made in 94%, with 50% and 40%
ultimately successful in the CF and asthma groups respectively. Success
rates generally increased with attempts; with more than five attempts, 100%
were successful. Use of Nicotine Replacement Therapy to aid cessation was
commonly used inboth groups. Severity of the CF/asthma was recognized as a
reason to attempt cessation in only 17%. Cessation advice was given in 35%.
In 11% of those smoking notes, no mention of smoking is made. 50% felt
paediatricians to be the most appropriate people to address cessation in our
population. Conclusion: Parental smoking rates at diagnosis are above
national averages for children with both CF and asthma in West and East
Yorkshire. Use of aids mirror national figures, and cessation success rates
increase with increasing attempts. Discussions surrounding smoke exposure
are poorly recorded. Paediatricians are seen as important campaigners to
reduce smoke exposure in our populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
asthma
cystic fibrosis
household
smoking cessation
EMTREE MEDICAL INDEX TERMS
advocacy group
child
conference abstract
diagnosis
human
nicotine replacement therapy
outpatient department
parental smoking
pediatrician
questionnaire
smoke
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620749209
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 81
TITLE
Delivering Tobacco Cessation Content in the Middle East Through
Interprofessional Learning
AUTHOR NAMES
El-Awaisi A.
Awaisu A.
El Hajj M.S.
Alemrayat B.
Al-Jayyousi G.
Wong N.
Verjee M.A.
AUTHOR ADDRESSES
(El-Awaisi A.; Awaisu A.; El Hajj M.S.; Alemrayat B.) College of Pharmacy,
Qatar University, Doha, Qatar
(Al-Jayyousi G.) Department of Public Health, College of Health Sciences,
Qatar University, Doha, Qatar
(Wong N.) School of Health Sciences, College of North Atlantic, Qatar, Doha,
Qatar
(Verjee M.A.) Weill Cornell Medicine - Qatar, Qatar, Doha, Qatar
SOURCE
American journal of pharmaceutical education (2017) 81:5 (91). Date of
Publication: 1 Jun 2017
ISSN
1553-6467 (electronic)
ABSTRACT
Objective. To explore the attitudes of pharmacy, pharmacy technician,
medical, and public health students before and after an IPE activity that
focused on smoking cessation in the Middle East. Methods. A pre-post
intervention research design using the Readiness for Interprofessional
Learning Scale (RIPLS) was used for this study. The tool contained 20 items,
categorized under the following subscales: teamwork and collaboration,
professional identity, and patient-centeredness. Results. A total of 47 out
of 50 students from four different health disciplines in Qatar (medicine,
pharmacy, pharmacy technician, and public health) who participated in the
activity completed a pre- and post-intervention pre-validated questionnaire
(94% response rate). Total attitude scores were calculated for all the 20
items along with attitudinal scores of the three domains. Most of the
students reported having a positive attitude toward IPE; the number of
students having a positive attitude toward IPE increased after the IPE
session. The overall median (IQR) score increased from 82 (16) before the
session to 84 (15) after the session. Students from different disciplines
did not vary in their attitude scores. Conclusion. Health care professional
students in Qatar perceived IPE positively, believing that it enhanced their
communication skills, collaboration and appreciation of professional roles.
This study has implication on developing effective methods to implement IPE
in various health professional education curricula.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
health personnel attitude
psychology
EMTREE MEDICAL INDEX TERMS
adult
comparative study
female
human
male
medical student
Middle East
pharmacy student
pharmacy technician
public health student
Qatar
questionnaire
smoking cessation
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28720919 (http://www.ncbi.nlm.nih.gov/pubmed/28720919)
PUI
L619020218
DOI
10.5688/ajpe81591
FULL TEXT LINK
http://dx.doi.org/10.5688/ajpe81591
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 82
TITLE
The emerging role of lawyers as addiction ‘quasi-experts’
AUTHOR NAMES
Seear K.
AUTHOR ADDRESSES
(Seear K., Kate.Seear@monash.edu) Faculty of Law, Monash University,
Clayton, Australia.
(Seear K., Kate.Seear@monash.edu) Social Studies of Addiction Concepts
Research Program, National Drug Research Institute, Faculty of Health
Sciences, Fitzroy Campus, , Australia.
CORRESPONDENCE ADDRESS
K. Seear, Faculty of Law, Monash University, Clayton, Australia. Email:
Kate.Seear@monash.edu
SOURCE
International Journal of Drug Policy (2017) 44 (183-191). Date of
Publication: 1 Jun 2017
ISSN
1873-4758 (electronic)
0955-3959
BOOK PUBLISHER
Elsevier B.V.
ABSTRACT
This paper examines a discrete set of issues pertaining to the constitution
of addiction in law. Based on qualitative interviews undertaken with lawyers
in Australia and Canada, I examine how addiction figures in lawyers’ daily
practice. Drawing on ideas from science and technology studies scholars
Sheila Jasanoff, Michael Lynch and Bruno Latour, and building on recent
research I undertook on legal addiction veridiction, I explore the
constitution of addiction ‘facts’ in law. I examine how and when lawyers
claim to make decisions about addiction in the course of their legal
practice. Lawyers report playing a central role in the making of decisions
about addiction, at multiple stages of the legal process including: before
taking cases on, while running cases in court, and while negotiating and/or
settling cases. I argue that these decisions can be properly described as
‘quasi-expert’ determinations with important parallels to scientific,
technological and medical claims often made in legal settings by more
conventional ‘expert witnesses’. I call these ‘quasi-expert’ decisions
because they are decisions of the kind that might be assumed to be the
purview of scientific or medical experts and because they have tangible
implications for clients. Lawyers uniquely constitute addiction in unique
ways, drawing on a combination of factors, including their own experience
with and observations about addiction, the experiences of family members who
have experienced alcohol and other drug problems, relevant legal concepts
and frameworks, popular and scientific claims about addiction, emotions and
values, including the gender politics of alcohol and other drug addiction.
These addiction ‘facts’ can have a range of material and discursive effects,
including potentially adverse implications for people characterised as
‘addicts’. I conclude the paper with a discussion of some implications of
these practices, and with reflections on how we might address these issues
in future research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
lawyer
EMTREE MEDICAL INDEX TERMS
alcoholism
article
Australia
Canada
court
decision making
education
emotion
family violence
human
legal aspect
priority journal
quasi experimental study
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170385937
MEDLINE PMID
28559120 (http://www.ncbi.nlm.nih.gov/pubmed/28559120)
PUI
L616483488
DOI
10.1016/j.drugpo.2017.05.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugpo.2017.05.008
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 83
TITLE
Health and public policy to facilitate effective prevention and treatment of
substance use disorders involving illicit and prescription drugs: An
American College of Physicians position paper
AUTHOR NAMES
Crowley R.
Kirschner N.
Dunn A.S.
Bornstein S.S.
Dunn A.
Abraham G.
Bush J.F.
Gantzer H.E.
Henry T.
Kane G.C.
Lenchus J.D.
Li J.M.
McCandless B.M.
Newman D.A.
Ahmed S.
Candler S.G.
AUTHOR ADDRESSES
(Crowley R., RCrowley@mail.acponline.org; Kirschner N.) American College of
Physicians, 25 Massachusetts Avenue NW, Washington, United States.
(Dunn A.S.) Mount Sinai Medical Center, Box 1086, New York, United States.
(Bornstein S.S.) 3111 Beverly Drive, Dallas, United States.
(Dunn A.; Abraham G.; Bush J.F.; Gantzer H.E.; Henry T.; Kane G.C.; Lenchus
J.D.; Li J.M.; McCandless B.M.; Newman D.A.; Ahmed S.; Candler S.G.)
CORRESPONDENCE ADDRESS
R. Crowley, American College of Physicians, 25 Massachusetts Avenue NW,
Washington, United States. Email: RCrowley@mail.acponline.org
SOURCE
Annals of Internal Medicine (2017) 166:10 (733-736). Date of Publication: 16
May 2017
ISSN
1539-3704 (electronic)
0003-4819
BOOK PUBLISHER
American College of Physicians, 190 N. Indenpence Mall West, Philadelphia,
United States.
ABSTRACT
Substance use disorders involving illicit and prescription drugs are a
serious public health issue. In the United States, millions of individuals
need treatment for substance use disorders but few receive it. The rising
number of drug overdose deaths and the changing legal status of marijuana
pose new challenges. In this position paper, the American College of
Physicians maintains that substance use disorder is a treatable chronic
medical condition and offers recommendations on expanding treatment options,
the legal status of marijuana, addressing the opioid epidemic, insurance
coverage of substance use disorders treatment, education and workforce, and
public health interventions.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
illicit drug
prescription drug
EMTREE DRUG INDEX TERMS
2 decanoylamino 3 morpholino 1 phenyl 1 propanol
cannabis
controlled substance
naloxone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (prevention)
health care policy
preventive medicine
EMTREE MEDICAL INDEX TERMS
article
criminal justice
drug intoxication (prevention)
drug misuse (prevention)
drug overdose (prevention)
epidemic
human
medical research
patient advocacy
priority journal
substance use
CAS REGISTRY NUMBERS
2 decanoylamino 3 morpholino 1 phenyl 1 propanol (109836-82-0, 73257-80-4)
cannabis (8001-45-4, 8063-14-7)
naloxone (357-08-4, 465-65-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170470083
MEDLINE PMID
28346947 (http://www.ncbi.nlm.nih.gov/pubmed/28346947)
PUI
L617073608
DOI
10.7326/M16-2953
FULL TEXT LINK
http://dx.doi.org/10.7326/M16-2953
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 84
TITLE
The Addiction Recovery Clinic: A Novel, Primary-Care-Based Approach to
Teaching Addiction Medicine
AUTHOR NAMES
Holt S.R.
Segar N.
Cavallo D.A.
Tetrault J.M.
AUTHOR ADDRESSES
(Holt S.R.) S.R. Holt is assistant professor, Department of Internal
Medicine, Yale School of Medicine, New Haven, Connecticut.N. Segar is
palliative medicine fellow, Department of Hospital Medicine, Northwestern
University Feinberg School of Medicine, Chicago, Illinois.D.A. Cavallo is
assistant professor, Department of Psychiatry, Yale School of Medicine, New
Haven, Connecticut.J.M. Tetrault is associate professor, Department of
Internal Medicine, Yale School of Medicine, New Haven, Connecticut
(Segar N.; Cavallo D.A.; Tetrault J.M.)
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(2017) 92:5 (680-683). Date of Publication: 1 May 2017
ISSN
1938-808X (electronic)
ABSTRACT
PROBLEM: Substance use is highly prevalent in the United States, but little
time in the curriculum is devoted to training internal medicine residents in
addiction medicine.APPROACH: In 2014, the authors developed and launched the
Addiction Recovery Clinic (ARC) to address this educational gap while also
providing outpatient clinical services to patients with substance use
disorders. The ARC is embedded within the residency primary care practice
and is staffed by three to four internal medicine residents, two
board-certified addiction medicine specialists, one chief resident, and one
psychologist. Residents spend one half-day per week for four consecutive
weeks at the ARC seeing new and returning patients. Services provided
include pharmacological and behavioral treatments for opioid, alcohol, and
other substance use disorders, with direct referral to local addiction
treatment facilities as needed. Visit numbers, a patient satisfaction
survey, and an end-of-rotation resident evaluation were used to assess the
ARC.OUTCOMES: From 2014 to 2015, 611 patient encounters occurred,
representing 97 new patients. Sixty-one (63%) patients were seen for opioid
use disorder. According to patient satisfaction surveys, 29 (of 31; 94%)
patients reported that the ARC probably or definitely helped them to cope
with their substance use. Twenty-eight residents completed the
end-of-rotation evaluation; all rated the rotation highly.NEXT STEPS: The
ARC offers a unique primary-care-based approach to exposing internal
medicine residents to the knowledge and skills necessary to diagnose, treat,
and prevent unhealthy substance use. Future research will examine other
clinical and educational outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
education
primary health care
procedures
EMTREE MEDICAL INDEX TERMS
adult
alcoholism (rehabilitation)
drug dependence (rehabilitation)
female
human
internal medicine
male
medical education
opiate addiction (rehabilitation)
outpatient department
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28441678 (http://www.ncbi.nlm.nih.gov/pubmed/28441678)
PUI
L617665611
DOI
10.1097/ACM.0000000000001480
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0000000000001480
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 85
TITLE
Assessment of tobacco habits, attitudes, and education among medical
students in the United States and Italy: A cross-sectional survey
AUTHOR NAMES
Armstrong G.W.
Veronese G.
George P.F.
Montroni I.
Ugolini G.
AUTHOR ADDRESSES
(Armstrong G.W.) Massachusetts Eye and Ear Infirmary/Harvard Medical School,
Boston, United States.
(Armstrong G.W.; George P.F.) Warren Alpert Medical School of Brown
University, Providence, United States.
(Armstrong G.W.) Department of Health Policy and Management, Harvard School
of Public Health, Boston, United States.
(Veronese G., giacomo.veronese@ospedaleniguarda.it; Montroni I.; Ugolini G.)
Department of Medical and Surgical Sciences, University of Bologna, Bologna,
Italy.
(Veronese G., giacomo.veronese@ospedaleniguarda.it) Department of Emergency
Medicine, University of Milano-Bicocca, Ospedale Niguarda Ca' Granda,
Milano, Italy.
CORRESPONDENCE ADDRESS
G. Veronese, Department of Emergency Medicine, University of Milano-Bicocca,
Ospedale Niguarda Ca' Granda, Milano, Italy. Email:
giacomo.veronese@ospedaleniguarda.it
SOURCE
Journal of Preventive Medicine and Public Health (2017) 50:3 (177-187). Date
of Publication: 1 May 2017
ISSN
1975-8375
BOOK PUBLISHER
Korean Society for Preventive Medicine, kspm@chonnam.ac.kr
ABSTRACT
Objectives: Medical students represent a primary target for tobacco
cessation training. This study assessed the prevalence of medical students'
tobacco use, attitudes, clinical skills, and tobacco-related curricula in
two countries, the US and Italy, with known baseline disparities in hopes of
identifying potential corrective interventions. Methods: From September to
December 2013, medical students enrolled at the University of Bologna and at
Brown University were recruited via email to answer survey questions
assessing the prevalence of medical students' tobacco use, attitudes and
clinical skills related to patients' smoking, and elements of medical school
curricula related to tobacco use. Results: Of the 449 medical students
enrolled at Brown and the 1426 enrolled at Bologna, 174 Brown students
(38.7%) and 527 Bologna students (36.9%) participated in this study. Italian
students were more likely to smoke (29.5% vs. 6.1%; p<0.001) and less likely
to receive smoking cessation training (9.4% vs. 80.3%; p<0.001) than their
American counterparts, even though the majority of students in both
countries desired smoking cessation training (98.6% at Brown, 85.4% at
Bologna; p<0.001). Additionally, negative beliefs re-garding tobacco usage,
the absence of formal training in smoking cessation counseling, and a
negative interest in receiving specific training on smoking cessation were
associated with a higher risk of not investigating a patient's smoking
status during a routine history and not offering tobacco cessation treatment
to patients. Conclusions: Medical curricula on tobacco-related health
hazards and on smoking cessation should be mandatory in order to reduce
smoking among medical students, physicians, and patients, thereby improving
tobacco-related global health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
habit
Italy
medical school
medical student
smoking cessation
United States
EMTREE MEDICAL INDEX TERMS
controlled study
counseling
disease course
doctor patient relation
e-mail
female
global health
health hazard
human
Italian (citizen)
major clinical study
male
prevalence
skill
tobacco use
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170411824
MEDLINE PMID
28605889 (http://www.ncbi.nlm.nih.gov/pubmed/28605889)
PUI
L616673056
DOI
10.3961/jpmph.15.061
FULL TEXT LINK
http://dx.doi.org/10.3961/jpmph.15.061
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 86
TITLE
CME answers to the questions about "Alcohol use disorder? Procedure for
suspected alcohol addiction" from Praxis No. 10
ORIGINAL (NON-ENGLISH) TITLE
Zu den Fragen zu « Störung durch Alkohol? Vorgehen bei Verdacht auf
Alkoholabhängigkeitssyndrom» aus Praxis Nr. 10 Alcohol Use Disorder?
Procedure for Suspected Alcohol Addiction
AUTHOR NAMES
Saissi F.
Caflisch C.
AUTHOR ADDRESSES
(Saissi F.) Sanatorium Kilchberg, Zentrum für Psychosomatik Zürich,
Selnaustrasse 9, Zürich, Switzerland.
(Caflisch C., carlo.caflisch@puk.zh.ch) Zentrum für
Abhängigkeitserkrankungen, Psychiatrische Universitätsklinik Zürich,
Switzerland.
SOURCE
Praxis (2017) 106:11 (603-604). Date of Publication: 1 May 2017
ISSN
1661-8165 (electronic)
1661-8157
BOOK PUBLISHER
Verlag Hans Huber AG, verlag@hanshuber.com
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
continuing education
medical education
EMTREE MEDICAL INDEX TERMS
clinical practice
human
note
practice guideline
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English, German
EMBASE ACCESSION NUMBER
20170378408
PUI
L616416007
DOI
10.1024/1661-8157/a002683
FULL TEXT LINK
http://dx.doi.org/10.1024/1661-8157/a002683
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 87
TITLE
A feasibility study on using an internet-panel survey to measure perceptions
of E-cigarettes in 3 metropolitan areas, 2015
AUTHOR NAMES
Miller E.A.
Berman L.
Atienza A.
Middleton D.
Iachan R.
Tortora R.
Boyle J.
AUTHOR ADDRESSES
(Miller E.A.; Berman L.; Atienza A.; Middleton D.; Iachan R.,
Ronaldo.Iachan@icf.com; Tortora R.; Boyle J.) Survey Research, ICF,
Rockville, United States.
CORRESPONDENCE ADDRESS
R. Iachan, ICF, 530 Gaither Road, Rockville, United States. Email:
Ronaldo.Iachan@icf.com
SOURCE
Public Health Reports (2017) 132:3 (336-342). Date of Publication: 1 May
2017
ISSN
1468-2877 (electronic)
0033-3549
BOOK PUBLISHER
SAGE Publications Ltd, info@sagepub.co.uk
ABSTRACT
Objectives: Internet-panel surveys are emerging as a means to quickly and
cost-effectively collect health data, and because of their large
memberships, they could be used for community-level surveys. To determine
the feasibility of using an internetpanel survey to quickly provide
community-level data, we conducted a pilot test of a health survey in 3 US
metropolitan areas. Methods: We conducted internet-panel surveys in
Cleveland, Ohio; New York, New York; and Seattle, Washington, in 2015.
Slightly more than 500 people responded to the survey in each city. We
compared weighted unadjusted prevalence estimates from the internet-panel
data with estimates from the 2014 Health Information National Trends Survey
(HINTS) for the following question in each survey: “Compared to smoking
cigarettes, would you say that electronic cigarettes are … much less
harmful, less harmful, just as harmful, more harmful, much more harmful, or
I’ve never heard of electronic cigarettes.” We used multivariable logistic
regression to compare associations of respondents’ demographic and health
characteristics with perceived harm from e-cigarettes. Results: The
prevalence of the perception that e-cigarettes are less harmful than smoking
cigarettes ranged from 35.9% to 39.9% in the internet-panel sites and was
43.0% in HINTS. Most patterns of beliefs and respondent characteristics in
the internet-panel data were consistent with patterns in HINTS. We found
inconsistent patterns between internet-panel sites and HINTS by
race/ethnicity and education. Conclusions: This feasibility study found that
internet-panel surveys could quickly produce community-level data for
targeted public health interventions and evaluation, but they may be limited
in producing estimates among subgroups.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
electronic cigarette
medical education
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
Asian American
Black person
Caucasian
controlled study
feasibility study
female
Hispanic
human
Internet
intervention study
male
middle aged
Pacific Islander
pilot study
prevalence
priority journal
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170816825
MEDLINE PMID
28358990 (http://www.ncbi.nlm.nih.gov/pubmed/28358990)
PUI
L619335806
DOI
10.1177/0033354917701888
FULL TEXT LINK
http://dx.doi.org/10.1177/0033354917701888
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 88
TITLE
Mental health services utilization and expenditures among children enrolled
in employer-sponsored health plans
AUTHOR NAMES
Walter A.W.
Yuan Y.
Cabral H.J.
AUTHOR ADDRESSES
(Walter A.W., angela_walter@uml.edu) Department of Public Health, College of
Health Sciences, University of Massachusetts Lowell, 1 University Ave.,
Lowell, United States.
(Yuan Y.) Center for Advancing Health Policy and Practice, Boston University
School of Public Health, Boston, United States.
(Cabral H.J.) Department of Biostatistics, Boston University School of
Public Health, Boston, United States.
(Cabral H.J.) Clinical and Translational Science Institute, Boston
University, Boston, United States.
CORRESPONDENCE ADDRESS
A.W. Walter, Department of Public Health, College of Health Sciences,
University of Massachusetts Lowell, 1 University Ave., Lowell, United
States. Email: angela_walter@uml.edu
SOURCE
Pediatrics (2017) 139 Supplement 2 (S127-S135). Date of Publication: 1 May
2017
ISSN
1098-4275 (electronic)
0031-4005
BOOK PUBLISHER
American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk
Grove Village, United States.
ABSTRACT
BACKGROUND AND OBJECTIVES: Mental illness in children increases the risk of
developing mental health disorders in adulthood, and reduces physical and
emotional well-being across the life course. The Mental Health Parity and
Addiction Equity Act (MHPAEA, 2008) aimed to improve access to mental health
treatment by requiring employer-sponsored health plans to include insurance
coverage for behavioral health services. METHODS: Investigators used IBM
Watson/Truven Analytics MarketScan claims data (2007- 2013) to examine: (1)
the distribution of mental illness; (2) trends in utilization and
out-ofpocket expenditures; and (3) the overall effect of the MHPAEA on
mental health services utilization and out-of-pocket expenditures among
privately-insured children aged 3 to 17 with mental health disorders.
Multivariate Poisson regression and linear regression modeling techniques
were used. RESULTS: Mental health services use for outpatient behavioral
health therapy (BHT) was higher in the years after the implementation of the
MHPAEA (2010-2013). Specifically, before the MHPAEA implementation, the
annual total visits for BHT provided by mental health physicians were 17.1%
lower and 2.5% lower for BHT by mental health professionals, compared to
years when MHPAEA was in effect. Children covered by consumer-driven and
high-deductible plans had significantly higher out-of-pocket expenditures
for BHT compared to those enrolled PPOs. CONCLUSIONS: Our findings
demonstrate increased mental health services use and higher out-of-pocket
costs per outpatient visit after implementation of the MHPAEA. As
consumerdriven and high-deductible health plans continue to grow, enrollees
need to be cognizant of the impact of health insurance benefit designs on
health services offered in these plans.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child health insurance
health care cost
health care utilization
mental health service
EMTREE MEDICAL INDEX TERMS
adolescent
article
behavior therapy
behavioral health therapy
child
female
human
male
mental disease
outpatient care
preschool child
priority journal
sex
trend study
EMBASE CLASSIFICATIONS
Psychiatry (32)
Health Policy, Economics and Management (36)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170338202
MEDLINE PMID
28562310 (http://www.ncbi.nlm.nih.gov/pubmed/28562310)
PUI
L616103653
DOI
10.1542/peds.2016-2786G
FULL TEXT LINK
http://dx.doi.org/10.1542/peds.2016-2786G
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 89
TITLE
Psychological Consequences of Maxillofacial Trauma in the Indian Population:
A Preliminary Study
AUTHOR NAMES
Krishnan B.
Rajkumar R.P.
AUTHOR ADDRESSES
(Krishnan B., krishident@yahoo.co.uk) Department of Dentistry, Jawaharlal
Institute of Postgraduate Medical Education and Research, Pondicherry,
Pondicherry, India
(Rajkumar R.P.) Department of Psychiatry, Jawaharlal Institute of
Postgraduate Medical Education and Research, Pondicherry, Pondicherry, India
CORRESPONDENCE ADDRESS
B. Krishnan, Department of Dentistry, Jawaharlal Institute of Postgraduate
Medical Education and Research, 74, 4th Cross, Thanthai Periyar Nagar,
Pondicherry, Pondicherry 605005, India Email: krishident@yahoo.co.uk
SOURCE
Craniomaxillofacial Trauma and Reconstruction (2017). Date of Publication: 2
Apr 2017
ISSN
1943-3883 (electronic)
1943-3875
BOOK PUBLISHER
Thieme Medical Publishers, Inc., custserv@thieme.com
ABSTRACT
The aim of this article is to identify the prevalence of posttraumatic
psychological symptoms following maxillofacial trauma among an Indian
population sample and assess changes in these symptoms over a period of
time. Forty-eight adult patients were assessed within 2 weeks of injury with
two follow-up visits (4–6 weeks and 12–14 weeks). Patients were administered
three self-reporting questionnaires in local language (GHQ-12; HADS; TSQ) on
all occasions. Relevant sociodemographic and clinical data were obtained.
Forty patients were included in the final analysis. Emotional distress was
present in nine participants and five participants satisfied the TSQ
criteria for a diagnosis of stress disorder. Anxiety and depression were
observed in 10 and 4 patients, respectively. Characteristics associated with
abnormal high scores included substance abuse, low education and income
levels, facial scars, and complications needing additional intervention.
These findings reveal the abnormal psychological response to maxillofacial
trauma in immediate and follow-up periods. The use of such screening tools
can be considered by the maxillofacial surgeon for early identification of
psychological symptoms and referral to the psychiatrist.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anxiety
depression
Indian
maxillofacial injury
posttraumatic stress disorder
EMTREE MEDICAL INDEX TERMS
clinical article
complication
dental surgeon
diagnosis
doctor patient relation
education
emotional stress
face
female
follow up
Hospital Anxiety and Depression Scale
human
language
male
patient referral
prevalence
psychiatrist
questionnaire
scar
screening
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170531876
PUI
L617481658
DOI
10.1055/s-0037-1604426
FULL TEXT LINK
http://dx.doi.org/10.1055/s-0037-1604426
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 90
TITLE
Impact of a brief addiction medicine training experience on knowledge
self-assessment among medical learners
AUTHOR NAMES
Klimas J.
Ahamad K.
Fairgrieve C.
McLean M.
Mead A.
Nolan S.
Wood E.
AUTHOR ADDRESSES
(Klimas J.; Ahamad K.; Fairgrieve C.; McLean M.; Mead A.; Nolan S.; Wood E.)
a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital ,
Vancouver , British Columbia , Canada
(Klimas J.; Wood E.) c Department of Medicine , University of British
Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada
(Klimas J.) d School of Medicine , University College Dublin, Coombe
Healthcare Centre , Dolphins Barn , Dublin , Ireland
(Ahamad K.; Fairgrieve C.; McLean M.; Mead A.; Nolan S.) b Department of
Family Medicine , University of British Columbia , Vancouver , British
Columbia , Canada
SOURCE
Substance abuse (2017) 38:2 (141-144). Date of Publication: 1 Apr 2017
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Implementation of evidence-based approaches to the treatment of
various substance use disorders is needed to tackle the existing epidemic of
substance use and related harms. Most clinicians, however, lack knowledge
and practical experience with these approaches. Given this deficit, the
authors examined the impact of an inpatient elective in addiction medicine
amongst medical trainees on addiction-related knowledge and medical
management.METHODS: Trainees who completed an elective with a hospital-based
Addiction Medicine Consult Team (AMCT) in Vancouver, Canada, from May 2015
to May 2016, completed a 9-item self-evaluation scale before and immediately
after the elective.RESULTS: A total of 48 participants completed both pre
and post AMCT elective surveys. On average, participants were 28 years old
(interquartile range [IQR] = 27-29) and contributed 20 days (IQR = 13-27) of
clinical service. Knowledge of addiction medicine increased significantly
post elective (mean difference [MD] = 8.63, standard deviation [SD] = 18.44;
P = .002). The most and the least improved areas of knowledge were relapse
prevention and substance use screening, respectively.CONCLUSIONS: Completion
of a clinical elective with a hospital-based AMCT appears to improve medical
trainees' addiction-related knowledge. Further evaluation and expansion of
addiction medicine education is warranted to develop the next generation of
skilled addiction care providers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
education
medical education
EMTREE MEDICAL INDEX TERMS
addiction medicine
adult
female
health care personnel
human
male
self evaluation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28394732 (http://www.ncbi.nlm.nih.gov/pubmed/28394732)
PUI
L621194290
DOI
10.1080/08897077.2017.1296055
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2017.1296055
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 91
TITLE
The impact of psychiatry residents in an outpatient substance abuse program
AUTHOR NAMES
Love L.
McLean F.
AUTHOR ADDRESSES
(Love L.) Kaweah Delta Healthcare District, United States.
(McLean F.) Tulare County Mental Health, United States.
CORRESPONDENCE ADDRESS
L. Love, Kaweah Delta Healthcare District, United States.
SOURCE
American Journal on Addictions (2017) 26:3 (275-276). Date of Publication: 1
Apr 2017
CONFERENCE NAME
27th Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2017
CONFERENCE LOCATION
Bonita Springs, FL, United States
CONFERENCE DATE
2016-12-08 to 2016-12-11
ISSN
1055-0496
BOOK PUBLISHER
Wiley Blackwell
ABSTRACT
Background: Community outpatient substance abuse programs have low
graduation rates (approx. 15-20%) in comparison to inpatient substance abuse
programs nationally (approx. 70-80%). Does having psychiatry residents who
complete a 4 week rotation change the graduation rate of the outpatient
substance abuse program? Methods: Compare the graduation rates of all
patients evaluated by psychiatry residents and the graduations rates of an
equal number of patients not evaluated by psychiatry residents during the
same 12-month period at the community outpatient substance abuse program.
Determine if the number of visits with psychiatry residents have an impact
on the graduation rates. This substance abuse program is comprised of 14
individual meetings, 14 group meetings and 56 12-step meetings which must be
completed in a 3 month period. Results: A full year of data will be
completed at the end of May 2016. The analysis and comparison will be
completed shortly after this date. Conclusions: Evaluating the impact of a
nascent psychiatry residency in the local community and how adding 4-week
Addiction Psychiatry rotation can influence the graduation rates. Consider
devising interventions improving psychiatry residency training in providing
therapy for these outpatient services such as motivational interviewing
training, contingency management and/or other cognitive behavioral
therapies. Summary: Determining if an evaluation by a psychiatry resident
increases the graduation rates for outpatient substance abuse programs. The
implication would be determined by the results. Are the psychiatry residents
providing a valuable service to the community? Or is additional training
needed to provide an added value to the rotation and the community? This
would additionally impact the psychiatry residency by improving therapy
education to psychiatry residents prior to the addiction rotation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical study
outpatient care
psychiatry
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
cognitive behavioral therapy
controlled study
human
motivational interviewing
rotation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615220958
DOI
10.1111/ajad.12545
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12545
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 92
TITLE
ANovel addiction curriculum and its impact on medical student knowledge,
attitudes, and confidence for the treatment of substance use
AUTHOR NAMES
Feeley R.
Moore D.
Wilkins K.
Fuehrlein B.
AUTHOR ADDRESSES
(Feeley R.; Moore D.; Wilkins K.; Fuehrlein B.) Veterans Affairs and Yale
University, United States.
CORRESPONDENCE ADDRESS
R. Feeley, Veterans Affairs and Yale University, United States.
SOURCE
American Journal on Addictions (2017) 26:3 (279-280). Date of Publication: 1
Apr 2017
CONFERENCE NAME
27th Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2017
CONFERENCE LOCATION
Bonita Springs, FL, United States
CONFERENCE DATE
2016-12-08 to 2016-12-11
ISSN
1055-0496
BOOK PUBLISHER
Wiley Blackwell
ABSTRACT
Background: Despite the high prevalence of substance use in the general
population, there is a lack of structured medical student education
regarding the diagnosis and treatment of substance use disorders. This may
result in lack of confidence in the management of addiction and negative
attitudes towards substance using patients and impact the quality of care
provided. The purpose of this study was to examine the effects of a formal
substance use disorder curriculum on medical student attitudes towards
addiction as well as confidence in treating such a population. Methods: The
addiction curriculum was administered to Yale medical students who rotated
at the West Haven VA Hospital Psychiatric Emergency Room (PER) during the
2015 and 2016 academic years. This curriculum consisted of two parts: 1.
direct patient care of patients with substance use disorders with gradual
levels of increasing student responsibility and 2. Didactic modules focused
on general addiction, opiate use, alcohol use, risk assessment, legal
issues, and Alcoholics Anonymous (AA). The didactics coincided with
applicable patient care, when possible. The didactics were administered by
staff in the psychiatric emergency room over the course of the 2-3 week
rotation. Students were then surveyed via an email survey link. Medical
students who received the structured substance use training in the PER were
compared to those who did not. The results of this survey were analyzed
using T-tests and multivariate linear regression. Results: The survey
response rate was 37.5% (N=75/ 200), with 25 (33%) completing the curriculum
in the PER and 50 (66%) not. Of those completing the curriculum, 23 (92%)
reported receipt of formalized training, while only 41 (82%) of the
comparison group reported receiving addiction training at the other rotation
sites. In bivariate analysis, medical students receiving the curriculum were
more likely to express confidence in managing patients with alcohol and
opiate use disorders (T=2.01, P=.05) and were more knowledgeable about AA as
a treatment option available to patients (T=2.27, P=.03). Using multivariate
linear regression, participation in the curriculum was independently
associated with more knowledge in AA as a treatment option (X2=5.12, P=.02).
Conclusions: A structured addiction curriculum can improve medical student
confidence in managing substance using patients and improve knowledge of AA,
a very important part of substance abuse treatment. These data suggest that
the inclusion of a basic, structured addiction curriculum may help to foster
confidence and knowledge, which may ultimately lead to improved care of
patients with substance use disorder, a common and often deadly illness.
Summary: Though there is a relative lack of addiction education in medical
training, and an often associated negative attitude towards those with an
addiction, an educational intervention such as an addiction curriculum may
have the potential to impact medical student attitudes, instill greater
confidence in treating such individuals, and engage students more readily
with this population with regard to discussing addiction treatment.
EMTREE DRUG INDEX TERMS
alcohol
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholics anonymous
alcoholism
curriculum
medical student
EMTREE MEDICAL INDEX TERMS
bivariate analysis
clinical trial
controlled study
e-mail
hospital
human
linear regression analysis
major clinical study
medical education
opiate addiction
patient care
psychiatric emergency
responsibility
risk assessment
rotation
staff
Student t test
substance abuse
CAS REGISTRY NUMBERS
alcohol (64-17-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615220985
DOI
10.1111/ajad.12545
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12545
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 93
TITLE
Development, implementation and evaluation of a leadership training course
in an addiction psychiatry fellowship program
AUTHOR NAMES
LaPaglia D.
Muvvala S.
AUTHOR ADDRESSES
(LaPaglia D.; Muvvala S.) Yale University, United States.
CORRESPONDENCE ADDRESS
D. LaPaglia, Yale University, United States.
SOURCE
American Journal on Addictions (2017) 26:3 (280-281). Date of Publication: 1
Apr 2017
CONFERENCE NAME
27th Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2017
CONFERENCE LOCATION
Bonita Springs, FL, United States
CONFERENCE DATE
2016-12-08 to 2016-12-11
ISSN
1055-0496
BOOK PUBLISHER
Wiley Blackwell
ABSTRACT
Background: Currently there is a call to educate healthcare providers to
effectively lead healthcare teams in the service of providing better
treatment to their patients. However, formalized leadership coursework is
not a part of medical school and graduate medical education programs, and
yet most residents and fellows will likely find themselves in leadership
positions (e.g., delivering patient care, managing teams, and teaching and
mentoring other residents). In addition, evidence suggests that formal
leadership coursework increases physician confidence, job satisfaction,
improves leadership skills and team functioning, and leads to better patient
outcomes. Methods: In conversation with the training director and faculty
from the Addiction Psychiatry Fellowship Program at Yale University School
of Medicine, we identified a need for a course in improving leadership
skills focusing on improving systems thinking, knowledge of process
improvement, and honing communication and management skills. It was
hypothesized that fellows would benefit from engaging in leadership material
through self-reflection and by cultivating self-awareness of one's personal
leadership style, strengths and weaknesses. A literature review was
performed on current leadership curricula and a needs assessment was
developed for the Yale Addiction fellows to confirm our assumption that most
fellows lacked formal leadership training. 82% of the fellows reported that
they did not have formal leadership training as a part of residency
curriculum and all fellows expressed interest in participating in a
leadership course. Results: Based on the results of the needs assessment,
goals and objectives were formulated and a comprehensive leadership course
was developed and implemented with the Yale Addiction Psychiatry fellows in
the academic years 2014-15 and 2015-16. The course was heavily focused on
case based learning and was designed to better prepare participants for
leadership positions across medical settings. The course was learner driven
and the content included workshops, discussion about real life scenarios of
leadership dilemmas, peer observation and feedback, group reflection
exercises, role plays and reflective writing activities. Pre and post course
data measuring participant confidence in various leadership domains was
collected and analyzed. Conclusions: Designing and implementing a course
focused on developing leadership skills was feasible in a one-year Addiction
Psychiatry Fellowship and the course was well received by participants.
Summary: Leadership skills are essential for effective team performance in
the delivery of services. Medical schools must prioritize leadership
development as a core educational pursuit in order to develop a generation
of physician leaders equipped to best manage and lead in the current health
care climate. We developed, implemented and evaluated a leadership course
with self reflective learning as a core modality in a 1-Year Addiction
Psychiatry Fellowship. The course was well received by participants.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical study
exercise
leadership
psychiatry
EMTREE MEDICAL INDEX TERMS
awareness
climate
conversation
curriculum
human
learning
medical school
medicine
needs assessment
physician
role playing
skill
thinking
writing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615220992
DOI
10.1111/ajad.12545
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12545
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 94
TITLE
Strengthening medical student substance use disorder (SUD) management skills
through development of a multi-modal curriculum within the denver health
longitudinal integrated clerkship (DH-LIC)
AUTHOR NAMES
Axelrath S.
Adams J.
AUTHOR ADDRESSES
(Adams J.) Denver Health, Denver, United States.
(Axelrath S.) University of Colorado, School of Medicine, Denver, United
States.
(Adams J.) University of Colorado, Aurora, United States.
CORRESPONDENCE ADDRESS
S. Axelrath, University of Colorado, School of Medicine, Denver, United
States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S706-S707).
Date of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: Overdose deaths have nearly quadrupled since 1999
(CDC) and trained physicians are needed to address this growing health
crisis. In a needs assessment of third year medical students and faculty
preceptors participating in the DH-LIC, only 27% of students reported a high
level of comfort with management of SUD despite 75% of faculty rating this
skill as important. Based on these results, an educational innovation was
developed with the objectives to increase student knowledge and comfort with
management of SUD, improve student attitudes toward patients with SUD, and
strengthen student resilience in working with this challenging population.
SETTING AND PARTICIPANTS: The University of Colorado School of Medicine's
DH-LIC is a year-long curriculum in which 8 third year medical students
complete all core clerkships simultaneously at the only dedicated safety net
hospital serving metropolitan Denver. Similar to other urban areas, the
average prevalence of SUD for adults in this catch ment area is 11.9%,
versus 9.0% in the US (SAMSHA). DESCRIPTION: This innovation consists of a
longitudinal, multi-modal curricular thread woven into the DH-LIC, combining
team-based learning (TBL), traditional didactics, communication workshops,
reflective writing, and clinical experiences in SUD. These components are
integrated into the core curriculum, allowing progressive development of
student knowledge and skills across medical specialties and settings
EVALUATION: In pre-curricular surveys assessing student knowledge and
attitudes, less than 50% of students correctly answered any question about
pharmacotherapy for SUD and no students expressed strong satisfaction in
working with SUD patients. At completion of the year-long curriculum,
follow-up surveys and student self-assessment of comfort with management of
SUD will be used to measure curricular efficacy. To date, 100% of students
have reported 5.0/5.0 satisfaction with didactic sessions and TBL cases, and
students rated their clinical experience and related reflection as 4.9/5.0
in terms of its positive effect on their attitudes toward patients with SUD.
DISCUSSION/REFLECTION/LESSONS LEARNED: Weaving SUD content into a
longitudinal curriculum provides the opportunity for students to reflect on
their experiences and attitudes as they develop. Following a clinical
experience at a local syringe access program, one student wrote: “I
questioned my own beliefs surrounding IV drug users. I don't want them to
think that they are a bad person for having an addiction.” Exposing trainees
to challenging patients and situations is important for building resilience
that allows students to advocate for the underserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
drug dependence
medical student
skill
EMTREE MEDICAL INDEX TERMS
adult
clinical study
Colorado
comfort
controlled study
death
drug overdose
follow up
human
human versus animal comparison
learning
medicine
needs assessment
nonhuman
physician
prevalence
safety net hospital
satisfaction
self evaluation
student attitude
substance abuse
syringe
university
urban area
writing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615580867
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 95
TITLE
A curriculum to improve resident knowledge and satisfaction in caring for
hospitalized patients with addiction-update
AUTHOR NAMES
Roy P.J.
Weinstein Z.M.
DiBlasi K.
Shantharam S.
Yuh D.
Neville L.
Walley A.Y.
AUTHOR ADDRESSES
(Weinstein Z.M.; Yuh D.; Neville L.) Boston Medical Center, Boston, United
States.
(Roy P.J.; DiBlasi K.; Shantharam S.; Walley A.Y.) Boston Univ, Boston,
United States.
CORRESPONDENCE ADDRESS
P.J. Roy, Boston Univ, Boston, United States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S646). Date
of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: We previously described a new curriculum to improve
knowledge and satisfaction among internal medicine (IM) residents who care
for patients with substance use disorders (SUD) and addiction; this abstract
seeks to provide an update regarding the evaluation of the curriculum's
efficacy. Residents frequently care for patients with SUD but are
significantly less likely to experience satisfaction in managing SUD in
comparison to other medical issues. In July 2015, the Addiction Consult
Service (ACS) was started, aimed at improving the care of hospitalized
patients with SUD. We addressed resident discomfort by providing a
curriculum as part of the ACS in order to increase their knowledge in the
field of addiction and consequently their satisfaction in caring for
patients with SUD. SETTING AND PARTICIPANTS: Setting: academic safety net
hospital. Primary Participants: IM residents rotating on the ACS. Secondary:
IM residents who consult the service. DESCRIPTION: The ACS functions
similarly to other consulting services in IM specialties. IM residents can
rotate on the service, serving as primary consultant, or they can consult
the service for help in caring for inpatients with SUD. Residents have a
rotation-specific curriculum developed using ACGME Core Competencies.
Objectives include diagnosing SUD and understanding pharmacotherapy for
alcohol and opioid use disorder. Residents who consult the ACS have
increased exposure to SUD and its treatment as well, from direct
communication with the ACS team. EVALUATION: Prior to starting the ACS, we
found significant dissatisfaction among our residents in caring for patients
with SUD. At the end of the academic year in June 2016, we surveyed a total
of 60 internal medicine residents regarding both their knowledge in
addiction and their satisfaction in caring for patients with addiction.
There were three groups: residents who rotated on the consult service
(“rotated”; 16/60), residents who consulted the service but did not rotate
(“interacted”; 37/60), and residents who had no interaction with the service
(“neither”; 7/60). Our knowledge assessment consisted of 10 multiple-choice
questions. Mean scores were: 79% correct for the rotated group, 64%
interacted, and 51% neither. Using analysis of variance, we found that these
groups were statistically significantly different from each other. We based
our satisfaction survey on the Short Alcohol and Alcohol Problems Perception
Questionnaire (SAAPPQ) and its analysis; our survey showed a trend towards
improved satisfaction for residents based on their level of interaction with
the service and we are currently fully analyzing these data.
DISCUSSION/REFLECTION/LESSONS LEARNED: The ACS provides residents the
opportunity to care for patients with SUD under the guidance of experts in
the field. We found that although residents experience less comfort and
satisfaction in managing patients with SUD, we can improve this by using
targeted curricula to increase their knowledge regarding addiction, and
consequently, their satisfaction in caring for these patients.
EMTREE DRUG INDEX TERMS
alcohol
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
clinical study
curriculum
hospital patient
resident
satisfaction
EMTREE MEDICAL INDEX TERMS
analysis of variance
comfort
comparative effectiveness
consultation
controlled study
diagnosis
exposure
human
internal medicine
multiple choice test
perception
questionnaire
rotation
safety net hospital
CAS REGISTRY NUMBERS
alcohol (64-17-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615581346
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 96
TITLE
Effects of a comprehensive wellness program on medicine resident burnout
AUTHOR NAMES
Faulk C.
Mulkareddy V.
Bery A.
Fohtung R.
Saef J.
McCarthy C.
Prendergast N.
Chen J.
Michelson A.
Bhayani R.
AUTHOR ADDRESSES
(Faulk C.; Mulkareddy V.; Bery A.; Fohtung R.; Saef J.; McCarthy C.;
Prendergast N.; Chen J.; Michelson A.; Bhayani R.) Washington University in
St Louis, St Louis, United States.
CORRESPONDENCE ADDRESS
C. Faulk, Washington University in St Louis, St Louis, United States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S672). Date
of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: The prevalence of physician burnout among internal
medicine residents ranges from 50%-75 and is associated with poorer patient
care and higher rates of depression and substance abuse. Both the
Accreditation Council for Graduate Medical Education and the American
Medical Association have declared this to be a national issue. To combat
growing rates of burnout, residencies have implemented various wellness
curricula. Most interventions, however, have been studied in isolation. The
effects of a comprehensive, multi-faceted program have not been extensively
evaluated. The present study was designed to assess the impact of a
comprehensive wellness programon resident physician well-being in a large
academic hospital. SETTING AND PARTICIPANTS: At the start of the 2016-2017
academic year, a new wellness program was integrated within the Washington
University in St Louis internal medicine residency curriculum at Barnes
Jewish Hospital142 internal medicine residents at all training levels
participated in this curriculum. DESCRIPTION: Awellness committee, comprised
of faculty, chief residents, and resident representatives, was established.
Curricula were created for largegroup lectures, small-group workshops and
team building exercises. Required large-group lectures taught evidence-based
cognitive behavioral therapy (CBT) techniques to help residents during times
of stress. Small-group sessions were designed to cover a selection of
wellness-related topics, including imposter syndrome, defining success, and
maintaining compassion. All small group didactics occur during protected
time on inpatient rotations and are facilitated by licensed clinical
psychologists. Team-building exercises include both organized social outings
for the entire residency, as well as monthly competitions between inpatient
teams, with awarded group prizes. EVALUATION: Resident-physician burnout
prevalence was assessed at the start of the 2016-2017 academic year using
the Maslach Burnout Inventory on a voluntary basis. Final analysis of this
initial survey is currently pending. Small-group sessions were anonymously
evaluated by participants through a standardized form after each session. We
will survey residents using the Maslach Burnout Inventory again at the end
of the academic year to look for improvement in burnout prevalence.
DISCUSSION/REFLECTION/LESSONS LEARNED: Burnout is defined as a combination
of depersonalization, emotional exhaustion and decreased perceived
accomplishment. Trials have shown CBT techniques can reduce compassion
fatigue and enhance resilience, while small-group and teambuilding exercises
can increase perceived compensation and accomplishment. By employing
modalities to address each element of physician burnout, it is expected that
this comprehensive wellness program will improve resident wellbeing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
burnout
internal medicine
resident
EMTREE MEDICAL INDEX TERMS
clinical psychology
clinical study
cognitive behavioral therapy
compassion fatigue
compensation
competition
curriculum
depersonalization
emotional stress
exercise
hospital patient
human
prevalence
rotation
syndrome
team building
university
Washington
wellbeing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615581657
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 97
TITLE
An inter-professional primary care based chronic pain management and opiate
use disorder curriculum for interns and new advanced practitioners
AUTHOR NAMES
Ronshaugen N.
Wretzel S.
AUTHOR ADDRESSES
(Ronshaugen N.; Wretzel S.) Baystate Medical Center, Springfield, United
States.
CORRESPONDENCE ADDRESS
N. Ronshaugen, Baystate Medical Center, Springfield, United States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S653). Date
of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: Interns and new advanced practitioners (AP) often have
insufficient education treating patients with chronic pain or opiate use
disorder (OUD). This inter-professional curriculum improves diagnosis and
treatment. Objectives ∗Recognize a new provider's educational needs in
chronic pain management and OUD ∗Discover how to use institutional and
community resources to help design anOUD curriculum∗Learn how to design an
inter-professional curriculum on OUD SETTING AND PARTICIPANTS: Incoming
interns and new AP participate in an intensive lecture series in the first
three months of practice followed by intern experiences in clinic based and
community organizations addressing OUD throughout the year. DESCRIPTION: OUD
is a potentially lethal disease that is often inadequately taught. In our
residency program, we designed a curriculum to address this educational
need. Our primary goal was to allow interns and new AP to gain a sense of
mastery treating OUD and chronic pain in the outpatient setting. Our
secondary goal was to model inter-professional learning. During ambulatory
orientation, our interns and AP undergo a two-day intensive,
inter-professional didactic lecture series from nurses and doctors on
chronic pain management, opioid use and abuse, harm reduction, and
buprenorphine management. Participants engage in interactive training in
motivational interviewing with social workers and discussions with patients
in recovery. The curriculum continues for interns throughout the year with
experiences in community and clinic based buprenorphine clinics, twelve step
programs, and detoxification facilities. There are also two ambulatory
didactic lecture conferences during the year for all residents and AP on
substance use disorders. EVALUATION: Prior to the start of the curriculum,
interns and AP had an average pretest score of 48% with a range between
25-75% correct. After the lecture series, the average score was 69% on the
posttest with a range of scores between 50-88% correct. Initially,
participants in the program mentioned feeling uncomfortable about opiate
prescribing and chronic pain management. Participants voiced fears about
opiate addiction and “failing to recognize misuse.” However, participants
largely found the curriculum helpful. One participant mentioned, “I feel
more comfortable approaching the patient with chronic pain. (I have) more
options and opiates are only one modality.” DISCUSSION/REFLECTION/LESSONS
LEARNED: This curriculum improved our interns' knowledge of OUD and chronic
pain management as well as how different professions impact a patient's care
in OUD. Further, while the number of AP residency programs is increasing,
many new AP graduates are still caring for patients with OUD with only a
minimal amount of knowledge of how to do so. This curriculum can also serve
as a guideline for clinics interested in improving AP knowledge of OUD.
Future areas of growth for this curriculum include addressing
methamphetamine use disorder; establishing a resident-run buprenorphine
clinic; and improving education among clinic nurses in OUD.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
buprenorphine
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
chronic pain
curriculum
doctor nurse relation
primary medical care
EMTREE MEDICAL INDEX TERMS
clinical study
clinical trial
detoxification
doctor patient relation
drug therapy
harm reduction
human
motivational interviewing
occupation
opiate addiction
outpatient
practice guideline
prescription
remission
resident
simulation training
social worker
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615581866
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 98
TITLE
Innovativemodelto teach judicious opioid prescribing: A resident teaching
practice specialty session
AUTHOR NAMES
Khalid L.
Roth S.L.
Wey G.
Carrozzi G.
Starrels J.L.
AUTHOR ADDRESSES
(Starrels J.L.) Albert Einstein College of Medicine, Montefiore Medical
Center, Bronx, United States.
(Khalid L.; Roth S.L.; Carrozzi G.) Montefiore Medical Center, Bronx, United
States.
(Wey G.) Montefiore Medical Center, New York, United States.
CORRESPONDENCE ADDRESS
L. Khalid, Montefiore Medical Center, Bronx, United States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S685). Date
of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: Internal Medicine (IM) residents report low confidence
and satisfaction in treating patients with chronic pain on opioids, in large
part due to inadequate knowledge and preparation. To address dual aims of
providing guideline-adherent patient care and training residents about
judicious opioid prescribing, we developed an innovative resident teaching
practice (RTP) specialty session for patients with chronic pain on opioids:
Power Over Pain (POP) Clinic. SETTING AND PARTICIPANTS: The POP Clinic is a
weekly session at a large urban IM teaching practice that serves publically
insured patients in Bronx, NY. The practice cares for approximately 300
patients on chronic opioid therapy (COT). Prior to the POP Clinic, there
were no mandatory policies regarding care or precepting for COT patients.
DESCRIPTION: Since 9/2016, all patients onCOT (>3 opioid prescriptions in 6
months) are required to be seen in POP Clinic at least yearly. The POP
Clinic is staffed by PGYII-III IM residents who rotate thrice yearly.
Residents see 1-3 patients per session and are precepted by any of three
IMattendings with expertise in opioid prescribing. We developed a structured
visit template to assess patient goals, pain/treatment history, current
opioid regimen, side effects, functional status, mental health, substance
use history, and opioid misuse. Precepting includes summarizing risks and
benefits of opioid therapy, optimizing current medication regimen, and
providing specialty referrals, joint injections, naloxone prescriptions, or
referral to an on-call social worker. We emphasize patient education and
nonjudgmental communication; preceptors accompany residents to observe their
delivery, and feedback is given. We developed a focused didactic curriculum
on pain and opioidmanagement; half hour seminars precede each POP Clinic.
Topics include safety and efficacy of opioids, multimodal pain care, opioid
use disorder, tapering opioids, and interpreting urine drug tests.
EVALUATION: We are conducting a pre-post study using a questionnaire
administered to residents prior to their first POP session and at the end of
academic year. The questionnaire assesses residents' knowledge and attitudes
about chronic pain and opioid management, and their experiences in POP
Clinic. Using an ongoing registry of COT patients, we will examine outcomes
such as change in opioid dose, pain and function, and patient satisfaction.
DISCUSSION/REFLECTION/LESSONS LEARNED: We have successfully developed and
implemented an RTP specialty session for patients on COT within a large
urban teaching practice. Though other educational interventions exist for
teaching residents about care of patients on COT, such as online courses or
didactic presentations, ours is among the first experiential interventions
that uses designated sessions in which IM residents are precepted while
providing a comprehensive pain assessment. We believe our innovative clinic
can serve as a model for delivering guideline-adherent care and increasing
resident confidence and knowledge in managing patients on COT.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
naloxone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription
resident
teaching
EMTREE MEDICAL INDEX TERMS
chronic pain
clinical trial
consensus development
curriculum
drug therapy
functional status
human
human tissue
injection
internal medicine
joint
major clinical study
mental health
model
pain assessment
pain clinic
patient education
patient referral
patient satisfaction
pharmacokinetics
questionnaire
register
safety
side effect
social worker
substance use
urine
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615580965
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 99
TITLE
Integration and Evaluation of Substance Abuse Research Education Training
(SARET) into a Master of Social Work program
AUTHOR NAMES
Tuchman E.
Hanley K.
Naegle M.
More F.
Bereket S.
Gourevitch M.N.
AUTHOR ADDRESSES
(Tuchman E.) a New York University Silver School of Social Work , New York ,
New York , USA
(Hanley K.) b Department of Medicine , New York University School of
Medicine , New York , New York , USA
(Naegle M.) c New York University Meyers College of Nursing , New York , New
York , USA
(More F.) d Department of Epidemiology & Health Promotion, Department of
Pediatric Dentistry , New York University College of Dentistry , New York ,
New York , USA
(Bereket S.; Gourevitch M.N.) e Department of Population Health , New York
University School of Medicine , New York , New York , USA
SOURCE
Substance abuse (2017) 38:2 (150-156). Date of Publication: 1 Apr 2017
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: The Substance Abuse Research and Education Training (SARET)
program is funded by the National Institutes of Drug Abuse in 2006 as a
novel approach to spark interest in substance abuse research among medical,
dental, nursing, and social work graduate students through a Web-based
curriculum and research mentorships. This report presents the initial
integration of the intervention in a Master of Social Work (MSW) program,
the components of the program, and the mixed-methods evaluation of its
effect on students' attitudes towards substance abuse research and
treatment.METHODS: SARET comprises 2 main components: stipend-supported
research mentorships and a Web-based module series, consisting of 6
interactive, multimedia modules addressing core SA research topics,
delivered via course curricula and in the research mentorships. An initial
evaluation was designed to assess SARET's acceptability and short-term
impact on participants' interest in SA research. The components of this
Web-based curriculum evaluation include focus group feedback on the
relevance of the modules to SW students, number of courses into which the
modules were integrated with number of module completions, changes in
interest in SA research associated with module completion.RESULTS: The full
series of Web-based modules has been integrated across several courses in
the social work curriculum, and social work students have become integral
participants in the summer mentored research experience. One hundred
eighteen students completed at least 1 module and 42 students completed all
6 modules. Neurobiology, Screening, and Epidemiology were the most widely
viewed modules. Students reported positive impact on their vision of
SA-related clinical care, more positive attitudes about conducting research,
and in some cases, change in career.CONCLUSIONS: The SARET program's modules
and summer mentored research increased clinical and research interest
related to SUDs, as well as interprofessional attitudes among social work
students. Participants have shown some early research success. Longer-term
follow-up will enable us to continue to assess the effectiveness of the
program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
education
medical education
program development
program evaluation
EMTREE MEDICAL INDEX TERMS
curriculum
female
human
information processing
male
research
social work
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28328306 (http://www.ncbi.nlm.nih.gov/pubmed/28328306)
PUI
L621194843
DOI
10.1080/08897077.2017.1291465
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2017.1291465
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 100
TITLE
Safe and competent opioid prescribing education: Increasing dissemination
with a train-the-trainer program
AUTHOR NAMES
Zisblatt L.
Hayes S.M.
Lazure P.
Hardesty I.
White J.L.
Alford D.P.
AUTHOR ADDRESSES
(Zisblatt L.; Hardesty I.; White J.L.; Alford D.P.) a The Barry M. Manuel
Office of Continuing Medical Education , Boston University School of
Medicine , Boston , Massachusetts , USA
(Hayes S.M.; Lazure P.) b AXDEV Group , Brossard , Quebec , Canada
(Alford D.P.) c Section of General Internal Medicine , Boston Medical Center
, Boston , Massachusetts , USA
SOURCE
Substance abuse (2017) 38:2 (168-176). Date of Publication: 1 Apr 2017
ISSN
1547-0164 (electronic)
ABSTRACT
METHODS: SCOPE of Pain is a 3-hour ER/LA opioid REMS education. In addition
to expert-led live statewide meetings, a 2-hour train-the-trainer (TTT)
workshop was developed to increase dissemination nationally. The trainers
were expected to conduct SCOPE of Pain meetings at their institutions.
Participants of both the trainer-led and expert-led SCOPE of Pain programs
were surveyed immediately post and 2 months post meetings to assess
improvements in knowledge, confidence, attitudes, and self-reported safe
opioid prescribing practices.RESULTS: During 9 months (May 2013 to February
2014), 89 trainers were trained during 9 TTT workshops in 9 states. Over 24
months (May 2013 to April 2015), 33% of the trainers conducted at least 1
SCOPE of Pain training, with a total of 79 meetings that educated 1419
participants. The average number of meetings of those who conducted at least
1 meeting was 2.8 (range: 1-19). The participants of the trainer-led
programs were significantly more likely to be practicing in rural settings
than those who participated in the expert-led meetings (39% vs. 26%, P <
.001). At 2 months post training, there were no significant differences in
improvements in participant knowledge, confidence, attitudes, and
performance between expert-led and trainer-led meetings.CONCLUSIONS: The
SCOPE of Pain TTT program holds promise as an effective dissemination
strategy to increase guideline-based safe opioid prescribing knowledge,
confidence, attitudes, and self-reported practices.BACKGROUND: Due to the
high prevalence of prescription opioid misuse, the US Food and Drug
Administration (FDA) mandated a Risk Evaluation and Mitigation Strategy
(REMS) requiring manufacturers of extended-release/long-acting (ER/LA)
opioids to fund continuing education based on an FDA curricular Blueprint.
This paper describes the Safe and Competent Opioid Prescribing Education
(SCOPE of Pain) train-the-trainer program and its impact on (1)
disseminating the SCOPE of Pain curriculum and (2) knowledge, confidence,
attitudes, and performance of the participants of trainer-led compared with
expert-led meetings.
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical education
procedures
EMTREE MEDICAL INDEX TERMS
advanced practice nursing
education
human
pain (drug therapy)
physician
physician assistant
program evaluation
teacher training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28418816 (http://www.ncbi.nlm.nih.gov/pubmed/28418816)
PUI
L621174522
DOI
10.1080/08897077.2016.1275927
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2016.1275927
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 101
TITLE
Training internal medicine residents to manage chronic pain and prescription
opioid misuse
AUTHOR NAMES
Ruff A.L.
Alford D.P.
Butler R.
Isaacson J.H.
AUTHOR ADDRESSES
(Ruff A.L.) a University of Michigan Medical School , Ann Arbor , Michigan ,
USA
(Alford D.P.) b Boston University School of Medicine, Boston Medical Center
, Boston , Massachusetts , USA
(Butler R.; Isaacson J.H.) c Cleveland Clinic Foundation , Cleveland , Ohio
, USA
SOURCE
Substance abuse (2017) 38:2 (200-204). Date of Publication: 1 Apr 2017
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Residents feel unprepared to care for patients with chronic pain
on long-term opioids who exhibit signs of prescription opioid
misuse.OBJECTIVE: Describe an educational intervention for internal medicine
residents to improve confidence, practices, attitudes, and self-reported
knowledge of resources for chronic pain and opioid misuse.METHODS: The
intervention included 2 sessions. Session 1 (3 hours): a lecture on chronic
pain, prescription opioid misuse, and opioid use disorders and communication
skills practice. The residents were asked to use one of these skills during
the following week. Session 2 (1.5 hours): debriefing of patient encounters
and overview of: prescription opioid monitoring strategies, discontinuation
of prescription opioids when appropriate, and treatment for opioid use
disorders. Pre- and post-assessments evaluated change in residents' safe
opioid prescribing confidence, self-reported practices, attitudes, and
self-reported knowledge of available patient resources.RESULTS: Ninety-one
residents completed the intervention, with 44 and 43 completing the pre- and
post-assessments, respectively. Utilizing a 4-point Likert scale (1 =
strongly disagree, 2 = disagree, 3 = agree 4 = strongly agree), residents
reported improved confidence in skills managing patients with chronic pain
(3.0 vs. 2.4, P < .0001), skills identifying which patients with chronic
pain have developed an opioid use disorder (3.0 vs. 2.4, P < .0001), and
understanding how to monitor for benefit versus harm (3.0 vs. 2.5, P <
.0005). They also noted improved ability identifying resources for patients
with chronic pain and opioid use disorders. There was a nonsignificant
improvement in resident reported comfort talking to patients about the need
to discontinue opioids. Residents did not report an increase in use of safe
opioid prescribing monitoring strategies or feelings of support in their
prescribing decisions by preceptors.CONCLUSIONS: A brief training can
improve residents' self-reported knowledge and confidence in managing
patients with chronic pain and safe opioid prescribing practices. How this
change in confidence affects patient care requires further study.
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical education
EMTREE MEDICAL INDEX TERMS
chronic pain (drug therapy)
curriculum
human
prescription drug misuse (prevention)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28394733 (http://www.ncbi.nlm.nih.gov/pubmed/28394733)
PUI
L621194269
DOI
10.1080/08897077.2017.1296526
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2017.1296526
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 102
TITLE
Medical providers' knowledge and concerns about opioid overdose education
and take-home naloxone rescue kits within Veterans Affairs health care
medical treatment settings
AUTHOR NAMES
Winograd R.P.
Davis C.S.
Niculete M.
Oliva E.
Martielli R.P.
AUTHOR ADDRESSES
(Winograd R.P.; Martielli R.P.) a VA St. Louis Health Care System , St.
Louis , Missouri , USA
(Winograd R.P.) b Missouri Institute of Mental Health, University of
Missouri , St. Louis , Missouri , USA
(Davis C.S.) c Network for Public Health Law , Los Angeles , California ,
USA
(Niculete M.) e VA Connecticut Healthcare System , West Haven , Connecticut
, USA
(Niculete M.) f Department of Psychiatry , Yale School of Medicine , New
Haven , Connecticut , USA
(Oliva E.) d VA Palo Alto Health Care System , Menlo Park , California , USA
SOURCE
Substance abuse (2017) 38:2 (135-140). Date of Publication: 1 Apr 2017
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Overdose from opioids is a serious public health and clinical
concern. Veterans are at increased risk for opioid overdose compared with
the civilian population, suggesting the need for enhanced efforts to address
overdose prevention in Department of Veterans Affairs (VA) health care
settings, such as primary care clinics.METHODS: Prescribing providers (N =
45) completed surveys on baseline knowledge and concerns about the VA
Overdose Education and Naloxone Distribution (OEND) initiative prior to
attending an OEND educational training.RESULTS: Survey items were grouped
into 4 OEND-related categories, reflecting (1) lack of
knowledge/familiarity/comfort; (2) concerns about iatrogenic effects; (3)
concerns about impressions of unsafe opioid prescribing; and (4) concerns
about risks of naloxone prescribing. Although certain OEND-related
categories were associated with each other, concerns related to iatrogenic
effects of OEND (e.g., patients will use more opioids and/or be less likely
to see treatment) and lack of knowledge/familiarity/comfort with OEND were
endorsed more than concerns related to giving impressions of unsafe opioid
prescribing. The majority of providers endorsed the belief that those
prescribing opioids to patients should be responsible for providing overdose
education to those patients. System-wide naloxone prescription rates and
sources increased over 320% following initiation of OEND expansion efforts,
although these increases cannot be viewed as a direct result of the
in-service trainings.CONCLUSIONS: Findings demonstrate that some providers
believe they lack knowledge of opioid overdose prevention techniques and
hold concerns about OEND implementation. More training of medical providers
outside substance use treatment settings is needed, with particular
attention to concerns about harmful consequences resulting from the receipt
of naloxone.
EMTREE DRUG INDEX TERMS
naloxone (drug therapy)
narcotic analgesic agent (drug toxicity)
narcotic antagonist (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
psychology
EMTREE MEDICAL INDEX TERMS
drug overdose (prevention)
government
human
medical education
outpatient department
physician
United States
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28486076 (http://www.ncbi.nlm.nih.gov/pubmed/28486076)
PUI
L621174187
DOI
10.1080/08897077.2017.1303424
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2017.1303424
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 103
TITLE
Pre-medical student health coaching: A feasible and innovative primary care
team learning opportunity
AUTHOR NAMES
Shak E.B.
Abramowitz S.
Berry L.
AUTHOR ADDRESSES
(Abramowitz S.) Alameda County Medical Center, Oakland, United States.
(Berry L.) Alameda Health System, Oakland, United States.
(Shak E.B.) Highland Hospital, Oakland, United States.
(Shak E.B.) UCSF, San Francisco, United States.
CORRESPONDENCE ADDRESS
E.B. Shak, Highland Hospital, Oakland, United States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S698). Date
of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: The U.S. faces a critical shortage of primary care
physicians (PCPs) to treat a growing population with multiple chronic
conditions. Yet primary care residency programs, especially those serving
low-income patients, face recruitment difficulties. We describe a project
that places pre-medical students into primary care residency teams as
outpatient health coaches (HCs) in an effort to develop a new generation of
future PCPs with a positive experience in team-based primary care. This
educational model employs physician-HC teams to engage patients in
selfmanagement skills, improve student and resident perceptions of primary
care, and familiarize residents with utilizing health coaching during the
clinic visit. SETTING AND PARTICIPANTS: Our resident clinic is located in
Alameda Health System's Highland Hospital, an Oakland, California public
hospital serving a culturally diverse and predominantly low-income Medicaid
and county-insured population. Premedical student volunteers are recruited
from local colleges and trained in motivational interviewing and
self-management support. Students are then teamed with two to three primary
care medicine residents and/or one to two attending PCPs under the
supervision of a behavioral and addiction medicine psychiatrist. The HCs
were 77% minorities (Asian/Pacific Islander, African-American or
Latin-American), and they ranged in age from 21 to 46 (with a median age of
25). DESCRIPTION:We enhance the primary care team at the point of care
through the addition of health coaching. The HCs spend five hours weekly in
the clinic, where they: 1) observe the doctor-patient interview, 2) provide
on-site health coaching to patients, and 3) engage patients in telephone
follow-ups. On average, 250 patients were coached during each academic year.
EVALUATION: Anonymous surveys and feedback discussions were used to assess
the impact of this educationalmodel on 22 pre-med health coaches, their
resident partners, and attendings. Of respondents, 83% of the coaches who
entered with an interest in primary care remained interested in primary
care. Of those who did not initially indicate primary care as an interest,
55%indicated it as a practice interest after participation. HCs reported a
more realistic view of primary care medicine and felt that the experience
better defined their reasons for entering medicine. They felt it was
especially useful to learn from their underserved patients about the many
health behavior barriers they face. DISCUSSION/REFLECTION/LESSONS LEARNED:
With the goal of creating a pipeline into primary care careers, we have
found a model that may help to achieve this objective. Most students who
participated in this project were positively influenced towards primary care
and the underserved. In addition, residents valued partnering with HCs and
gained experience participating in a modern healthcare team. Future
directions include continued tracking of participants' career paths and
patients' health metrics to determine the impact of HCs on clinical
outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
learning
premedical student
EMTREE MEDICAL INDEX TERMS
adult
African American
behavioral addiction
California
career
clinical outcome
college
controlled study
doctor patient relation
educational model
health behavior
human
interview
lowest income group
major clinical study
medicaid
medicine
motivational interviewing
outpatient
Pacific Islander
perception
pipeline
psychiatrist
public hospital
resident
self care
skill
telephone
volunteer
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615581897
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 104
TITLE
Opioid overdose prevention training with naloxone, an adjunct to basic life
support training for first-year medical students
AUTHOR NAMES
Berland N.
Fox A.
Tofighi B.
Hanley K.
AUTHOR ADDRESSES
(Berland N.) a New York University School of Medicine , New York , New York
, USA
(Fox A.) b Department of Medicine , Division of General Internal Medicine ,
Albert Einstein College of Medicine , Bronx , New York , USA
(Tofighi B.) c Department of Population Health , New York University School
of Medicine , New York , New York , USA
(Hanley K.) d Department of Medicine , New York University School of
Medicine , New York , New York , USA
(Hanley K.) e Primary Care Residency Program, New York University School of
Medicine , New York , New York , USA
SOURCE
Substance abuse (2017) 38:2 (123-128). Date of Publication: 1 Apr 2017
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Opioid overdose deaths have reached epidemic proportions in the
United States. This problem stems from both licit and illicit opioid use.
Prescribing opioids, recognizing risky use, and initiating prevention,
including opioid overdose prevention training (OOPT), are key roles
physicians play. The American Heart Association (AHA) modified their basic
life support (BLS) algorithms to consider naloxone in high-risk populations
and when a pulse is appreciated; however, the AHA did not provide OOPT. The
authors' intervention filled this training deficiency by teaching medical
students opioid overdose resuscitation with a Train-the-Trainer model as
part of mandatory BLS training.METHODS: The authors introduced OOPT,
following a Train-the-Trainer model, into the required basic life support
(BLS) training for first-year medical students at a single medical school in
a large urban area. The authors administered pre- and post-evaluations to
assess the effects of the training on opioid overdose knowledge,
self-reported preparedness to respond to opioid overdoses, and attitudes
towards patients with substance use disorders (SUDs).RESULTS: In the fall
2014, 120 first-year medical students received OOPT. Seventy-three students
completed both pre- and posttraining evaluations. Improvements in knowledge
about and preparedness to respond to opioid overdoses were statistically
significant (P < .01) and large (Cohen's D = 2.70 and Cohen's D = 2.10,
respectively). There was no statistically significant change in attitudes
toward patients with SUDs.CONCLUSIONS: The authors demonstrated the
effectiveness of OOPT as an adjunct to BLS in increasing knowledge about and
preparedness to respond to opioid overdoses; improving attitudes toward
patients with SUDs likely requires additional intervention. The authors will
characterize knowledge and preparedness durability, program sustainability,
and long-term changes in attitudes in future evaluations. These results
support dissemination of OOPT as a part of BLS training for all medical
students, and potentially all BLS providers.
EMTREE DRUG INDEX TERMS
naloxone (drug therapy)
narcotic analgesic agent (drug toxicity)
narcotic antagonist (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical education
psychology
EMTREE MEDICAL INDEX TERMS
drug overdose (prevention)
female
human
male
medical student
program evaluation
statistics and numerical data
young adult
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28027016 (http://www.ncbi.nlm.nih.gov/pubmed/28027016)
PUI
L621193240
DOI
10.1080/08897077.2016.1275925
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2016.1275925
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 105
TITLE
Interprofessional health coaching at a safety-net hospital: A program to
foster team-based care among learners
AUTHOR NAMES
Yao J.
Sriram S.
Lau A.
Lenhoff T.
Pan J.-Y.
Bellefeuille P.
Sanyal-Dey P.
Han K.B.
Nguyen R.
AUTHOR ADDRESSES
(Sanyal-Dey P.; Han K.B.; Nguyen R.) UCSF/SFGH, South San Francisco, United
States.
(Yao J.) University of California San Francisco, San Francisco, United
States.
(Sriram S.; Lau A.; Lenhoff T.; Bellefeuille P.) University of California,
San Francisco, United States.
(Pan J.-Y.) Albert Einstein, New York, United States.
CORRESPONDENCE ADDRESS
J. Yao, University of California San Francisco, San Francisco, United
States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S687-S688).
Date of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: The Society of Hospital Medicine has designed core
competencies for bothmedical students and residents. One of these
competencies includes systems-based practices, which involve
interprofessional teamwork. Given the complexity of managing chronic
diseases, which are increasing in prevalence as the general population ages,
there has been a renewed interest in multidisciplinary management of
patients via patient-centered health coaching. Medical students, however,
have minimal exposure to interprofessional environments until clinical
rotations. Programs that incorporate communication skills from health
coaching models in multidisciplinary teams can promote health professional
students' knowledge and attitudes around interprofessionalism. To address
the lack of early, clinicallybased, interprofessional educational
opportunities along with a need for patient-centered care in the hospital,
we have established an inpatient, interprofessional health coaching program
for health professional students called Word on the Wards (WOW). SETTING AND
PARTICIPANTS: First and second year students from the Schools of Medicine,
Pharmacy, Nursing and Physical Therapy enrolled in an interprofessional
health coaching program at an urban safety net hospital for elective
credits. Faculty members representing each discipline trained students to
deliver health coaching regarding hypertension, diabetes, substance use, and
HIV care. DESCRIPTION: Learners worked in interprofessional pairs to provide
health coaching to hospitalized patients. Each session ended with learners
reporting back to inpatient teams and primary care providers, sharing
relevant information uncovered and questions raised during the visit. In
addition, preceptors spanning the four health professions met with learners
during each session to facilitate learning, reflect on their experience, and
emphasize the different viewpoints that various providers can bring to a
patient's care. EVALUATION: Since October 2014, Word on theWards has
provided health coaching to over 200 inpatient encounters via 111 student
health coaches. Feedback from learners has been overwhelmingly positive.
Learners have expressed appreciation for and increased understanding of the
knowledge base and training of other health professionals. Learners have
found preceptor sessions to be particularly worthwhile in better
understanding the perspectives of various providers to a patient's care.
DISCUSSION/REFLECTION/LESSONS LEARNED: Based on positive student responses,
we have continued to expand the program's capacity and offerings. Overall,
experiential learning via an inpatient health coaching program can serve as
a novel and effective model for interprofessional education. Inpatient
health coaching can provide valuable learning in the areas of health
coaching skills and engaging underserved patient populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
safety net hospital
EMTREE MEDICAL INDEX TERMS
communication skill
diabetes mellitus
doctor patient relation
education
experiential learning
exposure
health practitioner
human
Human immunodeficiency virus
hypertension
knowledge base
major clinical study
medical student
medicine
model
nonhuman
occupation
patient care
physiotherapy
primary medical care
rotation
substance use
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615581157
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 106
TITLE
Undergraduate-level health coaches as volunteers to assist with office-based
opioid treatment with buprenorphine
AUTHOR NAMES
Gonzalez K.F.
Meyers S.
Portelli-Gupta J.
Valentine A.
Brick D.
Matthews M.
Suzuki J.
AUTHOR ADDRESSES
(Gonzalez K.F.) Columbia University, Harvard Extension School, United
States.
(Meyers S.) Cornell University, Harvard Extension School, United States.
(Portelli-Gupta J.) Northeastern University, Brandeis University, United
States.
(Valentine A.) Boston University, United States.
(Brick D.) Harvard Medical School Center for Primary Care, United States.
(Matthews M.) MCPHS, United States.
(Suzuki J.) Brigham and Women's Hospital, HMS, United States.
CORRESPONDENCE ADDRESS
K.F. Gonzalez, Columbia University, Harvard Extension School, United States.
SOURCE
American Journal on Addictions (2017) 26:3 (285-286). Date of Publication: 1
Apr 2017
CONFERENCE NAME
27th Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2017
CONFERENCE LOCATION
Bonita Springs, FL, United States
CONFERENCE DATE
2016-12-08 to 2016-12-11
ISSN
1055-0496
BOOK PUBLISHER
Wiley Blackwell
ABSTRACT
Background: The current opioid-related overdose epidemic has resulted in
public health officials calling for an increase in access to medication
assisted treatment (MAT) such as buprenorphine. However, access remains
limited due to a variety of barriers, notably in the physicians' perceived
lack of time, training, and clinical support. In order to increase access to
buprenorphine treatment, novel approaches that address these barriers are
needed. One model of care that holds promise is to use undergraduate-level
health coaches who are pursuing careers in health care (medicine,
psychology, nursing, social work, etc), many of whom are seeking meaningful
volunteer experiences prior to applying to graduate programs. Methods: We
report on the overall approach of the health coaching program, including
recruitment, training, and supervision of health coaches, the clinical and
administrative roles, the coach manual, and the use of assessment measures
and software to facilitate clinical decision making. In addition, we report
on the results of surveys conducted with primary care physicians and
clinical and process outcomes of patients enrolled in the program. Results:
Since its implementation in 2011, the buprenorphine program at Brigham and
Women's Hospital Jen Center for Primary Care has had a total of 15 health
coaches, involved with caring for over 50 patients. The coaches are
recruited from local universities and pre-med/health offices, and must
commit to 15 hours a week of volunteer work for at least 1 year duration.
Coaches are trained about addiction treatment, buprenorphine pharmacology,
community resources, motivational interviewing, and urine toxicology
interpretation. All coaches meet weekly with the supervising psychiatrist
and pharmacist for team meetings to discuss patients. Coaches call patients
regularly to check-in and remind about upcoming appointments, obtain outcome
measures, track prescriptions, complete prior authorizations, and are
delegated to check the state prescription monitoring program. Coaches will
accompany patients to their PCP appointments as well as during their medical
hospitalizations. The coaches receive supervision by the psychiatrist,
pharmacist, and a more senior coach. Both patients and physicians have found
the assistance from health coaches as being helpful. Coaches themselves have
reported of the rewards of participating in the program. Conclusions: A
collaborative care program that incorporates highly motivated, trained
undergraduate-level volunteers provides one avenue for easing the clinical
and administrative burden on physicians. Given that pre-med/health students
desire meaningful clinical experiences prior to graduate/ medical school,
this program can potentially increase access to buprenorphine treatment,
while also providing students a valuable experience treating opioid use
disorders. Summary: A collaborative care program that relies on highly
motivated, trained undergraduate-level students may provide one avenue to
reduce the administrative burden of office-based opioid treatment, possibly
increasing access to MAT with buprenorphine. This model provides a wide
variety of benefits: barriers such as physicians' perceived lack of time and
clinical support are diminished, the quality and continuity of care that
patients receive is increased, and future health care workers become
familiar with treating opioid use disorder earlier in their career via
meaningful clinical experiences as undergraduate level students.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
volunteer
EMTREE MEDICAL INDEX TERMS
addiction
career
clinical article
clinical decision making
clinical trial
doctor patient relation
drug therapy
female
general practitioner
health student
hospitalization
human
human tissue
medical school
medicine
model
monitoring
motivational interviewing
patient care
pharmacist
prescription
psychiatrist
reward
social work
software
toxicology
urine
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615221034
DOI
10.1111/ajad.12545
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12545
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 107
TITLE
Combining twelve step and medication-assisted treatment in residential
rehabilitation programs: A national priority, new data from NSSATS
AUTHOR NAMES
Galanter M.
AUTHOR ADDRESSES
(Galanter M.)
CORRESPONDENCE ADDRESS
M. Galanter,
SOURCE
American Journal on Addictions (2017) 26:3 (235-236). Date of Publication: 1
Apr 2017
CONFERENCE NAME
27th Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2017
CONFERENCE LOCATION
Bonita Springs, FL, United States
CONFERENCE DATE
2016-12-08 to 2016-12-11
ISSN
1055-0496
BOOK PUBLISHER
Wiley Blackwell
ABSTRACT
Throughout the US, the treatment of substance use disorders takes place in a
vast array of facilities, from medical-based treatment to rehabilitation
facilities. The country counts more than 14,000 addiction facilities,
including rehabilitation or residential programs unaffiliated with a
hospital. The ASAM criteria have helped physicians determine the level of
care required by patients, directing them either to medically or clinically
managed care. The majority of substance use disorder programs are
freestanding, and not attached to a hospital or community mental health
centre. Current data indicates a myriad of barriers in providing
medication-assisted treatment (MAT) to patients suffering from substance use
disorders. The lack of certified prescribers is chief among these barriers
followed by the lack of funding for MAT programs. Within the rehabilitation
programs the majority offer a Twelve Step facilitation model and only a
fraction may offer MAT (3% affiliated to a methadone clinic and 25% may
offer buprenorphine treatment). Certain substances, such as cocaine and
marijuana, do not have any FDA-approved medication. Twelve-Step based
programs are well known with more than 2 million members in the US and
across the globe. Project Match studied the impact of twelve-step based
programs versus other treatment modalities (i.e. CBT and Motivational
Enhancement): superior results were found with Twelve-step programs compared
to the other modalities. Cost effectiveness was another benefit derived from
Twelve-Step. Evidence-based medicine and spiritual recovery movements may
collide in their philosophy differences. The Twelve Step approach being
“folk-based” and members being often reluctant to use medications are
challenges presented by this treatment option. Addiction physicians appear
to use the Twelve Step approach sparingly due to their unfamiliarity with
the facilitation process and the related research data. Physicians are often
unaware of the available AA groups for their patients and lack the
experience of participating in a meeting. Going forward, research on how to
reconcile the Twelve Step approach and empirical medicine is indicated,
including the integration of medication use and participation in Twelve Step
programs. Addiction medicine training would also gain understanding and
proficiency by incorporating teaching on the Twelve Step approach. Ensuring
proper MAT funding should remain a priority to provide state-of-the-art
treatment for patients.
EMTREE DRUG INDEX TERMS
buprenorphine
cannabis
cocaine
EMTREE MEDICAL INDEX TERMS
art therapy
community mental health
cost effectiveness analysis
drug dependence
funding
human
major clinical study
managed care
medicine
philosophy
physician
rehabilitation
teaching
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615220909
DOI
10.1111/ajad.12545
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12545
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 108
TITLE
The Prescription Opioid Addiction Treatment Study: What have we learned
AUTHOR NAMES
Weiss R.D.
Rao V.
AUTHOR ADDRESSES
(Weiss R.D., rweiss@mclean.harvard.edu) Division of Alcohol and Drug Abuse,
McLean Hospital, 115 Mill Street, Belmont, United States.
(Weiss R.D., rweiss@mclean.harvard.edu; Rao V., vinod.rao@mgh.harvard.edu)
Department of Psychiatry, Harvard Medical School, 25 Shattuck Street,
Boston, United States.
(Rao V., vinod.rao@mgh.harvard.edu) Partners HealthCare Addiction Psychiatry
Fellowship, Massachusetts General Hospital, 55 Fruit Street, Boston, United
States.
CORRESPONDENCE ADDRESS
R.D. Weiss, Division of Alcohol and Drug Abuse, McLean Hospital, 115 Mill
Street, Belmont, United States. Email: rweiss@mclean.harvard.edu
SOURCE
Drug and Alcohol Dependence (2017) 173 Supplement 1 (S48-S54). Date of
Publication: 1 Apr 2017
Prescription Opioids: new perspectives and research on their role in chronic
pain management and addiction, Book Series Title:
ISSN
1879-0046 (electronic)
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Background The multi-site Prescription Opioid Addiction Treatment Study
(POATS), conducted by the National Drug Abuse Treatment Clinical Trials
Network, was the largest clinical trial yet conducted with patients
dependent upon prescription opioids (N = 653). In addition to main trial
results, the study yielded numerous secondary analyses, and included a
3.5-year follow-up study, the first of its kind with this population. This
paper reviews key findings from POATS and its follow-up study. Methods The
paper summarizes the POATS design, main outcomes, predictors of outcome,
subgroup analyses, the predictive power of early treatment response, and the
long-term follow-up study. Results POATS examined combinations of
buprenorphine-naloxone of varying duration and counseling of varying
intensity. The primary outcome analysis showed no overall benefit to adding
drug counseling to buprenorphine-naloxone and weekly medical management.
Only 7% of patients achieved a successful outcome (abstinence or
near-abstinence from opioids) during a 4-week taper and 8-week follow-up; by
comparison, 49% of patients achieved success while subsequently stabilized
on buprenorphine-naloxone. Long-term follow-up results were more
encouraging, with higher abstinence rates than in the main trial. Patients
receiving opioid agonist treatment at the time of follow-up were more likely
to have better outcomes, though a sizeable number of patients succeeded
without agonist treatment. Some patients initiated risky use patterns,
including heroin use and drug injection. A limitation of the long-term
follow-up study was the low follow-up rate. Conclusions POATS was the first
large-scale study of the treatment of prescription opioid dependence; its
findings can influence both treatment guidelines and future studies.
EMTREE DRUG INDEX TERMS
buprenorphine plus naloxone
diamorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction
practice guideline
prescription
EMTREE MEDICAL INDEX TERMS
chronic pain
follow up
help seeking behavior
human
pain severity
patient counseling
population research
predictive value
priority journal
relapse
review
treatment duration
treatment outcome
treatment response
CAS REGISTRY NUMBERS
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170798871
MEDLINE PMID
28363320 (http://www.ncbi.nlm.nih.gov/pubmed/28363320)
PUI
L619225134
DOI
10.1016/j.drugalcdep.2016.12.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2016.12.001
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 109
TITLE
Substance abuse and implicit bias-incubating fatal infections
AUTHOR NAMES
Akkineni S.
Patel H.
George R.
AUTHOR ADDRESSES
(Akkineni S.; Patel H.; George R.) University of Miami, Ft Lauderdale,
United States.
CORRESPONDENCE ADDRESS
S. Akkineni, University of Miami, Ft Lauderdale, United States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S604). Date
of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
LEARNING OBJECTIVE #1: Recognize implicit bias as an entity in the practice
of medicine LEARNING OBJECTIVE #2: Identifying a complex presentation of
substance abuse CASE: A 32-year-old man with known history of IV drug abuse
presented to the ER delirious, complaining of “pain all over” and seeking
“dilaudid”. He endorsed chills and “pain starting at the head and going down
legs like lightning”. He appeared agitated and anxious. Physical Exam was
significant for tachycardia. Labs showed 11,400 WBCs, urine toxicology
positive for opioids and cocaine. He was admitted to the observation unit
with presumed diagnosis of substance abuse and opioid withdrawal. Pain
management was consulted to assist with managing opioid withdrawal with
buprenorphine and naloxone. On hospital day 2, he was febrile. Blood
cultures obtained at the time were positive for MRSA. Infective endocarditis
was suspected. Subsequently, trans-esophageal echo confirmed tricuspid
vegetation. Throughout hospitalization, he continued to complain of “pain
all over”. On hospital day 3, he reported bilateral lower extremity
weakness. An urgent whole spine MRI showed C5-C6 discitis with osteomyelitis
and epidural abscess associated with cord compression. This was surgically
drained and anterior cervical instrumentation was placed for stabilization.
Hospital course was also complicated by sudden onset lower GI bleed.
Colonoscopy revealed an arterial bleed in a segment of ischemic colitis.
This was attributed to septic emboli and managed with endoscopic clipping.
Our patient completed a prolonged course of IV antibiotics and eventually
made a full recovery. IMPACT: This case allowed us to identify a situation
where implicit bias could hinder health care delivery to a vulnerable
population. Literature review did not yield sufficient research directed
towards physician implicit bias towards IV drug abusers and its impact on
outcomes when diagnosed with fatal infections. DISCUSSION: Explicit bias is
a reflection of a physician's attitudes toward management of disease
recognized on a conscious level. On the contrary, implicit bias refers to
the subtle cognitive processing and subconscious stereotypes which affect
understanding, actions and decisions on patient management. It is important
to understand situations under which implicit bias influences patient
management which in turn affects outcomes. An IV drug user complaining of
vague pain and seeking opioids by name in the absence of objective clinical
findings can trigger implicit bias in physicians. As in the case of this
patient, our implicit bias was that he was presenting himself to the ER for
secondary gain - seeking more opioids. Effort should be made to obtain
unbiased review of systems and thorough physical examination with a low
threshold for further evaluation. Infectious complications from intravenous
drug use vary from local soft tissue infections to bacteremia, including
septic embolization to distant sites. These complications are fatal if they
are not recognized early and treated appropriately.
EMTREE DRUG INDEX TERMS
buprenorphine plus naloxone
cocaine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
epidural abscess
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
analgesia
artery
artificial embolization
bacteremia
bacterial endocarditis
blood culture
chill
clinical article
colonoscopy
compression
delirium
diagnosis
diskitis
drug abuse
drug therapy
female
gastrointestinal hemorrhage
head
health care delivery
hospitalization
human
human tissue
infectious complication
ischemic colitis
learning
leg
male
medicine
nuclear magnetic resonance imaging
observation unit
osteomyelitis
patient care
physical examination
physician
soft tissue infection
spine
stereotypy
surgery
tachycardia
toxicology
tricuspid valve
urine
vegetation
vulnerable population
weakness
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615581447
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 110
TITLE
The implementation of a naloxone rescue program in university students
AUTHOR NAMES
Panther S.G.
Bray B.S.
White J.R.
AUTHOR ADDRESSES
(Panther S.G., shannon.panther@wsu.edu; Bray B.S.; White J.R.)
CORRESPONDENCE ADDRESS
S.G. Panther, 412 E Spokane Falls Blvd, Spokane, United States. Email:
shannon.panther@wsu.edu
SOURCE
Journal of the American Pharmacists Association (2017) 57:2 (S107-S112.e2).
Date of Publication: 1 Apr 2017
ISSN
1544-3450 (electronic)
1544-3191
BOOK PUBLISHER
Elsevier B.V., InfoCenter@aphanet.org
ABSTRACT
Objective Responding to the nationwide opioid overdose epidemic, Washington
State University initiated a naloxone safety net project intending to
increase awareness of opioid overdose, increase the availability of
naloxone, and examine university students’ perceptions regarding the
usefulness of a novel, large-group audience-training model. Setting A
Washington State University campus. Practice description In September 2014,
university students were recruited to attended a large-group audience
training event which included opioid overdose prevention, recognition, and
first response. All trained participants received an intranasal naloxone
reversal kit. Practice innovation Student pharmacists, who previously
received naloxone rescue training and overdose education from the pharmacist
lead researcher, acted as trainers. The training consisted of a large-group
audience delivery with small-group practice sessions facilitated by the
student pharmacists. Evaluation Participants who attended the recruitment
event completed a pre-training survey to assess knowledge and perceptions
about opioid use disorder and overdose. The following week, participants
attended the training event. Participants were asked to complete a
post-training survey to evaluate the usefulness of the program. Results
Forty-three percent of the participants (65/150) who attended the
recruitment event reported knowing someone who used prescription opioids to
get “high.” Seventy-four participants attended the training, and 92% of them
(68/74) completed the post-training survey. The majority of respondents
agreed that the training program met their expectations and the skills they
learned could be used to intervene in an overdose situation. Conclusions
Before training, survey responses from recruited participates indicated the
need to discuss opioid use disorder among university students is important.
Use of a training model involving large-group audiences followed by
small-group practice sessions offers an acceptable educational solution
regarding opioid overdose and prevention. Our experience suggests using this
training model to educate university students to recognize and provide first
response is a feasible and acceptable approach.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug intoxication
medical education
opiate addiction
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
expectation
female
health education
human
male
pharmacist
pharmacy student
prescription
skill
university student
Washington
young adult
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170813020
MEDLINE PMID
28063773 (http://www.ncbi.nlm.nih.gov/pubmed/28063773)
PUI
L619271333
DOI
10.1016/j.japh.2016.11.002
FULL TEXT LINK
http://dx.doi.org/10.1016/j.japh.2016.11.002
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 111
TITLE
Sociocultural factors impacting access to MAT and care delivery, new
qualitative data from buprenorphine prescribers in OTPs
AUTHOR NAMES
Hansen H.
AUTHOR ADDRESSES
(Hansen H.)
CORRESPONDENCE ADDRESS
H. Hansen,
SOURCE
American Journal on Addictions (2017) 26:3 (236). Date of Publication: 1 Apr
2017
CONFERENCE NAME
27th Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2017
CONFERENCE LOCATION
Bonita Springs, FL, United States
CONFERENCE DATE
2016-12-08 to 2016-12-11
ISSN
1055-0496
BOOK PUBLISHER
Wiley Blackwell
ABSTRACT
The understanding of the brain has changed throughout medical history and
President George H. W. Bush designated the 1990s as “The Decade of the
Brain”. This initiative aimed at enhancing the general public's knowledge
about the benefits of research in this particular area. During that same
decade, Oxycontin was aggressively marketed, surpassing other prescription
opioids. The rise in opioid-related overdose death was substantial and its
impact on public health was becoming more visible. After President Richard
Nixon declared “War on Drugs” in 1971, the number of incarcerated Americans
increased exponentially after 1980. There has been a significant discrepancy
in arrest for selling or possessing illegal prescription opioids compared to
heroin. The available data on patients receiving either buprenorphine or
methadone indicates a clear sociocultural difference in the provision of
such medication. Patients receiving buprenorphine are more likely to be
Caucasian and college educated. Treatment with buprenorphine has been widely
advocated and this medication has been prescribed more extensively in the
private sector, though it is more expensive than methadone. Not all states
in the US have a functional prescription monitoring program. The profile of
heroin users has changed tremendously, affecting people of all economic and
educational backgrounds. In a study looking into the stigma and psychosocial
needs of outpatient buprenorphine patients, it appeared that Caucasian
opioid users with higher levels of education more often hide their
addiction. A number of pharmacists in the community present their own
prejudice against patients treated with buprenorphine. They expect patients
to be tapered off this medication and will refuse early refills. Several
disincentives for buprenorphine prescription have been observed in the US.
With the Prescription Drug Monitoring Programs, there is an ongoing fear of
sanctions, hence reduced treatment of opioid dependent patients. The
insurance application is renowned for being time consuming, and physicians
face the burden of heavy caseloads as well as extensive training
requirements. The structure of buprenorphine treatment also is limited by
Federal and State law. Marketing strategies and perceptions of the targeted
clientele influences the access to buprenorphine treatment, creating
disparities in the racial, ethnic and socioeconomic backgrounds of such
clientele. To facilitate the stability of such patients and reduce stigma,
several changes are recommended. Increasing accessibility to Medication
Assisted Treatment will require structural interventions as well as further
resources and support.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
EMTREE DRUG INDEX TERMS
diamorphine
methadone
opiate
oxycodone
prescription drug
EMTREE MEDICAL INDEX TERMS
American
brain
Caucasian
clinical study
clinical trial
death
drug overdose
drug therapy
education
fear
heroin dependence
human
insurance
marketing
medical history
monitoring
outpatient
perception
pharmacist
physician
prejudice
prescription
private sector
public health
stigma
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615220913
DOI
10.1111/ajad.12545
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12545
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 112
TITLE
Community health specialist training for librarians: Improving knowledge and
confidence in addressing the social determinants of health
AUTHOR NAMES
Morgan A.U.
D'Alonzo B.A.
Dupuis R.
Reisley A.
Klusaritz H.
Cannuscio C.C.
AUTHOR ADDRESSES
(Klusaritz H.; Cannuscio C.C.) Perelman School of Medicine, U. of
Pennsylvania, Philadelphia, United States.
(Morgan A.U.; D'Alonzo B.A.; Dupuis R.; Reisley A.) University of
Pennsylvania, Philadelphia, United States.
CORRESPONDENCE ADDRESS
A.U. Morgan, University of Pennsylvania, Philadelphia, United States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S143). Date
of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: Hosting over 1.5 billion in-person visits annually, and often
serving as a lifeline for the highly vulnerable, public libraries can be
partners in population health. Public library staff, however, report feeling
ill-equipped to address the health and social challenges facing many of
their patrons. The aim of this study was to train public library staff in
pertinent health-related topics and evaluate their comfort, confidence, and
preparedness in assisting vulnerable patrons. METHODS: Our interdisciplinary
team of individuals with medical, social work, and public health backgrounds
conducted a needs assessment of library staff and local residents in
Philadelphia to determine the most pressing challenges facing the community.
We then developed a 12-hour, case-based training curriculum for library
staff. Topics addressed in the training-homelessness, mental illness and
substance use, immigration, and trauma-were selected based on findings from
the needs assessment. Each case was designed to help staff “recognize”
high-risk patrons, “engage” them in conversation, and “refer” them to
appropriate community-based services. Participants were surveyed before and
after each session and asked to rate on a scale of 1-10 how “comfortable,”
“confident,” and “prepared” they felt when presented with each case.
Responses (before and after) were compared using a paired t-test.
Participants were also interviewed 4months post-training about their daily
work, how they had used the training, and for additional feedback.
Interviews were transcribed and analyzed for key themes using an iterative
process. RESULTS: 11 individuals participated in the training (81% female,
age 26- 65, 45% African-American, 45% white, 9% Asian). Staff included
managers, adult and children's librarians, library assistants, and security
guard. Participants reported a significant improvement in comfort,
confidence, and preparedness in almost all cases. Nine (81%) of the library
staff completed semi-structured interviews. Overall, participants were
positive, stating that the curriculum boosted their confidence about their
current work. They also reported feeling more capable of assisting
vulnerable patrons. However, several had not yet used many of the resources
presented because they had not encountered patrons whom they identified as
needing extra assistance. CONCLUSIONS: A 12-hour case-based training
curriculum to teach public library staff to “recognize, engage and refer”
patrons to appropriate resources significantly increased the preparedness,
comfort, and confidence of staff in assisting vulnerable patrons with health
and social needs, thereby increasing the capacity for public libraries to
serve as partners in improving population health. Future training programs
should strive to provide resources in a more accessible format, continue to
assist staff in defining their role as public health partners, and assess
the impact such training programs have on vulnerable patrons.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
librarian
public health
social determinants of health
EMTREE MEDICAL INDEX TERMS
adult
African American
child
clinical article
comfort
conversation
curriculum
DNA transcription
female
homelessness
human
immigration
injury
library
male
manager
mental disease
needs assessment
Pennsylvania
resident
semi structured interview
social needs
social work
staff
Student t test
substance use
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615582027
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 113
TITLE
Misuse of Opioids in Orthopaedic Postoperative Patients
AUTHOR NAMES
Gangavalli A.
Malige A.
Terres G.
Rehman S.
Nwachuku C.
AUTHOR ADDRESSES
(Gangavalli A., Anup.gangavalli@gmail.com; Nwachuku C.) Department of
Orthopaedic Surgery, St. Luke's University Health Network, 801 Ostrum St,
Bethlehem, United States.
(Malige A.) Temple-St. Luke's University School of Medicine, Bethlehem,
United States.
(Terres G.) Temple University School of Medicine, Philadelphia, United
States.
(Rehman S.) Department of Orthopaedic Surgery, Temple University Hospital,
Philadelphia, United States.
CORRESPONDENCE ADDRESS
A. Gangavalli, Department of Orthopaedic Surgery, St. Luke's University
Health Network, 801 Ostrum St, Bethlehem, United States. Email:
Anup.gangavalli@gmail.com
SOURCE
Journal of Orthopaedic Trauma (2017) 31:4 (e103-e109). Date of Publication:
1 Apr 2017
ISSN
1531-2291 (electronic)
0890-5339
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Objective: In light of the recent uptrend in the prescription of opioids,
this study seeks to identify patterns of opioid misuse among orthopaedic
postoperative patients and principal external sources in obtaining these
medications. Design: Ten-month survey-based study. Setting: Two Level I
trauma centers (urban and suburban). Patients/Participants: Two hundred
seven patients between the ages of 18 and 89 years who underwent surgical
fixation of fractures involving the pelvis, long bones, or periarticular
regions of the knee, ankle, elbow, and wrist. Main Outcome Measurements:
Patients who believed they were undermedicated, used prescribed opioids at
higher than recommended doses, and took extra opioids in addition to their
prescribed analgesics were analyzed by age, employment, income, education,
controlled substance use, pain interference with activities of daily living,
and anatomic surgical site. Results: One hundred eighty-Two patients
completed the survey; 19.2% of patients (n = 35) felt undermedicated
[unemployed (P < 0.05), low income (P < 0.05), and self-reported controlled
substance users (P < 0.05)]; 12.6% of patients (n = 23) admitted to using
pain medications at a higher dose than prescribed [unemployed (P < 0.05),
lower income (P < 0.05), nonhigh school graduates (P < 0.05), and previous
controlled substance users (P < 0.05)]; 9.3% (n = 17) admitted to using
external opioids [unemployed patients (P < 0.05) and self-reported
controlled substance users (P < 0.05)]. Major sources of extraneous opioids
include family/friends (n = 5) and other doctors (n = 4). Conclusion:
Unemployed and lower-income patients were significantly more likely to
believe that their surgeon was not prescribing them enough pain medications
as well as use their prescribed opioid medications at a higher than
recommended dose compared with their employed counterparts with higher
incomes. Unemployed patients were also significantly more likely to use
additional opioid analgesics in addition to those prescribed to them by
their primary surgeon. Surgeon awareness of a patient's socioeconomic
background and associated risk of opioid misuse is crucial to prescribe the
safest most effective pain regimen. Level of Evidence: Prognostic Level IV.
See Instructions for Authors for a complete description of levels of
evidence.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
opiate (drug therapy)
EMTREE DRUG INDEX TERMS
controlled substance
prescription drug (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse
opiate addiction
orthopedic surgery
postoperative analgesia
postoperative pain (drug therapy, complication, drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
age
aged
conference paper
confounding variable
daily life activity
educational status
emergency health service
employment status
family
female
follow up
friend
graduate
human
lowest income group
major clinical study
male
physician
postoperative period
prescription
prevalence
priority journal
recommended drug dose
self report
suburban area
surgical anatomy
surgical patient
unemployment
urban area
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Orthopedic Surgery (33)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160790252
MEDLINE PMID
28323765 (http://www.ncbi.nlm.nih.gov/pubmed/28323765)
PUI
L612999487
DOI
10.1097/BOT.0000000000000741
FULL TEXT LINK
http://dx.doi.org/10.1097/BOT.0000000000000741
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 114
TITLE
The complicated millennial
AUTHOR NAMES
Knutsen D.
Blecker U.
Anderson M.
AUTHOR ADDRESSES
(Knutsen D.; Blecker U.; Anderson M.) Tulane University, New Orleans, United
States.
CORRESPONDENCE ADDRESS
D. Knutsen, Tulane University, New Orleans, United States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S613-S614).
Date of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
LEARNING OBJECTIVE #1: Gain familiarity with HIV screening guidelines for
young adults LEARNING OBJECTIVE #2: Understand the treatment recommendations
for Salmonellosis in immunocompromised patients CASE: An 18 year-old
gentleman was transferred from an outside facility for management of an
acute kidney injury with a creatinine of 6, following several days of
vomiting and abdominal pain. He had no known medical problems. He had been
recently treated for a prolonged psychotic episode secondary to synthetic
marijuana use. He was prescribed daily haloperidol, valproic acid, and
benztropine. With new fevers and an elevated creatine kinase, NMS was
considered but patient had been non-adherent with his medications. His drug
screen was negative and he denied current use of synthetic marijuana or bath
salts. As his creatinine improved, his lipase and transaminases began to
increase, without an increase in abdominal pain or tenderness. The abdominal
ultrasound was unremarkable. Gastroenterology was concerned with a possible
obstruction as the lipase remained >3000; an MRCP was negative. A screening
HIVantibody test was performed during admission and was positive, which was
then confirmed with secondary testing. He had a high viral load at time of
diagnosis with a low CD4+ cell count (13). Further history was obtained
confirmed unprotected sexual intercourse with 5 heterosexual partners in his
lifetime. A day later, the outside facility called to report that the
patient's blood cultures grew Gram negative rods. The cultures speciated to
a nontyphoidal Salmonella, serotype hadar. He was treated with ciprofloxacin
for 4 weeks and instructed to follow-up with an Infectious Disease provider
in his hometown. IMPACT: General internists may be the primary evaluators of
young adults. Given the variability in presentation from acute to chronic
HIV infection, HIV should be included in the differential of any atypical or
confusing disease presentation. DISCUSSION: Adolescents represented one out
of every five new HIV diagnoses in 2014 in the United States, with many more
unaware of their HIV-positive status. This age group presents specific
challenges for HIV prevention with low rates of testing, insufficient sex
education, limited condom use, and increased substance use. The USPSTF, CDC,
and AAP recommend routine HIV screening in adolescents. These screening
tests are especially important in certain states such as Louisiana with one
of the highest rates of HIV diagnoses in the country. Salmonellosis is known
to cause severe GI infections in immunocompromised patients, as it had in
this patient. These patients with dysfunctional immune systems aremore prone
to the endovascular dissemination of Salmonella, resulting in far more
serious complications. An extended course of antibiotics, ideally a
fluoroquinolone, for 4-6 weeks in patients with HIV/AIDS is recommended to
promote clearance of the organism.
EMTREE DRUG INDEX TERMS
aminotransferase
antibiotic agent
benzatropine
CD4 antigen
ciprofloxacin
creatine kinase
endogenous compound
haloperidol
triacylglycerol lipase
valproic acid
EMTREE MEDICAL INDEX TERMS
abdominal pain
acute kidney failure
adolescent
adult
blood culture
cannabis use
cell count
clearance
clinical article
communicable disease
condom use
consensus development
diagnosis
drug therapy
fever
follow up
gastroenterology
heterosexuality
human
human cell
Human immunodeficiency virus infection
immune system
immunocompromised patient
internist
learning
Louisiana
male
obstruction
psychosis
salmonellosis
screening test
serotype
sexual education
sexual intercourse
ultrasound
virus load
vomiting
young adult
CAS REGISTRY NUMBERS
aminotransferase (9031-66-7)
benzatropine (86-13-5)
ciprofloxacin (85721-33-1)
creatine kinase (9001-15-4)
haloperidol (52-86-8, 1511-16-6)
triacylglycerol lipase (9001-62-1)
valproic acid (1069-66-5, 99-66-1)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615582119
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 115
TITLE
Addiction and the Concept of Disorder, Part 1: Why Addiction is a Medical
Disorder
AUTHOR NAMES
Wakefield J.C.
AUTHOR ADDRESSES
(Wakefield J.C., jw111@nyu.edu) Silver School of Social Work and Department
of Psychiatry-School of Medicine, New York University, Washington Square N.,
New York, United States.
CORRESPONDENCE ADDRESS
J.C. Wakefield, Silver School of Social Work and Department of
Psychiatry-School of Medicine, New York University, Washington Square N.,
New York, United States. Email: jw111@nyu.edu
SOURCE
Neuroethics (2017) 10:1 (39-53). Date of Publication: 1 Apr 2017
ISSN
1874-5504 (electronic)
1874-5490
BOOK PUBLISHER
Springer Netherlands
ABSTRACT
In this two-part analysis, I analyze Marc Lewis’s arguments against the
brain-disease view of substance addiction and for a developmental-learning
approach that demedicalizes addiction. I focus especially on the question of
whether addiction is a medical disorder. Addiction is currently classified
as a medical disorder in DSM-5 and ICD-10. It is further labeled a brain
disease by NIDA, based on observed brain changes in addicts that are
interpreted as brain damage. Lewis argues that the changes result instead
from normal neuroplasticity and learning in response to the intense rewards
provided by addictive substances, thus that addiction is not a brain disease
and by implication not a medical disorder at all. I argue that even if one
accepts Lewis’s reinterpretation of the brain evidence, his conclusions do
not follow. Relying on my harmful-dysfunction analysis of medical disorder,
I defend the view that substance addiction is in fact a medical disorder and
a brain disorder. In Part 1, I identify five arguments Lewis puts forward
against the brain-disease view and evaluate them as arguments that addiction
is not a disorder: (1) Addiction is not a chronic, relapsing condition; (2)
There is no clear boundary between addiction and other strong desires; (3)
Negative consequences are not unique to disorders; (4) The brain disease
model does not account for behavioral addictions; and, (5) Addiction is like
love. I argue that Lewis’s arguments are invalid because they fail to take
account of the context of addiction and its relation to biological design.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
mental disease
EMTREE MEDICAL INDEX TERMS
article
behavioral addiction
brain damage
brain disease
brain function
disease classification
drug dependence
DSM-5
human
ICD-10
learning
nerve cell plasticity
nonhuman
personality disorder
priority journal
recurrent disease
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170008629
PUI
L613943909
DOI
10.1007/s12152-016-9300-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s12152-016-9300-9
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 116
TITLE
Predictors of perioperative opioid prescribing and consumption
AUTHOR NAMES
Shanahan C.W.
Gamble O.
Holmdhal I.
Keosaian J.
Xuan Z.
Larochelle M.
Liebschutz J.M.
AUTHOR ADDRESSES
(Shanahan C.W.) Boston University, Boston Medical Center, Boston, United
States.
(Liebschutz J.M.) Boston University, School of Medicine, Boston, United
States.
(Larochelle M.) Boston University, School of Medicine, Boston Medical
Center, Boston, United States.
(Gamble O.; Holmdhal I.; Keosaian J.) Boston Medical Center, Boston, United
States.
(Keosaian J.; Xuan Z.) Boston University, School of Public Health, Boston,
United States.
CORRESPONDENCE ADDRESS
C.W. Shanahan, Boston University, Boston Medical Center, Boston, United
States.
SOURCE
Journal of General Internal Medicine (2017) 32:2 Supplement 1 (S282-S283).
Date of Publication: 1 Apr 2017
CONFERENCE NAME
40th Annual Meeting of the Society of General Internal Medicine, SGIM 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-04-19 to 2017-04-22
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: Overprescribing of opioids for post-operative pain may lead to
diversion and misuse. We analyzed data from a prospective observational
study of patients undergoing elective ambulatory surgery to assess
predictors of surgeons' prescribing and patients' use of opioid analgesic
medications. METHODS: We surveyed patients one week prior to and 10-14 days
after ambulatory surgery at an academic safety-net hospital. Seven surgical
specialties performed the procedures. We excluded cancer-related surgeries
and procedures not expected to require post-operative pain management (e.g.
endoscopies). Baseline data included socio-demographics (age, gender,
race/ethnicity), chronic pain severity and function in the past three months
(Graded Chronic Pain Scale), and high-risk alcohol and drug use (AUDIT and
DUDIT). Primary outcomes were total opioids prescribed and consumed
(morphine milligram equivalents (MMEs)), and percent of unused opioids. We
used multivariable linear regression, adjusted for surgical specialty, to
analyze associations of sociodemographics, chronic pain, and high-risk
substance use with all outcomes. We calculated intra-class correlations to
partition variance in each outcome attributable to surgical specialties.
RESULTS: Eighteen surgeons performed surgery on 150 patients (54% female,
44% white, 34% black; mean age: 49 years). Surgeons prescribed opioids for
post-operative pain to 95% of patients, 85% of whom received oxycodone.
Surgeons prescribed a mean of 242 MMEs per patient; however, patients
reported using a mean of 116MMEs per patient (48%). On average, a 10-year
increase in patient age was associated with 12MMEs fewer prescribed opioids
(p < 0.01). Intra-class correlations attributed for 19% of the variance in
opioid prescribing to surgical specialty with significant differences
between specialties (F = 5.8, p < 0.001). Surgical specialty accounted for
4.1 and 4.5% of the variance in the amount of opioids consumed and percent
unused, respectively. Each one-point increase in the pre-operative Graded
Chronic Pain scale was associated, on average, with an 18 MME increase in
opioid consumption (p < 0.01), and 5% fewer unused opioids (p = 0.03). Prior
opioid prescription was associated with a 55 MME increase in opioid
consumption (p = 0.03), and 19% fewer unused opioids (p = 0.03). High-risk
drug use, on average, trended towards 9% fewer unused opioids (p = 0.05).
CONCLUSIONS: Patients use less than 50% of opioid analgesic medications
prescribed for post-operative pain control. Patient age predicts
post-operative opioid prescribing. Chronic pain, risky drug use, and prior
opioid prescription predict higher post-operative opioid consumption.
Surgical specialty accounts for a substantial portion of variance in
post-operative opioid prescribing when compared to other variables.
Opportunities to improve post-operative opioid prescribing include system
changes among surgical specialties, and targeted patient education and
monitoring.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
alcohol
morphine
oxycodone
unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
ambulatory surgery
analgesia
chronic pain
clinical trial
controlled study
drug therapy
endoscopy
ethnicity
female
gender
human
linear regression analysis
major clinical study
male
malignant neoplasm
middle aged
monitoring
observational study
opiate addiction
pain assessment
pain severity
patient education
postoperative pain
race
safety net hospital
surgeon
surgery
CAS REGISTRY NUMBERS
alcohol (64-17-5)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615582280
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 117
TITLE
Addiction and the Concept of Disorder, Part 2: Is every Mental Disorder a
Brain Disorder?
AUTHOR NAMES
Wakefield J.C.
AUTHOR ADDRESSES
(Wakefield J.C., jw111@nyu.edu) Silver School of Social Work and Department
of Psychiatry-School of Medicine, New York University, 1 Washington Square
N., New York, United States.
CORRESPONDENCE ADDRESS
J.C. Wakefield, Silver School of Social Work and Department of
Psychiatry-School of Medicine, New York University, 1 Washington Square N.,
New York, United States. Email: jw111@nyu.edu
SOURCE
Neuroethics (2017) 10:1 (55-67). Date of Publication: 1 Apr 2017
ISSN
1874-5504 (electronic)
1874-5490
BOOK PUBLISHER
Springer Netherlands
ABSTRACT
In this two-part analysis, I analyze Marc Lewis’s arguments against the
brain-disease view of substance addiction and for a developmental-learning
approach that demedicalizes addiction. I focus especially on the question of
whether addiction is a medical disorder. In Part 1, I argued that, even if
one accepts Lewis’s critique of the brain evidence presented for the
brain-disease view, his arguments fail to establish that addiction is not a
disorder. Relying on my harmful dysfunction analysis of disorder, I defended
the view that addiction is a medical disorder and a brain disorder. In Part
2, I consider some broader philosophical issues raised by Lewis’s arguments:
(1) I consider a larger puzzle, at the heart of the neo-Kraepelinian program
in contemporary psychiatry, that is raised by Lewis’s argument that
addiction is not a disorder because the brain displays no damage but only
normal learning: must all mental disorders be brain disorders, or can mental
disorders occur in normal brains? I argue that mental disorders can occur in
normal brains. (2) I critique Lewis’s response to the evolutionary “novel
environment” approach to explaining why addiction is a disorder. (3) Lewis
agrees with brain-disease proponents that interpreting addiction as brain
disorder relieves addicts of moral censure, but I argue that moral defect
and brain disease are not exclusive. (4) Finally, I consider Lewis’s
“developmental-learning” account of addiction that encourages positive and
empowering narrativizing of addiction, but I argue that the
developmental-learning view is vacuous due to use of an overly broad notion
of “development.”.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain disease
drug dependence
mental disease
EMTREE MEDICAL INDEX TERMS
article
brain damage
brain development
brain dysfunction
brain function
human
learning
mental function
mental health
moral status
priority journal
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170008396
PUI
L613943088
DOI
10.1007/s12152-016-9301-8
FULL TEXT LINK
http://dx.doi.org/10.1007/s12152-016-9301-8
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 118
TITLE
Substance Use Among Nurses and Nursing Students: A Joint Position Statement
of the Emergency Nurses Association and the International Nurses Society on
Addictions
AUTHOR NAMES
Strobbe S.
Crowley M.
AUTHOR ADDRESSES
(Strobbe S.) Stephen Strobbe, PhD, RN, PMHCNS-BC, CARN-AP, FIAAN, University
of Michigan School of Nursing, Ann Arbor. Melanie Crowley, MSN, RN, CEN,
Emergency Nurses Association
(Crowley M.)
SOURCE
Journal of addictions nursing (2017) 28:2 (104-106). Date of Publication: 1
Apr 2017
ISSN
1548-7148 (electronic)
ABSTRACT
Alcohol and other substance use by nurses potentially places patients, the
public, and nurses themselves at risk for serious injury or death. Nursing
students are also at risk for problems related to substance use. When viewed
and treated as a chronic medical illness, treatment outcomes for substance
use disorders are comparable with those of other diseases and can result in
lasting benefits. Professional monitoring programs that employ an
alternative-to-discipline approach have been shown to be effective in the
treatment of health professionals with substance use disorders and are
considered a standard for recovery, with high rates of completion and return
to practice. It is the position of the Emergency Nurses Association and the
International Nurses Society on Addictions that 1. health care facilities
provide education to nurses and other employees regarding alcohol and other
drug use and establish policies, procedures, and practices to promote safe,
supportive, drug-free workplaces; 2. health care facilities and schools of
nursing adopt alternative-to-discipline approaches to treating nurses and
nursing students with substance use disorders, with stated goals of
retention, rehabilitation, and reentry into safe, professional practice; 3.
drug diversion, in the context of personal use, is viewed primarily as a
symptom of a serious and treatable disease and not exclusively as a crime;
and 4. nurses and nursing students are aware of the risks associated with
substance use, impaired practice, and drug diversion and have the
responsibility and means to report suspected or actual concerns.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
psychology
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
drug dependence (epidemiology, prevention, rehabilitation)
female
human
male
nurse
nursing
nursing organization
nursing student
organizational policy
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28463852 (http://www.ncbi.nlm.nih.gov/pubmed/28463852)
PUI
L618900309
DOI
10.1097/JAN.0000000000000150
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0000000000000150
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 119
TITLE
The association between age of onset of opioid use and comorbidity among
opioid dependent patients receiving methadone maintenance therapy
AUTHOR NAMES
Naji L.
Dennis B.B.
Bawor M.
Varenbut M.
Daiter J.
Plater C.
Pare G.
Marsh D.C.
Worster A.
Desai D.
MacKillop J.
Thabane L.
Samaan Z.
AUTHOR ADDRESSES
(Naji L.) Michael Degroote School of Medicine, McMaster University,
Hamilton, Canada
(Dennis B.B.; Bawor M.) St. George's University of London, London, UK
(Dennis B.B.; Pare G.; Samaan Z., samaanz@mcmaster.ca.Population) Department
of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton,
Canada
(Varenbut M.; Daiter J.; Plater C.; Marsh D.C.; Worster A.) Canadian
Addiction Treatment Centres, Richmond Hill, Canada
(Marsh D.C.) Northern Ontario School of Medicine, Sudbury, ON, Canada
(Worster A.) Department of Medicine, Hamilton General Hospital, Hamilton,
Canada
(Desai D.; Samaan Z., samaanz@mcmaster.ca.Population) Population Genomic
Program, Chanchalani Research Centre, McMaster University, Hamilton, Canada
(MacKillop J.; Samaan Z., samaanz@mcmaster.ca.Population) Peter Boris Centre
for Addictions Research, Hamilton, Canada
(MacKillop J.; Samaan Z., samaanz@mcmaster.ca.Population) Department of
Psychiatry and Behavioural Neuroscience, McMaster University, 100 West 5th
Street, Hamilton, ON, L8N 3K7, Canada
(Thabane L.) Departments of Pediatrics and Anesthesia, McMaster University,
Hamilton, Canada
(Thabane L.) Centre for Evaluation of Medicine, St Joseph's Healthcare,
Hamilton, Canada
(Thabane L.) Biostatistics Unit, Father Sean O'Sullivan Research Centre, St
Joseph's Healthcare, Hamilton, Canada
SOURCE
Addiction science & clinical practice (2017) 12:1 (9). Date of Publication:
28 Mar 2017
ISSN
1940-0640 (electronic)
ABSTRACT
BACKGROUND: Opioid use disorder (OUD) affects approximately 21.9 million
people worldwide. This study aims to determine the association between age
of onset of opioid use and comorbid disorders, both physical and
psychiatric, in patients receiving methadone maintenance treatment (MMT) for
OUD. Understanding this association may inform clinical practice about
important prognostic factors of patients on MMT, enabling clinicians to
identify high-risk patients.METHODS: This study includes data collected
between June 2011 and August 2016 for the Genetics of Opioid Addiction
research collaborative between McMaster University and the Canadian
Addiction Treatment Centers. All patients were interviewed by trained health
professionals using the Mini-International Neuropsychiatric Interview and
case report forms. Physical comorbidities were verified using patients'
electronic medical records. A multi-variable logistic regression model was
constructed to determine the strength of the association between age of
onset of opioid use and the presence of physical or psychiatric comorbidity
while adjusting for current age, sex, body mass index, methadone dose and
smoking status.RESULTS: Data from 627 MMT patients with a mean age of
38.8 years (SD = 11.07) were analyzed. Individuals with an age of onset of
opioid use younger than 18 years were found to be at higher odds for having
a physical or psychiatric comorbid disorder compared to individuals with an
age of onset of opioid use of 31 years or older (odds ratio 2.94, 95%
confidence interval 1.20, 7.19, p = 0.02). A significant association was not
found between the risk of having a comorbidity and an age of onset of opioid
use between 18 and 25 years or 26 and 30 years, compared to an age of onset
of opioid use of 31 years or older.CONCLUSION: Our study demonstrates that
the younger one begins to use opioids, the greater their chance of having a
physical or psychiatric co-morbidity. Understanding the risk posed by an
earlier onset of opioid use for the later development of comorbid disorders
informs clinical practice about important prognostic predictors and aids in
the identification of high-risk patients.
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
narcotic analgesic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health status
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adult
comorbidity
female
human
male
onset age
opiate addiction (drug therapy, epidemiology)
opiate substitution treatment
young adult
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28347350 (http://www.ncbi.nlm.nih.gov/pubmed/28347350)
PUI
L619703746
DOI
10.1186/s13722-017-0074-0
FULL TEXT LINK
http://dx.doi.org/10.1186/s13722-017-0074-0
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 120
TITLE
Mobile technology intervention to improve care coordination between HIV and
substance use treatment providers: development, training, and evaluation
protocol
AUTHOR NAMES
Claborn K.
Becker S.
Ramsey S.
Rich J.
Friedmann P.D.
AUTHOR ADDRESSES
(Claborn K., kasey_claborn@brown.edu.The; Ramsey S.) Department of Medicine,
Division of General Internal Medicine, Rhode Island Hospital, 111 Plain
Street, Providence, RI, 02903, USA
(Claborn K., kasey_claborn@brown.edu.The; Becker S.; Ramsey S.; Rich J.) The
Warren Alpert Medical School, Brown University, Box G-BH, Providence, RI,
02912, USA
(Becker S.) Center for Alcohol and Addiction Studies, Brown University
School of Public Health, 121 South Main Street, Box G-121-5, Providence, RI,
02912, USA
(Rich J.) Miriam Hospital, Providence, RI, 02906, USA
(Friedmann P.D.) Office of Research, Department of Medicine, University of
Massachusetts - Baystate and Baystate Health, Springfield, MA, USA
SOURCE
Addiction science & clinical practice (2017) 12:1 (8). Date of Publication:
14 Mar 2017
ISSN
1940-0640 (electronic)
ABSTRACT
BACKGROUND: People living with HIV (PLWH) with a substance use disorder
(SUD) tend to receive inadequate medical care in part because of a siloed
healthcare system in which HIV and substance use services are delivered
separately. Ideal treatment requires an interdisciplinary, team-based
coordinated care approach, but many structural and systemic barriers impede
the integration of HIV and SUD services. The current protocol describes the
development and preliminary evaluation of a care coordination intervention
(CCI), consisting of a tablet-based mobile platform for HIV and SUD
treatment providers, an interagency communication protocol, and a training
protocol. We hypothesize that HIV and SUD treatment providers will find the
CCI to be acceptable, and that after receipt of the CCI, providers will:
exhibit higher retention in dual care among patients, report increased
frequency and quality of communication, and report increased rates of
relational coordination.METHODS/DESIGN: A three phase approach is used to
refine and evaluate the CCI. Phase 1 consists of in-depth qualitative
interviews with 8 key stakeholders as well as clinical audits of
participating HIV and SUD treatment agencies. Phase 2 contains functionality
testing of the mobile platform with frontline HIV and SUD treatment
providers, followed by refinement of the CCI. Phase 3 consists of a pre-,
post-test trial with 30 SUD and 30 HIV treatment providers. Data will be
collected at the provider, organization, and patient levels. Providers will
complete assessments at baseline, immediately post-training, and at 1-, 3-,
and 6-months post-training. Organizational data will be collected at
baseline, 1-, 3-, and 6-months post training, while patient data will be
collected at baseline and 6-months post training.DISCUSSION: This study will
develop and evaluate a CCI consisting of a tablet-based mobile platform for
treatment providers, an interagency communication protocol, and a training
protocol as a means of improving the integration of care for PLWH who have a
SUD. Results have the potential to advance the field by bridging gaps in a
fragmented healthcare system, and improving treatment efficiency, work flow,
and communication among interdisciplinary providers from different treatment
settings.TRIAL REGISTRATION: NCT02906215.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
organization and management
utilization
EMTREE MEDICAL INDEX TERMS
clinical protocol
drug dependence (therapy)
female
human
Human immunodeficiency virus infection (therapy)
in service training
male
organization
patient care
primary health care
telemedicine
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT02906215)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28288678 (http://www.ncbi.nlm.nih.gov/pubmed/28288678)
PUI
L619703007
DOI
10.1186/s13722-017-0073-1
FULL TEXT LINK
http://dx.doi.org/10.1186/s13722-017-0073-1
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 121
TITLE
Embattled cannabis: pharmacological, medical, recreational, and adverse
effects aspects
AUTHOR NAMES
Salhab A.
AUTHOR ADDRESSES
(Salhab A., Assalhab@yahoo.com) Department of Pharmacology, Faculty of
Medicine, University of Jordan, Amman, Jordan.
CORRESPONDENCE ADDRESS
A. Salhab, 5209 Seneca Avenue, Tampa, United States. Email:
Assalhab@yahoo.com
SOURCE
Journal of Substance Use (2017) 22:2 (236-239). Date of Publication: 4 Mar
2017
ISSN
1475-9942 (electronic)
1465-9891
BOOK PUBLISHER
Taylor and Francis Ltd, healthcare.enquiries@informa.com
ABSTRACT
Cannabis sativa L. (Cannabaease), currently, is the most widely used illicit
drug around the world. The psychoactive chemical of the plant is the
(9)-tetrahydrocannabinol (THC). The federal government of the United States
as well as other countries classified THC as Schedule I controlled
substance. Concerning the use of cannabinoids as therapeutic agents exhibits
beneficial therapeutic effects against nausea and vomiting in cancer and
AIDS patients. Cannabis decreased the intensity of spasm and tremors in
multiple sclerotic patients. On the other hand, the chronic use of Cannabis
sativa may cause severe, unwanted, acute, and chronic side effects:
cognition, coordination, learning defects, and impairment of memory among
users, addiction, and possible suicidal attempts. Still, cannabis may
trigger acute cardiovascular diseases including mortality, although there is
some progress by introducing new agents that work like THC such as Sativex,
Nabilone, and Conador. These agents await further extensive development to
enhance efficacy and to decrease toxicity. In conclusion, the outcome of the
medical use of cannabis is blurred with the presence of the recreational
use. The question of whether it should be legalized still needs extensive
discussion.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
medical cannabis (adverse drug reaction, drug therapy, pharmacokinetics,
pharmacology)
EMTREE DRUG INDEX TERMS
cannabinoid derivative
endocannabinoid (endogenous compound)
recreational drug
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome (drug therapy)
cannabis addiction (side effect)
cannabis use
cardiovascular effect
congenital malformation (side effect)
fetus development
glaucoma (drug therapy)
human
Human immunodeficiency virus infection (drug therapy)
learning
multiple sclerosis (drug therapy)
nonhuman
pain (drug therapy)
phytochemistry
priority journal
respiratory system
review
schizophrenia (drug therapy)
spasticity (drug therapy)
traditional medicine
traffic accident
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170191285
PUI
L614787976
DOI
10.3109/14659891.2016.1149237
FULL TEXT LINK
http://dx.doi.org/10.3109/14659891.2016.1149237
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 122
TITLE
Use of simulation and immersive learning to teach safe opioid prescribing
AUTHOR NAMES
Newmark J.
AUTHOR ADDRESSES
(Newmark J., jnewmark@stanford.edu) Stanford University, School of Medicine,
United States.
CORRESPONDENCE ADDRESS
J. Newmark, Stanford University, School of Medicine, United States. Email:
jnewmark@stanford.edu
SOURCE
Pain Medicine (United States) (2017) 18:3 (589-590). Date of Publication: 1
Mar 2017
CONFERENCE NAME
33rd Annual Meeting of the American Academy of Pain Medicine, AAPM 2017
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2017-03-15 to 2017-03-19
ISSN
1526-4637
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Introduction: Opioid prescribing practices and their ill consequences stem
in part from a lack of education and skills training in all levels of
medical education. Recent studies exploring the quantity and quality of pain
educational received in North America supports this notion [1, 2, 3].
Simulation and immersive learning is a teaching modality which is effective
within various pain medicine curriculum [4, 5, 6]. The current project aimed
to utilize this educational strategy within the context of safe opioid
prescribing for chronic non-cancer pain. Methods: Participants included
anesthesiology residents and pain medicine fellows. Participants engage in
the simulation experience within Stanford University's Center for Immersive
and Simulation Based Learning. Here they encounter a standardized patient
requesting a refill of oral hydromorphone. The patient also fits criteria
for moderate opioid misuse disorder, according to DSMV criteria. Participant
management strategies were recorded for teaching and research purposes. A
group debriefing with feedback was provided at the end of the experience.
Results: The majority of participants provided a hydromorphone refill with
weaning in the patient whom fits DSM-V [7] criteria for moderate opioid use
disorder. Many participants utilize prescription drug monitoring programs
and urine drug testing, while fewer considered pill counts or risks
assessment tools such as the Opioid Risk Tool [8]. An anonymous
post-simulation survey of participants yielded favorable remarks regarding
the experience. Conclusions: Simulation and immersive learning techniques
are an effective method for teaching and practicing safe opioid prescribing.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
hydromorphone
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
learning
prescription
simulation
EMTREE MEDICAL INDEX TERMS
anesthesiology
chronic pain
clinical study
drug screening
DSM-5
female
human
human tissue
male
medicine
monitoring
pill
resident
teaching
university
urine
weaning
CAS REGISTRY NUMBERS
hydromorphone (466-99-9, 71-68-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L616624261
DOI
10.1093/pm/pnx006
FULL TEXT LINK
http://dx.doi.org/10.1093/pm/pnx006
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 123
TITLE
An interprofessional education workshop to develop health professional
student opioid misuse knowledge, attitudes, and skills
AUTHOR NAMES
Monteiro K.
Dumenco L.
Collins S.
Bratberg J.
MacDonnell C.
Jacobson A.
Dollase R.
George P.
AUTHOR ADDRESSES
(Monteiro K., Kristina_Monteiro@brown.edu; Dumenco L.; Collins S.; Bratberg
J.; MacDonnell C.; Jacobson A.; Dollase R.; George P.)
CORRESPONDENCE ADDRESS
K. Monteiro, Assistant Professor of Medical Science, The Warren Alpert
Medical School of Brown University, Providence, United States. Email:
Kristina_Monteiro@brown.edu
SOURCE
Journal of the American Pharmacists Association (2017) 57:2 Supplement
(S113-S117). Date of Publication: 1 Mar 2017
Naloxone Supplement, Book Series Title:
ISSN
1544-3450 (electronic)
1544-3191
BOOK PUBLISHER
Elsevier B.V., InfoCenter@aphanet.org
ABSTRACT
Objective: To implement and evaluate an interprofessional workshop focused
on increasing student knowledge, skills, and attitudes toward opioid misuse.
Setting: The Warren Alpert Medical School of Brown University in Providence,
Rhode Island, April 2016. Practice description: Health professional students
from medicine, nursing, pharmacy, social work, and physical therapy
participated in an interprofessional education workshop focused on opioid
use disorder. Practice innovation: This workshop included 4 main components:
a patient panel, a simulated standardized patient encounter, a paper-based
case session focused on a homeless individual misusing opioids, and naloxone
training. Evaluation: Direct assessment included a pretest and a posttest
adapted from the Opioid Overdose Knowledge Scale administered to medical
students measuring knowledge of opioid overdose at baseline and at 12 weeks
after the workshop. Indirect assessment included a satisfaction survey
administered to medical, nursing, pharmacy, and social work students.
Results: Medical students scored a mean of 40.84 out of 54 (SD = 5.36)
points at baseline (n = 120) and a mean of 47.94 out of 54 (SD = 3.20)
points at 12-week follow-up (n = 72), demonstrating a significant increase
in knowledge from pretest to posttest (P <0.001). Student satisfaction data
from medicine, nursing, pharmacy, social work, and physical therapy (n =
272) revealed a high degree of satisfaction regarding the overall quality of
the training (4.47/5; SD = 0.75), quality of instruction (4.53/5; SD =
0.73), quality of training materials (4.46/5; SD = 0.77), the training
experience (4.52/5; SD = 0.75), and the organization of the training
(4.50/5; SD = 0.73). Conclusion: Our results demonstrate that an
interprofessional education workshop focused exclusively on opioid misuse
was well received with high levels of satisfaction among health professional
students. Workshops such as these can be used in health professions
curricula to simulate the complex issues surrounding substance use disorder
and to highlight the importance of interprofessional teams.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
naloxone (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
attitude to illness
medical education
opiate addiction
professional knowledge
EMTREE MEDICAL INDEX TERMS
conference paper
controlled study
disease duration
drug intoxication
drug overdose
homeless person
human
job satisfaction
normal human
nursing student
physiotherapy
Rhode Island
social work
social work student
workshop
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180266995
MEDLINE PMID
28159503 (http://www.ncbi.nlm.nih.gov/pubmed/28159503)
PUI
L2000641154
DOI
10.1016/j.japh.2016.12.069
FULL TEXT LINK
http://dx.doi.org/10.1016/j.japh.2016.12.069
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 124
TITLE
Impact of tobacco control campaigns on smoking behaviors in Thai medical
schools
AUTHOR NAMES
Rungruanghiranya S.
Ekpanyaskul C.
AUTHOR ADDRESSES
(Rungruanghiranya S., suthat109@gmail.com) Department of Medicine, Faculty
of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
(Ekpanyaskul C.) Department of Preventive and Social Medicine, Faculty of
Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
CORRESPONDENCE ADDRESS
S. Rungruanghiranya, Department of Medicine, Faculty of Medicine,
Srinakharinwirot University, Ongkharak, Nakhon Nayok, Thailand. Email:
suthat109@gmail.com
SOURCE
Journal of the Medical Association of Thailand (2017) 100:3 (339-346). Date
of Publication: 1 Mar 2017
ISSN
0125-2208
BOOK PUBLISHER
Medical Association of Thailand, math@loxinfo.co.th
ABSTRACT
Objective: To explore the changes in the prevalence of smoking behavior,
attitudes, and cessation training among medical students after the
establishment of the Thai Health Professional Alliance against Tobacco
(ThaiPAT) and its major campaigns by using the nationwide Global Health
Professions Student Surveys (GHPSS). Material and Method: Multiple
cross-sectional studies were conducted after three major campaigns were
launched between 2007 and 2011, the Deans’ Summit on Tobacco Control,
implemented tobacco control into the medical curriculum, and 100% smoke-free
hospitals and medical schools. The results of two rounds of GHPSS among
third year medical students across the nation in 2006 and 2011 were
compared. Results: Overall prevalence of active cigarette smoking remained
unchanged at 2.6%. Passive cigarette smoke exposure in public areas appeared
to decrease slightly over time. In the most recent national survey, the
prevalence of passive smoke exposure was 53.7%. Moreover, the number of
student that agreed with the smoking ban in pubs, bars, and nightclubs
increased significantly from 80.8 to 90.5%. There was significant
improvement in the cessation training among medical students (p<0.001). A
significant increase in the number of student that agreed that healthcare
personnel needed specific training in cessation techniques (p = 0.004) and
should always advise their patients to quit smoking (p<0.001). Conclusion:
Nationwide tobacco control campaigns in Thai medical schools significantly
improved the attitudes toward smoking cessation and cessation training among
their students, although overall prevalence of active and passive cigarette
smoking was unchanged.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical school
medical student
passive smoking
smoking cessation
Thailand
EMTREE MEDICAL INDEX TERMS
case report
controlled study
cross-sectional study
exposure
female
global health
health care personnel
hospital
human
male
prevalence
smoking ban
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Thai
EMBASE ACCESSION NUMBER
20170328386
PUI
L615982115
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 125
TITLE
The emerging therapeutic role of the non-invasive brain stimulation in the
addiction medicine: Review of the ongoing studies
AUTHOR NAMES
Elaghoury A.
AUTHOR ADDRESSES
(Elaghoury A.) Abbassia Mental Hospital, Egypt.
CORRESPONDENCE ADDRESS
A. Elaghoury, Abbassia Mental Hospital, Egypt.
SOURCE
Brain Stimulation (2017) 10:2 (454-455). Date of Publication: 1 Mar 2017
CONFERENCE NAME
2nd International Brain Stimulation Conference
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2017-03-05 to 2017-03-08
ISSN
1876-4754
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Introduction: Substance use disorders (SUD) are common conditions which have
a considerable impact on the public health. Since 2003, a number of studies
have tested the efficacy of the non-invasive brain stimulation (NIBS) tools
on addictive behaviors, mainly the cue-induced drug craving. For instance,
the use of transcranial magnetic stimulation (TMS), and transcranial direct
current stimulation (tDCS) have received an increased interest. Still, a
major problem with the practice of the NIBS is the reproducibility of the
results due to variable stimulation protocols. This review tries to tackle
the question of the recommended stimulation protocol for patients of SUD.
Methods: The methodology of the ongoing studies was reviewed from
clinicaltrials.gov using the Keywords: neuromodulation, brain stimulation,
substance use disorders, addiction. Likewise, a review of the methodology of
the published similar studies was done from PubMed, and Google Scholar,
using the same keywords. Results: The ongoing registered studies are
variable in their stimulation sites along three areas: dorsolateral
prefrontal cortex (right, left or bilateral), insula (bilateral), superior
frontal gyrus (side not determined). Protocols of the TMS are variable, but
mainly of high frequency. More variations are present in the tDCS protocols.
Three large-scale studies (Enrollment n > 200) are registered: two for the
TMS, and one for the tDCS. As for the type of the SUD: nicotine, alcohol,
cannabis and stimulants are under the current investigations. Discussion:
The current results are different from the previously published
methodologies regards three points: 1. More large-scale studies are
emerging, in contrast to the previous small exploratory studies, 2. New
stimulation sites are emerging (e.g., insula), and 3. Other types of the SUD
are getting attention (e.g., cannabis, and amphetamine-type stimulants).
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
cannabis
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain depth stimulation
craving
drug dependence
medicine
EMTREE MEDICAL INDEX TERMS
attention
clinical study
dorsolateral prefrontal cortex
exploratory research
human
insula
Medline
neuromodulation
reproducibility
superior frontal gyrus
transcranial direct current stimulation
transcranial magnetic stimulation
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614674890
DOI
10.1016/j.brs.2017.01.333
FULL TEXT LINK
http://dx.doi.org/10.1016/j.brs.2017.01.333
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 126
TITLE
“It’s been an Experience, a Life Learning Experience”: A Qualitative Study
of Hospitalized Patients with Substance Use Disorders
AUTHOR NAMES
Velez C.M.
Nicolaidis C.
Korthuis P.T.
Englander H.
AUTHOR ADDRESSES
(Velez C.M.; Englander H., englandh@ohsu.edu) Clinical Integration, Oregon
Health & Science University, 3181 SW Sam Jackson Park Road, Portland, United
States.
(Velez C.M.; Nicolaidis C.) School of Social Work, Portland State
University, Portland, United States.
(Nicolaidis C.; Korthuis P.T.) Division of General Internal Medicine, Oregon
Health & Science University, Portland, United States.
(Englander H., englandh@ohsu.edu) Division of Hospital Medicine, Oregon
Health & Science University, Portland, United States.
CORRESPONDENCE ADDRESS
H. Englander, Clinical Integration, Oregon Health & Science University, 3181
SW Sam Jackson Park Road, Portland, United States. Email: englandh@ohsu.edu
SOURCE
Journal of General Internal Medicine (2017) 32:3 (296-303). Date of
Publication: 1 Mar 2017
ISSN
1525-1497 (electronic)
0884-8734
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
Background: Individuals with substance use disorders (SUD) have high rates
of chronic illness and readmission, yet few are engaged in addiction
treatment. Hospitalization may be a reachable moment for initiating and
coordinating addiction care, but little is known about motivation for change
in the inpatient setting. Objective: To explore the experiences of
hospitalized adults with SUD and to better understand patient and system
level factors impacting readiness for change. Design: We performed a
qualitative study using individual interviews. The study was nested within a
larger mixed-methods needs assessment. Participants and Setting:
Hospitalized adults admitted to medical or surgical units at an urban
academic medical center who reported high-risk alcohol or drug use on
AUDIT-C or single-item drug use screener. Approach: We conducted a thematic
analysis, using an inductive approach at a semantic level. Key Results:
Thirty-two patients participated. The mean age was 43 years; 75% were men,
and 68% identified as white. Participants reported moderate to high-risk
alcohol (39%), amphetamine (46%), and opioid (65%) use. Emergent themes
highlight the influence of hospitalization at the patient, provider, and
health system levels. Many patients experienced hospitalization as a wake-up
call, where mortality was motivation for change and hospitalization
disrupted substance use. However, many participants voiced complex
narratives of social chaos, trauma, homelessness, and chronic pain.
Participants valued providers who understood SUD and the importance of
treatment choice. Patient experience suggests the importance of peers in the
hospital setting, access to medication-assisted treatment, and coordinated
care post-discharge. Conclusions: This study supports that hospitalization
offers an opportunity to initiate and coordinate addiction care, and
provides insights into patient, provider, and health system factors which
can leverage the reachability of this moment.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
buprenorphine (drug therapy)
buprenorphine plus naloxone (drug therapy)
methadone (drug therapy)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (drug therapy, drug therapy)
drug dependence (drug therapy, drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
amphetamine dependence (drug therapy)
article
Caucasian
clinical article
controlled study
drug abuse
female
health care access
health care personnel
health care system
heroin dependence (drug therapy)
high risk patient
homelessness
hospital discharge
hospital patient
hospitalization
human
interview
male
mortality
motivation
needs assessment
opiate addiction (drug therapy)
personal experience
qualitative research
risk factor
social aspect
thematic analysis
university hospital
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
buprenorphine (52485-79-7, 53152-21-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160911164
MEDLINE PMID
27957661 (http://www.ncbi.nlm.nih.gov/pubmed/27957661)
PUI
L613690150
DOI
10.1007/s11606-016-3919-4
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-016-3919-4
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 127
TITLE
Effect of a brief memory updating intervention on smoking behavior: A
randomized clinical trial
AUTHOR NAMES
Germeroth L.J.
Carpenter M.J.
Baker N.L.
Froeliger B.
LaRowe S.D.
Saladin M.E.
AUTHOR ADDRESSES
(Germeroth L.J.; Saladin M.E., saladinm@musc.edu) Department of Health
Sciences and Research, Medical University of South Carolina, 77 President
St, Charleston, United States.
(Germeroth L.J.; Carpenter M.J.; Froeliger B.; LaRowe S.D.; Saladin M.E.,
saladinm@musc.edu) Department of Psychiatry and Behavioral Sciences, Medical
University of South Carolina, Charleston, United States.
(Carpenter M.J.) Hollings Cancer Center, Medical University of South
Carolina, Charleston, United States.
(Baker N.L.) Department of Public Health Sciences, Medical University of
South Carolina, Charleston, United States.
(Froeliger B.) Department of Neuroscience, Medical University of South
Carolina, Charleston, United States.
(LaRowe S.D.) Mental Health Service Line, Ralph H. Johnson VA Medical
Center, Charleston, United States.
CORRESPONDENCE ADDRESS
M.E. Saladin, Department of Health Sciences and Research, Medical University
of South Carolina, 77 President St, Charleston, United States. Email:
saladinm@musc.edu
SOURCE
JAMA Psychiatry (2017) 74:3 (214-223). Date of Publication: 1 Mar 2017
ISSN
2168-622X
BOOK PUBLISHER
American Medical Association, smcleod@itsa.ucsf.edu
ABSTRACT
Importance: Recent research on addiction-related memory processes suggests
that protracted extinction training following brief cue-elicited memory
retrieval (ie, retrieval-extinction [R-E] training) can attenuate/eradicate
the ability of cues to elicit learned behaviors. One study reported that
cue-elicited craving among detoxified heroin addicts was substantially
attenuated following R-E training and through 6-month follow-up. Objective:
To build on these impressive findings by examining whether R-E training
could attenuate smoking-related craving and behavior. Design, setting, and
participants: This prospective, mixed-design, human laboratory randomized
clinical trial took place between December 2013 and September 2015.
Participants were recruited in Charleston, South Carolina. Study sessions
took place at the Medical University of South Carolina. The participantswere
168 screened volunteer smokers, of whom 88were randomized; 72 of these 88
participants (81.8%) attended all the follow-up sessions through 1 month.
The primary eligibility criteriawere current nicotine dependence (DSM
criteria), smoking 10 or more cigarettes per day, and a willingness to
attempt smoking cessation. Interventions: Participants were randomly
assigned to receive either smoking-related memory retrieval followed by
extinction training (the R-E group) or nonsmoking-related retrieval followed
by extinction training (the NR-E group). Main outcomes and measures: Primary
outcomeswere cue-elicited craving and physiological responding to familiar
and novel cues in the R-E group vs the NR-E group over a 1-month follow-up
period. Secondary outcomes were smoking-related behaviors. Results: A total
of 44 participants were randomly assigned to the R-E group (mean age, 48.3
years; 72.7%male); a total of 44 participants were randomly assigned to the
NR-E group, with 43 attending at least 1 training session (mean age, 46.7
years; 55.8% male). The mean craving response to both familiar and novel
smoking cues was significantly lower for participants in the R-E group than
for participants in the NR-E group at 1-month follow-up (for both cue types:
t(1225) = 2.1, P = .04, d = 0.44, and Δ = 0.47 [95%CI, 0.04-0.90]). The mean
numbers of cigarettes smoked per day at 2 weeks and 1-month were
significantly lower for the R-E group than for the NR-E group (treatment
main effect: F(1.68) = 5.4, P = .02, d = 0.50, and Δ = 2.4 [95%CI,
0.4-4.5]). Significant differences in physiological responses, urine
cotinine level, number of days abstinent, lapse, and relapse were not
observed between groups (all between P = .06 and .75). Conclusions and
relevance: Retrieval-extinction training substantially attenuated craving to
both familiar and novel smoking cues and reduced the number of cigarettes
smoked per day by participants 1 month after treatment relative to
extinction training alone. Between-group differenceswere not observed for
physiological responses, cotinine level, number of days abstinent, relapse,
or lapse. In summary, R-E training is a brief behavioral treatment that
targets smoking-related memories and has the potential to enhance relapse
prevention.
EMTREE DRUG INDEX TERMS
cotinine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
memory
retrieval extinction training
smoking
training
EMTREE MEDICAL INDEX TERMS
adult
affect
article
controlled study
craving
diastolic blood pressure
female
follow up
human
male
middle aged
prospective study
randomized controlled trial
smoking cessation
systolic blood pressure
tobacco dependence
CAS REGISTRY NUMBERS
cotinine (486-56-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170182156
MEDLINE PMID
28146243 (http://www.ncbi.nlm.nih.gov/pubmed/28146243)
PUI
L614731272
DOI
10.1001/jamapsychiatry.2016.3148
FULL TEXT LINK
http://dx.doi.org/10.1001/jamapsychiatry.2016.3148
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 128
TITLE
Buprenorphine treatment of opioid dependence for patients hospitalized with
infective endocarditis
AUTHOR NAMES
Fields A.
Wiegand T.
AUTHOR ADDRESSES
(Fields A.; Wiegand T.) University of Rochester Medical Center, Rochester,
United States.
CORRESPONDENCE ADDRESS
A. Fields, University of Rochester Medical Center, Rochester, United States.
SOURCE
Journal of Medical Toxicology (2017) 13:1 (32). Date of Publication: 1 Mar
2017
CONFERENCE NAME
2017 Annual Scientific Meeting of the American College of Medical
Toxicology, ACMT
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2017-03-30 to 2017-04-02
ISSN
1937-6995
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
Introduction: Infective endocarditis (IE) is a life-threatening infection
involving the valves of the heart, with in-hospital mortality between 15 and
30% [1, 2]. Treatment typically includes 4-6 weeks of antibiotics, often
requiring surgical repair or replacement of damaged valves [3-5].
Intravenous drug use (IVDU) is a major risk factor for IE, leading to a 10-
fold higher rate of death or re-operation between 3 and 6 months following
an index operation for endocarditis [5]. In opioid-dependent individuals,
treatment with buprenorphine has been shown to reduce IVDU and improve
engagement in treatment. Research Question: Early initiation of
buprenorphine during hospitalization for IE improves patient satisfaction
and adherence to treatment. Methods: Retrospective chart review of three
opioid-dependent patients during 2015-16 who were started on sublingual
buprenorphine during hospitalization for IE secondary to IVDU. Case
Discussion: Case 1\-A 33-year-old opioid-dependent female with intravenous
heroin and cocaine abuse, 2 previous episodes of IE, and valve
replacement/repair is hospitalized for recurrent IE. SL buprenorphine was
started during her hospitalization. Case 2\-A 33-year-old female with
intravenous heroin and cocaine abuse is hospitalized for IE and started on
SL buprenorphine while receiving antibiotics. Case 3\-A 30-year-old
opioid-dependent male with prior IE from intravenous heroin use is
re-hospitalized for IE and undergoes valve replacement. SL buprenorphine was
started during hospitalization. Duration of hospitalization ranged from 45
to 57 days. All patients completed 6-week antibiotic courses and were
successfully linked to ongoing addiction treatment. The buprenorphine and
addiction support were managed by the toxicology consultation service during
the hospitalization. Discussion: Previous studies of IVDU-associated
endocarditis have shown poor outcomes. In our experience, rapid
buprenorphine initiation during hospitalization has enabled patients to
tolerate prolonged hospitalization without leaving AMA. Such prolonged
hospitalization also represents an opportunity to engage the patient in
other meaningful aspects of recovery such as peer counseling and 12-step
programs. Although further research is needed, these findings are
encouraging. This represents an opportunity for medical toxicology consult
services to expand their role in the management of acute withdrawal and
complications of addiction in hospitalized patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
EMTREE DRUG INDEX TERMS
antibiotic agent
cocaine
diamorphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bacterial endocarditis
opiate addiction
EMTREE MEDICAL INDEX TERMS
adult
case report
clinical trial
complication
consultation
controlled study
drug therapy
drug toxicity
drug withdrawal
female
heart valve replacement
hospital patient
hospitalization
human
male
medical record review
patient satisfaction
peer counseling
remission
toxicology
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614798101
DOI
10.1007/s13181-017-0599-3
FULL TEXT LINK
http://dx.doi.org/10.1007/s13181-017-0599-3
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 129
TITLE
The research in addiction medicine scholars program-developing researchers
in addiction fellowships
AUTHOR NAMES
O'Connor P.
Tsui J.I.
Gobel D.
Brett B.
Bridden C.
Samet J.H.
AUTHOR ADDRESSES
(Gobel D.; Bridden C.; Samet J.H.) Boston Medical Center, Boston, United
States.
(Tsui J.I.) Internal Medicine, University of Washington, School of Medicine,
Seattle, United States.
(O'Connor P.) Yale University, New Haven, United States.
(Samet J.H.) Boston University, Boston, United States.
(Brett B.) Brett Consulting Group, Somerville, United States.
CORRESPONDENCE ADDRESS
P. O'Connor, Yale University, New Haven, United States.
SOURCE
Drug and Alcohol Dependence (2017) 171 (e154). Date of Publication: 1 Feb
2017
CONFERENCE NAME
2016 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2016
CONFERENCE LOCATION
Palm Springs, CA, United States
CONFERENCE DATE
2016-06-11 to 2016-06-16
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Addiction physician investigators are a limited resource. Given the
creation of the American Board of Addiction Medicine and new Addiction
Medicine fellowship programs, efforts to develop addiction physician
researchers gained added urgency. The Research in Addiction Medicine
Scholars (RAMS) Program was created to provide an infrastructure to
supplement the training and mentoring of Addiction Medicine and Addiction
Psychiatry fellows from North America so as to develop a cadre of addiction
physician clinical investigators. Methods: The RAMS Program began in 2012
with NIDA support and aims to develop skills in addiction research among
physicians from addiction fellowship programs. Annual recruitment seeks 5
scholars, and in the first 4 years, 19 fellows were selected (11 Addiction
Medicine and 8 Addiction Psychiatry). The 2-year program provides mentoring,
training and funds, all to supplement the development of research projects
and training for scholars to advance on their path to a clinical research
career. Scholars participate in two annual retreats over each of 2 years in
Boston and at the CPDD conference. These include group seminars, one-onone
mentoring, and workshops on research methods and career development paths.
The program also includes monthly faculty or scholar-driven webinars.
Results: To date, the 19 scholars are from 9 institutions. All admitted
scholars have completed the program. Of the first cohort (n = 4) of RAM
scholars, all accepted academic faculty positions. Scholars have published
over 20 publications since enrolling in the program and are recipients of
four grants. Conclusions: The Research in Addiction Medicine Scholars (RAMS)
Program is positioned to make important contributions to the development of
the next generation of addiction physician researchers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
psychiatry
scientist
EMTREE MEDICAL INDEX TERMS
adult
career
clinical article
clinical research
cohort analysis
female
human
male
Massachusetts
mentoring
physician
publication
recipient
skill
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L618519889
DOI
10.1016/j.drugalcdep.2016.08.425
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2016.08.425
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 130
TITLE
Comment on "A Qualitative Analysis of Medical students? Reflection on
Attending an Alcoholics Anonymous Meeting: Insights for Future Addiction
Curricula"
AUTHOR NAMES
Rosenstock J.
AUTHOR ADDRESSES
(Rosenstock J.) University of Pittsburgh, Pittsburgh, PA, USA.
rosenstockjb@upmc.edu
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2017) 41:1 (145). Date of Publication: 1 Feb 2017
ISSN
1545-7230 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholics anonymous
curriculum
psychology
EMTREE MEDICAL INDEX TERMS
alcoholism
cognitive therapy
human
medical student
LANGUAGE OF ARTICLE
English
MEDLINE PMID
27757928 (http://www.ncbi.nlm.nih.gov/pubmed/27757928)
PUI
L614468554
DOI
10.1007/s40596-016-0597-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-016-0597-9
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 131
TITLE
Contribution of e-learning to addiction teaching: A successful experience at
the university of bordeaux, France
AUTHOR NAMES
Auriacombe M.
Alexandre J.-M.
Dubernet J.
Tanguy J.
Fatseas M.
AUTHOR ADDRESSES
(Auriacombe M.; Alexandre J.-M.; Dubernet J.; Fatseas M.) Addiction
Psychiatry (CNRS USR 3413), Universite Bordeaux, Bordeaux, France.
(Tanguy J.) MAPI, University Bordeaux, Bordeaux, France.
CORRESPONDENCE ADDRESS
M. Auriacombe, Addiction Psychiatry (CNRS USR 3413), Universite Bordeaux,
Bordeaux, France.
SOURCE
Drug and Alcohol Dependence (2017) 171 (e12). Date of Publication: 1 Feb
2017
CONFERENCE NAME
2016 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2016
CONFERENCE LOCATION
Palm Springs, CA, United States
CONFERENCE DATE
2016-06-11 to 2016-06-16
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: New information technologies and communication media have a potential
to improve teaching. Our objective was to describe the new e-learning course
of addiction medicine at the University of Bordeaux (France, EU) and to
provide evidences of success. Methods: Program description: This course is
intended for students of medicine, psychiatry, neurosciences, and midwifes.
It has a hybrid structure, mixing distance learning and on-site workshops.
Students are instructed to connect to an online platform (Moodle), to study
by themselves short videos designed by the teachers (10-20 min sequences,
for a total of 90 min). To ensure comprehension of key concepts, students
must validate a quiz to unlock the next video. If unsuccessful, they are
invited to review the problem areas. Documentation to download is proposed
to complete videos. Students can ask questions directly to the teachers via
an online forum. Answers remain visible for all. At the end of the semester,
a face-to-face workshop is proposed with a teacher, in small groups (20
students). Content is determined by the performance of students with a quiz,
and addresses clinical cases. Finally, students are asked to fill a form to
improve the program. Results: Since 2012, 2,000 students were involved.
Validation of the online quiz (distance learning) varied between 85% and 96%
of the students. Workshop participation increased from 80% to 95%
(face-to-face learning). We noted a remarkable increase in participation,
since less then 20% of the students participated in the previous usual group
conference teaching process. Conclusions: This e-learning program provides
quality education for addiction. Students where able to organize themselves
and take into account their optimal time for study, which allowed more
participation. We think that stepped e-learning combined with small-group
workshops is a very efficient method to make addiction teaching more
accessible and valid.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
comprehension
France
teaching
EMTREE MEDICAL INDEX TERMS
documentation
human
major clinical study
neuroscience
psychiatry
student
teacher
validation process
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L618520425
DOI
10.1016/j.drugalcdep.2016.08.048
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2016.08.048
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 132
TITLE
Addressing unmet addiction need in an urban hospital
AUTHOR NAMES
Ahamad K.
Nolan S.
Wood E.
AUTHOR ADDRESSES
(Wood E.) Urban Health Research Initiative, BC Centre for Excellence in
HIV/AIDS, Vancouver, Canada.
(Ahamad K.) University of British Columbia, Vancouver, Canada.
(Nolan S.) Department of Medicine, University of British Columbia,
Vancouver, Canada.
CORRESPONDENCE ADDRESS
K. Ahamad, University of British Columbia, Vancouver, Canada.
SOURCE
Drug and Alcohol Dependence (2017) 171 (e3-e4). Date of Publication: 1 Feb
2017
CONFERENCE NAME
2016 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2016
CONFERENCE LOCATION
Palm Springs, CA, United States
CONFERENCE DATE
2016-06-11 to 2016-06-16
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Patients with substance use disorders are heavy users of inpatient
hospital care. Significant barriers exist in accessing evidenced based
addiction care. Much of the issue is the lack of medical education and
availability of specialty consultation with linkage to primary care
follow-up. We aim to assess the impact of the creation of an academic
teaching service on medical education and specialty consultation for
addiction related hospitalizations in Vancouver, BC. Methods: Following the
creation of and Addiction Medicine Fellowship program in Vancouver, BC an
existing addiction consultative service was expanded to include medical
students, residents and fellows. Data for trainees working on the service
were tracked using administrative records between August, 2013 and June,
2016. Data for patient consultations were tracked using the hospital's
Patient Care Information System between January, 2009 and December, 2015.
Results: Overall, between July 2013 and June 2016 medical trainees increased
from 33 in 2013-14 (4 follows, 2 practicing GPs, 12 residents, 1 nurse, 12
medical students), 73 in 2014-15 (4 fellows, 5 practicing GPs, 43 residents,
1 nurse, 20 medical students), and 98 in 2015-16 (6 fellows, 5 practicing
GPs, 47 residents, 2 nurses, 37 medical students). Patient consultations
were tacked pre and post expansion. Pre-expansion consults between January,
2009 and December, 2012 averaged 940.25 per year. Post-expansion consults
increased in 2013, 2014, and 2015 to 1144, 1623, and 1946, respectively.
Conclusions: In this setting, creation of an academic addiction training
service has resulted in substantial increases in medical trainees and
doubled the number of patients seen in consultation. Further study is needed
to assess long-term patient outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
EMTREE MEDICAL INDEX TERMS
adult
chronic patient
clinical article
consultation
female
hospitalization
human
information processing
male
medical education
medical student
medicine
nurse
patient care
resident
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L618519896
DOI
10.1016/j.drugalcdep.2016.08.026
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2016.08.026
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 133
TITLE
An educational intervention for internal medicine PGY-1 residents improves
knowledge in principles of pain management and opioid safety
AUTHOR NAMES
Jain N.
Mayahara M.
Fox D.
O'Mahony S.
AUTHOR ADDRESSES
(Jain N.; Fox D.; O'Mahony S.) Rush University Medical Center, Chicago,
United States.
(Mayahara M.) Rush University, College of Nursing, Chicago, United States.
CORRESPONDENCE ADDRESS
N. Jain, Rush University Medical Center, Chicago, United States.
SOURCE
Journal of Pain and Symptom Management (2017) 53:2 (460). Date of
Publication: 1 Feb 2017
CONFERENCE NAME
Annual Assembly of the American Academy of Hospice and Palliative Medicine
and the Hospice and Palliative Nurses Association 2017
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2017-02-22 to 2017-02-25
ISSN
1873-6513
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives • Describe the aspects of an educational intervention that have
been shown to increase knowledge in Internal Medicine residents in pain
management principles and application. • Appraise the data from the pilot
study and apply to the formulation of an expanded study design to assess
superiority of the educational intervention over clinical experience alone
and measure knowledge retention. Original Research Background. In our
institution, prior research has revealed that 74% of Internal Medicine
residents report no prior education in pain management, specifically
opioid-prescribing, before entering post-graduate training. Despite this,
Internal Medicine residents are often expected to prescribe opioids and
other analgesics with varying levels of supervision. Amongst clinicians,
several barriers exist in the delivery of safe and adequate pain management,
including an inability to properly assess pain, knowledge deficits in
pharmacology, and a lack of access to specialists. Research Objectives. 1.
Measure residents' baseline understanding of pain management principles
including analgesic selection, prescribing, and safety. 2. Improve these
residents' knowledge and application of pain management principles. 3.
Improve patient care with the appropriate prescribing of analgesics for pain
and the recognition of opioid dependence and diversion. Methods. We
implemented a pain management curriculum for categorical PGY-1 Internal
Medicine residents from January 2016 to June 2016. The curriculum consists
of didactics covering pain assessment and management and opioid safety,
supplemented with clinical vignettes and practice cases highlighting
analgesic selection and opioid conversions. Content knowledge is assessed
pre- and post-exposure to the educational curriculum. Results. Pilot data
from sixteen categorical PGY-1 residents has been collected. Content
knowledge scores improved after exposure to the educational intervention
(median: Pre = 6.81, Post = 8.50, n = 16, p<.05 Wilcoxon matched-pairs
signed rank test). The rotation was highly rated, and the content was felt
to be relevant. Conclusion. Delivery of an educational curriculum targeted
to address the existing knowledge deficits of Internal Medicine PGY-1
residents in pain management is feasible, highly rated, and associated with
improvements in knowledge of pain management principles. Implications for
research, policy or practice. Ongoing research in our section will compare
residents' knowledge after an experiential rotation alone (current practice)
to knowledge after implementation of an educational intervention, as well as
examine retention of pain management principles in subsequent years of
training.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
internal medicine
resident
safety
EMTREE MEDICAL INDEX TERMS
clinical article
clinical trial
controlled study
curriculum
doctor patient relation
exposure
human
opiate addiction
pain assessment
patient care
pharmacokinetics
pilot study
postgraduate education
prescription
rotation
study design
vignette
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614371498
DOI
10.1016/j.jpainsymman.2016.12.301
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpainsymman.2016.12.301
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 134
TITLE
Educational outreach to opioid prescribers: The case for academic detailing
AUTHOR NAMES
Davis M.T.
Bateman B.
Avorn J.
AUTHOR ADDRESSES
(Davis M.T., margotd@brandeis.edu) Brandeis University, Heller School for
Social Policy and Management, Waltham, United States.
(Bateman B.; Avorn J.) Division of Pharmacoepidemiology and
Pharmacoeconomics, Dept of Medicine, Brigham and Women’s Hospital, Boston,
United States.
(Avorn J.) Harvard Medical School, Boston, United States.
CORRESPONDENCE ADDRESS
M.T. Davis, Brandeis University, Heller School for Social Policy and
Management, 415 South St., Waltham, United States. Email:
margotd@brandeis.edu
SOURCE
Pain Physician (2017) 20:2 (S147-S151). Date of Publication: 1 Feb 2017
ISSN
2150-1149 (electronic)
1533-3159
BOOK PUBLISHER
American Society of Interventional Pain Physicians,
editor@painphysicianjournal.com
ABSTRACT
Nonmedical use of opioid medications constitutes a serious health threat as
the rates of addiction, overdoses, and deaths have risen in recent years.
Increasingly, inappropriate and excessively liberal prescribing of opioids
by physicians is understood to be a central part of the crisis. Public
health officials, hospital systems, and legislators are developing programs
and regulations to address the problem in sustained and systematic ways that
both insures effective treatment of pain and appropriate limits on the
availability of opioids. Three approaches have obtained prominence as means
of avoiding excessive and inappropriate prescribing, including: providing
financial incentives to physicians to change their clinical decision through
pay-forperformance contracts, monitoring patient medications through
Prescription Drug Monitoring Programs, and educational outreach to
physicians. A promising approach to educational outreach to physicians is an
intervention known as “academic detailing.” It was developed in the 1980s to
provide one-on-one educational outreach to physicians using similar methods
as the pharmaceutical industry that sends “detailers” to market their
products to physician practices. Core to academic detailing, however, is the
idea that medical decisions should be based on evidence-based information,
including managing conditions with updated assessment measures, behavioral,
and nonpharmacological interventions. With the pharmaceutical industry
spending billions of dollars to advertise their products, individual
practitioners can have difficulty gathering unbiased information, especially
as the number of approved medications grows each year. Academic detailing
has successfully affected the management of health conditions, such as
atrial fibrillation, chronic obstructive pulmonary disease, and recently,
has targeted physicians who prescribe opioids. This article discusses the
approach as a potentially effective preventative intervention to address the
epidemic of opioid overuse.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
academic detailing
medical education
opiate addiction
EMTREE MEDICAL INDEX TERMS
article
atrial fibrillation
chronic obstructive lung disease
death
doctor patient relation
drug industry
general practitioner
health care policy
hospital planning
human
inappropriate prescribing
market
pain
public health
randomized controlled trial (topic)
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170228744
MEDLINE PMID
28226336 (http://www.ncbi.nlm.nih.gov/pubmed/28226336)
PUI
L615031498
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 135
TITLE
Does brief chronic pain management education change opioid prescribing
rates? A pragmatic trial in Australian early-career general practitioners
AUTHOR NAMES
Holliday S.M.
Hayes C.
Dunlop A.J.
Morgan S.
Tapley A.
Henderson K.M.
Van Driel M.L.
Holliday E.G.
Ball J.I.
Davey A.
Spike N.A.
McArthur L.A.
Magin P.J.
AUTHOR ADDRESSES
(Holliday S.M., holliday@albertstmc.com; Dunlop A.J.; Tapley A.; Henderson
K.M.; Davey A.; Magin P.J.) School of Medicine and Public Health, University
of Newcastle, Newcastle, Australia.
(Holliday S.M., holliday@albertstmc.com; Dunlop A.J.) Drug and Alcohol
Clinical Services, Hunter New England Local Health District, Albert St
Medical Centre, 78 Albert St., Taree, Australia.
(Hayes C.) Hunter Integrated Pain Service, Hunter New England Local Health
District, Australia.
(Morgan S.) GP, Elermore Vale General Practice, Newcastle, Australia.
(Tapley A.; Henderson K.M.; Magin P.J.) NSW and ACT Research and Evaluation
Unit, GP Synergy, Newcastle, Australia.
(Van Driel M.L.) Discipline of General Practice, School of Medicine,
University of Queensland, Brisbane, Australia.
(Holliday E.G.) Public Health Program, Hunter Medical Research Institute,
Newcastle, Australia.
(Ball J.I.) CReDITSS, Hunter Medical Research Institute, Newcastle,
Australia.
(Spike N.A.) Eastern Victoria General Practice Training, Hawthorn,
Australia.
(Spike N.A.) Department of General Practice, University of Melbourne,
Melbourne, Australia.
(McArthur L.A.) Rural Clinical School, University of Adelaide, Adelaide,
Australia.
CORRESPONDENCE ADDRESS
S.M. Holliday, Drug and Alcohol Clinical Services, Hunter New England Local
Health District, Albert St Medical Centre, 78 Albert St., Taree, Australia.
Email: holliday@albertstmc.com
SOURCE
Pain (2017) 158:2 (278-288). Date of Publication: 1 Feb 2017
ISSN
1872-6623 (electronic)
0304-3959
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
We aimed to evaluate the effect of pain education on opioid prescribing by
early-career general practitioners. A brief training workshop was delivered
to general practice registrars of a single regional training provider. The
workshop significantly reduced hypothetical opioid prescribing (in response
to paper-based vignettes) in an earlier evaluation. The effect of the
training on actual prescribing was evaluated using a nonequivalent control
group design nested within the Registrar Clinical Encounters in Training
(ReCEnT) cohort study: 4 other regional training providers were controls. In
ReCEnT, registrars record detailed data (including prescribing) during 60
consecutive consultations, on 3 occasions. Analysis was at the level of
individual problem managed, with the primary outcome factor being
prescription of an opioid analgesic and the secondary outcome being opioid
initiation. Between 2010 and 2015, 168,528 problems were recorded by 849
registrars. Of these, 71% were recorded by registrars in the nontraining
group. Eighty-two percentages were before training. Opioid analgesics were
prescribed in 4382 (2.5%, 95% confidence interval [CI]: 2.40-2.63) problems,
with 1665 of these (0.97%, 95% CI: 0.91-1.04) representing a new
prescription. There was no relationship between the training and total
prescribing after training (interaction odds ratio: 1.01; 95% CI: 0.75-1.35;
P value 0.96). There was some evidence of a reduction in initial opioid
prescriptions in the training group (interaction odds ratio: 0.74; 95% CI:
0.48-1.16; P value 0.19). This brief training package failed to increase
overall opioid cessation. The inconsistency of these actual prescribing
results with hypothetical prescribing behavior suggests that reducing opioid
prescribing in chronic noncancer pain requires more than changing knowledge
and attitudes.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
chronic pain (drug therapy, drug therapy)
general practitioner
medical education
EMTREE MEDICAL INDEX TERMS
adult
article
Australian
consensus development
controlled study
female
human
major clinical study
male
middle aged
practice guideline
prescription
priority journal
treatment outcome
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170292136
MEDLINE PMID
28092648 (http://www.ncbi.nlm.nih.gov/pubmed/28092648)
PUI
L615607339
DOI
10.1097/j.pain.0000000000000755
FULL TEXT LINK
http://dx.doi.org/10.1097/j.pain.0000000000000755
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 136
TITLE
Finding a needle in the haystack: Using machine-learning to predict overdose
in opioid users
AUTHOR NAMES
Crosier B.S.
Borodovsky J.
Mateu-Gelabert P.
Guarino H.
AUTHOR ADDRESSES
(Crosier B.S.) Center for Technology and Behavioral Health, Dartmouth
College, West Windsor, United States.
(Borodovsky J.) Psychiatry, Dartmouth College, Hanover, United States.
(Mateu-Gelabert P.) NDRI, Inc., New York, United States.
(Guarino H.) National Development and Research Institutes, New York, United
States.
CORRESPONDENCE ADDRESS
B.S. Crosier, Center for Technology and Behavioral Health, Dartmouth
College, West Windsor, United States.
SOURCE
Drug and Alcohol Dependence (2017) 171 (e49). Date of Publication: 1 Feb
2017
CONFERENCE NAME
2016 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2016
CONFERENCE LOCATION
Palm Springs, CA, United States
CONFERENCE DATE
2016-06-11 to 2016-06-16
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: To accurately predict overdose frequency using machine learning and
identify key predictive features. Methods: A sample of opioid users (N= 260)
was contacted and reported on 1016 variables including demographics, social
network info, and drug history. We then used the machine learning technique
random forests to (1) attempt to accurately predict a participant's lifetime
opioid overdose status, and (2) the number of times they overdosed. The Gini
index was used for feature selection to identify meaningful predictors.
Results: Participants were M= 24.28 (SD = 3.11) years old and 66% male. 80%
identified as Caucasian. We ran two random forests. The first performed a
binary classification to predict lifetime overdose status, with an error
rate of 30.25%. The most predictive feature was identified as whether or not
that person had ever been arrested. The second model identified the
predictors of overdose frequency. This model explained 8% of variance in
overdose. The most predictive feature was the number of overdoses in a
person's social network. Conclusions: Two random forests provided a solution
to a “needle in the haystack” problem, identifying variables most related to
overdose, and predicted overdose with an accuracy much greater than chance.
Arrest history and the number of overdoses in a person's network emerged as
the most important predictors of overdose. This information can be used to
guide future research, and informs the design of screening tools. Questions
asking someone if they have ever been arrested or how many people they have
seen overdose could greatly help on-the-ground practitioners by quickly
identifying those that are at risk. Machine learning is becoming
increasingly important when working with datasets that contain a great
number of predictor variables and serve as a powerful non-theoretical method
to identify important factors related to substance abuse and other
behavioural health problems.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
random forest
EMTREE MEDICAL INDEX TERMS
adult
Caucasian
classification
disease course
drug overdose
female
human
major clinical study
male
physician
predictor variable
social network
substance abuse
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L618520354
DOI
10.1016/j.drugalcdep.2016.08.146
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2016.08.146
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 137
TITLE
The computer-based drug and alcohol training assessment in Kenya
AUTHOR NAMES
Clair V.
Mutiso V.
Musau A.
Frank E.
Ndetei D.
AUTHOR ADDRESSES
(Clair V.; Frank E.) Univeristy of British Columbia, Vancouver, Canada.
(Clair V.) Urban Health Research Initiative, British Columbia Centre for
Excellence in HIV/AIDS, Vancouver, Canada.
(Mutiso V.; Musau A.; Ndetei D.) Africa Mental Health Foundation, Nairobi,
Kenya.
CORRESPONDENCE ADDRESS
V. Clair, Univeristy of British Columbia, Vancouver, Canada.
SOURCE
Drug and Alcohol Dependence (2017) 171 (e42-e43). Date of Publication: 1 Feb
2017
CONFERENCE NAME
2016 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2016
CONFERENCE LOCATION
Palm Springs, CA, United States
CONFERENCE DATE
2016-06-11 to 2016-06-16
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: NextGenU.org, the Annenberg Physician Training Program in Addiction
Medicine (APTPAM), and Africa Mental Health Foundation (AMHF) assessed the
impact of online training on urban and rural Kenyan healthcare workers' (HW)
delivery of substance use disorders (SUD) services; using the NextGenU.org
model based on expert created competencies, free available learning objects,
and mentored activities. Methods: eDATA K includes (1) a pilot study; (2) a
pre- and posttraining knowledge, attitudes and skills (KAS) ofHWin practice;
(3) a RCT comparing alcohol brief interventions (BI) versus screening and
information leaflet with 6 months follow-up (f/u); and (4) an implementation
science study using a delayed control method to assess the integration of
the SUD interventions in on-going practice with or without a quality
improvement course. All four studies used quantitative and qualitative
methods and data collection tools, administered after obtaining ethical
approval and informed consent. Results: The courses improved KAS both in the
pilot and in subsequent training of HW in 15 primary care facilities. Both
RCT study arms (n = 696) showed a decrease of approximately100 g of alcohol
(from about 400 g at baseline) of alcohol consumption in the previous 7 days
at 6 months f/u, for those with risky level of alcohol consumption as
determined by the ASSIST. Focus groups revealed very significant impact on
participants' health and functioning. HWs were able to integrate the
screening and BI in their practice, especially after taking a quality
improvement course, performing > 7000 screens and 800 BIs after the RCT.
Conclusions: AMHF's, APTPAM's and NextGenU's online trainings decreased
stigma, integrated SUD services in primary care, and resulted in HW
providing an intervention that decreased alcohol consumption more than that
found in BI meta-analysis. Populations worldwide would benefit from access
to HW trained with this free coursework.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Kenya
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
controlled study
drug dependence
female
follow up
health care personnel
human
information processing
informed consent
male
medicine
mental health
meta analysis
pilot study
primary medical care
qualitative analysis
skill
stigma
total quality management
training
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L618519969
DOI
10.1016/j.drugalcdep.2016.08.129
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2016.08.129
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 138
TITLE
Linking animal models to human self-administration practices among medical
cannabis patients: A daily diary study
AUTHOR NAMES
Novak S.P.
Peiper N.
Wiley J.
AUTHOR ADDRESSES
(Novak S.P.; Peiper N.; Wiley J.) Behavioral Epidemiology, RTI
International, Research Triangle Park, United States.
CORRESPONDENCE ADDRESS
S.P. Novak, Behavioral Epidemiology, RTI International, Research Triangle
Park, United States.
SOURCE
Drug and Alcohol Dependence (2017) 171 (e153-e154). Date of Publication: 1
Feb 2017
CONFERENCE NAME
2016 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2016
CONFERENCE LOCATION
Palm Springs, CA, United States
CONFERENCE DATE
2016-06-11 to 2016-06-16
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Surprisingly little is known about the self-administration practices
among patients using cannabis for medical purposes. Information is lacking
on the diversity of products (e.g. combustible/ edible), strength (e.g. THC,
CBD), and dosage. Our best theoretical models are derived from animal
studies, namely continuous reinforcement paradigms that identify variability
in consumption. Yet, data are lacking on how well this paradigm parallels
human behavior. Methods: In 2014, medical cannabis patients (n = 50) were
recruited in California (ages 18+) to complete a baseline survey and then a
paper diary capturing specific product use and motivationsfor use throughout
each day. Latent trajectory analysis was used to compare empirical subtypes
to animal models of addiction. Results: Five classes were extracted, two of
which were stable dosing groups: one using multiple (5 or more) combustible
products per day (10% of users) and another (15%) mixing in combustible
products and vaporizers. Three classes, representing the majority of the
sample, were characterized by variable dosing and product selection. Edibles
were used rather infrequently (10% of the patients), largely as a means to
consume in places where use is stigmatized. Income was the strongest
predictor of trajectory classes (ORs 1.9-3.9) involving non-stable
consumption. Qualitative interviews suggested that pay periods were
important drivers of usage frequency, and additional analyses of the diary
data showed frequency was highest in the 48 h period on dates commonly
associated with pay periods, e.g., 48 h starting from the 1st to the 2nd of
the month, 15th to the 16th of month. Approximately 25% of the events were
used exclusively to self-treat pain, the rest being mixed (53%) or
exclusively euphoria/relaxation (22%). Conclusions: The ability to pay for
cannabis appeared to a major driver of consumption among pain patients. The
natural environment's role in consumption has important implications for
testing animal models of addiction.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
medical cannabis
EMTREE DRUG INDEX TERMS
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug self administration
EMTREE MEDICAL INDEX TERMS
addiction
adult
animal model
California
clinical article
clinical trial
driver
drug therapy
euphoria
female
human
interview
leisure
male
pain
rest
vaporizer
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L618519873
DOI
10.1016/j.drugalcdep.2016.08.424
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2016.08.424
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 139
TITLE
Utilizing the Ottawa charter in a multidisciplinary setting as a harm
reduction strategy in people who inject drugs
AUTHOR NAMES
Singh A.
Alimohammadi A.
Raycraft T.
Kiani G.
Shahi R.
Conway B.
AUTHOR ADDRESSES
(Singh A.; Alimohammadi A.; Raycraft T.; Kiani G.; Shahi R.; Conway B.)
Vancouver Infectious Diseases Centre, Vancouver, Canada.
CORRESPONDENCE ADDRESS
A. Singh, Vancouver Infectious Diseases Centre, Vancouver, Canada.
SOURCE
Hepatology International (2017) 11:1 Supplement 1 (S559). Date of
Publication: 1 Feb 2017
CONFERENCE NAME
26th Annual Conference of the Asian Pacific Association for the Study of the
Liver, APASL 2017
CONFERENCE LOCATION
Shanghai, China
CONFERENCE DATE
2017-02-15 to 2017-02-19
ISSN
1936-0533
BOOK PUBLISHER
Springer India
ABSTRACT
Background: There has been a big shift in the way health care delivery is
viewed in society. The shift from an individual approach to a community
based intervention needs to be implemented at all specialist centers to help
the PWID population to benefit from the full scope of health care. Methods:
The multidisciplinary program developed at the Vancouver infectious Diseases
Centre (VIDC) provides ongoing, long-term access to specialty medical care
and support services in order to address the clinical, psychological and
social factors along with addiction related needs that impact people who
inject drugs (PWID). This is particularly true in a neighborhood such as
Vancouver's Downtown East Side (DTES), with a high proportion of individuals
with co-morbidities relating to clinical (HCV, HIV), psychologic (diagnosed
psychiatric conditions), social (food insecurity, homelessness) and
substance use and its treatment. In many cases, structures are not in place
to allow individuals to effectively engage in the care they require. Result:
Our intervention incorporates the use of community pop-up clinics (CPCs) in
the DTES to test individuals for HIV and HCV. Positive tests result in an
immediate consultation with our medical team to proactively engage patients
into low threshold multidisciplinary healthcare. Our program aims to create
a supportive environment with the design of individualized, patient-focused
approaches. This includes weekly support groups where breakfast and lunch
are provided along with education mental health and addiction, opiate
substitution, diabetes, obesity and cardiovascular disease. Strengthening
community action through our program promotes personal growth and engagement
in health care in a receptive environment with access to state-of-the art
treatment modalities, including all-oral HCV therapy. Inclusion in clinical
trials dedicated to this vulnerable population is actively promoted.
Conclusion: Within our CPC program, 610 individuals were positive for HCV of
which 51 were positive for both HIV and HCV and 18 were positive for HIV
only. A total of 170 (25%) individuals were then engaged in care at VIDC.
Alongside providing treatment for HIV and/or HCV, VIDC targeted the social
determinants such are linking patients to safer housing options, providing
nutrient dense food sources, and education on safe injection drug use.
Patients engaged at VIDC showed better health outcomes when their social
determinants of health were targeted along with their physical, mental,
emotional and spiritual needs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
harm reduction
EMTREE MEDICAL INDEX TERMS
art therapy
cardiovascular disease
clinical trial
communicable disease
comorbidity
consultation
diabetes mellitus
diagnosis
doctor patient relation
education
food insecurity
homelessness
housing
human
Human immunodeficiency virus
injection
major clinical study
meal
mental health
neighborhood
nonhuman
nutrient
obesity
opiate addiction
social determinants of health
substance use
support group
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614580782
DOI
10.1007/s12072-016-9783-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s12072-016-9783-9
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 140
TITLE
Two birds with one stone: experiences of combining clinical and research
training in addiction medicine
AUTHOR NAMES
Klimas J.
McNeil R.
Ahamad K.
Mead A.
Rieb L.
Cullen W.
Wood E.
Small W.
AUTHOR ADDRESSES
(Klimas J.; McNeil R.; Ahamad K.; Mead A.; Rieb L.; Wood E.; Small W.,
wsmall@sfu.ca.Faculty) British Columbia Centre for Excellence in HIV/AIDS,
St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada
(Klimas J.; McNeil R.; Wood E.) Department of Medicine, University of
British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver,
BC, V6Z 1Y6, Canada
(Klimas J.; Cullen W.) School of Medicine, University College Dublin,
Belfield, Dublin 4, Ireland
(Ahamad K.; Mead A.; Rieb L.) Department of Family Practice, University of
British Columbia, St. Paul's Hospital, Vancouver, BC, Canada
(Ahamad K.; Mead A.; Rieb L.) Department of Family and Community Medicine,
1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada
(Small W., wsmall@sfu.ca.Faculty) Faculty of Health Sciences, Simon Fraser
University, Burnaby, Canada
(Small W., wsmall@sfu.ca.Faculty) Urban Health Research Initiative, B.C.
Centre for Excellence in HIV/AIDS, University of British Columbia, St.
Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada
SOURCE
BMC medical education (2017) 17:1 (22). Date of Publication: 23 Jan 2017
ISSN
1472-6920 (electronic)
ABSTRACT
BACKGROUND: Despite a large evidence-base upon which to base clinical
practice, most health systems have not combined the training of healthcare
providers in addiction medicine and research. As such, addiction care is
often lacking, or not based on evidence or best practices. We undertook a
qualitative study to assess the experiences of physicians who completed a
clinician-scientist training programme in addiction medicine within a
hospital setting.METHODS: We interviewed physicians from the St. Paul's
Hospital Goldcorp Addiction Medicine Fellowship and learners from the
hospital's academic Addiction Medicine Consult Team in Vancouver, Canada (N
= 26). They included psychiatrists, internal medicine and family medicine
physicians, faculty, mentors, medical students and residents. All received
both addiction medicine and research training. Drawing on Kirkpatrick's
model of evaluating training programmes, we analysed the interviews
thematically using qualitative data analysis software (Nvivo 10).RESULTS: We
identified five themes relating to learning experience that were
influential: (i) attitude, (ii) knowledge, (iii) skill, (iv) behaviour and
(v) patient outcome. The presence of a supportive learning environment,
flexibility in time lines, highly structured rotations, and clear guidance
regarding development of research products facilitated clinician-scientist
training. Competing priorities, including clinical and family
responsibilities, hindered training.CONCLUSIONS: Combined training in
addiction medicine and research is feasible and acceptable for current
doctors and physicians in training. However, there are important barriers to
overcome and improved understanding of the experience of addiction
physicians in the clinician-scientist track is required to improve curricula
and research productivity.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
medical student
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
Canada
clinical competence
cognitive neuroscience
curriculum
drug dependence (therapy)
health personnel attitude
health service
human
medical education
medical research
mentor
organization and management
personnel
physician attitude
program evaluation
qualitative research
specialization
standards
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28114925 (http://www.ncbi.nlm.nih.gov/pubmed/28114925)
PUI
L615020899
DOI
10.1186/s12909-017-0862-y
FULL TEXT LINK
http://dx.doi.org/10.1186/s12909-017-0862-y
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 141
TITLE
Irish general practitioner attitudes toward decriminalisation and medical
use of cannabis: Results from a national survey
AUTHOR NAMES
Crowley D.
Collins C.
Delargy I.
Laird E.
Van Hout M.C.
AUTHOR ADDRESSES
(Van Hout M.C., mcvanhout@wit.ie) Waterford Institute of Technology, School
of Health Sciences, Waterford, Ireland.
(Crowley D., des.crowley@icgp.ie; Collins C., claire.collins@icgp.ie;
Delargy I., ide.delargy@icgp.ie; Van Hout M.C., mcvanhout@wit.ie) Irish
College of General Practitioners, Dublin, Ireland.
(Laird E., lairdea@tcd.ie) Trinity College Dublin, School of Biochemistry
and Immunology, Dublin, Ireland.
CORRESPONDENCE ADDRESS
M.C. Van Hout, Waterford Institute of Technology, School of Health Sciences,
Waterford, Ireland. Email: mcvanhout@wit.ie
SOURCE
Harm Reduction Journal (2017) 14:1 Article Number: 4. Date of Publication:
13 Jan 2017
ISSN
1477-7517 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., info@biomedcentral.com
ABSTRACT
Background: Governmental debate in Ireland on the de facto decriminalisation
of cannabis and legalisation for medical use is ongoing. A cannabis-based
medicinal product (Sativex®) has recently been granted market authorisation
in Ireland. This unique study aimed to investigate Irish general
practitioner (GP) attitudes toward decriminalisation of cannabis and assess
levels of support for use of cannabis for therapeutic purposes (CTP).
Methods: General practitioners in the Irish College of General Practitioner
(ICGP) database were invited to complete an online survey. Anonymous data
yielded descriptive statistics (frequencies, percentages) to summarise
participant demographic information and agreement with attitudinal
statements. Chi-square tests and multi-nominal logistic regression were
included. Results: The response rate was 15% (n = 565) which is similar to
other Irish national GP attitudinal surveys. Over half of Irish GPs did not
support the decriminalisation of cannabis (56.8%). In terms of gender, a
significantly higher proportion of males compared with females (40.6 vs.
15%; p < 0.0001) agreed or strongly agreed with this drug policy approach. A
higher percentage of GPs with advanced addiction specialist training (level
2) agreed/strongly agreed that cannabis should be decriminalised (54.1 vs.
31.5%; p = 0.021). Over 80% of both genders supported the view that cannabis
use has a significant effect on patients' mental health and increases the
risk of schizophrenia (77.3%). Over half of Irish GPs supported the
legalisation of cannabis for medical use (58.6%). A higher percentage of
those who were level 1-trained (trained in addiction treatment but not to an
advanced level) agreed/strongly agreed cannabis should be legalised for
medical use (p = 0.003). Over 60% agreed that cannabis can have a role in
palliative care, pain management and treatment of multiple sclerosis (MS).
In the regression response predicator analysis, females were 66.2% less
likely to agree that cannabis should be decriminalised, 42.5% less likely to
agree that cannabis should be legalised for medical use and 59.8 and 37.6%
less likely to agree that cannabis has a role in palliative care and in the
treatment of multiple sclerosis (respectively) than males. Conclusions: The
majority of Irish GPs do not support the present Irish governmental drug
policy of decriminalisation of cannabis but do support the legalisation of
cannabis for therapeutic purposes. Male GPs and those with higher levels of
addiction training are more likely to support a more liberal drug policy
approach to cannabis for personal use. A clear majority of GPs expressed
significant concerns regarding both the mental and physical health risks of
cannabis use. Ongoing research into the health and other effects of drug
policy changes on cannabis use is required.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
decriminalization
drug use
general practitioner
legal aspect
physician attitude
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
demography
descriptive research
female
health care policy
health survey
human
male
mental health
multiple sclerosis
schizophrenia
sex difference
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170049270
MEDLINE PMID
28086792 (http://www.ncbi.nlm.nih.gov/pubmed/28086792)
PUI
L614054558
DOI
10.1186/s12954-016-0129-7
FULL TEXT LINK
http://dx.doi.org/10.1186/s12954-016-0129-7
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 142
TITLE
Challenges and opportunities to change the course of the opioid epidemic: a
surgeon’s perspective
AUTHOR NAMES
Mancini G.J.
AUTHOR ADDRESSES
(Mancini G.J., GMancini@utmck.edu) Department of Surgery, University of
Tennessee Medical Center, Knoxville, United States.
CORRESPONDENCE ADDRESS
G.J. Mancini, University of Tennessee Medical Center, 1924 Alcoa Highway,
Knoxville, United States. Email: GMancini@utmck.edu
SOURCE
Postgraduate Medicine (2017) 129:1 (1-4). Date of Publication: 2 Jan 2017
ISSN
1941-9260 (electronic)
0032-5481
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia, United
States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
bupivacaine
delta opiate receptor
hydrocodone bitartrate
oxycodone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse
opiate addiction
surgeon
EMTREE MEDICAL INDEX TERMS
analgesia
editorial
health survey
hospitalization
human
minimally invasive procedure
patient care
patient satisfaction
postoperative pain
practice guideline
prescription
primary medical care
public health
DRUG TRADE NAMES
exparel , United StatesPacira
hysingla
oxycontin
DRUG MANUFACTURERS
(United States)Pacira
CAS REGISTRY NUMBERS
bupivacaine (18010-40-7, 2180-92-9, 55750-21-5, 38396-39-3)
hydrocodone bitartrate (143-71-5, 8013-91-0)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160939950
MEDLINE PMID
27915490 (http://www.ncbi.nlm.nih.gov/pubmed/27915490)
PUI
L613838170
DOI
10.1080/00325481.2017.1268901
FULL TEXT LINK
http://dx.doi.org/10.1080/00325481.2017.1268901
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 143
TITLE
Addiction medicine training in Canadian emergency medicine residency
programs: A needs assessment survey
AUTHOR NAMES
Olmstead A.
Hann J.
Gupta S.
Jaggi P.K.
Dong K.
Ha D.
AUTHOR ADDRESSES
(Olmstead A.; Hann J.; Gupta S.; Jaggi P.K.; Dong K.; Ha D.) University of
Alberta, Edmonton, Canada.
CORRESPONDENCE ADDRESS
A. Olmstead, University of Alberta, Edmonton, Canada.
SOURCE
Canadian Journal of Emergency Medicine (2017) 19 Supplement 1 (S111). Date
of Publication: 2017
CONFERENCE NAME
2017 CAEP/ACMU
CONFERENCE LOCATION
Whistler, BC, Canada
CONFERENCE DATE
2017-06-03 to 2017-06-07
ISSN
1481-8043
BOOK PUBLISHER
Cambridge University Press
ABSTRACT
Introduction: Emergency department visits related to substance use are
becoming more serious and increasingly costly in Canada. Emergency
physicians must be able to effectively screen, manage, refer, and advocate
for these complex patients. This study sought to describe the current state
of addiction medicine training in Canadian emergency medicine (EM) residency
programs and to assess the need for a formal curriculum. Methods: All Royal
College and College of Family Physicians EM Program Directors (PDs) were
asked to participate in a ten-question needs assessment survey on addiction
medicine training for residents. Questions were developed through consensus
after reviewing the relevant literature and conducting a formal pilot survey
with staff physicians experienced in survey methodology. Responses were
collected securely using the Research Electronic Data Capture (REDCap)
database. Results: 19 out of 31 (62%) eligible PDs completed the survey. The
importance of addiction medicine training received a median score of 69.5
(IQR = 74.0) on a scale of 1-100. Most programs devoted two hours or less
per year of formalized teaching on individual topics (such as opioids,
alcohol, harm reduction) over the past two academic years. The two most
common teaching modalities used were didactic lectures (15/19, 78.9%) and
case-based tutorials (12/19, 63.2%). Case-based tutorials were identified as
the most effective teaching method (12/19, 63.2%). Topics highlighted as
most important to include in a curriculum were: screening for substance use
disorders and referral for further treatment (14/19, 73.7%), social
determinants of health (14/19, 73.7%), alcohol, opioid, and stimulant
intoxication and/or withdrawal (14/19, 73.7% each), and management of
patients on opioid agonist therapy (14/19, 73.7%). The most commonly
perceived barriers to implementing such a curriculum were insufficient
curriculum time (10/19, 52.6%) and lack of qualified teaching staff (7/19,
36.8%). Conclusion: This needs assessment provides an understanding of the
current state of addiction medicine training for EM residents in Canada. A
case-based addiction medicine workshop is currently being developed to
address identified curriculum gaps. Integrating this curriculum
longitudinally into a time-constrained academic schedule is an important
next step.
EMTREE DRUG INDEX TERMS
alcohol
central stimulant agent
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
drug dependence
emergency medicine
medical education
needs assessment
resident
EMTREE MEDICAL INDEX TERMS
Canada
case report
clinical trial
college
consensus development
data base
drug therapy
drug toxicity
drug withdrawal
female
general practitioner
harm reduction
human
intoxication
male
patient referral
screening
side effect
social determinants of health
staff
CAS REGISTRY NUMBERS
alcohol (64-17-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L616679124
DOI
10.1017/cem.2017.300
FULL TEXT LINK
http://dx.doi.org/10.1017/cem.2017.300
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 144
TITLE
Changes in psychiatry residents’ attitudes towards individuals with
substance use disorders over the course of residency training
AUTHOR NAMES
Avery J.
Han B.H.
Zerbo E.
Wu G.
Mauer E.
Avery J.
Ross S.
Penzner J.B.
AUTHOR ADDRESSES
(Avery J., joa9070@med.cornell.edu; Han B.H.; Wu G.; Mauer E.; Penzner J.B.)
Weill Cornell Medical College, New York, United States.
(Zerbo E.) Rutgers New Jersey Medical School, Newark, United States.
(Avery J.) Princeton University, Princeton, United States.
(Ross S.) NYU School of Medicine, New York, United States.
CORRESPONDENCE ADDRESS
J. Avery, Weill Cornell Medical College, New York, United States. Email:
joa9070@med.cornell.edu
SOURCE
American Journal on Addictions (2017) 26:1 (75-79). Date of Publication: 1
Jan 2017
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley Blackwell, info@royensoc.co.uk
ABSTRACT
Background and Objectives: Psychiatry residents provide care for individuals
diagnosed with co-occurring mental illness and substance use disorders
(SUDs). Small studies have shown that clinicians in general possess negative
attitudes towards these dually diagnosed individuals. This is a serious
concern, as clinicians’ stigmatizing attitudes towards individuals with
mental illnesses may have a particularly potent adverse impact on treatment.
The goal of this study was to examine the attitudes of psychiatry residents
towards individuals with diagnoses of schizophrenia, multiple SUDs,
co-occurring schizophrenia and SUDs, and major depressive disorder. Methods:
A questionnaire was sent to psychiatry residents (N = 159) around the
country. It was comprised of two sections: (i) demographic information,
which included information about level of training; and (ii) the 11-item
Medical Condition Regard Scale (MCRS) for individuals with the four
different diagnoses. Results: Psychiatry residents had more stigmatizing
attitudes towards individuals with diagnoses of SUDs with and without
schizophrenia than towards those individuals with diagnoses of schizophrenia
or major depressive disorder alone. Senior residents possessed more negative
attitudes towards individuals with SUDs than junior residents. Discussion
and Conclusions: The attitudes of psychiatry residents’ towards individuals
with SUDs with and without schizophrenia were negative and were worse among
senior residents. There were many potential reasons for these findings,
including repeat negative experiences in providing care for these
individuals. Scientific Significance: The negative attitudes of psychiatry
residents towards individuals with SUDs are worrisome. Future work is needed
to better understand these attitudes and to develop interventions to improve
them. (Am J Addict 2017;26:75–79).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
physician attitude
psychiatrist
residency education
resident
EMTREE MEDICAL INDEX TERMS
11 item medical condition regard scale
adult
article
assessment of humans
demography
female
human
major depression
male
normal human
questionnaire
schizophrenia
stigma
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160836606
MEDLINE PMID
27749984 (http://www.ncbi.nlm.nih.gov/pubmed/27749984)
PUI
L613254836
DOI
10.1111/ajad.12406
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12406
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 145
TITLE
Opiate use disorders and overdose: Medical students' experiences,
satisfaction with learning, and attitudes toward community naloxone
provision
AUTHOR NAMES
Tobin H.
Klimas J.
Barry T.
Egan M.
Bury G.
AUTHOR ADDRESSES
(Tobin H., helen.tobin@ucd.ie; Klimas J.; Barry T.; Egan M.; Bury G.) UCD
Centre for Emergency Medical Science, School of Medicine, Health Sciences
Centre, University College Dublin, Belfield, Dublin 4, Ireland
(Klimas J.) British Columbia Centre for Excellence in HIV/AIDS, St. Paul's
Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada
(Klimas J.) Department of Medicine, University of British Columbia, St.
Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada
CORRESPONDENCE ADDRESS
H. Tobin, UCD Centre for Emergency Medical Science, C110, School of
Medicine, Health Sciences Centre, University College Dublin, Belfield,
Dublin 4, Ireland Email: helen.tobin@ucd.ie
SOURCE
Addictive Behaviors (2017). Date of Publication: 2017
ISSN
1873-6327 (electronic)
0306-4603
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Introduction: Opiate use disorder is a common condition in healthcare
services in Ireland, where over 200 opiate overdose deaths occur annually.
There is limited addiction medicine education at undergraduate level and
medical graduates may not be adequately prepared to diagnose and manage
opioid use disorders and emergency drug overdose presentations. Therefore,
we examined final-year medical students' learning experiences and attitudes
toward opioid use disorder, overdose and community naloxone provision as an
emerging overdose treatment. Methods: We administered an anonymous
paper-based survey to 243 undergraduate medical students undertaking their
final professional completion module prior to graduation from University
College Dublin, Ireland. Results were compared with parallel surveys of
General Practitioners (GPs) and GP trainees. Results: A total of 197 (82.1%)
completed the survey. Just under half were male, and most were aged under 25
(63.3%) and of Irish nationality (76.7%). The students felt moderately
prepared to recognise opioid use disorder, but felt less prepared to manage
other aspects of its care. Most had taken a history from a patient with an
opioid use disorder (82.8%), and a third had witnessed at least one opioid
overdose. Although 10.3% had seen naloxone administered, most had never
administered naloxone themselves (98.5%). Half supported wider naloxone
availability; this was lower than support rates among GPs (63.6%) and GP
trainees (66.1%). Conclusions: Our findings suggest an unmet learning need
in undergraduate training on opioid use disorder, with potential
consequences for patient care.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
general practitioner
learning
medical education
medical student
satisfaction
EMTREE MEDICAL INDEX TERMS
adult
drug overdose
human
Ireland
major clinical study
male
patient care
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170844775
PUI
L619479590
DOI
10.1016/j.addbeh.2017.11.028
FULL TEXT LINK
http://dx.doi.org/10.1016/j.addbeh.2017.11.028
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 146
TITLE
Molding young minds: The importance of residency training in shaping
residents’ attitudes toward substance use disorders
AUTHOR NAMES
Patil D.
Andry T.
AUTHOR ADDRESSES
(Patil D., dustin.patil@bmc.org) Department of Psychiatry, Boston University
Medical Center, Boston, United States.
(Andry T.) Menninger Department of Psychiatry and Behavioral Sciences,
Baylor College of Medicine, Houston, United States.
CORRESPONDENCE ADDRESS
D. Patil, Department of Psychiatry, Boston University Medical Center,
Boston, United States. Email: dustin.patil@bmc.org
SOURCE
American Journal on Addictions (2017) 26:1 (80-82). Date of Publication: 1
Jan 2017
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley Blackwell, info@wiley.com
EMTREE DRUG INDEX TERMS
buprenorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
physician attitude
psychiatrist
residency education
EMTREE MEDICAL INDEX TERMS
consensus
emergency ward
human
letter
maintenance therapy
major depression
medical director
medical specialist
mental health care
opiate addiction
personal experience
psychopharmacotherapy
schizophrenia
substance use
United States
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160936018
PUI
L613812774
DOI
10.1111/ajad.12484
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12484
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 147
TITLE
Factors that influence medical residents' attitudes towards people with
substance use disorders: A scoping review
AUTHOR NAMES
Sandhu S.
Adye-White L.
McCombe G.
Cullen W.
Wood E.
Klimas J.
AUTHOR ADDRESSES
(Sandhu S.; McCombe G.; Cullen W.) UCD School of Medicine, University
College Dublin, Belfield, Dublin 4, Ireland.
(Adye-White L.; Wood E.; Klimas J.) British Columbia Centre on Substance Use
and for Excellence in HIV/ AIDS, St. Paul's Hospital, Vancouver, Canada.
CORRESPONDENCE ADDRESS
S. Sandhu, UCD School of Medicine, University College Dublin, Belfield,
Dublin 4, Ireland.
SOURCE
Irish Journal of Medical Science (2017) 186:12 Supplement 1 (S454). Date of
Publication: 2017
CONFERENCE NAME
UCD School of Medicine, Summer Student Research Awards 2017
CONFERENCE LOCATION
Dublin, Ireland
CONFERENCE DATE
2017-10-04 to 2017-10-04
ISSN
1863-4362
BOOK PUBLISHER
Springer London
ABSTRACT
Evidence suggests that attitudes of medical personnel towards people with
substance use disorders (SUD) can influence the care provided. This is a
serious concern as stigmatizing and negative attitudes have been shown to
decrease the quality of care provided to people with SUD1. Therefore, the
aim of this scoping review was to determine what factors that may influence
medical residents' attitudes towards SUD have been reported 'Medline',
'Embase' and 'PsycInfo' electronic databases were searched in July 2017.
Additionally, 9 journals were hand searched. The search strategy yielded
4585 references. Of those, 55 articles were assessed in full text for
eligibility. Seven journal articles and four conference abstracts were
included in the scoping review based on the inclusion criteria. Following
data extraction, three factors influencing medical residents' attitudes were
identified: 1) participation in addiction training (n= 7), 2) post-graduate
year (n=1), and 3) personal or family history of drug use (n=1). This review
revealed that medical residents' attitudes towards SUD become increasingly
negative over the course of residency training and that participation in
addiction training may serve as a step in alleviating these negative
attitudes. Additionally, residents with personal history of drug use have
higher positive attitudes towards SUD. However, it should be noted that some
studies did not report adequate information about addiction training, study
methods or attidudinal outcomes. To address research gaps, further research
should examine factors that influence medical residents' attitudes towards
SUD and a systematic review should be conducted to assess the quality of
research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
residency education
EMTREE MEDICAL INDEX TERMS
adult
data extraction
Embase
family history
female
human
male
Medline
postgraduate student
PsycINFO
systematic review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619737059
DOI
10.1007/s11845-017-1711-z
FULL TEXT LINK
http://dx.doi.org/10.1007/s11845-017-1711-z
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 148
TITLE
Alcohology and future French general practitioners: Assessment of the
knowlege, medical practices and training acquired at the end of the
internship
ORIGINAL (NON-ENGLISH) TITLE
L'Alcoologie et les futurs médecins généralistes français évaluation des
connaissances, des pratiques et de la formation reçue en fin d'internat
AUTHOR NAMES
Djengué A.
Pham A.-D.
Kowalski V.
Burri C.
AUTHOR ADDRESSES
(Djengué A., aymeric.m.djengue@gmail.com) Médecin Généraliste, France.
(Pham A.-D., pham-ad@chu-caen.fr) Unité de Biostatistique et Recherche
Clinique, CHU - Avenue de la côte de Nacre, Caen Cedex 9, France.
(Kowalski V., vincent.kowalski@unicaen.fr) UFR Médecine-Université de Caen
Basse-Normandie, 2 rue des Rochambelles, Caen, France.
(Burri C., christophe.burri@anpaa.asso.fr) Centre de Cure Ambulatoire en
Alcoologie et Addictologie, 9 rue du Dr Vincent, Caen, France.
SOURCE
Psychotropes (Belgium) (2017) 23:1 (89-109). Date of Publication: 2017
ISSN
1782-1487 (electronic)
1245-2092
BOOK PUBLISHER
Boeck Universite, info@universite.deboeck.com
ABSTRACT
Background The purpose of this study was to assess the knowledge, medical
practices and training of French interns in general medicine at the end of
their course on alcohology. Methods An electronic questionnaire was sent to
interns enrolled in the last year of general medicine from the faculties
that agreed to participate in the study. A range of information concerning
the training programme devoted to addiction medicine was collected from
referent teachers of faculties, school managers, unions of interns in
general medicine and external medical corporations. Results Of the 3074
questionnaires distributed, 622 were returned. The study showed that 77.5%
of the interns included in the study did not achieve the pass mark for the
test of knowledge and practice. The best results were noted when interns had
received further training in addiction medicine and when faculties accorded
more weight to training in addiction medicine. The average time devoted to
this training was - respectively for externs and interns - 7.68 and 6.07
hours. There were on average 10.63 and 3.21 open positions for traineeships
per year in addiction medicine for externs and interns respectively.
Discussion The training devoted to addiction medicine in French medical
education should be improved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
medical education
medical practice
professional knowledge
EMTREE MEDICAL INDEX TERMS
article
general practice
human
questionnaire
resident
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
20170579566
PUI
L617763296
DOI
10.3917/psyt.231.0089
FULL TEXT LINK
http://dx.doi.org/10.3917/psyt.231.0089
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 149
TITLE
Opioid prescribing practices and training needs of québec family physicians
for chronic noncancer pain
AUTHOR NAMES
Roy É.
Côté R.J.
Hamel D.
Dubé P.-A.
Langlois É.
Labesse M.E.
Thibault C.
Boulanger A.
AUTHOR ADDRESSES
(Roy É.) Faculté de Médecine et des Sciences de la Santé, Université de
Sherbrooke, Campus de Longueuil, Longueuil, Canada.
(Côté R.J.) Direction des Risques Biologiques et de la Santé Au Travail,
Institut National de Santé Publique du Québec, 190 Crémazie Est., Montréal,
Canada.
(Hamel D.) Bureau d'Information et d'Études en Santé des Populations,
Institut National de Santé Publique du Québec, 945 avenue Wolfe, Québec
City, Canada.
(Dubé P.-A.) Direction de la Santé Environnementale et de la Toxicologie,
Institut National de Santé Publique du Québec, 945 avenue Wolfe, Québec
City, Canada.
(Langlois É.; Labesse M.E., maudemmanuelle.labesse@inspq.qc.ca; Thibault C.)
Direction de la Santé Environnementale et de la Toxicologie, Institut
National de Santé Publique du Québec, 190 Crémazie Est., Montréal, Canada.
(Boulanger A.) Clinique Antidouleur du Centre Hospitalier de l'Université de
Montréal, 1560 rue Sherbrooke Est., Montréal, Canada.
CORRESPONDENCE ADDRESS
M.E. Labesse, Direction de la Santé Environnementale et de la Toxicologie,
Institut National de Santé Publique du Québec, 190 Crémazie Est., Montréal,
Canada. Email: maudemmanuelle.labesse@inspq.qc.ca
SOURCE
Pain Research and Management (2017) 2017 Article Number: 1365910. Date of
Publication: 2017
ISSN
1203-6765
BOOK PUBLISHER
Hindawi Limited, 410 Park Avenue, 15th Floor, 287 pmb, New York, United
States.
ABSTRACT
Aim. To examine medical practices and training needs of Québec family
physicians with respect to pain management and opioid prescription for
chronic noncancer pain (CNCP). Methodology. An online survey was carried out
in 2016. Results. Of 636 respondents (43.0% men; 54.3% ≥ 50 years old),
15.2% and 70.9% felt very or somewhat confident that they could properly
prescribe opioids for CNCP. Concerns related to abuse (72.5%
strongly/somewhat agree), dependence (73.2%), and lack of support (75.4%)
were themain barriers reported. Only 19.7% always/often screened their
patients for risks of abuse and dependence using a screening tool. About
two-thirds of participants (65.7%) had recently (last five years) taken part
in continuing education programs on opioid use for CNCP and 73.4% on CNCP
management. Patient evaluation and differential diagnoses of chronic pain
syndromeswere rated as a top priority for further training. Conclusions.
This study provides insights into Québec family physicians' concerns,
practices, and needs with respect to the management of CNCP. Physicians'
difficulties around the application of strategies to mitigate the problem of
opioid abuse and addiction are worrying. The need to better train physicians
in the field of pain and addiction cannot be emphasized enough.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
buprenorphine
butorphanol
codeine
hydrocodone
hydromorphone
methadone
morphine
nose spray
oxycodone
paracetamol
paracetamol plus tramadol
pethidine
tapentadol
tramadol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
chronic noncancer pain
chronic pain
EMTREE MEDICAL INDEX TERMS
adult
age distribution
aged
article
Canada
controlled study
family medicine
female
general practitioner
human
male
medical practice
middle aged
prescription
private hospital
questionnaire
refusal to participate
risk factor
transdermal patch
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
butorphanol (42408-82-2)
codeine (76-57-3)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
hydromorphone (466-99-9, 71-68-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
paracetamol (103-90-2)
pethidine (28097-96-3, 50-13-5, 57-42-1)
tapentadol (175591-09-0, 175591-23-8)
tramadol (27203-92-5, 36282-47-0)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170731849
MEDLINE PMID
28831278 (http://www.ncbi.nlm.nih.gov/pubmed/28831278)
PUI
L618764954
DOI
10.1155/2017/1365910
FULL TEXT LINK
http://dx.doi.org/10.1155/2017/1365910
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 150
TITLE
Addiction Research Training Programs: Four Case Studies and Recommendations
for Evaluation
AUTHOR NAMES
Campbell A.N.C.
Back S.E.
Ostroff J.S.
Hien D.A.
Gourevitch M.N.
Sheffer C.E.
Brady K.T.
Hanley K.
Bereket S.
Book S.
AUTHOR ADDRESSES
(Campbell A.N.C., anc2002@cumc.columbia.edu) Division of Substance Use
Disorders, Department of Psychiatry, Columbia University Medical Center, New
York State Psychiatric Institute, New York, United States.
(Back S.E.; Brady K.T.) Department of Psychiatry and Behavioral Sciences,
Medical University of South Carolina, Ralph H. Johnson VA Medical Center,
Charleston, United States.
(Ostroff J.S.) Department of Psychiatry and Behavioral Sciences, Memorial
Sloan Kettering Cancer Center, New York, United States.
(Hien D.A.) Gordon F. Derner Institute for Advanced Psychological Studies,
Adelphi University, Division of Substance Use Disorders, Department of
Psychiatry, Columbia University Medical Center, New York State Psychiatric
Institute, New York, United States.
(Gourevitch M.N.; Sheffer C.E.; Book S.) Department of Population Health NYU
School of Medicine, Department of Health Behavior, Roswell Park Cancer
Institute, Buffalo, United States.
(Hanley K.) NYU School of Medicine, United States.
(Bereket S.) Department of Psychiatry and Behavioral Sciences, Addiction
Sciences Division, Medical University of South Carolina, Charleston, United
States.
CORRESPONDENCE ADDRESS
A.N.C. Campbell, 1051 Riverside Drive, New York, United States. Email:
anc2002@cumc.columbia.edu
SOURCE
Journal of Addiction Medicine (2017) 11:5 (333-338). Date of Publication:
2017
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
The presence of structured addiction research training programs helps to
ensure that the scientific workforce includes well-trained, diverse
scientists necessary to reduce the negative impact of alcohol, drug, and
tobacco use disorders. Although the field has made significant progress in
the development of standards for clinical training in addiction medicine,
there remains significant room for improvement in the training of addiction
researchers, and also opportunities to synergize across addiction research
training programs. The purpose of this commentary is to describe 4 National
Institutes of Health (NIH)-sponsored addiction research training programs,
highlight critical components, and provide recommendations for more
comprehensive and effective program evaluation. Moving forward, evaluation
of addiction research training programs would be enhanced by the use of
conceptual models to inform process and outcome evaluations, the application
of innovative methods to ensure long-term data collection, the improvement
of mentorship evaluation measures, and the integration of training methods
from other fields of study. We encourage NIH and others in the field to be
proactive in establishing core metrics for evaluation across programs.
Furthermore, centralized tracking of NIH-funded addiction research trainees,
analysis of aggregate data across programs, and innovative methods to
effectively disseminate program materials and processes are recommended.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
program evaluation
EMTREE MEDICAL INDEX TERMS
automation
case study
curriculum development
graduate student
health care policy
human
information processing
interdisciplinary research
medical research
mentor
national health organization
priority journal
quality control
review
scientific literature
scientist
standardization
undergraduate student
web browser
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170673614
PUI
L618447282
DOI
10.1097/ADM.0000000000000328
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000328
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 151
TITLE
Surgical interns: Preparedness for opioid prescribing before and after a
training intervention
AUTHOR NAMES
Nooromid M.J.
Mansukhani N.A.
Deschner B.W.
Moradian S.
Issa N.
Ho K.J.
Stulberg J.J.
AUTHOR ADDRESSES
(Nooromid M.J., Michael.Nooromid@northwestern.edu; Mansukhani N.A.,
Neel.Mansukhani@northwestern.edu; Deschner B.W.,
Benjamin.Deschner@northwestern.edu; Moradian S.,
Simon.Moradian@northwestern.edu; Issa N., Nabil.Issa@nm.org; Ho K.J.,
Kho1@nm.org; Stulberg J.J., Jonah.Stulberg@nm.org) Department of Surgery,
Northwestern University, 676 North Saint Clair, Suite 650, Chicago, IL
60611, USA
CORRESPONDENCE ADDRESS
M.J. Nooromid, Department of Surgery, Northwestern University Feinberg
School of Medicine, 676 North Saint Clair, Suite 650, Chicago, IL 60611, USA
Email: Michael.Nooromid@northwestern.edu
SOURCE
American Journal of Surgery (2017). Date of Publication: 2017
ISSN
1879-1883 (electronic)
0002-9610
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Introduction: Exposure to pain management curriculum in medical school is
currently variable. This paper reports on formal prescribing education,
self-perceived prescribing readiness, and prescribing practices among
incoming surgical residents before and after a pain management training
session. Methods: Pre-residency survey of thirty surgical interns at a
single urban medical center, followed by a repeat survey after an
educational session on prescription writing and opioid abuse. Results:
Thirty-three percent of respondents had formal education on prescription
writing in medical school. Median subjective preparedness to write an opioid
prescription was 1.5 (range 1-10) on a 1-10 Likert scale. Ranges of morphine
milligram equivalents (MME) prescribed varied from 420-2700 MME for 8 mock
surgical scenarios. Post-training, median subjective preparedness increased
to 3.5 (range 1-6) and prescription accuracy (the inclusion of a medication,
dose, frequency, and duration) improved from 75% to 97% (p < 0.001).
Overall, 90% of interns found the training session useful. Conclusion: Most
surgical interns were not trained in prescribing narcotics in medical
school. Improved pain management curriculum is necessary to assure safe and
consistent opioid prescriptions.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription
EMTREE MEDICAL INDEX TERMS
adult
analgesia
curriculum
female
human
Likert scale
male
medical school
opiate addiction
resident
surgery
writing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170830578
PUI
L619406225
DOI
10.1016/j.amjsurg.2017.11.017
FULL TEXT LINK
http://dx.doi.org/10.1016/j.amjsurg.2017.11.017
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 152
TITLE
The ''opioid square'': A new way to learn opioid conversions
AUTHOR NAMES
Young H.
Shear J.
Hernandez Y.
Compton P.
AUTHOR ADDRESSES
(Young H., heidi.m.young@gunet.georgetown.edu) Georgetown University
Hospital, 3800 Reservoir Road NW, 6PHC, Washington, United States.
(Shear J.; Hernandez Y.; Compton P.)
CORRESPONDENCE ADDRESS
H. Young, Georgetown University Hospital, 3800 Reservoir Road NW, 6PHC,
Washington, United States. Email: heidi.m.young@gunet.georgetown.edu
SOURCE
Journal of Palliative Medicine (2017) 20:4 (A13). Date of Publication: 2017
CONFERENCE NAME
Center to Advance Palliative Care National Seminar Practical Tools for
Making Change, CAPC 2016
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2016-10-26 to 2016-10-29
ISSN
1557-7740
BOOK PUBLISHER
Mary Ann Liebert Inc.
ABSTRACT
Description: Objectives: We evaluated the ''Opioid Square'' in comparison to
a classic conversion table in a single 2nd year medical school class,
assessing both accuracy in making opioid conversions and preference for each
tool. 1. Determine the degree to which the ''Opioid Square'' tool assists
2nd year medical students to correctly calculate opioid conversions 2.
Evaluate 2nd year medical student's preference to use the ''Opioid Square''
in comparison to the classic equianalgesic tables to calculate opioid
conversions. Background: Equianalgesic conversions between opioid drugs and
oral and intravenous formulations are a clinically important skill for all
practitioners who treat pain. Accuracy is critical to preventing serious
adverse events. Opioid conversion tables are a commonly used tool for
teaching this skill, however needs assessment at our institution reveals the
classic conversion table is difficult for learners to understand. A novel
visual tool, the ''Opioid Square'' was developed to provide a different
visual framework for opioid conversions. Methods: The sample consisted of
200 students at a single academic institution who were learning opioid
conversions for the first time during their Pharmacology class. Students
were taught conversion using both the standard conversion table, and the
''Opioid Square'' method. An eight item conversion quiz followed, on various
opioid drugs and formulations of each. Students were allowed to use either
tool and preferences were assessed with qualitative comments. Results:
187/200 students participated in the study. Accuracy of the eight conversion
questions was generally good (85-100% correct), and without any statistical
differences in accuracy between the Square and the Table. Incorrect
conversions were more likely on two-step problems (i.e.: IV fentanyl to oral
morphine). A slight majority of students (53%) indicated that they preferred
the Opioid Square over the Conversion Table, and 35% noted they would prefer
to use both tools if given the option in the future. Conclusions: The novel
''Opioid Square'' tool is not inferior to the classic opioid equianalgesic
table for helping students make accurate conversions. As many students
preferred the ''Square,'' this tool may provide educators with an
alternative visual framework for teaching opioid conversions. Our poster
will provide education on using this tool at any institution, and pocket
cards will be provided. A link to the ''Opioid Square'' tool is:
https://www.dropbox.com/s/gdabbj9tl44293v/OpioidSquare .pdf?dl=0.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
morphine
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
clinical trial
controlled study
drug therapy
human
learning
major clinical study
medical school
medical student
needs assessment
pain
physician
prevention
side effect
skill
teaching
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L616394793
DOI
10.1089/jpm.2017.0051
FULL TEXT LINK
http://dx.doi.org/10.1089/jpm.2017.0051
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 153
TITLE
Changing attitudes in graduate medical education: A commentary on Attitudes
towards Substance Use and Schizophrenia by Avery et al
AUTHOR NAMES
Capurso N.A.
Shorter D.I.
AUTHOR ADDRESSES
(Capurso N.A.) Department of Psychiatry, Yale School of Medicine, New Haven,
United States.
(Shorter D.I., shorter@bcm.edu) Research Service Line, Michael E. DeBakey VA
Medical Center, Houston, United States.
(Shorter D.I., shorter@bcm.edu) Menninger Department of Psychiatry and
Behavioral Sciences, Baylor College of Medicine, Houston, United States.
CORRESPONDENCE ADDRESS
D.I. Shorter, Research Service Line, Michael E. DeBakey VA Medical Center,
Houston, United States. Email: shorter@bcm.edu
SOURCE
American Journal on Addictions (2017) 26:1 (83-86). Date of Publication: 1
Jan 2017
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley Blackwell, info@wiley.com
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
postgraduate education
schizophrenia
student attitude
EMTREE MEDICAL INDEX TERMS
clinical effectiveness
drug misuse
health belief
human
letter
medical decision making
morality
morbidity
professional competence
professional knowledge
relapse
resident
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160936019
PUI
L613812775
DOI
10.1111/ajad.12485
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12485
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 154
TITLE
The impact of an educational program on patient practices for safe use,
storage, and disposal of opioids at a comprehensive cancer center
AUTHOR NAMES
de la Cruz M.
Reddy A.
Balankari V.
Epner M.
Frisbee-Hume S.
Wu J.
Liu D.
Yennuraialingam S.
Cantu H.
Williams J.
Bruera E.
AUTHOR ADDRESSES
(de la Cruz M., mdelacruz@mdanderson.org; Reddy A.; Balankari V.; Epner M.;
Frisbee-Hume S.; Yennuraialingam S.; Cantu H.; Williams J.; Bruera E.)
Departments of Palliative Rehabilitation and Integrative Medicine, The
University of Texas, MD Anderson Cancer Center, Houston, United States.
(Wu J.; Liu D.) Departments of Biostatistics, The University of Texas, MD
Anderson Cancer Center, Houston, United States.
CORRESPONDENCE ADDRESS
M. de la Cruz, Department of Palliative Rehabilitation and Integrative
Medicine, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe
Boulevard, Houston, United States. Email: mdelacruz@mdanderson.org
SOURCE
Oncologist (2017) 22:1 (115-121). Date of Publication: 1 Jan 2017
ISSN
1549-490X (electronic)
1083-7159
BOOK PUBLISHER
AlphaMed Press, 318 Blackwell St. Suite 260, Durham, United States.
ABSTRACT
Background. Improper use, storage, and disposal of prescribed opioids can
lead to diversion or accidental poisoning. Our previous study showed a large
proportion of cancer patients have unsafe opioid practices. Our objective
was to determine whether an improvement occurred in the patterns of use,
storage, and disposal of opioids among cancer outpatients after the
implementation of a patient educational program. Patients and Methods. Our
palliative care (PC) clinic provides every patient with educational material
(EM) on safe opioid use, storage, and disposal every time they receive an
opioid prescription. We prospectively assessed 300 adult cancer outpatients
receiving opioids in our PC clinic, who had received the EM, and compared
them with 300 patients who had not received the EM. The previously used
surveys pertaining to opioid use, storage, and disposal were administered,
and demographic information was collected. Sharing or losing their opioids
was defined as unsafe use. Results. Patients who received EM were more aware
of the proper opioid disposal methods (76% vs. 28%; p≤.0001), less likely to
share their opioids with someone else (3% vs. 8%; p5.0311), less likely to
practice unsafe use of opioids (18% vs. 25%; p5.0344), and more likely to be
aware the danger of their opioids when taken by others (p5.0099). Patients
who received the EMwere less likely to have unused medication at home (38%
vs. 47%; p5.0497) andmore likely to keep theirmedications in a safe place
(hidden, 75% vs. 70%; locked, 14% vs. 10%; p5.0025). Conclusion. The use of
EM on opioid safety for patients with advanced cancer was associated with
improved patientreported safe opioid use, storage, and disposal.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer center
drug use
education program
patient assessment
EMTREE MEDICAL INDEX TERMS
adult
article
caregiver
controlled study
drug safety
drug storage
female
health survey
human
major clinical study
male
medical staff
middle aged
palliative therapy
practice guideline
priority journal
prospective study
questionnaire
waste disposal
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170095004
MEDLINE PMID
27742907 (http://www.ncbi.nlm.nih.gov/pubmed/27742907)
PUI
L614240955
DOI
10.1634/theoncologist.2016-0266
FULL TEXT LINK
http://dx.doi.org/10.1634/theoncologist.2016-0266
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 155
TITLE
Erratum: Improvements in HCV-related knowledge among substance users on
opioid agonist therapy after an educational intervention (Journal of
Addiction Medicine (2016) 10 (363-364) DOI: 10.1097/ADM.0000000000000244)
AUTHOR ADDRESSES
SOURCE
Journal of Addiction Medicine (2017) 11:1 (82). Date of Publication: 2017
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
Due to the authors' oversight, the following acknowledgment was not included
on the letter to the editor published on page 363 of the September-October
2016 issue. Acknowledgements: We thank the Health Research Board of Ireland
(ID: HRA-HSR-2012-14) and the Health Programme of the European Union
(Hepcare Europe Project) who funded the work.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
error
EMTREE MEDICAL INDEX TERMS
erratum
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170204722
PUI
L614902950
DOI
10.1097/ADM.0000000000000273
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000273
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 156
TITLE
Faculty development efforts to promote screening, brief intervention, and
referral to treatment (SBIRT) in an internal medicine faculty-resident
practice
AUTHOR NAMES
Stone A.
Wamsley M.
O'Sullivan P.
Satterfield J.
Satre D.D.
Julian K.
AUTHOR ADDRESSES
(Stone A.) a Division of General Medicine and Geriatrics, Department of
Medicine , Emory University , Atlanta , Georgia , USA
(Wamsley M.; O'Sullivan P.; Satterfield J.; Julian K.) b Division of General
Internal Medicine, Department of Medicine , University of California , San
Francisco, San Francisco , California , USA
(Satre D.D.) c Department of Psychiatry , University of California , San
Francisco, San Francisco , California , USA
(Satre D.D.) d Division of Research , Kaiser Permanente Northern California
Region , Oakland , California , USA
SOURCE
Substance abuse (2017) 38:1 (31-34). Date of Publication: 1 Jan 2017
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT)
is a practical means to address substance misuse in primary care. Important
barriers to implementing SBIRT include adequacy of training and provider
confidence as well as logistical hurdles and time constraints. A faculty
development initiative aimed at increasing SBIRT knowledge and treatment of
substance use disorders (SUDs) should lead to increased use of SBIRT by
faculty and the residents they teach. This study examined how a faculty
development program to promote SBIRT influenced faculty practice and
resident teaching.METHODS: This was a cross-sectional study of faculty
exposed to multiple SBIRT educational interventions over a 5-year period in
an academic faculty-resident general medicine practice. Participants
completed a brief online survey followed by a semistructured interview.
Quantitative responses were examined descriptively. Qualitative questions
were reviewed to identify key themes.RESULTS: Fifteen of 29 faculty (52%)
completed the survey and 13 (45%) completed the interviews regarding faculty
development interventions. Faculty thought that SBIRT was an important skill
and had confidence in screening for substance use disorders, although
confidence in making treatment referrals and prescribing pharmacotherapy
were rated lower. Many faculty reported screening more frequently for SUDs
after attending faculty development sessions. However, several reported that
the training did not improve their SBIRT teaching to residents during clinic
precepting sessions. To improve uptake of SBIRT, a majority of faculty
recommended electronic health record (EHR) alerts.CONCLUSIONS: SBIRT is a
highly valued set of skills, and training may enhance rates of screening for
substance misuse. However, participants did not report a substantial change
in SBIRT teaching as a result of faculty development. In the future, small,
targeted faculty development sessions, potentially involving strategies for
using the electronic health record (EHR), may be an effective way to enhance
primary care SBIRT skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
drug dependence (diagnosis, therapy)
education
medical education
psychology
EMTREE MEDICAL INDEX TERMS
clinical competence
cross-sectional study
curriculum
human
internal medicine
patient referral
short term psychotherapy
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27897470 (http://www.ncbi.nlm.nih.gov/pubmed/27897470)
PUI
L620688551
DOI
10.1080/08897077.2016.1264533
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2016.1264533
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 157
TITLE
Lessons learned implementing a province-wide smoking cessation initiative in
Ontario’s cancer centres
AUTHOR NAMES
Evans W.K.
Truscott R.
Cameron E.
Peter A.
Reid R.
Selby P.
Smith P.
Hey A.
AUTHOR ADDRESSES
(Evans W.K., billevans@cogeco.ca) Department of Oncology, McMaster
University, Hamilton, Canada.
(Truscott R.; Cameron E.; Peter A.) Division of Prevention and Cancer
Control, Cancer Care Ontario, Toronto, Canada.
(Reid R.) University of Ottawa Heart Institute, Ottawa, Canada.
(Selby P.) The Centre for Addiction and Mental Health, Toronto, Canada.
(Smith P.) Northern Ontario School of Medicine, Thunder Bay, Canada.
(Hey A.) Northeast Cancer Centre, Health Sciences North, Sudbury, Canada.
CORRESPONDENCE ADDRESS
W.K. Evans, c/o Cancer Care Ontario, 620 University Avenue, Toronto, Canada.
Email: billevans@cogeco.ca
SOURCE
Current Oncology (2017) 24:3 (e185-e190). Date of Publication: 2017
ISSN
1718-7729 (electronic)
1198-0052
BOOK PUBLISHER
Multimed Inc., Amanda_shand@multi-med.com
ABSTRACT
Purpose A large body of evidence clearly shows that cancer patients
experience significant health benefits with smoking cessation. Cancer Care
Ontario, the provincial agency responsible for the quality of cancer
services in Ontario, has undertaken a province-wide smoking cessation
initiative. The strategies used, the results achieved, and the lessons
learned are the subject of the present article. Methods Evidence related to
the health benefits of smoking cessation in cancer patients was reviewed. A
steering committee developed a vision statement for the initiative, created
a framework for implementation, and made recommendations for the key
elements of the initiative and for smoking cessation best practices. Results
New ambulatory cancer patients are being screened for their smoking status
in each of Ontario’s 14 regional cancer centres. Current or recent smokers
are advised of the benefits of cessation and are directed to smoking
cessation resources as appropriate. Performance metrics are captured and
used to drive improvement through quarterly performance reviews and
provincial rankings of the regional cancer centres. Conclusions Regional
smoking cessation champions, commitment from Cancer Care Ontario senior
leadership, a provincial secretariat, and guidance from smoking cessation
experts have been important enablers of early success. Data capture has been
difficult because of the variety of information systems in use and
non-standardized administrative and clinical processes. Numerous challenges
remain, including increasing physician engagement; obtaining funding for key
program elements, including in-house resources to support smoking cessation;
and overcoming financial barriers to access nicotine replacement therapy.
Future efforts will focus on standardizing processes to the extent possible,
while tailoring the approaches to the populations served and the resources
available within the individual regional cancer programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer center
smoking cessation
EMTREE MEDICAL INDEX TERMS
cancer epidemiology
cancer patient
female
funding
human
human experiment
information system
leadership
male
nicotine replacement therapy
Ontario
physician
vision
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170462600
PUI
L617009316
DOI
10.3747/co.23.3506
FULL TEXT LINK
http://dx.doi.org/10.3747/co.23.3506
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 158
TITLE
Capitalizing on the teachable moment: Implementation of an inpatient smoking
cessation consult service
AUTHOR NAMES
Herbst N.
Zhang M.
Fitzgerald C.
O'Donnell C.
Wong C.
Wiener R.S.
Kathuria H.
AUTHOR ADDRESSES
(Herbst N., nicole.herbst@bmc.org; Zhang M.) Boston Medical Center, Boston,
United States.
(Fitzgerald C.; O'Donnell C.; Wong C.; Wiener R.S.; Kathuria H.) Boston
University, Boston, United States.
CORRESPONDENCE ADDRESS
N. Herbst, Boston Medical Center, Boston, United States. Email:
nicole.herbst@bmc.org
SOURCE
American Journal of Respiratory and Critical Care Medicine (2017) 195. Date
of Publication: 2017
CONFERENCE NAME
American Thoracic Society International Conference, ATS 2017
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2017-05-19 to 2017-05-24
ISSN
1535-4970
BOOK PUBLISHER
American Thoracic Society
ABSTRACT
RATIONALE: Cigarette smoking is the leading cause of preventable death in
the US, yet about 40 million adults continue to smoke. Hospitalization
offers (1) a teachable moment, when smokers may be acutely aware of the
consequences of smoking and receptive to cessation interventions, and (2) an
opportunity to reach low socioeconomic status (SES) smokers who otherwise
may not otherwise seek treatment. We sought to understand patient, clinician
and system barriers to integrating tobacco dependence treatment with
hospitalization. METHODS: In July 2016, at an urban safety net hospital, we
established an inpatient smoking cessation consult service composed of
specialists who provide counseling, make recommendations for nicotine
replacement therapy (NRT), and establish outpatient treatment plans. We
created an Inpatient Smoking Cessation Best Practice Alert (BPA) and order
set in Epic for hospitalized patients identified as smokers. Using
implementation science principles, we assessed (1) Reach (percent of
hospitalized smokers that receive tobacco treatment) and (2) Effectiveness
(impact on 1-month quit rates) of the intervention. We administered an
anonymous survey to internal medicine residents exploring clinicians'
impressions, disruptions to workflow, and barriers to adoption. Patients
were surveyed via telephone 30 days after discharge to evaluate quit rates,
barriers to outpatient follow-up, and satisfaction. RESULTS: In-depth
analysis over a 2 week period (August 18 - August 31, 2016) showed that the
BPA triggered for 406 hospitalized smokers, 83.5% of which were on Medicaid.
Of these 406 patients, 94 (23%) were seen by the consult service. Barriers
to providing inpatient counseling include: (1) Limitations in providers
placing orders for inpatient consult [271 patients (66.7%)] and (2) Shorter
length of stay for those not seen by the consult service versus patients
seen (3.6 versus 6.4 days respectively, p=0.006). Of 108 patients seen
during the first 2 months of the intervention, 25% had quit and 33% had cut
down. Most patients seen by the consult service accept inpatient counseling
(96.5%). Of 33 physicians surveyed, 78.8% were satisfied with BPA. Barriers
to placing consult orders include too many BPAs overall and time
constraints. (Figure presented). CONCLUSIONS: Physicians and patients are
receptive to an inpatient counseling service. One month post-hospitalization
quit rates for patients seen by the service are significantly higher than
the national average. Ongoing efforts to increase the number of hospitalized
smokers who receive effective smoking cessation counseling and medications
at the bedside offers the opportunity to decrease morbidity and mortality.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
female
male
smoking cessation
EMTREE MEDICAL INDEX TERMS
adoption
controlled study
counseling
follow up
hospitalization
human
internal medicine
length of stay
major clinical study
medicaid
morbidity
mortality
nicotine replacement therapy
outpatient
resident
safety net hospital
satisfaction
telephone
tobacco dependence
workflow
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L617704696
DOI
10.1164/ajrccm-conference.2017.D102
FULL TEXT LINK
http://dx.doi.org/10.1164/ajrccm-conference.2017.D102
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 159
TITLE
Evaluation of knowledge, attitudes, behaviors and frequency of smoking among
medical students of Düzce University
ORIGINAL (NON-ENGLISH) TITLE
Düzce Üniversitesi Tip Fakültesi Öǧrencilerinin Sigara Içme Sikliǧi ve
Sigara ile Ilgili Bilgi Tutum ve Davranişlari
AUTHOR NAMES
Sönmez C.I.
Başer D.A.
Aydoǧan S.
AUTHOR ADDRESSES
(Sönmez C.I.; Aydoǧan S.) Düzce Üniversitesi, Tip Fakültesi, Aile Hekimliǧi
AD, Düzce, Turkey.
(Başer D.A., duyguayhan@outlook.com) Kocaeli Halk Saǧliǧi Müdürlüǧü, Izmit,
Kocaeli, Turkey.
CORRESPONDENCE ADDRESS
D.A. Başer, Kocaeli Halk Saǧliǧi Müdürlüǧü, Izmit, Kocaeli, Turkey. Email:
duyguayhan@outlook.com
SOURCE
Konuralp Tip Dergisi (2017) 9:2 (83-89). Date of Publication: 2017
ISSN
1309-3878
BOOK PUBLISHER
Duzce University Medical School, mfgeylk@gmail.com
ABSTRACT
Objective: An active, faithful and continuous support of health providers
plays essential role in reducing the smoking rates. Studies prove that
smoking rates are most successfully reduced in countries where the smoking
rates of physicians are the lowest. In this study, we aimed to investigate
the smoking prevalence, the knowledge, attitude and associated risk factors
of smoking among the term I and VI students of Düzce University School of
Medicine. Methods: This study is a cross-sectional descriptive study that is
composed of 198 medical students studying during the 2016-2017 academic
year. The questionnaire determined students' smoking habits, knowledge on
smoking cessation policies and questioned about the current status of
smoking cessation education in medical faculties. Results: The rate of
smokers was 18.26% in term I students and 21.27% in term VI. Most of the
smokers (61.7% (n: 29)) were smoking before the faculty; the rest of them
(36.2% (n: 17)) had started smoking at the medical faculty. A significant
relationship was found between smoking and advanced class, smoking
permission in the living environment, and smoking among friends. Conclusion:
The most important finding of our study was that there is a certain
percentage of smokers among the students of medical faculty, and these rates
increase within time, from the class I to the class VI. The other important
point that was noticed in our study was that medical students were not
properly acknowledged during medical education about smoking and its harm,
and also the students were not properly aware of mission of smoking
cessation policlinics.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
medical student
smoking cessation
smoking habit
EMTREE MEDICAL INDEX TERMS
friend
human
major clinical study
medicine
prevalence
questionnaire
rest
risk factor
LANGUAGE OF ARTICLE
Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
20170577490
PUI
L617753353
DOI
10.18521/ktd.331480
FULL TEXT LINK
http://dx.doi.org/10.18521/ktd.331480
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 160
TITLE
Prevalence, perceptions, and consequences of substance use in medical
students
AUTHOR NAMES
Ayala E.E.
Roseman D.
Winseman J.S.
Mason H.R.C.
AUTHOR ADDRESSES
(Ayala E.E.) a Department of Counseling Psychology , St. Mary's University
of Minnesota , Minneapolis , MN , USA
(Roseman D.) b Department of Medical Education , Albany Medical College ,
Albany , NY , USA
(Winseman J.S.) c Department of Psychiatry , Albany Medical Center , Albany
, NY , USA
(Mason H.R.C.) d Department of Medical Education , Albany Medical College ,
Albany , NY , USA
SOURCE
Medical education online (2017) 22:1 (1392824). Date of Publication: 2017
ISSN
1087-2981 (electronic)
ABSTRACT
BACKGROUND: Research regarding the health and wellness of medical students
has led to ongoing concerns regarding patterns of alcohol and drug use that
take place during medical education. Such research, however, is typically
limited to single-institution studies or has been conducted over 25 years
ago.OBJECTIVE: The objective of the investigation was to assess the
prevalence and consequences of medical student alcohol and drug use and
students' perceptions of their medical school's substance-use
policies.DESIGN: A total of 855 medical students representing 49 medical
colleges throughout the United States participated in an online survey
between December 2015 and March 2016.RESULTS: Data showed that 91.3% and
26.2% of medical students consumed alcohol and used marijuana respectively
in the past year, and 33.8% of medical students consumed five or more drinks
in one sitting in the past two weeks. Differences in use emerged regarding
demographic characteristics of students. Consequences of alcohol and drug
use in this sample of medical students included but were not limited to
interpersonal altercations, serious suicidal ideation, cognitive deficits,
compromised academic performance, and driving under the influence of
substances. Forty percent of medical students reported being unaware of
their medical institution's substance-use policies.CONCLUSIONS: Findings
suggest that substance use among medical students in the US is ongoing and
associated with consequences in various domains. There is a lack of
familiarity regarding school substance-use policies. Although there has been
some progress in characterizing medical student alcohol use, less is known
about the factors surrounding medical students' use of other substances.
Updated, comprehensive studies on the patterns of medical student substance
use are needed if we are to make the necessary changes needed to effectively
prevent substance-use disorders among medical students and support those who
are in need of help.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adult
complication
cross-sectional study
drug dependence (epidemiology)
female
health care policy
health survey
human
male
medical school
medical student
middle aged
organization and management
perception
prevalence
psychology
United States
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
29072119 (http://www.ncbi.nlm.nih.gov/pubmed/29072119)
PUI
L621700678
DOI
10.1080/10872981.2017.1392824
FULL TEXT LINK
http://dx.doi.org/10.1080/10872981.2017.1392824
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 161
TITLE
The training documentation form-Going beyond the basics for the national
institute on drug abuse (NIDA) national drug abuse treatment clinical trials
network (CTN)
AUTHOR NAMES
Williams T.
Kondapaka R.
Shmueli-Blumberg D.
Wright M.
Salazar D.
Williams K.
Collins J.
Jelstrom E.
Lindblad R.
AUTHOR ADDRESSES
(Williams T.; Kondapaka R.; Shmueli-Blumberg D.; Wright M.; Salazar D.;
Williams K.; Collins J.; Jelstrom E.; Lindblad R.) National Drug Abuse
Treatment Clinical Trials Network for the NIDA, CCTN, United Kingdom.
CORRESPONDENCE ADDRESS
T. Williams, National Drug Abuse Treatment Clinical Trials Network for the
NIDA, CCTN, United Kingdom.
SOURCE
Trials (2017) 18 Supplement 1. Date of Publication: 2017
CONFERENCE NAME
4th International Clinical Trials Methodology Conference , ICTMC and the
38th Annual Meeting of the Society for Clinical Trials
CONFERENCE LOCATION
Liverpool, United Kingdom
CONFERENCE DATE
2017-05-07 to 2017-05-10
ISSN
1745-6215
BOOK PUBLISHER
BioMed Central Ltd.
ABSTRACT
According to ICH GCP guidelines, investigators and research staff with
delegated trial-related duties should be “Qualified by education, training,
and experience” (ICH E6 GCP, 1996) to maintain integrity and quality in
clinical trials. Training documentation is essential to demonstrate
compliance of the investigator and research staff of these guidelines.
Nonetheless, many researchers and sponsors, in particular in multicenter
trials, find it difficult to adequately and accurately document the staff
training requirements. When multicenter trials are conducted within a
network, it is important to develop a sustainable level of standardization
in training requirements across sites and studies that demonstrate the
competency of the individuals being trained. The Training Documentation Form
(TDF) is a comprehensive document that tracks all training requirements for
each study staff member correlated to their study role(s). The TDF clearly
defines the training expectations and requirements from various stakeholders
(e.g., the Sponsor, Institutional Review Board) as they relate to the
responsibilities for each study role, and consistent with the Study Training
Plan (STP) and Site Delegation of Responsibilities Log. When completed, the
TDF demonstrates that staff members are qualified and fully trained for
their study role(s) prior to performing delegated study activities. The TDF
developed for the National Drug Abuse Treatment Clinical Trials Network
(NIDA-CTN) by the Clinical Coordinating Center at The Emmes Corporation is a
user-friendly modifiable electronic document that includes these basic
elements critical to a TDF. It captures each staff member's name, research
site, and delegated study role(s). The TDF lists all training outlined in
the STP and maps the minimal required training and certification prescribed
per study role in a grid, based on the staff's assigned role (e.g., study
physician,) and assigned tasks (e.g., prescribe medication, data entry) for
the study. The TDF efficiently organizes the training curriculum in
accordance with the investigative team's predetermined decisions as to the
various roles and associated training requirements. It includes both general
training (e.g., Human Subjects Protection) and protocolspecific training
requirements (e.g., administration of investigational product, conduct of
study assessments). The TDF also captures the dates that staff completed
each required training task and the final date of overall training
completion, the latter of which is documented on the Site Delegation of
Responsibilities Log to serve as the staff's starting date on the study.
When all required training has been completed, the TDF is signed by the
staff member and endorsed by both the site's Principal Investigator and the
research center's training representative, who collectively confirm that
staff members are ready to begin study responsibilities. The NIDA CTN has
implemented this standardized TDF on seven studies since 2013, aiding in
setting up expectations for training documentation across studies while
minimizing the difficulty of preparing and tracking the training completed
by research staff. The TDF has been welcomed by the quality assurance
monitors and the research management teams and has lead to more efficient
study start up as well as provided a valuable tool for documentation of
research staff competency in delegated study activities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
documentation
drug dependence treatment
national health organization
EMTREE MEDICAL INDEX TERMS
adult
certification
clinical trial (topic)
conference abstract
curriculum
expectation
human
institutional review
multicenter study (topic)
physician
quality control
responsibility
scientist
staff training
standardization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620925407
DOI
10.1186/s13063-017-1902-y
FULL TEXT LINK
http://dx.doi.org/10.1186/s13063-017-1902-y
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 162
TITLE
Results of a selective smoking cessation counseling and prevention course
AUTHOR NAMES
Yalcin B.M.
Unal M.
Pirdal H.
AUTHOR ADDRESSES
(Yalcin B.M., myalcin@omu.edu.tr; Unal M.) Department of Family Practice,
Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.
(Pirdal H.) Tekkekoÿ Family Medicine Center, Samsun, Turkey.
CORRESPONDENCE ADDRESS
B.M. Yalcin, Department of Family Practice, Faculty of Medicine, Ondokuz
Mayis University, Samsun, Turkey. Email: myalcin@omu.edu.tr
SOURCE
Journal of Experimental and Clinical Medicine (Turkey) (2017) 34:1 (59-66).
Date of Publication: 2017
ISSN
1309-5129 (electronic)
1309-4483
BOOK PUBLISHER
Ondokuz Mayis Universitesi, Samsun, Turkey.
ABSTRACT
Our aim was to investigate the effect of a selective smoking cessation
counseling class on the skills and knowledge of medical students. Sixty
medical students from Ondokuz Mayis University attended a selective smoking
cessation counseling and prevention class (total 96 hours) at 2011-2012
academic year. After attending an initial 8 weeks of lectures, problem-based
sessions, case presentations, patient videos and workshops, the students
then assisted with the counseling of real smokers in the remaining 4 weeks,
under supervision. Students' knowledge of tobacco dependence, treatment and
counseling strategies was scored before (pretest) and after (post-test) the
course using a 50-item questionnaire. The students' skills were evaluated in
an Objective Structured Clinical Exam (OSCE). A significant difference was
determined between the pretest (12.7±7.6) and post-test (35.8±7.8) results
(p<0.001). The mean OSCE score was 89.2±2.7. The smoking cessation
counseling and prevention selective class is highly effective in improving
students' cessation counseling skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient counseling
smoking cessation
smoking cessation program
EMTREE MEDICAL INDEX TERMS
adult
article
clinical examination
female
human
knowledge
male
medical student
objective structured clinical exam
problem based learning
skill
tobacco dependence (prevention)
videorecording
workshop
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Internal Medicine (6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170524334
PUI
L617432214
DOI
10.5835/jecm.omu.33.04.011
FULL TEXT LINK
http://dx.doi.org/10.5835/jecm.omu.33.04.011
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 163
TITLE
Are psychiatric outpatients assessed for smoking?
ORIGINAL (NON-ENGLISH) TITLE
Psikiyatri Polikliniǧine Başvuran Hastalarin Sigara Kullanimi
Deǧerlendiriliyor Mu?
AUTHOR NAMES
Ertekin H.
Aydin M.
Arslan M.
Ertekin Y.H.
Eren I.
AUTHOR ADDRESSES
(Ertekin H.) Çanakkale Onsekiz Mart Üniversitesi, Ruh Saǧliǧi Ve
Hastaliklari Ana Bilim Dali, Çanakkale, Turkey.
(Aydin M.) Selçuk Üniversitesi Selçuk Tip Fakültesi, Ruh Saǧliǧi Ve
Hastaliklari Ana Bilim Dali, Konya, Turkey.
(Arslan M.) Babaeski Devlet Hastanesi, Psikiyatri Uzmani, Kirklareli,
Turkey.
(Ertekin Y.H., dr.ertekin@gmail.com) Çanakkale Onsekiz Mart Üniversitesi,
Tip Fakültesi, Aile Hekimliǧi AD, Çanakkale, Turkey.
(Eren I.) Konya Eǧitim Ve Araştirma Hastanesi, Beyhekim Psikiyatri Kliniǧi,
Konya, Turkey.
CORRESPONDENCE ADDRESS
Y.H. Ertekin, Çanakkale Onsekiz Mart Üniversitesi, Tip Fakültesi, Aile
Hekimliǧi AD, Çanakkale, Turkey. Email: dr.ertekin@gmail.com
SOURCE
Konuralp Tip Dergisi (2017) 9:2 (78-82). Date of Publication: 2017
ISSN
1309-3878
BOOK PUBLISHER
Duzce University Medical School, mfgeylk@gmail.com
ABSTRACT
Objectives: The presence of psychiatric disorder is not obstacle for the
treatment to quit smoking; however this treatment is not preferred among
primary purposes in these patients. We aimed to investigate use of tobacco,
whether asked their smoking habit by a psychiatrist, the request of patients
who smoke to quit smoking, whether they can get help from the psychiatric
outpatient clinic of knowledge about smoking cessation and "Addiction and
Treatment of Smoking" training of the psychiatrists effects on query of
smoking status. Methods: This study was conducted at Outpatient Clinic of
the Beyhekim Department of Psychiatry at Konya Education and Research
Hospital between June and July 2013. Five-item questionnaire was
administered to all participants after the examination in the first phase..
The outpatient clinic doctors were not informed about the questionnaire
during examination because of alteration their interrogation of smoking. In
September 2013, "Addiction and Treatment of Smoking" training were given to
the psychiatrists doctors working in this study. In the second phase of this
study, same questionnaire was administrated to patients of these trained
doctors.. Results: 51.1% of participants were smokers. In the first phase of
the study, doctors from the 18.3% (n= 40) and 53.5% (n = 95) in the second
phase had questioned smoking of patients. After training seminar the rate to
question of doctors had significantly increased (p<0.001). %37.9 of
participants (n=69) wanted to quit smoking. %46.9 of participants (n=186)
knew that they can get help from the psychiatric outpatient clinic for
smoking cessation. Conclusion: "Chance to get rid of smoking addiction"
should be offered to patients in psychiatric outpatient clinics. Working to
increase the knowledge of psychiatrics on this subject should be made.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental patient
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
hospital department
human
informed consent
medical education
outpatient department
patient assessment
psychiatrist
psychiatry
questionnaire
Turkey (republic)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
20170577489
PUI
L617753346
DOI
10.18521/ktd.319784
FULL TEXT LINK
http://dx.doi.org/10.18521/ktd.319784
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 164
TITLE
What we must learn from the US opioid epidemic
AUTHOR NAMES
Godlee F.
AUTHOR ADDRESSES
(Godlee F., fgodlee@bmj.com) BMJ, United States.
CORRESPONDENCE ADDRESS
F. Godlee, BMJ, United States. Email: fgodlee@bmj.com
SOURCE
BMJ (Online) (2017) 359 Article Number: j4828. Date of Publication: 2017
ISSN
1756-1833 (electronic)
0959-8146
BOOK PUBLISHER
BMJ Publishing Group, subscriptions@bmjgroup.com
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
diamorphine
fentanyl
hydrocodone
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse
epidemic
opiate addiction
EMTREE MEDICAL INDEX TERMS
analgesia
chronic pain
drug traffic
editorial
health care delivery
human
inappropriate prescribing
medical practice
medical specialist
mortality
postoperative pain
prescription
preventive medicine
priority journal
risk reduction
surgeon
United States
CAS REGISTRY NUMBERS
diamorphine (1502-95-0, 561-27-3)
fentanyl (437-38-7)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20170739840
PUI
L618814715
DOI
10.1136/bmj.j4828
FULL TEXT LINK
http://dx.doi.org/10.1136/bmj.j4828
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 165
TITLE
Maintenance of certification: How performance in practice changes improve
tobacco cessation in addiction psychiatrists’ practice
AUTHOR NAMES
Ford J.H.
Oliver K.A.
Giles M.
Cates-Wessel K.
Krahn D.
Levin F.R.
AUTHOR ADDRESSES
(Ford J.H., jhfordii@wisc.edu) University of Wisconsin-Madison, Madison,
United States.
(Oliver K.A.; Giles M.; Cates-Wessel K.) American Academy of Addiction
Psychiatry, Providence, United States.
(Krahn D.) University of Wisconsin School of Medicine and Public Health,
Madison, United States.
(Krahn D.) Department of Veteran Affairs, VAMC - Madison, Madison, United
States.
(Levin F.R.) Columbia University, New York, United States.
(Levin F.R.) New York State Psychiatric Institute, New York, United States.
()
CORRESPONDENCE ADDRESS
J.H. Ford, University of Wisconsin-Madison, Madison, United States. Email:
jhfordii@wisc.edu
SOURCE
American Journal on Addictions (2017) 26:1 (34-41). Date of Publication: 1
Jan 2017
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley Blackwell, info@royensoc.co.uk
ABSTRACT
Background and Objectives: In 2000, the American Board of Medical
Specialties implemented the Maintenance of Certification (MOC), a structured
process to help physicians identify and implement a quality improvement
project to improve patient care. This study reports on findings from an MOC
Performance in Practice (PIP) module designed and evaluated by addiction
psychiatrists who are members of the American Academy of Addiction
Psychiatry (AAAP). Method: A 3-phase process was utilized to recruit AAAP
members to participate in the study. The current study utilized data from
154 self-selected AAAP members who evaluated the effectiveness of the MOC
Tobacco Cessation PIP. Results: Of the physicians participating, 76% (n =
120) completed the Tobacco PIP. A paired t-test analysis revealed that
reported changes in clinical measure documentation were significant across
all six measures. Targeted improvement efforts focused on a single clinical
measure. Results found that simple change projects designed to improve
clinical practice led to substantial changes in self-reported chart
documentation for the selected measure. Conclusions: The current findings
suggest that addiction psychiatrists can leverage the MOC process to improve
clinical care. Scientific Significance: The study demonstrates that a
quality improvement collaborative can support an MOC process to help
addiction psychiatrists eliminate barriers to access to tobacco cessation
treatment. (Am J Addict 2017;26:34–41).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
certification
clinical practice
health behavior
tobacco
tobacco cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
documentation
patient care
performance
physician
psychiatrist
self report
total quality management
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160936015
MEDLINE PMID
27973746 (http://www.ncbi.nlm.nih.gov/pubmed/27973746)
PUI
L613812769
DOI
10.1111/ajad.12480
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12480
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 166
TITLE
Neuroscience-informed psychoeducation for addiction medicine: A
neurocognitive perspective
AUTHOR NAMES
Ekhtiari H.
Rezapour T.
Aupperle R.L.
Paulus M.P.
AUTHOR ADDRESSES
(Ekhtiari H., hekhtiari@laureateinstitute.org; Aupperle R.L.; Paulus M.P.)
Laureate Institute for Brain Research, Tulsa, United States.
(Ekhtiari H., hekhtiari@laureateinstitute.org; Rezapour T.) Iranian National
Center for Addiction Studies, Tehran University of Medical Sciences, Tehran,
Iran.
(Rezapour T.) Translational Neuroscience Program, Institute for Cognitive
Science Studies, Tehran, Iran.
(Aupperle R.L.) School of Community Medicine, University of Tulsa, Tulsa,
United States.
CORRESPONDENCE ADDRESS
H. Ekhtiari, School of Community Medicine, University of Tulsa, Tulsa,
United States. Email: hekhtiari@laureateinstitute.org
SOURCE
Progress in Brain Research (2017) 235 (239-264). Date of Publication: 2017
ISSN
1875-7855 (electronic)
0079-6123
BOOK PUBLISHER
Elsevier B.V.
ABSTRACT
Psychoeducation (PE) is defined as an intervention with systematic,
structured, and didactic knowledge transfer for an illness and its
treatment, integrating emotional and motivational aspects to enable patients
to cope with the illness and to improve its treatment adherence and
efficacy. PE is considered an important component of treatment in both
medical and psychiatric disorders, especially for mental health disorders
associated with lack of insight, such as alcohol and substance use disorders
(ASUDs). New advancements in neuroscience have shed light on how various
aspects of ASUDs may relate to neural processes. However, the actual impact
of neuroscience in the real-life clinical practice of addiction medicine is
minimal. In this chapter, we provide a perspective on how PE in addiction
medicine can be informed by neuroscience in two dimensions: content
(knowledge we transfer in PE) and structure (methods we use to deliver PE).
The content of conventional PE targets knowledge about etiology of illness,
treatment process, adverse effects of prescribed medications, coping
strategies, family education, and life skill training. Adding neuroscience
evidence to the content of PE could be helpful in communicating not only the
impact of drug use but also the beneficial impact of various treatments
(i.e., on brain function), thus enhancing motivation for compliance and
further destigmatizing their symptoms. PE can also be optimized in its
“structure” by implicitly and explicitly engaging different neurocognitive
processes, including salience/attention, memory, and self-awareness. There
are many interactions between these two dimensions, structure and content,
in the delivery of neuroscience-informed psychoeducation (NIPE). We explore
these interactions in the development of a cartoon-based NIPE to promote
brain recovery during addiction treatment as a part of the brain awareness
for addiction recovery initiative.
EMTREE DRUG INDEX TERMS
alcohol
benzodiazepine
nicotine
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (etiology, therapy)
cognitive behavioral therapy
neuroscience
psychoeducation
EMTREE MEDICAL INDEX TERMS
abstinence
adolescent
adult
alcoholism (etiology, therapy)
anxiety disorder (therapy)
art
attention
awareness
behavior change
brain
child
clinical trial
clinical trial (topic)
cognition
cognitive rehabilitation
controlled study
convalescence
coping behavior
depression (therapy)
drinking behavior
drug craving
drug dependence (etiology, therapy)
drug dependence treatment
drug overdose
family counseling
group therapy
healthy lifestyle
human
Internet
life
life skill training
mass medium
memory
motivation
obsessive compulsive disorder (therapy)
outcomes research
posttraumatic stress disorder (therapy)
self concept
skill
smoking
smoking cessation
substance abuse
suicidal ideation
symptom
tic (therapy)
time
training
treatment outcome
CAS REGISTRY NUMBERS
alcohol (64-17-5)
benzodiazepine (12794-10-4)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT02413216)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170711216
PUI
L618691242
DOI
10.1016/bs.pbr.2017.08.013
FULL TEXT LINK
http://dx.doi.org/10.1016/bs.pbr.2017.08.013
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 167
TITLE
Preliminary Results and Publication Impact of a Dedicated Addiction
Clinician Scientist Research Fellowship
AUTHOR NAMES
Klimas J.
Fernandes E.
Debeck K.
Hayashi K.
Milloy M.-J.
Kerr T.
Cullen W.
Wood E.
AUTHOR ADDRESSES
(Klimas J., jan.klimas@ucd.ie; Fernandes E.; Debeck K.; Hayashi K.; Milloy
M.-J.; Kerr T.; Wood E.) British Columbia Centre for Excellence in HIV/AIDS,
Department of Medicine, University of British Columbia, St. Paul's Hospital,
608-1081 Burrard Street, Vancouver, Canada.
(Klimas J., jan.klimas@ucd.ie; Debeck K.; Cullen W.) School of Medicine,
University College Dublin, Belfield-Dublin, Ireland.
(Hayashi K.; Milloy M.-J.; Kerr T.) Department of Medicine, University of
British Columbia, St. Paul's Hospital, Vancouver, Canada.
CORRESPONDENCE ADDRESS
J. Klimas, British Columbia Centre for Excellence in HIV/AIDS, Department of
Medicine, University of British Columbia, St. Paul's Hospital, 608-1081
Burrard Street, Vancouver, Canada. Email: jan.klimas@ucd.ie
SOURCE
Journal of Addiction Medicine (2017) 11:1 (80-81). Date of Publication: 2017
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
medical research
publication
EMTREE MEDICAL INDEX TERMS
clinical practice
follow up
human
letter
outcome assessment
peer review
physician
questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20170204721
PUI
L614902945
DOI
10.1097/ADM.0000000000000270
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000270
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 168
TITLE
Alcohol and Other Drug (AOD) Education for Hospital Staff: An Integrative
Literature Review
AUTHOR NAMES
Brereton R.
Gerdtz M.
AUTHOR ADDRESSES
(Brereton R.) a Alfred Psychiatry , Melbourne , Australia
(Gerdtz M.) b School of Nursing, University of Melbourne , Melbourne ,
Australia
SOURCE
Issues in mental health nursing (2017) 38:1 (42-60). Date of Publication: 1
Jan 2017
ISSN
1096-4673 (electronic)
ABSTRACT
Alcohol and Other Drug (AOD) education amongst hospital staff is often
inadequate. This leads to suboptimal care of patients and is a missed
opportunity for early identification and treatment. This integrative review
evaluates the core features of current education for hospital-based doctors
and nurses in AOD, including country of origin, content, duration, and
pedagogy. The majority of included studies were conducted in the USA (72%),
target alcohol rather than AOD in general (72%), adopted a purely medical
model of treatment (94%), and utilised a Screening, Brief Intervention, and
Referral to Treatment (SBIRT) model (94%). The overall quality of the
studies was weak-moderate, which led to small effect sizes in most studies
and limits the generalizability of any conclusions. More high quality
research trials are needed to establish the core features of effective AOD
education for hospital staff. Future research should include a focus on the
psychosocial context of addiction, other drug use and the impact of negative
attitudes on care delivery.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
medical education
nursing education
EMTREE MEDICAL INDEX TERMS
health personnel attitude
hospital personnel
human
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27960576 (http://www.ncbi.nlm.nih.gov/pubmed/27960576)
PUI
L618417582
DOI
10.1080/01612840.2016.1248876
FULL TEXT LINK
http://dx.doi.org/10.1080/01612840.2016.1248876
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 169
TITLE
The Role of Education on Dual Disorders: A Discussion Paper
AUTHOR NAMES
Szerman N.
Marín-Navarrete R.
Martínez-Raga J.
AUTHOR ADDRESSES
(Szerman N., nszerman@salud.madrid.org) Mental Health Service Retiro,
University Hospital Gregorio, Marañon, Spain.
(Martínez-Raga J.) Teaching Unit of Psychiatry and Clinical Psychology,
University Hospital Doctor Peset and University of Valencia, University
Cardenal Herrera CEU, Valencia, Spain.
(Marín-Navarrete R.) Clinical Trials Unit On Addiction and Mental Health,
National Institute of Psychiatry ramón de la Fuente Muñiz, Mexico City,
Mexico.
CORRESPONDENCE ADDRESS
N. Szerman, Mental Health Service Retiro, University Hospital Gregorio,
Marañon, Spain. Email: nszerman@salud.madrid.org
SOURCE
Addictive Disorders and their Treatment (2017) 16:4 (155-163). Date of
Publication: 2017
ISSN
1531-5754
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Background: The heterogeneity of the knowledge, skills, and attitudes, in
health professionals involved in treating patients with Dual Disorders
(DDs), generate a negative impact in the effectiveness of the treatment
programs. This situation has been associated with the limitations of the
undergraduate, postgraduate, and continuing professional education training
programs. The goal of this review is to provide an overview on some concepts
involved in the management of patients with DDs, and to describe some
initiatives that have been developed to address the lack of mental health
professional training. Materials and Methods: To integrate a theoretical and
conceptual base, a systematic review was conducted in specialized databases
such as PUBMED, EBSCO, PsycINFO, Google Scholar, and institutional mental
health collections. Results: There is a lack of scientific evidence
reporting the implementation and adoption of training programs for health
professionals in the treatment of Substance Use Disorders. Conclusions: Most
of the scientific literature reports the need to improve the curriculum in
undergraduate physician programs. Despite the scientific findings, the
training programs do not emphasize on the new conceptualization of the DDs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (epidemiology)
medical education
mental disease (epidemiology)
EMTREE MEDICAL INDEX TERMS
drug withdrawal
evidence based practice
health practitioner
human
incidence
mental disease assessment
mental health
neurobiology
neurologic examination
patient counseling
prevalence
priority journal
psychiatrist
review
standardization
systematic review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170519826
PUI
L617411769
DOI
10.1097/ADT.0000000000000114
FULL TEXT LINK
http://dx.doi.org/10.1097/ADT.0000000000000114
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 170
TITLE
How to Deliver a More Persuasive Message Regarding Addiction as a Medical
Disorder
AUTHOR NAMES
Humphreys K.
AUTHOR ADDRESSES
(Humphreys K., knh@stanford.edu) Veterans Affairs and Stanford University
Medical Centers, 795Willow Road (152-MPD), Menlo Park, United States.
CORRESPONDENCE ADDRESS
K. Humphreys, Veterans Affairs and Stanford University Medical Centers,
795Willow Road (152-MPD), Menlo Park, United States. Email: knh@stanford.edu
SOURCE
Journal of Addiction Medicine (2017) 11:3 (174-175). Date of Publication:
2017
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
Many members of our field are frustrated that the public does not see
addiction as a legitimate medical disorder which should be compassionately
addressed as a health problem rather than a criminal justice problem.
Although some attribute the disconnect to the public's lack of scientific
knowledge or attachment to outdated moral views regarding substance use,
this commentary suggests that the problem may well be our own messaging. We
would be more persuasive if we acknowledged that addiction is different from
most medical disorders because of its high negative externalities, and that
this understandably makes the public more scared of and angry about
addiction than they are about conditions like asthma, type II diabetes, and
hypertension. Relatedly, because of the amount of violence and other crimes
associated with addiction, we should acknowledge that the public's belief
that law enforcement has an important role to play in responding to
addiction has a rational basis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
persuasive communication
public health message
EMTREE MEDICAL INDEX TERMS
criminal justice
empathy
heroin dependence
human
law enforcement
methamphetamine dependence
morality
priority journal
review
violence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170422931
MEDLINE PMID
28557959 (http://www.ncbi.nlm.nih.gov/pubmed/28557959)
PUI
L616769020
DOI
10.1097/ADM.0000000000000306
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000306
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 171
TITLE
The medical coalface of the heroin epidemic
AUTHOR NAMES
Rio I.M.
Epstein J.
AUTHOR ADDRESSES
(Rio I.M., ines.rio@optusnet.com.au; Epstein J.) North Richmond Community
Health, Melbourne, Australia.
CORRESPONDENCE ADDRESS
I.M. Rio, North Richmond Community Health, Melbourne, Australia. Email:
ines.rio@optusnet.com.au
SOURCE
Medical Journal of Australia (2017) 206:11 (484-484.e1). Date of
Publication: 2017
ISSN
1326-5377 (electronic)
0025-729X
BOOK PUBLISHER
Australasian Medical Publishing Co. Ltd, ampco@ampco.com.au
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical supervision
heroin dependence
EMTREE MEDICAL INDEX TERMS
clinical practice
consciousness
crying
cyanosis
general practitioner
human
hypoxia
note
screaming syndrome
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20170587750
PUI
L617844925
DOI
10.5694/mja17.00322
FULL TEXT LINK
http://dx.doi.org/10.5694/mja17.00322
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 172
TITLE
Substance use treatment and referral: Novel use of poison center services
AUTHOR NAMES
Lynch M.
Korenoski A.
AUTHOR ADDRESSES
(Lynch M., lyncmj@upmc.edu; Korenoski A.) Pittsburgh Poison Center, United
States.
CORRESPONDENCE ADDRESS
M. Lynch, Pittsburgh Poison Center, United States. Email: lyncmj@upmc.edu
SOURCE
Clinical Toxicology (2017) 55:7 (786). Date of Publication: 2017
CONFERENCE NAME
2017 Annual Meeting of the North American Congress of Clinical Toxicology,
NACCT 2017
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2017-10-11 to 2017-10-15
ISSN
1556-3650
BOOK PUBLISHER
Taylor and Francis Ltd
ABSTRACT
Background: In 2014, 20.2 million Americans suffered from substance use
disorders. The number of annual unintentional overdose deaths continues to
rise including more than 52,000 in 2015. The causes of this alarming trend
are multifactorial, demanding innovative and coordinated responses. Poison
centers are ideally suited to respond with preventive education, immediate
treatment recommendations, as well as data collection and analysis.
Traditionally, poison centers have not participated in recovery treatment
and referral. Evidence suggests that intervention including referral to
appropriate treatment resources can improve engagement in substance use
treatment. The objective of this study is to demonstrate proof of concept
that poison centers can provide substance use disorder treatment and
referral in addition to traditional poison center activities. Methods:
Poison center staff were trained in the brief evaluation of patients with
substance use disorders for identification of potentially life-threatening
withdrawal syndromes that would necessitate inpatient treatment. Decision
algorithms based on classes of substances, presenting symptoms, and location
(hospital, ED, physician office, home) were developed. Substances include
opioids and GABA agonists. Callers from home were referred to an ED or
provided outpatient referral resources based on need, assistance in locating
naloxone in the case of opioids, and referred to their County based drug and
alcohol agency. Healthcare provider callers were assisted in the evaluation
of patients' toxicity and potential withdrawal, provided, by fax, treatment
recommendations including pre-completed prescriptions for symptom-based
opioid withdrawal medications and naloxone, discharge instructions
discussing substance use disorders and follow up, and a list of treatment
facilities in the patient's home county. All patients were contacted on days
1 and 7 following the initial call to provide motivation and assess
engagement. With consent, patients from the center's home county had their
information provided directly to the county drug and alcohol office to
facilitate follow up and engagement. Results: In the first 5 months of
availability, 19 callers from five counties contacted the center
specifically for enrollment in this program. Ten were men and callers ranged
in age from 18 to 60. Public callers accounted for 6/19 (32%) calls while 13
calls originated from hospital Emergency Departments (EDs). Eighteen calls
were related to opioids (12/18 heroin, 6/18 prescription opioids), while
another was due to gabapentin misuse and symptomatic withdrawal. Of the 19
patients, two were admitted to the hospital. One patient was admitted due to
hypoxemia as a result of drug toxicity and one was admitted because of
complicating medical comorbidities. Three callers were reached on both days
1 and 7. All three indicated that they had not used since discharge and were
engaged in treatment. The remaining patients either refused follow up, did
not answer or had non-working numbers. Conclusions: Poison centers can
expand their roles to include the treatment of patients with substance use
disorders and withdrawal, referral to treatment, and follow up engagement.
Critical opportunities to optimize such service include coordinating with
existing programs, enhanced program awareness through public and provider
education, and accurate documentation of patient phone numbers particularly
when provided by a third party.
EMTREE DRUG INDEX TERMS
4 aminobutyric acid receptor stimulating agent
alcohol
gabapentin
naloxone
omeprazole
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
patient referral
poison center
EMTREE MEDICAL INDEX TERMS
adult
awareness
clinical article
clinical trial
comorbidity
doctor patient relation
documentation
drug therapy
drug toxicity
drug withdrawal
education
emergency ward
follow up
human
hypoxemia
information processing
male
motivation
outpatient
prescription
side effect
toxicity
withdrawal syndrome
CAS REGISTRY NUMBERS
alcohol (64-17-5)
gabapentin (60142-96-3)
naloxone (357-08-4, 465-65-6)
omeprazole (73590-58-6, 95510-70-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L617812359
DOI
10.1080/15563650.2017.1348043
FULL TEXT LINK
http://dx.doi.org/10.1080/15563650.2017.1348043
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 173
TITLE
Variations in perceived primary healthcare access across family structures
and their predictors in adolescents
AUTHOR NAMES
Chau K.
Vauthier J.-C.
Kabuth B.
AUTHOR ADDRESSES
(Chau K., c.kenora@yahoo.fr) Département de Médecine Générale, Faculté de
Médecine, Université de Lorraine, 9 avenue de la Forêt de Haye,
Vandoeuvre-lès-Nancy, France.
(Chau K., c.kenora@yahoo.fr) INSERM Centre D'Investigations Cliniques
Plurithématique 1433, UMR 1116, CHU de Nancy, Vandoeuvre-lès-Nancy, France.
(Chau K., c.kenora@yahoo.fr; Vauthier J.-C.) Maison Médicale, 226 rue
Poirie, Dommartin-lès-Remiremont, France.
(Kabuth B.) Université de Lorraine, Faculté de Médecine, Hôpital d'Enfants
de Nancy-Brabois, rue du Morvan, Vandoeuvre-lès-Nancy, France.
CORRESPONDENCE ADDRESS
K. Chau, Département de Médecine Générale, Faculté de Médecine, Université
de Lorraine, 9 avenue de la Forêt de Haye, Vandoeuvre-lès-Nancy, France.
Email: c.kenora@yahoo.fr
SOURCE
Australian Journal of Primary Health (2017) 23:2 (132-139). Date of
Publication: 2017
ISSN
1836-7399 (electronic)
1448-7527
BOOK PUBLISHER
CSIRO
ABSTRACT
Families have greatly changed over time and little is known about primary
care access barriers for adolescents associated with family type. We
assessed family disparities in lack of listening and treatment explanations
(LLTE) by general practitioners (GP), lack of treatment adherence (LTA) and
GP change and the confounding roles of socioeconomic factors, school,
behaviour and health difficulties among 1559 middle-school-Aged (9.9-18.8
years old) adolescents who completed a questionnaire on sex, age,
socioeconomic characteristics (family structure, nationality, parents'
occupation, education and income), school performance, substance use,
physical health, psychological health, social relationships, living
environment, LLTE by GPS, LTA and GP change. Data were analysed using
logistic regression models. LLTE, LTA and GP change affected 22.3, 38.0 and
7.3% of subjects respectively. Compared with the adolescents living in
intact families, and controlling for sex and age, those with separated or
divorced parents or reconstructed families and those with single parents
respectively had 1.58-and 1.96-Times higher LLTE risk and 1.48-and
1.72-Times higher LTA risk. Adolescents with separated or divorced parents
or reconstructed families had 1.92-Times higher GP-change risk.
Socioeconomic factors explained 16-36% of LLTE or LTA risks, but not
GP-change risk. Further considering school, behaviour and health
difficulties explained 55-87% of LLTE or LTA risks and 27% of GP-change
risk. In conclusion, changes in family situations may have produced more
non-intact families and adolescents with greater socioeconomic, school,
behaviour and health difficulties. These factors are strong barriers to
primary care access and may warrant prevention targets for adolescents,
their parents, schools and GP.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
divorced parent
general practitioner
social interaction
socioeconomics
EMTREE MEDICAL INDEX TERMS
adolescent
adult
child
controlled study
education
human
human experiment
logistic regression analysis
middle school
model
occupation
psychological well-being
questionnaire
single parent
substance use
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170286122
PUI
L615509994
DOI
10.1071/PY15159
FULL TEXT LINK
http://dx.doi.org/10.1071/PY15159
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 174
TITLE
Prenatal exposure to antiepileptic drugs and use of primary healthcare
during childhood: A population-based cohort study in Denmark
AUTHOR NAMES
Würtz A.M.
Rytter D.
Vestergaard C.H.
Christensen J.
Vestergaard M.
Bech B.H.
AUTHOR ADDRESSES
(Würtz A.M., amlw@ph.au.dk; Vestergaard C.H.; Vestergaard M.; Bech B.H.)
Research Unit for General Practice, Department of Public Health, Aarhus
University, Aarhus, Denmark.
(Würtz A.M., amlw@ph.au.dk; Rytter D.; Bech B.H.) Section for Epidemiology,
Department of Public Health, Aarhus University, Aarhus, Denmark.
(Christensen J.) Department of Neurology, Aarhus University Hospital,
Aarhus, Denmark.
(Vestergaard M.) Section for General Medical Practice, Department of Public
Health, Aarhus University, Aarhus, Denmark.
CORRESPONDENCE ADDRESS
A.M. Würtz, Research Unit for General Practice, Department of Public Health,
Aarhus University, Aarhus, Denmark. Email: amlw@ph.au.dk
SOURCE
BMJ Open (2017) 7:1 Article Number: e012836. Date of Publication: 2017
ISSN
2044-6055 (electronic)
BOOK PUBLISHER
BMJ Publishing Group, subscriptions@bmjgroup.com
ABSTRACT
Objective: Prenatal exposure to antiepileptic drugs (AEDs) has been
associated with adverse outcomes in the offspring such as congenital
malformations and neuropsychiatric disorders. The objective of this study
was to investigate whether prenatal exposure to AEDs is also associated with
more frequent use of primary healthcare during childhood. Design:
Population-based cohort study. Setting: Nationwide national registers in
Denmark. Participants: All live-born singletons in Denmark during 1997-2012
identified in the Danish National Patient Register and followed until 31
December 2013 (n=963 010). Information on prenatal exposure to AEDs for
maternal indication of epilepsy and other neurological conditions was
obtained from the Danish Register of Medicinal Product Statistics. Main
outcome measures: The primary outcome measure was the number and type of
contacts with the general practitioner (GP), excluding routine well-child
visits and vaccinations. The secondary outcome measure was specific services
provided at the GP contact. The association between prenatal exposure to
AEDs and contacts with the GP was estimated by using negative binomial
regression adjusting for sex and date of birth of the child, maternal age,
cohabitation status, income, education, substance abuse, depression, severe
psychiatric disorders and use of antipsychotics, antidepressants and
insulin. Results: Children exposed prenatally to AEDs (n=4478) had 3% (95%
CI 0 to 5%) more GP contacts during the study period than unexposed
children. This was primarily accounted for by the number of phone contacts.
Within each year of follow-up, exposed children tended to have more contacts
than unexposed children, but the differences were small. We found no
difference between exposed and unexposed children with regard to specific
services provided at the GP contact. For the individual AEDs, we found that
exposure to valproate or oxcarbazepine was associated with more GP contacts.
Conclusions: We found only minor differences between prenatally AED-exposed
and unexposed children in the number of GP contacts.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
anticonvulsive agent (drug therapy)
EMTREE DRUG INDEX TERMS
antidepressant agent
carbamazepine (drug therapy)
clonazepam (drug therapy)
insulin
lamotrigine (drug therapy)
levetiracetam (drug therapy)
neuroleptic agent
oxcarbazepine (drug therapy)
valproic acid (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
epilepsy (drug therapy, drug therapy)
prenatal exposure
primary health care
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
childhood
cohabitation
cohort analysis
Denmark
depression
female
general practitioner
human
income
major clinical study
male
maternal age
mental disease
monotherapy
outcome assessment
substance abuse
CAS REGISTRY NUMBERS
carbamazepine (298-46-4, 8047-84-5)
clonazepam (1622-61-3)
insulin (9004-10-8)
lamotrigine (84057-84-1)
levetiracetam (102767-28-2)
oxcarbazepine (28721-07-5)
valproic acid (1069-66-5, 99-66-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170843844
MEDLINE PMID
28069620 (http://www.ncbi.nlm.nih.gov/pubmed/28069620)
PUI
L619413687
DOI
10.1136/bmjopen-2016-012836
FULL TEXT LINK
http://dx.doi.org/10.1136/bmjopen-2016-012836
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 175
TITLE
A large-scale on-line interprofessional opioid prescriber training program
AUTHOR NAMES
Bednarczyk E.
Blondell R.
Wahler R.
Fiebelkorn K.
Waghmaarae R.
Rogler B.
Dunn T.
AUTHOR ADDRESSES
(Bednarczyk E.; Wahler R.; Fiebelkorn K.; Waghmaarae R.) School of Pharmacy
and Pharmaceutical Sciences, University at Buffalo, Buffalo, United States.
(Blondell R.) Jacobs School of Medicine and Biomedical Sciences, University
at Buffalo, Buffalo, United States.
(Rogler B.; Dunn T.) Department of Pharmacy Practice, State University of
New York at Buffalo, Buffalo, United States.
CORRESPONDENCE ADDRESS
E. Bednarczyk, School of Pharmacy and Pharmaceutical Sciences, University at
Buffalo, Buffalo, United States.
SOURCE
Pharmacotherapy (2017) 37:12 (e159). Date of Publication: 2017
CONFERENCE NAME
2017 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2017
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2017-10-07 to 2017-10-10
ISSN
1875-9114
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
INTRODUCTION: As part of its response to the opioid epidemic, the New York
State (NYS) Legislature mandated three hours of training in opioid use for
all prescribers of controlled substances (, DDS, NP, PA, DPM). Mandated
programming included: NYS and federal requirements for prescribing
controlled substances; pain management; appropriate prescribing; managing
acute pain; palliative medicine; prevention, screening and signs of
addiction; responses to abuse and addiction; and end of life care. Training
was required to be completed by June 30, 2017 RESEARCH QUESTION OR
HYPOTHESIS: Could a large-scale enduring on-line program be feasible, and
would participation result in increased knowledge concerning use of
opioids?. STUDY DESIGN: Observational. METHODS: An interdisciplinary team
from the University at Buffalo was formed to develop a 4-hour accredited
(ACMME, ACPE, ADA CERP) enduring training program which launched March 15,
2017. A pre and post-test was included, with 70% required for successful
completion of the two modules of the course RESULTS: As of June 13, a total
of 28,034 prescribers have completed this training, with the majority
(87.92%) from NYS. CONCLUSION: This demonstrates the feasibility of
deploying a rigorous, enduring interprofessional educational program. The
program has been well accepted, with demonstration of increased knowledge
across disciplines through pre and post-training assessment. The greatest
gains in performance were seen in the management of addiction and palliative
care. Further study is needed to address the impact of this training on
patterns of opioid prescribing.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
training
EMTREE MEDICAL INDEX TERMS
addiction
buffalo
clinical trial
feasibility study
human
New York
nonhuman
palliative therapy
prescription
pretest posttest design
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620235124
DOI
10.1002/phar.2052
FULL TEXT LINK
http://dx.doi.org/10.1002/phar.2052
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 176
TITLE
A review of a national training initiative to increase provider use of MAT
to address the opioid epidemic
AUTHOR NAMES
Levin F.R.
Bisaga A.
Sullivan M.A.
Williams A.R.
Cates-Wessel K.
AUTHOR ADDRESSES
(Levin F.R., frl2@columbia.edu; Bisaga A.; Williams A.R.) New York State
Psychiatric Institute & Department of Psychiatry, Columbia University, New
York, United States.
(Sullivan M.A.) Department of Psychiatry, Columbia University, New York,
United States.
(Sullivan M.A.) Alkermes, Inc., Waltham, United States.
(Cates-Wessel K.) American Academy of Addiction Psychiatry, East Providence,
United States.
CORRESPONDENCE ADDRESS
F.R. Levin, New York State Psychiatric Institute & Department of Psychiatry,
Columbia University, New York, United States. Email: frl2@columbia.edu
SOURCE
American Journal on Addictions (2016) 25:8 (603-609). Date of Publication: 1
Dec 2016
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley Blackwell, info@royensoc.co.uk
ABSTRACT
Background and Objectives: The Providers’ Clinical Support System for
Medication Assisted Treatment (PCSS-MAT) initiative focuses on training and
mentoring health professionals in the treatment of opioid use disorders
(OUD) using pharmacological strategies. Led by the American Academy of
Addiction Psychiatry (AAAP), PCSS-MAT is a consortium representing four of
the five national professional organizations authorized by DATA 2,000—AAAP,
American Osteopathic Academy of Addiction Medicine, American Psychiatric
Association, and American Society of Addiction Medicine. DATA organizations
are authorized to train physicians to prescribe buprenorphine for OUD
treatment. The primary aim of PCSS-MAT is to substantially increase
evidence-based practices with medications for OUD. Methods: This review
describes the development of PCSS-MAT, an ongoing national initiative funded
by the Substance Abuse and Mental Health Services Administration (SAMHSA),
to address the training needs posed by this critical public health problem.
Core initiatives include: (1) Training and mentoring activities for primary
care physicians; (2) Outreach to multidisciplinary professional
organizations, (3) Creating a resource portal for families, patients, and
communities for OUD treatment. Results: Educational outreach to providers
addresses the needs of patients with OUD and common co-occurring psychiatric
and medical disorders. Discussion and Conclusions: The overall scope of
PCSS-MAT is to increase access to evidence-based treatment of substance use
disorders as a public health priority. Recently enacted legislation requires
office-based opioid treatment programs to offer all Food and Drug
Administration-approved (FDA) forms of MAT. Scientific Significance: Working
with health care providers to effectively deliver MAT is key to integrating
behavioral and physical medicine. (Am J Addict 2016;25:603–609).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
evidence based practice
medical education
medication assisted treatment
opiate addiction
EMTREE MEDICAL INDEX TERMS
education program
general practitioner
human
medical society
mental disease
organizational structure
program evaluation
public health problem
review
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160842599
MEDLINE PMID
28051841 (http://www.ncbi.nlm.nih.gov/pubmed/28051841)
PUI
L613281367
DOI
10.1111/ajad.12454
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12454
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 177
TITLE
Prevalence of Substance Abuse Among Oral and Maxillofacial Surgery Residents
From 2006 to 2015
AUTHOR NAMES
Eckert P.P.
Finkelman M.
Rosenberg M.B.
AUTHOR ADDRESSES
(Eckert P.P., pasqualepeckert@gmail.com) Dental Student, Tufts University
Schools of Medicine and Dental Medicine, Boston, United States.
(Finkelman M.) Associate Professor and Director, Division of Biostatistics
and Experimental Design, Tufts University Schools of Medicine and Dental
Medicine, Boston, United States.
(Rosenberg M.B.) Professor, Department of Oral and Maxillofacial Surgery;
Director, Division of Anesthesia and Pain Control; Professor, Department of
Anesthesiology, Tufts University Schools of Medicine and Dental Medicine,
Boston, United States.
CORRESPONDENCE ADDRESS
P.P. Eckert, 90 Bolton Road, Harvard, United States. Email:
pasqualepeckert@gmail.com
SOURCE
Journal of Oral and Maxillofacial Surgery (2016) 74:12 (2351-2358). Date of
Publication: 1 Dec 2016
ISSN
1531-5053 (electronic)
0278-2391
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
Purpose Substance abuse in oral and maxillofacial surgery (OMS) training
programs is an important and under-represented topic in the literature. This
study's purpose was to assess the prevalence of substance abuse in OMS
training programs in the United States during a 10-year period and to
determine the substances most abused by OMS residents. Materials and Methods
A cross-sectional survey study was conducted by sending an online
questionnaire to program directors and chairpersons of all OMS graduate
training programs accredited by the Commission on Dental Accreditation. The
content- and validity-tested survey asked respondents to report on substance
abuse cases at their program from 2006 to 2015. Auxiliary questions asked
opinions on substance abuse. To analyze the data, percentages were
calculated, including the estimated prevalence of abuse; results were
presented as bar charts. Results Forty-six of the 101 OMS training programs
(45.5%) responded. Sixteen of the responding 46 programs (34.8%) reported at
least 1 suspected or encountered incident of substance abuse. The 2 most
abused substances were alcohol and narcotics. During the decade studied, the
prevalence of resident substance abuse was estimated to be 1.2%. Conclusion
The estimated prevalence of resident substance abuse has gone unchanged
since Rosenberg's initial study in 1986 (J Oral Maxillofac Surg 44:458,
1986). With the introduction of new drugs and despite more stringent
protocols, substance abuse continues to be a germane issue for OMS requiring
ongoing attention clinically and in the literature.
EMTREE DRUG INDEX TERMS
alcohol
benzodiazepine derivative
cannabis
central depressant agent
central stimulant agent
cocaine
inhalation anesthetic agent
narcotic agent
nitrous oxide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
maxillofacial surgery
oral surgery
resident
substance abuse
EMTREE MEDICAL INDEX TERMS
accreditation
alcohol abuse
article
cannabis addiction
cocaine dependence
content validity
cross-sectional study
education program
human
narcotic dependence
prevalence
questionnaire
surgical training
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
nitrous oxide (10024-97-2)
EMBASE CLASSIFICATIONS
Otorhinolaryngology (11)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160804524
MEDLINE PMID
27450751 (http://www.ncbi.nlm.nih.gov/pubmed/27450751)
PUI
L613126762
DOI
10.1016/j.joms.2016.06.176
FULL TEXT LINK
http://dx.doi.org/10.1016/j.joms.2016.06.176
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 178
TITLE
Trends in opioid analgesic use in encounters involving physician trainees in
U.S. emergency departments
AUTHOR NAMES
Mazer-Amirshahi M.
Mullins P.M.
Sun C.
Pines J.M.
Nelson L.S.
Perrone J.
AUTHOR ADDRESSES
(Mazer-Amirshahi M.; Sun C.; Nelson L.S.) Department of Emergency Medicine,
MedStar Washington Hospital Center, Washington, United States.
(Mazer-Amirshahi M.; Sun C.) Georgetown University School of Medicine,
Washington, United States.
(Mullins P.M.; Pines J.M.) Center for Clinical Practice Innovation, The
George Washington University, Washington, United States.
(Pines J.M.) Department of Emergency Medicine, The George Washington
University, Washington, United States.
(Nelson L.S.) Ronald O. Perelman Department of Emergency Medicine, New York
University School of Medicine, New York, United States.
(Perrone J.) Department of Emergency Medicine, Perelman School of Medicine,
University of Pennsylvania, Philadelphia, United States.
CORRESPONDENCE ADDRESS
L.S. Nelson, Department of Emergency Medicine, New York University School of
Medicine, NYUSOM, 455 First Avenue, New York, United States.
SOURCE
Pain Medicine (United States) (2016) 17:12 (2389-2396). Date of Publication:
1 Dec 2016
ISSN
1526-4637 (electronic)
1526-2375
BOOK PUBLISHER
Oxford University Press, subscrip@blackwellpub.com
ABSTRACT
Background. Opioid analgesic use has increased dramatically in emergency
departments (EDs), but the relative contribution of physician trainees has
not been explored. We assessed trends in opioid utilization focusing on ED
encounters where a physician trainee was involved. Methods. We studied ED
visits from the National Hospital Ambulatory Medical Care Survey, 2001-
2011. Adult ED visits in which an opioid was administered in the ED or
prescribed at discharge were stratified by whether or not there was trainee
involvement. Trends in use over time for five common opioids (codeine,
hydrocodone, hydromorphone, morphine, oxycodone) were tested using
surveyweighted logistic regression. Results. From 2001-02 to 2009-11, the
proportion of ED visits where an opioid analgesic was used increased 31.5%
from 21.9% (95% CI: 20.3-23.6) of visits to 28.8% (95% CI: 27.5-30.1).
Trainee involvement in ED visits was stable, with 9.3% (95% CI: 7.7-11.3)
seen by a trainee in 2001-02 vs. 10.2% (95% CI: 8.1-12.7) in 2010-11. Opioid
use in visits with trainee involvement did not change significantly over
time relative to visits without a trainee (increase of 36.8% compared to
31.2% without trainees, P=0.652). Trends in opioid utilization for trainee
visits paralleled non-trainee visits. Hydromorphone had the greatest
relative increase in use for all providers. Adjusted for patient- and
hospital-level factors, the probability of receiving opioids when a trainee
was involved increased to a greater extent than among non-trainee visits
(30.9% vs. 24.0%). Conclusion. Opioid utilization patterns for visits
involving trainees reflect similar trends in attending practice, and
highlights the more liberal opioid prescribing climate over time.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE DRUG INDEX TERMS
codeine (drug therapy)
hydrocodone (drug therapy)
hydromorphone (drug therapy)
morphine (drug therapy)
oxycodone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
EMTREE MEDICAL INDEX TERMS
adult
aged
article
emergency ward
female
health survey
hospital discharge
human
logistic regression analysis
major clinical study
male
medical student
pain (drug therapy)
prescription
United States
CAS REGISTRY NUMBERS
codeine (76-57-3)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
hydromorphone (466-99-9, 71-68-1)
morphine (52-26-6, 57-27-2)
oxycodone (124-90-3, 76-42-6)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20180298141
MEDLINE PMID
28025373 (http://www.ncbi.nlm.nih.gov/pubmed/28025373)
PUI
L621865671
DOI
10.1093/pm/pnw048
FULL TEXT LINK
http://dx.doi.org/10.1093/pm/pnw048
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 179
TITLE
Neuroscience of learning and memory for addiction medicine: from habit
formation to memory reconsolidation
AUTHOR NAMES
Torregrossa M.M.
Taylor J.R.
AUTHOR ADDRESSES
(Torregrossa M.M., torregrossam@upmc.edu) Department of Psychiatry,
University of Pittsburgh, Pittsburgh, United States.
(Taylor J.R.) Department of Psychiatry, Yale University, New Haven, United
States.
CORRESPONDENCE ADDRESS
M.M. Torregrossa, Department of Psychiatry, University of Pittsburgh,
Pittsburgh, United States. Email: torregrossam@upmc.edu
SOURCE
Progress in Brain Research (2016) 223 (91-113). Date of Publication: 1 Dec
2016
ISSN
1875-7855 (electronic)
0079-6123
BOOK PUBLISHER
Elsevier B.V.
ABSTRACT
Identifying effective pharmacological treatments for addictive disorders has
remained an elusive goal. Many different classes of drugs have shown some
efficacy in preclinical models, but the number of effective clinical
therapeutics has remained stubbornly low. The persistence of drug use and
the high frequency of relapse is at least partly attributable to the
enduring ability of environmental stimuli associated with drug use to
maintain behavioral patterns of drug use and induce craving during
abstinence. We propose that stimuli associated with drug use exert such
powerful control over behavior through the development of abnormally strong
memories, and their ability to initiate subconscious sequences of motor
actions (habits) that promote uncontrolled drug use. In this chapter, we
will review the evidence suggesting that drugs of abuse strengthen
associations with cues in the environment and facilitate habit formation. We
will also discuss potential mechanisms for disrupting memories associated
with drug use to help improve treatments for addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
habit
learning
memory consolidation
memory reconsolidation
EMTREE MEDICAL INDEX TERMS
abstinence
association
associative learning
dopaminergic system
drug dependence
drug seeking behavior
drug use
human
impulsiveness
motivation
nonhuman
reinforcement
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015555664
MEDLINE PMID
26806773 (http://www.ncbi.nlm.nih.gov/pubmed/26806773)
PUI
L607132243
DOI
10.1016/bs.pbr.2015.07.006
FULL TEXT LINK
http://dx.doi.org/10.1016/bs.pbr.2015.07.006
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 180
TITLE
In this December issue
AUTHOR NAMES
Hughes G.
AUTHOR ADDRESSES
(Hughes G.) Emergency Medicine Australasia, Australia.
CORRESPONDENCE ADDRESS
G. Hughes, Emergency Medicine Australasia, Australia.
SOURCE
EMA - Emergency Medicine Australasia (2016) 28:6 (625). Date of Publication:
1 Dec 2016
ISSN
1742-6723 (electronic)
1742-6731
BOOK PUBLISHER
Blackwell Publishing
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
paracetamol (drug toxicity)
EMTREE DRUG INDEX TERMS
acetylcysteine (drug therapy)
troponin (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
ambulance
emergency health service
medical education
myocardial disease
skill
terminal care
EMTREE MEDICAL INDEX TERMS
adverse outcome
binge drinking
clinical protocol
continuing education
drug overdose
editorial
education program
emergency physician
health hazard
human
liver toxicity (drug therapy, prevention)
priority journal
professional development
risk reduction
sweat gland disease
workshop
CAS REGISTRY NUMBERS
acetylcysteine (616-91-1)
paracetamol (103-90-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Drug Literature Index (37)
Gastroenterology (48)
Toxicology (52)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160858104
MEDLINE PMID
27878964 (http://www.ncbi.nlm.nih.gov/pubmed/27878964)
PUI
L613364882
DOI
10.1111/1742-6723.12708
FULL TEXT LINK
http://dx.doi.org/10.1111/1742-6723.12708
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 181
TITLE
Contribution of therapeutic patient education to addiction medicine
ORIGINAL (NON-ENGLISH) TITLE
Ce que léducation thérapeutique peut apporter à laddictologie
AUTHOR NAMES
de la Tribonnière X.
Jacquet J.-M.
Vidal J.
Donnadieu Rigole H.
AUTHOR ADDRESSES
(de la Tribonnière X.; Jacquet J.-M.; Vidal J.; Donnadieu Rigole H.)
SOURCE
Sante publique (Vandoeuvre-les-Nancy, France) (2016) 28:5 (591-597). Date of
Publication: 25 Nov 2016
ISSN
0995-3914
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient education
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology, therapy)
attitude to health
drug dependence (epidemiology, therapy)
France
human
patient care
statistics and numerical data
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English
MEDLINE PMID
28155734 (http://www.ncbi.nlm.nih.gov/pubmed/28155734)
PUI
L616469569
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 182
TITLE
Off the record: Substance-related disorders in the undergraduate medical
curricula in Ireland
AUTHOR NAMES
Wilson M.
Cullen W.
Goodair C.
Klimas J.
AUTHOR ADDRESSES
(Wilson M.; Cullen W.; Klimas J., jan.klimas@ucd.ie) UCD School of Medicine
and Medical Science, University College Dublin, Dublin, Ireland.
(Goodair C.) Population Health Research Institute, St George’s, University
of London, London, United Kingdom.
(Klimas J., jan.klimas@ucd.ie) Urban Health Research Initiative, BC Centre
for Excellence in HIV/AIDS, University of British Columbia, Vancouver,
Canada.
CORRESPONDENCE ADDRESS
J. Klimas, University College Dublin, School of Medicine and Medical
Science, Coombe Healthcare Centre, Dolphins Barn, Dublin 08, Ireland. Email:
jan.klimas@ucd.ie
SOURCE
Journal of Substance Use (2016) 21:6 (598-600). Date of Publication: 1 Nov
2016
ISSN
1475-9942 (electronic)
1465-9891
BOOK PUBLISHER
Taylor and Francis Ltd, healthcare.enquiries@informa.com
ABSTRACT
Background: Substance use disorders (SUDs) are a worldwide problem, and have
become a major health concern in Ireland particularly. We aimed to determine
the extent to which addiction medicine is embedded in the undergraduate
medical curriculum in Ireland. Methods: To further investigate the degree to
which drug addiction is taught in the Irish medical curriculum an online
literature search was performed using Google Scholar, PubMed (from 2009 to
present), EMBASE, PsycINFO, CINAHL, and Medline using the keywords
“substance-related disorders,” “undergraduate,” “curriculum” and “Ireland.”
Additionally, all Irish medical school websites were examined (n = 6), and a
Google search and manual searches of conference programs were performed. We
used the Preferred Reporting Items for Systematic Review and Meta-Analysis
(PRISMA) guidelines to systematically review and discuss findings. Results:
A total of zero published studies met the criteria for inclusion in an
updated systematic literature search of addiction medicine education in the
undergraduate medical curriculum in Ireland. Conclusion: There is currently
no documentation of drug addiction teaching sessions in Irish medical
schools. Investigations that offer direct contact with medical schools, such
as a telephone survey, may provide a more accurate representation of how
addiction medicine education is incorporated into the medical school
curricula.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
drug dependence
medical education
EMTREE MEDICAL INDEX TERMS
article
human
Ireland
medical research
medical school
meta analysis (topic)
practice guideline
priority journal
publication
systematic review (topic)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160289017
PUI
L609717711
DOI
10.3109/14659891.2015.1112853
FULL TEXT LINK
http://dx.doi.org/10.3109/14659891.2015.1112853
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 183
TITLE
Revising residents' addiction experience: a 1-week intensive course
AUTHOR NAMES
Bhatraju E.P.
Chang A.
Taff J.
Hanley K.
AUTHOR ADDRESSES
(Bhatraju E.P.; Chang A.; Taff J.)
(Hanley K., kathleen.hanley@nyumc.org)
SOURCE
Medical education (2016) 50:11 (1161). Date of Publication: 1 Nov 2016
ISSN
1365-2923 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical education
problem based learning
EMTREE MEDICAL INDEX TERMS
clinical competence
curriculum
drug dependence (therapy)
human
internal medicine
primary health care
LANGUAGE OF ARTICLE
English
MEDLINE PMID
27762005 (http://www.ncbi.nlm.nih.gov/pubmed/27762005)
PUI
L617983320
DOI
10.1111/medu.13182
FULL TEXT LINK
http://dx.doi.org/10.1111/medu.13182
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 184
TITLE
Good psychometric properties of the addiction version of the revised illness
perception questionnaire for health care professionals
AUTHOR NAMES
Ayu A.P.
Dijkstra B.
Golbach M.
De Jong C.
Schellekens A.
AUTHOR ADDRESSES
(Ayu A.P., a.ayu@psych.ru.nl) Department of Psychiatry, School of Medicine,
Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia.
(Ayu A.P., a.ayu@psych.ru.nl; Dijkstra B.; De Jong C.; Schellekens A.)
Nijmegen Institute for Scientist-Pracititoners in Addiction, Radboud
University, Nijmegen, Netherlands.
(Golbach M.) Praktikon, Nijmegen, Netherlands.
(Schellekens A.) Department of Psychiatry, Radboud University Medical
Centre, Nijmegen, Netherlands.
SOURCE
PLoS ONE (2016) 11:11 Article Number: e0164262. Date of Publication: 1 Nov
2016
ISSN
1932-6203 (electronic)
BOOK PUBLISHER
Public Library of Science, plos@plos.org
ABSTRACT
Background: Addiction, or substance dependence, is nowadays considered a
chronic relapsing condition. However, perceptions of addiction vary widely,
also among healthcare professionals. Perceptions of addiction are thought to
contribute to attitude and stigma towards patients with addiction. However,
studies into perceptions of addiction among healthcare professionals are
limited and instruments for reliable assessment of their perceptions are
lacking. The Illness Perception Questionnaire (IPQ) is widely used to
evaluate perceptions of illness. The aim of this study was to evaluate the
psychometric properties of the IPQ: factor structure, internal consistency,
and discriminant validity, when applied to evaluate healthcare
professionals' perceptions of addiction. Methods: Participants were 1072
healthcare professionals in training and master students from the
Netherlands and Indonesia, recruited from various addiction-training
programs. The revised version of the IPQ was adapted to measure perceptions
of addiction (IPQ-A). Maximum likelihood method was used to explore the
best-fit IPQ factor structure. Internal consistency was evaluated for the
final factors. The final factor structure was used to assess discriminant
validity of the IPQ, by comparing illness perceptions of addiction between
1) medical students from the Netherlands and Indonesia, 2) medical students
psychology students and educational science students from the Netherlands,
and 3) participants with different training levels: medical students versus
medical doctors. Results: Factor analysis revealed an eight-factor structure
for the perception subscale (demoralization, timeline chronic, consequences,
personal control, treatment control, illness coherence, timeline cyclical
emotional representations) and a four-factor structure for the attribution
subscale (psychological attributions, risk factors, smoking/alcohol,
overwork). Internal reliability was acceptable to good. The IPQ-A was able
to detect differences in perceptions between healthcare professionals from
different cultural and educational background and level of training.
Conclusions: The IPQ-A is a valid and reliable instrument to assess
healthcare professionals' perceptions of addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Illness Perception Questionnaire Revised
psychometry
questionnaire
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
cultural factor
drug dependence
female
health care personnel
human
Indonesia
internal consistency
male
medical education
medical student
Netherlands
perception
reliability
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160821741
MEDLINE PMID
27824872 (http://www.ncbi.nlm.nih.gov/pubmed/27824872)
PUI
L613121321
DOI
10.1371/journal.pone.0164262
FULL TEXT LINK
http://dx.doi.org/10.1371/journal.pone.0164262
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 185
TITLE
Substance use and psychosocial status among people living with HIV/AIDS who
encountered HIV stigma in China: Stratified analyses by socio-economic
status
AUTHOR NAMES
Zhang C.
Li X.
Liu Y.
Qiao S.
Zhou Y.
Shen Z.
Chen Y.
AUTHOR ADDRESSES
(Zhang C., chen.zhang.1@vanderbilt.edu; Liu Y.) Divison of Epidemiology,
Vanderbilt University, Nashville, United States.
(Li X.; Qiao S.) Department of Health Promotion, Education, and Behavior,
Arnold School of Public Health, University of South Carolina, Columbia,
United States.
(Zhou Y.; Shen Z.; Chen Y.) Department of HIV/STD Prevention, Guangxi CDC,
Nanning, Guangxi, China.
SOURCE
PLoS ONE (2016) 11:11 Article Number: e0165624. Date of Publication: 1 Nov
2016
ISSN
1932-6203 (electronic)
BOOK PUBLISHER
Public Library of Science, plos@plos.org
ABSTRACT
This study examined whether the impact of HIV stigma on psychosocial status
and substance use among people living with HIV/AIDS (PLWHA) differed by
their socio-economic status (SES) in a Chinese setting. A total of 2,987
PLWHA were recruited from 12 sites with the highest number of cumulative HIV
incidence in Guangxi, China. Participants were asked to provide information
regarding their psychosocial status (e.g., depression, anxiety), history of
substance use (e.g., tobacco, alcohol and drug) and SES (e.g., education,
monthly income, residence type, and job category). By employing stratified
multivariate regression analyses, we assessed stratum-specific impacts of
HIV stigma on PLWHA's psychosocial status and behaviors of substance use
based upon participants' SES. The impact of HIV stigma differed
significantly on psychosocial status across SES gradients. Psychosocial
status among people with higher education was more sensitive to HIV stigma
compared with PLWHA who were less educated. The odds of substance use
behaviors were higher among people with better monthly income than their
low-income peers. Our study is the first paper to document the paucity of
SES stratified analyses between HIV stigma and psychosocial status and
substance use among PLWHA in China. We call for tailored intervention
programs to target PLWHA with different backgrounds and characteristics in
order to help them to better manage their seropositivity.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health status
Human immunodeficiency virus infected patient
psychosocial status
social status
stigma
substance use
EMTREE MEDICAL INDEX TERMS
alcohol consumption
anxiety
article
behavior
comparative study
controlled study
coping behavior
demography
depression
disease association
distress syndrome
drug abuse
educational status
ethnicity
female
Guangxi
human
incidence
income
lowest income group
major clinical study
male
married person
occupation
psychological well-being
religion
self esteem
smoking
social psychology
social support
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160825989
MEDLINE PMID
27824948 (http://www.ncbi.nlm.nih.gov/pubmed/27824948)
PUI
L613121287
DOI
10.1371/journal.pone.0165624
FULL TEXT LINK
http://dx.doi.org/10.1371/journal.pone.0165624
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 186
TITLE
Staff Perceptions of Substance Use Disorder Treatment in VA Primary
Care–Mental Health Integrated Clinics
AUTHOR NAMES
Zubkoff L.
Shiner B.
Watts B.V.
AUTHOR ADDRESSES
(Zubkoff L., lisa.zubkoff@va.gov; Shiner B.; Watts B.V.) White River
Junction VAMC, White River Junction, United States.
(Zubkoff L., lisa.zubkoff@va.gov; Shiner B.; Watts B.V.) Geisel School of
Medicine, Dartmouth, Hanover, United States.
(Zubkoff L., lisa.zubkoff@va.gov; Shiner B.; Watts B.V.) VA National Center
for Patient Safety, White River Junction, United States.
CORRESPONDENCE ADDRESS
L. Zubkoff, White River Junction VA Medical Center, 215 N. Main Street
(10A4B1), White River Junction, United States. Email: lisa.zubkoff@va.gov
SOURCE
Journal of Substance Abuse Treatment (2016) 70 (44-49). Date of Publication:
1 Nov 2016
ISSN
1873-6483 (electronic)
0740-5472
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Introduction Guidelines recommend that substance use disorder (SUD)
treatment be available in primary care–mental health integrated clinics,
which offer mental and behavioral health assessment and treatment in the
primary care setting. Despite this recommendation it is unclear what
barriers and facilitators exist to SUD treatment being provided in that
setting. This work sought to understand current SUD services in such
integrated clinics, explore other services may that be appropriate, and
identify barriers to such services. Methods We conducted qualitative
interviews with 23 staff members from integrated clinics at 6 Veterans
Affairs medical centers. We transcribed interviews and performed thematic
analysis to identify emergent themes. Results We identified seven themes
affecting staff experience and ability to provide SUD services in the
integrated clinic: clinical effectiveness, clinical requirements, regulatory
requirements, program goals, proximity of the integrated clinic and SUD
services, training on substance use disorder, and role specialization.
Conclusions VA primary care–mental health integrated clinic staff members do
not currently view SUD treatment as the focus of their work, but are open to
offering SUD treatment including brief psychological interventions or
medication. Several barriers to providing SUD treatment were identified,
including the need for additional staff training around appropriate
interventions for the integrated clinic setting, additional staffing and
space, and a structured implementation strategy to promote the use of SUD
treatments.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
health personnel attitude
mental health care personnel
mental health service
primary medical care
EMTREE MEDICAL INDEX TERMS
article
clinical effectiveness
health program
human
medical specialist
nurse practitioner
priority journal
psychiatrist
psychologist
qualitative research
registered nurse
semi structured interview
veterans health
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160622656
MEDLINE PMID
27692187 (http://www.ncbi.nlm.nih.gov/pubmed/27692187)
PUI
L611798730
DOI
10.1016/j.jsat.2016.07.011
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2016.07.011
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 187
TITLE
Doctors need education on prescribing opioids
AUTHOR NAMES
Mertl S.
AUTHOR ADDRESSES
(Mertl S.) Vancouver, BC
SOURCE
CMAJ : Canadian Medical Association journal = journal de l'Association
medicale canadienne (2016) 188:14 (1003). Date of Publication: 4 Oct 2016
ISSN
1488-2329 (electronic)
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
procedures
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
Canada
clinical practice
drug overdose (epidemiology, prevention)
human
insurance
legal liability
legislation and jurisprudence
medical education
opiate addiction (epidemiology, prevention)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
27601601 (http://www.ncbi.nlm.nih.gov/pubmed/27601601)
PUI
L615195433
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 188
TITLE
The impact of administration of opiates or benzodiazepines on comprehension
of emergency department discharge instructions
AUTHOR NAMES
Berman J.
Burk C.
Terp S.
Burner E.
Lam C.N.
Menchine M.
Arora S.
AUTHOR ADDRESSES
(Berman J.; Burk C.; Terp S.; Burner E.; Lam C.N.; Menchine M.; Arora S.)
Keck School of Medicine at USC, Los Angeles, CA; Keck School of Medicine of
USC, Los Angeles, CA; University of Southern California, Los Angeles, CA
CORRESPONDENCE ADDRESS
J. Berman,
SOURCE
Annals of Emergency Medicine (2016) 68:4 Supplement 1 (S127-S128). Date of
Publication: 1 Oct 2016
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2016 Research Forum
CONFERENCE LOCATION
Las Vegas, NV, United States
CONFERENCE DATE
2016-10-16 to 2016-10-18
ISSN
1097-6760
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objective: Prior research has shown that 65% to 80% of patients have a
poor understanding of at least one component of their emergency department
visit, discharge diagnosis, and/or return precautions and follow-up
instructions. Potential benefits of improved patient understanding include
more effective treatment, fewer return visits and increased health
awareness. As part of their care, some patients receive opiates and
benzodiazepines in the ED for indications ranging from pain control to
behavior modification to procedural sedation. Despite their widespread use,
these medications have many side effects, including memory impairment and
recall. To date, there has been no study that attempts to quantify the
magnitude to which these drugs impact patients' understanding of their
discharge instructions. The primary objective of this study is to evaluate
whether opiate or benzodiazepine administration impacted patients'
understanding of their discharge instructions when compared with patients
who did not receive either medication. Methods: A consecutive sample of
adult patients who were discharged from the ED were approached for
enrollment using a standard script. Those who provided consent were asked by
trained research assistants to complete a questionnaire that included
patient demographics and requested that they describe their discharge
instructions. The gold standard for discharge instructions was written in
the patient's discharge packet. Two medical students then independently
rated patient comprehension of their discharge instructions into one of 5
different categories on a locally created scale, which were collapsed to
good (score of 1 or 2) or poor understanding (score of 3-5). Kappa between
reviewers was 0.97. Medication administration was recorded from the
patients' electronic medical records. Results: Of patients approached,
approximately 90% of patients agreed to participate in the study. Of the 534
patients evaluated, 35% (n=189) received either a benzodiazepine or opiate
before discharge. The proportion of patients with good understanding of
their discharge instructions was slightly lower in patients who received
benzodiazepine or opiates when compared with patients who received neither
(57.7% (95% CI 50-65%) versus 62.6% (95% CI 50-67%). The difference was more
pronounced in the subset of patients (n=8) who received bzd only. In this
group only 25% had a good understanding. Full results are presented in
table. Conclusion: Overall we found comprehension of discharge instructions
was low in our patient population, highlighting the need for more effective
communication at the end of the patient encounter. Comprehension was
slightly lower among patients who received an opiate or benzodiazepine. It
was lowest among benzodiazepine-only patients, but this finding needs to be
confirmed in a larger sample. Health care providers who are discharging
patients should be especially cognizant of the impact that medications can
have on patient comprehension of their discharge instructions. Based on our
small sample, particular attention should be given to patients who receive
benzodiazepines.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
comprehension
emergency ward
EMTREE MEDICAL INDEX TERMS
adult
adverse drug reaction
attention
clinical trial
controlled study
doctor patient relation
drug therapy
electronic medical record
female
gold standard
human
human tissue
human versus animal comparison
major clinical study
male
medical student
memory disorder
nonhuman
quantitative study
questionnaire
recall
scientist
side effect
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L616474863
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 189
TITLE
Differences in opioid prescribing patterns among emergency medicine
independent providers and trainees
AUTHOR NAMES
Androski C.P.
Michael S.S.
Babu K.M.
Reznek M.A.
AUTHOR ADDRESSES
(Androski C.P.; Michael S.S.; Babu K.M.; Reznek M.A.) University of
Massachusetts Medical School, Worcester, United States.
CORRESPONDENCE ADDRESS
C.P. Androski, University of Massachusetts Medical School, Worcester, United
States.
SOURCE
Annals of Emergency Medicine (2016) 68:4 Supplement 1 (S99). Date of
Publication: 1 Oct 2016
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2016 Research Forum
CONFERENCE LOCATION
Las Vegas, NV, United States
CONFERENCE DATE
2016-10-16 to 2016-10-18
ISSN
1097-6760
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: Even in the face of the opioid epidemic affecting millions
of individuals across the US, information related to opioid prescribing
patterns among emergency medicine providers is limited, and we are aware of
no studies comparing the practices of providers who have completed training
versus trainees. As trainees are likely influenced by the practice of more
senior providers, it would stand to reason that their practices would be
similar; however, there also may be generational differences in culture and
education that may influence variation. Our aim was to investigate whether
there is a difference between opioid prescribing patterns of resident
physicians versus attending physicians and advanced practice providers
(APPs). Methods: We queried our electronic medical record to identify all
outpatient prescriptions written by emergency medicine attending and
resident physicians and advanced practice providers at four affiliated
emergency departments (EDs). Sites ranged from a 364-bed tertiary academic
center with 92,000 annual ED visits to a 41-bed community hospital with
14,000 visits. At the academic site, discharge prescriptions are typically
written by residents. At the other sites, attendings and APPs typically see
patients independently without residents. For each prescriber, we calculated
the number of opioid prescriptions per hundred total prescriptions written
and the percentage of patients dispositioned with an opioid prescription. We
compared differences between residents and attendings/APPs using oneway
ANOVA when normal approximations were valid and Wilcoxon testing when
distributions were nonparametric. Results: The percentage of dispositioned
patients receiving an opioid prescription was higher when attending
physicians and APPs affected the disposition than when residents did so
(mean 8.4% vs 5.3%, p=0.004). There was no significant difference in the
number of opioid prescriptions per hundred total prescriptions written among
independent providers and residents (mean 22% vs 20%). While most providers
work at multiple sites, there were no significant between-site differences
observed. Conclusions: Patients who were dispositioned by attending
physicians and APPs were more likely to receive an opioid prescription
compared to patients who were dispositioned by ED residents. The cause of
the observed difference is unclear but may reflect generational differences
related to thresholds in deciding which patients require opioid analgesia to
effectively manage their pain and differences in perceptions of the risks of
opioid medications. In light of recent national calls to standardize opioid
prescribing in the ED setting, further research is warranted to evaluate why
a discrepancy may exist between providers and trainees. This information may
improve the effectiveness of future strategies to standardize opioid
prescribing practices.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency medicine
prescription
student
EMTREE MEDICAL INDEX TERMS
analgesia
analysis of variance
clinical study
clinical trial
community hospital
controlled study
drug therapy
electronic medical record
emergency ward
female
human
male
outpatient
perception
resident
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L616474699
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 190
TITLE
Prospective randomized pilot trial measuring the feasibility and knowledge
retention of opioid education in emergency department patients using a
multimedia platform
AUTHOR NAMES
Chakravarthy B.
Somasundaram S.
Mogi J.
Burns R.
Hoonpongsimanont W.
Lotfipour S.
AUTHOR ADDRESSES
(Chakravarthy B.; Somasundaram S.; Mogi J.; Burns R.; Hoonpongsimanont W.;
Lotfipour S.) University of California, Irvine, Irvine, United States.
CORRESPONDENCE ADDRESS
B. Chakravarthy, University of California, Irvine, Irvine, United States.
SOURCE
Annals of Emergency Medicine (2016) 68:4 Supplement 1 (S81). Date of
Publication: 1 Oct 2016
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2016 Research Forum
CONFERENCE LOCATION
Las Vegas, NV, United States
CONFERENCE DATE
2016-10-16 to 2016-10-18
ISSN
1097-6760
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: We seek to determine if a novel multimedia presentation
educating patients on the dangers and safe usage of opioid analgesics is
feasible in the emergency department. Furthermore, we compared knowledge
retention between patients given standard-of-care discharge instructions
versus a short educational video discharge instruction. Methods: The study
was conducted in a large, urban, academic emergency department. Patients
were identified by emergency physicians with the assistance of undergraduate
research associates. Fifty-two English-speaking patients aged 18 years or
older anticipated to receive a narcotics prescription in the ED were
approached. Patients likely to be admitted, pregnant, or with active cancer
were excluded. Patients were randomized into two cohorts. Cohort 1 (the
standard-of-care group) received standard verbal education and an
informational pharmaceutical sheet from a nurse. Cohort 2 (the intensive
education group) received a 6-minute video presentation on the risks and
safe usage of opioid medication in addition to the standard of care. The
content of the video was sourced from the Substance Abuse and Mental Health
Services Administration (samsha.gov) and administered within the ED prior to
discharge. Both groups received a 26-question test regarding the dangers and
safeusageof opioids immediately after education togauge knowledge retention.
Anunpaired t-test was utilized to compare knowledge retention between the
two cohorts. Results: From the 154 patients approached for the study, 52
patients enrolled; 27 in the Standard group and 25 in the Education group.
The average age of the population was 37 years, and were made up of 44%
white, 40% hispanic, 6% asian, 6% black, and 4% other. Feasibility was
determined by the number of patients that completed both the video and
survey in the education group. Of the 26 subjects initially randomized into
the intensive education group, 25 completed both the video and survey (96.1%
feasibility). Correct survey answers were summed and averaged by group. The
standard-of-care group averaged 65% retention (16.8/26 correct), while the
intensive education group averaged 82% retention (21.2/26 correct). An
unpaired t-test analysis revealed that the multimedia education group
significantly increased patient knowledge about opioid medication's risks,
proper usage and disposal (p-value=0.001). Conclusion: As evidenced by the
high percentage of participants completing the video and survey, we conclude
that it is feasible to implement a multimedia platform to educate patients
receiving opioid analgesics in the ED. We also conclude that medical
knowledge retention is improved in the intensive education group compared to
the current standard of care treatment. This may indicate that busy EDs can
improve their discharge instructions to patients with regards to prescribed
opioid analgesics. In this study, we looked at immediate knowledge retention
alone. Future research should focus on 4-6 week knowledge retention as well
as behavioral changes with regards to this intervention. By identifying
optimal points to reinforce education and targeting populations at-risk for
narcotic abuse, it is hopeful that patient education can decrease the
non-medical usage of opioid analgesics and ameliorate the opioid epidemic in
the United States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
narcotic agent
unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency ward
feasibility study
multimedia
patient education
EMTREE MEDICAL INDEX TERMS
adult
behavior change
clinical trial
controlled clinical trial
controlled study
drug combination
drug therapy
emergency physician
epidemic
female
health care quality
Hispanic
human
major clinical study
malignant neoplasm
narcotic dependence
nurse
pregnancy
prescription
randomized controlled trial
speech
statistical significance
Student t test
United States
videorecording
young adult
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L616474725
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 191
TITLE
Can social protection improve sustainable development goals for adolescent
health?
AUTHOR NAMES
Cluver L.D.
Orkin F.M.
Meinck F.
Boyes M.E.
Yakubovich A.R.
Sherr L.
AUTHOR ADDRESSES
(Cluver L.D., Lucie.Cluver@spi.ox.ac.uk; Meinck F.; Boyes M.E.; Yakubovich
A.R.) Centre for Evidence-Based Intervention, Department of Social Policy
and Social Intervention, University of Oxford, Oxford, United Kingdom.
(Cluver L.D., Lucie.Cluver@spi.ox.ac.uk) Department of Psychiatry and Mental
Health, University of Cape Town, Cape Town, South Africa.
(Orkin F.M.) DPHRU, School of Clinical Medicine, DST-NRF Centre of
Excellence in Human Development, University of the Witwatersrand,
Johannesburg, South Africa.
(Boyes M.E.) Health Psychology and Behavioural Medicine Research Group,
School of Psychology and Speech Pathology, Curtin University, Perth,
Australia.
(Sherr L.) Department of Infection and Population Health, University College
London, London, United Kingdom.
SOURCE
PLoS ONE (2016) 11:10 Article Number: e0164808. Date of Publication: 1 Oct
2016
ISSN
1932-6203 (electronic)
BOOK PUBLISHER
Public Library of Science, plos@plos.org
ABSTRACT
Background The first policy action outlined in the Sustainable Development
Goals (SDGs) is the implementation of national social protection systems.
This study assesses whether social protection provision can impact 17
indicators of five key health-related SDG goals amongst adolescents in South
Africa. Methods We conducted a longitudinal survey of adolescents (10±18
years) between 2009 and 2012. Census areas were randomly selected in two
urban and two rural health districts in two South African provinces,
including all homes with a resident adolescent. Household receipt of social
protection in the form of 'cash' (economic provision) and 'care'
(psychosocial support) social protection, and health-related indicators
within five SDG goals were assessed. Gender-disaggregated analyses included
multivariate logistic regression, testing for interactions between social
protection and socio-demographic covariates, and marginal effects models.
Findings Social protection was associated with significant adolescent risk
reductions in 12 of 17 gender- disaggregated SDG indicators, spanning SDG 2
(hunger); SDG 3 (AIDS, tuberculosis, mental health and substance abuse); SDG
4 (educational access); SDG 5 (sexual exploitation, sexual and reproductive
health); and SDG 16 (violence perpetration). For six of 17 indicators,
combined cash plus care showed enhanced risk reduction effects. Two
interactions showed that effects of care varied by poverty level for boys'
hunger and girls' school dropout. For tuberculosis, and for boys' sexual
exploitation and girls' mental health and violence perpetration, no effects
were found and more targeted or creative means will be needed to reach
adolescents on these challenging burdens. Interpretation National social
protection systems are not a panacea, but findings suggest that they have
multiple and synergistic positive associations with adolescent health
outcomes. Such systems may help us rise to the challenges of health and
sustainable development.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
child protection
social support
sustainable development
EMTREE MEDICAL INDEX TERMS
adolescent
adolescent behavior
article
economic aspect
economic provision
female
food insecurity
health education
human
hunger
longitudinal study
male
poverty
psychosocial care
reproductive health
resident
risk reduction
school dropout
sexual exploitation
sexual health
social care
South Africa
substance abuse
tuberculosis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160774503
MEDLINE PMID
27749932 (http://www.ncbi.nlm.nih.gov/pubmed/27749932)
PUI
L612829143
DOI
10.1371/journal.pone.0164808
FULL TEXT LINK
http://dx.doi.org/10.1371/journal.pone.0164808
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 192
TITLE
Detecting and managing drug-related problems in the neurology ward of a
tertiary care teaching hospital in Iran: A clinical pharmacist's
intervention
AUTHOR NAMES
Foroughinia F.
Tazarehie S.R.
Petramfar P.
AUTHOR ADDRESSES
(Foroughinia F., farzanehforoughinia@yahoo.com; Petramfar P.) Clinical
Neurology Research Center, Shiraz University of Medical Sciences, Shiraz,
Iran.
(Foroughinia F., farzanehforoughinia@yahoo.com) Department of Clinical
Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.
(Tazarehie S.R.) Stud. Research Committee, Shiraz University of Medical
Sciences, Shiraz, Iran.
CORRESPONDENCE ADDRESS
F. Foroughinia, Clinical Neurology Research Center, Shiraz University of
Medical Sciences, Shiraz, Iran. Email: farzanehforoughinia@yahoo.com
SOURCE
Journal of Research in Pharmacy Practice (2016) 5:4 (285-289). Date of
Publication: 1 Oct 2016
ISSN
2279-042X (electronic)
2319-9644
BOOK PUBLISHER
Medknow Publications, B9, Kanara Business Centre, off Link Road, Ghatkopar
(E), Mumbai, India.
ABSTRACT
Objective: Nowadays, the role of clinical pharmacists has become more
prominent by more clinical pharmacists joining the health-care teams. This
study was aimed to assess the role of a clinical pharmacist specialist in
detecting and managing drug-related problems (DRPs) in the neurology ward of
a tertiary care teaching hospital in Iran. Methods: This is a prospective
cross-sectional study conducted on 123 hospitalized patients admitted to the
neurology ward of a teaching hospital. The clinical pharmacist visited the
patients and filled out the designed pharmacotherapy sheet for each patient.
Then, the general pharmacist checked the patients' files and pharmacotherapy
sheets and categorized DRPs using modified method of 'The Pharmaceutical
Care Network Europe classification, Version 5.01.' Findings: A total of 168
errors were found and 346 interventions were done by the clinical pharmacist
during the study period. The most common form of errors in our study was
'drug choice problems' (57.76%). The acceptance rate of interventions was
41.91% among physicians. Conclusion: The large number of interventions
reported in several studies, as well as this study, revealed that clinical
pharmacy services could contribute to a rationalization of drug therapy and
may eventually lead to more medication safety.
EMTREE DRUG INDEX TERMS
gabapentin
glyceryl trinitrate
spironolactone
warfarin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neurology
pharmacist
teaching hospital
tertiary health care
ward
EMTREE MEDICAL INDEX TERMS
adult
aged
article
clinical pharmacy
cross-sectional study
drug choice
female
human
Iran
major clinical study
male
neurologist
pharmaceutical care
priority journal
prospective study
CAS REGISTRY NUMBERS
gabapentin (60142-96-3)
glyceryl trinitrate (55-63-0, 80738-44-9)
spironolactone (52-01-7)
warfarin (129-06-6, 2610-86-8, 3324-63-8, 5543-58-8, 81-81-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pharmacy (39)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160807208
PUI
L613137646
DOI
10.4103/2279-042X.192455
FULL TEXT LINK
http://dx.doi.org/10.4103/2279-042X.192455
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 193
TITLE
Dependence on lorazepam in patients consulting in psychiatry
AUTHOR NAMES
Masmoudi R.
Feki I.
Ben Touhemi D.
Sellami R.
Masmoudi J.
AUTHOR ADDRESSES
(Masmoudi R.; Feki I.; Ben Touhemi D.; Sellami R.; Masmoudi J.) Hedi Chaker
University Hospital, Psychiatry, Sfax, Tunisia.
CORRESPONDENCE ADDRESS
R. Masmoudi, Hedi Chaker University Hospital, Psychiatry, Sfax, Tunisia.
SOURCE
European Neuropsychopharmacology (2016) 26 Supplement 2 (S685). Date of
Publication: 1 Oct 2016
CONFERENCE NAME
29th European College of Neuropsychopharmacology Congress, ECNP 2016
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2016-09-17 to 2016-09-20
ISSN
1873-7862
BOOK PUBLISHER
Elsevier B.V.
ABSTRACT
Introduction: The main actions of benzodiazepines (hypnotic, anxiolytic,
anticonvulsant, myorelaxant and amnesic) confer a therapeutic value in a
wide range of conditions. Four of these molecules (alprazolam, clonazepam,
diazepam and lorazepam) are listed among the top 100 most commonly
prescribed medications. However, benzodiazepines can be addicting when
abused and can cause a range of negative effects on the user. Dependence on
benzodiazepines is more likely to occur with prolonged use and is becoming a
major public health problem. Our aim was to assess the prevalence of
lorazepam dependence in psychiatric consultants at the university hospital
Hedi Chaker of Sfax (Tunisia). Methods: It was a descriptive,
cross-sectional study conducted during a period of 1 month, involving
patients consulting in psychiatry at the universitary hospital Hédi Chaker
of Sfax. Sociodemographic and clinical data including age, sex, marital
status, education, occupation, habit of smoking and drinking alcohol, length
of illness and patients' diagnosis and data related to lorazepam consumption
(duration, dose) were collected using a pre-established form. For the
evaluation of lorazepam dependence, we used the cognitive scale of
attachment to benzodiazepines (ECAB), with a score ≥6 indicates that the
patient is dependent. Results: We collected 30 patients. The average age of
consultants was 44±12 years with a sex ratio (M/F) = 2. The majority (77.7%)
was married and had regular professional activity (70%). Three quarters had
primary school education. Concerning addictive habits, half our population
was cigarette smokers and quarter had consuming alcohol. The presence of a
stressor was noted in 43% of cases, it was related to economic difficulties
in 30% of cases. In our study, lorazepam was used to treat a wide variety of
disorders; it was prescribed for patients with schizophrenia in 16.6%,
bipolar disorder in 6.7%, anxiety disorders in 30% of cases, depressive
disorder in 33.3% and a personality disorder in 3.3% case. The mean duration
of disease was 11 years. A total of 70% of patients were addicted to
lorazepam. Patients had used lorazepam for a mean of 6 years and 7 months,
with extremes ranging from 3 months to 30 years. We noticed that the dose
consumed (the mean dose consumed = 3.79 mg / day) was higher than the dose
prescribed (The mean prescribed dose 3.67 mg / day). Conclusion: Our study
showed high prevalence of lorazepam dependence in patients consulting in
psychiatry. Many elements from the scientific literature confirm the
association between psychiatric disorders and abuse or dependence on
benzodiazepines. The danger of chronic usage of prescribed benzodiazepines
are now well recognized, that's why doctors have to reevaluate these
treatments, their indication, their dosage and duration of prescription.
Compliance with the recommendations for prescribing, educating doctors and
pharmacists about this addiction and the proliferation of information
actions towards patients should be involved to minimize the misuse of these
drugs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
lorazepam
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
psychiatry
EMTREE MEDICAL INDEX TERMS
addiction
adult
alcohol consumption
anxiety disorder
bipolar disorder
cell proliferation
clinical article
clinical trial
consultation
cross-sectional study
diagnosis
drug megadose
drug therapy
habit
human
marriage
married person
occupation
pharmacist
prescription
prevalence
primary school
public health problem
schizophrenia
scientific literature
sex ratio
smoking
Tunisia
university hospital
CAS REGISTRY NUMBERS
alcohol (64-17-5)
lorazepam (846-49-1)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614139097
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 194
TITLE
Socio-demographic factors influencing the incidence of schizophrenia and
comorbid substance use disorders
AUTHOR NAMES
Stoimenova M.
Chumpalova P.
Todorov A.
Tumbev L.
Kolarov P.
Georgiev G.
Veleva I.
Kirov K.
Valtchev V.
Tonev R.
Popov P.
Palazov V.
Kozhuharov H.
AUTHOR ADDRESSES
(Stoimenova M.) Medical University, University Hospital, Psychiatry and
Medical Psychology, Pleven, Bulgaria.
(Chumpalova P.; Todorov A.; Kolarov P.; Georgiev G.; Veleva I.; Kirov K.)
Medical University, Psychiatry and Medical Psychology, Pleven, Bulgaria.
(Tumbev L.; Tonev R.) University Hospital, Mental Health Centre, Pleven,
Bulgaria.
(Valtchev V.) National Sport Academy, Physiology and Biochemistry, Sofia,
Bulgaria.
(Popov P.) Ministry of Health, National Centre for Addictions, Sofia,
Bulgaria.
(Palazov V.) Mental Health Center, Psychiatry, Burgas, Bulgaria.
(Kozhuharov H.) Medical University, Psychiatry, Varna, Bulgaria.
CORRESPONDENCE ADDRESS
M. Stoimenova, Medical University, University Hospital, Psychiatry and
Medical Psychology, Pleven, Bulgaria.
SOURCE
European Neuropsychopharmacology (2016) 26 Supplement 2 (S354-S355). Date of
Publication: 1 Oct 2016
CONFERENCE NAME
29th European College of Neuropsychopharmacology Congress, ECNP 2016
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2016-09-17 to 2016-09-20
ISSN
1873-7862
BOOK PUBLISHER
Elsevier B.V.
ABSTRACT
Background: The simultaneous presence of associated substance use disorders
and psychiatric disorders is a phenomenon that has permanently attracted
scientific interest during the last two decades and is one of the most
debated and controversial issues in the field of dependent behaviors and
general psychiatry. The epidemiological studies worldwide suggest that the
prevalence of schizophrenia and substance use disorders has been estimated
to range from 10 to 70%. Comorbid schizophrenia and/or substance use
disorders affects the clinical manifestations and course of illness,
increased relapses, re-hospitalizations, quality of life, noncompliance to
treatment, increased rates of hostility and suicidal ideation as well as
other areas of functioning such as interpersonal violence, homelessness and
legal problems. Although Bulgarian psychiatry has a long tradition in the
diagnosis of schizophrenia and substance use disorders, there is no enough
investigation of schizophrenia and comorbid substance use disorders.
Objective: To investigate the frequency of comorbid schizophrenia and
substance use disorders during 5-year period and assess the role of
different socio-demographic factors. Methods: A total of 695 in-patients of
the Psychiatric Clinic of the University Hospital “Dr. George Stransky”,
Pleven, Bulgaria for the period January 2010 - January 2015 diagnosed with
schizophrenia, according to the criteria ICD-10 (F20) and DSM-IV (295).
After screening and on the basis of “inclusive” and “exclusive” criteria in
accordance with the study design were established two distinct groups of
patients suffering from schizophrenia with a total of n = 202. Of them 101
hospitalized patients with schizophrenia and comorbid substance abuse and
101 hospitalized patients with schizophrenia without substance use in a
comparable ratio by sex, age, place of residence and level of education with
the study group with comorbidity. All screening tools and interviews are
internationally recognized and validated - Alcohol Use Disorders
Identification Test (AUDIT); Drug Use Disorders Identification Test (DUDIT);
Diagnostic Interview for psychosis (DIP). The processing of the received
data for the study was performed with specialized statistical software
packages STATGRAPHICS; SPSS and EXCEL for Windows. Statistical significance
was ascertained by t-test, curve fitting, or ANOVA, as appropriate. The
significance of the results, findings and conclusions determined at p<0.05.
Results: The incidence of schizophrenia and comorbid substance use disorders
among hospitalized patients in the Clinics of Psychiatry at the University
Hospital “Dr. George Stransky”, Pleven, Bulgaria during the 5-year period
was 14.5%. Among men with schizophrenia, comorbid substance use disorders is
more frequent (76.2%) in comparison with the group of women (23.8%). The
majority of patients with schizophrenia and comorbid substance use disorders
among both men and women live in urban areas (72.3%) and have secondary
education (56.5%). Men in the group with comorbidity are more often
unmarried (p <0.001) and have no children (p<0.05). There were no
significant differences regarding with whom they live (p>0.05). Conclusion:
The problem of comorbidity of schizophrenia and substance use disorders is
very topical not only in the world but also at national level.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
psychosis
EMTREE MEDICAL INDEX TERMS
analysis of variance
Bulgaria
child
comorbidity
controlled study
curve fitting
data analysis software
diagnosis
drug dependence
DSM-IV
female
hospital patient
human
ICD-10
instrument validation
interview
major clinical study
male
mental hospital
psychiatry
screening
single (marital status)
statistical significance
Student t test
study design
substance abuse
topical drug administration
university hospital
urban area
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614138704
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 195
TITLE
Barriers and Facilitators of HIV Care Engagement: Results of a Qualitative
Study in St. Petersburg, Russia
AUTHOR NAMES
Kuznetsova A.V.
Meylakhs A.Y.
Amirkhanian Y.A.
Kelly J.A.
Yakovlev A.A.
Musatov V.B.
Amirkhanian A.G.
AUTHOR ADDRESSES
(Kuznetsova A.V.; Meylakhs A.Y.; Yakovlev A.A.; Musatov V.B.; Amirkhanian
A.G.) Botkin Hospital for Infectious Diseases, Interdisciplinary Center for
AIDS Research and Training (ICART), St. Petersburg, Russia
(Amirkhanian Y.A.) Botkin Hospital for Infectious Diseases,
Interdisciplinary Center for AIDS Research and Training (ICART), St.
Petersburg, Russia. yuri@mcw.edu
(Amirkhanian Y.A.) Department of Psychiatry and Behavioral Medicine, Medical
College of Wisconsin, Center for AIDS Intervention Research (CAIR), 2071
North Summit Avenue, Milwaukee, WI, 53202, USA. yuri@mcw.edu
(Kelly J.A.) Department of Psychiatry and Behavioral Medicine, Medical
College of Wisconsin, Center for AIDS Intervention Research (CAIR), 2071
North Summit Avenue, Milwaukee, WI, 53202, USA
(Yakovlev A.A.; Musatov V.B.) Faculty of Medicine, St. Petersburg State
University, St. Petersburg, Russia
SOURCE
AIDS and behavior (2016) 20:10 (2433-2443). Date of Publication: 1 Oct 2016
ISSN
1573-3254 (electronic)
ABSTRACT
Russia has a large HIV epidemic, but medical care engagement is low. Eighty
HIV-positive persons in St. Petersburg completed in-depth interviews to
identify barriers and facilitators of medical HIV care engagement. The most
commonly-reported barriers involved difficulties accessing care providers,
dissatisfaction with the quality of services, and negative attitudes of
provider staff. Other barriers included not having illness symptoms, life
stresses, low value placed on health, internalized stigma and wanting to
hide one's HIV status, fears of learning about one's true health status, and
substance abuse. Care facilitators were feeling responsible for one's health
and one's family, care-related support from other HIV-positive persons, and
the onset of health decline and fear of death. Substance use remission
facilitated care engagement, as did good communication from providers and
trust in one's doctor. Interventions are needed in Russia to address HIV
care infrastructural barriers and integrate HIV, substance abuse, care, and
psychosocial services.
EMTREE DRUG INDEX TERMS
anti human immunodeficiency virus agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
social stigma
EMTREE MEDICAL INDEX TERMS
adolescent
adult
complication
drug dependence
epidemiology
female
health care delivery
health status
human
Human immunodeficiency virus infection (drug therapy)
interview
male
medication compliance
middle aged
patient attitude
patient care
psychology
qualitative research
Russian Federation
social support
statistics and numerical data
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26767534 (http://www.ncbi.nlm.nih.gov/pubmed/26767534)
PUI
L618828704
DOI
10.1007/s10461-015-1282-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s10461-015-1282-9
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 196
TITLE
The unique needs of homeless youths with mental illness: Baseline findings
from a housing first trial
AUTHOR NAMES
Kozloff N.
Stergiopoulos V.
Adair C.E.
Cheung A.H.
Misir V.
Townley G.
Bourque J.
Krausz M.
Goering P.
AUTHOR ADDRESSES
(Kozloff N., n.kozloff@mail.utoronto.ca) Department of Psychiatry,
University of Toronto, Toronto, Canada.
(Stergiopoulos V.) Department of Psychiatry, Li Ka Shing Knowledge
Institute, St. Michael's Hospital, Toronto, Canada.
(Misir V.) Centre for Research on Inner City Health, Li Ka Shing Knowledge
Institute, St. Michael's Hospital, Toronto, Canada.
(Adair C.E.) Department of Psychiatry and Community Health Sciences,
University of Calgary, Calgary, Canada.
(Cheung A.H.) Department of Psychiatry, Sunnybrook Health Sciences Center,
Toronto, Canada.
(Townley G.) Department of Psychology, Portland State University, Portland,
United States.
(Bourque J.) Department of Education, Université de Moncton, Moncton,
Canada.
(Krausz M.) Department of Psychiatry, University of British Columbia,
Vancouver, Canada.
(Goering P.) Centre for Addiction and Mental Health, Toronto, Canada.
SOURCE
Psychiatric Services (2016) 67:10 (1083-1090). Date of Publication: 1 Oct
2016
ISSN
1557-9700 (electronic)
1075-2730
BOOK PUBLISHER
American Psychiatric Association
ABSTRACT
Objective: Although youth homelessness presents a significant public health
problem, the needs of homeless youths with mental illness, as distinct from
adults, are not well understood. This study examined the unique demographic,
clinical, and service use characteristics of homeless youths. Methods: At
Home/Chez Soi was a large randomized controlled trial of the Housing First
model in five cities in Canada. Of 2,255 participants, 7% (N=164) were
youths ages 18 to 24. Youths were compared with older participants on
baseline demographic, clinical, and service use characteristics. Results:
More youths than adults had not finished high school (76% versus 54%), had a
drug use disorder (66% versus 52%), and had been assaulted in the past six
months (44% versus 36%) (all p<.05). Fewer than half the youths (49%) had a
regular medical doctor, 50% reported unmet need for health care, and 61%
visited an emergency department in the past six months. Conclusions: This
sample of homeless youths with mental illness had low education, high rates
of substance use disorders and victimization, and problems accessing
services. These findings suggest that youths have trajectories to
homelessness and service needs that are distinct from adults and may guide
future planning for this vulnerable population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care need
homeless youth
homelessness
mental disease
EMTREE MEDICAL INDEX TERMS
adult
article
assault
controlled study
drug dependence
educational status
emergency care
emergency ward
female
hospitalization
human
indigenous people
learning disorder
major clinical study
male
randomized controlled trial (topic)
substance abuse
traumatic brain injury
young adult
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160719883
MEDLINE PMID
27247178 (http://www.ncbi.nlm.nih.gov/pubmed/27247178)
PUI
L612591476
DOI
10.1176/appi.ps.201500461
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ps.201500461
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 197
TITLE
The prevalence of substance abuse among oral and maxillofacial surgery
residents
AUTHOR NAMES
Eckert P.P.
Finkelman M.
Rosenberg M.
AUTHOR ADDRESSES
(Eckert P.P.) Tufts University, School of Dental Medicine, United States.
(Finkelman M.; Rosenberg M.)
CORRESPONDENCE ADDRESS
P.P. Eckert, Tufts University, School of Dental Medicine, United States.
SOURCE
Journal of Oral and Maxillofacial Surgery (2016) 74:9 Supplement 1
(e41-e42). Date of Publication: 1 Sep 2016
CONFERENCE NAME
98th Annual Meeting and Exhibition of the American Association of Oral and
Maxillofacial Surgeons, AAOMS 2016
CONFERENCE LOCATION
Las Vegas, NV, United States
CONFERENCE DATE
2016-09-22 to 2016-09-23
ISSN
1531-5053
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Purpose: To assess the prevalence of substance abuse in oral and
maxillofacial surgery (OMS) training programs in the United States (US) over
a 10-year period to compare rates of abuse to earlier studies. Substance
abuse is a major concern in many medical training programs such as
anesthesiology, surgery, and emergency medicine; however, despite similar
risks, the horror of substance abuse is less discussed and documented in OMS
residencies. In the US, anesthesia residencies have reported rates of
resident abuse of 2.2% and 1.6% based on random urinalysis and chairperson
survey, similar to this study.1,2 This study also aimed to determine which
substances are most abused in OMS residencies. Knowledge of the most abused
substances will lead to early identification of impaired residents by
program heads, a crucial element in quick intervention and effective
rehabilitation. Materials and Methods: A prospective study was conducted by
sending an online questionnaire to the program directors and chairpersons of
the 101 OMS graduate training programs accredited by the Commission on
Dental Accreditation (CODA). This content and validity tested survey asked
respondents to recall substance abuse cases over the last ten years, 2006 -
2015, at their programs. Additional questions asked opinions on substance
abuse incidence; education on abuse; and the impact abuse may have on an
OMS's successful career. Results: Of 101 US CODA Accredited Advanced
Education Programs in OMS contacted, 46 (45.5%) of the OMS training programs
responded. Sixteen of the responding 46 programs (34.8%) reported at least
one suspected or encountered incident of substance abuse, with 19 total
cases of reported abuse. Among the respondents noting abuse, the most abused
substances were alcohol and narcotics, with at least nine (47.4%) and six
(31.6%) incidents of abuse, respectively. Substance abuse education was
taught at 27 (58.7%) of the respondents' programs. The overall prevalence of
substance abuse over the decade studied was estimated to be 1.2%.
Conclusion: As in other medical specialty residencies, substance abuse is a
concern in OMS. The prevalence of programs reporting abuse has decreased
since Rosenberg's initial study in 1986, but the estimated percentage of the
resident abuse rate has gone unchanged.3 It is imperative for faculty to be
aware of the possibility of abuse among their residents and provide
education, wellness programs, and appropriate early diagnosis and treatment
of suspected or confirmed substance abusers to protect them and their
patients.
EMTREE DRUG INDEX TERMS
alcohol
narcotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
maxillofacial surgery
prevalence
resident
substance abuse
EMTREE MEDICAL INDEX TERMS
accreditation
adult
anesthesia
career
early diagnosis
education program
female
head
human
incidence
male
oral surgery
prospective study
questionnaire
recall
rehabilitation
United States
urinalysis
validity
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L620211701
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 198
TITLE
Shared Responsibility: Massachusetts Legislators, Physicians, and An Act
Relative to Substance Use Treatment, Education, and Prevention
AUTHOR NAMES
Rudder M.
Tsao L.
Jack H.E.
AUTHOR ADDRESSES
(Rudder M.) Resident in the internal medicine primary care program at
Brigham and Women's Hospital in Boston and a graduate of Harvard Medical
School
(Tsao L.; Jack H.E.) Internal medicine resident at the University of
California, San Francisco
SOURCE
AMA journal of ethics (2016) 18:9 (950-959). Date of Publication: 1 Sep 2016
ISSN
2376-6980 (electronic)
ABSTRACT
Recent passage of the Massachusetts law, An Act Relative to Substance Use,
Treatment, Education, and Prevention, represents an admirable public health
approach to substance use disorder (SUD), a stigmatized chronic disease that
affects some of society's most vulnerable people. With its seven-day supply
limit on first-time opioid prescriptions, this legislation takes an unusual
approach to state government involvement in health care. By intervening in
individual physicians' practices, state legislators have entered a space
traditionally reserved for clinical teams. The seven-day supply limit and
the process through which it was developed highlight competing priorities
and dialogue between physicians and legislators, limits of physician
self-regulation, and standards of evidence in policy making and health care.
Addressing these issues requires both physicians and legislators to
recognize and fulfill new responsibilities in order to better assist the
populations they serve.
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
government
government regulation
social behavior
EMTREE MEDICAL INDEX TERMS
analgesia
clinical practice
drug dependence (drug therapy, prevention)
education
health care delivery
health care policy
human
law
legislation and jurisprudence
Massachusetts
pain (drug therapy)
public health
self control
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27669141 (http://www.ncbi.nlm.nih.gov/pubmed/27669141)
PUI
L614631881
DOI
10.1001/journalofethics.2016.18.9.pfor2-1609
FULL TEXT LINK
http://dx.doi.org/10.1001/journalofethics.2016.18.9.pfor2-1609
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 199
TITLE
Coprescribing naloxone for patients on chronic opioid therapy: Lessons
learned from a patient-safety initiative in primary care training sites
AUTHOR NAMES
Delaney W.
Huff J.
Mini S.
Thomas A.
Tremaglio R.
AUTHOR ADDRESSES
(Delaney W.; Mini S.; Thomas A.; Tremaglio R.) College of Medicine,
University of Vermont, Burlington, United States.
(Huff J.) Department of Research and Innovation, Western Connecticut Health
Network, Danbury, United States.
SOURCE
Journal of Opioid Management (2016) 12:5 (360-366). Date of Publication: 1
Sep 2016
ISSN
2375-0146 (electronic)
1551-7489
BOOK PUBLISHER
Weston Medical Publishing, jom@pnpco.com
ABSTRACT
Objective: To describe the development and implementation of a resident-led
effort to increase coprescription of naloxone in a primary care setting.
Design: An exploratory, prospective pilot project to increase coprescription
rates of naloxone. Setting: Four primary care offices in western Connecticut
serving as medical home training sites for primary care residents. Patients,
Participants: All patients on chronic opioid therapy. Interventions: Over a
2-month period, eligible patients were identified and approached to receive
a naloxone coprescription. Main Outcome Measure: Rate of coprescriptions
written. Results: Three out of four training sites were able to increase
coprescription rates, and 26 percent of eligible patients were able to have
a prescription written. Conclusions: Primary care practices, particularly
primary care training sites, looking to implement a coprescription
initiative should take several important factors into consideration during
the planning stages, including naloxone availability and availability of the
patient for naloxone education. More extensive research on best practices is
needed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone (drug combination, drug therapy, intranasal drug administration,
parenteral drug administration, pharmacoeconomics)
opiate (drug combination, drug therapy, pharmacoeconomics)
prescription drug (drug combination, drug therapy, intranasal drug
administration, parenteral drug administration, pharmacoeconomics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
chronic pain (drug therapy, disease management, drug therapy)
long term care
prescription
EMTREE MEDICAL INDEX TERMS
article
complex regional pain syndrome (drug therapy)
Connecticut
diabetic neuropathy (drug therapy)
discogenic pain (drug therapy)
drug cost
drug overdose
exploratory research
general practitioner
hepatitis C (drug therapy)
hepatitis c neuropathy (drug therapy)
hepatitis c neuropathy (drug therapy)
human
intervention study
neuropathy (drug therapy)
patient preference
patient safety
pilot study
posttraumatic arthropathy (drug therapy)
primary medical care
prospective study
resident
spinal pain (drug therapy)
total quality management
treatment refusal
DRUG TRADE NAMES
evzio
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170117545
PUI
L614411344
DOI
10.5055/jom.2016.0353
FULL TEXT LINK
http://dx.doi.org/10.5055/jom.2016.0353
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 200
TITLE
Training Family Medicine Clerkship Students in Screening, Brief
Intervention, and Referral to Treatment for Substance Use Disorders: A CERA
Study
AUTHOR NAMES
Carlin-Menter S.M.
Malouin R.A.
WinklerPrins V.
Danzo A.
Blondell R.D.
AUTHOR ADDRESSES
(Carlin-Menter S.M.) Department of Family Medicine, State University of New
York at Buffalo
(Malouin R.A.; WinklerPrins V.; Danzo A.; Blondell R.D.)
SOURCE
Family medicine (2016) 48:8 (618-623). Date of Publication: 1 Sep 2016
ISSN
1938-3800 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
medical student
organization and management
patient referral
procedures
EMTREE MEDICAL INDEX TERMS
clinical education
drug dependence (therapy)
general practice
human
mass screening
medical education
LANGUAGE OF ARTICLE
English
MEDLINE PMID
27655194 (http://www.ncbi.nlm.nih.gov/pubmed/27655194)
PUI
L617395902
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 201
TITLE
Change in primary care physician knowledge regarding smoking cessation after
a brief training intervention
AUTHOR NAMES
Girvalaki C.
Papadakis S.
Vardavas C.
Pipe A.
Lionis C.
AUTHOR ADDRESSES
(Girvalaki C.; Papadakis S.; Vardavas C.; Pipe A.; Lionis C.)
CORRESPONDENCE ADDRESS
C. Girvalaki,
SOURCE
European Respiratory Journal (2016) 48 Supplement 60. Date of Publication: 1
Sep 2016
CONFERENCE NAME
European Respiratory Society Annual Congress 2016
CONFERENCE LOCATION
London, United Kingdom
CONFERENCE DATE
2016-09-03 to 2016-09-07
ISSN
1399-3003
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Background: Limited knowledge regarding tobacco dependence and
evidence-based treatment is a known barrier to the effective delivery of
tobacco interventions . Aims and Objectives: Our goal was to evaluate the
change in knowledge of General Practitioners (GPs), (n=15) following a
training-based intervention delivered as part of the Tobacco Treatment
Training Network (TiTAN) in Crete Project. Methods: A pre-post study design
was used. The training intervention was tested in a sample of General
Practitioners in Heraklion, Crete, Greece. The training session occurred
over 1-day and addressed health risks and evidence-based techniques for
treating tobacco use including counselling and pharmacotherapy. The
effectiveness of the seminar was evaluated by a 13-item provider knowledge
survey. Results: A total of 12 physicians (response rate 80%) attended the
training session. Baseline data indicated that the GPs knowledge regarding
smoking cessation and pharmacotherapy was limited. Significant increase in
knowledge was documented in 6/13 of the knowledge domains: awareness of
safety of continuing to smoke while using NRTs (8 vs. 11; p=0.003); common
side effects of quit smoking medications (7 vs. 12, p=0.012); relationship
between stress and quitting smoking (4 vs 10, p=0.013); impact of pregnancy
on nicotine metabolism (2 vs. 10, p=0.001); most common reasons for relapse
(6 vs. 11; p= 0.025); efficacy of a physician's advice to quit smoking on
motivation (3 vs. 12, p<0.001). Conclusions: Results indicated that while
smoking cessation and pharmacotherapy knowledge among GPs in Greece may be
limited, short training programs are effective in significantly increasing
knowledge.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
smoking cessation
EMTREE MEDICAL INDEX TERMS
awareness
chemical stress
clinical article
counseling
doctor patient relation
female
Greece
health hazard
human
metabolism
motivation
pregnancy
relapse
safety
study design
tobacco use
training
CAS REGISTRY NUMBERS
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614771360
DOI
10.1183/13993003.congress-2016.PA1176
FULL TEXT LINK
http://dx.doi.org/10.1183/13993003.congress-2016.PA1176
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 202
TITLE
Knowledge, attitude and perception regarding e-cigarette among post graduate
medical trainees in Pakistan
AUTHOR NAMES
Ghazal S.
Akhter S.
Aziz H.W.
Warraich U.A.
Shah W.H.
Javed U.
Deen I.U.
AUTHOR ADDRESSES
(Ghazal S.; Akhter S.; Aziz H.W.; Warraich U.A.; Shah W.H.; Javed U.; Deen
I.U.)
CORRESPONDENCE ADDRESS
S. Ghazal,
SOURCE
European Respiratory Journal (2016) 48 Supplement 60. Date of Publication: 1
Sep 2016
CONFERENCE NAME
European Respiratory Society Annual Congress 2016
CONFERENCE LOCATION
London, United Kingdom
CONFERENCE DATE
2016-09-03 to 2016-09-07
ISSN
1399-3003
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Despite advertisement by industry about electronic cigarettes (e-cigarettes)
as being safer substitute for regular cigarettes scientific data raises
serious concerns regarding its effectiveness. AIM: To assess knowledge and
perceptions of post graduate medical trainees (PGs) in Pakistan regarding
e-cigarettes and their attitude towards its use for themselves and in their
patients. Method: uestionnaire was filled by 406 PGs of various specialties
from 5 major cities of Pakistan. ata was analyzed using SPSS 22.
Correlations were used to assess the relationship between variables. ne-way
Anova and Independent Sample t-test were applied. P value < 0.05 was taken
as significant. Results: Among respondents 59% know of e-cigarettes, majorly
through acquaintances (55%) and social media (28%). Males were more likely
to know about e-cigarettes ( 0.00)) with 1.86 times more chances to use it
in future. n evaluating awareness among different cities, arachi scored
lower than Islamabad (p 0.03) and Lahore (p 0.056) and greater than Multan
(p 0.003). Pulmonology PGs were found to have significantly higher chances
of knowing about e-cigarettes compared to other disciplines. Significant
correlation was found between current smokers and higher chances of their
knowing about e-cigarettes and increased likelihood of its use compared to
others. PGs with friends using e-cigarettes had 3 times more chances to
indulge in it in future (p 0.00). Age was found to have positive correlation
of 0.185 with attitude towards use ( 0.004). Conclusion: ith growing
popularity of e-cigarettes steps to provide medical trainees with updated
information about these novel devices of nicotine use need to be taken.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
electronic cigarette
Pakistan
perception
postgraduate student
EMTREE MEDICAL INDEX TERMS
analysis of variance
awareness
city
friend
human
human experiment
male
pulmonology
social media
statistical significance
Student t test
CAS REGISTRY NUMBERS
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614778600
DOI
10.1183/13993003.congress-2016.PA2028
FULL TEXT LINK
http://dx.doi.org/10.1183/13993003.congress-2016.PA2028
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 203
TITLE
Failing to diagnose and failing to treat an addicted client: Two potentially
life-threatening clinical errors
AUTHOR NAMES
Liese B.S.
Reis D.J.
AUTHOR ADDRESSES
(Liese B.S., bliese@ku.edu) Department of Psychology, University of Kansas
Medical Center, United States.
(Liese B.S., bliese@ku.edu) Department of Family Medicine, University of
Kansas, United States.
(Reis D.J.) Department of Psychology, University of Kansas, United States.
CORRESPONDENCE ADDRESS
B.S. Liese, Department of Psychology, University of Kansas Medical Center,
Mailstop 4010, 3901 Rainbow Boulevard, KS City, United States. Email:
bliese@ku.edu
SOURCE
Psychotherapy (2016) 53:3 (342-346). Date of Publication: 1 Sep 2016
ISSN
1939-1536 (electronic)
0033-3204
BOOK PUBLISHER
American Psychological Association Inc., journals@apa.org
ABSTRACT
Psychotherapists risk making 2 types of errors with clients who struggle
with addictive behaviors: failure to diagnose addictive behaviors and
failure to effectively treat addictive behaviors. Given the high prevalence
of addictive behaviors in clinical populations, therapists are in a unique
position to assist individuals with these problems. It is assumed that
therapists possess general diagnostic and treatment skills and yet many do
not diagnose or do not treat addictive behaviors. Reasons for making these
errors include prohibitive beliefs and limited knowledge about addictive
behaviors. We offer specific recommendations to reduce these psychotherapy
errors. These include: (a) more deliberate screening and diagnosis of
addictive behaviors, (b) increased application of empirically supported
addiction treatments, (c) required education and training in addictive
behaviors, (d) modification of prohibitive attitudes about addressing
addictive behaviors, and (e) increased attention paid to the addictive
behaviors by professional psychotherapy organizations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
diagnostic error
medical error
treatment failure
EMTREE MEDICAL INDEX TERMS
anxiety
article
attitude
clinical effectiveness
depression
Diagnostic and Statistical Manual of Mental Disorders
human
prevalence
psychotherapist
psychotherapy
screening
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160672960
MEDLINE PMID
27631864 (http://www.ncbi.nlm.nih.gov/pubmed/27631864)
PUI
L612234429
DOI
10.1037/pst0000068
FULL TEXT LINK
http://dx.doi.org/10.1037/pst0000068
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 204
TITLE
A needs assessment of the number of comprehensive addiction care physicians
required in a Canadian setting
AUTHOR NAMES
McEachern J.
Ahamad K.
Nolan S.
Mead A.
Wood E.
Klimas J.
AUTHOR ADDRESSES
(McEachern J.; Ahamad K.; Nolan S.; Mead A.; Wood E.; Klimas J.,
jan.klimas@ucd.ie) BC Centre for Excellence in HIV/AIDS, University of
British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver,
Canada.
(Wood E.) School of Population and Public Health, University of British
Columbia, Vancouver, Canada.
(Klimas J., jan.klimas@ucd.ie) Department of Medicine, University of British
Columbia, St. Paul's Hospital, Vancouver, Canada.
(Klimas J., jan.klimas@ucd.ie) School of Medicine and Medical Science,
University College Dublin, Coombe Healthcare Centre, Dublin, Ireland.
(Ahamad K.; Nolan S.; Mead A.) Department of Family Practice, University of
British Columbia, St. Paul's Hospital, Vancouver, Canada.
(McEachern J.) Raven Song Community Health Centre, Vancouver, Canada.
CORRESPONDENCE ADDRESS
J. Klimas, BC Centre for Excellence in HIV/AIDS, University of British
Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, Canada.
Email: jan.klimas@ucd.ie
SOURCE
Journal of Addiction Medicine (2016) 10:4 (255-261). Date of Publication: 1
Aug 2016
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
Objective: Medical professionals adequately trained to prevent and treat
substance use disorders are in short supply in most areas of the world.
Whereas physician training in addiction medicine can improve patient and
public health outcomes, the coverage estimates have not been established. We
estimated the extent of the need for medical professionals skilled in
addiction medicine in a Canadian setting. Methods: We used Monte-Carlo
simulations to generate medians and 95% credibility intervals for the burden
of alcohol and drug use harms, including morbidity and mortality, in British
Columbia, by geographic health region. We obtained prevalence estimates for
the models from the Medical Services Plan billing, the Discharge Abstract
Database data, and the government surveillance data. We calculated a
provider availability index (PAI), a ratio of the size of the labor force
per 1000 affected individuals, for each geographic health region, using the
number of American Board of Addiction Medicine certified physicians in each
area. Results: Depending on the data source used for population estimates,
the availability of specialized addiction care providers varied across
geographic health regions. For drug-related harms, we found the highest PAI
of 23.72 certified physicians per 1000 affected individuals, when using the
Medical Services Plan and Discharge Abstract Database data. Drawing on the
surveillance data, the drug-related PAI dropped to 0.46. The alcohol-related
PAI ranged between 0.10 and 86.96 providers, depending on data source used
for population estimates. Conclusions: Our conservative estimates highlight
the need to invest in healthcare provider training and to develop innovative
approaches for more rural health regions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
needs assessment
professional competence
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol consumption
alcoholism
article
Canada
data analysis
drug dependence
drug use
geographic distribution
mathematical parameters
medical service
morbidity
mortality
patient assessment
priority journal
professional knowledge
provider availability index
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160579825
MEDLINE PMID
27183295 (http://www.ncbi.nlm.nih.gov/pubmed/27183295)
PUI
L611565833
DOI
10.1097/ADM.0000000000000230
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000230
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 205
TITLE
Tobacco Cessation Training for Complementary and Alternative Medicine
Practitioners: Results of a Practice-Based Trial
AUTHOR NAMES
Muramoto M.L.
Gordon J.S.
Bell M.L.
Nichter M.
Floden L.
Howerter A.
Ritenbaugh C.K.
AUTHOR ADDRESSES
(Muramoto M.L., myram@email.arizona.edu; Gordon J.S.; Nichter M.; Floden L.;
Howerter A.; Ritenbaugh C.K.) Department of Family and Community Medicine,
College of Medicine, University of Arizona, Tucson, United States.
(Bell M.L.) Department of Epidemiology and Biostatistics, Mel and Enid
Zuckerman College of Public Health, University of Arizona, Tucson, United
States.
(Nichter M.) School of Anthropology, College of Social and Behavioral
Sciences, University of Arizona, Tucson, United States.
CORRESPONDENCE ADDRESS
M.L. Muramoto, Department of Family and Community Medicine, University of
Arizona College of Medicine, 1450 N. Cherry Ave., Tucson, United States.
Email: myram@email.arizona.edu
SOURCE
American Journal of Preventive Medicine (2016) 51:2 (e35-e44). Date of
Publication: 1 Aug 2016
ISSN
1873-2607 (electronic)
0749-3797
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Introduction Brief behavioral intervention (BI) is a tobacco-cessation best
practice well established among conventional healthcare practitioners.
Complementary and alternative medicine (CAM) practitioners treat significant
numbers of tobacco users, but do not systematically receive BI training. The
CAM Reach study developed and evaluated a tobacco cessation BI training
program/practice system intervention adapted specifically for CAM
practitioners, and evaluated in real-world CAM practices. Study design
Single-arm intervention. Data were collected in 2010–2014 and analyzed in
2015. Setting/participants Private practices of 30 chiropractors, 27
acupuncturists, 42 massage therapists (N=99), in metropolitan Tucson,
Arizona. Intervention Eight-hour tobacco cessation BI continuing education
workshop, in-office BI skills practice/assessment, and system intervention.
Training tailored to the CAM practice setting addressed tobacco cessation
best practices from the U.S. Public Health Service Guidelines. Main outcome
measures Seventeen items (assessing practitioner behavior, motivation, and
self-efficacy with tobacco cessation) comprising three factors, Tobacco
Cessation Activity, Tobacco Cessation Motivation, and Non-CAM Tobacco
Cessation Comfort, were assessed at baseline and 3, 6, 9, and 12 months
post-training by practitioner self-report. Research staff visited practices
at approximately the same intervals to directly observe changes in clinical
practice systems. Results At 3 months, there were significant increases in
practitioners’ tobacco cessation activities, motivation and confidence in
helping patients quit tobacco, and comfort with providing information and
referrals for guideline-based tobacco cessation aids (p<0.0001).
Practitioners significantly increased rates of discussing cessation
medications with patients (AOR=3.76, 95% CI=1.84, 7.68), and routinely
asking about tobacco use in clinical practice (AOR=2.62, 95% CI=1.11, 6.20).
Increases occurred across all three practitioner types and were sustained at
12 months—despite heterogeneity in professional training, practice
patterns/organization, and practice business models. Conclusions Results
suggest CAM practitioners are willing and able to offer BIs, and are an
important, yet overlooked channel for promoting tobacco cessation and use of
evidence-based cessation aids.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alternative medicine
physician
smoking cessation
EMTREE MEDICAL INDEX TERMS
chiropractor
comfort
continuing education
doctor patient relation
human
major clinical study
massage
model
motivation
practice guideline
private practice
public health service
self report
skill
staff
study design
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160280609
MEDLINE PMID
27061892 (http://www.ncbi.nlm.nih.gov/pubmed/27061892)
PUI
L609643340
DOI
10.1016/j.amepre.2016.02.017
FULL TEXT LINK
http://dx.doi.org/10.1016/j.amepre.2016.02.017
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 206
TITLE
Shifting blame: Buprenorphine prescribers, addiction treatment, and
prescription monitoring in middle-class America
AUTHOR NAMES
Mendoza S.
Rivera-Cabrero A.S.
Hansen H.
AUTHOR ADDRESSES
(Mendoza S., sonia.mendoza@nyumc.org; Rivera-Cabrero A.S.; Hansen H.) New
York University, United States.
CORRESPONDENCE ADDRESS
S. Mendoza, New York University, United States. Email:
sonia.mendoza@nyumc.org
SOURCE
Transcultural Psychiatry (2016) 53:4 (465-487). Date of Publication: 1 Aug
2016
ISSN
1461-7471 (electronic)
1363-4615
BOOK PUBLISHER
SAGE Publications Ltd, info@sagepub.co.uk
ABSTRACT
Growing nonmedical prescription opioid analgesic use among suburban and
rural Whites has changed the public's perception of the nature of opioid
addiction, and of appropriate interventions. Opioid addiction has been
recast as a biological disorder in which patients are victims of their
neurotransmitters and opioid prescribers are irresponsible purveyors of
dangerous substances requiring controls. This framing has led to a different
set of policy responses than the "War on Drugs" that has focused on heroin
trade in poor urban communities; in response to prescription opioid
addiction, prescription drug monitoring programs and tamper-resistant opioid
formulations have arisen as primary interventions in place of law
enforcement. Through the analysis of preliminary findings from interviews
with physicians who are certified to manage opioid addiction with the opioid
pharmaceutical buprenorphine, we argue that an increase in prescriber
monitoring has shifted the focus from addicted people to prescribers as a
threat, paradoxically driving users to illicit markets and constricting
their access to pharmaceutical treatment for opioid addiction. Prescriber
monitoring is also altering clinical cultures of care, as general physicians
respond to heightened surveillance and the psychosocial complexities of
treating addiction with either rejection of opioid dependent patients, or
with resourceful attempts to create support systems for their treatment
where none exists.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy)
EMTREE DRUG INDEX TERMS
buprenorphine plus naloxone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug monitoring
maintenance therapy
prescription
social class
EMTREE MEDICAL INDEX TERMS
adult
Caucasian
certification
clinical practice
conference paper
drug surveillance program
human
male
opiate addiction (drug therapy)
perception
training
Western Hemisphere
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160645901
MEDLINE PMID
27488225 (http://www.ncbi.nlm.nih.gov/pubmed/27488225)
PUI
L612017398
DOI
10.1177/1363461516660884
FULL TEXT LINK
http://dx.doi.org/10.1177/1363461516660884
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 207
TITLE
Dental vs. Medical Students' Comfort with Smoking Cessation Counseling:
Implications for Dental Education
AUTHOR NAMES
Allen S.R.
Kritz-Silverstein D.
AUTHOR ADDRESSES
(Allen S.R.) Dr. Allen is currently in private practice in central
Connecticut; this research was conducted when she was a Pediatric Dental
Resident, New York University Lutheran Medical Center-Southern California
and San Ysidro Health Clinics, San Diego, CA; and Dr. Kritz-Silverstein is
Professor, Department of Family Medicine and Public Health, School of
Medicine, University of California, San Diego
(Kritz-Silverstein D.) Dr. Allen is currently in private practice in central
Connecticut; this research was conducted when she was a Pediatric Dental
Resident, New York University Lutheran Medical Center-Southern California
and San Ysidro Health Clinics, San Diego, CA; and Dr. Kritz-Silverstein is
Professor, Department of Family Medicine and Public Health, School of
Medicine, University of California, San Diego. dsilverstein@ucsd.edu
SOURCE
Journal of dental education (2016) 80:8 (959-965). Date of Publication: 1
Aug 2016
ISSN
1930-7837 (electronic)
ABSTRACT
The aim of this study was to determine if dental and medical students have
similar feelings of professional responsibility, comfort, and confidence
with counseling patients about smoking cessation during their clinical
years. All third- and fourth-year osteopathic medical (N=580) and dental
students (N=144) at Western University of Health Sciences were invited to
participate in a survey in April-July 2014, either electronically or in
person, regarding their perceived professional responsibility, comfort, and
confidence in counseling smokers about quitting and major constraints
against counseling smokers about quitting. Respondents' demographic
characteristics, smoking history, and history of living with a smoker were
also assessed. Response rates were 21% (124/580) for medical and 82%
(118/144) for dental students. Most of the responding medical (99.2%) and
dental (94.9%) students reported feeling it was their professional
responsibility to counsel patients about smoking cessation. Medical student
respondents were significantly more comfortable and confident counseling
patients about smoking cessation than dental student respondents (p<0.001).
Students in the third year were just as comfortable and confident counseling
patients about smoking cessation as students in the fourth year (p>0.10).
There were no differences by age, but students who were former smokers were
significantly more comfortable and confident counseling about smoking
cessation than were nonsmokers (p=0.001). While almost all of the responding
students reported feeling responsible for counseling patients about smoking
cessation, the medical students and former smokers were more comfortable and
confident performing this counseling. These results suggest the need for
additional training in counseling techniques for dental students and
nonsmokers. Future studies should assess the impact of medical and dental
students' smoking cessation counseling.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dental student
medical student
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
comparative study
counseling
dental education
female
health personnel attitude
human
male
procedures
psychology
statistics and numerical data
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27480707 (http://www.ncbi.nlm.nih.gov/pubmed/27480707)
PUI
L614812023
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 208
TITLE
Evaluation of American Indian Health Service Training in Pain Management and
Opioid Substance Use Disorder
AUTHOR NAMES
Katzman J.G.
Fore C.
Bhatt S.
Greenberg N.
Griffin Salvador J.
Comerci G.C.
Camarata C.
Marr L.
Monette R.
Arora S.
Bradford A.
Taylor D.
Dillow J.
Karol S.
AUTHOR ADDRESSES
(Katzman J.G.; Fore C.; Bhatt S.; Greenberg N.; Griffin Salvador J.; Comerci
G.C.; Camarata C.; Marr L.; Monette R.; Arora S.; Bradford A.; Taylor D.;
Dillow J.; Karol S.) Joanna G. Katzman is with the Department of
Neurosurgery, University of New Mexico (UNM) School of Medicine,
Albuquerque. Christopher Fore is with the Indian Health Service (IHS),
Telebehavioral Health Center of Excellence, Albuquerque, NM. Snehal Bhatt
and Julie Griffin Salvador are with the Department of Psychiatry, UNM School
of Medicine. Nina Greenberg is with the Mathematics and Statistics
Department, UNM. George C. Comerci and Lisa Marr are with the Department of
Internal Medicine, UNM School of Medicine. Christopher Camarata is with the
Department of Family Medicine, UNM School of Medicine. Rebecca Monette,
Sanjeev Arora, and Andrea Bradford are with Project ECHO (Extension for
Community Healthcare Outcomes), UNM School of Medicine. Denise Taylor is
with the Department of Pediatrics, UNM School of Medicine. Jenny Dillow is
with the Department of Anesthesia, UNM School of Medicine. Susan Karol is
with IHS, US Health and Human Services, Rockville, MD
SOURCE
American journal of public health (2016) 106:8 (1427-1429). Date of
Publication: 1 Aug 2016
ISSN
1541-0048 (electronic)
ABSTRACT
We examined the benefits of a collaboration between the Indian Health
Service and an academic medical center to address the high rates of
unintentional drug overdose in American Indians/Alaska Natives. In January
2015, the Indian Health Service became the first federal agency to mandate
training in pain and opioid substance use disorder for all prescribing
clinicians. More than 1300 Indian Health Service clinicians were trained in
7 possible 5-hour courses specific to pain and addiction. We noted positive
changes in pre- and postcourse knowledge, self-efficacy, and attitudes as
well as thematic responses showing the trainings to be comprehensive,
interactive, and convenient.
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (drug administration, adverse drug reaction, drug
therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
ethnology
EMTREE MEDICAL INDEX TERMS
American Indian
analgesia
attitude to health
clinical practice
cooperation
health personnel attitude
human
Inuit
medical education
opiate addiction (diagnosis, prevention)
organization and management
procedures
public health service
self concept
teaching
United States
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27196642 (http://www.ncbi.nlm.nih.gov/pubmed/27196642)
PUI
L616724302
DOI
10.2105/AJPH.2016.303193
FULL TEXT LINK
http://dx.doi.org/10.2105/AJPH.2016.303193
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 209
TITLE
Pathways to address early weight regain
AUTHOR NAMES
Lopez C.
Young M.
Krzyzanowski S.
Kim K.
Buffington C.
AUTHOR ADDRESSES
(Lopez C.; Young M.; Krzyzanowski S.; Kim K.; Buffington C.) Florida
Hospital Celebration Health, Celebration, United States.
CORRESPONDENCE ADDRESS
C. Lopez, Florida Hospital Celebration Health, Celebration, United States.
SOURCE
Surgery for Obesity and Related Diseases (2016) 12:7 Supplement 1 (S41-S42).
Date of Publication: 1 Aug 2016
CONFERENCE NAME
33rd American Society for Metabolic Surgery Annual Meeting, ASMBS 2016
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2016-10-31 to 2016-11-04
ISSN
1878-7533
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Background: Long-term (10 year) follow-up of Roux-en-Y gastric bypass (RYGB)
patients find that a regain of 20 to 25% of initial weight loss is not
uncommon. However, we have observed among our bariatric population that some
individuals begin to regain weight as early as one to two years
post-surgery. Such early weight regain, if not addressed, may contribute
over time to failed weight loss success and a recurrence of associated
co-morbidities. In this report, we have: 1) determined the incidence of
early weight regain following bariatric surgery, 2) attempted to identify
possible predictors, and 3) discussed pathways for early weight regain
intervention. Methods: The study population included 404 bariatric patients
(330 totally robotic RYGB and 74 sleeve gastrectomy; SG) with postoperative
follow-up for 24 months or greater. Preoperative BMI of patients averaged
47.0±7.5 (SD), mean weight was 290.8±56.7 (132.2 kg), and mean age was
51.6±12.8. Among the population, 76% were females and 24% males. Total
percentage weight loss for the study population averaged, 34.1% at year one,
and 34.2% at year two. Individuals who regained >5% of their first year
weight loss from postoperative years 1 to 2 were grouped as weight
'regainers'. Those who lost >5% of their initial weight loss were grouped as
weight 'losers', and individuals whose weight remained stable (<5% change)
were categorized as weight loss 'sustainers'. Results: At postoperative year
one, average weight loss was 99.5±31.5 lbs (45.2 kg) for all patients,
102.3±31.4 lbs (46.5 kg) for the RYGB and 86.4±3.4 lbs (39.3 kg) for the SG
(p<0.001 between surgical procedures). By postoperative year two, 30% of
patients had maintained their initial one-year weight loss (sustainers); 33%
(weight losers) had lost additional weight (mean=15.0 lbs or 6.8 kg); and
37% of the study population had regained >5% of their initial weight loss
(regainers), with 21% of patients having regained ±10%, for an overall
increase of 15.4% (13.3 lbs; 6.0 kg). Both the proportion of patients who
experienced early weight regain and the extent of weight gained were greater
following SG than RYGB (% population early weight gainers= 55.4% of SG
population vs. 33.3% RYGB, and weight regained= 18.5% vs. 14.2%,
respectively). For all bariatric patients and each surgical procedure, there
were no significant differences (p40.050) between weight gainers vs. losers
with regard to gender, age, initial BMI or initial weight loss; and,
according to multiple regression analyses, none of these measures were
significant predictors of weight gain. Based upon the relatively high
incidence of early weight regain following surgery, we established pathways
to address the issue. These now include: 1) education regarding the risk for
early weight regain, the need for frequent monitoring, and potential causes
for weight regain, 2) the development of 'Back on Track' classes provided by
our bariatric dietitians to review food choices, vitamin needs, adequate
protein, fluid, and physical activity, 3) behavioral classes and counseling
to address emotional stressors, food addictions, 4) referral to our
intensive multidisciplinary lifestyle program, 5) medical management, and 6)
surgeon consultation and testing for surgery-related technical issues.
Conclusions: Following the first postoperative year, more than 1/3 of
bariatric patients experience early weight regain. Neither the magnitude of
weight loss over the first year nor patient age, gender or initial body size
are predictors of this early regain of surgery-induced weight loss. As early
weight regain may be detrimental to long-term weight loss success and
health, it is important to continue efforts to identify individuals at risk
and provide early and appropriate intervention including education,
nutritional and multidisciplinary classes, intensive lifestyle programs,
medical management and surgical revision.
EMTREE DRUG INDEX TERMS
vitamin
EMTREE MEDICAL INDEX TERMS
adult
body mass
body size
body weight gain
body weight loss
comorbidity
controlled study
counseling
dietitian
education
female
follow up
food addiction
gender
human
incidence
lifestyle
liquid
major clinical study
male
middle aged
monitoring
multiple regression
patient referral
physical activity
relapse
Roux-en-Y gastric bypass
sleeve gastrectomy
surgeon
surgery
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619777894
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 210
TITLE
Emergency Department Prescription Opioids as an Initial Exposure Preceding
Addiction
AUTHOR NAMES
Butler M.M.
Ancona R.M.
Beauchamp G.A.
Yamin C.K.
Winstanley E.L.
Hart K.W.
Ruffner A.H.
Ryan S.W.
Ryan R.J.
Lindsell C.J.
Lyons M.S.
AUTHOR ADDRESSES
(Butler M.M.; Ancona R.M.; Beauchamp G.A.; Yamin C.K.; Hart K.W.; Ruffner
A.H.; Ryan S.W.; Ryan R.J.; Lindsell C.J.; Lyons M.S.,
lyonsme@ucmail.uc.edu) Department of Emergency Medicine, University of
Cincinnati, Cincinnati, United States.
(Winstanley E.L.) James L. Winkle College of Pharmacy and Department of
Psychiatry and Behavioral Neuroscience, University of Cincinnati,
Cincinnati, United States.
CORRESPONDENCE ADDRESS
M.S. Lyons, Department of Emergency Medicine, University of Cincinnati,
Cincinnati, United States. Email: lyonsme@ucmail.uc.edu
SOURCE
Annals of Emergency Medicine (2016) 68:2 (202-208). Date of Publication: 1
Aug 2016
ISSN
1097-6760 (electronic)
0196-0644
BOOK PUBLISHER
Mosby Inc., customerservice@mosby.com
ABSTRACT
Study objective Opioid abuse and overdose constitute an ongoing health
emergency. Many presume opioids have little potential for iatrogenic
addiction when used as directed, particularly in short courses, as is
typical of the emergency department (ED) setting. We preliminarily explore
the possibility that initial exposure to opioids by EDs could be related to
subsequent opioid misuse. Methods This cross-sectional study surveyed a
convenience sample of patients reporting heroin or nonmedical opioid use at
an urban, academic ED. We estimated the proportion whose initial exposure to
opioids was a legitimate medical prescription and the proportion of those
prescriptions that came from an ED. Secondary measurements included the
proportion of patients receiving nonopioid substances before initial opioid
exposure, the source of opioids between initial exposure and onset of
regular nonmedical use, and time from initial prescription to opioid use
disorder. Results Of 59 subjects, 35 (59%; 95% confidence interval [CI] 47%
to 71%) reported they were first exposed to opioids by a legitimate medical
prescription, and for 10 of 35 (29%; 95% CI 16% to 45%), the prescription
came from an ED. Most medically exposed subjects (28/35; 80%; 95% CI 65% to
91%) reported nonopioid substance use or treatment for nonopioid substance
use disorders preceding the initial opioid exposure. Emergency providers
were a source of opioids between exposure and onset of regular nonmedical
use in 11 of 35 cases (31%; 95% CI 18% to 48%). Thirty-one of the 35
medically exposed subjects reported the time of onset of nonmedical use;
median time from exposure to onset of nonmedical use was 6 months for use to
get high (N=25; interquartile range [IQR] 2 to 36), 12 months for
regular use to get high (N=24; IQR 2 to 36), 18 months for use to avoid
withdrawal (N=26; IQR 2 to 38), and 24 months for regular use to avoid
withdrawal (N=27; IQR 2 to 48). Eleven subjects (36%; 95% CI 21% to 53%)
began nonmedical use within 2 months, and 9 of 11 (82%; 95% CI 53% to 96%)
reported nonopioid substance use or treatment for alcohol abuse before
initial opioid exposure. Conclusion Although short-term opioid
administration by emergency providers is unlikely to cause addiction by
itself, ED opioid prescriptions may contribute to the development of
addiction in some patients. There is an urgent need for further research to
estimate long-term risks of short-course opioid therapy so that the risk of
iatrogenic addiction can be appropriately balanced with the benefit of
analgesia.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
diamorphine (drug toxicity)
opiate (drug toxicity)
prescription drug (drug toxicity)
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cocaine
methamphetamine
non prescription drug
sedative agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug exposure
emergency care
opiate addiction (etiology)
prescription
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
Caucasian
clinical article
conference paper
controlled study
cross-sectional study
drug dependence
drug intoxication
drug misuse
drug overdose
emergency ward
female
health care survey
high school
human
male
patient-reported outcome
priority journal
substance use
time
unemployment
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160409623
MEDLINE PMID
26875061 (http://www.ncbi.nlm.nih.gov/pubmed/26875061)
PUI
L610583546
DOI
10.1016/j.annemergmed.2015.11.033
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2015.11.033
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 211
TITLE
Misprescribing controlled substances: An evaluation of a professional
development program
AUTHOR NAMES
Dewey C.M.
Ghulyan M.V.
Swiggart W.H.
AUTHOR ADDRESSES
(Dewey C.M.; Ghulyan M.V.; Swiggart W.H.) a Vanderbilt University Medical
Center , Nashville , Tennessee , USA
SOURCE
Substance abuse (2016) 37:3 (412-418). Date of Publication: 1 Jul 2016
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Controlled prescription drug (CPD) abuse has reached epidemic
proportions in the United States. Most physicians attending a 3-day
continuing medical education (CME) professional development program (PDP)
lack training in identifying risk and in managing patients who misuse CPDs.
To address this issue, the authors conducted an evaluation of a PDP that
trains physicians on proper prescribing, identifying substance abuse,
utilizing screening, brief intervention, and referral to treatment (SBIRT),
and implementing motivational interviewing (MI).METHODS: The authors
conducted a program evaluation to assess the efficacy and impact of the PDP
on physicians' knowledge and prescribing behaviors.RESULTS: Participants (N
= 174) were typically middle-aged (average age of 53 years), male (89%), and
physicians (82%) and other health care professionals (18%). Many physicians
practice in solo primary care settings (46%). Course evaluations were
completed by n = 155 (89%) participants who rated the course and presenters
highly (mean 4.8/5 respectively). Physicians' knowledge scores on pre/post
assessments increased significantly: pretest (M = 58.7, SD = 13.12) and
posttest (M = 78.28, SD = 9.83) (t(173) = 20.06, P ≤ .0001, 95% confidence
interval, CI: [-21.51, -17.65]). Almost half of the participants, n = 83/174
(48%), completed the follow-up survey, and 93% agreed/strongly agreed (A/SA)
they made professional practice changes. Of participants practicing with an
active DEA (Drug Enforcement Administration) registration (n = 57), most
agreed/strongly agreed they implemented changes to align their practices
with current guidelines (89%), used CPD more appropriately (87%),
implemented office policies on prescribing (81%), identified and referred
more substance abuse patients to treatment (80%), shared new
information/experience from course with other 25 health professionals (93%),
and felt the course positively impacted their behaviors personally and
professionally (90% and 96%, respectively).CONCLUSIONS: This is the first
known study evaluating a PDP in this population. Results demonstrated
participant satisfaction and improvement in prescribers' knowledge and
self-reported prescribing behaviors. However, further study is needed to
assess actual clinical practice changes, direct impact on patient outcomes,
and rates of recidivism.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
education
medical education
EMTREE MEDICAL INDEX TERMS
drug dependence (prevention, therapy)
female
health care personnel
human
male
middle aged
program evaluation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26569508 (http://www.ncbi.nlm.nih.gov/pubmed/26569508)
PUI
L620044549
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 212
TITLE
Rotation in a Smoking Cessation Clinic Improves Nicotine Dependence
Treatment Provided by First-Year Internal Medicine Trainees
AUTHOR NAMES
O'Sullivan M.M.
Hoskote S.S.
Lesko M.B.
Mallozzi C.M.
Lee Y.I.
Fayanju O.A.
Haller D.
Rashad M.A.
Khusainova E.
Fortune D.
Mathew R.
Van Tassel C.
Fried E.D.
AUTHOR ADDRESSES
(O'Sullivan M.M.) Department of Medicine, Division of Pulmonary and Critical
Care Medicine, Mount Sinai St Luke's and Mount Sinai Roosevelt, New York, NY
(Hoskote S.S.; Lesko M.B.; Mallozzi C.M.; Lee Y.I.; Fayanju O.A.; Haller D.;
Rashad M.A.; Khusainova E.; Fortune D.; Mathew R.; Van Tassel C.; Fried
E.D.)
SOURCE
Family medicine (2016) 48:6 (472-476). Date of Publication: 1 Jun 2016
ISSN
1938-3800 (electronic)
ABSTRACT
BACKGROUND AND OBJECTIVES: Over 70% of smokers visit a physician annually,
and physicians are well-positioned to assist patients in smoking cessation.
Residency offers the ideal setting to train physicians in best practices for
treatment of nicotine dependence. We hypothesized that experiential learning
during a smoking cessation medical clinic (SCMC) rotation would be
associated with an improvement in smoking cessation practice of internal
medicine (IM) interns in outpatient primary care and inpatient
settings.METHODS: This was a prospective study performed at a large
university-affiliated hospital. Forty IM interns rotated through SCMC. After
a lecture on nicotine addiction and treatment, interns treated SCMC patients
under direct supervision of an attending pulmonologist. Interns' smoking
cessation practices before and after SCMC rotation were evaluated through
chart review over 1 year. Upon study completion, a survey to assess
confidence was administered. Paired t tests measured changes in rates of
identifying smokers, offering pharmacological treatment and
counseling.RESULTS: A total of 5,622 outpatient and 683 inpatient charts of
interns' encounters with patients were reviewed. Following SCMC rotation,
there was an increase in identifying active smokers (7.1% versus 18.7%),
prescribing therapy for smoking cessation (6.5% versus 18.0%), and providing
counseling (30.9% versus 42.3%) to outpatients. For inpatients, there was an
increase in nicotine replacement during admission (12.9% versus 37.4%) and
prescription of therapy upon discharge (5.7% versus 16.1%). Interns reported
confidence in providing appropriate counseling and treatment.CONCLUSIONS:
SCMC experience positively impacted smoking cessation treatment by IM
interns, causing a measurable change in their practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
prevention and control
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
counseling
hospitalization
human
internal medicine
outpatient department
physician
procedures
prospective study
questionnaire
smoking
smoking cessation
tobacco dependence (therapy)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27272425 (http://www.ncbi.nlm.nih.gov/pubmed/27272425)
PUI
L617331932
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 213
TITLE
How to integrate teaching of addiction medicine in a medical curriculum
AUTHOR NAMES
Goodair C.
Crome I.
AUTHOR ADDRESSES
(Goodair C.; Crome I.) St George's University of London, London, United
Kingdom.
CORRESPONDENCE ADDRESS
C. Goodair, St George's University of London, London, United Kingdom.
SOURCE
Heroin Addiction and Related Clinical Problems (2016) 18:3 Supplement 1
(24). Date of Publication: 1 Jun 2016
CONFERENCE NAME
12th Congress of European Opiate Addiction Treatment Association, EUROPAD
2016
CONFERENCE LOCATION
Leiden, Netherlands
CONFERENCE DATE
2016-05-27 to 2016-05-29
ISSN
1592-1638
BOOK PUBLISHER
Pacini Editore S.p.A.
ABSTRACT
INTRODUCTION; brief description of the context and concerns relating to the
need to teach and improve educational strategies for undergraduate, post
graduate medical training and continuing professional development in
substance misuse. DESCRIPTION; approach/methodology used to develop guidance
on substance misuse curriculum /teaching and the subsequent implementation
process in English medical schools. Identification of what could be utilized
more or less directly from the UK experience so as to avoid wasting valuable
time duplicating and what would be different/ distinctive for other
countries (likely to be relatively less). In other words, the curriculum is
likely to be more or less the same for most countries. Mapping to identify
what was taught and what was missing from their curricula, and the changes
made to improve and enhance teaching about substance misuse across medical
disciplines. There will be a focus on opiate addiction where feasible.
OUTCOMES: explore the issues/methods/approaches of achieving change, what
are the challenges, and barriers faced with in organisations - and then
crucially how do you sustain the changes? What activities are involved in
developing networks and producing a range of teaching resources for medical
students and others, and how we continue with this important work.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
opiate addiction
organization
EMTREE MEDICAL INDEX TERMS
human
human experiment
medical school
medical student
postgraduate student
professional development
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L612591595
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 214
TITLE
A Qualitative Analysis of Medical Students' Reflection on Attending an
Alcoholics Anonymous Meeting: Insights for Future Addiction Curricula
AUTHOR NAMES
Kastenholz K.J.
Agarwal G.
AUTHOR ADDRESSES
(Kastenholz K.J., kurt-kastenholz@fsm.northwestern.edu; Agarwal G.)
Northwestern University Feinberg School of Medicine, Chicago, IL, USA
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:3 (468-474). Date of Publication: 1 Jun 2016
ISSN
1545-7230 (electronic)
ABSTRACT
OBJECTIVE: This paper describes medical students' views of alcoholism and
their response to attending an Alcoholics Anonymous (AA) meeting during
their psychiatry clerkship. This may assist other educators in planning
their addiction curricula.METHODS: Medical students were required to attend
an AA meeting during their psychiatry clerkship and then to write a
reflection piece on this experience. We selected a random sample of 40
pieces and performed a qualitative analysis to identify the prominent ideas
and themes in this sample.RESULTS: Medical students found their experience
attending an AA meeting to be educationally valuable. They reported their
familiarity with AA prior to this experience was largely limited to popular
media depictions. Students reported understanding alcoholism as a disease
with both biological and psychosocial components. They were often concerned
with the presence of religiosity and spirituality at the meetings. Following
the experience, students felt more comfortable referring patients to AA and
identified empathy, honesty, and openness as crucial contributors to the
efficacy of AA.CONCLUSIONS: Students felt that attending an AA meeting
during their psychiatry clerkship was an educationally valuable experience.
Medical students' familiarity with addiction treatment is limited, and
attending an AA meeting may be helpful in increasing their comfort with
treating addicted patients in the future. In addition, educators may want to
explicitly address the spirituality issue related to some treatment programs
to increase the likelihood that future physicians feel comfortable referring
their patients to recovery programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholics anonymous
clinical education
curriculum
education
health personnel attitude
medical student
EMTREE MEDICAL INDEX TERMS
alcoholism (rehabilitation)
human
psychiatry
qualitative research
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26108396 (http://www.ncbi.nlm.nih.gov/pubmed/26108396)
PUI
L616758844
DOI
10.1007/s40596-015-0380-3
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-015-0380-3
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 215
TITLE
Physician continuing education to reduce opioid misuse, abuse, and overdose:
Many opportunities, few requirements
AUTHOR NAMES
Davis C.S.
Carr D.
AUTHOR ADDRESSES
(Davis C.S., cdavis@networkforphl.org; Carr D., carrderekh@gmail.com)
Network for Public Health Law-Southeastern Region, 101 E. Weaver St. #G-7,
Carrboro, United States.
CORRESPONDENCE ADDRESS
C.S. Davis, Network for Public Health Law-Southeastern Region, 101 E. Weaver
St. #G-7, Carrboro, United States. Email: cdavis@networkforphl.org
SOURCE
Drug and Alcohol Dependence (2016) 163 (100-107). Date of Publication: 1 Jun
2016
ISSN
1879-0046 (electronic)
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Background: The opioid overdose epidemic in the United States is driven in
large part by inappropriate opioid prescribing. Although most American
physicians receive little or no training during medical school regarding
evidence-based prescribing, substance use disorders, and pain management,
some states require continuing medical education (CME) on these topics. We
report the results of a systematic legal analysis of such requirements,
together with recommendations for improved physician training. Methods: To
determine the presence and characteristics of CME requirements in the United
States, we systematically collected, reviewed, and coded all laws that
require such education as a condition of obtaining or renewing a license to
practice medicine. Laws or regulations that mandate one-time or ongoing
training in topics designed to reduce overdose risk were further
characterized using an iterative protocol. Results: Only five states require
all or nearly all physicians to obtain CME on topics such as pain management
and controlled substance prescribing, and fewer than half require any
physicians to obtain such training. Conclusions: While not a replacement for
improved education in medical school and post-graduate clinical training,
evidence-based CME can help improve provider knowledge and practice.
Requiring physicians to obtain CME that accurately presents evidence
regarding opioid prescribing and related topics may help reduce
opioid-related morbidity and mortality. States and the federal government
should also strongly consider requiring such training in medical school and
residency.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
continuing education
drug abuse
drug misuse
drug overdose
medical education
EMTREE MEDICAL INDEX TERMS
analgesia
article
controlled study
human
law
licence
palliative therapy
prescription
priority journal
risk reduction
substance abuse
United States
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160337994
MEDLINE PMID
27137406 (http://www.ncbi.nlm.nih.gov/pubmed/27137406)
PUI
L610176526
DOI
10.1016/j.drugalcdep.2016.04.002
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2016.04.002
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 216
TITLE
What to teach in countries with a lack of opiate agonist treatment?
AUTHOR NAMES
Jokübonis D.
AUTHOR ADDRESSES
(Jokübonis D.) University of Kaunas, Kaunas, Lithuania.
CORRESPONDENCE ADDRESS
D. Jokübonis, University of Kaunas, Kaunas, Lithuania.
SOURCE
Heroin Addiction and Related Clinical Problems (2016) 18:3 Supplement 1
(25). Date of Publication: 1 Jun 2016
CONFERENCE NAME
12th Congress of European Opiate Addiction Treatment Association, EUROPAD
2016
CONFERENCE LOCATION
Leiden, Netherlands
CONFERENCE DATE
2016-05-27 to 2016-05-29
ISSN
1592-1638
BOOK PUBLISHER
Pacini Editore S.p.A.
ABSTRACT
Nowadays addiction is defined by the American Society of Addiction Medicine
as “a primary, chronic disease of brain reward, motivation, memory and
related circuitry. Physicians in all fields of medicine frequently encounter
patients with substance related health problems. The recognition and
effective management of substance related problems by all health
professionals, whether specialists or generalists, are of utmost importance,
making the education and training of health professionals in these areas
vital for the future health of Europe. Students' education and training
should challenge the stigma and discrimination that are often experienced by
people with addiction problems. As a first step in teaching competencies in
the treatment of addicted patients it is important that medical students
reflect on their perceptions and attitudes towards patients with
substance/opioid related disorders. In this presentation the perceptions of
medical students towards patients with substance use are presented. For this
purpose we used The Addiction version of the revised Illness Perceptions
Questionnaire (IPQ-A) to measure perceptions of addiction and The Medical
Condition Regards Scale (MCRS) to measure attitudes. The results were
discussed with the patients and the qualitative impression of the students
will be the final part of the presentation.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate agonist
EMTREE MEDICAL INDEX TERMS
clinical study
human
medical student
opiate addiction
perception
questionnaire
stigma
substance use
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L612591598
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 217
TITLE
Attitudes Towards Substance Use Disorders and Association with Motivational
Interviewing Education: A Survey of Psychiatry Chief Residents
AUTHOR NAMES
Jha M.K.
Abele M.K.
Brown J.A.
Ibrahim H.
Wakhlu S.
AUTHOR ADDRESSES
(Jha M.K., manish.jha@utsouthwestern.edu; Ibrahim H.) UT Southwestern
Medical Center, Dallas, TX, USA
(Abele M.K.; Brown J.A.) Portland VA HCS, Portland, OR, USA
(Wakhlu S.) North Texas VA HCS, Dallas, TX, USA
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:3 (523-524). Date of Publication: 1 Jun 2016
ISSN
1545-7230 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
education
health personnel attitude
medical education
motivational interviewing
EMTREE MEDICAL INDEX TERMS
curriculum
human
psychiatry
questionnaire
statistical model
LANGUAGE OF ARTICLE
English
MEDLINE PMID
26976399 (http://www.ncbi.nlm.nih.gov/pubmed/26976399)
PUI
L616758731
DOI
10.1007/s40596-016-0525-z
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-016-0525-z
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 218
TITLE
From Surviving to Advising: A Novel Course Pairing Mental Health and
Addictions Service Users as Advisors to Senior Psychiatry Residents
AUTHOR NAMES
Agrawal S.
Capponi P.
López J.
Kidd S.
Ringsted C.
Wiljer D.
Soklaridis S.
AUTHOR ADDRESSES
(Agrawal S., sacha.agrawal@camh.ca.University; López J.; Kidd S.; Wiljer D.;
Soklaridis S.) Centre for Addiction and Mental Health, Toronto, Ontario,
Canada
(Agrawal S., sacha.agrawal@camh.ca.University; Kidd S.; Wiljer D.;
Soklaridis S.) University of Toronto, Toronto, Ontario, Canada
(Agrawal S., sacha.agrawal@camh.ca.University) Yale University, New Haven,
CT, USA
(Capponi P.) Voices from the Street, Toronto, Ontario, Canada
(Ringsted C.) Aarhus University, Aarhus, Denmark
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:3 (475-480). Date of Publication: 1 Jun 2016
ISSN
1545-7230 (electronic)
ABSTRACT
OBJECTIVE: The authors describe a novel course that pairs service users as
advisors to senior psychiatry residents with the goals of improving the
residents' understanding of recovery, reducing negative stereotypes about
people in recovery, and empowering the service users who
participated.METHODS: Service users who had experience working as peer
support workers and/or system advocates were selected for a broad and deep
understanding of recovery and an ability to engage learners in constructive
dialogue. They met monthly with resident advisees over a period of 6 months.
They were supported with monthly group supervision meetings and were paid an
honorarium. Quantitative evaluations and qualitative feedback from the first
two cohorts of the course, comprising 34 pairs, are reported here.RESULTS:
The first cohort of residents responded with a wide range of global ratings
and reactions. In response to their suggestions, changes were made to the
structure of the course to create opportunities for small group learning and
reflective writing and to protect time for residents to participate. The
second cohort of residents and both cohorts of service users gave acceptably
high global ratings. Residents in the second cohort described gaining a
number of benefits from the course, including an enhanced understanding of
the lived experience of recovery and a greater sense of shared humanity with
service users. Advisors described an appreciation for being part of
something that has the potential for changing the practice of psychiatry and
enhancing the lives of their peers.CONCLUSIONS: Positioning service users as
advisors to psychiatry residents holds promise as a powerful way of reducing
distance between future psychiatrists and service users and facilitating
system reform toward person-centered recovery-oriented care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
consultation
doctor patient relation
education
medical education
procedures
EMTREE MEDICAL INDEX TERMS
curriculum
drug dependence (rehabilitation)
human
mental disease (rehabilitation)
mental health service
psychiatry
utilization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27056051 (http://www.ncbi.nlm.nih.gov/pubmed/27056051)
PUI
L616754176
DOI
10.1007/s40596-016-0533-z
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-016-0533-z
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 219
TITLE
Training Psychiatry Addiction Fellows in Acupuncture
AUTHOR NAMES
Serafini K.
Bryant K.
Ikomi J.
LaPaglia D.
AUTHOR ADDRESSES
(Serafini K., kelly.serafini@yale.edu; LaPaglia D.) Yale School of Medicine,
New Haven, CT, USA
(Bryant K.) Department of Mental Health and Addiction Services, Hartford,
CT, USA
(Ikomi J.) University of Cincinnati, Cincinnati, OH, USA
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:3 (503-506). Date of Publication: 1 Jun 2016
ISSN
1545-7230 (electronic)
ABSTRACT
OBJECTIVE: Acupuncture has been studied as an adjunct for addiction
treatments. Because many hospitals, outpatient clinics, and facilities are
integrating acupuncture treatment, it is important that psychiatrists remain
informed about this treatment. This manuscript describes the National
Acupuncture Detoxification Association (NADA) protocol and its inclusion as
part of the curriculum for psychiatry addictions fellows.METHODS: Psychiatry
and psychology fellows completed the NADA training (n = 20) and reported on
their satisfaction with the training.RESULTS: Overall, participants stated
that they found the training beneficial and many were integrating
acupuncture within their current practice.CONCLUSIONS: Results support the
acceptability of acupuncture training among psychiatry fellows in this
program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
education
health personnel attitude
medical education
EMTREE MEDICAL INDEX TERMS
acupuncture
drug dependence (rehabilitation)
human
procedures
psychiatry
specialization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26048457 (http://www.ncbi.nlm.nih.gov/pubmed/26048457)
PUI
L616759756
DOI
10.1007/s40596-015-0342-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-015-0342-9
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 220
TITLE
An Innovative Use of Case Conference to Teach Future Educators in Addiction
Psychiatry
AUTHOR NAMES
Muvvala S.B.
Marienfeld C.
Encandela J.
Petrakis I.
Edens E.L.
AUTHOR ADDRESSES
(Muvvala S.B., srinivas.muvvala@yale.edu; Marienfeld C.; Encandela J.;
Petrakis I.; Edens E.L.) Yale School of Medicine, New Haven, CT, USA
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:3 (494-497). Date of Publication: 1 Jun 2016
ISSN
1545-7230 (electronic)
ABSTRACT
Objective An innovative course was developed for fellows enrolled in the
Yale School of Medicine Addiction Psychiatry program to educate them in key
principles of adult learning, apply these principles in a case conference
presentation, and to improve skills in providing and receiving feedback.
Methods An initial training module on educational skills was followed by
individual mentorship to prepare a case presentation. A feedback module
provided space to learn and practice skills in feedback delivery. Results
The program showed positive results and improved confidence levels of the
participants in presenting and providing/receiving feedback. Conclusions
Implementing a course designed to improve teaching and feedback skills is
feasible in a 1-year Addiction Psychiatry fellowship.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
education
medical education
procedures
EMTREE MEDICAL INDEX TERMS
drug dependence (rehabilitation)
human
medical school
psychiatry
specialization
teacher training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27001311 (http://www.ncbi.nlm.nih.gov/pubmed/27001311)
PUI
L616760329
DOI
10.1007/s40596-016-0520-4
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-016-0520-4
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 221
TITLE
The Time is Now: Improving Substance Abuse Training in Medical Schools
AUTHOR NAMES
Ram A.
Chisolm M.S.
AUTHOR ADDRESSES
(Ram A.) Johns Hopkins University School of Medicine, Baltimore, MD, USA
(Chisolm M.S.) Department of Psychiatry and Behavioral Sciences, Johns
Hopkins University School of Medicine, Baltimore, MD, USA. mchisol1@jhmi.edu
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:3 (454-460). Date of Publication: 1 Jun 2016
ISSN
1545-7230 (electronic)
ABSTRACT
This commentary highlights the growing demand for substance abuse prevention
and treatment, summarizes the literature regarding the current
insufficiencies in substance abuse training in medical schools, and suggests
strategies to address this gap in physician education. The authors describe
how the combination of mandated coverage for substance abuse services and
expanding treatment needs means that more physicians, regardless of their
patient populations, will be faced with addressing the problem of substance
use. The authors review the literature on substance abuse training in
medical schools, which indicates insufficient exposure to this topic. The
authors describe how current substance abuse training at medical schools is
focused on transmitting scientific knowledge with relatively little
education or training in attitudes and skills central to effective
prevention and treatment. Given the gap between clinical need and physician
education, the authors suggest several strategies for medical schools to
increase training in substance abuse knowledge, attitudes, and skills, which
will enhance the practice of evidence-based care. The authors posit that
medical curricular reform, combined with initiatives to change clinical
culture around substance abuse, will translate into improved rates of
screening, shorter overall length of treatment, effective referrals for
continued treatment, and increased access to care for individuals who use
substances and so reduce the morbidity and mortality associated with
substance use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
curriculum
education
health personnel attitude
procedures
EMTREE MEDICAL INDEX TERMS
drug dependence (prevention, therapy)
health service
human
medical education
medical school
psychiatry
standards
total quality management
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25749922 (http://www.ncbi.nlm.nih.gov/pubmed/25749922)
PUI
L616760112
DOI
10.1007/s40596-015-0314-0
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-015-0314-0
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 222
TITLE
Addiction and Chronic Pain: Training Addiction Psychiatrists
AUTHOR NAMES
Edens E.L.
Gafni I.
Encandela J.
AUTHOR ADDRESSES
(Edens E.L., ellen.edens@va.gov; Encandela J.) Yale School of Medicine, New
Haven, CT, USA
(Gafni I.) Women's College Hospital, University of Toronto, Toronto, ON,
Canada
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:3 (489-493). Date of Publication: 1 Jun 2016
ISSN
1545-7230 (electronic)
ABSTRACT
OBJECTIVE: Addiction psychiatrists are increasingly asked to address chronic
pain in patients with addiction. Because of historic "divisions of labor"
between physicians who manage pain and addiction psychiatrists who manage
addiction, limited guidance exists for preparing addiction psychiatry
trainees to address this comorbidity.METHODS: A 1-h focus group composed of
five geographically well-distributed addiction psychiatry fellowship
directors/faculty was conducted to explore existing curricula, identify
themes, and build consensus regarding educational goals for addiction
psychiatry fellows in the area of chronic pain management.RESULTS:
Discussion resulted in five broad categories of themes involving perceptions
of the importance of chronic pain training for addiction psychiatrists;
barriers to curriculum development (one notably being that the addiction
psychiatrist's role in managing chronic pain is poorly articulated);
facilitators to such development; and potential curricular content and roles
of addiction psychiatrists in relation to chronic pain training.CONCLUSION:
Educators in addiction psychiatry should clarify their role in the
management of chronic pain and prioritize training in this area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
education
procedures
EMTREE MEDICAL INDEX TERMS
chronic pain (epidemiology, therapy)
comorbidity
curriculum
drug dependence (epidemiology, therapy)
human
information processing
medical education
medical school
psychiatry
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26626792 (http://www.ncbi.nlm.nih.gov/pubmed/26626792)
PUI
L616761025
DOI
10.1007/s40596-015-0412-z
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-015-0412-z
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 223
TITLE
Teaching and evaluating training in opiate addiction treatment
AUTHOR NAMES
De Jong C.
AUTHOR ADDRESSES
(De Jong C.) NISPA, Nijmegen University, Nijmegen, Netherlands.
CORRESPONDENCE ADDRESS
C. De Jong, NISPA, Nijmegen University, Nijmegen, Netherlands.
SOURCE
Heroin Addiction and Related Clinical Problems (2016) 18:3 Supplement 1
(24-25). Date of Publication: 1 Jun 2016
CONFERENCE NAME
12th Congress of European Opiate Addiction Treatment Association, EUROPAD
2016
CONFERENCE LOCATION
Leiden, Netherlands
CONFERENCE DATE
2016-05-27 to 2016-05-29
ISSN
1592-1638
BOOK PUBLISHER
Pacini Editore S.p.A.
ABSTRACT
Since 2007 there is a full-time, 2-year professional training in addiction
medicine in the Netherlands. In 2012 addiction medicine is approved as a
medical profile specialty by the Royal Dutch Society of Medicine. The
present status of the Dutch Master in Addiction Medicine (MiAM) will be
described with opioid agonist treatement as an example. In a
competency-based professional training, theoretical courses are integrated
with learning in clinical practice under guidance of an experienced clinical
teacher. The theoretical courses in our course consist of evidence-based
medicine, communication and basic psychotherapeutic skills, neurobiology of
addiction, addiction medicine, addiction and psychiatry, clinical
leadership, and public health. The seven main CanMEDS competencies are
concretized in so-called Characteristic Professional Situations (CPS) and
are evaluated by different ways of examining. All the aspects of training
and examination will be clarified by reference to the example of opioid
agonist treatment.
EMTREE DRUG INDEX TERMS
opiate agonist
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction
teaching
EMTREE MEDICAL INDEX TERMS
clinical practice
human
human experiment
leadership
learning
Netherlands
neurobiology
psychiatry
public health
skill
teacher
theoretical model
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L612591596
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 224
TITLE
Training in Buprenorphine and Office-Based Opioid Treatment: A Survey of
Psychiatry Residency Training Programs
AUTHOR NAMES
Suzuki J.
Ellison T.V.
Connery H.S.
Surber C.
Renner J.A.
AUTHOR ADDRESSES
(Suzuki J., jsuzuki2@partners.org) Brigham and Women's Hospital, Boston, MA,
USA
(Ellison T.V.) Kaiser Permanente Southern California, Ontario, CA, USA
(Connery H.S.) McLean Hospital, Belmont, MA, USA
(Surber C.) University of Michigan, Ann Arbor, MI, USA
(Renner J.A.) VA Boston HealthCare System, Boston, MA, USA
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:3 (498-502). Date of Publication: 1 Jun 2016
ISSN
1545-7230 (electronic)
ABSTRACT
OBJECTIVE: Psychiatrists are well suited to provide office-based opioid
treatment (OBOT), but the extent to which psychiatry residents are exposed
to buprenorphine training and OBOT during residency remains unknown.METHODS:
Psychiatry residency programs in the USA were recruited to complete a
survey.RESULTS: Forty-one programs were included in the analysis for a
response rate of 23.7 %. In total, 75.6 % of the programs currently offered
buprenorphine waiver training and 78.1 % provided opportunities to treat
opioid dependence with buprenorphine under supervision. Programs generally
not only reported favorable beliefs about OBOT and buprenorphine waiver
training but also reported numerous barriers.CONCLUSIONS: The majority of
psychiatry residency training programs responding to this survey offer
buprenorphine waiver training and opportunities to treat opioid-dependent
patients, but numerous barriers continue to be cited. More research is
needed to understand the role residency training plays in impacting future
practice of psychiatrists.
EMTREE DRUG INDEX TERMS
buprenorphine (drug therapy)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
education
procedures
EMTREE MEDICAL INDEX TERMS
ambulatory care
human
medical education
opiate addiction (rehabilitation)
opiate substitution treatment
psychiatry
questionnaire
United States
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26017618 (http://www.ncbi.nlm.nih.gov/pubmed/26017618)
PUI
L616764873
DOI
10.1007/s40596-015-0313-1
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-015-0313-1
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 225
TITLE
Update on the new full specialty in addiction medicine in Norway
AUTHOR NAMES
Welle-Strand G.
AUTHOR ADDRESSES
(Welle-Strand G.) Norwegian Directorate of Health, Department for Substance
use and Psychiatry, Oslo, Norway.
CORRESPONDENCE ADDRESS
G. Welle-Strand, Norwegian Directorate of Health, Department for Substance
use and Psychiatry, Oslo, Norway.
SOURCE
Heroin Addiction and Related Clinical Problems (2016) 18:3 Supplement 1
(44). Date of Publication: 1 Jun 2016
CONFERENCE NAME
12th Congress of European Opiate Addiction Treatment Association, EUROPAD
2016
CONFERENCE LOCATION
Leiden, Netherlands
CONFERENCE DATE
2016-05-27 to 2016-05-29
ISSN
1592-1638
BOOK PUBLISHER
Pacini Editore S.p.A.
ABSTRACT
INTRODUCTION: In 2012 the Ministry of Health decided to establish a full
specialty in Addiction Medicine in Norway. METHODS: A work group for the new
specialty was appointed by the Directorate of Health with medical doctors
representing different parts of the system, user representatives and other
professions. The Norwegian Medical Association appointed a specialty board.
The specialty and the interim rules were decided in November 2014 by the
Ministry of Health. RESULTS: The requirement for the full specialty is five
years of internship in accredited institutions and 270 hours of coursework.
Three and a half year of internship must be in Addiction Medicine, including
one year in a detoxification ward, one year in a department for out-patient
treatment and half a year in a hospital department for in-patient treatment.
One year of training should be in psychiatry. The candidate should be
supervised closely in his/her clinical work by a specialist in Addiction
Medicine. So far more than 35 specialists have been appointed after interim
regulations and approximately 60 doctors are in training for the full
specialty. The process of certifying the first teaching hospitals is well on
the way. DISCUSSION: Addiction Medicine is a full medical specialty in
Norway, probably as the first country in the world.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medicine
Norway
EMTREE MEDICAL INDEX TERMS
detoxification
hospital department
hospital patient
human
occupation
outpatient
physician
psychiatry
teaching hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L612591613
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 226
TITLE
Effectiveness of tobacco cessation classes in adult psychiatric patients
AUTHOR NAMES
Wackernah R.
Lo J.
Milhorn L.
AUTHOR ADDRESSES
(Wackernah R.; Lo J.) Regis University, School of Pharmacy, Denver, United
States.
(Milhorn L.) Porter Adventist Hospital, Denver, United States.
CORRESPONDENCE ADDRESS
R. Wackernah, Regis University, School of Pharmacy, Denver, United States.
SOURCE
Journal of Pharmacy Practice (2016) 29:3 (299). Date of Publication: 1 Jun
2016
CONFERENCE NAME
19th Annual Meeting of the College of Psychiatric and Neurologic
Pharmacists, CPNP
CONFERENCE LOCATION
Colorado Springs, CO, United States
CONFERENCE DATE
2016-04-17 to 2016-04-20
ISSN
1531-1937
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Original Research. Background: Promoting tobacco cessation in the inpatient
psychiatric population has traditionally not been encouraged by psychiatric
professionals. Nicotine dependent people with psychiatric diagnoses comprise
7.1% of the United States population and smoke 44% of cigarettes consumed in
the nation. It has been shown that people with mental illness have a more
difficult time with cessation efforts and are less likely to be presented
with cessation resources and guidance. It is well known that major
complications of tobacco use include cardiovascular disease, cancer and
respiratory disease. It is estimated that tobacco smokers with mental
illnesses have a life expectancy 20 years shorter than people without
tobacco dependence and mental illness. The investigators of this study
believe that promoting tobacco cessation in an inpatient psychiatric setting
is necessary to decrease co-morbidities and mortality related to tobacco
dependence while providing support in a safe environment with constant
surveillance of medical and psychiatric professionals. Objectives: The
objective of this study is to determine if inpatient tobacco cessation
classes influence the adult psychiatric patients' readiness to quit using
tobacco. Methods: All psychiatric inpatients are screened on admission for
tobacco use. Nursing and medical staff ensure nicotine replacement therapy
for current tobacco users upon patient request. Participants will be
recruited based on prescription nicotine replacement therapy during
hospitalization. Participants will be asked to complete a five question
pre-survey indicating his or her level of consideration to quit using
tobacco products. There are two demographic questions on the pre-survey
including amount of cigarettes smoked daily and duration of time that the
patient has smoked tobacco. The participant will then attend a 45 minute
tobacco cessation class. Immediately following the class the participant
will complete a four question post-survey indicating his or her level of
consideration to quit using tobacco products. Outcomes: The authors will
report the patient's responses before and after the smoking cessation class
in relation to desire to quit, methods of cessation, reason for quitting and
likelihood of quitting within 30 days.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental patient
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
cardiovascular disease
case report
comorbidity
female
hospital patient
hospitalization
human
life expectancy
male
malignant neoplasm
medical staff
mortality
nicotine replacement therapy
nursing
prescription
respiratory tract disease
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614625477
DOI
10.1177/0897190016645328
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190016645328
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 227
TITLE
Addiction Psychiatry in PGY-3: Use of the Intensive Outpatient Treatment
Setting to Train Senior Residents
AUTHOR NAMES
Sanchez-Ramirez J.P.
Gakhal R.
Oakman S.A.
AUTHOR ADDRESSES
(Sanchez-Ramirez J.P.; Gakhal R.; Oakman S.A.,
scott.a.oakman@healthpartners.com.Regions) Hennepin-Regions Psychiatry
Training Program, Minneapolis, MN, USA
(Oakman S.A., scott.a.oakman@healthpartners.com.Regions) Regions Behavioral
Health, St. Paul, MN, 55101, USA
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:3 (517-519). Date of Publication: 1 Jun 2016
ISSN
1545-7230 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
ambulatory care
education
medical education
procedures
residential care
EMTREE MEDICAL INDEX TERMS
curriculum
drug dependence (rehabilitation)
human
psychiatry
LANGUAGE OF ARTICLE
English
MEDLINE PMID
26108398 (http://www.ncbi.nlm.nih.gov/pubmed/26108398)
PUI
L616758868
DOI
10.1007/s40596-015-0386-x
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-015-0386-x
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 228
TITLE
Defining the learning objectives
AUTHOR NAMES
Broers B.
AUTHOR ADDRESSES
(Broers B.) Geneva University Hospitals, Geneva, Switzerland.
CORRESPONDENCE ADDRESS
B. Broers, Geneva University Hospitals, Geneva, Switzerland.
SOURCE
Heroin Addiction and Related Clinical Problems (2016) 18:3 Supplement 1
(24). Date of Publication: 1 Jun 2016
CONFERENCE NAME
12th Congress of European Opiate Addiction Treatment Association, EUROPAD
2016
CONFERENCE LOCATION
Leiden, Netherlands
CONFERENCE DATE
2016-05-27 to 2016-05-29
ISSN
1592-1638
BOOK PUBLISHER
Pacini Editore S.p.A.
ABSTRACT
INTRODUCTION: Pregraduate training in addiction medicine is, in most medical
faculties, insufficient and adresses essentially issues related to alcohol
and tobacco use. Patients suffering from addiction related disorders
(including opioid dependence) are insufficiently identified and treated, and
suffer from negative perceptions from health professionals, including
doctors. METHODS: literature review and expert's opinions on the content of
pregraduate medical training in screening, evaluating and treating opioid
misuse et dependence. RESULTS: although few articles focus on pregraduate
medical training in the management of opioid dependence specifically, a
concensus exists on the need of a global addiction medicine curriculum that
included aspects of opioid use, misuse and addiction. Including recovered
patients and/or stabilised patients on opioid agonist treatment in the
training programme can help to reduce negative attitudes and stigma.
CONCLUSION: Pregraduate addiction medicine training can improve knowledge,
attitudes and clinical practice related to addictive behaviours and
addiction in future physicians. Concerning opioid dependence, learning
objectives should include the domain of pain management, global drug policy,
the principle of long-term opioid agonist treatment, and personal attitudes
toward opioid addiction.
EMTREE DRUG INDEX TERMS
alcohol
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
learning
EMTREE MEDICAL INDEX TERMS
alcohol consumption
analgesia
clinical practice
clinical trial
curriculum
doctor patient relation
human
medical education
medical school
medicine
opiate addiction
perception
screening
stigma
tobacco use
CAS REGISTRY NUMBERS
alcohol (64-17-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L612591592
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 229
TITLE
Alcohol consumption history taking on the medical teaching unit
AUTHOR NAMES
Colizza K.G.
Lambert L.
AUTHOR ADDRESSES
(Colizza K.G., kate.colizza@albertahealthservices.ca) Cumming School of
Medicine, University of Calgary, 712 34th St. NW, Calgary, Canada.
(Lambert L.) Department of Medicine, University of Calgary, 3330-3330
Hospital Dr. NW, Calgary, Canada.
CORRESPONDENCE ADDRESS
K.G. Colizza, Cumming School of Medicine, University of Calgary, 712 34th
St. NW, Calgary, Canada. Email: kate.colizza@albertahealthservices.ca
SOURCE
Canadian Journal of Addiction (2016) 7:2 (36-37). Date of Publication: 1 Jun
2016
ISSN
2368-4720
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
medical education
patient counseling
EMTREE MEDICAL INDEX TERMS
Canada
documentation
health care system
hospital admission
human
letter
patient care
quality control
questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20170703876
PUI
L618655133
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 230
TITLE
Cigarette smoking and the determinants of smoking among vilnius university
medical students
AUTHOR NAMES
Abraha Z.G.
AUTHOR ADDRESSES
(Abraha Z.G.) Pharmacy, Ministry of Health, Asmara, Eritrea.
CORRESPONDENCE ADDRESS
Z.G. Abraha, Pharmacy, Ministry of Health, Asmara, Eritrea.
SOURCE
Global Heart (2016) 11:2 SUPPL. 1 (e132). Date of Publication: June 2016
CONFERENCE NAME
World Congress of Cardiology Scientific Sessions 2016, WCC 2016
CONFERENCE LOCATION
Mexico City, Mexico
CONFERENCE DATE
2016-06-04 to 2016-06-07
ISSN
2211-8179
BOOK PUBLISHER
Elsevier
ABSTRACT
Introduction: Globally, smoking is the most preventable cause of premature
death. The high smoking prevalence in Europe, particularly in east Europe is
also a cause for concern. Smoking among health professionals is also one of
the major challenges in involving health professionals in the fight against
smoking, especially in countries where there are many health professionals
smoking. Objectives: The purpose of this study was to assesses the
prevalence of smoking among Vilnius medical faculty students and identify
their attitudes and socioeconomic characteristics related to smoking.
Methods: A cross sectional study with structured questionnaire was conducted
among 334 Vilnius medical faculty students with 85% response rate. Results:
Almost 30% of the students were current smokers. There were an observed
difference between the gender current smoking status. There were more male
smokers (41.8%) as compared to females(26.3%). On the contrary, there were
more female former smokers (49.8%) than males (35.8%). Moreover, there was
no significant difference with respect to the different fields of study and
their smoking status. However, high secondhand exposure in public places and
schools were reported. There was no significant difference with regard to
the perceived knowledge about dangers of smoking on health and availability
of cessation programs and antismoking activities in their school among the
respondents. Over 80% of the respondents are in favor of the complete ban of
smoking in restaurants and nightclubs. Furthermore, close friends smoking
behavior is the major predictor of smoking among the current smokers.
Conclusion: The current high prevalence of smoking among the medical
students is a cause for concern, assuming their future role as health
professional. School based anti smoking initiatives and peer group health
clubs could help in reducing the existing prevalence of smoking among the
students. Furthermore, follow up on the implementation of the smoke free
policy to minimize the current reported high secondhand smoke exposure in
public place would also have a paramount importance in reducing and
discouraging the smoking behaviors and reducing the prevalence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiology
human
medical student
smoking
university
EMTREE MEDICAL INDEX TERMS
catering service
cross-sectional study
death
Europe
exposure
female
follow up
friend
gender
health
health practitioner
male
medical school
passive smoking
peer group
prevalence
school
smoking ban
structured questionnaire
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72314154
DOI
10.1016/j.gheart.2016.03.458
FULL TEXT LINK
http://dx.doi.org/10.1016/j.gheart.2016.03.458
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 231
TITLE
Increasing adoption of screening, brief intervention, and referral (SBIRT)
to treatment among primary healthcare professionals in New York State
AUTHOR NAMES
Yu J.
Harris B.R.
Shi J.
AUTHOR ADDRESSES
(Yu J.; Harris B.R.; Shi J.) School of Social Welfare, State University of
New York, Albany, United States.
CORRESPONDENCE ADDRESS
J. Yu, School of Social Welfare, State University of New York, Albany,
United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2016) 40 SUPPL. 1 (67A).
Date of Publication: June 2016
CONFERENCE NAME
39th Annual Scientific Meeting of the Research Society on Alcoholism
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2016-06-25 to 2016-06-29
ISSN
1530-0277
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Purpose: While there is convincing evidence of the effectiveness of SBIRT in
reducing misuse of alcohol and drugs among primary care patients, most
healthcare professionals have not followed the published practice guidelines
to provide services. This study examines factors that may influence the
likelihood of adopting SBIRT for substance use among primary healthcare
professionals. Methods: Between October and November 2013, a pilot
electronic survey was sent to members of the Medical Society of the State of
New York (MSSNY), the Nurse Practitioner Association of New York (NPANY),
and the New York State Society of Physician Assistants (NYSSPA) to collect
data on knowledge, training, and practice of SBIRT among primary care
professionals. A series of structural- measurement models was developed and
estimated using SPSS AMOS. The hypotheses stipulate that (i) the likelihood
of adopting SBIRT in the primary healthcare setting among medical
professionals is influenced by their perceived self-efficacy to deliver such
services, measured by the amount of training, their ability to deliver
substance abuse related services, and their familiarity with SBIRT
intervention procedures; (ii) by their attitudes toward early intervention
of substance abuse, reflected in their perception of the importance of
substance abuse prevention and intervention, their perceived responsibility
to provide substance abuse intervention to patients as a medical
professional, their comfort in delivering substance abuse interventions; and
(iii) by the environment factors such as the proportion of their patients
that shows alcohol and drug problems, and the extent to which treatment
facilities are available for patient referrals. Results: The final model
contains two main exogenous constructs (n = 248): “ATTITUDES,” measured by
respondents' perception of ability and responsibility to provide early
intervention in their practice, and “ENVIRONMENT,” indicated by large
proportions of their patients needing help and availability of treatment
facilities for referrals. Conclusion: Training and education to promote
SBIRT for primary care workers need to focus on increasing their favorable
attitudes towards SBIRT as a strategy of preventive medicine and should
include the knowledge of the infrastructure of substance abuse services,
especially for medical providers who see large numbers of patients at high
risks for alcohol and drug misuse.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health care personnel
human
primary health care
screening
society
United States
EMTREE MEDICAL INDEX TERMS
comfort
data analysis software
drug abuse
drug misuse
early intervention
education
environment
hypothesis
medical society
model
nurse practitioner
patient
patient referral
physician assistant
practice guideline
prevention
preventive medicine
primary medical care
procedures
responsibility
risk
self concept
substance abuse
substance use
worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72333260
DOI
10.1111/acer.13084
FULL TEXT LINK
http://dx.doi.org/10.1111/acer.13084
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 232
TITLE
Robin williams, the dalai lama and rehab: An innovative approach to
psychosocial education in pharmacy
AUTHOR NAMES
Hoot E.C.
Franko T.S.
Trombetta D.P.
AUTHOR ADDRESSES
(Hoot E.C.; Franko T.S.; Trombetta D.P.) Wilkes University, United States.
CORRESPONDENCE ADDRESS
E.C. Hoot, Wilkes University, United States.
SOURCE
Journal of Pharmacy Practice (2016) 29:3 (332). Date of Publication: 1 Jun
2016
CONFERENCE NAME
19th Annual Meeting of the College of Psychiatric and Neurologic
Pharmacists, CPNP
CONFERENCE LOCATION
Colorado Springs, CO, United States
CONFERENCE DATE
2016-04-17 to 2016-04-20
ISSN
1531-1937
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Innovative Practices. Background: In the United States, 44 million and 20
million adults suffer froma mental illness or a substance use disorder,
respectively. Education regarding these illnesses in pharmacy school focuses
in pharmacotherapeutics with minimal discussion regarding psychotherapies or
psychosocial impacts. Counseling skills taught in pharmacy school do not
prepare students to interact with emotional patients. As future pharmacists,
students will be interacting with this patient population in most practice
settings and would benefit from more emphasis on these topics in order to
form more therapeutic relationships with patients. Description of innovative
practices: These activities were incorporated into an elective class
consisting of 29 fourth and fifth year pharmacy students. During two classes
an hour and a half in duration, students participated in improvisational
exercises used to improvefocus, identify emotions, and react positively to
negative circumstances. Students were led through an active discussion
regarding cognitive behavioral therapy (CBT), watched a shortened CBT
session, and were led through a mindfulness session. Students then reflected
on their experience in class. Students also attended a local Narcotics
Anonymous (NA) meeting. Students then reflected ontheir experiences in class
and at the meeting. Impact on patient care: As indicated in reflections,
students felt more confident in their ability to handle emotional patients
and indicated are as where they could use the techniques learned in their
current internships. They also indicated feeling like they can ''connect''
more with mental health patients after learning about different therapies.
Reflections were over whel mingly positive for the NA meeting. Students saw
this as an ''eye opening'' experience and had a new found appreciation for
substance use disorders as an illness. Conclusion: Patients with mental
health and substance use disorders are a large population in the United
States and there is a high likelihood that pharmacists interact with these
patients on a daily basis. Providing students with the education needed to
react appropriately to emotions, understand other treatments, and appreciate
the psychosocial impact can enhance the treatment of mental health patients
and improve the patient-pharmacist relationship.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
Lama
nonhuman
pharmacy school
EMTREE MEDICAL INDEX TERMS
cognitive behavioral therapy
counseling
doctor patient relation
drug dependence
exercise
human
learning
major clinical study
mental health
mindfulness
narcotics anonymous
patient care
pharmacy student
skill
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614625435
DOI
10.1177/0897190016645328
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190016645328
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 233
TITLE
Pharmacists' knowledge, attitudes, and behaviors in regards to prescription
drug abuse
AUTHOR NAMES
Vaughan C.P.
Cates M.E.
Woolley T.W.
AUTHOR ADDRESSES
(Vaughan C.P.; Cates M.E.) Samford University, McWhorter School of Pharmacy,
United States.
(Woolley T.W.) Samford University, Brock School of Business, United States.
CORRESPONDENCE ADDRESS
C.P. Vaughan, Samford University, McWhorter School of Pharmacy, United
States.
SOURCE
Journal of Pharmacy Practice (2016) 29:3 (283-284). Date of Publication: 1
Jun 2016
CONFERENCE NAME
19th Annual Meeting of the College of Psychiatric and Neurologic
Pharmacists, CPNP
CONFERENCE LOCATION
Colorado Springs, CO, United States
CONFERENCE DATE
2016-04-17 to 2016-04-20
ISSN
1531-1937
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Original Research. Background: Prescription drug abuse is a serious problem
in the U.S. Pharmacists should be knowledgeable about controlled substances
and addiction, and they should have a positive attitude toward their role as
healthcare providers in monitoring for prescription drug abuse. Moreover,
they should be actively involved in contacting prescribers, counseling
patients, and referring patients for addiction treatment. Objectives: To
determine the attitudes, behaviors, and perceived knowledge of pharmacists
concerning prescription drug abuse. Methods: A voluntary, anonymous survey
was offered to pharmacists who attended a large end-of-year continuing
education program sponsored by a school of pharmacy. The 26-item survey that
was used in the study was adapted from a survey instrument that was
previously pilot tested and used in a published study. The research was
approved by the university's Institutional Review Board, and the
investigators obtained permission from the authors of the published study to
use the survey instrument. Results: The survey was completed by 130 of 150
(87%) pharmacists, who practiced primarily in community (60%) and hospital
(19%) settings. Pharmacists were more likely to rate themselves as having
much or very much knowledge in pain management/opiates (49%) and
ADHD/stimulants (44%) vs. the disease process of addiction (34%) or brain
chemistry as relates to addiction (20%). Forty-four percent of pharmacists
felt that their job was much or very much affected by patients' substance
abuse, yet most pharmacists reported little or very little activity as
relates to contacting physicians about potential substance abuse issues
(50%) or counseling patients about substance abuse issues (61%).
Interestingly, 34% of pharmacists admitted to having never contacted a
physician about possible substance abuse by a patient. Only 20% of
pharmacists felt comfortable or very comfortable referring patients to
addiction treatment. Many pharmacists perceived their role in monitoring
therapy with controlled substances as either more like the police (18%) or
equal amounts of policing and providing healthcare (47%). Conclusions:
Pharmacists appear to lack the knowledge and comfort level to deal with
prescription drug abuse, and their self-reported interventions in such cases
are disappointingly low. Additional training of pharmacists in the area of
substance abuse appears to be warranted.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug
EMTREE DRUG INDEX TERMS
controlled substance
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
drug abuse
pharmacist
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
attention deficit disorder
brain chemistry
clinical study
comfort
continuing education
controlled study
counseling
drug therapy
human
institutional review
monitoring
pharmacy
police
substance abuse
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L614625586
DOI
10.1177/0897190016645328
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190016645328
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 234
TITLE
A curriculum to improve resident knowledge and satisfaction in caring for
hospitalized patients with addiction
AUTHOR NAMES
Roy P.J.
Weinstein Z.M.
Yuh D.
Neville L.
Walley A.Y.
AUTHOR ADDRESSES
(Weinstein Z.M.) BostonMedical Center, Boston, United States.
(Walley A.Y.) Boston Univ, Boston, United States.
(Roy P.J.) Boston University Medical Center, Boston, United States.
(Yuh D.; Neville L.) Boston University, School of Medicine, Boston, United
States.
CORRESPONDENCE ADDRESS
P.J. Roy, Boston University Medical Center, Boston, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S796-S797). Date
of Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: Residents at academic teaching hospitals are the
frontline of inpatient care. They frequently care for patients with
substance use, with approximately 1 out of every 6 hospital stays including
a substance-related diagnosis at our institution. However, resident
physicians are significantly less likely to experience satisfaction in
managing addiction in comparison to other medical issues. This low
satisfaction is associated with low confidence in assessment and treatment
of substance use disorders (SUD). At our institution, usual inpatient
practice for patients with SUD is to manage acute withdrawal symptoms and
provide information for patients to self-refer to further addiction
treatment and mutual support groups, without initiation of long-term
pharmacotherapy or direct linkage to post-hospitalization addiction
treatment. This is a lost opportunity for residents to improve the overall
health of their patients and their own job satisfaction. We addressed these
gaps in knowledge and satisfaction by providing a medical curriculum as part
of our new Addiction Consult Service (ACS) with three objectives: increase
resident ability to identify and treat addiction; improve resident
satisfaction in managing patients with addiction; and provide linkage to
addiction care after hospital discharge. SETTING AND PARTICIPANTS: Setting:
academic safety net hospital. Primary Curricular Participants: Internal
Medicine (IM) and Family Medicine (FM) residents rotating on the ACS.
Secondary: IM residents who consult the service. DESCRIPTION: The Addiction
Consult Service (ACS) is a new medical service at our hospital aimed to
improve the care of hospitalized patients with SUD. Consults have included
initiation of pharmacotherapy for alcohol and opioid use disorder,
complicated benzodiazepine withdrawal, and pain management for patients on
opioid agonist therapy. IM and FM residents at our hospital rotate on the
service as a 1 week elective. The purpose of the curriculum is to improve
resident knowledge and satisfaction in managing addiction, which occurs in
several ways. Firstly, residents on the elective serve as primary consultant
for 1-2 new patients per day, which includes obtaining a thorough substance
related history and physical, presenting on rounds, developing a plan,
relaying recommendations to the primary team, and managing follow-up.
Residents have a rotation specific curriculum we developed using ACGME Core
Competencies. This curriculum is a 14-page document emailed to every
resident before starting the rotation and includes 16 detailed learning
objectives. Objectives include taking a substance use history, diagnosing
substance use disorders, teaching harm reduction strategies, and
understanding pharmacotherapy for alcohol and opioid use disorder. Residents
also receive interdisciplinary education with staff psychiatrists to discuss
difficult patient cases. Finally, residents who consult the ACS have
increased exposure to SUD and its treatment from direct communication with
the ACS team. EVALUATION: A resident quality improvement project, prior to
the initiation of the ACS, demonstrated a local need for more resident
expertise in addiction medicine. Following this project, 40 IM residents
were asked to complete a survey regarding their attitudes towards patients
with SUD; two-thirds reported dissatisfaction with the addiction treatment
they provided, 87%reported the need for a change, and over 90%felt a consult
service would be helpful. Since this survey, we began the consult service
and our curriculum. We have had 14 IM residents and 5 FM residents rotate on
the service. Overall the rotation and curriculum have been well received. We
will evaluate rotating residents' addiction knowledge with pre- and
post-elective multiple choice tests. We will also ask these residents to
evaluate their comfort and satisfaction in managing patients with addiction
pre- and post-elective. Finally, another 40 IM residents will be asked to
complete a survey regarding their attitudes towards patients with addiction
at the end of the academic year to evaluate the overall impact of the
Consult Service on IM residents' satisfaction in managing patients with
addiction. DISCUSSION / REFLECTION / LESSONS LEARNED: The Addiction Consult
Service provides a unique opportunity for residents to expand their
knowledge and comfort in managing addiction during inpatient rotations.
Strengths of the service include training residents to care for an
underserved population and to manage medications not always used in
ambulatory training, such as opioid agonist therapy. Educational initiatives
focused on improving resident ability to identify and treat addiction can
improve job satisfaction and patient-provider relationships. Long-term, we
anticipate this will increase patient engagement in addiction treatment,
improve hospital quality metrics such as length of stay and readmission
rates, and encourage residents to incorporate addiction treatment into their
future practice.
EMTREE DRUG INDEX TERMS
alcohol
benzodiazepine
opiate
opiate agonist
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
hospital patient
human
internal medicine
satisfaction
society
EMTREE MEDICAL INDEX TERMS
analgesia
comfort
consultation
diagnosis
diseases
drug therapy
exposure
family medicine
follow up
harm reduction
health
hospital
hospital discharge
hospital readmission
hospitalization
interdisciplinary education
interpersonal communication
job satisfaction
learning
length of stay
medical service
multiple choice test
patient
population
problem patient
psychiatrist
resident
safety net hospital
substance abuse
substance use
support group
teaching
teaching hospital
therapy
total quality management
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72289476
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 235
TITLE
Naloxone prescribing within an internal medicine training program: Does a
focused curriculum change the numbers?
AUTHOR NAMES
Taylor J.
Rapoport A.B.
Rowley C.
Stead W.
AUTHOR ADDRESSES
(Taylor J.; Rapoport A.B.; Rowley C.; Stead W.) Beth Israel Deaconess
Medical Center, Boston, United States.
CORRESPONDENCE ADDRESS
J. Taylor, Beth Israel Deaconess Medical Center, Boston, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S825). Date of
Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: In the midst of a growing opioid epidemic, concern has
been raised that medical trainees do not receive adequate training in
substance use disorders. There is mounting evidence that providing overdose
education and naloxone kits to at-risk patients, relatives, and first
responders reduces overdose deaths. However, naloxone rescue kits are still
not routinely prescribed. A review of endocarditis admissions at Beth Israel
Deaconess Medical Center (BIDMC), a large academic tertiary care center in
Boston, MA, demonstrated that 0/102 patients with endocarditis as a result
of intravenous drug use were discharged with a prescription for naloxone. In
addition, very few had an addiction plan explicitly outlined in their
discharge summary. The BIDMC Internal Medicine Residency Program has
developed an addiction medicine curriculum for its trainees. The purpose of
this study is to evaluate whether a brief, targeted curricular intervention
improves resident knowledge and comfort level regarding naloxone rescue and
increases self-reported prescribing of naloxone rescue kits. SETTING AND
PARTICIPANTS: All current Beth Israel Deaconess Internal Medicine Residents
(n =160) have the academic year broken up into inpatient and outpatient
rotations. For the purposes of outpatient curriculum, the academic year is
divided into eight 6-week blocks. Each junior and senior resident spends 1
week out of every six in the outpatient/clinic setting. Over the course of a
single 6-week block (November-December, 2015), all 50 PGY-2 residents and 47
PGY-3 residents underwent the first didactic session in this small group
setting. The structure of the outpatient curriculum for interns does not
lend itself to delivery of the didactic session in this setting. Therefore,
the 63 interns were offered the first didactic session during their weekly
“Intern Report” session. All residents then received the second session in
the setting of a program-wide “Noon Conference.” DESCRIPTION: In November
and December, 2015, BIDMC internal medicine residents received a series of
two, one-hour didactic sessions that outline the scope of the opioid
epidemic and strategies for harm reduction, including how to identify
patients at risk for opioid overdose and how to prescribe intranasal
naloxone overdose rescue kits. An electronic survey assessing residents'
knowledge about naloxone use for opioid overdose reversal as well as
attitudes regarding the management of opiate addiction was administered
before these sessions and will be administered again 2 months following
these sessions (February, 2016). A chart review to determine the number of
naloxone prescriptions generated in the 3 months prior to the intervention
compared with the 3 months following the intervention will be performed to
see if the intervention contributed to a change in prescribing patterns.
EVALUATION: Forty internal medicine residents (25 %) completed the
pre-intervention survey, including 15 interns, 13 s-year residents, and 12
third-year residents. Twenty percent of respondents (n = 8) had received
prior training in the use of naloxone rescue kits to reverse opioid
reversal. One resident (2.5 %) had prescribed naloxone in the past. Just
12.8 % of the sample (n = 5) agreed that they were adequately trained to
prescribe naloxone rescue kits, whereas 79.5 % (n = 31) disagreed. One half
of the sample (n = 20) disagreed with the statement, “Treating patients with
opiate addiction is professionally rewarding.” The duration of naloxone
action, approximately one hour, was correctly identified by 77.5 % of
respondents (n = 31). Eighty-five percent of the sample (n = 32) correctly
identified that physicians in Massachusetts can prescribe intranasal
naloxone to patients with opioid addiction, patients without opioid
addiction who take narcotics for pain, and third parties. This varied by
level of training, and senior residents were significantly more likely to
answer correctly than first and second-year residents (91.2 % vs. 33.3 %, p
= 0.02). DISCUSSION / REFLECTION / LESSONS LEARNED: Internal medicine
trainees are often the front-line providers for patients with opioid use
disorder; however, addiction medicine has historically been underrepresented
in residency curricula. Prescribing intranasal naloxone for reversal of
opioid overdose is a relatively new intervention that reduces mortality. Our
study confirms that few of our internal medicine trainees have received
formal training in how to prescribe intranasal naloxone and just 12.5 % feel
comfortable prescribing it currently. Half of residents do not find the
treatment of addiction professionally rewarding. We are hopeful that our
targeted curricular sessions will improve resident knowledge, attitudes, and
prescribing practices regarding intranasal naloxone for opioid overdose
reversal and we will be measuring this effect by post-intervention survey to
be distributed in February, 2016.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
EMTREE DRUG INDEX TERMS
narcotic agent
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
internal medicine
society
training
EMTREE MEDICAL INDEX TERMS
addiction
comfort
death
diseases
drug use
education
endocarditis
epidemic
harm reduction
hospital patient
human
intoxication
intranasal drug administration
Israel
medical record review
mortality
opiate addiction
outpatient
pain
patient
physician
prescription
risk
student
substance abuse
tertiary care center
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72289527
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 236
TITLE
Social justice & community advocacy: Creation of a novel pathway in
residency training
AUTHOR NAMES
Essien U.R.
Mitton J.
AUTHOR ADDRESSES
(Essien U.R.; Mitton J.) Massachusetts General Hospital, Boston, United
States.
CORRESPONDENCE ADDRESS
U.R. Essien, Massachusetts General Hospital, Boston, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S842). Date of
Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: The work of a physician is complementary with that of
a social justice pioneer and community organizer. Those interdependent
social roles can add value and meaning to practice across all clinical
environments. Such efforts require unique skills and experiences that are
not traditionally emphasized in medical education. As such, through this
Social Justice and Community Advocacy (SJCA) pathway we aimed to: - provide
Internal Medicine resident trainees and medical students with a longitudinal
pathway in the interdisciplinary practice of social justice and community
advocacy; - draw on opportunities at the academic medical center,
Massachusetts General Hospital (MGH), Harvard Medical School, Harvard
University and in the greater Boston community; - assist residents in
tailoring their 3 years of residency toward the acquisition of leadership
and clinical skills needed to impact change in the lives of their patients;
- create and maintain a pathway that is mentored, patient and
community-centered and culminates in a final project or service initiative.
SETTING AND PARTICIPANTS: The pathway includes a series of experiences aimed
at skill acquisition and mentored advocacy. Pathway design is tailored to
the particular interests of the resident, ideally within the context of
patient care and their clinic community. There are suggested rotations and
experiences in all 3 years in a graduated and longitudinal fashion, with
increasing responsibility in the second and third year. Activities will
culminate in a senior capstone project, colloquium or service initiative.
Each resident is mentored through their pathway, working with an assigned
faculty member to acquire the unique skill set and experiences needed for
the trainee to impact change in the lives of their patients and/or community
of interest. Mentorship is also promoted in social gatherings, aimed at
connecting residents with local and national leaders. Longitudinal
mentorship will help residents culminate their work in a final project,
research colloquium or service initiative during the senior year. It is the
hope that these senior capstones will be presented at a national forum.
DESCRIPTION: Through the SJCA pathway, residents have the opportunity to
tailor their pathway with required experiences and elective outpatient
rotations, leadership opportunities and community experiences: Advocacy and
community leadership Global Health rotation Homeless Health Prison Health
Addiction Medicine Refugee/Immigrant Health Away rotations (Uganda, South
Dakota/Indian Health Services, Boston Public Health Commission) Hospital
administration Medical writing Research Through the pathway there are also
leadership experiences through the newly created Social Justice Interest
Group, developing resident report and noon conference case presentations.
Community engagement is key to the pathway and involves participation in
extracurricular activity programming within the Department of Medicine and
other clinically-based community health staff including community health
workers, population health managers, mental health and addiction medicine
specialists and local community leaders. EVALUATION: As the pathway is in
its infancy, with the first cohort beginning in June 2016, the expectation
is that most of the evaluation will take place over the next few years
including pre and post surveys of resident trainees as well as patients.
Each resident that goes through the pathway will be expected to complete: -
Capstone Project, Colloquium or Service Initiative-Presentation at Regional
or National Conference DISCUSSION / REFLECTION / LESSONS LEARNED: Resident
trainees have the privilege of providing care to patients of all social and
ethnic backgrounds, requiring a nuanced approach that considers the social
determinants and community context of health. Yet there often is little
consideration to this nuance in daily education and system modeling.
Addressing these considerations is increasingly important as our
institutions try to engage patients in their homes and neighborhoods. Many
residency programs across the country have taken on this challenge by
developing social justice programming to ensure that residents and other
health professional trainees are trained in the skills and afforded the
opportunity to consider the social challenges that impact patient health.
Through the experiences of other training programs we learned that rather
than creating a track where residents were expected to follow a strict set
of rotations over their training period, we would create a pathway, pairing
residents with faculty mentors to tailor an interdisciplinary training
experience through the preferential selection of several electives,
leadership opportunities and community opportunities. We hope to share this
innovative approach to increasing social justice and community advocacy
training in residency while seeking opportunities for further collaboration
that will help sustain this work of addressing the social determinants of
health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community
internal medicine
residency education
social justice
society
EMTREE MEDICAL INDEX TERMS
addiction
education
environment
general hospital
health
health auxiliary
health practitioner
health service
hope
hospital
hospital management
human
infancy
leadership
manager
medical education
medical literature
medical school
medical specialist
medical student
mental health
model
outpatient
patient
patient care
physician
population
prison
public health
responsibility
skill
social determinants of health
student
teacher
training
Uganda
United States
university
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72289558
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 237
TITLE
Outcomes of a multi-specialty, screening, brief intervention, and referral
to treatment (SBIRT) residency curriculum for unhealthy alcohol and other
substance use
AUTHOR NAMES
Tetrault J.M.
Green M.
Martino S.
Ryan S.
Bernstein S.L.
Illuzzi J.
Martel S.
Pantalon M.
O'Connor P.
Fiellin D.A.
D'Onofrio G.
AUTHOR ADDRESSES
(Tetrault J.M.; Green M.; O'Connor P.; Fiellin D.A.) Yale School of
Medicine, New Haven, United States.
(Martino S.) Yale University, School of Medicine, New Haven, United States.
(Ryan S.; Bernstein S.L.; Illuzzi J.; Martel S.; Pantalon M.; D'Onofrio G.)
Yale University, New Haven, United States.
CORRESPONDENCE ADDRESS
J.M. Tetrault, Yale School of Medicine, New Haven, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S318-S319). Date
of Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: Alcohol and other substance use cause significant morbidity and
mortality; yet, many physicians fail to recognize or address this use. In
response, the federal Substance Abuse and Mental Health Services
Administration (SAMHSA) funded a Screening, Brief Intervention, and Referral
to Treatment (SBIRT) initiative to disseminate a targeted approach for
identifying patients with unhealthy alcohol and substance use, providing
brief counseling (including motivational techniques), and referring to
specialty treatment. In 2008, Yale University was funded by SAMHSA to train
residents in Internal Medicine [(IM), Primary Care Internal Medicine (PC),
Medicine/Pediatrics (MP)], Emergency Medicine (EM), Pediatrics (Peds),
Psychiatry (Psych), and Obstetrics and Gynecology (OB) in SBIRT techniques.
METHODS: Developed through a rigorous curriculum development process, the
SBIRT training session included didactic teaching, video examples, and role
plays using specialty-specific cases. After the training session, residents
were observed performing SBIRT with a standardized patient and skills were
assessed using a standardized checklist. Faculty development was offered to
encourage faculty observation of the residents performing and documenting
SBIRT in their clinical encounters. We present data on resident
characteristics, number of brief interventions (BI) performed during
residency training, knowledge, and subsequent use of SBIRT skills in
clinical practice. Performance of BI was tracked via resident documentation
using an online procedure log. Residents completed a knowledge survey
pre-training, 30 days post-training and 3 years post-training. At 30 days,
and 3 years post-training, we surveyed residents regarding the use of SBIRT
in their clinical practices. RESULTS: Between 2008 and 2013, we trained 554
residents (264 IM, 89 EM, 106 Peds, 54 Psych, 41 OB). Forty-six percent were
PGY-1, 41 % PGY-2, 11 % PGY-3, and 2 % PGY-4. The sample was 45 % male and
55 % female. Ninetythree percent of residents completed 30 day and 77 % of
residents available for follow up (348/451) completed the 3 year follow-up
surveys. Residents documented performance of 1249 BNIs in clinical practice:
561 by IM, 371 by EM, 101 by Peds, 174 by Psych and 42 by OB. Scores on the
knowledge survey increased by 14 % from baseline (20/30 questions correct)
to 30-days post training (23/30 questions correct) and by 8 % 3-years post
training (22/30 questions correct). At 3 year follow up, 66 % (231/348) of
residents reported using SBIRT skills in clinical practice CONCLUSIONS:
Implementation of a residency SBIRT curriculum is feasible in a
multi-specialty format. Integrating SBIRT curriculum into graduate medical
education has a lasting impact on resident knowledge. Additionally,
residents incorporate and document BIs in patient care encounters and
continue to use these skills subsequently in clinical practice.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
internal medicine
screening
society
substance use
EMTREE MEDICAL INDEX TERMS
checklist
clinical practice
counseling
curriculum development
documentation
emergency medicine
female
follow up
graduate
gynecology
health service
hospital patient
human
male
medical education
mental health service
morbidity
mortality
obstetrics
patient
patient care
pediatrics
physician
primary medical care
procedures
psychiatry
residency education
role playing
skill
substance abuse
teaching
university
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72288555
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 238
TITLE
Saret: Evaluation of early career impact of interprofessional substance use
research training
AUTHOR NAMES
Bereket S.
Gourevitch M.N.
Hanley K.
More F.
Naegle M.
Tuchman E.
AUTHOR ADDRESSES
(Hanley K.) NYU, New York, United States.
(Bereket S.; Gourevitch M.N.) NYU, School of Medicine, New York, United
States.
(Naegle M.) NYU, College of Nursing, New York, United States.
(More F.) NYU, College of Dentistry, New York, United States.
(Tuchman E.) NYU, School of Social Work, New York, United States.
CORRESPONDENCE ADDRESS
S. Bereket, NYU, School of Medicine, New York, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S393). Date of
Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: Innovative initiatives are needed to build the ranks of health
professionals engaged in conducting research on and treating substance use
disorders (SUDs). Though SUD treatment frequently requires an
interdisciplinary team approach informed by the recognition that SUDs
represent the complex interplay of biological, psychological and social
factors, SUD research teams are often grounded in a single discipline. The
fundamental goal of the NIDA-funded inter-professional Substance Abuse
Research Education and Training (SARET) program is to stimulate dental,
medical, nursing and social work students' pursuit of careers in substance
use (SU) research. Participants engage in stipend-supported mentored
research complemented by weekly didactic seminars, site visits, and an
online curriculum previously shown to increase students' interest in SU
research. We evaluated early career outcomes and attitudes of 54 students
who have participated in these summer (n = 47) and year-long (n = 7)
research fellowships since 2008. METHODS: In Fall 2015, we conducted a
survey of SARET participants from the 2008- 2014 cohorts. The
thirteen-question survey employed 4 point Likert scale as well as open
response questions that were analyzed qualitatively. We assessed
participants' current careers and the perceived influence of SARET
participation on career choice, attitudes towards other professions, and
research and treatment of SUDs. The survey was sent to the 65 (of 68)
participants for whom we had valid email addresses. We assessed
participants' scholarly work based on self-report as well as through
automated monthly Pubmed searches for published journal articles. RESULTS:
The survey response rate was 83 % (54/65; 19 dentistry, 17 medical, 10
nursing, 8 social work). Over half of the past participants were still in
training: e.g., completing residency training or various degrees in
dentistry, nursing or social work. Nonetheless, 46% (25/54) report being
somewhat or very involved in research, and 64% of these (30 % overall) were
engaged in substance use related research. Past participants had published
40 articles (12 SUDs-related) and 3 book chapters (e.g., “Addressing
Unhealthy Alcohol use in Primary Care”), had 6 manuscripts submitted or
under review (2 tobacco cessation-related), and have completed 50 oral or
poster presentations (20 SUDs-related). Six participants have received
research funding, including a scholarship for one medical student to
investigate naloxone overdose prevention. The overwhelming majority (96 %;
52/54) of respondents reported that participation in the mentored research
program had increased their interest in SU research, their knowledge about
SU (100%54/ 54) and their appreciation of (96 %; 52/54) and skill at (90%;
49/54) communicating with other disciplines. Responses to the open-ended
question about the main impact of SARET participation on their career
conveyed several themes: increased sensitivity to the issue of SUDs in both
clinical and research arenas; increased skills and knowledge about SUDs;
acquisition of research skills in general; increased recognition of SUDs as
a health issue; and, the need for more research in the field. Respondents
also expressed increased appreciation for other health professions and for
the value of interdisciplinary collaboration. Regarding impact of SARET
participation outside of their career, comments again focused on increase
awareness and sensitivity about SUDs in their personal and clinical lives as
well as greater confidence about research and inter-professional
interactions. All open-ended responses about the impact of SARET
participation were positive. CONCLUSIONS: The SARET program increased
interest in SU research and clinical care as well as appreciation for
interprofessional connection among dentistry, medicine, nursing and social
work students. Participants have demonstrated some early research successes.
Longer term follow-up will allow continued assessment for enduring impact of
the SARET program on career trajectory.
EMTREE DRUG INDEX TERMS
naloxone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internal medicine
society
substance use
EMTREE MEDICAL INDEX TERMS
alcohol consumption
curriculum
decision making
dentistry
e-mail
education
follow up
funding
health
health practitioner
human
intoxication
Likert scale
medical student
Medline
nursing
occupation
prevention
primary medical care
publication
residency education
self report
skill
social aspect
social work
social work student
student
substance abuse
summer
tobacco
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72288691
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 239
TITLE
A hospital without walls: Addressing social determinants of health through a
resident physician-led advocacy curriculum
AUTHOR NAMES
Vessell C.
Tang A.S.
Arbach A.
Knudsen J.
AUTHOR ADDRESSES
(Vessell C.; Tang A.S.; Arbach A.; Knudsen J.) NYU School of Medicine, New
York, United States.
CORRESPONDENCE ADDRESS
C. Vessell, NYU School of Medicine, New York, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S797-S798). Date
of Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: With an increasingly diverse patient population,
physicians must understand the social determinants of health and the
physician's role in advocating for health equity. In response to this need,
an interdisciplinary group of resident physicians, partnered with faculty,
formed the Social Justice Interest Group (SJIG) to create a curriculum that
encourages trainees to: 1) Demonstrate sensitivity and responsiveness to the
social determinants of health (including gender, race, economic class,
religion, immigration status, and sexual orientation) that affect the
diverse patient populations that residents serve 2)Work in interprofessional
teams to advocate for high-quality patient care and health systems that are
inclusive of patients from a broad range of socioeconomic and cultural
backgrounds 3) Identify career pathways into advocacy SETTING AND
PARTICIPANTS: Bellevue Hospital is the flagship tertiary safety-net hospital
in New York City. It is the oldest public hospital in the United States and
serves patients from a broad range of ethnic and socioeconomic backgrounds.
It is also the primary academic hospital affiliated with New York University
School of Medicine's residency programs. SJIG participants include internal
medicine, primary care, psychiatry and emergency medicine resident
physicians. DESCRIPTION: The curriculum has multiple components, including a
monthly noon conference, clinical electives, community site visits, and a
quarterly newsletter. Noon conference: The core curriculum is structured
around a monthly noon conference series featuring health advocates from New
York City. Curriculum topics include refugee and immigrant health, substance
abuse, homelessness, women's health and reproductive rights, legal advocacy,
and health policy and systems. Speakers are invited from city agencies
including Bellevue Hospital, non-profit advocacy groups, and community based
organizations. In the future, the SJIG plans to organize dinner discussions
with speakers to encourage residents to network and discover career pathways
into advocacy. Clinical Elective: Bellevue Hospital is the designated
inpatient site for inmates requiring tertiary care in New York City's
correctional system. The residents' interest in correctional health led to a
collaboration between the departments of medicine and psychiatry to create a
2- week elective in which trainees work in a correctional health setting and
learn about the specific health needs of incarcerated individuals. Community
site visits: To emphasize the relationship between community and health, the
curriculum includes visits to community sites such as the Bellevue men's
shelter and Riker's Island correctional facility. Newsletter: Each quarter,
the SJIG distributes a newsletter that focuses on a core curricular topic
and includes relevant articles, topical think pieces, and an interview to
highlight a faculty member's advocacy work in this area. EVALUATION: The
impact of our curriculum will be assessed through pre- and postevent surveys
of the participants. The surveys will assess resident knowledge related to
learning objectives, attitudes towards physician advocacy, and perceived
impact on behaviors regarding patient care and choice of career path. In
order to foster a multidisciplinary environment, we will track attendance
from various specialties and work with other specialties to ensure that the
events are accessible to all. Finally, we will solicit feedback following
each event in order to improve the curriculum. DISCUSSION / REFLECTION /
LESSONS LEARNED: A curriculum addressing social determinants of health is a
vital component of residency programs that seek to provide high quality care
to vulnerable patients. This resident-led curricular intervention equips
residents with the knowledge and skills needed to address patients' social
needs and health barriers. It also offers opportunities for broader
physician advocacy. To date, the program has successfully connected
residents with physician-advocate role models and enhanced residents' agency
in improving the care for vulnerable patient groups. The SJIG's efforts to
integrate diverse disciplines, including medicine, policy, and research,
have also highlighted the multidisciplinary efforts required to address
community needs. Further, the SJIG's efforts to work with the city's largest
correctional health facility to create a new elective may be a successful
model for future community-based electives. Resident physician's discordant
schedules and limited protected time for planning curricular events have
been the main challenge to organizing the curriculum and engaging residents
in advocacy efforts. Support from faculty mentors in scheduling and
coordination across programs is essential to the success of the curriculum.
Finally, the safety-net hospital's history of physician advocacy and mission
to serve the city's most vulnerable patient populations provided a strong
basis on which to build our curriculum and speaker series.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
hospital
human
internal medicine
resident
social determinants of health
society
EMTREE MEDICAL INDEX TERMS
city
community
emergency medicine
environment
feedback system
female
gender
health
health care
health care facility
health care policy
homelessness
hospital patient
immigrant
immigration
interview
island (geological)
learning
male
model
organization
patient
patient care
physician
planning
policy
population
primary medical care
prison
prisoner
profit
psychiatry
public hospital
publication
refugee
religion
reproductive rights
safety net hospital
school
sexual orientation
skill
social justice
social needs
student
substance abuse
teacher
Tertiary (period)
tertiary health care
United States
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72289478
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 240
TITLE
Coordinating complex care-a high-risk residency clinic
AUTHOR NAMES
Davis R.
Lipschitz R.
AUTHOR ADDRESSES
(Davis R.; Lipschitz R.) Hospital of the University of Pennsylvania,
Philadelphia, United States.
CORRESPONDENCE ADDRESS
R. Davis, Hospital of the University of Pennsylvania, Philadelphia, United
States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S871-S872). Date
of Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
STATEMENT OF PROBLEM OR QUESTION (ONE SENTENCE): Within many Internal
Medicine resident clinics, high risk patients-those with multiple chronic
conditions, a high prevalence of behavioral health disorders, and
socioeconomic instability-may suffer worse health outcomes due to challenges
with resident continuity, inadequate longitudinal care planning and lack of
structured inter-disciplinary care teams. OBJECTIVES OF PROGRAM/INTERVENTION
(NO MORE THAN THREE OBJECTIVES): 1. Define the high-risk population within
an Internal Medicine resident clinic. 2. Utilize an inter-professional care
team to develop individualized patient care plans with an emphasis on risk
reduction through primary, secondary, and tertiary prevention strategies. 3.
Identify targeted health interventions for high-risk patients based on
unique social and medical needs and analyze the success of these
interventions over time. DESCRIPTION OF PROGRAM/INTERVENTION, INCLUDING
ORGANIZATIONAL CONTEXT (E.G. INPATIENT VS. OUTPATIENT, PRACTICE OR COMMUNITY
CHARACTERISTICS): The Penn Center for Primary Care (PCPC) has developed the
Coordinated Complex Care (C3) Clinic for high-risk patients as a novel
clinical innovation to expose residents to the needs of this patient
population, to utilize an inter-disciplinary team to develop integrated care
plans, and to offer targeted interventions to improve health outcomes. In
order to qualify as “high risk”, patients had to have two or more poorly
controlled chronic diseases (including diabetes mellitus, hypertension,
obesity, and COPD/asthma in an active smoker). In addition, patients must
have been seen in resident clinic within the past 12 months. Patients with
poorly controlled serious mental illness or active substance abuse were
excluded from the clinic. Over the course of 6 months, residents invited two
of their primary patients to participate in the C3 clinic. The “C3 Team”
includes the resident physician, a nurse practitioner, a social worker, a
clinical pharmacist, a community health worker (CHW), and an attending
physician. For each patient, there was a “pre-clinic huddle” during which
time the patient's overall health challenges were discussed and preliminary
goals were established. Following this, the resident physician had a 1-h
clinic visit with his/her patient. This visit was primarily focused on
understanding the patient's social determinants of health, evaluating
functional health/well-being (using the SF-12), and establishing a 6-month
goal to improve chronic disease. The CHW then spent an additional hour with
the patient, further evaluating social, cultural and economic barriers to
health. A “post-clinic huddle” allowed the entire C3 team to debrief,
discuss findings, and identify areas for risk reduction. “Next steps” were
established for each patient, which may include follow up clinic visits with
the NP, clinical pharmacist or PCP as well as home visits, phone calls, or
virtual visits. The CHW plays a crucial role in the clinic structure,
engaging with the patient weekly either in person or by phone. CHW visits
could incorporate anything that may help the patient achieve his/her health
goals, including walking/fitness, identifying community groups for
engagement, encouraging clinic follow up, or ensuring medications are
refilled. In addition to clinic meetings, the C3 team has monthly
discussions to evaluate patient progress. After development of the
longitudinal, multi-disciplinary care plan, high-risk patients were
reintegrated into the resident continuity clinic with more clearly defined
goals and expectations. MEASURES OF SUCCESS (DISCUSS QUALITATIVE AND/OR
QUANTITATIVE METRICS WHICH WILL BE USED TO EVALUATE PROGRAM/ INTERVENTION):
1. Improving control of previously uncontrolled chronic disease 2. Reducing
hospitalizations, readmissions, and emergency department visits 3. Improving
patient satisfaction and engagement within the resident continuity clinic
FINDINGS TO DATE (IT IS NOT SUFFICIENT TO STATE FINDINGS WILL BE DISCUSSED):
We were able to enroll two patients per resident into our C3 clinic. Each
patient has had a least one appointment in the clinic establishing care with
the C3 interdisciplinary team. Additionally, each patient has had a home
visit from the community health worker and weekly contact either by phone or
in person. The role of the CHW in identifying social barriers to care has
greatly impacted our approach to individualizing high-risk patient
management. We have found that for many in our high-risk population, social
obstacles have far outweighed the organic, diseased-based problems that our
patient's face. This knowledge has allowed us to tailor our care planning to
focus greater energy and resources on this facet of patient's overall plan.
Moreover, it provides a powerful framework for resident physicians to
establish appropriate goals for chronic disease management. KEY LESSONS FOR
DISSEMINATION (WHAT CAN OTHERS TAKE AWAY FOR IMPLEMENTATION TO THEIR
PRACTICE OR COMMUNITY?): Creating a multi-disciplinary primary care clinic
for high-risk patients can allow for improved care and patient buy-in based
on more fully assessed needs and appropriate goals setting. CHWs can be
valuable assets in the management of this population, especially as
high-risk social issues add to the complexity of chronic medical conditions.
Providing resident physicians with a structured framework for risk reduction
can improve both resident and patient engagement in chronic disease
management.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital
internal medicine
risk
society
EMTREE MEDICAL INDEX TERMS
chronic disease
community
diabetes mellitus
disease management
diseases
drug therapy
emergency ward
follow up
health
health auxiliary
high risk patient
high risk population
hospital patient
hospital readmission
hospitalization
human
hypertension
mental disease
nurse practitioner
obesity
patient
patient care
patient care planning
patient satisfaction
pharmacist
physician
planning
population
prevalence
primary medical care
professional practice
rehabilitation
resident
risk reduction
smoking
social determinants of health
social worker
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72289610
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 241
TITLE
Teaching tobacco cessation to large student cohorts through
train-the-trainers and problem based learning strategies
AUTHOR NAMES
Llambi L.
Barros M.
Parodi C.
Cora M.
Garces G.
AUTHOR ADDRESSES
(Llambi L.; Parodi C.) Tobacco Cessation Unit, Internal Medicine Department,
Clinics Hospital, Facultad de Medicina, Universidad de la República, Uruguay
(Barros M.) Department of Medical Psychology, Tobacco Cessation Unit,
Facultad de Medicina, Universidad de la República, Uruguay
(Cora M.; Garces G.) Department of Medical Education, Facultad de Medicina,
Universidad de la República, Uruguay
SOURCE
Education for health (Abingdon, England) (2016) 29:2 (89-94). Date of
Publication: 1 May 2016
ISSN
1469-5804 (electronic)
ABSTRACT
BACKGROUND: Smoking is a leading cause of preventable deaths worldwide.
Graduates of medical schools receive limited training on tobacco cessation
and are ill-equipped to treat tobacco dependence. In this paper, we describe
and present evidence from an educational intervention based on a
train-the-trainers model and problem-based learning strategy aimed to
educate a large number of first-year medical students on tobacco-related
issues.METHODS: A survey assessing students' knowledge, attitudes and
beliefs was conducted before and after educational intervention. Tobacco
experts from the faculty staff, who are trained problem-based learning
tutors, served as facilitators in the problem-based learning setting with
1000 medical students.RESULTS: Significant changes in knowledge and beliefs
were observed. Items such as need for further training in cessation,
importance, and effectiveness of brief advice showed significant variations
after the educational intervention.DISCUSSION: Educational intervention
based on a train-the-trainers and problem-based learning approaches are
feasible and effective to educate a large cohort of first-year medical
students in tobacco issues. Further research is needed to find out whether
this intervention improves overall patient care management.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
procedures
EMTREE MEDICAL INDEX TERMS
curriculum
epidemiology
female
human
male
medical education
medical school
problem based learning
questionnaire
smoking
smoking cessation
teacher training
Uruguay
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27549645 (http://www.ncbi.nlm.nih.gov/pubmed/27549645)
PUI
L617083233
DOI
10.4103/1357-6283.188726
FULL TEXT LINK
http://dx.doi.org/10.4103/1357-6283.188726
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 242
TITLE
Improving patient safety in chronic opioid therapy (COT) management in a
resident teaching and faculty primary care practice
AUTHOR NAMES
Le Comte J.
Ewen E.
Schenck S.
AUTHOR ADDRESSES
(Schenck S.) Christiana Care, Wilmington, United States.
(Le Comte J.) Christiana Care Health System, Wilmington, United States.
(Ewen E.) Christiana Care Health System, Newark, United States.
CORRESPONDENCE ADDRESS
J. Le Comte, Christiana Care Health System, Wilmington, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S891). Date of
Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
STATEMENT OF PROBLEM OR QUESTION (ONE SENTENCE): Primary care offices have
been reported to continue to increase the prescibing of opioid therapy yet
there is growing evidence that side effects of long term use especially of
high dose opioids are common and significant including accidental overdoses
and death. OBJECTIVES OF PROGRAM/INTERVENTION (NO MORE THAN THREE
OBJECTIVES): Describe processes to identify and evaluated high risk patients
using COT. Show how multidisciplinary teams can improve safety in a high
risk population. Describe opportunities for educating patients and
physicians in the management of COT. DESCRIPTION OF PROGRAM/INTERVENTION,
INCLUDING ORGANIZATIONAL CONTEXT (E.G. INPATIENT VS. OUTPATIENT, PRACTICE OR
COMMUNITY CHARACTERISTICS): In an outpatient resident teaching and faculty
practice, we implemented 5 interventions over 2 years including: (1) the
development of a COT registry to identify and track this population, (2) a
small group patient education series, (3) mandatory provider education on
pain management, (4) standardization of office procedures including risk and
functional assessments incorporated into our daily huddle, and (5) the
development of a multidisciplinary team for systematic case review to
develop written recommendations in order to achieve higher safety. MEASURES
OF SUCCESS (DISCUSS QUALITATIVE AND/OR QUANTITATIVE METRICS WHICH WILL BE
USED TO EVALUATE PROGRAM/ INTERVENTION): All demographic information,
clinical observations, and office visit activity were obtained from the
office electronic medical record. Chronic opioid use was defined as current
use and continuous prescribing by the primary care provider of any opioid
(excluding tramadol and propoxyphene) for 6 or more months during the study
year. COT patients managed outside of the primary care setting were excluded
from this analysis. Total number of patients on COT and patients on high
dose COT were identified for peer review. A reduction in the total number of
patients on COT and a dose reduction for patients on high dose COT were used
to measure success. Compliance with mandatory education modules was
monitored as well as patient participation in the education series. FINDINGS
TO DATE (IT IS NOT SUFFICIENT TO STATE FINDINGS WILL BE DISCUSSED):
Approximately 36 cases were reviewed in detail by the multi disciplinary
committee over 18months, 30 patients attended one of the 6 small group
education series over 22 months, and 69 % of attending physicians and 56 %
of resident physicians completed the COPE-REMS education modules. With this
substantial effort, our team was able to reduce the absolute number of COT
patients in our practice by 37%, to reduce the number of patients on high
dose COT by 21%, and reduce the average daily dose for the high dose
patients by 13%. KEY LESSONS FOR DISSEMINATION (WHAT CAN OTHERS TAKE AWAY
FOR IMPLEMENTATION TO THEIR PRACTICE OR COMMUNITY?): Peer case review is
probably the single most effective intervention in reducing use of high dose
COT, but is very time consuming and would benefit from the input of experts
in pain management. Informatics support is essential for success. We hope
with education of patients and providers, we will see less patients started
on opioids for any prolonged period and avoiding high dose opioid therapy
whenever possible thereby further improving the safety of our patients who
live with chronic pain.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
dextropropoxyphene
tramadol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
internal medicine
patient safety
primary medical care
society
teaching
therapy
EMTREE MEDICAL INDEX TERMS
ambulatory care
analgesia
chronic pain
clinical observation
death
drug dose reduction
drug megadose
education
electronic medical record
faculty practice
functional assessment
high risk patient
high risk population
hope
hospital patient
information science
intoxication
outpatient
patient
patient education
patient participation
peer review
physician
population
procedures
register
resident
risk
safety
side effect
standardization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72289642
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 243
TITLE
'It's been an experience, a life learning experience': Hospitalization as a
reachable moment for adults with substance use disorders
AUTHOR NAMES
Englander H.
Velez Klug C.
Korthuis P.T.
Bielavitz S.
Nicolaidis C.
AUTHOR ADDRESSES
(Englander H.; Korthuis P.T.; Nicolaidis C.) Oregon Health and Science
University, Portland, United States.
(Velez Klug C.; Bielavitz S.) Portland State University, Portland, United
States.
(Englander H.; Nicolaidis C.) Central City Concern, Portland, United States.
CORRESPONDENCE ADDRESS
H. Englander, Oregon Health and Science University, Portland, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S85). Date of
Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: People with substance use disorders (SUD) have high rates of
chronic illness, hospitalization and readmission. Frequently, people are
admitted with direct medical complications of their SUD. Despite this, many
are not engaged in addiction treatment. And though hospitalization addresses
acute medical illness, it often fails to address the underlying cause: the
SUD. Hospitalization may be a reachable moment to initiate and coordinate
addiction care. However, little is known about hospitalized patients'
perceptions of their SUD and the mechanisms that may support or impede
engagement and success in recovery. Our study explores the experiences of
hospitalized adults with SUD to inform future health system improvements.
METHODS: We conducted in-person interviews of hospitalized adults reporting
high-risk alcohol or drug use on the AUDIT-C and/or single item screener
between September 2014 and April 2015. This study was nested in a larger
needs assessment at a large academic medical center. We excluded non-English
speakers, incarcerated individuals, those who were too sick or confused to
participate, and those admitted to an ICU or psychiatric ward. We
interviewed all participants in their hospital room using a semi structured
interview guide. Audio recordings were transcribed, de-identified and
transferred to Atlas.ti (Version 7.5.9) for data analysis and retrieval. The
coding team-comprised of two general internists and one social
worker-conducted a thematic analysis using an inductive approach at the
semantic level. Using an iterative process, we selected a preliminary coding
schema, independently coded transcripts, and then met as a group or in dyads
to discuss and reconcile codes, identify emergent themes, and to resolve
discrepancies through consensus. All three coders coded the initial 7
transcripts and established a coding schema. One coder coded all
transcripts; the other two coders divided the remaining transcripts. We
employed a constructivist approach to data analysis in that we acknowledged
no one reality; people are experts on their own lives. RESULTS: Thirty-two
hospitalized adults participated in our study. Mean age was 43 years.
Seventy-five percent were male and 68 % identified as white. Participants
reported moderate to high-risk alcohol (56 %), amphetamine (56 %), and
opioid (56 %) use, indicating some polysubstance use across the sample. All
participants had health insurance. Participants described hospitalization as
a wake up call. One participant said, “I wish I didn't put myself in the
predicament of coming to the hospital so much. It's been an experience, a
life-learning experience. But then again, coming here so much has helped me
notice and realize-to wake up. It's time to stop doing' what I'm doing, to
get to the sober and clean path.” Many described near death experiences, and
that mortality was motivating for change. As one woman stated, “I knew it
was to that point where I almost died the other day and I have a 3 year old
little boy and it's not where I want to be.” Participants also described
that hospitalization interrupted drug use and allowed for fresh insight.
Despite hospitalization being a reachable moment and highly motivating for
change, participants described important barriers that impeded the
'opportunity' of the moment. Many described an overwhelming compulsion to
use. “My whole addiction to heroin, it's going to end up killing me, and I
still know that I'm going to go back out there and do it, and that's just so
(Figure Presented)∗ ∗d up...” Participants described physical pain, trauma,
life stressors, and poverty as significant barriers to recovery that are
unchanged by acute hospitalization. One participant who underwent medical
detoxification in the hospital and expressed strong desire to quit
reflected, “I almost see it like being futile...I have nowhere to go and
nothing.” Participants provided insight as to how healthcare providers and
health systems can best leverage a reachable moment. Many emphasized the
importance of choice: “when you tell me what to do, I'm a mule. I dig my
hooves in and I'm like uh-uh [shaking head], I make my own decisions. But if
I have somebody to talk to that could understand where I'm coming from,
yeah, I could see that helping people.” Some felt that being given a list of
resources (often with long wait times and limited access) without support
felt dismissive. She felt providers think: “give her the list of resources,
if she wants help she'll figure it out'...they feel it's useless to waste
their time when all I want is help.” Participants wanted providers that
understand SUD-in particular to treat withdrawal to prevent people from
leaving the hospital against medical advice and to provide access to
medication-assisted treatment. And many noted the importance caring,
non-judgmental staff. CONCLUSIONS: Our findings suggest that hospitalization
may be a reachable moment to initiate and coordinate addiction care.
Hospitalization is often a wakeup call that is highly motivating. While some
barriers such as poverty and trauma may be difficult to address through
acute hospitalization, providers and systems can better align to engage
patients. Systems can support a culture of non-judgment, train staff about
SUD, and provide patients with choice, including access to
medication-assisted treatment.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
diamorphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult
hospitalization
internal medicine
learning
society
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
audio recording
boy
chronic disease
compulsion
consensus
data analysis
death
decision making
detoxification
diseases
drug therapy
drug use
female
health care
health care personnel
health insurance
hoof and claw
hospital
hospital patient
hospital readmission
human
injury
internist
interview
male
mortality
needs assessment
pain
patient
poverty
psychiatric department
risk
semi structured interview
social worker
thematic analysis
university hospital
waste
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72288132
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 244
TITLE
Variations in opioid prescribing behavior by physician training
AUTHOR NAMES
Leventhal E.L.
Nathanson L.A.
Landry A.M.
AUTHOR ADDRESSES
(Leventhal E.L.; Nathanson L.A.; Landry A.M.) Beth Israel Deaconess Medical
Center, Harvard Medical School, Boston, United States.
CORRESPONDENCE ADDRESS
E.L. Leventhal, Beth Israel Deaconess Medical Center, Harvard Medical
School, Boston, United States.
SOURCE
Academic Emergency Medicine (2016) 23 SUPPL. 1 (S182). Date of Publication:
May 2016
CONFERENCE NAME
2016 Annual Meeting of the Society for Academic Emergency Medicine, SAEM
2016
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2016-05-10 to 2016-05-13
ISSN
1553-2712
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Background: EM physicians are often perceived to be the source of
over-prescription of opioid analgesic medications. Patients often turn to
the ED for treatment of a variety of painful conditions, many of whom are
discharged with analgesic prescriptions. Objectives: This study aimed to
determine which type of providers in the ED prescribe opioid prescriptions
in the largest quantities. We hypothesized that non-EM trained residents
would prescribe the largest quantity of opioids while EM attendings would
prescribe the smallest. Methods: We performed a retrospective chart review
of all patients discharged from the ED of a single tertiary care teaching
hospital, over one academic year (7/1/2014-6/30/2015). The charts of all
patients discharged with a prescription for opioid pain medications were
included in this study. The quantity of opioids prescribed was reported in
morphine milligram equivalent (MME) (median, IQR). Providers were grouped
based on training and position: EM attendings, EM trained residents, and
non- EM trained residents. Differences in prescribing quantities were tested
using Kruskal-Wallis test, and pairwise comparisons were made using the D
was s-Steel-Critchlow-Flinger procedure. Results: A total of 55,999 visits
were reviewed, of which 4,431 were discharged with a prescription for an
opioid medication. EM trained residents prescribed the least amount of
opioid pain medications per prescription (75 MME, IQR 60-113), while non-EM
trained resident providers prescribed the most (108 MME, IQR 75-150). EM
attendings (90 MME, IQR 75-120) prescribed less than the non-EM trained
resident providers, and more than EM trained residents. Conclusion: EM
providers, both residents and attendings, are less likely to prescribe large
quantities of opioid analgesic medications than non-EM trained providers in
the ED. EM attendings must be cognizant of prescribing patterns by residents
to ensure that the prescription of opioid analgesic medications are
appropriate.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
analgesic agent
morphine
narcotic analgesic agent
steel
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency medicine
human
physician
society
EMTREE MEDICAL INDEX TERMS
drug therapy
Kruskal Wallis test
medical record review
pain
patient
prescription
procedures
teaching hospital
tertiary health care
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72281120
DOI
10.1111/acem.12974
FULL TEXT LINK
http://dx.doi.org/10.1111/acem.12974
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 245
TITLE
Training in addictions among psychiatrists: Recent RANZCP initiatives
including entrustable professional activities in substance use comorbidity
AUTHOR NAMES
Cementon E.
Reilly J.
AUTHOR ADDRESSES
(Cementon E.; Reilly J.) Subcommittee for Advanced Training in Addiction
Psychiatry, Royal Australian and New Zealand College of Psychiatrists
(RANZCP), Melbourne, Australia.
CORRESPONDENCE ADDRESS
E. Cementon, Subcommittee for Advanced Training in Addiction Psychiatry,
Royal Australian and New Zealand College of Psychiatrists (RANZCP),
Melbourne, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2016) 50 Supplement 1
(53). Date of Publication: 1 May 2016
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2016
CONFERENCE LOCATION
Hong Kong, Hong Kong
CONFERENCE DATE
2016-05-08 to 2016-05-12
ISSN
1440-1614
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Background: Psychiatrists and general practitioners without actual clinical
experience in specialist addiction services can feel that they lack relevant
competencies. Objectives: To consider core requirements for psychiatrists in
substance use disorders (SUDs) and addictions and the Royal Australian and
New Zealand College of Psychiatrists' (RANZCP) recent development of related
entrustable professional activities (EPAs) relating to substance use.
Methods: Outline recent development of EPAs in substance use and addictions,
with particular emphasis on EPAs relating to co-morbid SUDs and other mental
and physical health problems developed by the Subcommittee of Advanced
Training in Addiction Psychiatry (SATADD);Consider possible strategies to
further develop capacity in addiction among psychiatrists and other mental
health clinicians. Findings and conclusions: The training developed for
basic and advanced trainees in addiction psychiatry may offer a template for
further improvements in the clinical care of people with SUDs co-morbid with
other mental health disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
comorbidity
psychiatrist
substance abuse
EMTREE MEDICAL INDEX TERMS
human
human experiment
mental health
physical disability
psychiatry
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L611636771
DOI
10.1177/0004867416640967
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867416640967
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 246
TITLE
Overview of advanced training certificate requirements and changes with the
2012 fellowship program
AUTHOR NAMES
Ward D.
Zurek J.
Price S.
Murphy M.
Parsons A.
Fung P.
AUTHOR ADDRESSES
(Ward D.) Royal North Shore Hospital, Sydney, Australia.
(Zurek J.) Tamworth Mental Health Service, Sydney, Australia.
(Price S.) Eastern Health, Melbourne, Australia.
(Murphy M.) St Vincent's Hospital, Sydney, Australia.
(Parsons A.) Justice Health, Sydney, Australia.
(Fung P.) UnitingCare Mental Health, Sydney, Australia.
CORRESPONDENCE ADDRESS
D. Ward, Royal North Shore Hospital, Sydney, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2016) 50 Supplement 1
(48-49). Date of Publication: 1 May 2016
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2016
CONFERENCE LOCATION
Hong Kong, Hong Kong
CONFERENCE DATE
2016-05-08 to 2016-05-12
ISSN
1440-1614
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Background: Advanced Training Certificates have long been a part of the
RANZCP pathway to fellowship. Following the completion of Basic Training,
trainees have a choice of completing Generalist Advanced Training, or
Advanced Training Certificates in Addiction, Adult, Child and Adolescent,
Consultation Liaison, Forensic, Old Age, or Psychotherapy. The transition to
the 2012 Fellowship Program has resulted in changes to each of the Advanced
Training Certificate requirements. Objectives: This symposium is an overview
of the current requirements for attainment of each RANZCP Advanced Training
Certificate. It will guide Trainees in their choice of Advanced Training and
Fellows who may wish to complete further training. Methods: Each Advanced
Trainee Certificate representative will describe ?a day in the life? of
doing advanced training and outline the key assessment requirements for the
2012 curriculum. The RANZCP Education Committee and a panel of psychiatrists
from the Subcommittee for Advanced Training will discuss the differences
between the 2003 and 2012 curriculum and the rationale for change. Findings:
The 2012 Fellowship Program Advanced Training Certificates will continue to
follow an apprenticeship model with a clinical focus along with requirements
ranging from formal courses to research projects. Conclusions: Advanced
Training Certificates are an important component of the RANZCP training
program for the development of subspecialty skills.
EMTREE MEDICAL INDEX TERMS
curriculum
education
human
human experiment
mental capacity
model
psychiatrist
skill
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L611637109
DOI
10.1177/0004867416640967
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867416640967
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 247
TITLE
Frequency of smoking cessation counseling and smoking cessation discharge
instructions in the emergency department
AUTHOR NAMES
Phelan M.
Eikhoff N.
Chamberlin J.
Hustey F.
Meldon S.
AUTHOR ADDRESSES
(Phelan M.; Chamberlin J.; Hustey F.; Meldon S.) Cleveland Clinic,
Cleveland, United States.
(Eikhoff N.) Case Western Reserve University, Metro Health Cleveland Clinic,
Cleveland, United States.
CORRESPONDENCE ADDRESS
M. Phelan, Cleveland Clinic, Cleveland, United States.
SOURCE
Academic Emergency Medicine (2016) 23 SUPPL. 1 (S200). Date of Publication:
May 2016
CONFERENCE NAME
2016 Annual Meeting of the Society for Academic Emergency Medicine, SAEM
2016
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2016-05-10 to 2016-05-13
ISSN
1553-2712
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Background: Tobacco dependence is the leading cause of preventable death and
disease in the U.S., and tobacco use is common among emergency department
(ED) patients. Population health management of at-risk populations is
increasingly becoming an important area for healthcare systems and their
providers to address. Moreover, the Patient Protection and Affordable Care
Act mandates Medicaid coverage of smoking cessation medication, and there
are billable codes for brief smoking cessation counseling (3 minutes) that
can be done in the ED setting. Good evidence exists that education and
intervention by physicians is effective, even in the ED setting. However,
smoking cessation counseling and discharge instructions about smoking in the
ED setting are often underutilized. Objectives: Our objective is to
determine the proportion of emergency department patients who report current
smoking of tobacco cigarettes that were counseled to quit or received
smoking cessation instructions in their ED discharge instructions. Methods:
This was a retrospective chart review of a random sample of ED visits
occurring between March 1, 2014 and April 30, 2014. The ED was part of an
urban tertiary care center with approximately 70,000 patient visits per year
and an affiliated EM residency program. Charts were randomly selected using
Microsoft Excel randomization feature. Trained reviewers utilized a
standardized chart abstraction tool built into an Excel spreadsheet. Charts
were reviewed for evidence of current tobacco smoking (history of present
illness and social history), any documentation of counseling while in the ED
regarding tobacco abuse, and discharge instruction information regarding
hazards of smoking and/or information regarding smoking cessation.
Proportions with 95% confidence intervals are reported. Results: There were
8,997 total ED visits during the study period of which 600 charts were
randomly selected for inclusion. 71.3% (428/600) (CI: 0.6759-0.7481) denied
current tobacco smoking, while 28.7% (172/ 600)(CI: 0.2519-0.3241) reported
current tobacco use. Only 4/172 (2.3%) (CI 0.0091-0.0583) patients who
reported tobacco smoking received documented smoking cessation counseling,
2/172 (1.16%)(CI 0.0032- 0.0414) of which were provided smoking cessation
information in the ED discharge instructions. Conclusion: Emergency medicine
providers have a low rate of documented discussions regarding tobacco
cessation with their patients, and these patients are rarely given discharge
instructions about smoking cessation. These results suggest that we are
missing an important opportunity to improve public health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
emergency medicine
emergency ward
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
confidence interval
death
diseases
documentation
drug therapy
education
hazard
health care management
health care policy
health care system
human
medicaid
medical record review
patient
physician
population
public health
random sample
randomization
risk
smoking
tertiary care center
tobacco
tobacco dependence
tobacco use
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72281169
DOI
10.1111/acem.12974
FULL TEXT LINK
http://dx.doi.org/10.1111/acem.12974
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 248
TITLE
EFfectiveness of an intervention to teach physicians how to assist patients
to quit smoking in Argentina
AUTHOR NAMES
Mejia R.
Stable E.J.P.
Kaplan C.P.
Gregorich S.E.
Livaudais-Toman J.
Peña L.
Alderete M.
Schoj V.
Alderete E.
AUTHOR ADDRESSES
(Mejia R.; Peña L.) Department of Medicine, Centro de Estudios de Estado y
Sociedad (CEDES), Argentina, Buenos Aires, Argentina.
(Mejia R.) Department of Medicine, Program in General Internal Medicine,
Universidad de Buenos Aires, Buenos Aires, Argentina.
(Stable E.J.P., eliseops@medicine.ucsf.edu; Kaplan C.P.; Gregorich S.E.;
Livaudais-Toman J.) Division of General Internal Medicine, Department of
Medicine, Medical Effectiveness Research Center for Diverse Populations,
UCSF, San Francisco, United States.
(Alderete M.; Schoj V.) Fundacion Interamericana del Corazón Argentina,
Buenos Aires, Argentina.
(Alderete M.; Alderete E.) Consejo Nacional de Investigaciones Científicas y
Técnicas (CONICET), Universidad Nacional de Jujuy, Jujuy, Argentina.
CORRESPONDENCE ADDRESS
E.J.P. Stable, Division of General Internal Medicine, Department of
Medicine, Medical Effectiveness Research Center for Diverse Populations,
University of California, San Francisco, 3333 California Street, San
Francisco, United States. Email: eliseops@medicine.ucsf.edu
SOURCE
Nicotine and Tobacco Research (2016) 18:5 (1101-1109) Article Number:
ntv172. Date of Publication: 1 May 2016
ISSN
1469-994X (electronic)
1462-2203
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
ABSTRACT
Introduction: We evaluated an intervention to teach physicians how to help
their smoking patients quit compared to usual care in Argentina. Methods:
Physicians were recruited from six clinical systems and randomized to
intervention (didactic curriculum in two 3-hour sessions) or usual care.
Smoking patients who saw participating physicians within 30 days of the
intervention (index clinical visit) were randomly sampled and interviewed by
telephone with follow-up surveys at months 6 and 12 after the index clinical
visit. Outcomes were tobacco abstinence (main), quit attempt in the past
month, use of medications to quit smoking, and cigarettes per day. Repeated
measures on the same participants were accommodated via generalized linear
mixed models. Results: Two hundred fifty-four physicians were randomized;
average age 44.5 years, 53% women and 12% smoked. Of 1378 smoking patients
surveyed, 81% were women and 45% had more than 12 years of education. At 1
month, most patients (77%) reported daily smoking, 20% smoked some days and
3% had quit. Mean cigarettes smoked per day was 12.9 (SD = 8.8) and 49% were
ready to quit within the year. Intention-to-treat analyses did not show
significant group differences in quit rates at 12 months when assuming
outcome response was missing at random (23% vs. 24.1%, P = .435). Using
missing=smoking imputation rule, quit rates were not different at 12 months
(15.6% vs. 16.4% P = .729). Motivated smokers were more likely to quit at 6
months (17.7% vs. 9.6%, P = .03). Conclusions: Training in tobacco cessation
for physicians did not improve abstinence among their unselected smoking
patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical effectiveness
doctor patient relation
health education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
age distribution
aged
Argentina
article
cigarette per day
comparative study
controlled study
curriculum
didactic curriculum
drug use
educational status
evidence based medicine
female
follow up
health care concepts
human
index clinical visit
intention to treat analysis
major clinical study
male
middle aged
motivation
outcome assessment
parameters
patient care
priority journal
randomized controlled trial
self report
sex ratio
smoking habit
telephone interview
usual care
young adult
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160352182
MEDLINE PMID
26175459 (http://www.ncbi.nlm.nih.gov/pubmed/26175459)
PUI
L610255259
DOI
10.1093/ntr/ntv153
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/ntv153
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 249
TITLE
Preconceptional awareness of tobacco and ethanol use among disadvantaged
women in the dominican republic basedon educational level and source of
medical information
AUTHOR NAMES
Bertot W.J.
Walker E.M.
Rabaza C.
Wyckoff E.T.
Esmurdoc L.
Egerman R.S.
AUTHOR ADDRESSES
(Bertot W.J.; Walker E.M.; Rabaza C.; Wyckoff E.T.; Egerman R.S.) University
of Florida, Gainesville, United States.
(Esmurdoc L.) Universidad Católica Nordestana (UCNE), San Francisco de
Macorís, Dominican Republic.
CORRESPONDENCE ADDRESS
W.J. Bertot, University of Florida, Gainesville, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S350). Date of
Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: Medical schools are increasingly promoting initiatives in global
health and firsthand experience through medical mission trips. Medical
missions have the potential for benefitting patients if performed
responsibly and in a culturally relevant manner. As a means to assess public
health needs and to determine appropriate future emphasis, our purpose was
to assess baseline knowledge of preconceptional hazards of alcohol and
tobacco use among underserved women of child bearing age in theDominican
Republic. METHODS: We recruited patients seeking care at the Universidad
Catolica Nordestena (UCNE) /University of Florida (UF) medical mission in
San Francisco de Macoris in the Dominican Republic. Female subjects between
the ages of 18 and 50 gave verbal consent to participate in the study. The
patients' baseline preconceptional knowledge of smoking and ethanol use was
assessed. Women were stratified based on educational level (less than 5th
grade education, 5th to 8th grade education, high school or university
education) as well as the primary source of their medical information
(family and friends, newspapers and books, TV and radio, or health care
professionals). Comparisons between groups were made using Chi square test
(with significance defined as p < 0.05). RESULTS: Seventy three women
participated with educational levels: < 5th grade (n = 13), 5th to 8th grade
(n = 24), high school (n = 22) and university experience (n = 14). There we
no significant differences between the educational level groups and the
primary resources for obtaining medical information (p = 0.15). Most women
received medical information through a healthcare professional (53/73 or
72.6 %). One woman in the lowest educational level did not cite a source and
another in the 5th to 8th grade educational bracket used the internet as her
source. Awareness of the hazards of periconceptional tobacco and ethanol use
was present among 97.3 and 98.6 %, respectively, of the entire group.
CONCLUSIONS: Regardless educational level, underserved Dominican women are
knowledgeable regarding the hazards of tobacco and ethanol use during
pregnancy. Although not studied, local public health initiatives are
seemingly effective in this regard. Alternative aspects of preventative care
should be considered for emphasis in this population including
periconceptional vitamin supplementation to reduce infant birth defects and
awareness of preeclampsia symptoms to reduce maternal mortality.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE DRUG INDEX TERMS
nitrogen 13
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Dominican Republic
female
human
internal medicine
medical information
society
tobacco
EMTREE MEDICAL INDEX TERMS
chi square test
congenital malformation
Dominican (Dominican Republic)
education
friend
hazard
health
health care personnel
high school
infant
Internet
maternal mortality
medical school
patient
population
preeclampsia
pregnancy
public health
publication
smoking
telecommunication
tobacco use
United States
university
vitamin supplementation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72288611
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 250
TITLE
Understanding needs and engaging community partners to developa
hospital-based improving addiction careteam (IMPACT)
AUTHOR NAMES
Englander H.
Klug C.V.
Solotaroff R.
Weimer M.B.
Noice A.
Hartnett T.
Blackburn E.
Nicolaidis C.
Barnes P.
Bielavitz S.
Chan B.
Michalczyk C.
Korthuis P.T.
AUTHOR ADDRESSES
(Englander H.; Weimer M.B.; Nicolaidis C.; Bielavitz S.; Chan B.; Korthuis
P.T.) Oregon Health and Science University, Portland, United States.
(Klug C.V.; Nicolaidis C.) Portland State University, Portland, United
States.
(Englander H.; Solotaroff R.; Blackburn E.) Central City Concern, Portland,
United States.
(Weimer M.B.; Noice A.; Hartnett T.) CODA Inc., Portland, United States.
(Barnes P.) OHSU, Portland, United States.
(Michalczyk C.) Coram Infusion Services, Portland, United States.
CORRESPONDENCE ADDRESS
H. Englander, Oregon Health and Science University, Portland, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S446-S447). Date
of Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: Addiction is a growing national epidemic that represents a
pressing need and significant burden to the healthcare system. People with
substance use disorders (SUD) have high rates of hospitalization and
readmission, often for medical complications of SUD. Despite this, most
receive no addiction care during or after hospitalization. Models for
hospital-based and post-discharge SUD care for medically complex patients
are limited and face tremendous implementation barriers. We aimed to
understand the needs of hospitalized adults with SUD and use findings to
engage community partners to develop regional SUD improvements. METHODS: We
conducted a survey of consecutive hospitalized adults at a large academic
medical center who reported high-risk alcohol or any drug use (per the
AUDIT-C and a single item drug screener). We excluded people reporting only
marijuana and/or tobacco. We assessed social and demographic factors,
healthcare utilization, substance use severity, and experience and interest
in treatment for those with moderate to high-risk use on the ASSIST. We then
convened a task force of leaders and front line staff from hospital,
community health, and addiction agencies to develop regional improvements in
SUD care. Our task force met over a series of three large group and many
small group meetings to develop the Improving Addiction Care Team (IMPACT)
intervention. RESULTS: We enrolled 185 participants from September 2014 to
April 2015. Participants had a mean age of 44, were predominantly male (73
%), and identified as white (78 %), Native American (7 %) or black (3 %).
Fifty-two percent reported homelessness and 48 %had at least some college.
Seventy-three percent had Medicaid, 13 % Medicare, and one (0.5 %) was
uninsured. Participants hadmoderate or high risk alcohol (44%),
methamphetamine (40%), and opioid (39 %) SUD. Fifty-four percent reported
hospitalization, 63 % ED use in the prior 6months. Among those reporting
substance use in the last 3months, 58%of alcohol users and 67 % of drug
users reported interest in cutting back or quitting. Among out-of-treatment
opioid users, 44.7 % reported high interest in medication-assisted treatment
(MAT). Participants - especially those with endocarditis and osteomyelitis -
had longer than expected hospital lengthsof- stay (Figure). Our task force
used needs assessment findings and evidence from the literature to inform
program development. Our diverse team brought unique perspectives and
innovative solutions. Because many participants wanted to cut back or quit
and expressed strong interest in MAT; and because community partners
emphasized peers as key to engagement, our inpatient consult team includes
an addiction-trained physician, social worker, and peers. Because gap time
limits access to addiction care after discharge and because patients
struggle to navigate a complex system, community partners suggested bringing
their staff into the hospital to do intakes and facilitate rapid-access
paths to care. And, learning that some patients stay in hospital for weeks
to receive intravenous (IV) antibiotics for social - not medical - risk
without addiction treatment, community partners suggested delivering IV
antibiotics in a residential addiction setting. To do this, they would need
support of infectious disease specialists, more highly trained nurses,
funding for daily infusion therapy, and added support to for MAT in
residential. Thus, we contracted with an infusion pharmacy, secured funding
for daily infusions, and staffed our model to support complex care needs.
Collectively, we developed IMPACT that includes: 1) a hospital-based
addiction consult team comprised of a physician, addiction social worker,
and peer mentors; 2) rapid-access pathways to community addiction care; and
3) community-based residential addiction care with integrated IV antibiotic
capacity. We used utilization data to support a business case and secured
hospital and Managed Medicaid Care funding. Since July 2015, we have served
over 100 patients, and referred over 65 % to community addiction care.
CONCLUSIONS: Our findings support that hospitalization may be a reachable
moment to initiate and coordinate addiction care across a care continuum.
Community and hospital partners can develop innovative care models that
integrate care across hospital and community, physical and behavioral health
settings. Future studies explore feasibility, acceptability, and effect on
SUD, physical health, and utilization outcomes. Our experience may be
relevant to other health systems facing similar challenges. (Figure
Presented).
EMTREE DRUG INDEX TERMS
alcohol
antibiotic agent
cannabis
methamphetamine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
community
hospital
internal medicine
society
EMTREE MEDICAL INDEX TERMS
adult
American Indian
college
commercial phenomena
drug therapy
drug use
endocarditis
epidemic
funding
health
health care
health care system
health care utilization
homelessness
hospital patient
hospital readmission
hospitalization
human
infection
infusion
learning
male
medicaid
medical specialist
medically uninsured
medicare
model
needs assessment
nurse
osteomyelitis
patient
pharmacy
physician
program development
public health
risk
social worker
substance abuse
substance use
teacher
tobacco
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72288793
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 251
TITLE
Publication rates following presentation at the 2009 national SGIM
conference
AUTHOR NAMES
Egloff H.M.
West C.P.
Wang A.T.
Lowe K.M.
Varayil J.E.
Beckman T.J.
Sawatsky A.P.
AUTHOR ADDRESSES
(Wang A.T.) Harbor-UCLA Medical Center, Torrance, United States.
(Egloff H.M.; West C.P.; Lowe K.M.; Varayil J.E.; Beckman T.J.; Sawatsky
A.P.) Mayo Clinic, Rochester, United States.
CORRESPONDENCE ADDRESS
H.M. Egloff, Mayo Clinic, Rochester, United States.
SOURCE
Journal of General Internal Medicine (2016) 31:2 SUPPL. 1 (S376-S377). Date
of Publication: May 2016
CONFERENCE NAME
39th Annual Meeting of the Society of General Internal Medicine, SGIM 2016
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1525-1497
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: Current publication rates of medical literature suggest many
abstracts initially accepted at national meetings are never subsequently
published. Publication rates have been previously investigated in medical
and surgical subspecialties, with reported rates ranging from 32 to 77 %.
The factors influencing publication, as well as the attributes of studies
which are subsequently published, remain unclear. To date, there have only
been 2 studies examining publication rates for abstracts from general
medicine conferences, both of which were studies outside of the U.S. The
primary aim of this study was to determine subsequent publication rates of
abstracts accepted at a general internal medicine national conference. The
secondary aim was to identify factors associated with publication. METHODS:
We reviewed all abstracts accepted to the 2009 SGIM national conference,
excluding clinical vignettes. We determined subsequent full publication by
searching title and author in the MEDLINE database. Research was considered
published if we identified a full-length manuscript using this search
strategy. The title, methods, and results of the published article were
compared to the original abstract to confirm corresponding publication. Data
were extracted, including: title, authors, institution, research category,
number of study sites, sample size, study design, statistical significance
(CI and p value) in abstract and final publication, journal of publication,
publication date, and journal impact factor. Multiple logistic regression
was applied to evaluate multivariable models of factors associated with
publication, with a significance threshold set at p < 0.05. RESULTS: Five
hundred seventy-eight abstracts were analyzed. Overall 274 (47.4 %) of
abstracts were subsequently published as a full manuscript in a
peer-reviewed journal. In multivariable analyses, publication rates were
higher for multicenter studies than single institutions (52.4 vs. 40.4 %, OR
1.66, p = 0.04). Randomized controlled trials had higher publication rates
than systematic reviews/meta-analyses or observational studies (66.7 vs.
50.0 vs. 45.9 %, p = 0.03). Abstract topics including Medical Education,
Aging/Geriatrics, and Mental Health/Substance Abuse were most likely to be
published (OR 5.05, 3.31, 4.16, respectively, p = 0.01). Systematic
reviews/Meta-analyses were associated with a higher impact factor (8.2)
compared to randomized controlled trials (3.9). The publication rates did
not statistically differ between academic and community-based centers (48.4
vs. 25.0 %, p = 0.051). Positive result studies also did not portend higher
publication rates than negative studies (OR 0.89, CI 0.6-1.31, p = 0.21).
Cancer research was associated with the highest median impact factor among
topics (IF = 19). The median impact factor of positive result abstracts
versus negative results was not statistically different (3.3 vs. 2.8, p =
0.05). CONCLUSIONS: This study demonstrated that 47.4 % of abstracts
presented at a general internal medicine national conference were
subsequently published in a peer-reviewed journal, consistent with the
median publication rates cited in a major Cochrane review (44.5 %).
Publications across a wide array of topics speak to the diversity of
publication among general internists. This study did not demonstrate
publication bias in contrast to prior studies in subspecialty literature,
which may be a reflection of the diversity of research represented at the
conference.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internal medicine
society
EMTREE MEDICAL INDEX TERMS
abuse
cancer research
community
data base
general practice
human
internist
journal impact factor
medical education
medical literature
model
multicenter study (topic)
multivariate logistic regression analysis
observational study
publication
publishing
randomized controlled trial (topic)
sample size
statistical significance
study design
United States
vignette
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72288658
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 252
TITLE
Considerations of prescription opioid abuse and misuse among older adults in
West Virginia--An Under-Recognized Population at Risk
AUTHOR NAMES
Grey C.
Hall P.B.
AUTHOR ADDRESSES
(Grey C.; Hall P.B.)
SOURCE
The West Virginia medical journal (2016) 112:3 (42-47). Date of Publication:
1 May 2016
ISSN
0043-3284
ABSTRACT
Opioid abuse, misuse and overdose is now a public health epidemic receiving
political, medical, and media attention at all levels. Despite the fact that
many people know someone suffering from addiction, there is very little
research focusing on this issue in older adults. Chronic pain, a highly
prevalent affliction for the aging population, has been accompanied by a
significant increase in opioid use. This, along with some unique aspects of
older adults (increased susceptibility to illness, higher likelihood of
altered presentation of illness, and impaired recovery), means that great
care needs to be taken when considering opioids for treatment. Prudent
prescribing is possible, but universal precautions should be taken to reduce
the risk of opioid abuse, misuse, and addiction. This review provides
education, summarizes current literature, and gives guidance in universal
precautions for prescribing opioids.
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS
age distribution
aged
chronic pain (drug therapy)
depression (epidemiology)
drug overdose (epidemiology)
human
mass screening
medication compliance
opiate addiction (epidemiology)
risk assessment
West Virginia
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27301154 (http://www.ncbi.nlm.nih.gov/pubmed/27301154)
PUI
L611351040
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 253
TITLE
Opioid induced constipation: Can medical education improve knowledge and
competence of physicians?
AUTHOR NAMES
Lubarda J.
Hughes S.
Chatterjee P.
AUTHOR ADDRESSES
(Lubarda J.; Hughes S.; Chatterjee P.)
CORRESPONDENCE ADDRESS
J. Lubarda,
SOURCE
Gastroenterology (2016) 150:4 SUPPL. 1 (S846). Date of Publication: April
2016
CONFERENCE NAME
Digestive Disease Week 2016, DDW 2016
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2016-05-21 to 2016-05-24
ISSN
0016-5085
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
Objectives: Opioid induced constipation (OIC) is a common adverse effect of
opiates, affecting 35% to 70% of patients, and significantly impacting
quality of life. Due to the extensive burden of OIC, physicians require
guidance on patient assessment and education on pathophysiology and
treatment options. This study assessed whether online continuing medical
education (CME) in a 5000-word interactive review article format can impact
knowledge/competence of primary care physicians (PCPs) and neurologists
managing OIC. Methods: An online survey was used to assess the educational
effect of the CME program focused on OIC management, by comparing each
participant's responses to 4 identical preand post-CME assessment questions.
A paired 2-tailed t-test was used to assess whether the mean post-assessment
score was different from the mean pre-assessment score. McNemar's
chi-squared statistic was used to determine statistical significance. The
effect of education was calculated using Cramer's V to determine the change
in proportion of participants who answered questions correctly from pre- to
post- assessment. Survey data were collected from July 31 to September 16,
2015. Results: Data were collected for 906 PCPs and 59 neurologists who
participated in the CME activity and answered all pre- and post-assessment
questions during the study period. PCPs demonstrated statistically
significant improvements in knowledge/ competence (n=906; P<.05; V=0.24;
medium educational effect). While only 11% answered 3 or more questions
correctly on pre-CME assessment, this improved to 48% on post-CME
assessment. Neurologists demonstrated statistically significant improvements
in knowledge/competence (n=59; P<.05; V=0.21; medium educational effect).
While only 12% of neurologists answered 3 or more questions correctly on
pre-CME assessment, this improved to 46% post-CME assessment. The greatest
improvements occurred in physicians' ability to recognize that risk of OIC
can be lowered with the addition of a stimulant laxative and stool softener
(35% increase in PCP learners and 25% increase in neurologist learners,
P<.05), ability to select the Bowel Function Index (BFI) for evaluating
patients at risk of OIC (33% increase in PCP learners and 42% increase in
neurologist learners, P<.05), and understanding of mechanisms of emerging
therapies for OIC (29% increase in PCP learners and 25% increase in
neurologist learners, P<.05). Conclusions: The high risk and subsequent
burden of OIC necessitates that physicians stay up to date on preventative
measures, assessment, and selection of pharmacologic agents. CME in the form
of an interactive review article on OIC led to improvements in
clinically-relevant knowledge/competence of PCPs and neurologists managing
OIC, and may provide a suitable venue for maintaining essential skills for
detection and management of OIC.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
laxative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
competence
constipation
gastrointestinal disease
human
medical education
physician
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
education
general practitioner
intestine function
neurologist
pathophysiology
patient
patient assessment
quality of life
risk
skill
statistical significance
Student t test
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72271930
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 254
TITLE
Residents' experience of screening, brief intervention, and referral to
treatment (SBIRT) as a clinical tool following practical application: A
mixed-methods study
AUTHOR NAMES
Clemence A.J.
Balkoski V.I.
Lee M.
Poston J.
Schaefer B.M.
Maisonneuve I.M.
Bromley N.
Lukowitsky M.
Pieterse P.
Antonikowski A.
Hamilton C.J.
Hall S.
Glick S.D.
AUTHOR ADDRESSES
(Clemence A.J.; Balkoski V.I.; Lee M.; Poston J.; Schaefer B.M.; Bromley N.;
Lukowitsky M.; Pieterse P.; Hamilton C.J.; Hall S.) a Department of
Psychiatry , Albany Medical College , Albany , New York , USA
(Maisonneuve I.M.; Glick S.D.) b Center for Neuropharmacology and
Neuroscience, Albany Medical College , Albany , New York , USA
(Antonikowski A.) c Department of Pediatrics , Albany Medical College ,
Albany , New York , USA
SOURCE
Substance abuse (2016) 37:2 (306-314). Date of Publication: 1 Apr 2016
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Screening, brief intervention, and referral to treatment
(SBIRT), an evidence-based validated system for providing early detection
and brief treatment of substance use disorders, has been widely used in the
training of medical residents across specialties at a number of sites. This
article investigates the effectiveness of SBIRT training during short-term
follow-up at Albany Medical Center, one of the initial Substance Abuse and
Mental Health Services Administration (SAMHSA) grantees.METHODS: Training
outcomes were measured by training satisfaction following opportunities to
apply SBIRT skills in clinical work, the rate at which these techniques were
applied in clinical work, and the degree to which residents felt that the
SBIRT training provided skills that were applicable to their practice. We
examined differences in learning experience by postgraduate year and by
program, and conducted a qualitative analysis in a convergent parallel
mixed-methods design to elucidate barriers encountered by residents upon
using SBIRT techniques in clinical practice.RESULTS: Residents remained
highly satisfied with the training at 4-month follow-up, with 80.1%
reporting that they had used SBIRT skills in their clinical work. Use of
SBIRT techniques was high at 6-month follow-up as well, with 85.9% of
residents reporting that they regularly screened their patients for
substance use, 74.4% reporting that they had applied brief intervention
techniques, and 78.2% indicating that SBIRT training had made them overall
more effective in helping patients with substance use issues. Differences in
application rates and satisfaction were found by specialty. Qualitative
analyses indicated that residents encountered patient readiness and specific
contextual factors, such as time constraints, externally imposed values, and
clinical norms, as barriers to implementation.CONCLUSIONS: Despite
encountering obstacles such as time constraints and patient readiness,
residents utilized many of the skills they had learned during SBIRT training
in clinical practice and reported finding these skills useful in their
management of patients with substance use issues.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient referral
procedures
statistics and numerical data
substance abuse
EMTREE MEDICAL INDEX TERMS
clinical competence
drug dependence (diagnosis, therapy)
health personnel attitude
human
medical education
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26176589 (http://www.ncbi.nlm.nih.gov/pubmed/26176589)
PUI
L620153132
DOI
10.1080/08897077.2015.1064850
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2015.1064850
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 255
TITLE
Multispecialty screening, brief intervention, and referral to treatment
(SBIRT) training in an academic medical center: Resident training experience
across specialties
AUTHOR NAMES
Clemence A.J.
Balkoski V.I.
Schaefer B.M.
Lee M.
Bromley N.
Maisonneuve I.M.
Hamilton C.J.
Lukowitsky M.R.
Poston J.
Hall S.
Pieterse P.
Antonikowski A.
Glick S.D.
AUTHOR ADDRESSES
(Clemence A.J.; Balkoski V.I.; Schaefer B.M.; Lee M.; Bromley N.; Hamilton
C.J.; Lukowitsky M.R.; Poston J.; Hall S.; Pieterse P.) a Department of
Psychiatry , Albany Medical College , Albany , New York , USA
(Maisonneuve I.M.; Glick S.D.) b Center for Neuropharmacology and
Neuroscience, Albany Medical College , Albany , New York , USA
(Antonikowski A.) c Department of Pediatrics , Albany Medical College ,
Albany , New York , USA
SOURCE
Substance abuse (2016) 37:2 (356-363). Date of Publication: 1 Apr 2016
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: The Substance Abuse and Mental Health Services Administration
(SAMHSA) has recently begun to fund programs that train medical residents on
how to utilize an evidence-based validated system known as screening, brief
intervention, and referral to treatment (SBIRT) for providing early
detection and brief treatment of unhealthy substance use. This paper
investigates training outcomes of multispecialty SBIRT training at one such
program at Albany Medical Center (AMC), one of the initial SAMHSA
grantees.METHODS: Training outcomes were measured across 3 domains of
learning: trainee satisfaction, acquired knowledge, and perceived
usefulness. The authors explored differences in learning experience by
postgraduate year and by specialty.RESULTS: Overall, residents were highly
satisfied with the training, and learning outcomes met objectives.
Residents' ratings of usefulness did not vary by program year. However, the
results indicate that relative to residents in other programs, residents in
psychiatry and pediatrics found the training components significantly more
useful, whereas emergency medicine residents found training components to
have less utility. Residents who found the training relevant to their daily
work were more satisfied and more receptive to SBIRT training overall, which
may help explain difference scores by program.CONCLUSIONS: Residents were
highly satisfied with SBIRT skills training, although ratings of usefulness
varied by residency program. Specialization by program and on-site modeling
by senior faculty may enhance trainee satisfaction and perceived usefulness.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient referral
procedures
university hospital
EMTREE MEDICAL INDEX TERMS
clinical competence
curriculum
drug dependence (diagnosis, therapy)
education
female
human
male
medical education
medicine
program evaluation
short term psychotherapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26308425 (http://www.ncbi.nlm.nih.gov/pubmed/26308425)
PUI
L620155243
DOI
10.1080/08897077.2015.1082953
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2015.1082953
COPYRIGHT
Copyright 2018 Medline is the source for the citation and abstract of this
record.
RECORD 256
TITLE
Levorphanol, another choice in opioid rotation
AUTHOR NAMES
Nalamachu S.
Gudin J.
AUTHOR ADDRESSES
(Nalamachu S.; Gudin J.) Kansas Asthma and Allergy, Kansas City, United
States.
CORRESPONDENCE ADDRESS
S. Nalamachu, Kansas Asthma and Allergy, Kansas City, United States.
SOURCE
Journal of Pain (2016) 17:4 SUPPL. 1 (S14). Date of Publication: April 2016
CONFERENCE NAME
35th Annual Scientific Meeting of the American Pain Society
CONFERENCE LOCATION
Austin, TX, United States
CONFERENCE DATE
2016-05-11 to 2016-05-14
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
Levorphanol is a potent opioid analgesic that has been available since 1953.
It is approved for use in moderate to severe pain where an opioid is
appropriate. Its unique activity profile includes m, d, k1, and k3 opioid
receptor agonism, N-methyl-D-aspartate receptor antagonism, and reuptake
inhibition of both norepinephrine and serotonin. Levorphanol has a longer
half-life (11 to 16 hours) than many opioids and is metabolized by
glucuronidation followed by renal excretion. Because of its relatively long
half-life, dose adjustments are recommended to be at least 72 hours apart.
Despite possessing many favorable properties, levorphanol has become the
“Forgotten Opioid”, with its use largely supplanted by other, more recently
approved opioids. With its activities on multiple receptors, levorphanol has
the potential for treating diverse conditions including nociceptive, central
and neuropathic pain. Further, it has been reported to help patients who
have pain syndromes that are refractory to other opioids. Levorphanol is
well-suited as a firstline analgesic and can have a role in opioid rotation.
Levorphanol has no known drug-drug interactions involving hepatic cytochrome
P450 enzymes or effects on the cardiac QT interval. With these positive
attributes, levorphanol may offer a superior safety profile over other
opioids including methadone. Since levorphanol is 4 to 8 times as potent as
morphine, when switching to levorphanol the recommended starting daily dose
is 1/15 to 1/12 of the daily morphine dose (this includes a reduction for
incomplete cross-tolerance). The dose should be individualized for the
patient, taking into consideration factors such as comorbidities and age.
The purpose of this report is to inform practitioners about the favorable
attributes of this opioid and reintroduce it to clinicians as an option for
treating moderate to severe pain when alternative treatment options are
inadequate, not indicated, or contraindicated.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
levorphanol
opiate
EMTREE DRUG INDEX TERMS
analgesic agent
cytochrome
cytochrome P450
enzyme
methadone
morphine
n methyl dextro aspartic acid receptor
narcotic analgesic agent
noradrenalin
opiate receptor
receptor
serotonin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
pain
society
EMTREE MEDICAL INDEX TERMS
cross tolerance
drug interaction
glucuronidation
half life time
human
neuropathic pain
patient
physician
QT interval
safety
urinary excretion
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72246967
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 257
TITLE
Attitudes of experiential education directors regarding tobacco sales in
pharmacies in the USA
AUTHOR NAMES
Rider K.
Kaya H.
Jha V.
Hudmon K.S.
AUTHOR ADDRESSES
(Rider K., Katherine.flower@hotmail.com; Kaya H.; Jha V.) Pulmonary,
Critical Care and Sleep Medicine Division, George Washington University MFA,
2150 Pennsylvania Ave, NW, Washington, United States.
(Kaya H.) Department of Pulmonary Medicine, Gülhane Military, Medical
Academy, Ankara, Turkey.
(Hudmon K.S.) Department of Pharmacy Practice, Purdue University College of
Pharmacy, West Lafayette, United States.
CORRESPONDENCE ADDRESS
K. Rider, Pulmonary, Critical Care and Sleep Medicine Division, George
Washington University MFA, 2150 Pennsylvania Ave, NW, Washington, United
States. Email: Katherine.flower@hotmail.com
SOURCE
International Journal of Pharmacy Practice (2016) 24:2 (134-138). Date of
Publication: 1 Apr 2016
ISSN
2042-7174 (electronic)
0961-7671
BOOK PUBLISHER
Wiley-Blackwell Publishing Ltd, info@royensoc.co.uk
ABSTRACT
Objectives Accreditation guidelines in the USA suggest that experiential
sites for pharmacy students should demonstrate 'a strong commitment to
health promotion and illness prevention'; however, most community pharmacies
sell tobacco products. This study aimed to determine the proportion of
students rotating through advanced pharmacy practice experience (APPE) sites
where tobacco is sold and experiential education directors' perception
regarding the sales of tobacco in APPE sites. Methods A brief survey was
distributed by mail to experiential education directors at US pharmacy
schools. The survey characterized the proportion of students who rotate at
practice sites where tobacco is sold, directors' perceptions of tobacco
sales in experiential sites, and the number of hours of tobacco education in
their pharmacy curricula. Key findings Directors (n = 81; 63%) estimated
that 69% of students rotate through sites where tobacco is sold. If given
the opportunity to choose between two potential sites, where one sells
tobacco and the other does not, 40% of directors would be unlikely to choose
a site that sold tobacco. Conclusions With respect to tobacco sales,
pharmacy schools are largely noncompliant with guidelines and resolutions of
professional organizations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
advanced pharmacy practice experience
attitude to health
experiential education directors perception
marketing
perception
pharmaceutical care
tobacco
tobacco sale
EMTREE MEDICAL INDEX TERMS
academic achievement
article
clinical education
cross-sectional study
curriculum development
education program
experience
geographic distribution
human
medical school
medical society
medical student
practice guideline
priority journal
questionnaire
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20151030292
MEDLINE PMID
26450649 (http://www.ncbi.nlm.nih.gov/pubmed/26450649)
PUI
L607262059
DOI
10.1111/ijpp.12221
FULL TEXT LINK
http://dx.doi.org/10.1111/ijpp.12221
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 258
TITLE
A call to formalize training in tobacco dependence treatment for
pulmonologists
AUTHOR NAMES
Gesthalter Y.B.
Wiener R.S.
Kathuria H.
AUTHOR ADDRESSES
(Gesthalter Y.B., ygesty@gmail.com; Wiener R.S.; Kathuria H.) Pulmonary
Center, Boston University School of Medicine, 72 East Concord Street,
Boston, United States.
(Wiener R.S.) Center for Healthcare Organization and Implementation
Research, Edith Nourse Rogers VA Memorial Hospital, Bedford, United States.
CORRESPONDENCE ADDRESS
Y.B. Gesthalter, Pulmonary Center, Boston University School of Medicine, 72
East Concord Street, Boston, United States. Email: ygesty@gmail.com
SOURCE
Annals of the American Thoracic Society (2016) 13:4 (460-461). Date of
Publication: 1 Apr 2016
ISSN
2325-6621
BOOK PUBLISHER
American Thoracic Society, malexander@thoracic.org
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
medical education
pulmonologist
tobacco dependence treatment
EMTREE MEDICAL INDEX TERMS
behavior therapy
cancer mortality
cancer risk
cancer screening
computer assisted tomography
editorial
follow up
food and drug administration
human
lung cancer
lung function test
medical student
nicotine replacement therapy
physician
professional competence
smoking
smoking cessation
tobacco dependence
tobacco use
EMBASE CLASSIFICATIONS
Radiology (14)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160709941
MEDLINE PMID
27058182 (http://www.ncbi.nlm.nih.gov/pubmed/27058182)
PUI
L612501129
DOI
10.1513/AnnalsATS.201512-815LE
FULL TEXT LINK
http://dx.doi.org/10.1513/AnnalsATS.201512-815LE
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 259
TITLE
Assessing patient knowledge of tobacco's impact on disease course and
medical efficacy in IBD
AUTHOR NAMES
Cushing K.C.
Chiplunker A.J.
Al-Hammadi N.J.
Gutierrez A.
AUTHOR ADDRESSES
(Cushing K.C.; Chiplunker A.J.; Al-Hammadi N.J.; Gutierrez A.)
CORRESPONDENCE ADDRESS
K.C. Cushing,
SOURCE
Gastroenterology (2016) 150:4 SUPPL. 1 (S1005-S1006). Date of Publication:
April 2016
CONFERENCE NAME
Digestive Disease Week 2016, DDW 2016
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2016-05-21 to 2016-05-24
ISSN
0016-5085
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
Background: Tobacco use decreases response and durability of response to
medical therapy. Education about the impact of tobacco on medical efficacy
is an important, modifiable area of disease management. Aim: To determine
patients' knowledge of tobacco's impact on inflammatory bowel disease (IBD)
course and medical efficacy among both former and current smokers Methods:
This was a survey-based study of outpatients at a tertiary care IBD clinic.
Demographics collected included age, sex, disease type, duration of disease,
smoking history, and prior IBD-related surgery. Degree of smoking dependence
in current smokers was measured with the validated Fagerström Test for
Nicotine Dependence (FTND). All patients were asked four true/false
questions relating to tobacco's impact on disease relapse, severity of
relapse, need for steroids, and efficacy of medications. Results: 237
patients were enrolled (168 Crohn's Disease (CD), 69 Ulcerative Colitis
(UC)). The CD cohort had a higher numbers of females, longer disease
duration, and more IBD related surgeries than the UC cohort (p ≤ 0.005).
There were no differences in number of packs per day consumed, number of
active and former smokers or the FTND score (Table 1). Those with CD were
more likely to be aware that tobacco increases the risk of disease flare
(p<0.001) as well as the severity of the disease flare (p<0.001). CD
patients also had a better understanding of the negative influence of
tobacco on IBD medication efficacy (p=0.003) and increased need for steroids
(p=0.007). Patients with a history of IBD-related surgery had a better
awareness that tobacco increases the risk of disease flare (p=0.002),
increases the severity of disease flare (p<0.001), and decreases the
efficacy of IBD medications (p= 0.037). Those with a history of IBD-related
surgery did not differ from those with no IBD surgery in their awareness of
increased need for steroids with tobacco use (p=0.429) When segregated by
disease type, no significant differences in knowledge existed based on
presence of prior IBD-related surgery. When evaluating dependence and
educational awareness, no differences existed in knowledge based on the FTND
score. Former smokers were more likely to be aware that tobacco increases
the risk of a disease flare when compared to current smokers (p=0.047) but
there was no difference in knowledge of increased severity of flares,
increased need for steroids, and decreased efficacy of IBD medications.
Conclusions: Differences in patient knowledge of tobacco's impact on disease
activity and medical efficacy exist between CD and UC as well as between
those who have had IBD related surgery and those who have not. UC and
surgery naïve patients represent a group of patients who would benefit from
more focused efforts at education regarding smoking and IBD, particularly in
its impact on medical efficacy. (Table Presented).
EMTREE DRUG INDEX TERMS
steroid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
disease course
gastrointestinal disease
human
patient
tobacco
EMTREE MEDICAL INDEX TERMS
Crohn disease
disease activity
disease duration
disease exacerbation
disease management
drug therapy
education
Fagerstrom Test for Nicotine Dependence
female
hospital
hospital patient
inflammatory bowel disease
outpatient
relapse
risk
smoking
surgery
tertiary health care
therapy
tobacco dependence
tobacco use
ulcerative colitis
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72272476
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 260
TITLE
Opioid Exposed Mothers and Infants in Delaware: Clinical and Legal
Considerations
AUTHOR NAMES
Savin M.K.
Paul D.A.
AUTHOR ADDRESSES
(Savin M.K.; Paul D.A.)
SOURCE
Delaware medical journal (2016) 88:4 (110-114). Date of Publication: 1 Apr
2016
ISSN
0011-7781
ABSTRACT
Drug use is on the rise in Delaware, as demonstrated by the continued
increase in infants born with neonatal abstinence syndrome. Thoughtful,
evidence-based, and coordinated approaches are necessary to impact this
problem. There is solid evidence that mothers and infants who remain
together have improved outcomes. Professional medical and nursing societies
are unanimous in support of non-punitive approaches to care. Medical
professionals, legislators, and society in general would benefit from
ongoing education on the addiction disease process in order to best care for
the increasing number of mother/baby dyads with neonatal abstinence
syndrome.
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
legislation and jurisprudence
EMTREE MEDICAL INDEX TERMS
adult
complication
Delaware
drug control
female
fetomaternal transfusion
human
male
mandatory reporting
mother child relation
neonatal abstinence syndrome (epidemiology, therapy)
newborn
opiate addiction (epidemiology, therapy)
pregnancy
pregnancy complication (epidemiology, therapy)
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
27263243 (http://www.ncbi.nlm.nih.gov/pubmed/27263243)
PUI
L613598627
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 261
TITLE
Tapping onto the potential of smartphone applications for psycho-education
and early intervention in addictions
AUTHOR NAMES
Zhang M.W.B.
Ho R.C.M.
AUTHOR ADDRESSES
(Zhang M.W.B., melvynzhangweibin@gmail.com) Biomedical Global Institute of
Healthcare Research and Technology (BIGHEART), National University of
Singapore, Singapore, Singapore.
(Ho R.C.M.) Department of Psychological Medicine, National University
Healthcare Systems (NUHS), Singapore, Singapore.
CORRESPONDENCE ADDRESS
M.W.B. Zhang, Biomedical Global Institute of Healthcare Research and
Technology (BIGHEART), National University of Singapore, Singapore,
Singapore. Email: melvynzhangweibin@gmail.com
SOURCE
Frontiers in Psychiatry (2016) 7:MAR Article Number: 40. Date of
Publication: 17 Mar 2016
ISSN
1664-0640 (electronic)
BOOK PUBLISHER
Frontiers Research Foundation, info@frontiersin.org
ABSTRACT
E-health, and in particular smartphone-based technology, is increasingly
becoming commonplace in healthcare. While psychiatry has tapped onto these
innovations for conditions, such as affective disorders, and schizophrenia
and psychosis, the usage of these technologies in addiction is limited.
Addiction psychiatry could harness the potential of smartphone technologies.
Given the increasing incidences of substance-related problems globally, and
along with the normalization of the general public's perspectives toward
substances, and also in consideration of unwillingness for at-risk
individuals in seeking help, the authors hope to illustrate how these issues
could potentially be solved using E-health and technological innovations.
The objectives of the current perspective article are to illustrate how
recent advances in smartphone-based technologies could help in terms of
psycho-education, as well as in helping individuals who are at-risk users in
seeking help earlier. The authors aim to illustrate how the above are
possible, building on existing theory-driven framework that has been
extensively reviewed in the previous literature. Limitations with regard to
the implementation of such technologies will also be discussed.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
early intervention
psychoeducation
smartphone
EMTREE MEDICAL INDEX TERMS
alcohol blood level
alcoholism (therapy)
article
harm reduction
health hazard
high risk population
human
mass medium
medical ethics
mental disease
mental health
practice guideline
psychiatrist
risk reduction
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160337807
PUI
L610150853
DOI
10.3389/fpsyt.2016.00040
FULL TEXT LINK
http://dx.doi.org/10.3389/fpsyt.2016.00040
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 262
TITLE
Addiction Medicine: Current Status of Certification, Maintenance of
Certification, Training, and Practice
AUTHOR NAMES
Kunz K.
Wiegand T.
AUTHOR ADDRESSES
(Kunz K., kkunz@abam.net; Wiegand T.) The American Board of Addiction
Medicine Foundation, Bethesda, United States.
CORRESPONDENCE ADDRESS
K. Kunz, The American Board of Addiction Medicine Foundation, Bethesda,
United States. Email: kkunz@abam.net
SOURCE
Journal of Medical Toxicology (2016) 12:1 (76-78). Date of Publication: 1
Mar 2016
ISSN
1937-6995 (electronic)
1556-9039
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
Addiction medicine (ADM) is an emerging medical field. It will soon be
recognized by the American Board of Medical Specialties as a multispecialty
subspecialty, sponsored by the American Board of Preventive Medicine.
Certification and maintenance of certification in ADM are available
currently through the American Board of Addiction Medicine (ABAM). There is
an urgent need for trained and certified ADM physicians to serve the needs
of patients and society. Thirty-seven addiction medicine fellowships of
12 months duration are now available, and their number is increasing.
Physicians specializing in medical toxicology have educational, training,
and practice overlap with addiction medicine. Medical toxicology physicians
usually meet ADM examination eligibility requirements, based on clinical
practice experience and continuing medical education activities. Those with
fellowship training or in a fellowship bring training experience which has
commonalities to ADM fellowship training, and therefore are particularly
prepared for examination and practice in ADM. There are opportunities for
partnerships in training, practice, and leadership between addiction
medicine and medical toxicology.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
addiction medicine
medical education
EMTREE MEDICAL INDEX TERMS
article
certification
human
leadership
medical practice
neurotransmission
psychiatry
toxicology
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015536994
MEDLINE PMID
26597980 (http://www.ncbi.nlm.nih.gov/pubmed/26597980)
PUI
L607039284
DOI
10.1007/s13181-015-0524-6
FULL TEXT LINK
http://dx.doi.org/10.1007/s13181-015-0524-6
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 263
TITLE
The Integration of Medical Toxicology and Addiction Medicine: a New Era in
Patient Care
AUTHOR NAMES
Laes J.A.R.
AUTHOR ADDRESSES
(Laes J.A.R., joan.laes@hcmed.org) Division of Addiction Medicine, Hennepin
County Medical Center, 701 Park Avenue, Mail Code G5, Minneapolis, United
States.
CORRESPONDENCE ADDRESS
J.A.R. Laes, Division of Addiction Medicine, Hennepin County Medical Center,
701 Park Avenue, Mail Code G5, Minneapolis, United States. Email:
joan.laes@hcmed.org
SOURCE
Journal of Medical Toxicology (2016) 12:1 (79-81). Date of Publication: 1
Mar 2016
ISSN
1937-6995 (electronic)
1556-9039
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
Medical toxicologists are frequently called upon to treat patients who are
addicted to alcohol, tobacco, or other substances across many care settings.
Medical toxicologists provide service to their patients through the
identification, treatment, and prevention of addiction and its
co-morbidities, and practice opportunities are quite varied. Training in
addiction medicine can be obtained during or after medical toxicology
fellowship through resources offered by the American Society of Addiction
Medicine. Additionally, the American Board of Addiction Medicine offers
certification in the specialty of addiction medicine to candidates across a
wide range of medical specialties.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction medicine
medical education
toxicology
EMTREE MEDICAL INDEX TERMS
addiction
article
certification
curriculum
health care cost
human
reimbursement
substance abuse
training
withdrawal syndrome
EMBASE CLASSIFICATIONS
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015523731
MEDLINE PMID
26576956 (http://www.ncbi.nlm.nih.gov/pubmed/26576956)
PUI
L606981898
DOI
10.1007/s13181-015-0523-7
FULL TEXT LINK
http://dx.doi.org/10.1007/s13181-015-0523-7
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 264
TITLE
Substance misuse education for physicians: Why older people are important
AUTHOR NAMES
De Jong C.A.J.
Goodair C.
Crome I.
Jokubonis D.
el-Guebaly N.
Dom G.
Schellekens A.
Broers B.
Subata E.
Welle-Strand G.K.
Luycks L.
Wolters M.
Schoof T.
AUTHOR ADDRESSES
(De Jong C.A.J., nispa.dejong@gmail.com) Behavioural Science Institute,
Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), Radboud
University Nijmegen, Netherlands.
(Goodair C.) St. George’s University of London, United Kingdom.
(Crome I.) St. George’s University of London, Keele University, United
Kingdom.
(Jokubonis D.) Kaunas Addiction Treatment Centre and Lithuanian University
of Health Sciences, Lithuania.
(el-Guebaly N.) University of Calgary, Canada.
(Dom G.) Collaborative Antwerp Psychiatric Research Institute (CAPRI),
Antwerp University (UA), Belgium.
(Schellekens A.) Radboud University Medical Centre, Department of
Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Nijmegen,
Netherlands.
(Broers B.) Unit for Dependencies in Primary Care, Department of Community
Health and Primary Care, Geneva University Hospitals, Switzerland.
(Subata E.) Vilnius University, Lithuania.
(Welle-Strand G.K.) Norwegian Directorate of Health, Norway.
(Luycks L.) Radboud Centrum Sociale Wetenschappen, Radboud University
Nijmegen, Netherlands.
(Wolters M.) TACTUS Addiction Care, Deventer, Netherlands.
(Schoof T.) Vincent van Gogh Institute for Mental Health, Venlo,
Netherlands.
CORRESPONDENCE ADDRESS
C.A.J. De Jong, NISPA, P.O. Box 6909, Nijmegen, Netherlands. Email:
nispa.dejong@gmail.com
SOURCE
Yale Journal of Biology and Medicine (2016) 89:1 (97-103). Date of
Publication: 1 Mar 2016
ISSN
0044-0086
BOOK PUBLISHER
Yale Journal of Biology and Medicine Inc.
ABSTRACT
This perspective article focuses on the need for training and education for
undergraduate medical students on substance-related disorders, and describes
initiatives undertaken in the United Kingdom (UK), Netherlands, United
States (US), and Norway to develop the skills, knowledge, and attitudes
needed by future doctors to treat patients adequately. In addition, we
stress that in postgraduate training, further steps should be taken to
develop Addiction Medicine as a specialized and transverse medical domain.
Alcohol use disorder is a growing public health problem in the geriatric
population, and one that is likely to continue to increase as the baby
boomer generation ages. Prescription drug misuse is a major concern, and
nicotine misuse remains problematic in a substantial minority. Thus,
Addiction Medicine training should address the problems for this specific
population. In recent years, several countries have started an Addiction
Medicine specialty. Although addiction psychiatry has been a subspecialty in
the UK and US for more than 20 years, in most countries it has been a more
recent development. Additional courses on addiction should be integrated
into the curriculum at both undergraduate and postgraduate levels, as well
as form part of the continuous training of other medical specialists. It is
recommended that further research and mapping of what is currently taught in
medical programs be undertaken, so as to enhance medical education in
addiction and improve treatment services.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse
medical education
EMTREE MEDICAL INDEX TERMS
addiction
anxiety disorder
article
attention deficit disorder
decision making
drinking behavior
eating disorder
general practitioner
health care personnel
health service
human
learning disorder
medical school
memory disorder
mood disorder
personality disorder
postgraduate education
posttraumatic stress disorder
professionalism
psychosis
public health problem
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160265282
MEDLINE PMID
27505022 (http://www.ncbi.nlm.nih.gov/pubmed/27505022)
PUI
L609429698
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 265
TITLE
Utility of a naloxone educational module to improve hospital opioid safety
AUTHOR NAMES
McGrath S.
Baratta J.
Torjman M.
Shevchenko D.
Pilidis K.
Viscusi E.
AUTHOR ADDRESSES
(McGrath S.; Baratta J.; Torjman M.; Shevchenko D.; Pilidis K.; Viscusi E.)
Thomas Jefferson University Hospital, United States.
CORRESPONDENCE ADDRESS
S. McGrath, Thomas Jefferson University Hospital, United States.
SOURCE
Regional Anesthesia and Pain Medicine (2016) 41:2. Date of Publication:
March-April 2016
CONFERENCE NAME
14th Annual Pain Medicine Meeting of the American Society of Regional
Anesthesia and Pain Medicine, ASRA 2015
CONFERENCE LOCATION
Miami, FL, United States
CONFERENCE DATE
2015-11-19 to 2015-11-21
ISSN
1098-7339
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Introduction Naloxone is an opioid receptor antagonist indicated for
treatment of opioid induced respiratory depression (OIRD) or overdose .
Naloxone can precipitate severe and even life-threatening withdrawal
symptoms (e.g. tachycardia, hypertension, pulmonary edema or death ).
Inadequate dosing can result in re-narcotization with respiratory depression
and catastrophic sequela . Exploratory studies demonstrate gaps in many
areas of naloxone use . We test provider's knowledge base of naloxone use in
treating OIRD and implement a novel teaching tool to educate on proper
usage. The teaching tool educates on gaps such as accurate administration,
side effects, characteristics of opioid antagonism and proper management of
an opioid overdose. The effectiveness of this teaching tool is assessed.
Materials and methods (NA for case report) IRB approval was obtained.
Participants include medical students, nurses, anesthesiology residents and
anesthesiologists. A pre-survey was given to assess baseline knowledge. The
novel teaching tool was then implemented to properly educate on naloxone and
OIRD. The teaching tool specifically targets education about half-life,
clinical management, standard concentration, dosing, side effects and its
use in chronic opioid users. After completing the teaching tool a post
survey assessed for knowledge improvement. Those who receiving a score >70%
were defined as reaching the passing threshold. The pre and post educational
scores were used to assess the validity of the educational material.
Results/Case report 16 medical students, 11 anesthesiology residents, 5 PACU
nurses and 4 attending anesthesiology were assessed. 100% of respondents
found the materials helpful in understanding the proper treatment for OIRD.
The mean score for the entire sample was 4.5/9 on the pretest and 7.8/9 on
the post-test. (Table 1) On the pre-test 17% reached passing threshold for
the sample as compared to 86% on the post-test. (Table 1) There was a
significant difference in the samples pre-test and post-test score. (Figure
1) There were no significant differences within the individual groups scores
from pre-test to post-test. (Figure 2) Discussion Opioid related respiratory
depression remains a source of morbidity and mortality in the hospital
setting. Proper treatment for OIRD is a necessity for safe inpatient opioid
usage. Our novel teaching tool significantly improved knowledge from 4.5 to
7.8 questions correctly answered post intervention. There were no
differences in scoring within individual groups likely due to a limitation
of the small sample size. Achieving a threshold “pass” rate increased
significantly from 17% on the pre-test to 86% on the post-test demonstrating
that this simple educational tool is an effective method of teaching
naloxone safety. 100% of the sample could identify the correct half-life of
naloxone as 30-80 minutes on the post intervention as compared to 29% pre
intervention. Post intervention 97% could identify proper naloxone dosing as
compared to 43% on the pre-survey. All respondents rated the module as an
effective teaching tool for treating OIRD. This teaching module is now
included in a hospital-wide opioid safety initiative. (Table presented).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
opiate
EMTREE DRUG INDEX TERMS
opiate antagonist
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
hospital
pain
regional anesthesia
safety
society
EMTREE MEDICAL INDEX TERMS
anesthesiology
anesthesist
case report
death
education
half life time
hospital patient
human
intoxication
knowledge base
lung edema
medical student
morbidity
mortality
nurse
pulmonary hypertension
respiration depression
sample size
side effect
tachycardia
teaching
validity
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72221072
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 266
TITLE
Health-seeking attitudes and existing support services for psychiatric
trainees
AUTHOR NAMES
Conde E.
Lomax A.
Santos T.
Pattyn T.
Skjødt C.
AUTHOR ADDRESSES
(Conde E.) Centro Hospitalar Baixo-Vouga, Departamento Psiquiatria E Saúde
Mental, Aveiro, Portugal.
(Lomax A.) University Hospital Lewisham, South London and Maudsley NHS
Foundation Trust, Liaison Service, London, United Kingdom.
(Santos T.) Centro Hospitalar Baixo-Vouga, Departamento De Psiquiatria E
Saúde Mental, Aveiro, Portugal.
(Pattyn T.) University of Antwerp, Antwerp, Belgium.
(Skjødt C.) Psykiatrisk Center Nordsjælland, Copenhagen, Denmark.
CORRESPONDENCE ADDRESS
E. Conde, Centro Hospitalar Baixo-Vouga, Departamento Psiquiatria E Saúde
Mental, Aveiro, Portugal.
SOURCE
European Psychiatry (2016) 33 SUPPL. (S217). Date of Publication: March 2016
CONFERENCE NAME
24th European Congress of Psychiatry, EPA 2016
CONFERENCE LOCATION
Madrid, Spain
CONFERENCE DATE
2016-03-12 to 2016-03-15
ISSN
1778-3585
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Introduction Concern for medical doctors' health has been widely recognized
over the past ten years. EFPT is aware of the heterogeneity of support set
up for doctors in distress, recognizing the need for further cross-Europe
research. Aims The EFPT “HELP Project” was designed to investigate
psychiatry trainees' perceptions of and attitudes towards health seeking at
a Europe-wide scale. Furthermore, it aims to determine what services are
available in Europe specifically to support physicians' health. Methods
Multinational, cross-sectional survey conducted in 14 European countries
between 2013 and 2014. Data collection was accomplished by an anonymous
online or hard copy questionnaire. Completion implied consent to
participate. Data was analysed using SPSS v20.0. Results Of the respondent
trainees, 57.7% were from developed economies; 46.2% under 30 years; 26.9%
males. Ninety-eight per cent said they would have surgery in the public
sector, versus 42.3% who agree to get treatment there for an eating
disorder, depression (28.8%) or addiction (17.3%). Trainees from developing
economies were significantly less confident in using public sector help for
mental health difficulties. When asked for advice regarding the same
problems in their fellow trainees, they said they would recommend public
sector help. Specific services for doctors exist in the UK, Spain, The
Netherlands and Switzerland, but most trainees said there were no services
locally. Conclusion The EFPT believes specialised physician health services
are needed to ensure doctors seek help when necessary, while avoiding
feeling stigmatised or punished in doing so. The authors plan to create a
'survival guide' for European trainees in distress, with collated
information about local services for doctors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
health
human
psychiatry
student
EMTREE MEDICAL INDEX TERMS
addiction
data analysis software
eating disorder
economic aspect
Europe
health service
information processing
male
mental health
Netherlands
organization and management
physician
questionnaire
Spain
surgery
survival
Switzerland
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72291092
DOI
10.1016/j.eurpsy.2016.01.529
FULL TEXT LINK
http://dx.doi.org/10.1016/j.eurpsy.2016.01.529
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 267
TITLE
Medical Toxicology and the Crisis of Addiction—Introduction to the
Proceedings from the 2015 ACMT Addiction Academy
AUTHOR NAMES
Wiegand T.J.
Babu K.M.
AUTHOR ADDRESSES
(Wiegand T.J.) URMC and Strong Memorial Hospital, Box 321 at URMC, 601
Elmwood Avenue, Rochester, United States.
(Babu K.M., kavitambabu@gmail.com) University of Massachusetts Medical
School, 55 Lake Avenue North, Worcester, United States.
CORRESPONDENCE ADDRESS
K.M. Babu, University of Massachusetts Medical School, 55 Lake Avenue North,
Worcester, United States. Email: kavitambabu@gmail.com
SOURCE
Journal of Medical Toxicology (2016) 12:1 (48-49). Date of Publication: 1
Mar 2016
ISSN
1937-6995 (electronic)
1556-9039
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
EMTREE DRUG INDEX TERMS
buprenorphine
disulfiram
gabapentin
methadone
naltrexone
varenicline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
toxicology
EMTREE MEDICAL INDEX TERMS
addiction medicine
alcoholism
article
cognitive therapy
drug abuse
human
medical education
practice guideline
substance abuse
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
disulfiram (97-77-8)
gabapentin (60142-96-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
naltrexone (16590-41-3, 16676-29-2)
varenicline (249296-44-4, 375815-87-5)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160084457
MEDLINE PMID
26822206 (http://www.ncbi.nlm.nih.gov/pubmed/26822206)
PUI
L607997328
DOI
10.1007/s13181-016-0534-z
FULL TEXT LINK
http://dx.doi.org/10.1007/s13181-016-0534-z
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 268
TITLE
Diabetes education for stroke inpatients is incomplete and differs by stroke
severity, age, and substance abuse history
AUTHOR NAMES
Baraban E.
Lucas L.
Lowenkopf T.
AUTHOR ADDRESSES
(Baraban E.; Lucas L.; Lowenkopf T.) Providence Health and Services,
Portland, United States.
CORRESPONDENCE ADDRESS
E. Baraban, Providence Health and Services, Portland, United States.
SOURCE
Circulation (2016) 133 SUPPL. 1. Date of Publication: 1 Mar 2016
CONFERENCE NAME
American Heart Association's Epidemiology and Prevention/Lifestyle and
Cardiometabolic Health 2016 Scientific Sessions
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2016-03-01 to 2016-03-04
ISSN
0009-7322
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Introduction: Diabetes is a well-established risk factor for stroke and
other vascular disease. Consequently, diabetes management is important for
prevention of primary and secondary vascular events. Hospitals offer
diabetes education, but it is unknown if the appropriate patients are
receiving the necessary information. The objective of this study was to
determine the factors associated with receiving diabetes management teaching
among patients presenting to a hospital with an ischemic stroke (ISC) or
Transient Ischemic Attack (TIA) who have a concurrent new diabetes diagnosis
Methods: Data from 20 hospitals in a multi-state healthcare system stroke
registry from 2002 to May 2015 were used. ISC or TIA patients with a new,
in-hospital diagnosis of diabetes were included. Patients on comfort care,
transferred to an outside facility from the emergency department, discharged
to hospice or expired were excluded. Associations between receiving diabetes
management education and demography, insurance, medical history, BMI,
functional status, and stroke severity of the patient were examined using a
generalized linear mixed model with a logit link Results: Data from 336
newly diagnosed diabetes patients were used in the analyses. Of those, 269
(80.1%) received diabetes management education, while 67 (19.9%) did not.
Patients with a medical history of drug or alcohol abuse were 79% less
likely to receive diabetes management training than those without a history
(adjusted odds ratio [AOR] = 0.215, p=.014). Patients who were overweight or
obese weight were over three times more likely to receive diabetes
management education than patients who were of normal weight or underweight
(AOR = 2.92, p=.003). For every one-point increase of the NIH Stroke Scale
score, the likelihood of receiving education decreased by 6% (AOR=.913,
p=.005), and with each additional five years of age the likelihood of
receiving education decreased by 14% (AOR=.861, p=.017). Gender, insurance
type, discharge status, and medical histories of atrial fibrillation,
CAD/prior MI, previous strokes, previous TIA, hypertension, family history
of stroke were not significant predictors Conclusions: Almost 20% of
patients with newly diagnosed diabetes did not receive diabetes management
education. While education was appropriately targeted to overweight and
obese patients, these results indicate that patients with a history of drug
and alcohol abuse, those who are normal or under-weight and those with more
severe strokes were underserved. More work needs to be done to ensure that
stroke patients are receiving appropriate education to prevent subsequent
cerebrovascular events.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cerebrovascular accident
diabetes education
diabetes mellitus
disease management
epidemiology
health
hospital patient
human
medical society
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
atrial fibrillation
brain ischemia
comfort
demography
diabetic patient
diagnosis
education
emergency ward
family history
functional status
gender
health care system
hospice
hospital
hypertension
insurance
medical history
model
National Institutes of Health Stroke Scale
obesity
patient
prevention
register
risk
risk factor
stroke patient
teaching
transient ischemic attack
underweight
vascular disease
weight
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72231661
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 269
TITLE
Is addiction medicine part of psychiatry?
AUTHOR NAMES
Orsolini L.
Papanti D.
Valchera A.
Vecchiotti R.
Corkery J.
Schifano F.
AUTHOR ADDRESSES
(Orsolini L.; Valchera A.; Vecchiotti R.) Villa San Giuseppe Hospital,
Hermanas Hospitalarias, Department of Psychiatry, Ascoli Piceno, Italy.
(Orsolini L.; Papanti D.; Corkery J.; Schifano F.) University of
Hertforshire, School of Life and Medical Sciences, Department of Pharmacy,
Pharmacology and Medical Sciences, Hatfield, United Kingdom.
(Orsolini L.; Vecchiotti R.) Maastricht University, Department of Psychiatry
and Neuropsychology, Maastricht, Netherlands.
(Orsolini L.; Valchera A.; Vecchiotti R.) Polyedra, Polyedra Research,
Teramo, Italy.
CORRESPONDENCE ADDRESS
L. Orsolini, Villa San Giuseppe Hospital, Hermanas Hospitalarias, Department
of Psychiatry, Ascoli Piceno, Italy.
SOURCE
European Psychiatry (2016) 33 SUPPL. (S15). Date of Publication: March 2016
CONFERENCE NAME
24th European Congress of Psychiatry, EPA 2016
CONFERENCE LOCATION
Madrid, Spain
CONFERENCE DATE
2016-03-12 to 2016-03-15
ISSN
1778-3585
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Addiction medicine/psychiatry, a medical subspecialty founded on October
1991 by the American Board of Psychiatry and Neurology, was granted as
subspecialty within psychiatry. It mainly deals with medical assessment,
diagnosis and treatment of subjects who suffer from an addiction (i.e. drug
and/or alcohol addiction; gambling; sexual addiction; game addiction; and so
on). Addiction psychiatry also deals with subjects in dual diagnosis, i.e.
individuals with addiction issues along with co-occurring psychiatric
disorders. However, despite its well established “dignity” to be part of
psychiatry, most mental health's professionals believe that it is not a
primarily psychiatric field due to the frequent co-occurrence of
internistic/medical issues. In addition, the situation of psychiatric
training specifically addressed to addiction is widely diversified across
the European countries. Therefore, most psychiatrists do not possess
specific qualifications and formation on this increasing field of
psychiatry. The present lecture aims at providing an insight into the issues
related to the diatribe between psychiatry and medicine on addiction
medicine/psychiatry, specifically focusing on differences across European
countries.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
European
psychiatry
EMTREE MEDICAL INDEX TERMS
alcoholism
American
diagnosis
gambling
health practitioner
human
human dignity
medical assessment
mental disease
mental health
neurology
psychiatrist
sexual addiction
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72290524
DOI
10.1016/j.eurpsy.2016.01.810
FULL TEXT LINK
http://dx.doi.org/10.1016/j.eurpsy.2016.01.810
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 270
TITLE
Mobility in psychiatry: A personal experience in Swiss addictology
AUTHOR NAMES
Feteanu C.
AUTHOR ADDRESSES
(Feteanu C.) Centre Hospitalo, Universitaire Vaudois CHUV, Service De
Psychiatrie Communautaire, Lausanne, Switzerland.
CORRESPONDENCE ADDRESS
C. Feteanu, Centre Hospitalo, Universitaire Vaudois CHUV, Service De
Psychiatrie Communautaire, Lausanne, Switzerland.
SOURCE
European Psychiatry (2016) 33 SUPPL. (S479-S480). Date of Publication: March
2016
CONFERENCE NAME
24th European Congress of Psychiatry, EPA 2016
CONFERENCE LOCATION
Madrid, Spain
CONFERENCE DATE
2016-03-12 to 2016-03-15
ISSN
1778-3585
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Introduction Switzerland is a very attractive country for workforce brain
drain in the field of psychiatry, with work, academic and financial
conditions identified as pull factors; resulting in long-term migration and
high level of satisfaction [1]. Objectives To enlight the phenomenon by
reporting a personal experience of migration from France to Switzerland for
work reasons as a psychiatrist. Aims To describe the main characteristics of
the Swiss Mental Health Care in the Canton of Vaud focused on ambulatory
cares in addictology. Methods Self-report description from the Centre
Saint-Martin for drug addictions of the Community Psychiatry Department in
Vaudois Teaching Hospital (CHUV) of Lausanne. Results The Centre
Saint-Martin is an ambulatory center providing cares, support, treatment and
harm reduction for adult drug addictions within a multidisciplinary team.
The striking point of this model is the intense support made towards the
community (general practionners, somatic and psychiatric cares) in order to
maintain and develop addiction cares in the general health system. The case
management model, still rare in France, is being implemented in the center
resources management. Detailed descriptions are proposed. Lack of
psychiatrists in the French speaking Canton of Vaud makes it very attractive
for European specialists. Work and academic facilities, including
psychotherapy training are accessible to foreign psychiatrists. Conclusions
Work migration is a unique way to experience different practices in
psychiatry within Europe. Living and working conditions in Switzerland make
it a country particularly attractive.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
personal experience
psychiatry
Swiss
EMTREE MEDICAL INDEX TERMS
addiction
adult
ambulatory care
brain
case management
community
drug dependence
Europe
France
harm reduction
health care
medical specialist
mental health care
model
psychiatrist
psychotherapy
Saint Martin
Saint Martin (Dutch)
Saint Martin (French)
satisfaction
self report
social psychiatry
speech
Switzerland
teaching hospital
work environment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72291876
DOI
10.1016/j.eurpsy.2016.01.1756
FULL TEXT LINK
http://dx.doi.org/10.1016/j.eurpsy.2016.01.1756
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 271
TITLE
Examining Rural/Urban Differences in Prescription Opioid Misuse Among US
Adolescents
AUTHOR NAMES
Monnat S.M.
Rigg K.K.
AUTHOR ADDRESSES
(Monnat S.M.) Department of Agricultural Economics, Sociology, and Education
and The Population Research Institute, The Pennsylvania State University,
University Park, Pennsylvania
(Rigg K.K.) Department of Mental Health Law & Policy, Louis de la Parte
Florida Mental Health Institute, University of South Florida, Tampa, Florida
SOURCE
The Journal of rural health : official journal of the American Rural Health
Association and the National Rural Health Care Association (2016) 32:2
(204-218). Date of Publication: 1 Mar 2016
ISSN
1748-0361 (electronic)
ABSTRACT
CONCLUSIONS: Researchers, policy makers, and treatment providers must
consider the complex array of individual, social, and community risk and
protective factors to understand rural/urban differences in adolescent POM.
Potential points of intervention to prevent POM in general and reduce rural
disparities include early education about addiction risks, use of family
drug courts to link criminal offenders to treatment, and access to
nonemergency medical services to reduce rural residents' reliance on
emergency departments where opioid prescribing is more likely.RESULTS: Among
adolescents, 6.8% of rural, 6.0% of small urban, and 5.3% of large urban
engaged in past-year POM. Net of multiple risk and protective factors, rural
adolescents have 35% greater odds and small urban adolescents have 21%
greater odds of past-year POM compared to large urban adolescents. The
difference between rural and small urban adolescents was not significant.
Criminal activity, lower perceived substance use risk, and greater use of
emergency medical treatment partially contribute to higher odds among rural
adolescents, but they are also partially buffered by less peer substance
use, less illicit drug access, and stronger religious beliefs.PURPOSE: This
study examines differences in prescription opioid misuse (POM) among
adolescents in rural, small urban, and large urban areas of the United
States and identifies several individual, social, and community risk factors
contributing to those differences.METHODS: We used nationally representative
data from the 2011 and 2012 National Survey on Drug Use and Health and
estimated binary logistic regression and formal mediation models to assess
past-year POM among 32,036 adolescents aged 12-17.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adolescent
child
child parent relation
demography
drug dependence (epidemiology)
female
human
male
opiate addiction (epidemiology)
peer group
psychology
religion
risk assessment
risk factor
rural population
socioeconomics
statistical model
United States
urban population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26344571 (http://www.ncbi.nlm.nih.gov/pubmed/26344571)
PUI
L614915136
DOI
10.1111/jrh.12141
FULL TEXT LINK
http://dx.doi.org/10.1111/jrh.12141
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 272
TITLE
Prevalence of substance use in patients diagnosed with schizophrenia
AUTHOR NAMES
Tekın Uludağ Y.
Güleç G.
AUTHOR ADDRESSES
(Tekın Uludağ Y.) Clinic of Psychiatry, Eskişehir State Hospital, Eskişehir,
Turkey.
(Güleç G., gulcangulec@yahoo.com) Department of Psychiatry, Eskişehir
Osmangazi University School of Medicine, Eskişehir, Turkey.
CORRESPONDENCE ADDRESS
G. Güleç, Eskişehir Osmangazi Üniversitesi, Psikiyatri Anabilim Dalı,
Eskişehir, Turkey. Email: gulcangulec@yahoo.com
SOURCE
Noropsikiyatri Arsivi (2016) 53:1 (4-10). Date of Publication: 1 Mar 2016
ISSN
1300-0667
BOOK PUBLISHER
Turkish Neuropsychiatric Society
ABSTRACT
Introduction: Substance abuse among schizophrenic patients is a growing
clinical concern. Substance use disorders and their effects on the course of
schizophrenia have made the identification and treatment of schizophrenic
patients a high priority. This study aimed to investigate the prevalence of
substance use, preferred types of substances, sociodemographic
characteristics and clinical features of schizophrenia, and substance use
impact in schizophrenic patients. Methods: Hundred patients who were
consecutively admitted to the psychiatry clinic and were diagnosed with
schizophrenia according to the DSM-IV criteria were enrolled in this study.
Individual interviews were conducted during the patients. In order to
evaluate substance abuse disorder (SAD) as per DSM-IV criteria, the
substance use disorder section of the structured clinical interview for DSM
disorders-II (SCID-II) form was used. In addition, the following were
applied to schizophren-ic patients: sociodemographic data form, medical
history form, Brief Disability Questionnaire (BDQ), UKU Side Effect Rating
Scale (UKUSERS), Insight Rating Scale (IRS), Alcohol Use Dis-orders
Identification Test (AUDIT), Fagerstrom Nicotine Dependence Test (FNDT),
Global As-sessment of Functioning Scale (GAF), Scale for the Assessment of
Positive Symptoms (SAPS), Scale for the Assessment of Negative Symptoms
(SANS), and Calgary Depression Scale (CDS). Results: Schizophrenia and
alcohol and drug use were more common in males, and youn¬ger age was found
to have no association with substance use. Unemployment, low education
levels, rural survival rates, age at disease onset, the doctor first age of
the applicant, the first inpati¬ent years, legal issues, harm caused by
others and suicidal behavior, SAPS, SANS, CDS received from their scores
significant difference was detected. Schizophrenic patients with substance
use had higher side effects of drugs, disability, and psychopathology
sco¬res than schizophrenic patients without substance use. The functioning
of schizophrenic pati¬ents with substance use was worse, and the total
length of stay was longer. Nicotine, alcohol, biperiden, cannabis, and
volatile substances were the preferred materials most commonly used by
schizophrenic patients. Conclusion: In our country, limited research has
been conducted on the prevalence of substance use in schizophrenic patients.
Therefore, we believe that this study will contribute to the literature on
the subject. More sample groups and first-episode patients as well as
follow-up studies will contribute to a better understanding of the effect of
substance use on the clinical course of schizophrenia.
EMTREE DRUG INDEX TERMS
alcohol
biperiden
cannabis
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
schizophrenia
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
age
alcohol abuse
Alcohol Use Disorders Identification Test
article
Brief Disability Questionnaire
Calgary Depression Scale
clinical feature
controlled study
disease association
DSM-IV
educational status
Fagerstrom Nicotine Dependence Test
female
Global Assessment of Functioning Scale
human
Insight Rating Scale
length of stay
major clinical study
male
onset age
prevalence
psychological rating scale
questionnaire
Scale for the Assessment of Negative Symptom
Scale for the Assessment of Positive Symptom
survival rate
UKU side effect rating scale
unemployment
CAS REGISTRY NUMBERS
alcohol (64-17-5)
biperiden (1235-82-1, 514-65-8)
cannabis (8001-45-4, 8063-14-7)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160176434
PUI
L608718291
DOI
10.5152/npa.2015.8827
FULL TEXT LINK
http://dx.doi.org/10.5152/npa.2015.8827
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 273
TITLE
Erratum: Particulate matters from diesel heavy duty trucks exhaust versus
cigarettes emissions: A new educational antismoking instrument
(Multidisciplinary Respiratory Medicine (2016) 11:11)
AUTHOR NAMES
De Marco C.
Ruprecht A.A.
Pozzi P.
Munarini E.
Ogliari A.C.
Mazza R.
Boffi R.
AUTHOR ADDRESSES
(De Marco C., cinzia.demarco@istitutotumori.mi.it; Ruprecht A.A.; Pozzi P.;
Munarini E.; Ogliari A.C.; Boffi R.) Tobacco Control Unit, Fondazione IRCCS
Istituto Nazionale Dei Tumori, Milan, Italy.
(Mazza R.) Patient Information Service, Fondazione IRCCS Istituto Nazionale
Dei Tumori, Milan, Italy.
CORRESPONDENCE ADDRESS
C. De Marco, Tobacco Control Unit, Fondazione IRCCS Istituto Nazionale Dei
Tumori, Milan, Italy. Email: cinzia.demarco@istitutotumori.mi.it
SOURCE
Multidisciplinary Respiratory Medicine (2016) 11:1 Article Number: 48. Date
of Publication: 16 Feb 2016
ISSN
2049-6958 (electronic)
1828-695X
BOOK PUBLISHER
BioMed Central Ltd., info@biomedcentral.com
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
error
EMTREE MEDICAL INDEX TERMS
erratum
EMBASE CLASSIFICATIONS
Clinical and Experimental Biochemistry (29)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160131364
PUI
L608321552
DOI
10.1186/s40248-016-0048-1
FULL TEXT LINK
http://dx.doi.org/10.1186/s40248-016-0048-1
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 274
TITLE
Clinician telephone training to reduce family tobacco use: Analysis of
transcribed recordings
AUTHOR NAMES
Walters B.H.
Ossip D.J.
Drehmer J.E.
Nabi-Burza E.
Whitmore R.
Gorzkowski J.
Winickoff J.P.
AUTHOR ADDRESSES
(Walters B.H.; Drehmer J.E.; Nabi-Burza E.; Winickoff J.P.,
jwinickoff@mgh.harvard.edu) Massachusetts General Hospital for Children,
Boston, United States.
(Ossip D.J.) University of Rochester School of Medicine, Rochester, United
States.
(Whitmore R.; Gorzkowski J.) American Academy of Pediatrics Julius B.
Richmond Center of Excellence, Elk Grove Village, United States.
CORRESPONDENCE ADDRESS
J.P. Winickoff, Massachusetts General Hospital for Children, Boston, United
States. Email: jwinickoff@mgh.harvard.edu
SOURCE
Journal of Clinical Outcomes Management (2016) 23:2 (79-86). Date of
Publication: 1 Feb 2016
ISSN
1079-6533
BOOK PUBLISHER
Turner White Communications Inc.
ABSTRACT
Background: Family tobacco use and exposure are significant threats to the
health of children and their families. However, few pediatric clinicians
address family tobacco use and exposure in a routine and effective manner.
The Clinical Effort Against Secondhand Smoke Exposure (CEASE) intervention
was developed to tackle this gap between clinical need and clinical
practice. Objective: To review the main considerations and questions that
clinicians and office staff expressed during telephone training to
participate in CEASE. Methods: This study was conducted in pediatric
practices in 5 US states. Practices were recruited by the American Academy
of Pediatrics (10 intervention, 10 control). Ten training calls were
recorded and transcribed. The data was then coded inductively based on
themes found in the transcripts. Results: The data revealed that clinicians
and staff were concerned about prescribing, dosing, and insurance coverage
of nicotine replacement therapy; motivation for and methods to help families
become tobacco-free; and the impact of the intervention on practice
operations. Conclusion: While the majority of clinicians and office staff
were interested and enthusiastic about helping families become tobacco-free,
they expressed concerns that could threaten implementation of family tobacco
control strategies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family
medical education
telephone
tobacco use
EMTREE MEDICAL INDEX TERMS
article
health insurance
human
medical staff
motivation
nicotine replacement therapy
pediatrician
prescription
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160125821
PUI
L608322572
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 275
TITLE
Advocacy training for liquid nicotine: Education, evaluation and action
planning
AUTHOR NAMES
Rahmandar M.H.
Boykin A.
Vaughn L.M.
Warrick D.M.
Patterson-Rose S.
AUTHOR ADDRESSES
(Rahmandar M.H.; Boykin A.; Warrick D.M.; Patterson-Rose S.) Cincinnati
Children's Hospital Medical Center, United States.
(Vaughn L.M.) University of Cincinnati, United States.
CORRESPONDENCE ADDRESS
M.H. Rahmandar, Cincinnati Children's Hospital Medical Center, United
States.
SOURCE
Journal of Adolescent Health (2016) 58:2 SUPPL. 1 (S113-S114). Date of
Publication: February 2016
CONFERENCE NAME
2016 Annual Meeting of the Society for Adolescent Health and Medicine, SAHM
2016
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2016-03-09 to 2016-03-12
ISSN
1879-1972
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: Physicians are important advocates for their patients, but few
receive adequate training. To improve knowledge and involvement in advocacy
at our institution, our team instituted an educational program about
advocacy related to liquid nicotine, including interactive advocacy
workshops and development of an advocacy action plan (AP). Liquid nicotine
(“e-cigarettes”) is a hot topic that affects the health of children of all
ages, given a toddler's recent fatal ingestion and skyrocketing use among
adolescents. Methods: Surveys are provided several times between July 2015
and February 2016 to pediatric residents, adolescent medicine (AM) fellows
and AM faculty at Cincinnati Children's Hospital Medical Center (CCHMC)- a
large, urban, teaching hospital. Demographic information is being collected,
including training year, field, gender, race/ethnicity. Knowledge of
advocacy topics and level of involvement in advocacy activities are
assessed. Surveys end with completion of an AP, asking participants to pick
advocacy activities to complete, along with deciding their next steps,
confidence level and what could be helpful in completing their goals. The
advocacy training includes three sessions: Advocacy- themed Grand Rounds
(summer), Liquid Nicotine Advocacy Game (fall) and Advocacy Scenarios
(winter). The training will culminate in a legislative visit to the state
capitol. Initial surveys have been gathered with descriptive analysis
completed on presession baseline data and APs completed following session 1.
Upon completion of the project, longitudinal data will be analyzed to
determine how advocacy knowledge, involvement and confidence changes over
time. Funded by the American Academy of Pediatrics Community Pediatrics
Training Initiative Advocacy Training Grant. Results: Preliminary data was
collected from 120 individuals (105 of 207 pediatric residents, 4 of 4 AM
fellows, 11 of 13 AM faculty): level of training ranged from postgraduate
year 1 (35%) to faculty (9%); 89% trained in categorical pediatrics; 68%
female; 76% white and 83% non-Hispanic. Prior to session 1, 59% completed an
advocacy rotation and 68% participated in some advocacy activity, most
commonly educating patients (61%) or contacting legislators (24%). The most
frequent obstacles faced were lack of time (56%), knowledge (31%) and skills
(23%), with lack of interest reported by less than 13%. Participants were
reportedly most knowledgeable about “individual, family & community factors
that influence child health.”. Whereas, participants scored themselves
lowest for items related to understanding how to participate in legislative
advocacy. APs were completed by 71% of all participants: 82% deciding to
educate patients, followed by 24% planning to contact legislators. The
majority of AP respondents “agree” to “strongly agree” that they are
confident in completing their goal(s). Additionally, during the study
period, an Advocacy Interest Group at CCHMC was founded by four fellows of
various subspecialties and seven pediatric residents. In the first two
months of the project, seven CCHMC trainees have enrolled in the state
advocacy group. Conclusions: Advocacy training can help overcome obstacles
that prevent physician engagement in advocacy efforts. Educational sessions
have the potential to improve knowledge and skills. Using APs following a
training session, when trainees are most inspired, may lead to improved
follow-through.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine
EMTREE DRUG INDEX TERMS
benzalkonium chloride
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
education
liquid
planning
society
EMTREE MEDICAL INDEX TERMS
adolescent
American
child
child health
community
electronic cigarette
female
gender
health
Hispanic
human
ingestion
medicine
patient
pediatric hospital
pediatrics
physician
postgraduate student
skill
student
summer
teaching hospital
toddler
winter
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72341765
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 276
TITLE
Training Future Physicians to Deliver Tobacco Cessation Treatment
AUTHOR NAMES
Rigotti N.A.
AUTHOR ADDRESSES
(Rigotti N.A., nrigotti@partners.org) Tobacco Research and Treatment Center,
Division of General Internal Medicine, Department of Medicine, Massachusetts
General Hospital and Harvard Medical School, Boston, United States.
CORRESPONDENCE ADDRESS
N.A. Rigotti, Tobacco Research and Treatment Center, Division of General
Internal Medicine, Department of Medicine, Massachusetts General Hospital
and Harvard Medical School, Boston, United States. Email:
nrigotti@partners.org
SOURCE
Journal of General Internal Medicine (2016) 31:2 (144-146). Date of
Publication: 1 Feb 2016
ISSN
1525-1497 (electronic)
0884-8734
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
physician
smoking cessation program
EMTREE MEDICAL INDEX TERMS
article
health education
human
medical school
randomized controlled trial (topic)
tobacco
tobacco dependence
tobacco use
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160026557
MEDLINE PMID
26747628 (http://www.ncbi.nlm.nih.gov/pubmed/26747628)
PUI
L607647409
DOI
10.1007/s11606-015-3560-7
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-015-3560-7
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 277
TITLE
Teaching Motivational Interviewing Skills to Psychiatry Trainees: Findings
of a National Survey
AUTHOR NAMES
Abele M.
Brown J.
Ibrahim H.
Jha M.K.
AUTHOR ADDRESSES
(Abele M.) George E. Wahlen VA Medical Center, Salt Lake City, UT, USA
(Brown J.; Ibrahim H.) VA North Texas Medical Center, Dallas, TX, USA
(Jha M.K., manishjha2201@yahoo.com) North Texas State Hospital, Vernon, TX,
USA
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2016) 40:1 (149-152). Date of Publication: 1 Feb 2016
ISSN
1545-7230 (electronic)
ABSTRACT
OBJECTIVE: The authors report on the current status of motivational
interviewing education and training director attitudes about providing it to
psychiatry residents.METHODS: Training directors of general,
child/adolescent and addiction psychiatry training programs were invited to
participate in an anonymous online survey.RESULTS: Of the 333 training
directors who were invited to participate, 66 of 168 (39.3%) general, 41 of
121 (33.9%) child/adolescent, and 19 of 44 (43.2%) addiction psychiatry
training directors completed the survey. The authors found that 90.9% of
general, 80.5% of child/adolescent, and 100% of addiction psychiatry
training programs provided motivational interviewing education. Most
programs used multiple educational opportunities; the three most common
opportunities were didactics, clinical practice with formal supervision, and
self-directed reading. Most training directors believed that motivational
interviewing was an important skill for general psychiatrists. The authors
also found that 83.3% of general, 87.8% of child/adolescent, and 94.7% of
addiction psychiatry training directors reported that motivational
interviewing should be taught during general psychiatry
residency.CONCLUSIONS: Motivational interviewing skills are considered
important for general psychiatrists and widely offered by training programs.
Competency in motivational interviewing skills should be considered as a
graduation requirement in general psychiatry training programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
medical education
procedures
EMTREE MEDICAL INDEX TERMS
adolescent
child
clinical competence
curriculum
drug dependence (therapy)
human
male
motivational interviewing
psychiatry
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24832675 (http://www.ncbi.nlm.nih.gov/pubmed/24832675)
PUI
L615281410
DOI
10.1007/s40596-014-0149-0
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-014-0149-0
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 278
TITLE
Heterogeneity of alcohol, tobacco, and other substance use behaviors in U.S.
college students: A latent class analysis
AUTHOR NAMES
Evans-Polce R.
Lanza S.
Maggs J.
AUTHOR ADDRESSES
(Evans-Polce R., revanspolce@psu.edu) The Methodology Center and Prevention
Research Center, Pennsylvania State University, University Park, United
States.
(Lanza S.) The Methodology Center and Department of Biobehavioral Health,
Pennsylvania State University, University Park, United States.
(Maggs J.) Department of Human Development and Family Studies and Prevention
Research Center, Pennsylvania State University, University Park, United
States.
CORRESPONDENCE ADDRESS
R. Evans-Polce, 204 E. Calder Way, Suite 305, State College, United States.
Email: revanspolce@psu.edu
SOURCE
Addictive Behaviors (2016) 53 (80-85). Date of Publication: 1 Feb 2016
ISSN
1873-6327 (electronic)
0306-4603
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
To identify subgroups of college students with distinct profiles of
traditional and alternative types of tobacco, alcohol, and other substance
use and to examine how demographic characteristics and academic and social
activities are associated with subgroup membership. Methods: We used latent
class analysis to characterize subgroups of individuals in their fourth-year
of college based on their patterns of seven substance use behaviors: extreme
heavy episodic drinking (HED), cigarette use, cigar/cigarillo/little cigar
use, smokeless tobacco use, hookah use, marijuana use, and non-medical
prescription drug use. Demographic characteristics and academic and social
activities were then incorporated as predictors of these latent classes.
Results: We identified five classes defined by unique behavior patterns: (1)
Non/Low Users, (2) Non-Hookah Tobacco Users, (3) Extreme HED & Marijuana
Users, (4) Hookah and Marijuana Users, and (5) Poly-Substance Users. Being
male, older, and involved in sports were associated with greater odds of
being in the Poly-Substance User class compared to the Low/No User class,
and participating in an honors society and reporting more positive peer
relationships were associated with being in the Hookah and Marijuana User
class compared to the Low/No User class. Conclusion: Our findings of unique
characteristics in the subgroups identified suggest that college substance
users are a heterogeneous population requiring different targeted
interventions. Of particular concern are subgroups with high rates of
alternative tobacco products, as perceived risks of use may be inaccurate
and this is not currently a focus of college substance use prevention
interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
social behavior
substance use
tobacco use
EMTREE MEDICAL INDEX TERMS
academic achievement
adult
article
cannabis use
college student
drinking behavior
female
human
male
smokeless tobacco
smoking
United States
unlicensed drug use
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015447298
MEDLINE PMID
26476004 (http://www.ncbi.nlm.nih.gov/pubmed/26476004)
PUI
L606406576
DOI
10.1016/j.addbeh.2015.10.010
FULL TEXT LINK
http://dx.doi.org/10.1016/j.addbeh.2015.10.010
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 279
TITLE
Teaching Medical Students to Help Patients Quit Smoking: Outcomes of a
10-School Randomized Controlled Trial
AUTHOR NAMES
Ockene J.K.
Hayes R.B.
Churchill L.C.
Crawford S.L.
Jolicoeur D.G.
Murray D.M.
Shoben A.B.
David S.P.
Ferguson K.J.
Huggett K.N.
Adams M.
Okuliar C.A.
Gross R.L.
Bass P.F.
Greenberg R.B.
Leone F.T.
Okuyemi K.S.
Rudy D.W.
Waugh J.B.
Geller A.C.
AUTHOR ADDRESSES
(Ockene J.K., Judith.Ockene@umassmed.edu; Hayes R.B.; Churchill L.C.;
Crawford S.L.; Jolicoeur D.G.) Division of Preventive and Behavioral
Medicine, Department of Medicine, University of Massachusetts Medical
School, 55 Lake Avenue North, Worcester, United States.
(Murray D.M.) Biostatistics and Bioinformatics Branch; Division of
Intramural Population Health Research, Eunice Kennedy Shriver National
Institute of Child Health and Human Development, National Institutes of
Health, Bethesda, United States.
(Shoben A.B.) Division of Biostatistics, College of Public Health, The Ohio
State University, Columbus, United States.
(David S.P.) Center for Education & Research in Family and Community
Medicine, Division of General Medical Disciplines, Department of Medicine,
Stanford University School of Medicine, Palo Alto, United States.
(Ferguson K.J.) University of Iowa Carver College of Medicine, Iowa City,
United States.
(Huggett K.N.) Department of Medicine, Creighton University School of
Medicine, Omaha, United States.
(Adams M.; Okuliar C.A.; Gross R.L.) Department of Medicine, Georgetown
University Hospital, Washington, United States.
(Bass P.F.) Louisiana State University Health Shreveport, Shreveport, United
States.
(Greenberg R.B.) University of Louisville School of Medicine, Louisville,
United States.
(Leone F.T.) Division of Pulmonary, Allergy and Critical Care Medicine,
Perelman School of Medicine, University of Pennsylvania, Philadelphia,
United States.
(Okuyemi K.S.) Department of Family and Community Health, University of
Minnesota School of Medicine, Minneapolis, United States.
(Rudy D.W.) University of Kentucky College of Medicine, Lexington, United
States.
(Waugh J.B.) Clinical and Diagnostics Sciences Department, School of Health
Professions, UAB Lung Health Center, University of Alabama at Birmingham,
Birmingham, United States.
(Geller A.C.) Department of Social and Behavioral Sciences, Harvard School
of Public Health, Boston, United States.
CORRESPONDENCE ADDRESS
J.K. Ockene, Division of Preventive and Behavioral Medicine, Department of
Medicine, University of Massachusetts Medical School, 55 Lake Avenue North,
Worcester, United States. Email: Judith.Ockene@umassmed.edu
SOURCE
Journal of General Internal Medicine (2016) 31:2 (172-181). Date of
Publication: 1 Feb 2016
ISSN
1525-1497 (electronic)
0884-8734
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
Background: Early in medical education, physicians must develop competencies
needed for tobacco dependence treatment. Objective: To assess the effect of
a multi-modal tobacco dependence treatment curriculum on medical students’
counseling skills. Design: A group-randomized controlled trial (2010–2014)
included ten U.S. medical schools that were randomized to receive either
multi-modal tobacco treatment education (MME) or traditional tobacco
treatment education (TE). Setting/Participants: Students from the classes of
2012 and 2014 at ten medical schools participated. Students from the class
of 2012 (N = 1345) completed objective structured clinical examinations
(OSCEs), and 50 % (N = 660) were randomly selected for pre-intervention
evaluation. A total of 72.9 % of eligible students (N = 1096) from the class
of 2014 completed an OSCE and 69.7 % (N = 1047) completed pre and post
surveys. Interventions: The MME included a Web-based course, a role-play
classroom demonstration, and a clerkship booster session. Clerkship
preceptors in MME schools participated in an academic detailing module and
were encouraged to be role models for third-year students. Measurements: The
primary outcome was student tobacco treatment skills using the 5As measured
by an objective structured clinical examination (OSCE) scored on a 33-item
behavior checklist. Secondary outcomes were student self-reported skills for
performing 5As and pharmacotherapy counseling. Results: Although the
difference was not statistically significant, MME students completed more
tobacco counseling behaviors on the OSCE checklist (mean 8.7 [SE 0.6] vs.
mean 8.0 [SE 0.6], p = 0.52) than TE students. Several of the individual
Assist and Arrange items were significantly more likely to have been
completed by MME students, including suggesting behavioral strategies
(11.8 % vs. 4.5 %, p < 0.001) and providing information regarding quitline
(21.0 % vs. 3.8 %, p < 0.001). MME students reported higher self-efficacy
for Assist, Arrange, and Pharmacotherapy counseling items (ps ≤0.05).
Limitations: Inclusion of only ten schools limits generalizability.
Conclusions: Subsequent interventions should incorporate lessons learned
from this first randomized controlled trial of a multi-modal longitudinal
tobacco treatment curriculum in multiple U.S. medical schools. NIH Trial
Registry Number: NCT01905618
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
multimodal tobacco treatment education
patient counseling
smoking cessation
traditional tobacco treatment education
EMTREE MEDICAL INDEX TERMS
adult
article
checklist
clinical examination
controlled study
education program
female
follow up
human
Internet
interpersonal communication
major clinical study
male
medical information
medical student
multicenter study
nicotine replacement therapy
online system
outcome assessment
primary medical care
randomized controlled trial
role playing
self concept
self report
student attitude
tobacco dependence (therapy)
young adult
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT01905618)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015464073
MEDLINE PMID
26391030 (http://www.ncbi.nlm.nih.gov/pubmed/26391030)
PUI
L606560221
DOI
10.1007/s11606-015-3508-y
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-015-3508-y
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 280
TITLE
Substance use, mental illness, and familial conflict non-negotiation among
HIV-positive African-Americans: latent class regression and a new syndemic
framework
AUTHOR NAMES
Robinson A.C.
Knowlton A.R.
Gielen A.C.
Gallo J.J.
AUTHOR ADDRESSES
(Robinson A.C., arobinson21@bwh.harvard.edu) Department of Surgery, Brigham
and Women's Hospital, Harvard Schools of Medicine and Public Health, Center
for Surgery and Public Health, One Brigham Circle, 1620 Tremont Street,
Suite BC-4-020-U, Boston, MA, 02134, USA
(Knowlton A.R.; Gielen A.C.) Department of Health, Behavior and Society,
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
(Gallo J.J.) Department of Mental Health, Johns Hopkins Bloomberg School of
Public Health, Baltimore, MD, USA
SOURCE
Journal of behavioral medicine (2016) 39:1 (1-12). Date of Publication: 1
Feb 2016
ISSN
1573-3521 (electronic)
ABSTRACT
We evaluated a synergistic epidemic (syndemic) of substance use, mental
illness, and familial conflict non-negotiation among HIV-positive injection
drug users (IDU). Baseline BEACON study data was utilized. Latent class
analyses identified syndemic classes. These classes were regressed on sex,
viral suppression, and acute care non-utilization. Females were hypothesized
to have higher syndemic burden, and worse health outcomes than males. Nine
percent of participants had high substance use/mental illness prevalence
(Class 4); 23 % had moderate levels of all factors (Class 3); 25 % had high
mental illness (Class 2); 43 % had moderate substance use/mental illness
(Class 1; N = 331). Compared to Classes 1-3, Class 4 was mostly female (p <
.05), less likely to achieve viral suppression, and more likely to utilize
acute care (p < .05). Interventions should target African-American IDU
females to improve their risk of negative medical outcomes. Findings support
comprehensive syndemic approaches to HIV interventions, rather than singular
treatment methods.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
psychology
EMTREE MEDICAL INDEX TERMS
adult
African American
comorbidity
drug dependence (epidemiology)
family relation
female
human
Human immunodeficiency virus infection (epidemiology)
male
mental disease (epidemiology)
middle aged
sex difference
socioeconomics
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26296521 (http://www.ncbi.nlm.nih.gov/pubmed/26296521)
PUI
L615750670
DOI
10.1007/s10865-015-9670-1
FULL TEXT LINK
http://dx.doi.org/10.1007/s10865-015-9670-1
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 281
TITLE
Pilot feasibility study of a primary care and addiction medicine
collaborative care model SUN:SHARE
AUTHOR NAMES
Spithoff S.
Kahan M.
Hardy K.
Clarke S.
Mukerji G.
Robertson A.
Pripstein L.
Molnar L.
Krishnamurthy A.
Lamba W.
AUTHOR ADDRESSES
(Spithoff S.; Kahan M.; Hardy K.; Clarke S.; Mukerji G.; Robertson A.;
Pripstein L.; Molnar L.; Krishnamurthy A.; Lamba W.)
CORRESPONDENCE ADDRESS
S. Spithoff,
SOURCE
Canadian Family Physician (2016) 62:2 Supplement 1 (S35). Date of
Publication: 1 Feb 2016
CONFERENCE NAME
Family Medicine Forum, FMF 2015
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2015-11-11 to 2015-11-14
ISSN
0008-350X
BOOK PUBLISHER
College of Family Physicians of Canada
ABSTRACT
Context Substance use disorders (SUDs) are a considerable cause of
morbidity, mortality, and health care utilization. Few patients are in
treatment, largely as a result of poor access to and retention in
specialized addiction treatment programs. Primary care might be the
solution: outcomes are as good as those in specialized care, retention is
better, and capacity is greater. However, because of a lack of training and
support, few primary care providers (PCPs) screen and appropriately care for
patients with SUDs. As well, PCPs continue to inappropriately prescribe high
doses of opioids, increasing the risk of harm (including addiction) to
patients. Although there is substantial evidence that shared-care models
between PCPs and addiction physicians are the solution to service and
knowledge gaps, this model is rarely used in addiction medicine in Canada.
We are conducting a program evaluation of a shared-care addiction medicine
pilot, SUN:SHARE. Objective To determine if the PCPs participating in the
SUN:SHARE pilot improve their management of SUDs. Setting The three
participating sites are an inner-city community health centre, an inner-city
family health team, and a community family health team affiliated with an
academic centre. Intervention In the intervention, addiction physicians
facilitate addiction education sessions, assess patients with SUDs, and have
case discussions with PCPs at the community sites. The addiction physicians
also provide urgent telephone and e-mail consultations with PCPs. Methods We
will survey PCPs at baseline and at 6 months to look for reported changes in
knowledge and behaviour (counseling, prescribing, and referrals to ancillary
services). Additionally, we will conduct patient and provider satisfaction
interviews, and track how frequently the telephone and e-mail consultation
services were used. We will use each site's electronic medical record to
track participating PCPs' prescribing patterns at baseline, 6 months, and 12
months. We will look for changes in the number of prescriptions for
medications to treat alcohol use disorders (naltrexone, acamprosate, and
disulfiram) and opioid use disorders (buprenorphine-naloxone) and in
high-dose opioid prescribing (above 200 mg morphine equivalent per day).
EMTREE DRUG INDEX TERMS
acamprosate
buprenorphine plus naloxone
disulfiram
morphine
naltrexone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
disease model
feasibility study
primary medical care
public health
sun
EMTREE MEDICAL INDEX TERMS
animal model
Canada
clinical study
clinical trial
consultation
counseling
doctor patient relation
drug megadose
e-mail
education
electronic medical record
family health
female
human
interview
male
prescription
program evaluation
satisfaction
telephone
CAS REGISTRY NUMBERS
acamprosate (77337-73-6)
disulfiram (97-77-8)
morphine (52-26-6, 57-27-2)
naltrexone (16590-41-3, 16676-29-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L617600918
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 282
TITLE
Elements: In this month's issue
AUTHOR NAMES
Donnelly S.C.
AUTHOR ADDRESSES
(Donnelly S.C.)
CORRESPONDENCE ADDRESS
S.C. Donnelly,
SOURCE
QJM (2016) 109:2 (77) Article Number: hcw010. Date of Publication: 1 Feb
2016
ISSN
1460-2393 (electronic)
1460-2725
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
electronic cigarette
medical education
smoking
EMTREE MEDICAL INDEX TERMS
article
case report
clinical education
human
legal aspect
priority journal
public health
smoking ban
smoking cessation program
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160194119
MEDLINE PMID
26826727 (http://www.ncbi.nlm.nih.gov/pubmed/26826727)
PUI
L608857093
DOI
10.1093/qjmed/hcw010
FULL TEXT LINK
http://dx.doi.org/10.1093/qjmed/hcw010
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 283
TITLE
Yes, i can live with less pain: A pain educational intervention improving
patient-centered care and attitudes among older adults
AUTHOR NAMES
May L.
Sanchez-Reilly S.
Frausto E.
Lee S.
Garcia J.
AUTHOR ADDRESSES
(May L.; Sanchez-Reilly S.; Frausto E.) University of Texas, Health Science
Center at San Antonio, San Antonio, United States.
(Lee S.) South Texas Veterans Health Care System, San Antonio, United
States.
(Garcia J.) Symptom Management Consultants, Houston, United States.
CORRESPONDENCE ADDRESS
L. May, University of Texas, Health Science Center at San Antonio, San
Antonio, United States.
SOURCE
Journal of Pain and Symptom Management (2016) 51:2 (454). Date of
Publication: February 2016
CONFERENCE NAME
Annual Assembly of the American Academy of Hospice and Palliative Medicine
and the Hospice and Palliative Nurses Association 2016
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2016-03-09 to 2016-03-12
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives • Discuss how a patient-centered educational intervention may
improve attitudes towards pain management among older adults. • Demonstrate
the impact of an outpatientcentered educational intervention in future
decisions related to pain medication utilization. Original Research
Background. Uncontrolled chronic pain is very common among older adults
(OA). Pain is a complex symptom with subjective measurements that is also
difficult to manage due to social stigma related to treatment. Research
Objectives. To assess if case-based, low-literacy educational interventions
may influence knowledge, attitudes and behaviors related to pain management
among OA. Methods. A case-based, low-literacy, bilingual video was developed
to educate OA on medication side effects, address addiction fears, and
encourage OA to discuss pain with their clinicians/families. Educational
intervention included a short presentation by a healthcare professional
followed by video. Intervention targeted OA at six senior care centers.
Bilingual preand post-questionnaires were administered. Results. N=114, mean
age 76. 85 (73%) female and 31 (27%) male. 29% OA stated that they “worry”
about taking pain medications, with 8% of those who responded specifically
stating they would be concerned regarding addiction. When comparing pre-/
post- survey results, 40% positively shifted from initially answering they
would be worried regarding addiction to pain medications (56.3%) to after
the intervention answering they would worry less regarding addiction (16.8%)
(p<0.001). 48.3% OA also initially stated it would be easy to discuss pain
with clinicians, and this number increased to 73.3% OA answering after the
intervention that they would feel comfortable discussing their pain symptoms
with clinicians (p<0.0014). Conclusion. This pilot study demonstrated that
patient- centered educational interventions can empower OA to discuss
pain-related concerns with their clinicians as demonstrated by the positive
shift in response when OA were asked if they would feel comfortable
discussing their symptoms. This intervention also alleviated fears of OA
regarding pain medication side effects, such as addiction. Implications for
Research, Policy or Practice. Future interventions are needed to develop
validated questionnaires regarding pain and pain medication effects to
encourage OA to have their pain addressed early and with their physicians.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult
American
hospice
human
nurse
pain
palliative therapy
patient care
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
chronic pain
drug therapy
fear
female
health care personnel
male
patient
patient worry
physician
pilot study
policy
questionnaire
reading
side effect
social stigma
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72204861
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 284
TITLE
Inpatient management of a patient enrolled in an injectable opioid study: A
case report
AUTHOR NAMES
Wilson T.
Wood E.
Ahamad K.
AUTHOR ADDRESSES
(Wilson T.; Wood E.) Department of Medicine, University of British Columbia,
Canada.
(Wood E.; Ahamad K., kahamad@cfenet.ubc.ca) British Columbia Centre for
Excellence in HIV/AIDS, St. Paul's Hospital, Canada.
(Ahamad K., kahamad@cfenet.ubc.ca) Department of Family Practice, Univeristy
of British Columbia, Canada.
(Ahamad K., kahamad@cfenet.ubc.ca) Department of Family and Comminity
Medicine, Providence Health Care, Univeristy of British Columbia, Canada.
CORRESPONDENCE ADDRESS
K. Ahamad, University of British Columbia, Urban Health Research Initiative,
BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608 - 1081
Burrard Street, Vancouver, Canada. Email: kahamad@cfenet.ubc.ca
SOURCE
Canadian Journal of Addiction (2016) 7:1 (18-21). Date of Publication: 1 Feb
2016
ISSN
2368-4720
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Objectives: Methadone and buprenorphine-naloxone are the standard of care
for the treatment of opioid addiction. Due to the inability of these
medications to successfully treat some patients, investigators have explored
other medications in treating opioid use. In Vancouver, the Study to Assess
Long Term Maintenance-Opioid Effectiveness (SALOME) compared
diacetylmorphine to injectable hydromorphone for the treatment of opioid use
disorder refractory to methadone maintenance therapy. This case report
describes the maintenance of opioid agonist therapy (OAT) in a hospitalized
surgical patient enrolled in the SALOME trial where his clinicians were
blinded to his study treatment. Methods and Results: The patient was
admitted with a large bowel obstruction and underwent emergency
decompressive ileostomy surgery. His OAT regimen was unknown to the
addiction physician. Opioid addiction and pain was treated by ascertaining
the patient's diacetylmorphine equivalent dose from the SALOME study team.
This was converted to an equivalent dose of methadone with oral
hydromorphone for breakthrough symptoms with several safety parameters put
in place. The patient recovered well and resumed blinded participation in
SALOME. Conclusions: Inpatient management of patients on opioid agonist
treatments is complicated by acute medical comorbidities and other factors.
This case was further complicated by the patients blinded status in a
clincal trial and illustrates the safety considerations when continuing and
titrating opioid agonist treatments in acutely unwell medical hospitalized
patients. To best treat these patients, healthcare institutions must educate
health care providers, create multidisciplinary teams with addiction
expertise, and establish evidence-based policy.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
cannabis
diamorphine (drug therapy, oral drug administration)
fentanyl (drug therapy)
hydromorphone (drug therapy, oral drug administration)
methadone (drug therapy, oral drug administration)
methamphetamine
morphine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care management
hospital patient
EMTREE MEDICAL INDEX TERMS
adult
agitation
alcohol consumption
analgesia
article
body weight loss
case report
clinical article
computer assisted tomography
decompression surgery
diarrhea
disease course
drug dose titration
drug withdrawal
emergency surgery
general practitioner
hospital admission
hospitalization
human
ileostomy
ileostomy bag
intestine obstruction (diagnosis, surgery)
lower abdominal pain
lymphadenopathy (diagnosis)
maintenance therapy
male
middle aged
night sweat
opiate addiction (drug therapy)
pain (drug therapy)
rectum cancer (diagnosis)
rectum hemorrhage
rectum tumor (diagnosis)
safety procedure
substance use
surgical patient
tobacco use
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
diamorphine (1502-95-0, 561-27-3)
fentanyl (437-38-7)
hydromorphone (466-99-9, 71-68-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Cancer (16)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
Surgery (9)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
20170703734
PUI
L618653471
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 285
TITLE
What primary care providers want to learn to improve the care of their
adolescent patients: A survey of providers in western New York
AUTHOR NAMES
Starr T.B.
AUTHOR ADDRESSES
(Starr T.B.) University of Rochester, School of Medicine and Dentistry,
United States.
CORRESPONDENCE ADDRESS
T.B. Starr, University of Rochester, School of Medicine and Dentistry,
United States.
SOURCE
Journal of Adolescent Health (2016) 58:2 SUPPL. 1 (S42-S43). Date of
Publication: February 2016
CONFERENCE NAME
2016 Annual Meeting of the Society for Adolescent Health and Medicine, SAHM
2016
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2016-03-09 to 2016-03-12
ISSN
1879-1972
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: The Institute of Medicine's Reports Missing Opportunities, and
Redesigning Continuing Education (CE) in the Health Professions, state
providers working with adolescents frequently lack the skills needed to
interact appropriately and effectively with this age group. They identified
deficits in the training needs for providers and a new vision for CE that is
learner-driven, allowing learning to be tailored to individuals' needs. To
identify Primary Care Providers (PCPs) perceived CE needs, we conducted a
quantitative survey to assess their attitudes and beliefs regarding their
care of adolescents. Secondary aims included identifying what CE
opportunities providers would use, and the importance of CE credit or
Maintenance of Certification (MOC) points. Methods: We identified 215
potential participants from a sample of PCPs in Western, NY using an email
distribution list in the Department of Pediatrics at The University of
Rochester. We designed a 32 question electronic survey focused on providers
feeling of confidence, competence and need for further training on four
topics: confidentiality, screening for mood and substance use disorders,
taking sexual history, and providing contraceptive options counseling. Other
questions focused on perceived barriers to providing comprehensive care to
adolescents and proposed solutions. Results: Of the 215 potential
participants, 152 (70%) responded; 3 were excluded. The majority of these
providers were: pediatricians (68%), female (71 %), and Caucasian (95%), in
a group practice in suburban (60%) and urban (31%) settings, and have
practiced for 3- 38 years. Most of these providers (41%) prefer to care for
children, while 15% prefer to care for adolescents. These providers feel
more comfortable and competent caring for younger adolescents. While 54%
report seeing patients confidentially most of the time, 45% do not think
further training would be helpful. For mood disorders, 65% report feeling
comfortable screening, 45% report using a standardized screening tool most
of the time, and 62% report additional training would be helpful. For
substance use disorders, 65% agree that they feel comfortable screening, 54%
almost always uses a standardized screening tool, and 80% report the need
for additional training. The older the adolescent is, the more comfortable
these providers are taking a sexual history, and 50% report that additional
training would be useful. The top three CE topics of interest are: Substance
Use (43%), Mood Disorders (38%) and Somatization (36%). These providers
prefer to learn using online modules (67%), and workshops (57%). They report
that CE credit is important, and 60% view MOC credit as important or
somewhat important. Conclusions: These providers prefer to care for
children, and feel more comfortable and competent caring for younger
adolescents. While they report feeling confident screening for both mood and
substance use disorders, they are most interested in CE focused on these
topics. The majority of these providers prefer to learn using on-line
modules, and workshops in their practice setting. While some of these
providers report that CE credit is important, more of these providers
prioritize MOC. These results can be used to inform the development of
learner-driven materials for CE to better meet the needs of these providers.
EMTREE DRUG INDEX TERMS
contraceptive agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
adolescent health
human
patient
primary medical care
society
United States
EMTREE MEDICAL INDEX TERMS
Caucasian
certification
child
competence
confidentiality
continuing education
counseling
e-mail
female
group practice
groups by age
health
learning
mood
mood disorder
occupation
pediatrician
pediatrics
screening
skill
somatization
substance abuse
substance use
university
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72341627
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 286
TITLE
Experience of abuse, household dysfunction, and early use of alcohol and
marijuana among minnesota youth: The moderating role of internal assets
AUTHOR NAMES
Chatterjee D.
McMorris B.
Gower A.
Eisenberg M.
AUTHOR ADDRESSES
(Chatterjee D.; Gower A.; Eisenberg M.) University of Minnesota-Twin Cities,
United States.
(McMorris B.) University of Minnesota, United States.
CORRESPONDENCE ADDRESS
D. Chatterjee, University of Minnesota-Twin Cities, United States.
SOURCE
Journal of Adolescent Health (2016) 58:2 SUPPL. 1 (S12-S13). Date of
Publication: February 2016
CONFERENCE NAME
2016 Annual Meeting of the Society for Adolescent Health and Medicine, SAHM
2016
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2016-03-09 to 2016-03-12
ISSN
1879-1972
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: Early adolescence (ages 12 to 14 years) is a critical risk period
for initiation of substance use. Adverse childhood events (ACEs), including
experience of abuse and household dysfunction, are prominent risk factors
for early initiation of marijuana and alcohol use. A key component of youth
developmental assets and guidepost for development of self-regulation later
in the life course, internal assets are important protective factors against
substance use among adolescents. The purpose of this study is to investigate
if and to what extent internal assets modify associations between adverse
childhood events and early initiation of alcohol and marijuana use,
respectively. Specifically, we tested hypotheses that associations between
experiencing abuse, household dysfunction, or both and early initiation of
marijuana and alcohol use were stronger for teens with lower internal assets
than for teens who reported higher internal assets. Methods: We used data
from 9th and 11th graders who completed the 2013 Minnesota Student Survey
(N=79,339). Multivariable logistic regression was used to investigate
whether experiencing abuse (verbal, physical or sexual), household
dysfunction (living with someone who abuses alcohol or illegal drugs or
witnessing physical violence among adults) or both of these types of adverse
events were independently associated with early use of alcohol and marijuana
(before 14 years), adjusting for race, grades, gender, access to free lunch,
parent-teen communication, family structure, and region of residence)
Additionally, we investigated whether internal assets ( constructed as a
mean of responses to 14 items, range=1-4) moderated these associations.
Results: Approximately 19% and 13% of participants were early initiators of
marijuana and alcohol use, respectively. Approximately 12% of the overall
sample reported experiencing any abuse, 8% reported experiencing any
household dysfunction and 10% experienced both abuse and dysfunction. In
adjusted models, experiencing abuse, household dysfunction, and both, were
independently associated with higher odds of early initiation of marijuana
and alcohol use, respectively. Internal assets significantly moderated the
association between experiencing both abuse and household dysfunction and
early initiation of marijuana use (p<.001), such that a stronger association
was apparent for participants with lower internal assets scores compared to
those with higher internal assets. Specifically, at the 5th percentile of
the internal assets distribution, the odds of early initiation of marijuana
use were two times higher for those who experienced both abuse and
dysfunction (vs. neither) (AOR 2.2; CI: 1.9-2.5). However at the 90th
percentile, the same odds ratio was significantly lower (AOR 1.4; CI:
1.1-1.8). Internals assets weakly moderated the association between
experience of both abuse and household dysfunction and early initiation of
alcohol use (p=0.08). Conclusions: Protecting teens from experiencing
adverse events is a priority to prevent adverse health behaviors including
initiation of substance use. At the same time, resources need to be directed
toward clinicians, schools and communities to help build internal assets in
vulnerable youth to help buffer them against negative/stressful experiences
and protect against early initiation of marijuana use.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
cannabis
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
adolescent health
household
juvenile
society
United States
EMTREE MEDICAL INDEX TERMS
adolescence
adolescent
adult
alcohol consumption
autoregulation
cannabis use
childhood
community
gender
health behavior
human
hypothesis
interpersonal communication
logistic regression analysis
meal
model
parent
physical violence
protection
risk
risk factor
school
student
substance use
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72341571
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 287
TITLE
Sacred Cows and Greener Pastures: Reflections from 40 Years in Addiction
Research
AUTHOR NAMES
Miller W.R.
AUTHOR ADDRESSES
(Miller W.R., wrmiller@unm.edu) Emeritus Distinguished Prof. of Psychology
and Psychiatry, University of New Mexico, Albuquerque, United States.
CORRESPONDENCE ADDRESS
W.R. Miller, Emeritus Distinguished Prof. of Psychology and Psychiatry,
University of New Mexico, Albuquerque, United States. Email:
wrmiller@unm.edu
SOURCE
Alcoholism Treatment Quarterly (2016) 34:1 (92-115). Date of Publication: 2
Jan 2016
ISSN
1544-4538 (electronic)
0734-7324
BOOK PUBLISHER
Routledge, aabs@uw.edu
ABSTRACT
In this invited editorial, Prof. William R. Miller reflects on lessons
learned through 40 years in addiction research and treatment on topics
including evidence-based treatment, client-treatment matching, waiting
lists, brief intervention, therapist effects, empathy, polydrug use,
relapse, diagnostic labels, manual-guided treatment and standard care,
abstinence and moderation, acute treatment and case management, residential
and outpatient care, concomitant disorders and integrated care, motivation
for change, and spirituality. Concluding that there are ample reasons for
humility about our professional expertise, he offers recommendations in nine
areas for improving the care of people with substance use disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical research
EMTREE MEDICAL INDEX TERMS
alcoholism
case management
empathy
evidence based practice
health care quality
health care system
hospital admission
human
medical terminology
motivation
multiple drug abuse
outpatient care
psychotherapist
relapse
religion
review
substance abuse
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160036663
PUI
L607720814
DOI
10.1080/07347324.2015.1077637
FULL TEXT LINK
http://dx.doi.org/10.1080/07347324.2015.1077637
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 288
TITLE
A call for better opioid prescribing training and education
AUTHOR NAMES
Khidir H.
Weiner S.G.
AUTHOR ADDRESSES
(Khidir H.) Harvard Medical School, Boston, United States.
(Weiner S.G., sweiner@bwh.harvard.edu) Harvard Medical School, Brigham and
Women's Hospital, Department of Emergency Medicine, 75 Francis Street,
NH-226, Boston, United States.
CORRESPONDENCE ADDRESS
S.G. Weiner, Harvard Medical School, Brigham and Women's Hospital,
Department of Emergency Medicine, 75 Francis Street, NH-226, Boston, United
States. Email: sweiner@bwh.harvard.edu
SOURCE
Western Journal of Emergency Medicine (2016) 17:6 (686-689). Date of
Publication: 2016
ISSN
1936-9018 (electronic)
1936-900X
BOOK PUBLISHER
eScholarship, kfilipiak@aaem.org
ABSTRACT
Pain is the most common complaint in the emergency department (ED), and
emergency physicians face unique challenges in making opioid-related
treatment decisions. Medical students and residents experience significant
variation in the quality of education they receive both about opioid
prescribing as well as substance-use detection and intervention in the ED.
To achieve a better standard of education, clinical educators will need to
(a) develop a clearer understanding of the risk for aberrant opioid
prescribing in the ED, (b) recognize prescribing bias and promote uptake of
evidence-based opioid prescribing guidelines in their EDs, and (c) advocate
for integrated opioid management and addiction medicine training formally
into medical school curricula.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription
residency education
EMTREE MEDICAL INDEX TERMS
article
emergency physician
emergency ward
evidence based practice
hospital administrator
human
medical school
medical student
opiate addiction
practice guideline
prospective study
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160837310
MEDLINE PMID
27833673 (http://www.ncbi.nlm.nih.gov/pubmed/27833673)
PUI
L613257656
DOI
10.5811/westjem.2016.8.31204
FULL TEXT LINK
http://dx.doi.org/10.5811/westjem.2016.8.31204
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 289
TITLE
PG corner: Off the beaten track-psychiatry residency and beyond
AUTHOR NAMES
Behere R.V.
Rao N.P.
Girish Babu N.
AUTHOR ADDRESSES
(Behere R.V., rvbehere@gmail.com) Department of Psychiatry, Kasturba Medical
College, Manipal, India.
(Rao N.P.; Girish Babu N.)
CORRESPONDENCE ADDRESS
R.V. Behere, Department of Psychiatry, Kasturba Medical College, Manipal,
India. Email: rvbehere@gmail.com
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S20). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Postgraduate residency in psychiatry is a challenging period. A student is
expected to learn a number of specialized skills such as psychopathology,
psychotherapy, psychopharmacology, clinical interview skills, which student
may not have had exposure to during their undergraduate training. With the
ever changing scenario in terms of advances in biological psychiatry,
changes in classifcatory system, newer pharmacological treatments, advancing
evidence based medicine, a resident has to keep pace with newer advances
while at the same time balancing knowledge of classical concepts.
Preparation for exams requires a specialized focus and study skills. With
the advent of technology, a sea of knowledge is open to a psychiatry
resident. Research is an important component of psychiatry residency
training and learning the skill of conducting research and publishing their
work could be an important asset in one's career. A psychiatry resident
after fnishing PG is faced with many choice with introduction of
specialisation courses in the feld of child & adolescent psychiatry,
addiction medicine and the like. This symposium is largely directed towards
the needs of psychiatry residents and will address the challenges and how to
face them.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child psychiatry
EMTREE MEDICAL INDEX TERMS
addiction
career
child
human
interview
learning
postgraduate student
psychopharmacology
publishing
residency education
skill
study skills
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619587770
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 290
TITLE
A descriptive analysis of instructions to authors for statistical reporting
of article in addiction medicine journals
AUTHOR NAMES
Mishra A.K.
Parmar A.
Kaloiya G.S.
Balhara Y.P.S.
AUTHOR ADDRESSES
(Mishra A.K.; Parmar A., dr.arpitparmar@yahoo.in; Kaloiya G.S.; Balhara
Y.P.S.) Department of Psychiatry, National Drug Dependence Treatment Center,
AIIMS, Delhi, India.
CORRESPONDENCE ADDRESS
A.K. Mishra, Department of Psychiatry, National Drug Dependence Treatment
Center, AIIMS, Delhi, India.
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S68-S69). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Introduction: Instructions to authors provided by journals for the articles
submission varies from journal to journal. These instructions covers
mandatory requirements for authors to prepare their manuscript so they can
be subjected to editorial processing. In addition to various instructions,
it also contains information on statistical aspects of the manuscript that
should be addressed. However, the coverage and Specification of statistical
aspects under instruction to authors lacks comprehensiveness. This leads to
incomplete statistical reporting of the article as well as unnecessary delay
in the publication of a particular article. Methods: The present study Aims
to study 'instruction to authors' of 55 core addiction medicine related
English journals. They were identified by the SCImago journal ranking list
2014. Results: Out of 55, majority of journals published articles on any
substance (including behavioral) addictions (76.4%) while 6 journals (10.9%)
were dedicated to alcohol research and 3 journals each (5.5% each) were
dedicated to nicotine and gambling research. One journal was dedicated to
opioids research. Out of 55, total of 50 journal instructions could be
accessed online. Majority of journals did not suggest any descriptive
(70.9%) or inferential (74.5%) statistics reporting to the authors. Only 13
journals (23.6%) instructed authors to follow one or the other reporting
guideline (for e.g. CONSORT/STROBE). Discussion: More detailed instruction
to authors (especially the statistical reporting of a manuscript) is
necessary in order to do better reporting of articles published in addiction
medicine journals. Conclusion: The instruction to authors in core addiction
related journals on statistical aspects seems to be inadequate.
EMTREE DRUG INDEX TERMS
alcohol
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavioral addiction
publication
EMTREE MEDICAL INDEX TERMS
gambling
practice guideline
statistics
CAS REGISTRY NUMBERS
alcohol (64-17-5)
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619588446
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 291
TITLE
A cross-sectional study on the prevalence, risk factors & illeffects of
internet addiction amongst the medical students in silchar medical college &
hospital, North Eastern India
AUTHOR NAMES
Nath K.
Naskar S.
Victor R.
AUTHOR ADDRESSES
(Nath K., robinvictor111@gmail.com; Naskar S.; Victor R.) Department of
Psychiatry, Silchar Medical College and Hospital, Assam, India.
CORRESPONDENCE ADDRESS
K. Nath, Department of Psychiatry, Silchar Medical College and Hospital,
Assam, India. Email: robinvictor111@gmail.com
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S80). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Background: The Internet is the global system of interconnected computer
networks that use the Internet protocol suite (TCP/IP) to link billions of
devices worldwide. Internet in the last few years has become an important
part of our daily life. It has made life easy for us as all sort of
information being available at our fngertips. But recently there has been
over usage of internet leading to addiction causing various mental and
physical illness. Aim: To evaluate Internet Addiction amongst medical
students in Silchar medical college & hospital and gain knowledge about the
prevalence, pattern, risk factors and ill effects commonly associated with
it. Material And Methods: A cross-sectional study sample comprising of 188
medical students of Silchar medical college & hospital was taken and study
was conducted after obtaining Institutional Ethical Committee approval and
permission from the college. Students were assessed with a specially
constructed semi-structured proforma, Internet use questionnaire and The
Internet Addiction Test (IAT; Young, 1998) which was self-administered by
the students after giving them brief instructions. Results: Out of the total
188 medical students 114 (60.6%) were males and 74 (39.4%) were females. The
mean age was found to be 22.51 years (standard deviation 2.91).Using Young's
criteria it was found that 0.5% of the students are addicts and 46.3% are
possible addicts. Internet addicts had longer duration of internet usage and
had always online status. Also the addicts often had formation of online
relationship which was more in males. Excessive internet usage also led to
poor performance in college and these individuals reported feeling moody,
anxious and depressed. Conclusion: In the emerging era of internet use, we
must learn to differentiate excessive internet use from addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cross-sectional study
India
internet addiction
medical school
medical student
prevalence
risk factor
EMTREE MEDICAL INDEX TERMS
adult
drug dependence
female
human
Internet
major clinical study
male
physical disease
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619588353
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 292
TITLE
SCOPE of pain: An evaluation of an opioid risk evaluation and mitigation
strategy continuing education program
AUTHOR NAMES
Alford D.P.
Zisblatt L.
Ng P.
Hayes S.M.
Peloquin S.
Hardesty I.
White J.L.
AUTHOR ADDRESSES
(Alford D.P., dan.alford@bmc.org; Zisblatt L.; Hardesty I.; White J.L.) The
Barry M. Manuel Office of Continuing Medical Education, Boston University
School of Medicine, Boston, United States.
(Alford D.P., dan.alford@bmc.org) Department of Medicine, Boston Medical
Center, Boston, United States.
(Ng P.; Hayes S.M.; Peloquin S.) Performance Improvement Division, AXDEV
Group Inc., Brossard, Canada.
CORRESPONDENCE ADDRESS
D.P. Alford, Boston Medical Center, 801 Massachusetts Avenue, Crosstown 2,
Boston, United States. Email: dan.alford@bmc.org
SOURCE
Pain Medicine (United States) (2016) 17:1 (52-63). Date of Publication: 1
Jan 2016
ISSN
1526-4637 (electronic)
1526-2375
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
ABSTRACT
Objective. Due to the high prevalence of prescription opioid misuse, the US
Food and Drug Administration (FDA) mandated a Risk Evaluation and Mitigation
Strategy (REMS) requiring manufacturers of extended-release/long-acting
(ER/LA) opioid analgesics to fund continuing education based on a FDA
Blueprint. This article describes the Safe and Competent Opioid Prescribing
Education (SCOPE of Pain) program, an ER/LA opioid analgesic REMS program,
and its impact on clinician knowledge, confidence, attitudes, and
self-reported clinical practice. Method. Participants of the 3-h SCOPE of
Pain training completed pre-, immediate post- and 2-month post-assessments.
Subjects. The primary target group (n=2,850), and a subset (n=476) who
completed a 2-month postassessment, consisted of clinicians licensed to
prescribe ER/LA opioid analgesics, who care for patients with chronic pain
and who completed the 3-h training between February 28, 2013 and June 13,
2014. Results. Immediately post-program, there was a significant increase in
correct responses to knowledge questions (60% to 84%, P ≤0.02) and 87% of
participants planned to make practice changes. At 2-months post-program,
there continued to be a significant increase in correct responses to
knowledge questions (60% to 69%, P ≤0.03) and 67% reported increased
confidence in applying safe opioid prescribing care and 86% reported
implementing practice changes. There was also an improvement in alignment of
desired attitudes toward safe opioid prescribing. Conclusions. The SCOPE of
Pain program improved knowledge, attitudes, confidence, and self-reported
clinical practice in safe opioid prescribing. This national REMS program
holds potential to improve the safe use of opioids for the treatment of
chronic pain.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
prescription
EMTREE MEDICAL INDEX TERMS
advanced practice nurse
article
chronic pain
clinical practice
communication skill
drug misuse
drug safety
drug use
health personnel attitude
human
outcome assessment
patient education
physician
physician assistant
practice guideline
professional knowledge
risk assessment
risk factor
risk reduction
self report
trust
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015334043
MEDLINE PMID
26304703 (http://www.ncbi.nlm.nih.gov/pubmed/26304703)
PUI
L605802723
DOI
10.1111/pme.12878
FULL TEXT LINK
http://dx.doi.org/10.1111/pme.12878
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 293
TITLE
Attitudes of emergency physicians towards homeless and substance using
patients
AUTHOR NAMES
Nicol J.J.
Dowling S.
Crawford S.
Chow J.G.
Dong K.
AUTHOR ADDRESSES
(Nicol J.J.; Dowling S.; Crawford S.; Chow J.G.; Dong K.) Department of
Emergency Medicine, University of Calgary, Calgary, Canada.
CORRESPONDENCE ADDRESS
J.J. Nicol, Department of Emergency Medicine, University of Calgary,
Calgary, Canada.
SOURCE
Canadian Journal of Emergency Medicine (2016) 18 Supplement 1 (S41). Date of
Publication: 2016
CONFERENCE NAME
2016 CAEP/ACMU
CONFERENCE LOCATION
Quebec City, QC, Canada
CONFERENCE DATE
2016-06-05 to 2016-06-08
ISSN
1481-8043
BOOK PUBLISHER
Cambridge University Press
ABSTRACT
Introduction: Patients who are homeless and/or using substances rely heavily
on emergency departments (ED) for medical care, and present with complex
medical and social needs. Negative physician attitudes towards this
population undermine the therapeutic relationship, compromising the quality
of medical care provided. The objective of this study was to determine the
attitudes of emergency physicians towards homeless and substance-using
patients. Methods: Using a Modified Total Design approach, we conducted a
cross-sectional survey of emergency physicians at five different healthcare
locations in Calgary, Alberta, Canada. Attitudes were assessed using two
validated measures, the Health Care Providers Attitudes Towards the Homeless
Inventory (HPATHI), and the Short Understanding of Substance Use Scale
(SUSS). Surveys were self-administered by respondents between March and
December 2013. Results: A total of 117 physicians completed the survey
(response rate 48%). 28% of respondents resented the amount of time it takes
to see homeless patients, and 32% believed caring for homeless patients was
not financially viable; 57% felt overwhelmed by the complexity of problems
that homeless people have. Physicians with extra training in addiction
medicine or health care for the homeless had more positive attitudes than
physicians with no extra training; physician attitudes worsened over time
towards both populations. Conclusion: Physicians feel overwhelmed when
caring for patients who are homeless and/or substance using and negative
attitudes worsened over time. Extra training in addiction medicine or
healthcare for the homeless is associated with more positive attitudes.
Possible strategies to improve attitudes should include a multifaceted
approach addressing individual physician knowledge deficits, as well as
expanded access to resources in the ED and community, designed to deal with
the complex needs of these populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
emergency physician
female
homeless person
male
physician attitude
EMTREE MEDICAL INDEX TERMS
Alberta
doctor patient relation
emergency ward
human
human experiment
medicine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L616769248
DOI
10.1017/cem.2016.70
FULL TEXT LINK
http://dx.doi.org/10.1017/cem.2016.70
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 294
TITLE
Chemical dependence on crack: Experiences and perceptions of internship
students of a medical school
ORIGINAL (NON-ENGLISH) TITLE
Dependência química pelo crack: vivências e percepções dos discentes do
internato de um curso medico
AUTHOR NAMES
Peixoto A.L.A.
Vieira M.D.L.F.
Costa A.C.S.
Freitas D.A.
AUTHOR ADDRESSES
(Peixoto A.L.A.) Faculdade de Medicina da Universidade Federal de Alagoas,
Av. Lourival Melo Mota s/n, Tabuleiro dos Martins,-Maceió-AL, Brazil.
(Vieira M.D.L.F.) Associada 2 da Faculdade de Medicina da-UFAL, Brazil.
(Costa A.C.S.) Associado 1 da Faculdade de Economia, Administração e
Contabilidade Da-UFAL, Brazil.
(Freitas D.A.) Adjunto da Faculdade de Medicina da UFAL, Brazil.
CORRESPONDENCE ADDRESS
A.L.A. Peixoto, Faculdade de Medicina da Universidade Federal de Alagoas,
Av. Lourival Melo Mota s/n, Tabuleiro dos Martins,-Maceió-AL, Brazil.
SOURCE
Medicina (Brazil) (2016) 49:1 (35-44). Date of Publication: 1 Jan 2016
ISSN
2176-7262 (electronic)
0076-6046
BOOK PUBLISHER
Faculdade de Medicina de Ribeirao Preto - U.S.P.
ABSTRACT
Study design: Cross-sectional and qualitative study. Objectives: This study
investigates experiences and identifies the perceptions of ninth-term intern
medical students of a public university on the crack addiction issue.
Methods: A qualitative-approach and cross-sectional study which had as the
research tool a semi-structured, individual interview allowing broad speech
of students. Recording reports were Classitranscribed and content analysis
carried out according to Bardin. Results: categories were identified
concerning the feeling of experience, the students' perception on crack
addiction and their learning on the subject, physical impairments and
additional damages, besides how society should deal with the addiction on
crack. The feelings of compassion and preservation are present in their
experiences. Students point out economic, professional and family issues as
the sources of serious crack addiction consequences. They also take into
account the social and existential damages, the self-destruction, violence
and weight loss caused on crack users, as well as the codependency. There is
a great concern on the part of students related to prevention, education,
information, elimination of prejudice, as well as demands of government
efforts to combat crack. Conclusion: The intern medical students consider
crack addiction both a social problem and a disease; define learning about
addiction by crack insufficient throughout the course. Their experiences and
perceptions generate positive impacts since they prospect better prepared
graduates who shall receive the one addicted and his family in a broader,
more effective and humane way.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cocaine dependence
personal experience
student attitude
EMTREE MEDICAL INDEX TERMS
adaptive behavior
antisocial behavior
article
behavior disorder
body weight loss
compassion
content analysis
cross-sectional study
economic aspect
emotion
emotion assessment
existential damage
family conflict
human
information processing
learning
medical education
medical school
physical disease
qualitative research
self destruction
semi structured interview
social acceptance
social problem
violence
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Portuguese
LANGUAGE OF SUMMARY
English, Portuguese
EMBASE ACCESSION NUMBER
20160565636
PUI
L611446453
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 295
TITLE
Internet based learning in addiction psychiatry for professionals: Review
AUTHOR NAMES
Chawla N.
Balhara Y.P.S.
Dhawan A.
AUTHOR ADDRESSES
(Chawla N., nishtha.chawla@gmail.com; Balhara Y.P.S.; Dhawan A.) National
Drug Dependence Treatment Centre, Department of Psychiatry, All India
Institute of Medical Sciences (AIIMS), New Delhi, India.
CORRESPONDENCE ADDRESS
N. Chawla, National Drug Dependence Treatment Centre, Department of
Psychiatry, All India Institute of Medical Sciences (AIIMS), New Delhi,
India. Email: nishtha.chawla@gmail.com
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S56). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Introduction: Education in medicine can be imparted either through
traditional ways, e.g. attending lectures, attending ward rounds, tutorials
etc., or via distance education, e.g., correspondence courses,
internet-based learning etc. Distance learning techniques have evolved since
1840s. Internet is currently the fastest, most convenient, and exhaustive
source of spreading education. Methods: The research studies chosen for this
literature review focused on effectiveness of web-based training. Two main
databases were employed to search for relevant research studies: PubMed and
Google Scholar. The Keywords used in searching these databases and websites
were: distance education, substance related disorder, teaching, internet,
and searching the reference lists of those articles already found. Results:
Most of the courses offered online were Specific, like, training on
motivational interviewing, twelve step facilitation, cognitive behavioural
therapy, alcohol screening and brief intervention etc. They were based on
various aspects like, acquisition of knowledge or skills, feasibility of
distance learning, level of satisfaction of the trainees/students,
cost-effectiveness of the techniques and the type of trainees who access the
course. Conclusion: There appears to be a need for internet based learning
in addiction psychiatry as there has been a signifcant rise in SUDs in past
two decades, inadequate number of facilities, lack of trained manpower,
shortage in basic skills and expertise, less time devoted to psychiatry
lectures and psychiatric training during MBBS.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Internet
learning
psychiatry
EMTREE MEDICAL INDEX TERMS
cognitive behavioral therapy
cost effectiveness analysis
facilitation
feasibility study
human
manpower
Medline
motivational interviewing
satisfaction
skill
student
systematic review
teaching
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619588505
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 296
TITLE
Media literacy education to prevent electronic nicotine delivery system use
by adolescents
AUTHOR NAMES
Watson A.
AUTHOR ADDRESSES
(Watson A.) University of Washington, School of Medicine, Seattle, United
States.
CORRESPONDENCE ADDRESS
A. Watson, University of Washington, School of Medicine, Seattle, United
States.
SOURCE
Journal of Investigative Medicine (2016) 64:1 (303). Date of Publication: 1
Jan 2016
CONFERENCE NAME
American Federation for Medical Research Western Regional Meeting, AFMR 2016
CONFERENCE LOCATION
Carmel, CA, United States
CONFERENCE DATE
2016-01-28 to 2016-01-30
ISSN
1708-8267
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Purpose of Study Media Literacy Education (MLE) aims to decrease and prevent
adolescent electronic nicotine delivery system (ENDS) use by increasing
adolescent skills in deconstructing ENDS advertisements and media
promotions. Methods Used Through key informant interviews, ENDS use by
adolescents and lack of knowledge of ENDS safety were identified as growing
issues is Bear Lake County. Research on adolescent tobacco prevention showed
MLE was effective in helping students understand advertising's persuasive
intent and decreased desires to use tobacco products. Summary of Results The
project aims to decrease adolescent ENDS use by improving media literacy in
9th grade students. The public health office was provided a free MLE
curriculum (http://www.aditup.net/) that can be adapted to ENDS advertising.
Additionally, current research on ENDS safety, including a concise summary
of safety data from the American Journal of Medicine and the current stance
on ENDS from the American College of Physician was provided and presented.
Finally, additional research findings regarding other tobacco cessation and
prevention strategies were given. Conclusions Initial short-term safety data
indicates that ENDS products have health risks, yet many people in the
community hold the unsubstantiated belief that ENDS are a safe alternative
to traditional tobacco use. While public health officials understand ENDS
safety risks, it is difficult to relay the message when long-term health
effects are currently unavailable. The next step for the public health
office is to communicate the known risks of ENDS to both adolescents and the
general community. In addition, partnering with teachers to implement media
literacy education in 9th grade classes can help adolescents view ENDS
advertisements and media with a critical eye to prevent and decrease their
use.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
EMTREE MEDICAL INDEX TERMS
adolescent
advertising
clinical article
education
health hazard
human
interview
physician
public health
safety
skill
smoking cessation
standing
student
teacher
CAS REGISTRY NUMBERS
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L612648306
DOI
10.1136/jim-d-15-00013.386
FULL TEXT LINK
http://dx.doi.org/10.1136/jim-d-15-00013.386
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 297
TITLE
Structured smoking cessation training for medical students: A prospective
study
AUTHOR NAMES
Herold R.
Schiekirka S.
Brown J.
Bobak A.
McEwen A.
Raupach T.
AUTHOR ADDRESSES
(Herold R.; Raupach T., raupach@med.uni-goettingen.de) Department of
Cardiology and Pneumology, University Medical Centre Göttingen, Göttingen,
Germany.
(Schiekirka S.; Raupach T., raupach@med.uni-goettingen.de) Division of
Medical Education Research and Curriculum Development, University Medical
Centre Göttingen, Göttingen, Germany.
(Brown J.; Raupach T., raupach@med.uni-goettingen.de) Cancer Research UK
Health Behaviour Research Centre, University College London, London, United
Kingdom.
(Bobak A.) Wandsworth Medical Centre, London, United Kingdom.
(McEwen A.) National Centre for Smoking Cessation and Training, London,
United Kingdom.
CORRESPONDENCE ADDRESS
T. Raupach, Department of Cardiology and Pneumology, University Medical
Centre Göttingen, Göttingen, Germany. Email: raupach@med.uni-goettingen.de
SOURCE
Nicotine and Tobacco Research (2016) 18:12 (2209-2215). Date of Publication:
2016
ISSN
1469-994X (electronic)
1462-2203
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
ABSTRACT
Introduction: Physician adherence to guideline recommendations regarding the
provision of counseling and support for smokers willing to quit is low. A
lack of training during undergraduate medical education has been identified
as a potential cause. This prospective intervention study evaluated a novel
teaching module for medical students. Methods: As part of a 6-week
cardiovascular course, 125 fourth-year undergraduate medical students
received a multimodal and interactive teaching module on smoking cessation,
including online learning material, lectures, seminars, and practical skills
training. Short- and mediumterm effects on knowledge, skills, attitudes, and
self-reported practice were measured using written examinations and an
objective structured clinical examination at the end of the module and 6
months later. Results were compared to data obtained from a historical
control cohort (n = 70) unexposed to the intervention. Results: At the
6-month follow-up, scores in the knowledge test were significantly higher in
the intervention than the control group (61.1% vs. 51.7%; p < .001). A
similar pattern was observed in the objective structured clinical
examination (71.5% vs. 60.5%; p < .001). More students in the intervention
than control group agreed that smoking was a chronic disease (83.1% vs.
68.1%; p = .045). The control group was more likely to report recording
smoking status (p = .018), but no group difference was detected regarding
the report of advising to quit (p = .154). Conclusions: A novel teaching
module for undergraduate medical students produced a sustained learning
outcome in terms of knowledge, skills, and attitudes but not self-reported
practice. Implications: Studies across the world have identified
considerable knowledge gaps and deficits in practical training with regard
to smoking cessation counseling in undergraduate medical students. This
paper describes a teaching intervention informed by current recommendations
for the design of educational activities aimed at enabling medical students
to deliver adequate behavior change counseling. The teaching module was
tailored to the needs of a specific healthcare system. Given its
effectiveness as demonstrated in this prospective study, a rollout of this
intervention in medical schools might have the potential to substantially
improve medical students' knowledge, skills, and attitudes in relation to
smoking cessation counseling.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
medical education
smoking cessation program
EMTREE MEDICAL INDEX TERMS
adult
article
chronic disease
clinical examination
cohort analysis
controlled clinical trial
controlled study
female
follow up
human
intervention study
knowledge
learning style
male
medical student
mental test
observational study
online system
prospective study
self report
skill
student attitude
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170160664
MEDLINE PMID
27613926 (http://www.ncbi.nlm.nih.gov/pubmed/27613926)
PUI
L614635220
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 298
TITLE
Smartphone addiction among medical students of medical college baroda and
its association with academic performance
AUTHOR NAMES
Pal S.
Oswal R.M.
Patel A.
AUTHOR ADDRESSES
(Pal S., pal.sutanaya@gmail.com; Oswal R.M.; Patel A.) Department of
Psychiatry, Medical College, Baroda, India.
CORRESPONDENCE ADDRESS
S. Pal, Department of Psychiatry, Medical College, Baroda, India. Email:
pal.sutanaya@gmail.com
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S78). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Background: With the advent of internet enabled hand held devices such as
smartphones and tablets, technological addiction has become a tangible
problem due to prompt access to such devices. Adverse effects of its overuse
range from an impact on social interactions and academic performance to
physical injury with a few reported cases of accidental deaths. Methodology
and Analysis: It is a cross-sectional study. All the undergraduate medical
students from 2nd year to Internship (n=572) were included in the study
after getting written informed consent. Sociodemographic details, patterns
of smartphone use, class 12 marks and Results of fnal MBBS exams appeared so
far were obtained to assess academic performance using a self-report
semi-structured questionnaire. Smartphone addiction was diagnosed using the
Smartphone Addiction Inventory (SPAI). As high school grades are estimated
to be the best indicator of future performance, Class 12 marks were taken to
account for the intrinsic differences between students. An average of all
the MBBS fnal exams was taken as an estimate of the current performance.
Results: Out of 523 students approached, 427 returned completed forms. The
population of 54% males and 46% females had a mean age of 20.8 years (SD =
1.4 years). 88 students (20.6%) were found to be addicted to Smartphones
using a cut-off of 64 on the SPAI. No signifcant association was found
between Smartphone addiction and academic performance. Conclusion: While a
high percentage of students were found to be addicted to smartphones, it did
not seem to have a signifcant impact on their academic performance.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
academic achievement
computer addiction
medical school
medical student
EMTREE MEDICAL INDEX TERMS
adult
diagnosis
female
high school
human
informed consent
major clinical study
male
self report
structured questionnaire
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619588277
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 299
TITLE
Relationship between internet addiction with educational failure and
demographic characteristics in students
AUTHOR NAMES
Rezaei S.A.
Moradi Y.
Moghaddam A.S.
AUTHOR ADDRESSES
(Rezaei S.A.; Moradi Y.) Department of Nursing, Nursing and Midwifery
School, Uremia University of Medical Sciences, Uremia, Iran.
(Moghaddam A.S.) Department of Nursing, Nursing and Midwifery School, Dezful
University of Medical Sciences, Dezful, Iran.
CORRESPONDENCE ADDRESS
A.S. Moghaddam, Department of Nursing, Nursing and Midwifery School, Dezful
University of Medical Sciences, Dezful, Iran.
SOURCE
Research Journal of Medical Sciences (2016) 10:4 (291-295). Date of
Publication: 2016
ISSN
1993-6095 (electronic)
1815-9346
BOOK PUBLISHER
Medwell Journals, medwellonline@gmail.com
ABSTRACT
The majority of internet users are university students and educated people.
Excessive use of the internet led to an addiction to it is that it can also
undermine the students’ academic status and due to of academic failure and
the reduction of the grade point average. This study aimed to investigate
the relationship between internet addiction with educational failure and
demographic characteristics was conducted. The study is descriptive and
analytical. The sample consisted of 600 students of Urmia University of
Medical Sciences who were selected quota randomly. The data collection tool
was a two-part questionnaire. The first section includes demographic
information such as age, sex, occupation, education level as well as
questions about hours of internet use during the week, time of use and the
use of the internet and the second part was young “internet addiction test”.
Data analysis Software SPSS/19 was conducted. Based on the findings, Average
use of the internet based on” Yang internet addiction test” was 20.1267. In
all subjects which is usual and acceptable. Average internet addiction in
male students and female students respectively was 25.3382 and 18.2668 that
among these scores of internet addiction in male students more than female
students, average use of the internet based on “Yang internet addiction
test” in Nursing students 18.5946 (typical), Midwifery students 29.5833
(mild), Medical students 17.2906 (typical), Dentistry students 14.8056
(typical), Health20.2246 (mild), Paramedical students 42.1818 (mild) and
Medical Emergencies students 28.2174 (mild) was obtained. Results showed
that the average scores of internet addiction in students with educational
failure is significantly more than other groups (p<0.05). Based on ANOVA
test between the internet addiction, educational level and smoking
statistically significant difference were observed. Since the dependence on
the internet can undermine students’ academic status. Therefore, university
should be created appropriate background to meet the needs of cultural and
free-time students so that, students refer to internet only in issues such
as study of studyand news sites and cultural.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
internet addiction
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
demography
female
human
Likert scale
male
outcome assessment
physical activity
sleep quality
university student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160688424
PUI
L612248570
DOI
10.3923/rjmsci.2016.291.295
FULL TEXT LINK
http://dx.doi.org/10.3923/rjmsci.2016.291.295
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 300
TITLE
Smoking cessation and attitudes, belief, observation, and education of
medical students, in Turkey
AUTHOR NAMES
Turhan E.
Inandi T.
Col M.
Bugdayci R.
Eker O.
Ilhan M.
AUTHOR ADDRESSES
(Turhan E., turhanebru1@gmail.com) IZMIR, Turkey.
(Inandi T.) Mustafa Kemal University, Faculty of Medicine, Department of
Public Health, Antakya, Turkey.
(Col M.) Ankara University, Faculty of Medicine, Department of Public
Health, Ankara, Turkey.
(Bugdayci R.) Mersin University, Faculty of Medicine, Department of Public
Health, Mersin, Turkey.
(Eker O.) Seyhan Community Health Center, Adana, Turkey.
(Ilhan M.) Gazi University, Faculty of Medicine, Department of Public
Health, Ankara, Turkey.
CORRESPONDENCE ADDRESS
E. Turhan, Public Health, Research and Development Unit, IZMIR, Karsiyaka,
Turkey. Email: turhanebru1@gmail.com
SOURCE
Journal of the Nepal Medical Association (2016) 54:202 (55-62). Date of
Publication: 2016
ISSN
0028-2715
BOOK PUBLISHER
Nepal Medical Association, nma@healthnet.org.np
ABSTRACT
Introduction: Tobacco use is an important public health problem around the
world. Aim of this study is to assess attitudes,belief and observation of
the students on smoking cessation and medical education. Methods: This study
is part of a multi-country study called “Global Health Profession Student
Survey”. The study population consisted of third year medical students in
Turkey. The sample consisted of a total of 1834 medical students from
randomly selected 12 medical schools. Results: Of the students, 1209
(92.1%)thought that health professionals should get specific training on
cessation techniques, and that health professionals should serve as "role
models" for their patients and the public. The percentage of the students
who answered “Health professionals should routinely advise their patients
who smoke to quit smoking” was 1211 (93.3%). Of the students, 1204 (60.8%)
responded that health professionals who use other tobacco products were less
likely to advise patients to stop smoking. The percentage of the students
who had received a formal training on smoking cessation approaches was 48.2%
(1196). Of the students, 91.5% (1203) had heard of nicotine replacement
therapies in tobacco cessation programs. More than half of smokers tried to
quit smoking last year, and majority of them did not take professional help
or advice. Conclusions: Majority of students are aware of health
professionals’ role on smoking cessation. Most of the students are
willingness to take specific formal training on tobacco. Student’s
behaviours and attitudes were different by gender and smoking status.
Improvement of tobacco cessation issues in medical curricula will be
beneficial.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
medical student
smoking cessation
Turkey (republic)
EMTREE MEDICAL INDEX TERMS
controlled clinical trial
controlled study
disease course
female
gender
human
major clinical study
male
model
nicotine replacement therapy
occupation
randomized controlled trial
thinking
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170010325
PUI
L613949432
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 301
TITLE
Project ECHO (Extension for Community Healthcare Outcomes): A new model for
educating primary care providers about treatment of substance use disorders
AUTHOR NAMES
Komaromy M.
Duhigg D.
Metcalf A.
Carlson C.
Kalishman S.
Hayes L.
Burke T.
Thornton K.
Arora S.
AUTHOR ADDRESSES
(Komaromy M.; Duhigg D.; Carlson C.; Kalishman S.; Burke T.; Thornton K.;
Arora S.) a ECHO Institute, University of New Mexico Health Sciences Center
, University of New Mexico , Albuquerque , New Mexico , USA
(Metcalf A.) b Truman Clinic, University Hospital , Albuquerque , New Mexico
, USA
(Hayes L.) c El Centro Family Health Center , Espanola , New Mexico , USA
SOURCE
Substance abuse (2016) 37:1 (20-24). Date of Publication: 2016
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Project ECHO (Extension for Community Healthcare Outcomes)
trains and mentors primary care providers (PCPs) in the care of patients
with complex conditions. ECHO is a distance education model that connects
specialists with numerous PCPs via simultaneous video link for the purpose
of facilitating case-based learning. This article describes a teleECHO
clinic based at the University of New Mexico Health Sciences Center that is
focused on treatment of substance use disorders (SUDs) and behavioral health
disorders.METHODS: Since 2005, specialists in treatment of SUDs and
behavioral health disorders at Project ECHO have offered a weekly 2-hour
Integrated Addictions and Psychiatry (IAP) TeleECHO Clinic focused on
supporting PCP evaluation and treatment of SUDs and behavioral health
disorders. We tabulate the number of teleECHO clinic sessions, participants,
and CME/CEU (continuing medical education/continuing education unit) credits
provided annually. This teleECHO clinic has also been used to recruit
physicians to participate in DATA-2000 buprenorphine waiver trainings. Using
a database of the practice location of physicians who received the
buprenorphine waiver since 2002, the number of waivered physicians per
capita in US states was calculated. The increase in waivered physicians
practicing in underserved areas in New Mexico was evaluated and compared
with the rest of the United States.RESULTS: Since 2008, approximately 950
patient cases have been presented during the teleECHO clinic, and more than
9000 hours of CME/CEU have been awarded. Opioids are the substances
discussed most commonly (31%), followed by alcohol (21%) and cannabis (12%).
New Mexico is near the top among US states in DATA-2000
buprenorphine-waivered physicians per capita, and it has had much more rapid
growth in waivered physicians practicing in traditionally underserved areas
compared with the rest of the United States since the initiation of the
teleECHO clinic focused on SUDs in 2005.CONCLUSION: The ECHO model provides
an opportunity to promote expansion of access to treatment for opioid use
disorder and other SUDs, particularly in underserved areas.
EMTREE DRUG INDEX TERMS
buprenorphine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
procedures
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
community care
curriculum
human
medical education
opiate addiction (drug therapy)
primary health care
telecommunication
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26848803 (http://www.ncbi.nlm.nih.gov/pubmed/26848803)
PUI
L616636677
DOI
10.1080/08897077.2015.1129388
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2015.1129388
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 302
TITLE
Internet addiction, associated psychopathology and its impact on health and
lifestyle: A study on junior doctors of a medical college in kolkata
AUTHOR NAMES
Mondal A.
AUTHOR ADDRESSES
(Mondal A., drarijitmondal2010@gmail.com) VILL and P. O. RAYAN, Burdwan,
West Bengal, India.
CORRESPONDENCE ADDRESS
A. Mondal, VILL and P. O. RAYAN, Burdwan, West Bengal, India. Email:
drarijitmondal2010@gmail.com
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S45-S46). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
There is rapid growth in internet use not only in India but also worldwide
in last decade. There have been growing concern world wide of the potential
adverse effects arising from excessive maladaptive or addictive internet
usage. Kendell reports that there are a number of emotional factors which
may be related to college students' internet addiction. Among these factors
the most remarkable are depression, anxiety and stress. Other Conclusion of
excessive usage have been documented as neglect of academic, work and
domestic responsibilities, disruption of relationships, social isolation and
financial problems. The understanding that internet use can be a disorder is
still in its initial stages in India. This present study is to assess the
internet addiction among the junior doctors at a medical college in Kolkata
(using Young's Internet Addiction Test). This is also to assess associated
psychiatric morbidity (using DASS, i.e. Depression Anxiety Stress Scale) and
the impact of internet addiction on physical, mental ad social health (using
Duke Health Profile). STUDY AREA: R. G. Kar Medical College & Hospital,
Kolkata. STUDY POPULATION: Junior doctors (internees, house physicians,
house-surgeons & post graduate trainees). STUDY DURATION: Thee months from
the approval of institutional ethics committee. SAMPLE SIZE: Approximately
50 cases. SELECTION: Simple Random Sampling INCLUSION CRITERIA: Junior
doctors Both sexes Willing to give consent History of using internet
EXCLUSION CRITERA: Not using internet Not willing to give consent STUDY
DESIGN: Short term cross-sectional study TOOLS TO BE USED: Consent form
Young's Internet Addiction Test DASS (Depression, Anxiety, Stress Scale) 4.
Duke Health Profile.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction
lifestyle
medical school
EMTREE MEDICAL INDEX TERMS
anxiety
clinical article
cross-sectional study
Depression Anxiety Stress Scale
female
human
India
informed consent
institutional ethics
Internet
male
morbidity
neglect
postgraduate student
responsibility
sampling
social isolation
study design
surgeon
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619587049
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 303
TITLE
Prevalence of substance abuse/alcohol consumption and their predictors among
patients admitted in operating rooms of a general educational hospital,
Tehran, Iran
AUTHOR NAMES
Alavi S.S.
Mehrdad R.
Makarem J.
AUTHOR ADDRESSES
(Alavi S.S.; Mehrdad R.) Center for Research on Occupational Diseases,
Tehran University of Medical Sciences, Tehran, Iran.
(Makarem J., j-makarem@tums.ac.ir) Imam Khomeini Hospital Complex, Tehran
University of Medical Sciences, Tehran, Iran.
CORRESPONDENCE ADDRESS
J. Makarem, Imam Khomeini Hospital Complex, Tehran University of Medical
Sciences, Tehran, Iran. Email: j-makarem@tums.ac.ir
SOURCE
Asian Journal of Pharmaceutical Research and Health Care (2016) 8 Supplement
1 (63-71). Date of Publication: 2016
ISSN
2250-1460 (electronic)
2250-1444
BOOK PUBLISHER
Journal of Pharmaceutical Research and Health Care, No. 194, RV Road 1B,
No.400, Basavanagudi, Bangalore, India.
ABSTRACT
Substance/alcohol abuse is an important public health threat in most
countries. Social stigmatization and legal restrictions prevent accurate and
direct estimate of prevalence of substance/alcohol abuse in Iran. This study
aimed to estimate of the prevalence of alcohol and substance use among
Iranian patients who were admitted to operating rooms of a general hospital
in Tehran and identified risk factors that may predict alcohol and substance
use. This cross-sectional study was conducted among all consecutive patients
who were admitted to 16 operating rooms in Vali-e-Asr General Educational
Hospital (Tehran, Iran) during March 2014 to September 2015. Data were
derived from a medical history form prior to operation by trained nurses who
were working in the operating rooms. Among 1136 patients admitted to
operating rooms, 105 (28.7%) men and 21 (2.7%) women were substance/alcohol
users. The main substance of abuse was opium (57.3%) followed by alcohol
consumption (25.6%) and water pipe smoking (14.8%). Cigarette smoking was
reported by 110 (30.1%) men and 21 (2.7%) women. Sex, cigarette smoking and
family history of alcohol and substance abuse predicted 42.3% of the
variance in substance abuse/alcohol consumption. Substance use, especially
opium, alcohol, water pipe tobacco and cigarette smoking were found to be
significantly high particularly among male patients. Being a man, current
cigarette smoking and having a first-degree family member who had abused
substances should be considered when planning preventive or therapeutic
programs.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine derivative
cannabis
diamorphine
methadone
morphine
opiate
tramadol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
hospital patient
prevalence
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
amphetamine abuse
article
cannabis addiction (epidemiology)
controlled study
cross-sectional study
family history
female
general hospital
heroin dependence (epidemiology)
human
Iran
Iranian (citizen)
major clinical study
male
morphine addiction (epidemiology)
operating room
opiate addiction (epidemiology)
prediction
risk factor
sex
smoking
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
tramadol (27203-92-5, 36282-47-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170061536
PUI
L614148489
DOI
10.18311/ajprhc/2016/7651
FULL TEXT LINK
http://dx.doi.org/10.18311/ajprhc/2016/7651
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 304
TITLE
Prevalence of hypertension and major cardiovascular risk factors in healthy
residents of a rural region in south-eastern Poland – 1997–2008/9
AUTHOR NAMES
Płaczkiewicz D.
Puźniak M.
Kleinrok A.
AUTHOR ADDRESSES
(Płaczkiewicz D., d.placzkiewicz@interia.pl; Puźniak M.; Kleinrok A.)
Department of Cardiology, The Pope John Paul II Hospital, Zamosc, Poland.
(Kleinrok A.) Department of Physiotherapy and Pedagogy, Zamosc University of
Management and Administration, Poland.
CORRESPONDENCE ADDRESS
D. Płaczkiewicz, Department of Cardiology, The Pope John Paul IInd Hospital,
Zamosc, Poland. Email: d.placzkiewicz@interia.pl
SOURCE
Annals of Agricultural and Environmental Medicine (2016) 23:3 (476-481).
Date of Publication: 2016
ISSN
1898-2263 (electronic)
1232-1966
BOOK PUBLISHER
Institute of Agricultural Medicine, aaem@galen.imw.lublin.pl
ABSTRACT
Introduction and objective. The aim of this study was to show the prevalence
of hypertension and major risk factors of cardiovascular disease among
healthy adults in an agricultural region of south-eastern Poland, and the
changes which have occurred in this area during the 12-year follow-up.
Materials and method. 1,233, mostly rural inhabitants of Zamosc County
without previous history of diabetes and CVD were subjected to analysis.
Prevalence of hypertension and major cardiovascular risk factors were
evaluated. Changes in the prevalence of risk factors between 1997 – 2008
were analyzed. Results. 33.0% of the examined population are active smokers,
and there was a 1.8-fold increase (p = 0.0009). The percentage of people
with hypercholesterolemia between 1997 – 2008/9 increased almost 2-fold
(p<0.0001) and now it is 62.3%. The number of people with high blood
pressure decreased nearly by a half (46%, p <0001) and it is currently
25.8%. Improper waist circumference was observed in 32.8% of the population
(33.1% women, 26.5% men). Abdominal obesity decreased among men (48%;
p=0.0008) and rural residents (29%, p=0.01). In comparison with 1997, in
2008–2009, the cardiovascular risk assessed using SCORE tables increased.
The percentage of people with high-risk (≥5%) almost tripled in the general
population (p=0.0183) and increased 4-fold in men (p=0.0145). Conclusions.
Detection of hypertension in the rural region in which the survey was
carried out is still too low. Actions against tobacco addiction should be a
major component of health-education programmes for the rural areas of
south-eastern Poland.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiovascular disease (epidemiology, etiology)
cardiovascular risk
hypertension (epidemiology)
prevalence
EMTREE MEDICAL INDEX TERMS
abdominal obesity
adult
agriculture
article
controlled study
diabetes mellitus
female
follow up
high risk population
human
hypercholesterolemia
major clinical study
male
medical history
Poland
population research
risk assessment
rural area
rural population
smoking habit
waist circumference
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160688731
MEDLINE PMID
27660872 (http://www.ncbi.nlm.nih.gov/pubmed/27660872)
PUI
L612333469
DOI
10.5604/12321966.1219191
FULL TEXT LINK
http://dx.doi.org/10.5604/12321966.1219191
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 305
TITLE
To study internet profilre and use amongest medical students
AUTHOR NAMES
Shah R.
AUTHOR ADDRESSES
(Shah R., ravishah3009@gmail.com) 0-6, Mnop New Resident Hostel, New Civil
Hospital, Majuragate, Surat, Gujarat, India.
CORRESPONDENCE ADDRESS
R. Shah, 0-6, Mnop New Resident Hostel, New Civil Hospital, Majuragate,
Surat, Gujarat, India.
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S110). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Background: Internet has become an integral part of daily lives of people.
Internet is not an exception to addiction, as discussed in many studies
conducted. But there are very few studies focusing on the addiction of
various domains of internet use. After Introduction of Private Chat Rooms
(PCR), there has been shift in the purpose of use of internet. And due to
that, possibility of exploitation and addiction leading to impairment in
academic performance and emotional balance in medical students, using such
domains; cannot be denied.Thus this study was Aimed to measure the degree of
Internet use in 10 domains of internet viz. Social networking (SN), PCR to
Gaming to Cybersex among medical students. Method: A cross sectional study
on 232 medical students, was performed. After written informed consent,
Focused Group Discussion on areas of use of Internet was done. Semi
structured questionnaire including Young'sInternet addiction test, Knowledge
Attitude and Practices questionnaire was applied. Result: Amongst the study
population (n=232, male=91(39.2%), female=141(60.8%). Females were more
addictive in PCR(p=0.0089). 80% participants saw preference for Internet use
for PCR and SN. In PCR, Moderate (34.48%) and severe addiction (0.86%) was
found, which was highest amongst any other domains. 20% participants showed
mild addiction in education and information domain. 40.5% of participants
tried to cut down the time they spent on PCR but failed and 60.7%
participant use PCR as soon as they wake up. Conclusion: Internet usage for
the purpose of PCR (WhatsApp) was very high among the medical students
especially females. Despite adequate knowledge about advantages and
disadvantages (including decline in academic performance and personal
health) of Internet use, it did not reflect in practices, they used internet
up to addictive level and did not consider need for help. Hence further
exploration, awareness, and intervention are suggested.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
awareness
education
Internet
internet addiction
medical student
social network
EMTREE MEDICAL INDEX TERMS
cross-sectional study
human
informed consent
internet sex
major clinical study
structured questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619588494
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 306
TITLE
Social and Clinical Profile of Patients with Tuberculosis in a Family
Medicine Unit in Reynosa, Tamaulipas, Mexico
ORIGINAL (NON-ENGLISH) TITLE
Perfil clínico y social de pacientes con tuberculosis en una unidad de
medicina familiar de Reynosa, Tamaulipas, México
AUTHOR NAMES
Hernández-Guerrero I.A.
Vázquez-Martínez V.H.
Guzmán-López F.
Ochoa-Jiménez L.G.
Cervantes-Vázquez D.A.
AUTHOR ADDRESSES
(Hernández-Guerrero I.A.; Cervantes-Vázquez D.A.) Médico familiar, unidad de
medicina familiar (UMF) no. 33, Instituto Mexicano del Seguro Social (IMSS),
Reynosa, United States.
(Vázquez-Martínez V.H.) Profesor titular de la residencia en Medicina
Familiar, UMF no. 33, IMSS, Mexico.
(Guzmán-López F., felipe.guzman@imss.gob.mx) Médico epidemiólogo, UMF no.
33, IMSS, Mexico.
(Ochoa-Jiménez L.G.) Coordinador de Planeación y Enlace Institucional,
Delegación Regional IMSS, United States.
CORRESPONDENCE ADDRESS
F. Guzmán-López, Médico epidemiólogo, UMF no. 33, IMSS, Mexico. Email:
felipe.guzman@imss.gob.mx
SOURCE
Atencion Familiar (2016) 23:1 (8-13). Date of Publication: 1 Jan 2016
ISSN
1405-8871
BOOK PUBLISHER
Elsevier Espana S.L.
ABSTRACT
Objective to determine the clinical and social profile of patients with
tuberculosis of the Family Medicine Unit no. 33 (UMF) in Reynosa,
Tamaulipas, Mexico who went for consultation from 2008 to 2012. Methods
observational, descriptive, retrospective and cross-sectional study, which
objective was to determine the clinical and social profile of patients with
tuberculosis of the no. 33 Unit. The collection of data was done with the
“Epidemiological Study of Tuberculosis” and “Registration and Control Card”
used in the national health system; the information was obtained from the
clinical records from the preventive area. Complete records of patients who
were on treatment from 2008 to 2012 were included. Those missing or
incomplete records were excluded. The main studied variables studied were:
place of birth, education, occupation, drug addictions, bacillary load at
the time of diagnosis and co-morbidities, among others. The study followed
the national and institutional research norms. Results 169 records were
included, of which 56% were men and 44% women. The mean age was 32 years,
18% of the participants had completed high school and 18% had completed
junior high school. A third of the participants were born in Tamaulipas. The
main occupation was machine operator in the manufacturing sector, followed
by housewife with 22%. 94% had no addiction, 4% alcoholism and 1% smoking,
1% other drugs. The most frequent comorbidity was Diabetes Mellitus type 2,
followed by HIV/AIDS and malnutrition. In 89% of the cases the diagnosis of
tuberculosis was made in the outpatient medical unit through sputum smear
examination. The first sign of the disease was coughing. A high percentage
had total remission of the disease and 4% abandoned the treatment.
Conclusions primary care physicians diagnose 89% of the cases; there should
be an emphasis on identifying the risk factors: migration, diabetes type 2
and make a search in any case of cough, since it is the main clinical
manifestation of the disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family medicine
lung
socioeconomics
Tamaulipas
tuberculosis
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
adult
alcoholism
clinical study
comorbidity
coughing
cross-sectional study
diagnosis
female
general practitioner
high school
housewife
human
information processing
machine
male
malnutrition
non insulin dependent diabetes mellitus
occupation
outpatient
public health
remission
risk factor
smoking
sputum smear
LANGUAGE OF ARTICLE
English, Spanish
LANGUAGE OF SUMMARY
English, Portuguese, Spanish
EMBASE ACCESSION NUMBER
20170578050
PUI
L617754877
DOI
10.1016/S1405-8871(16)30070-0
FULL TEXT LINK
http://dx.doi.org/10.1016/S1405-8871(16)30070-0
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 307
TITLE
The psychiatric, psychological and addiction evaluation in bariatric surgery
candidates: What should we assess, why and how?
ORIGINAL (NON-ENGLISH) TITLE
L'évaluation psychiatrique, psychologique et addictologique avant chirurgie
bariatrique : Que faut-il évaluer en pratique, pourquoi et comment ?
AUTHOR NAMES
Brunault P.
Gohier B.
Ducluzeau P.-H.
Bourbao-Tournois C.
Frammery J.
Réveillère C.
Ballon N.
AUTHOR ADDRESSES
(Brunault P., paul.brunault@univ-tours.fr; Frammery J.; Ballon N.) CHRU de
Tours, Équipe de liaison et de soins en addictologie, 2, boulevard Tonnellé,
Tours cedex 9, France.
(Brunault P., paul.brunault@univ-tours.fr; Frammery J.) CHRU de Tours,
Clinique psychiatrique universitaire, Tours cedex 9, France.
(Brunault P., paul.brunault@univ-tours.fr; Réveillère C.) Université
François-Rabelais de Tours, Département de psychologie, EA 2114 psychologie
des âges de la vie, Tours, France.
(Brunault P., paul.brunault@univ-tours.fr; Ducluzeau P.-H.; Bourbao-Tournois
C.; Ballon N.) CHRU de Tours, Centre spécialisé pour la prise en charge de
l'obésité sévere, Tours, France.
(Gohier B.) CHU d'Angers, Service de psychiatrie et d'addictologie, Angers,
France.
(Gohier B.) Université d'Angers, Laboratoire de psychologie des
Pays-de-la-Loire, EA 4638, Angers cedex 1, France.
(Ducluzeau P.-H.) CHRU de Tours, Service de médecine interne-nutrition,
Tours cedex 9, France.
(Bourbao-Tournois C.) CHRU de Tours, Service de chirurgie digestive et
endocrinienne, Tours cedex 9, France.
(Frammery J.) Centre hospitalier Louis-Sevestre, La-Membrolle-sur-Choisille,
France.
(Ballon N.) UMR Inserm U930 ERL, Tours, France.
(Ducluzeau P.-H.; Ballon N.) Université François-Rabelais de Tours, Tours,
France.
CORRESPONDENCE ADDRESS
P. Brunault, CHRU de Tours, Équipe de liaison et de soins en addictologie,
2, boulevard Tonnellé, Tours cedex 9, France. Email:
paul.brunault@univ-tours.fr
SOURCE
Presse Medicale (2016) 45:1 (29-39). Date of Publication: 1 Jan 2016
ISSN
0755-4982
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France.
ABSTRACT
Bariatric surgery is indicated in obese patients with a BMI ≥ 40 kg/m(2) or
≥ 35 kg/m(2) with serious comorbidities, in second intention in patients who
failed to achieve significant weight loss after a well-managed medical,
nutritional and psychotherapeutic treatment for 6 to 12 months, and in
patients who are aware of the consequences of bariatric surgery and who
agree with a long term medical and surgical follow-up. Such a treatment
requires a preoperative multidisciplinary assessment and management, which
includes a mandatory consultation with a psychiatrist or a psychologist that
should be member of the multidisciplinary staff and participate in these
staffs.Although one of this consultation's aim is to screen for the few
patients who for which surgery is contra-indicated, in most cases, the main
aim of this assessment is to screen for and manage psychiatric and
psychopathologic disorders that could be temporary contra-indication,
because these disorders could lead to poorer postoperative outcome when
untreated. By explaining to the patient how these disorders could affect
postoperative outcome and which benefits he could retrieve from their
management, the patient will increase his motivation for change and he will
be more likely to seek professional help for these disorders. In all cases,
a systematic examination of the patient's personality and his/her ability to
understand the postoperative instructions is essential before surgery
because clinicians should check that the patient is able to be adherent to
postoperative instructions. In addition to clinical interview, use of
self-administered questionnaires before the consultation might help to
determine which psychiatric or psychopathologic factors should be more
closely screened during the consultation.Psychiatric disorders and
addictions are highly prevalent in this population (e.g., mood and anxiety
disorders, binge eating disorder, attention deficit hyperactivity disorder,
addictions, personality disorders, pathological personality traits and
dimensions), and when untreated, they can lead to poorer postoperative
outcome (postoperative occurrence of psychiatric disorders, poorer quality
of life, and sometimes to poorer weight loss or excessive weight rebound
when the disorder is present during the postoperative period). A
complementary training in addiction medicine is helpful given the higher
risk for addictions in this population.Given that this evaluation is often
the first meeting with a psychiatrist, an empathic and motivational approach
is helpful to improve the patient's ability to request for a future
psychiatric consultation during the follow-up.Some conditions are required
for a high quality assessment: the objectives and expectations of the
consultation should be systematically explained to the patient prior to the
consultation by the physician who enquires for the assessment; it needs
time; the psychiatrist should systematically be member of the
multidisciplinary staff and should take part in regular multisciplinary
staff meetings; patients should be seen alone to assess his/her readiness to
change.After the consultation, a contact with the physician who enquires for
the assessment should be systematic (e.g., use of a medical letter that sum
up the main conclusions of the consultation; participation in regular
multisciplinary staff meetings).
EMTREE DRUG INDEX TERMS
antiobesity agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
bariatric surgery
mental function assessment
psychologic assessment
EMTREE MEDICAL INDEX TERMS
anxiety disorder (diagnosis)
attention deficit disorder (diagnosis)
awareness
behavior change
binge eating disorder (diagnosis)
body mass
body weight loss
comorbidity
comprehension
consultation
diet therapy
disease severity
empathy
follow up
health care personnel
help seeking behavior
human
interdisciplinary communication
interpersonal communication
interview
mental disease (diagnosis)
mood disorder (diagnosis)
motivation
obesity (drug therapy, surgery, therapy)
patient attitude
patient compliance
patient counseling
patient selection
personality
personality disorder (diagnosis)
physician attitude
preoperative evaluation
prognosis
psychiatrist
psychologist
psychotherapy
quality of life
questionnaire
short survey
treatment contraindication
treatment failure
treatment indication
treatment outcome
EMBASE CLASSIFICATIONS
Endocrinology (3)
Psychiatry (32)
Drug Literature Index (37)
Gastroenterology (48)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
20151062611
MEDLINE PMID
26482489 (http://www.ncbi.nlm.nih.gov/pubmed/26482489)
PUI
L607405907
DOI
10.1016/j.lpm.2015.09.013
FULL TEXT LINK
http://dx.doi.org/10.1016/j.lpm.2015.09.013
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 308
TITLE
Commentary on Zeremski et al. (2016): Improvements in HCV-related knowledge
among substance users on opioid agonist therapy after an educational
intervention
AUTHOR NAMES
McCombe G.
Henihan A.M.
Leahy D.
Klimas J.
Lambert J.S.
Cullen W.
AUTHOR ADDRESSES
(McCombe G., mccombe.geoff@gmail.com; Leahy D.; Klimas J.; Lambert J.S.;
Cullen W.) UCD, School of Medicine, Health Sciences Building, Dublin,
Ireland.
(Henihan A.M.) Graduate Entry Medical School University of Limerick,
Limerick, Ireland.
CORRESPONDENCE ADDRESS
G. McCombe, UCD, School of Medicine, Health Sciences Building, Dublin,
Ireland. Email: mccombe.geoff@gmail.com
SOURCE
Journal of Addiction Medicine (2016) 10:5 (363-364). Date of Publication:
2016
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate agonist
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
Hepatitis C virus
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol consumption
alcoholism
health care access
hepatitis C
high risk population
human
infection risk
Ireland
letter
liver cirrhosis
liver injury
oxidative stress
patient compliance
primary medical care
priority journal
seroprevalence
treatment outcome
treatment planning
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160856677
PUI
L613362080
DOI
10.1097/ADM.0000000000000244
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000244
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 309
TITLE
Prevalence of hookah smoking and its related factors among students of
Tehran University of Medical Sciences, 2012-2013
AUTHOR NAMES
Abbasi-Ghahramanloo A.
Rahimi-Movaghar A.
Zeraati H.
Safiri S.
Fotouhi A.
AUTHOR ADDRESSES
(Abbasi-Ghahramanloo A.; Zeraati H.; Fotouhi A.) School of Public Health,
Tehran University of Medical Sciences, Tehran, Iran.
(Rahimi-Movaghar A., rahimia@tums.ac.ir) Iranian National Center for
Addiction Studies (INCAS), Iranian Institute for Reduction of High-Risk
Behaviors, Tehran University of Medical Sciences Tehran, Iran.
(Safiri S.) Department of Epidemiology and Biostatistics, School of Public
Health, Tehran University of Medical Sciences, Tehran, Iran.
CORRESPONDENCE ADDRESS
A. Rahimi-Movaghar, Iranian National Center for Addiction Studies (INCAS),
Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of
Medical Sciences, Tehran, Iran. Email: rahimia@tums.ac.ir
SOURCE
Iranian Journal of Psychiatry and Behavioral Sciences (2016) 10:2 Article
Number: e4551. Date of Publication: 2016
ISSN
1735-9287 (electronic)
1735-8639
BOOK PUBLISHER
Mazandaran University of Medical Sciences, jmums@mazums.ac.ir
ABSTRACT
Background: Hookah smoking has increased worldwide, especially among young
people. Objectives: The aim of the present study was to determine the
prevalence of hookah use and related factors in a sample of Iranian students
of medical sciences. Materials and Methods: A cross-sectional study was
conducted on 1992 randomly selected sample of students of Tehran University
of Medical Sciences during 2012 - 2013. A multistage sampling method was
used and anonymous structured questionnaires were distributed to the
students of each selected class. Chi-square test, Fisher's exact test and
multiple binary logistic regression analyses were performed and P < 0.05 was
considered as a significance level. Results: Lifetime, last year and last
month prevalence rates of hookah smoking were 26.6% (95% CI: 24.7 - 28.6),
17.8% (95% CI: 16.1 - 19.5) and 8.9% (95% CI: 7.7 - 10.2), respectively. The
results of logistic regression model showed that male gender [odds ratio
(OR) = 2.8, 95% CI: 1.86 - 4.21], cigarette smoking in the past year (OR =
5.6, 95% CI: 3.21 - 9.83), alcohol use in the past year (OR = 7.4, 95% CI:
4.01 - 13.06), cigarette or hookah smoking in the family members (OR = 1.7,
95% CI: 1.13 - 2.51), cigarette or hookah smoking among friends (OR = 4.4,
95% CI: 2.69 - 7.33), alcohol use by friends in the past year (OR = 1.9, 95%
CI: 1.20 - 3.14), and illicit substance useamong friends (OR = 2.2, 95% CI:
1.22 - 4.05) were associated with hookah smoking. Conclusions: The results
of our study indicate a relatively high prevalence of hookah smoking among
Iranian students. The findings emphasize the importance of planning
preventive interventions by considering different high-risk behaviors
simultaneously.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
high risk behavior
medicine
prevalence
smoking
student
university
EMTREE MEDICAL INDEX TERMS
alcohol consumption
chi square test
controlled clinical trial
controlled study
cross-sectional study
family study
female
friend
gender
human
Iranian (citizen)
logistic regression analysis
major clinical study
male
model
odds ratio
randomized controlled trial
sampling
structured questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160659074
PUI
L612115083
DOI
10.17795/ijpbs-4551
FULL TEXT LINK
http://dx.doi.org/10.17795/ijpbs-4551
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 310
TITLE
Education in healthcare. Alcohol abuse: General practitioners are
challenged!
ORIGINAL (NON-ENGLISH) TITLE
Alkoholmissbrauch: Die Hausärzte sind gefordert!
AUTHOR NAMES
Blaich C.
AUTHOR ADDRESSES
(Blaich C.) Burscheid, Germany.
CORRESPONDENCE ADDRESS
C. Blaich, Germany.
SOURCE
Gesundheitsokonomie und Qualitatsmanagement (2016) 21:5 (222). Date of
Publication: 2016
ISSN
1439-4049 (electronic)
1432-2625
BOOK PUBLISHER
Georg Thieme Verlag, kunden.service@thieme.de
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
health care
medical education
EMTREE MEDICAL INDEX TERMS
general practitioner
human
note
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English, German
EMBASE ACCESSION NUMBER
20170472321
PUI
L616996371
DOI
10.1055/s-0042-115907
FULL TEXT LINK
http://dx.doi.org/10.1055/s-0042-115907
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 311
TITLE
Preventive psychiatry in undergraduate medical curriculum: Should it be
there?
AUTHOR NAMES
Chadda R.K.
Sood M.
Gupta N.
Kataria D.
AUTHOR ADDRESSES
(Chadda R.K., drrakeshchadda@gmail.com; Sood M.) Department of Psychiatry,
All India Institute of Medical Sciences, New Delhi, India.
(Gupta N.) Department of Psychiatry, Government Medial College and Hospital,
Chandigarh, India.
(Kataria D.) Department of Psychiatry, Lady Hardinge Medical College, SK
Hospital, New Delhi, India.
CORRESPONDENCE ADDRESS
R.K. Chadda, Department of Psychiatry, All India Institute of Medical
Sciences, New Delhi, India. Email: drrakeshchadda@gmail.com
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S31). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
According to the Global Burden of Disease Study of 2010, Mental and
substance use disorders are the leading (22.9%) cause of years lived with
disability (YLDs) worldwide. Medical Council of India recommends 20 hrs of
theory lectures and 15 days of training in psychiatry. Training in
psychiatry at undergraduate level is largely geared towards identifcation
and treatment of various psychiatric disorders with no discussion about
public health.Nowadays, globally in the training of medical undergraduates,
importance of public health is increasingly emphasized. In the curriculum of
UG psychiatry, by including epidemiological principles of primary, secondary
and tertiary prevention, it will be possible to introduce concepts of
positive mental health, early identifcation and treatment of psychiatric
disorders, rehabilitation, and stigma. Also, UGs can be sensitized to the
importance of community treatment and caregivers, facilities for psychiatric
treatment and national mental health programme. At the All India Institute
of Medical Sciences, New Delhi, public mental health is included in the
lecture schedules and faculty is involved in regular training in community
psychiatry along with community medicine in 7(th) semester. The present
symposiumwill discuss about the need for preventive psychiatry in
undergraduate medical curriculum and how it can be included in the
curriculum. Global Burden of Mental Disorders: RK Chadda Preventive
Psychiatry in Primary Care: Nitin Gupta Current status of psychiatry in UG
curriculum: Dinesh Kataria Preventive Psychiatry in UG Curriculum:
MamtaSood.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
drug dependence
social psychiatry
EMTREE MEDICAL INDEX TERMS
caregiver
community medicine
disability
global disease burden
group therapy
human
India
mental health
primary medical care
public health
rehabilitation
stigma
tertiary prevention
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619587170
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 312
TITLE
Social and clinical profile of patients with tuberculosis in a family
medicine unit in Reynosa, Tamaulipas, Mexico
ORIGINAL (NON-ENGLISH) TITLE
Perfil clínico e social dos pacientes com tuberculose em unidade de medicina
de família de Reynosa, Tamaulipas, México
AUTHOR NAMES
Hernández-Guerrero I.A.
Vázquez-Martínez V.H.
Guzmán-López F.
Ochoa-Jiménez L.G.
Cervantes-Vázquez D.A.
AUTHOR ADDRESSES
(Hernández-Guerrero I.A.; Cervantes-Vázquez D.A.) Médico familiar, Unidad de
medicina familiar (umf) No. 33, Reynosa, Mexico.
(Vázquez-Martínez V.H.) Medicina Familiar umf no. 33, Mexico.
(Guzmán-López F., felipe.guzman@imss.gob.mx) Médico epidemiólogo umf no. 33,
Mexico.
(Ochoa-Jiménez L.G.) Coordinador de Planeación y Enlace Institucional,
Delegación Regional imss, Mexico.
CORRESPONDENCE ADDRESS
F. Guzmán-López, Médico epidemiólogo umf no. 33, Mexico. Email:
felipe.guzman@imss.gob.mx
SOURCE
Atencion Familiar (2016) 23:1 (8-13). Date of Publication: 1 Jan 2016
ISSN
1405-8871
BOOK PUBLISHER
Elsevier Espana S.L.
ABSTRACT
Objective to determine the clinical and social profile of patients with
tuberculosis of the Family Medicine Unit no. 33 (umf) in Reynosa,
Tamaulipas, Mexico who went for consultation from 2008 to 2012. Methods
observational, descriptive, retrospective and cross-sectional study, which
objective was to determine the clinical and social profile of patients with
tuberculosis of the no. 33 Unit. The collection of data was done with the
“Epidemiological Study of Tuberculosis” and “Registration and Control Card”
used in the national health system; the information was obtained from the
clinical records from the preventive area. Complete records of patients who
were on treatment from 2008 to 2012 were included. Those missing or
incomplete records were excluded. The main studied variables studied were:
place of birth, education, occupation, drug addictions, bacillary load at
the time of diagnosis and co-morbidities, among others. The study followed
the national and institutional research norms. Results 169 records were
included, of which 56% were men and 44% women. The mean age was 32 years,
18% of the participants had completed high school and 18% had completed
junior high school. A third of the participants were born in Tamaulipas. The
main occupation was machine operator in the manufacturing sector, followed
by housewife with 22%. 94% had no addiction, 4% alcoholism and 1% smoking,
1% other drugs. The most frequent comorbidity was Diabetes Mellitus type 2,
followed by hiv/aidsand malnutrition. In 89% of the cases the diagnosis of
tuberculosis was made in the outpatient medical unit through sputum smear
examination. The first sign of the disease was coughing. A high percentage
had total remission of the disease and 4% abandoned the treatment.
Conclusions primary care physicians diagnose 89% of the cases; there should
be an emphasis on identifying the risk factors: migration, diabetes type 2
and make a search in any case of cough, since it is the main clinical
manifestation of the disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
tuberculosis
EMTREE MEDICAL INDEX TERMS
adult
article
comorbidity
coughing
cross-sectional study
female
human
Human immunodeficiency virus infection
major clinical study
male
malnutrition
Mexico
non insulin dependent diabetes mellitus
observational study
retrospective study
smoking
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Spanish
LANGUAGE OF SUMMARY
English, Portuguese, Spanish
EMBASE ACCESSION NUMBER
20160804788
PUI
L612967502
DOI
10.1016/S1405-8871(16)30068-2
FULL TEXT LINK
http://dx.doi.org/10.1016/S1405-8871(16)30068-2
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 313
TITLE
Interim analysis of practice changes following participation in online and
live ER/LA opioid rems CME/CE programs from the CO∗re collaborative
AUTHOR NAMES
Finnegan T.
Chatterjee P.
Grimes C.
Kear C.
McKeithen T.
AUTHOR ADDRESSES
(Finnegan T.; Chatterjee P.; Grimes C.) Medscape Education, New York, United
States.
(Kear C.) California Academy of Family Physicians, San Francisco, United
States.
(McKeithen T.) Healthcare Performance Consulting, Statesboro, United States.
CORRESPONDENCE ADDRESS
T. Finnegan, Medscape Education, New York, United States.
SOURCE
Postgraduate Medicine (2016) 128 Supplement 2 (26-27). Date of Publication:
2016
CONFERENCE NAME
2016 Pain Week Conference
CONFERENCE LOCATION
Las Vegas, NV, United States
CONFERENCE DATE
2016-09-06 to 2016-09-10
ISSN
1941-9260
BOOK PUBLISHER
Taylor and Francis Inc.
ABSTRACT
Purpose The epidemic of prescription opioid drug abuse, misuse, and
addiction is well established. In April 2011, the Office of National Drug
Control Policy (ONDCP) released an action plan to address the national
prescription drug abuse epidemic. In response, the U.S. Food and Drug
Administration (FDA) announced in 2012 the elements of a Risk Evaluation and
Mitigation Strategy (REMS) that would require all manufacturers of
extended-release and longacting (ER/LA) opioids to ensure that education is
provided to prescribers of these medications. The provision for education
was designed to ascertain that the benefits of ER/LA opioid analgesics
outweigh the risks in appropriate candidates. In response to this, the
Collaborative for REMS Education, (CO∗RE) consisting of 13 organizations,
partnered to promote individual and population health and public safety
through evidence-based and outcomesoriented interprofessional education
related to the comprehensive management of pain, addiction, and their
comorbidities. CO∗RE has received REMS Program Companies (RPC) grants since
2013, which has resulted in the development and delivery of more than 500
CME/CE activities, educating more than 170,000 clinicians across the U.S. in
accordance with the FDA Blueprint. A subset of CME-certified activities on
the topic of safe and appropriate use of ER/LA opioid analgesic therapies
were specifically designed to include an assessment of changes in practice
behavior among participating learners. The current interim analysis was
designed to determine the effect of the first 30 CME/CE-certified
RPC-supported activities on planned and implemented changes involved in the
safe and appropriate prescription of ER/LA opioid analgesics. Method A total
of 505 US-based health care professionals (HCPs) participated in the
post-activity survey that formed the basis of the planned change assessment
(PCA). Of the 30 activities included in the interim analysis, 25 were live
meetings, 4 were webinars, and 1 online enduring CME activity. The release
of the first activity included in the interim analysis was in May 2013 and
the most recent activity took place in December 2015. The impact of each
activity on selfreported practices related to the safe and appropriate
prescription of opioid analgesics was measured using intent to change, a
validated surrogate measure for actual changes in clinical practice. An
email invitation to participate in the planned change assessment follow-up
survey was sent to all respondents 6 weeks to six-months after the activity.
This follow-up email served to remind the respondents of the program, and of
their commitment to changes in their practice. The follow-up survey asked
additional questions as to whether changes in practice were made, and about
barriers to change if the change was not made. Survey participants' stated
intentions were compared with reported actual changes in performance, and
barriers to implementing changes were assessed. Interim data for the 505
HCPs were collected through April 2016 and evaluated. Results The population
of responders included in the interim analysis consisted of 50% physicians,
32% PAs, 16% advanced practice nurses (APN), and the remainder from other
clinical professions. Among the respondents, 58% were primary care
clinicians (PCP), 33% were non-pain specialists, and 8% were pain
specialists. • For all respondents, the most commonly reported change
implemented into practice was “counseling patients and caregivers about the
safe use of ER/LA [opioid analgesics]” (21%), whereas “initiating,
modifying, or discontinuing treatment with ER/LA opioid analgesics” was the
least frequently implemented (14%). • For respondents who could prescribe
medication, most commonly reported implemented changes were: “counseling
patients and caregivers about the safe use of ER/ LA [opioid
analgesics]”(21%), “assessing patients for treatment with ER/LA opioid
analgesic therapy” (19%), and “managing risks of patients prescribed ER/LA
opioid analgesics” (18%). • For non-prescribers, the most commonly reported
implemented changes were: “referring patients when appropriate”( 22%),
“counseling patients and caregivers about the safe use of ER/LA [opioid
analgesics]”(21%), and “managing risks of patients prescribed ER/LA opioid
analgesics” (17%). • PCPs reported both the largest average number of
planned changes (3.2) and largest number of average implemented changes
(2.5), whereas health care providers categorized as non-pain specialists had
the lowest average number of planned changes (2.7) and average implemented
changes (1.7). When assessed by profession, APNs reported the largest
average number of planned changes (3.5), but the lowest average number of
implemented changes (1.3). Although physician and PAs reported a different
number of average planned changes (3.2 vs 2.6, respectively), they both
reported the same average number of implemented changes (1.7). • Barriers to
the implementation of practice changes across all participants were:
diversion (13%), cost of therapy (9%), participant concern regarding the
potential for dependency or addiction to opioids (10%), and patient concern
regarding the potential for dependency or addiction to opioids (8%).
Conclusions The interim analysis of educational activities by CO∗RE on the
safe and appropriate prescribing of opioid analgesics indicated a strong
likelihood that health care professionals were implementing what they
learned into practice. Participants reported making changes regarding
counseling on, and assessing patients for, opioid analgesic therapy. Further
efforts should be aimed at increasing the number of health care
professionals who report implementing changes on the initiation,
modification, and/or discontinuation of opioid analgesics. In addition,
future educational initiatives should address barriers preventing health
care professionals from more effectively implementing practice changes.
EMTREE DRUG INDEX TERMS
opiate
prescription drug
EMTREE MEDICAL INDEX TERMS
addiction
advanced practice nurse
caregiver
clinical practice
clinical study
clinical trial
comorbidity
controlled study
counseling
doctor patient relation
drug abuse
drug control
drug therapy
drug withdrawal
e-mail
education
epidemic
follow up
food and drug administration
health care personnel
human
pain
population model
prescription
primary medical care
safety
world health organization
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L612036864
DOI
10.1080/00325481.2016.1224633
FULL TEXT LINK
http://dx.doi.org/10.1080/00325481.2016.1224633
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 314
TITLE
E-learning or in-person approaches in continuous medical education: A
comparative study
AUTHOR NAMES
Farokhi M.R.
Zarifsanaiey N.
Haghighi F.
Mehrabi M.
AUTHOR ADDRESSES
(Farokhi M.R.; Haghighi F.) Virtual School, Center of Excellence for
e-Learning in Medical Sciences, Shiraz University of Medical Sciences,
Shiraz, Iran.
(Zarifsanaiey N., nzarifsanaee@gmail.com; Mehrabi M.) Department of
E-learning, Virtual School, Center of Excellence for e-Learning in Medical
Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
CORRESPONDENCE ADDRESS
M. Mehrabi, Department of E-learning, Virtual School, Center of Excellence
for e-Learning in Medical Sciences, Shiraz University of Medical Sciences,
Shiraz, Iran.
SOURCE
IIOAB Journal (2016) 7 Supplement2 (472-476). Date of Publication: 2016
ISSN
0976-3104
BOOK PUBLISHER
Institute of Integrative Omics and Applied Biotechnology, Nonakuri, Purba
Medinipur, West Bengal, India.
ABSTRACT
Introduction: Technological advancement and new discoveries in science has
made it practically impossible to deny the need for revolutions in the
process of conducting training activities. E-learning is a method of
facilitating and promoting learning through the use of information and
communication technology tools. The aim of this study is to compare the
knowledge of general practitioners participating in addiction detoxification
continuous training program employing electronic (offline) and in-person
training. Method: This quasi-experimental study was conducted in 2013 in
Fars Province, Iran by psychiatrists who participated in the addiction
detoxification continuous training program. A total of 118 samples were
randomly divided into two equal groups of 59 subjects after completion of
the pre-test questionnaire. The in-person retraining method was employed in
one group while the electronic learning method was employed in the other
group. A posttest was administered after the training. Data was collected
with the aid of a written test; the validity and reliability of the
questions were determined by 5 members of the medical faculty and Cronbach’s
alpha of 85%, respectively. Statistical analysis of data was carried out
using SPSS (ver.16), t-test and Levene’s test. Results: The results revealed
that there was a significant difference between the pretest and posttest
scores, and the posttest scores obtained in the e-learning group were
significantly higher than the pretest scores (p <0.01). Conclusion:
Elearning method can be employed as an alternative or complement to
traditional training in the retraining of practitioners. This method makes
it possible for instructors to benefit from several training strategies and
foster active learning in students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
e-learning
education
in person training
medical education
EMTREE MEDICAL INDEX TERMS
addiction
comparative study
controlled study
Cronbach alpha coefficient
detoxification
female
general practitioner
human
human experiment
male
professional knowledge
quasi experimental study
review
scoring system
validity
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170164891
PUI
L614583367
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 315
TITLE
A cross-sectional study on the prevalence, risk factors, and ill effects of
internet addiction among medical students in Northeastern India
AUTHOR NAMES
Nath K.
Naskar S.
Victor R.
AUTHOR ADDRESSES
(Nath K.; Naskar S., nsubrata09@gmail.com; Victor R.) Department of
Psychiatry, Silchar Medical College and Hospital, Silchar, India.
CORRESPONDENCE ADDRESS
S. Naskar, New PG Hostel, Silchar Medical College and Hospital, Silchar,
India. Email: nsubrata09@gmail.com
SOURCE
Primary Care Companion to the Journal of Clinical Psychiatry (2016) 18:2.
Date of Publication: 2016
ISSN
1555-211X (electronic)
1523-5998
BOOK PUBLISHER
Physicians Postgraduate Press Inc.
ABSTRACT
Objective: To evaluate Internet addiction among medical students in
northeastern India and gain detailed knowledge about the prevalence, risk
factors, and ill effects commonly associated with the disorder. Method: The
cross-sectional study sample comprised 188 medical students from Silchar
Medical College and Hospital (Silchar, Assam, India). Students completed a
sociodemographic form and an Internet use questionnaire, both created for
this study, and the Young’s 20-Item Internet Addiction Test after they
received brief instructions. Data were collected during a10-day period in
June 2015. Results: Of the 188 medical students, 46.8% were at increased
risk of Internet addiction. Those who were found to be at increased risk had
longer years of Internet exposure (P =.046) and always online status (P
=.033). Also, among this group, the men were more prone to develop an online
relationship. Excessive Internet usage also led to poor performance in
college (P <.0001) and feeling moody, anxious, and depressed (P <.0001).
Conclusions: The ill effects of Internet addiction include withdrawal from
real-life relationships, deterioration in academic activities, and a
depressed and nervous mood. Internet use for nonacademic purposes is
increasing among students, thus there is an immediate need for strict
supervision and monitoring at the institutional level. The possibility of
becoming addicted to the Internet should be emphasized to students and their
parents through awareness campaigns so that interventions and restrictions
can be implemented at the individual and family levels.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction (epidemiology)
medical student
mental disease
EMTREE MEDICAL INDEX TERMS
adult
article
assessment of humans
cross-sectional study
demography
education program
female
human
India
Likert scale
male
open-ended questionnaire
pornography
prevalence
risk factor
scoring system
social media
social network
Youngs 20 item internet addiction test
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160358966
PUI
L610287522
DOI
10.4088/PCC.15m01909
FULL TEXT LINK
http://dx.doi.org/10.4088/PCC.15m01909
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 316
TITLE
Acute respiratory distress syndrome assessment after traumatic brain injury
AUTHOR NAMES
Kazemi S.
Hosseinabad M.S.
Ameri M.
Ghorbani Yekta B.
AUTHOR ADDRESSES
(Kazemi S.) Department of Forensic Medicine Modaress Hospital, Shahid
Beheshti Medical University, Tehran, Iran.
(Hosseinabad M.S., mzn.sh78@yahoo.com) Department of Forensic Medicine,
Shahid Beheshti Medical University, Shohaday-e Haftom-e-Tir, Tehran, Iran.
(Ameri M.) Department of Forensic Medicine, Iran University of Medical
Sciences, Rasul Akram Hospital, Tehran, Iran.
(Ghorbani Yekta B.) Applied Physiology Research Centre, Islamic Azad
University, Tehran Medical Sciences Branch, Tehran, Iran.
CORRESPONDENCE ADDRESS
M.S. Hosseinabad, Shahid Modares Hospital, Nyaiesh Highway, Tehran, Iran.
Email: mzn.sh78@yahoo.com
SOURCE
Tehran University Medical Journal (2016) 73:10 (739-743). Date of
Publication: 1 Jan 2016
ISSN
1735-7322 (electronic)
1683-1764
BOOK PUBLISHER
Tehran University of Medical Sciences, noyanmd@gmail.com
ABSTRACT
Background: Acute respiratory distress syndrome (ARDS) is one of the most
important complications associated with traumatic brain injury (TBI). ARDS
is caused by inflammation of the lungs and hypoxic damage with lung
physiology abnormalities associated with acute respiratory distress
syndrome. Aim of this study is to determine the epidemiology of ARDS and the
prevalence of risk factors. Methods: This prospective study performed on
patients with acute traumatic head injury hospitalization in the intensive
care unit of the Shohaday-e Haftom-e-Tir Hospital (September 2012 to
September 2013) done. About 12 months, the data were evaluated. Information
including age, sex, education, employment, drug and alcohol addiction, were
collected and analyzed. The inclusion criteria were head traumatic patients
and exclusion was the patients with chest trauma. Questionnaire was designed
with doctors supervision of neurosurgery. Then the collected data were
analysis. Results: In this study, the incidence of ARDS was 23.8% and
prevalence of metabolic acidosis was 31.4%. Most injury with metabolic
acidosis was Subarachnoid hemorrhage (SAH) 48 (60%) and Subdural hemorrhage
(SDH) was Next Level with 39 (48%) Correlation between Glasgow Coma Scale
(GCS) and Respiratory Distress Syndrome (ARDS) were significantly decreased
(P< 0.0001). The level of consciousness in patients with skull fractures
significantly lower than those without fractures (P= 0.009) [(2.3±4.6) vs
(4.02±7.07)]. Prevalence of metabolic acidosis during hospitalization was 80
patients (31.4%). Conclusion: Acute respiratory distress syndrome is a
common complication of traumatic brain injury. Management and treatment is
essential to reduce the mortality. In this study it was found the age of
patients with ARDS was higher than patients without complications. ARDS risk
factor for high blood pressure was higher in men. Most victims were
pedestrians. The most common injury associated with ARDS was SDH. Our
analysis demonstrates that Acute respiratory distress syndrome is common
after traumatic brain injury. Management of traumatic brain injury is
necessary to manage and reduce the mortality.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult respiratory distress syndrome (complication)
traumatic brain injury (disease management)
EMTREE MEDICAL INDEX TERMS
article
disease association
Glasgow coma scale
human
hypertension
hypoxic ischemic encephalopathy
incidence
metabolic acidosis
pneumonia
prevalence
prospective study
questionnaire
risk factor
subarachnoid hemorrhage
subdural hematoma
LANGUAGE OF ARTICLE
Persian
LANGUAGE OF SUMMARY
English, Persian
EMBASE ACCESSION NUMBER
20151047432
PUI
L607341163
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 317
TITLE
To study the prevalence of adult ADHD and its signifcance in substance abuse
patients
AUTHOR NAMES
Bhadoriya M.S.
Sidana R.
Mushir U.
AUTHOR ADDRESSES
(Bhadoriya M.S., whyim2025@yahoo.com; Sidana R.; Mushir U.) Index Medical
College and Hospital, Indore, India.
CORRESPONDENCE ADDRESS
M.S. Bhadoriya, Index Medical College and Hospital, Indore, India. Email:
whyim2025@yahoo.com
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S116-S118). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Introduction: Attention-defcit/hyperactivity disorder (ADHD) is a common
childhood disorder, with an estimated worldwide incidence of 8%-12%, yet it
is now known that ADHD often persists into adulthood. Studies have reported
an association between a Specific genotype found in individuals with ADHD
and the dopamine transporter. Other candidate genes that may be associated
with ADHD have been identifed in the norepinephrine and serotonin systems. A
familial pattern has been documented by case control studies indicating that
children of adults with ADHD are themselves at increased risk for developing
the disorder. Types Of Adult ADHD: According To the diagnostic and
statistical manual of mental disorders, 4th edition, text revision
(DSM-IV-TR), symptoms of ADHD begin in childhood (onset by age 7) and
continue into adulthood. Three ADHD subtypes are recognized in the
DSM-IV-TR: inattentive, hyperactive/impulsive, and combined type. ADHD not
otherwise specifed is reserved for patients whose symptoms were not noted
until or after age 7. To make a diagnosis of the predominantly inattentive
subtype, atleast 6 of 9 symptoms of in attention must be present; to make a
diagnosis of the predominantly hyperactive-impulsive subtype, 6 of 9
hyperactive impulsive symptoms must be present; for the combined subtype of
ADHD to be diagnosed, criteria for both the preceding subtypes must be met.
Aims And Objectives: Primary Objectives To estimate the prevalence of Adult
ADHD among Substance abuse patients. To compare the prevalence of Adult ADHD
among Substance abuse cases and non-substance abuse controls. Secondary
Objectives: To compare the socio-demographic profile of patients with and
without Adult ADHD among patients with substance abuse. To compare the
co-morbid psychiatric illness in patients with and without Adult ADHD among
patients with substance abuse. To compare the patterns of substance use and
relapse in 6 months in patients with and without Adult ADHD among patients
with substance abuse. Null Hypothesis Prevalence of ADHD symptoms do not
differ with presence of the substance abuse. No signifcant difference in
sociodemographic profile, clinical profile and comorbid psychiatric problems
exists between presence and absence of ADHD in patients with Substance abuse
Materials And Methods: Study design: This was a prospective observational
study. Study Venue: The study was conducted at Prerna De-addiction and
Rehabilitation Centre at Tek Chand Sidana Memorial Psychiatric Hospital and
De-addiction Centre, Sri Ganganagar, Rajasthan. Study duration: The study
was conducted between June-2012 to June-2013. ^ Study population: Study
population consisted of patients and those accompanying patients to the
De-addiction centre. Sample size calculation: Sample Size was calculated
using formula N= Z2 [P (1-P)]/d2, where d (width of confdence interval) was
determine to be 5%, Z = 1.96 (5% precision), P (Prevalence) = 3.5 % (As in
previous studies prevalence of adult ADHD was 2-5 %). Sample size was
calculated to be 49 in each group. Finally study was conducted with a Sample
size of 50 patients and 50 controls. STUDY GROUP Inclusion Criteria: a.
Patients admitted in Prerna De-addicition& Rehabilitation Centre at Tek
Chand Sidana Memorial Psychiatric Hospital & De-addiction Centre, Sri
Ganganagar (Raj.) b. Fulflling DSM IV-TR criteria for Substance use
disorders (Substance Abuse or Substance Dependence) c. Males aged more than
18 years d. Willing to give written informed consent Exclusion Criteria: a.
Patients with any substance induced disorders (eg. Intoxication, Withdrawal,
induced sleep disorder, induced sexual disorder) without Substance Use
Disorders. b. Patients having any co-morbid neurological problems other than
seizures. c. Patients not willing to participate in the study. CONTROL
GROUP: Inclusion Criteria: a. Subjects who are accompanying the patients to
the De-addiction centre b. Males aged more than 18 years. c. Subjects do not
use any psychoactive substance. d. Willing to give written informed consent
Exclusion Criteria: a. Subjects with any history of any substance related
disorder. b. Subjects having their frst degree relatives with substance
related disorders. c. Subjects having any neurological problems. d. Subjects
not willing to participate in the study. STUDY TOOLS a. Semi structured
Performa for assessing Socio-demographic profile of the subjects and
substance related behaviors and problems. b. Adult ADHD self report scale
(ASRS VI.1) Study Procedure: Written informed consent was taken from the
participant subjects. All sampled cases and controls were assessed using
semi-structured questionnaire for socio-demographic profile and substance
use. A detailed history, physical and mental status examination was done.
The Adult ADHD Self Report Scale (ASRS-VI.1) was applied on both cases and
controls. Subjects with four or more positive scoring in part-A have high
chance of adult ADHD. It was confrmed by applying DSM-IV-TR criteria of
adult ADHD. After discussing with a consultant psychiatrist the diagnosis of
substance use disorders and comorbid psychiatric disorders made according to
DSM IV-TR were recorded. All those fulflling DSM IV-TR criteria for
substance use disorders viz., Substance abuse and substance dependence were
termed patients with substance abuse in this study. Cases were assessed on
frst day of admission and followed up every day till discharge. They were
assessed for withdrawal symptoms, craving, aggressive behavior and impulsive
behavior. The number of days taken for detoxification with an absence of
signs of withdrawal was taken as duration for response to treatment. All
patients with substance abuse (both Adult ADHD positive and negative) were
followed for 6 months either during follow up or readmissions or through
telephonic contact to know the recurrence of substance use behavior.
Resuming the use of the substance after a period of atleast 3 weeks of
abstinence was considered a relapse. Number of relapses during the six
months including rehospitalization for relapse was recorded. Results: The
Results indicate that there was a signifcant difference in substance abuse
and non-substance abuse subjects. It was identifed that subjects with
substance abuse screened positive for ADHD had onset of substance abuse in
early age, suffered from multiple substance abuse, and had delayed response
to treatment in comparison to subject's diagnosed negative for ADHD. Lastly,
substance abuse subjects had more mood fuctuations and lesser anxiety in
those diagnosed positive for ADHD. There was a signifcant association of
educational status in positive and negative ADHD substance abuse subjects
(study group). Symptoms of ADHD were signifcantly associated with severity
of addiction, onset of substance abuse, relapses, responding to therapy
after treatment among substance abuse patients. Comorbid psychiatric illness
among substance abuse patients was strongly associated with symptoms of
ADHD. In non-substance abuse subjects (control group) the comorbid
psychiatric illness such as depression was highly associated with symptoms
of ADHD. Conclusion: The prevalence of Adult ADHD in substance abuse was 22%
and 4.0% in non-substance abuse subjects. Comorbidity of Psychiatric
disorders and problems is signifcantly high in those with substance use
disorder. Adult ADHD in substance abuse appears to increase the relapse rate
and increase the chances of mood fuctuations even in absence of affective
disorders. ADHD might also increase the risk of multiple substance abuse and
delays the response to detoxifcation regimes. Above all interpretations and
statistical confrmations sounded a concrete decision that
Attention-Defcit/Hyperactive Disorder symptoms negatively infuence the
substance abuse. Thus a routine screening for ADHD in substance abuse would
better conceptualize the complex disorder. Thus research focusing on
managing ADHD in substance use is the need of the day.
EMTREE DRUG INDEX TERMS
concrete
dopamine transporter
endogenous compound
noradrenalin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder
drug dependence
prevalence
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
adulthood
aggression
anxiety
calculation
case control study
child
childhood disease
clinical article
comorbidity
consultation
controlled study
craving
demography
depression
detoxification
diagnosis
drug toxicity
DSM-IV-TR
educational status
follow up
genotype
hospital readmission
human
human tissue
impulsiveness
incidence
informed consent
male
mental health
mental hospital
mood disorder
null hypothesis
observational study
physical examination
population research
prospective study
psychiatrist
Rajasthan
recurrence risk
rehabilitation
relative
sample size
seizure
self report
serotoninergic system
sexual dysfunction
sleep disorder
structured questionnaire
study design
treatment response
withdrawal syndrome
young adult
CAS REGISTRY NUMBERS
noradrenalin (1407-84-7, 51-41-2)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619588034
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 318
TITLE
Gambling addiction in primary care: A survey of general practitioners in
solihull
AUTHOR NAMES
Chithiramohan T.N.
George S.
AUTHOR ADDRESSES
(Chithiramohan T.N.) Leicester Medical School, University of Leicester,
Leicester, United Kingdom.
(George S., sanjugeorge531@gmail.com) Rajagiri hospital, Chunagamvely,
Aluva, Kerala, India.
CORRESPONDENCE ADDRESS
S. George, Rajagiri hospital, Chunagamvely, Aluva, Kerala, India. Email:
sanjugeorge531@gmail.com
SOURCE
Internet Journal of Medical Update (2016) 11:2 (2-6). Date of Publication:
2016
ISSN
1694-0423 (electronic)
BOOK PUBLISHER
AKS Publication, 4 Malherbes Street, Curepipe, Mauritius.
agnihotri_arun@hotmail.com
ABSTRACT
We set out to study GPs' understanding of gambling addiction, their
experiences of, and confidence in, managing these patients in primary care,
their perceived role and feasibility, their views on funding gambling
treatment services, etc. To this end, we carried out a postal questionnaire
survey of all GPs (N=136) in Solihull, England. Ninety eight (98) of the 136
(72%) GPs returned completed questionnaires. Three-quarters of GPs had seen
gambling addicts in their practice but none had ever received any training
in the management of gambling addiction. The large majority of GPs
acknowledged that gambling addiction was an important public health problem
with significant potential adverse impacts. 90.8% of GPs expressed lack of
confidence in managing these patients but most were keen to do more to help,
and receive training. Although they saw thisdisorder being within their
remit, they highlighted that potential resource implications ought to be
addressed if gambling addicts are to be successfully managed in primary
care. Much more needs to be done to improve the identification and treatment
of gambling addicts in primary care settings. Most GPs saw the care of these
patients as within their remit, were willing to get involved and were
receptive to more training. We hope our findings will inform the development
and implementation of any future training program for GPs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pathological gambling
primary medical care
EMTREE MEDICAL INDEX TERMS
adult
article
England
female
general practitioner
human
male
middle aged
patient care
physician attitude
questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170036184
PUI
L614034864
DOI
10.4314/ijmu.v11i2.2
FULL TEXT LINK
http://dx.doi.org/10.4314/ijmu.v11i2.2
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 319
TITLE
Prevalence and nature of psychiatry problems among the poor academic
performing school children presenting with somatic complaints
AUTHOR NAMES
Mugali J.D.
Chate S.S.
AUTHOR ADDRESSES
(Mugali J.D., drjitendramugali@gmail.com; Chate S.S.) J N Medical College,
KLE's University Belagavi, Karnataka, India.
CORRESPONDENCE ADDRESS
J.D. Mugali, J N Medical College, KLE's University Belagavi, Karnataka,
India. Email: drjitendramugali@gmail.com
SOURCE
Indian Journal of Psychiatry (2016) 58:5 Supplement 1 (S95). Date of
Publication: 1 Jan 2016
CONFERENCE NAME
68th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2016
CONFERENCE LOCATION
Bhopal, India
CONFERENCE DATE
2016-01-21 to 2016-01-24
ISSN
1998-3794
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Aims: 1.Prevalence of somatic complaints among poor academic performing
school children 2.Psychiatry problems among poor academic performing school
children presenting with somatic complaints Materials And Methods: Children
who score in their fnal examination with grade C and below are considered as
poor academic performers, recruited these children in the study. Assessed
each child Intelligence quotient by Raven's coloured progressive matrices
then diagnosed the child by interviewing with MINIKID Questionnaire and
using ICD-10 diagnostic guidelines. Results: Prevalence of somatic
complaints among poor academic performing 115 children is 29.57%. Nature of
psychiatry problems in poor academic performing children presenting with
somatic complaints are emotional disorders (anxiety disorders), mood
disorders, sleep disorders, conduct disorders, Specific learning disorders,
borderline intellectual disabilities and substance abuse. Conclusion:
Children complain lot of somatic complaints like head ache, abdominal pain
or discomforts as major, and also complaining like body pain, weakness, back
pain, eye pain and giddiness. Most of the time underlined psychiatry
problems with these complaints. Which are necessary to fnd out and to start
early treatment. Also to decrease the severity of further suffering from the
problem by intervention of Psychiatrist and to do well in the academics.Very
less literature in the above mentioned area from India, This data may help
to understand the underling psychiatry problems with somatic complaints by
children.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anxiety disorder
prevalence
psychiatry
EMTREE MEDICAL INDEX TERMS
abdominal pain
backache
child
conduct disorder
diagnosis
dizziness
emotional disorder
eye pain
female
headache
human
ICD-10
India
intellectual impairment
intelligence quotient
learning disorder
male
mood disorder
practice guideline
psychiatrist
questionnaire
sleep disorder
substance abuse
weakness
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L619588421
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 320
TITLE
Cognitive interventions for addiction medicine: Understanding the underlying
neurobiological mechanisms
AUTHOR NAMES
Zilverstand A.
Parvaz M.A.
Moeller S.J.
Goldstein R.Z.
AUTHOR ADDRESSES
(Zilverstand A.; Parvaz M.A.; Moeller S.J.; Goldstein R.Z.,
rita.goldstein@mssm.edu) Departments of Psychiatry and Neuroscience, Icahn
School of Medicine, Mount Sinai, United States.
CORRESPONDENCE ADDRESS
R.Z. Goldstein, Departments of Psychiatry and Neuroscience, Icahn School of
Medicine, Mount Sinai, United States. Email: rita.goldstein@mssm.edu
SOURCE
Progress in Brain Research (2016) 224 (285-304). Date of Publication: 2016
Neuroscience for Addiction Medicine: From Prevention to Rehabilitation -
Methods and Interventions, 2016, Book Series Title:
CONFERENCE NAME
Neuroscience for Addiction Medicine: From Prevention to Rehabilitation -
Methods and Interventions, 2016
CONFERENCE EDITORS
Ekhtiari H.E.
Paulus M.P.
ISSN
1875-7855 (electronic)
0079-6123
ISBN
9780444637161 (volume)
BOOK PUBLISHER
Elsevier
ABSTRACT
Neuroimaging provides a tool for investigating the neurobiological
mechanisms of cognitive interventions in addiction. The aim of this review
was to describe the brain circuits that are recruited during cognitive
interventions, examining differences between various treatment modalities
while highlighting core mechanisms, in drug addicted individuals. Based on a
systematic Medline search we reviewed neuroimaging studies on cognitive
behavioral therapy, cognitive inhibition of craving, motivational
interventions, emotion regulation, mindfulness, and neurofeedback training
in addiction. Across intervention modalities, common results included the
normalization of aberrant activity in the brain's reward circuitry, and the
recruitment and strengthening of the brain's inhibitory control network.
Results suggest that different cognitive interventions act, at least partly,
through recruitment of a common inhibitory control network as a core
mechanism. This implies potential transfer effects between training
modalities. Overall, results confirm that chronically hypoactive prefrontal
regions implicated in cognitive control in addiction can be normalized
through cognitive means. © 2016 Elsevier B.V.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognitive therapy
drug dependence (therapy)
neurobiology
EMTREE MEDICAL INDEX TERMS
affect
brain region
cognitive behavioral therapy
emotionality
executive function
human
mindfulness
motivation
nerve cell network
neurofeedback
neuroimaging
prefrontal cortex
reward
withdrawal syndrome (therapy)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20151006002
MEDLINE PMID
26822363 (http://www.ncbi.nlm.nih.gov/pubmed/26822363)
PUI
L607164128
DOI
10.1016/bs.pbr.2015.07.019
FULL TEXT LINK
http://dx.doi.org/10.1016/bs.pbr.2015.07.019
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 321
TITLE
Neuroscience of attentional processes for addiction medicine: From brain
mechanisms to practical considerations
AUTHOR NAMES
Fadardi J.S.
Cox W.M.
Rahmani A.
AUTHOR ADDRESSES
(Fadardi J.S., j.s.fadardi@um.ac.ir) Ferdowsi University of Mashhad,
Mashhad, Iran.
(Fadardi J.S., j.s.fadardi@um.ac.ir; Cox W.M.) Bangor University, Bangor,
United Kingdom.
(Fadardi J.S., j.s.fadardi@um.ac.ir) Addiction Research Centre, Mashhad
University of Medical Sciences, Mashhad, Iran.
(Rahmani A.) Iranian National Center for Addiction Studies, Tehran
University of Medical Sciences, Tehran, Iran.
CORRESPONDENCE ADDRESS
J.S. Fadardi, Ferdowsi University of Mashhad, Mashhad, Iran. Email:
j.s.fadardi@um.ac.ir
SOURCE
Progress in Brain Research (2016) 223 (77-89). Date of Publication: 2016
ISSN
1875-7855 (electronic)
0079-6123
BOOK PUBLISHER
Elsevier
ABSTRACT
The present chapter first argues how having a goal for procuring alcohol or
other substances leads to the development of a time-binding, dynamic, and
goal oriented motivational state termed current concern, as the origin of
substance-related attentional bias. Next, it discusses the importance of
attentional bias in the development, continuation of, and relapsing to
substance abuse. It further proceeds with a review of selective evidence
from cognitive psychology that helps account for making decisions about
using an addictive substance or refraining from using it. A discussion on
the various brain loci that are involved in attentional bias and other kinds
of cue reactivity is followed by presenting findings from neurocognitive
research. Finally, from an interdisciplinary perspective, the chapter
presents new trends and ideas that can be applied to addiction-related
cognitive measurement and training.
EMTREE DRUG INDEX TERMS
clozapine (drug therapy)
risperidone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (drug therapy, drug therapy, therapy)
attentional bias
brain function
cognitive neuroscience
EMTREE MEDICAL INDEX TERMS
article
association
attention retraining
brain depth stimulation
clinical practice
cognition
cognitive defect
executive function
human
priority journal
CAS REGISTRY NUMBERS
clozapine (5786-21-0)
risperidone (106266-06-2)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015536620
MEDLINE PMID
26806772 (http://www.ncbi.nlm.nih.gov/pubmed/26806772)
PUI
L607038341
DOI
10.1016/bs.pbr.2015.08.002
FULL TEXT LINK
http://dx.doi.org/10.1016/bs.pbr.2015.08.002
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 322
TITLE
Impulsivity, Stimulant Abuse, and Dopamine Receptor Signaling
AUTHOR NAMES
London E.D.
AUTHOR ADDRESSES
(London E.D., elondon@mednet.ucla.edu) Brain Research Institute, David
Geffen School of Medicine at the University of California Los Angeles, Los
Angeles, United States.
CORRESPONDENCE ADDRESS
E.D. London, Brain Research Institute, David Geffen School of Medicine at
the University of California Los Angeles, Los Angeles, United States. Email:
elondon@mednet.ucla.edu
SOURCE
Advances in Pharmacology (2016) 76 (67-84). Date of Publication: 2016
Neuropsychopharmacology: A Tribute to Joseph T. Coyle, 2016, Book Series
Title:
CONFERENCE NAME
Neuropsychopharmacology: A Tribute to Joseph T. Coyle, 2016
CONFERENCE EDITORS
Schwarcz R.
ISSN
1557-8925 (electronic)
1054-3589
ISBN
9780128097458 (volume)
BOOK PUBLISHER
Academic Press Inc., apjcs@harcourt.com
ABSTRACT
The nonmedical use of amphetamine-type stimulants is a worldwide problem,
with substantial medical and social consequences. Nonetheless, the
identification of a pharmacological treatment for amphetamine use disorder
remains elusive. Stimulant users exhibit neurochemical evidence of
dopamine-system dysfunction as well as impulsive behaviors that may
interfere with the success of treatments for their addiction. This review
focuses on the potential role of dopaminergic neurotransmission in
impulsivity, both in healthy individuals and chronic stimulant users who
meet criteria for methamphetamine dependence. Presented are findings related
to the potential contributions of signaling through dopamine D1- and D2-type
receptors to self-control impulsivity in methamphetamine- dependent users.
The information available points to signaling through striatal D2-type
dopamine receptors as a potential therapeutic target for stimulant use
disorders, but medications that target D2-type dopamine receptors have not
been successful in treating stimulant-use disorders, possibly because
D2-type receptors are downregulated. Other means to augment D2-type receptor
signaling are therefore under consideration, and one promising approach is
the addition of exercise training as an adjunct to behavioral treatment for
addiction. © 2016 Elsevier Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
dopamine receptor (endogenous compound)
methamphetamine
EMTREE DRUG INDEX TERMS
dopamine 1 receptor (endogenous compound)
dopamine 2 receptor (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
impulsiveness
methamphetamine dependence
EMTREE MEDICAL INDEX TERMS
addiction
brain function
dopaminergic nerve cell
down regulation
drug use
exercise
human
neurotransmission
nonhuman
self control
signal transduction
CAS REGISTRY NUMBERS
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160228525
MEDLINE PMID
27288074 (http://www.ncbi.nlm.nih.gov/pubmed/27288074)
PUI
L609116476
DOI
10.1016/bs.apha.2016.01.002
FULL TEXT LINK
http://dx.doi.org/10.1016/bs.apha.2016.01.002
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 323
TITLE
Early developmental, temperamental and educational problems in 'substance
use disorder' patients with and without ADHD: Does ADHD make a difference?
AUTHOR NAMES
Skutle A.
Bu E.T.H.
Jellestad F.K.
van Emmerik-van Oortmerssen K.
Dom G.
Verspreet S.
Carpentier P.J.
Ramos-Quiroga J.A.
Franck J.
Konstenius M.
Kaye S.
Demetrovics Z.
Barta C.
Fatséas M.
Auriacombe M.
Johnson B.
Faraone S.V.
Levin F.R.
Allsop S.
Carruthers S.
Schoevers R.A.
Koeter M.W.J.
van den Brink W.
Moggi F.
Møller M.
van de Glind G.
AUTHOR ADDRESSES
(Skutle A., skua@bergenclincs.no; Bu E.T.H.) Bergen Clinics Foundation,
Bergen, Norway.
(Jellestad F.K.) Department of Biological and Medical Psychology, University
of Bergen, Norway.
(van Emmerik-van Oortmerssen K.; Koeter M.W.J.; van den Brink W.) Amsterdam
Institute for Addiction Research, Department of Psychiatry, Academic Medical
Center, University of Amsterdam, Amsterdam, Netherlands.
(van Emmerik-van Oortmerssen K.) The Netherlands Arkin, Amsterdam,
Netherlands.
(Dom G.; Verspreet S.) Collaborative Antwerp Psychiatry Research Institute
(CAPRI, UA), PC Alexian Brothers, Boechout, Belgium.
(Carpentier P.J.) Reinier van Arkel groep, 's-Hertogenbosch, Netherlands.
(Ramos-Quiroga J.A.) Servei de Psiquiatria, Hospital Universitari Vall
d'Hebron, CIBERSAM, Department of Psychiatry, Universitat Autònoma de
Barcelona, Barcelona, Spain.
(Franck J.; Konstenius M.) Department of Clinical Neuroscience, Division of
Psychiatry, Karolinska Institutet, Stockholm, Sweden.
(Kaye S.) National Drug and Alcohol Research Centre, UNSW Australia, Sydney,
Australia.
(Demetrovics Z.) Institute of Psychology, Eötvös Loránd University,
Budapest, Hungary.
(Barta C.) Institute of Medical Chemistry, Molecular Biology and
Pathobiochemistry, Semmelweis University, Budapest, Hungary.
(Fatséas M.; Auriacombe M.) Laboratoire de psychiatrie Département
d'addictologie, Université de Bordeaux, Bordeaux, France.
(Johnson B.; Faraone S.V.) Department of Psychiatry, SUNY Upstate Medical
University, Syracuse, United States.
(Johnson B.; Faraone S.V.) Department of Neuroscience and Physiology, SUNY
Upstate Medical University, Syracuse, United States.
(Levin F.R.) Columbia University/the New York State Psychiatric Institute,
United States.
(Allsop S.; Carruthers S.) National Drug Research Institute/Curtin
University of Technology, Perth, Australia.
(Schoevers R.A.) Dept of Psychiatry, University Medical Center Groningen,
University of Groningen, Groningen, Netherlands.
(Moggi F.) Department of Psychology, University of Fribourg, Fribourg,
Switzerland.
(Moggi F.) University Hospital of Psychiatry, University of Bern, Bern,
Switzerland.
(Møller M.) Sykehuset Østfold, Norway.
(van de Glind G.) Trimbos Instituut, ICASA Foundation, Netherlands.
CORRESPONDENCE ADDRESS
A. Skutle, Stiftelsen Bergensklinikkene, Nye Sandviksvei 84, Bergen, Norway.
SOURCE
Addictive Behaviors Reports (2015) 2 (13-18). Date of Publication: 1 Dec
2015
ISSN
2352-8532 (electronic)
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Introduction: The prevalence of ADHD among patients with substance use
disorder (SUD) is substantial. This study addressed the following research
questions: Are early developmental, temperamental and educational problems
overrepresented among SUD patients with ADHD compared to SUD patients
without ADHD? Do this comorbid group receive early help for their ADHD, and
are there signs of self-medicating with illicit central stimulants? Method:
An international, multi-centre cross-sectional study was carried out
involving seven European countries, with 1205 patients in treatment for SUD.
The mean age was 40. years and 27% of the sample was female. All
participants were interviewed with the Mini International Neuropsychiatric
Interview Plus and the Conners' Adult ADHD Diagnostic Interview for DSM-IV.
Results: SUD patients with ADHD (n = 196; 16.3% of the total sample) had a
significantly slower infant development than SUD patients without ADHD (n =
1,009; 83.4%), had greater problems controlling their temperament, and had
lower educational attainment. Only 24 (12%) of the current ADHD positive
patients had been diagnosed and treated during childhood and/or adolescence.
Finally, SUD patients with ADHD were more likely to have central stimulants
or cannabis as their primary substance of abuse, whereas alcohol use was
more likely to be the primary substance of abuse in SUD patients without
ADHD. Conclusion: The results emphasize the importance of early
identification of ADHD and targeted interventions in the health and school
system, as well as in the addiction field.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
antidepressant agent
benzodiazepine derivative
cannabis
cocaine
diamorphine
illicit drug
methadone
methamphetamine
methylphenidate
opiate
tranquilizer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder
developmental disorder
education
substance abuse
temperament
EMTREE MEDICAL INDEX TERMS
acting out
adult
alcohol consumption
article
cannabis use
child development
child rearing
cocaine dependence
cross-sectional study
depression
early diagnosis
female
gender
high school
human
hyperactivity
major clinical study
male
methamphetamine dependence
mini international neuropsychiatric interview
multicenter study
primary school
psychiatrist
psychologist
reading
walking
writing
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
methylphenidate (113-45-1, 298-59-9)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015017981
PUI
L604165169
DOI
10.1016/j.abrep.2015.03.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.abrep.2015.03.001
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 324
TITLE
The electronic case-based discussion; a novel teaching method applied to
smoking cessation
AUTHOR NAMES
Wilkinson A.J.K.
AUTHOR ADDRESSES
(Wilkinson A.J.K.) East and North Herts NHS Trust, Stevenage, United
Kingdom.
CORRESPONDENCE ADDRESS
A.J.K. Wilkinson, East and North Herts NHS Trust, Stevenage, United Kingdom.
SOURCE
Thorax (2015) 70 SUPPL. 3 (A46-A47). Date of Publication: December 2015
CONFERENCE NAME
British Thoracic Society Winter Meeting 2015
CONFERENCE LOCATION
London, United Kingdom
CONFERENCE DATE
2015-12-02 to 2015-12-04
ISSN
0040-6376
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Introduction Current smoking cessation training in U. K. medical schools
fails to equip junior doctors with the skills necessary to effectively
combat the leading preventable cause of death and disease.1 Here I present a
novel teaching method using an electronic Case-Based Discussion (eCBD) which
streamlines the process of workplace-based assessments, facilitates
high-quality learning and provides new insights into what students know
about this critically important subject. Methods An electronic learning
module was developed by the author based on existing NICE guidelines.2
Candidates described a case of a smoker they had seen and were quizzed about
the case by the learning module with some instant feedback, then deeper
discussion with the author via e-mail. When the candidate was ready a CBD
form was completed. Finally feedback was collected using an anonymous,
online feedback form. Results Thirty students and junior doctors have
completed the eCBD. The eCBD had excellent feedback with 94% rating the eCBD
as “very useful” and 100% feeling more confident in giving smoking cessation
advice. Ninety-four percent rated the eCBD as “easier” or “much easier” to
arrange and 53% rated it “much better” at assessing knowledge than
conventional CBDs. Analysis of responses revealed deficiencies in knowledge
of medications to treat tobacco dependence; 97% knew of nicotine replacement
therapy (NRT) but knowledge of some formulations was poor (none mentioned
oral strips, 3% microtabs, 17% lozenges); 43% knew of varenicline and 40%
bupropion. Only 37% thought that combination NRT was safe and effective and
thematic analysis revealed widespread concerns about the risks of overdose.
57% would consider recommending e-cigarettes for selected patients although
only 7% had already recommended them to patients. Conclusions The eCBD can
be an effective method of encouraging learning in important and neglected
subject areas. It also illustrates an often-wasted opportunity to collect
data from online learning modules that could guide curriculum development
and facilitate better training in future. (Table Presented).
EMTREE DRUG INDEX TERMS
amfebutamone
varenicline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
society
teaching
winter
EMTREE MEDICAL INDEX TERMS
cause of death
curriculum development
drug therapy
e-mail
electronic cigarette
feedback system
human
intoxication
learning
lozenge
medical school
nicotine replacement therapy
patient
physician
risk
skill
smoking
student
thematic analysis
tobacco dependence
workplace
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72199530
DOI
10.1136/thoraxjnl-2015-207770.85
FULL TEXT LINK
http://dx.doi.org/10.1136/thoraxjnl-2015-207770.85
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 325
TITLE
Survey and analysis on clinical nurses' knowledge of tobacco control,
situation of training and attitude towards tobacco control from respiratory
department and general medicine department of tertiary hospitals in
Guangzhou, China
AUTHOR NAMES
Su Y.
Chen S.
Xin L.
He W.
Gong Y.
Jiang M.
AUTHOR ADDRESSES
(Su Y.; Jiang M.) State Key Laboratory of Respiratory Disease, Guangzhou
Institute of Respiratory Disease, China.
(Chen S.; Xin L.; He W.; Gong Y.) Guangzhou Institute of Respiratory
Disease, First Affiliated Hospital of Guangzhou Medical University, China.
CORRESPONDENCE ADDRESS
Y. Su, State Key Laboratory of Respiratory Disease, Guangzhou Institute of
Respiratory Disease, China.
SOURCE
Respirology (2015) 20 SUPPL. 3 (118). Date of Publication: December 2015
CONFERENCE NAME
20th Congress of the Asian Pacific Society of Respirology
CONFERENCE LOCATION
Kuala Lumpur, Malaysia
CONFERENCE DATE
2015-12-03 to 2015-12-06
ISSN
1323-7799
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Background and Objective: In order to find out the nurses' knowledge of
tobacco control, situation of training and attitude towards tobacco control
in hospital, we examined nurses from 10 tertiary hospitals in Guangzhou,
China. Method: A cross sectional survey was conducted from October to
December 2013 in hospital nurses (n = 250) from respiratory department and
general medicine department in hospitals in Guangzhou. Result: According to
valid questionnaires (n = 225) of the survey, score of knowledge about
tobacco control differed among the nurses depending on their work experience
(OR = 1.069, 95% CI: 1.015-1.126, P < 0.05), that is, group working for
16-20 years was significantly higher than others (F = 3.233, P < 0.05).
Their smoking status (OR = 4.039, 95% CI: 1.122-14.540, P < 0.05) also
influences the score, for the group who never smoke was significantly higher
than those who ever smoke or are presently smoking. Most of the nurses have
never received any training courses (81.3%), especially when they have much
senior technical titles (X2 = 49.794, P < 0.01), and less work experience
(X2 = 12.888, P < 0.05). Nurses believed that they gave patients advice on
smoking cessation mainly by introducing the negative effects of smoking
(89.34%), providing psychological comfort (80.33%) and providing feasible
methods of smoking cessation. However, 11.89% of the nurses believed it is
useless to give advice to patient, while most of them (38.93%) thought the
patient would not accept their suggestion. Conclusion: Nurses have higher
score of knowledge when they have been working 16-20 years and they have
never smoked before. Training status of tobacco control related to their
technical titles and work experience. Most of the nurses would like to
introduce the health hazards of smoking to encourage patients to give up
smoking, but the friction of tobacco control mainly because patients did not
listen to advices nurses gave.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Asian
China
general practice
human
nurse
society
tertiary care center
tobacco
EMTREE MEDICAL INDEX TERMS
comfort
friction
health hazard
hospital
patient
questionnaire
smoke
smoking
smoking cessation
training
work experience
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72116196
DOI
10.1111/resp.127061
FULL TEXT LINK
http://dx.doi.org/10.1111/resp.127061
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 326
TITLE
Dr Junkie. The Doctor Addict in Bulgakov's Morphine: What are the Lessons
for Contemporary Medical Practice?
AUTHOR NAMES
Tischler V.
AUTHOR ADDRESSES
(Tischler V., victoria.tischler@nottingham.ac.uk) Division of Psychiatry and
Applied Psychology, Institute of Mental Health, University of Nottingham,
Triumph Road, Nottingham, NG7 2TU, UK
SOURCE
The Journal of medical humanities (2015) 36:4 (359-368). Date of
Publication: 1 Dec 2015
ISSN
1573-3645 (electronic)
ABSTRACT
Historical, cultural and professional factors have contributed to stigma and
secrecy regarding addiction in the medical profession and there are calls to
improve education in this area. This paper argues that physician-penned
literature plays an important role in raising awareness of substance misuse
in the medical profession. Bulgakov's short story Morphine documents the
decline of Dr Polyakov and illustrates a number of salient professional
issues such as self-medication, abuse of authority and risks to patients.
Physician-penned literature such as Morphine is of value in medical
education as it offers a route into sensitive topics and an authoritative
and insider perspective that is attractive to students and physicians alike.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
malpractice
medical education
morphine addiction
EMTREE MEDICAL INDEX TERMS
attitude to health
human
humanities
United States
verbal communication
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24221860 (http://www.ncbi.nlm.nih.gov/pubmed/24221860)
PUI
L616760833
DOI
10.1007/s10912-013-9259-z
FULL TEXT LINK
http://dx.doi.org/10.1007/s10912-013-9259-z
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 327
TITLE
Medicine and the law in the courtroom: Marijuana as medicine
AUTHOR NAMES
Madras B.
AUTHOR ADDRESSES
(Madras B.) Harvard Medical School, McLean Hospital, Belmont, United States.
CORRESPONDENCE ADDRESS
B. Madras, Harvard Medical School, McLean Hospital, Belmont, United States.
SOURCE
Neuropsychopharmacology (2015) 40 SUPPL. 1 (S432-S433). Date of Publication:
December 2015
CONFERENCE NAME
54th Annual Meeting of the American College of Neuropsychopharmacology, ACNP
2015
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2015-12-06 to 2015-12-10
ISSN
0893-133X
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Background: Twenty-three states and the District of Columbia have legalized
the use of botanical marijuana for “medical indications”, circumventing the
FDA drug approval process and violating the Controlled Substances Act (CSA).
Recent literature reviews and meta-analysis of existing data conclude that
the evidence is inadequate to support the use of whole plant marijuana for
these indications. These conflicting positions were recently argued and
adjudicated in an evidentiary hearing in Federal Court in California, in
which the defense moved to have marijuana removed from Schedule 1. In late
October 2014, Federal Court Judge Kimberly Mueller postponed the trial to
hold an evidentiary hearing on whether marijuana placement in schedule; I
was consistent with the best current scientific evidence. Bertha Madras was
the sole expert witness for the government. Methods: The defense called on
three medical experts to testify in court, Gregory T. Carter, MD, Philip A.
Denny, MD, and Carl Hart, PhD. Additionally, they produced testimony of
Marine Sgt. Ryan D. Begin, an Iraq war veteran with PTSD, Jennie Stormes,
mother of a child with a rare form of pediatric epilepsy, James J. Nolan
III, PhD an associate professor of sociology and anthropology at West
Virginia University, and Christopher Conrad, an expert on cultivation of
marijuana. To sustain the view that marijuana should remain in Schedule I,
the prosecution team had to show that marijuana has, a high potential for
abuse, no currently accepted medical use in treatment in the United States,
and unacceptable safety standards for its use under medical supervision. To
prevail on the motion, the prosecutors also had to show that marijuana
failed to meet even one of five legal standards as a medicine that would
permit removal from Schedule I. Conversely, the legal defense team had to
prove that marijuana was misclassified in Schedule 1 of the CSA, that it is
a safe and effective medicine and is a relatively harmless drug. Results:
Defense expert witnesses dismissed DSM-V diagnostic criteria of Cannabis Use
Disorder or CUD, claiming that marijuana's risk of addiction is disputed
within the medical community and that “marijuana was less addictive than
nicotine, alcohol, cocaine and caffeine”. They also testified that marijuana
associated problems were less prevalent than legal drugs, including
over-the-counter medicines. Testifying initially that marijuana had “high'
potential for abuse, one defense witness advocated for reclassifying
marijuana as a Schedule II substance, even though the first criterion under
both Schedule I and II is the same, “a high potential for abuse.” Dr. Madras
noted the scientific foundation of DSM-V criteria for CUD and the prevalence
of CUD as 4.3 million, higher than for any other illicit drug and higher
among adolescents. She claimed that frequent marijuana use for chronic
medical conditions could increase the risks of CUD. The defense claimed that
numerous randomized controlled trials (RCT) documented marijuana efficacy
for more medical conditions than typically are required for FDA approval.
Dr. Madras countered that rigorous RCT using botanical marijuana were scant
and compromised by an array of weaknesses. She cited recent meta-analyses
concluding that evidence for whole plant marijuana was insufficient for use
in various medical conditions. While reasonable experts could conclude that
whole plant marijuana has medicinal value, she opined that they would be
ignoring some of the evidence and FDA standards to reach that conclusion.
Claiming that the benefits of marijuana outweighed the risks, the defense
questioned the validity or significance of research revealing relationships
between marijuana use and adverse consequences. One witness maintained that
marijuana-induced brain changes were meaningless because brain changes occur
with conversation or playing Tetris. Another witness had recommended
marijuana to 12,000 patients in California and testified that none of his
patients ever reported major issues. Dr. Madras reasoned that “one simply
cannot be assured that marijuana can be safely used, even under medical
supervision, for long term open-ended use”. Defense witnesses believed that
the majority of physicians think marijuana has medical benefits. Dr. Madras
countered by citing contrary position, policy statements of major medical
associations dedicated to the relevant medical conditions; scientists deeply
familiar with the research would attest that, presently marijuana has no
high quality research support. She conceded that nonpsychoactive
cannabinoids in the marijuana plant should be evaluated because there is
preclinical evidence of their therapeutic potential. Conclusions: Judge
Kimberly Mueller issued her pivotal ruling on the case April 17, 20157. The
Judge's ruling recognized that “defendants have not submitted any evidence
that Congress classified marijuana as a Schedule I controlled substance
because of animus or some discriminatory legislative purpose. The record
here does not demonstrate there is only one supportable point of view about
marijuana's safe, medical value or abuse potential. The ongoing vigorous
dispute as to the physical and psychological effects of marijuana, its
potential for abuse, and whether it has any medical value, supports the
rationality of the continued Schedule I classification. Congress could
rationally find marijuana has a high potential for abuse and Congress could
rationally conclude that marijuana, the undifferentiated plant that appears
on Schedule I, has no established medical value. Having carefully considered
the facts and the law as relevant to this case, the court concludes that on
the record in this case, this is not the court and this is not the time. The
court DENIES the motion”. As this judgment came from a federal court, it
stands as the law of the land.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
medical cannabis
EMTREE DRUG INDEX TERMS
alcohol
caffeine
cannabinoid
cocaine
controlled substance
illicit drug
nicotine
non prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
addiction
American
college
court
psychopharmacology
EMTREE MEDICAL INDEX TERMS
adolescent
anthropology
brain
cannabis use
child
classification
community
conversation
decision making
diagnosis
diseases
drug approval
DSM-5
epilepsy
expert witness
female
financial management
food and drug administration
government
hearing
human
Iraq
medical expert
meta analysis
mother
non profit organization
patient
physician
plant
policy
posttraumatic stress disorder
prevalence
randomized controlled trial (topic)
risk
safety
scientist
sociology
United States
university
validity
veteran
war
weakness
witness
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72133185
DOI
10.1038/npp.2015.326
FULL TEXT LINK
http://dx.doi.org/10.1038/npp.2015.326
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 328
TITLE
Clinicians' Beliefs and Practices Regarding Drug Use Care of Their Community
Health Center Patients
AUTHOR NAMES
Reddy A.T.
Andersen R.M.
Gelberg L.
AUTHOR ADDRESSES
(Reddy A.T., areddy@mednet.ucla.edu; Gelberg L.) Department of Family
Medicine, David Geffen School of Medicine at UCLA, United States.
(Reddy A.T., areddy@mednet.ucla.edu; Gelberg L.) UCLA Fielding School of
Public Health, Veterans Affairs Greater Los Angeles Healthcare System, Los
Angeles, United States.
(Andersen R.M.) Department of Health Policy and Management, UCLA Fielding
School of Public Health, UCLA Department of Sociology, Los Angeles, United
States.
CORRESPONDENCE ADDRESS
A.T. Reddy, Veterans Affairs Greater Los Angeles Healthcare System, Building
402, 11301 Wilshire Ave, Los Angeles, United States. Email:
areddy@mednet.ucla.edu
SOURCE
Journal of Addiction Medicine (2015) 9:6 (447-453). Date of Publication: 1
Dec 2015
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
Objectives: Integration of behavioral health including substance use
problems into primary care is an essential benefit that federally qualified
health centers (FQHCs) will offer as part of the Affordable Care Act. This
study explores FQHC primary care clinicians' beliefs and practices regarding
illicit drug use assessment and treatment. Methods: We administered a
10-minute questionnaire to 68 primary care clinicians of 5 FQHCs in Los
Angeles. Results: Clinicians expressed limited confidence in their ability
to address patients' illicit drug use, scoring on average 3.31 on a 5-point
Likert scale. Two thirds reported that they assess for drug use routinely
"at every visit" and/or "at annual visits." When asked how often they
counsel regarding drug use (on a 5-point Likert scale from "never" to
"always"), the median response was 4 ("usually"). Regarding their
perspectives on the best practical resource for addressing drug use in their
clinics, 45.6% named primary care clinicians. A minority (29.4%) of
clinicians had completed a clinical rotation dealing with substance use, and
27.2% reported receiving more than 10hours of training regarding substance
use problems. Having a substance use rotation was associated with greater
confidence in drug use assessment and treatment (P<0.01). More hours of
substance use training was associated with greater confidence (P=0.01) and
routinely addressing substance use in their patients (P=0.04). Conclusions:
Although two thirds of the surveyed clinicians assess for drug use
routinely, and on average, report that they usually address drug use,
clinicians' confidence in substance use care seems to be suboptimal, but
both confidence and routinely addressing substance use are associated with
increased substance use education. Improving clinicians' training and
integrating drug use care in FQHCs may improve confidence in substance use
care and facilitate the Affordable Care Act's mandate to integrate
behavioral health into routine FQHC primary care.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
drug use
general practitioner
health center
physician attitude
EMTREE MEDICAL INDEX TERMS
adult
article
female
health care policy
human
Likert scale
male
medical education
patient counseling
priority journal
psychologic assessment
questionnaire
responsibility
scoring system
substance use
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160115375
MEDLINE PMID
26441402 (http://www.ncbi.nlm.nih.gov/pubmed/26441402)
PUI
L608247602
DOI
10.1097/ADM.0000000000000158
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000158
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 329
TITLE
The Adverse Effects of Motherhood on Substance Use Treatment Program
Outcomes among Adolescent Women
AUTHOR NAMES
Savage R.J.
DuRant N.
Brendan Clark C.
Nair P.
Cropsey K.
AUTHOR ADDRESSES
(Savage R.J., rsavage@peds.uab.edu; DuRant N.) Department of Pediatrics,
University of Alabama at Birmingham, Birmingham, United States.
(Brendan Clark C.; Cropsey K.) Department of Psychiatry, University of
Alabama at Birmingham Sparks Center, Birmingham, United States.
(Nair P.) Department of Child and Adolescent Psychiatry, Johns Hopkins
Hospital, Baltimore, United States.
CORRESPONDENCE ADDRESS
R.J. Savage, 310 Children's Park Place I, 1600 5th Ave. S., Birmingham,
United States. Email: rsavage@peds.uab.edu
SOURCE
Journal of Addiction Medicine (2015) 9:6 (478-484). Date of Publication: 1
Dec 2015
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
Objectives: Adolescent mothers have differing risks and responsibilities
compared to adolescent women without children that may impact substance use
treatment. This study sought to describe characteristics of adolescent women
in a substance use treatment program and determine the effect of adolescent
motherhood on treatment program outcomes. Methods: Data were collected from
standardized interviews of female adolescents in a case management criminal
justice diversion program for substance-using adolescents and adults.
Variables included sociodemographic factors (ie, race/ethnicity, age,
financial support, education, insurance, marital status, sexual abuse),
Diagnostic and Statistical Manual-IV (DSM-IV) substance use disorder
diagnoses, and motherhood (ie, childbirth and residence with a child).
Treatment program outcome was documented by case workers at the end of the
participants' time in the program. Chi-square analyses and analysis of
variances determined associations between variables. Logistic regression was
used to assess characteristics associated with negative treatment program
outcome. Results: Data from 1080 adolescent women aged 16-21 years (mean
19.7 years, SD=1.16) were analyzed; 403 (37%) were mothers. After
controlling for sociodemographic factors and substance use disorder
diagnoses, adolescent mothers were less likely to successfully complete the
treatment program than nonmothers. Adolescent women with reliance on family
or friends for financial support, lower education status, and cannabis and
cocaine use disorders had worse treatment program outcomes. Conclusions:
Childbirth and parenting adversely affect substance use treatment outcomes
for adolescent women in the criminal justice system. Future research should
explore tailored substance use treatments for adolescents with children. Job
training and educational support may improve outcomes.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cocaine
opiate
sedative agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent mother
substance use
treatment outcome
EMTREE MEDICAL INDEX TERMS
adolescent
adult
age
article
cannabis use
case management
child parent relation
childbirth
cocaine dependence
controlled study
criminal justice
DSM-IV
education
ethnicity
female
financial management
human
insurance
interview
major clinical study
priority journal
race
sexual abuse
social aspect
sociodemographic factor
young adult
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160115379
MEDLINE PMID
26426518 (http://www.ncbi.nlm.nih.gov/pubmed/26426518)
PUI
L608247660
DOI
10.1097/ADM.0000000000000165
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000165
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 330
TITLE
Attitudes of general population and physicians towards alcohol addiction
AUTHOR NAMES
Mayda H.
Soyucok E.
Guzel I.
Gorucu Y.
Bagcioglu E.
AUTHOR ADDRESSES
(Mayda H., mayda4268@yahoo.com) Department of Psychiatry, Mardin Kiziltepe
State Hospital, Mardin, Turkey.
(Soyucok E.) Department of Psychiatry, Dumlupinar University, Faculty of
Medicine, Kutahya, Turkey.
(Guzel I.) Department of Psychiatry, Konya Aksehir State Hospital, Konya,
Turkey.
(Gorucu Y.; Bagcioglu E.) Department of Psychiatry, Afyon Kocatepe
University, Faculty of Medicine, Afyonkarahisar, Turkey.
CORRESPONDENCE ADDRESS
H. Mayda, Department of Psychiatry, Mardin Kiziltepe State Hospital, Mardin,
Turkey. Email: mayda4268@yahoo.com
SOURCE
Klinik Psikofarmakoloji Bulteni (2015) 25 SUPPL. 1 (S199). Date of
Publication: 2015
CONFERENCE NAME
7th International Congress on Psychopharmacology
CONFERENCE LOCATION
Antalya, Turkey
CONFERENCE DATE
2015-04-15 to 2015-04-19
ISSN
1017-7833
BOOK PUBLISHER
Cukurova Univ Tip Fakultesi Psikiyatri Anabilim Dali
ABSTRACT
Objective: To assess attitudes of general population and physicians towards
alcohol addiction and to investigate whether medical education has a
positive effect towards alcohol dependence or not. Method: 99 medical
doctors workingat Afyonkarahisar University hospital, in public hospitals or
health centers and 101 people selected from the community to represent the
overall population participated in our study. Socio-demographic information
of the participants were received, and then they were asked to complete the
Social Distance Scale (SDS), the Characteristics Scale (CS), the Skill
Assessment Scale (SAS), and the Dangerousness Scale (DS) anonymously,
without the related stigma. Validity and reliability of this survey were
reported in previous studies. DS consists of eight (8) items concerning
Social Distance, measuring establishing contact with person affected by a
given condition. CS consists of twenty (20) items. This evaluates the impact
of personality and behavior attributed to a person affected by a given
condition. SAS defines various not obviously expressed abilities related to
a given condition. DS consists of four (4) items, investigating whether a
mentally disabled patient is a threat to others. Results: Comparing Doctors'
and general population groups according to the stigma sub-scale, there was
no statically significant difference between the two groups (p>0.05).
Conclusions: In this study, it was found that there was no significant
difference between attitudes towards alcohol addicts between Doctors' and
General population groups, 2 out of 3 people in both groups have negative
attitudes towards alcohol addicts and medical education did not change these
attitudes. Discrimination and stigma applied towards addicted people may
obstruct the treatment of addiction. Especially, doctors play an important
role for reducing stigmatization towards addicted people within the
community. During medical education (especially rotation of psychiatry),
application and development of new education strategies about addiction, in
addition to basic courses, may help to reduce negative attitudes towards
alcohol addicted people.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
human
medical education
physician
population
psychopharmacology
EMTREE MEDICAL INDEX TERMS
addiction
community
disabled person
drug dependence
education
hazard
health center
personality
population group
psychiatry
public hospital
reliability
skill
social distance
university hospital
validity
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72086858
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 331
TITLE
Multi-component tobacco-free workplace program in community mental health
settings: The role of providers' training in tobacco dependence treatment
AUTHOR NAMES
Fernández V.C.
Reitzel L.R.
Wilson W.T.
Kyburz B.A.
Stacey T.
Garza J.
Lam C.
AUTHOR ADDRESSES
(Reitzel L.R.; Garza J.) University of Houston, Houston, United States.
(Fernández V.C.; Lam C.) UT MD Anderson Cancer Center, Houston, United
States.
(Wilson W.T.; Kyburz B.A.; Stacey T.) Austin Travis County Integral Care,
Austin, United States.
CORRESPONDENCE ADDRESS
V.C. Fernández, UT MD Anderson Cancer Center, Houston, United States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e49). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Tobacco use and dependence is twice as high in people with mental and
behavioral disorders compared to their counterparts. Due to a common
misconception among practitioners that quitting tobacco may exacerbate or
trigger psychiatric symptoms, evidenced-based cessation treatments are often
not made available to smokers with mental disorders. Integrating tobacco
cessation interventions into smokers' mental health care and implementing
tobacco-free campus policies at mental health clinics can significantly
reduce the smoking rates of people with mental disorders, their health care
providers, and the communities in which they reside. Austin Travis County
Integral Care's (ATCIC) Tobacco-Free Workplace Program is a multi-component
tobacco-free (MCTF) campus intervention program that has reduced tobacco use
among their patients and employees. The ongoing Taking Texas Tobacco Free
(TTTF) Program aims to adapt and disseminate ATCIC's program to dozens of
mental health clinics across Texas. Methods: TTTF intervenes at four
different levels: clinic-level for tobacco-free policy implementation and
providers' training, employee-level to encourage and assist staff to quit
smoking, consumer-level to provide brief tobacco cessation interventions
among patients, and community-level to provide tobacco-related education to
local communities. Results: Providers and staff completed needs assessment
surveys. Over 1700 providers have been trained to treat tobacco dependence
among psychiatric populations and in motivational interviewing. Conclusions:
Implementing a MCTF campus in community mental health clinics is generally
well-received by the majority of the clinics. Provider training is a
necessary component to successfully address tobacco dependence among persons
with mental disorders and to attain the programs' sustainability.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
community mental health
drug dependence
tobacco
tobacco dependence
workplace
EMTREE MEDICAL INDEX TERMS
behavior disorder
community
consumer
education
employee
health care personnel
hospital
human
mental disease
mental health care
mental health center
motivational interviewing
needs assessment
patient
physician
policy
population
smoking
smoking cessation
tobacco use
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72176520
DOI
10.1016/j.drugalcdep.2015.07.1051
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.1051
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 332
TITLE
Medical and mental health needs of lesbian, gay, and bisexual clients in
substance abuse treatment
AUTHOR NAMES
Flentje A.
Livingston N.
Roley J.
Sorensen J.
AUTHOR ADDRESSES
(Flentje A.; Sorensen J.) University of California, San Francisco, San
Francisco, United States.
(Livingston N.) University of Montana, Missoula, United States.
(Roley J.) Drexel University, Philadelphia, United States.
CORRESPONDENCE ADDRESS
A. Flentje, University of California, San Francisco, San Francisco, United
States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e70). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: This study identified the physical and mental health needs and service
utilization of lesbian, gay, and bisexual (LGB) individuals relative to
heterosexual counterparts in substance abuse treatment. Based on prior
research and the minority stress model (Meyer, 2003), we hypothesized that
LGB individuals would have higher rates of physical and mental health
problems and service utilization relative to heterosexual individuals.
Methods: Physical and mental health problems and service utilization were
examined within a database documenting 13,211 individuals who entered
substance abuse treatment between 2007 and 2009 within San Francisco, CA.
Differences between LGB (n = 1441) and heterosexual (n=11,770) individuals
were identified using logistic regression, covarying race, ethnicity, and
age, with separate models for males and females. Results: Gay men (adjOR:
1.42, 99.9% CI: 1.07, 1.88) and bisexual women(adjOR: 1.70, 99.9% CI: 1.06,
2.74) were more likely than heterosexual counterparts to report recent
physical health problems; this difference was not evident for bisexual men
or lesbian women. Among men, gay (adjOR: 4.26, 99.9% CI: 2.72, 6.66) and
bisexual (adjOR: 2.62, 99.9% CI: 1.15, 5.93) status predicted higher health
care utilization; there were no differences among women. LGB status was
predictive of higher rates of mental health diagnoses (adjOR range across
LGB groups 1.86-4.00) and current mental health prescription medications
(adjOR range 1.79-4.99) for LGB men and women. Both gay (adjOR: 3.38, 99.9%
CI: 2.22, 5.16) and bisexual men (adjOR: 2.59, 99.9% CI: 1.14, 5.85), but
not lesbian or bisexual women, were more likely to be receiving mental
health treatment. Conclusions: LGB individuals have greater physical and
mental health needs, while lesbian and bisexual women do not have
corresponding higher physical and mental health service utilization. These
disparities could be addressed in substance abuse treatment settings.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bisexuality
college
drug dependence
female
homosexual female
homosexual male
human
mental health
substance abuse
EMTREE MEDICAL INDEX TERMS
bisexual female
bisexual male
data base
diagnosis
drug therapy
ethnicity
health
health care utilization
heterosexuality
logistic regression analysis
male
mental health service
model
prescription
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72176577
DOI
10.1016/j.drugalcdep.2015.07.1108
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.1108
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 333
TITLE
Associations between age and cannabis use problems among medical cannabis
patients
AUTHOR NAMES
Bohnert K.
Ilgen M.A.
AUTHOR ADDRESSES
(Bohnert K.; Ilgen M.A.) Psychiatry, University of Michigan, Ann Arbor,
United States.
(Bohnert K.; Ilgen M.A.) VA Ann Arbor, Ann Arbor, United States.
CORRESPONDENCE ADDRESS
K. Bohnert, Psychiatry, University of Michigan, Ann Arbor, United States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e22-e23). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: 23 States and the District of Columbia have passed legislation
allowing for the use of cannabis for those with qualifying medical
conditions. Despite the increasing number of States legalizing medical
cannabis in recent years, understanding of medical cannabis patients is
limited, including the extent to which patients experience problems related
to cannabis use. Moreover, young people may be particularly vulnerable for
such problems. In this pilot study, we estimate the prevalence of problems
related to cannabis use among medical cannabis patients, as well as examine
potential age differences associated with the report of specific problems.
Methods: This study includes adults 18 years and older from a convenience
sample of patients from one medical cannabis clinic in Michigan. Of the 370
individuals who were approached in the waiting area of the clinic, 348
(94.1%) consented to participate. This analysis includes the 288 (82.8%)
participants who reported cannabis use in the past 3 months. Problems
related to past 3-month cannabis use were assessed via a modified version of
the World Health Organization's Alcohol, Smoking and Substance Involvement
Screening Test (ASSIST). Bivariate logistic regression models were used to
evaluate associations between age and specific problems related to cannabis
use in the past 3 months. Results: Prevalence estimates of problems related
to cannabis use in the past 3 months ranged from 9.3% for failing to
control, cut down or stop using cannabis to 80.2% for having a strong desire
to use cannabis. Significant age associations were detected for the problems
of cannabis use leading to health, social, financial, or legal problems
(Odds Ratio (OR) = 0.96, 95% Confidence Interval (CI) = 0.92, 0.99) and
failure to do what was normally expected because of cannabis use (OR = 0.96,
95% CI = 0.93, 0.99), such that increasing age was associated with lower
odds of each of the two problems. Conclusions: Young adult medical cannabis
patients may be more likely to experience cannabis-related problems than
older patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
medical cannabis
EMTREE DRUG INDEX TERMS
alcohol
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cannabis use
college
drug dependence
human
patient
EMTREE MEDICAL INDEX TERMS
adult
confidence interval
convenience sample
health
hospital
law
logistic regression analysis
model
pilot study
prevalence
risk
screening test
smoking
United States
world health organization
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72176448
DOI
10.1016/j.drugalcdep.2015.07.979
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.979
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 334
TITLE
Non-medical prescription opioid use and commercial sex work among adults in
residential substance use treatment
AUTHOR NAMES
Matusiewicz A.K.
Bohnert A.S.
Bonar E.E.
Ilgen M.
AUTHOR ADDRESSES
(Matusiewicz A.K.; Bohnert A.S.; Ilgen M.) VA Center for Clinical Management
Research, Ann Arbor, United States.
(Matusiewicz A.K.; Bohnert A.S.; Bonar E.E.; Ilgen M.) Psychiatry,
University of Michigan Medical School, Ann Arbor, United States.
(Matusiewicz A.K.; Bohnert A.S.; Ilgen M.) VA Ann Arbor Healthcare System,
Ann Arbor, United States.
CORRESPONDENCE ADDRESS
A.K. Matusiewicz, VA Center for Clinical Management Research, Ann Arbor,
United States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e142). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: High rates of substance use have been documented among individuals
involved in commercial sex work (CSW) and a significant proportion of adults
seeking substance use treatment report prior CSW. Little is known about the
relationship between CSW and non-medical prescription opioid use (NMPOU), as
research in this area was conducted before the escalation-NMPOU in the US.
The aims of this study were to describe the prevalence of recent CSW in a
large residential substance use treatment center; and examine the
association betweenNMPOuse and CSW after controlling for demographic and
clinical risk factors. Methods: Participants were 504 adults recruited from
a residential treatment center between 2009-2013. Participants completed
self-report measures of CSW, NMPOU, substance use and psychiatric symptoms.
Bivariate and multivariate logistic regressions were used to examine the
relationship between CSW and NMPOU, before and after adjusting for
demographic and clinical correlates of CSW. Results: Results indicated that
14% (n = 71) of participants engaged in CSW in the previous month. NMPOU use
was more common in those with a history of CSW (84% of sex workers vs. 54%
of non-sex workers; OR = 4.48, p <.05). In the multivariate model, CSW was
associated with female gender, ethnic minority status, global psychiatric
symptom severity and cocaine use. After controlling for these factors, NMPOU
remained significantly more common in those who engaged in CSW (OR = 2.39, p
<.05). Conclusions: Individuals engaged in sex work reported extremely high
rates of NMPOU, and NMPOU was associated with sex work after adjusting for
psychiatric symptoms and other substance use. Residential treatment provides
a unique opportunity to address the complex psychosocial and psychiatric
needs of substance users involved in CSW, but continued work is needed to
develop interventions for this vulnerable group.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult
college
drug dependence
prescription
prostitution
substance use
EMTREE MEDICAL INDEX TERMS
ethnic group
female
gender
human
logistic regression analysis
mental disease
model
prevalence
residential care
risk factor
self report
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72176765
DOI
10.1016/j.drugalcdep.2015.07.388
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.388
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 335
TITLE
Practices of substance abuse and risky sexual behavior among Adama science
and technology university undergraduate students in 2012/13 academic years
AUTHOR NAMES
Mekonnen T.G.
AUTHOR ADDRESSES
(Mekonnen T.G.) Adama Science and Technology University, Adama, Ethiopia.
CORRESPONDENCE ADDRESS
T.G. Mekonnen, Adama Science and Technology University, Adama, Ethiopia.
SOURCE
Value in Health (2015) 18:7 (A733). Date of Publication: November 2015
CONFERENCE NAME
ISPOR 18th Annual European Congress
CONFERENCE LOCATION
Milan, Italy
CONFERENCE DATE
2015-11-07 to 2015-11-11
ISSN
1098-3015
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Objectives: Students of higher education institutions are prone to practices
of substance abuse and risky sexual behavior due to individual, peer, social
and ecological influences. The objective of the current study is to assess
practices of substance abuse and its relationship with risky sexual behavior
among ASTU Students. Methods: A total of 447 respondents were selected to
fill the questioners by using stratified, systematic and random sampling
from undergraduate regular students while only 426 (95.3%) were completed
the questioner correctly and the analyses of results were based on 426
respondents. Informal interview with five key respondents were also
conducted for triangulation of results. The results were analyzed by using
descriptive statistics such as frequencies and percentage, and inferential
statistics such as chi-square (x2) and binary logistic regression. Results:
Prevalence of substance abuse increases with gender differences (X2(6.315) =
.012, P< .05); previous place of residence (X2(18.327) = .000, P< .05) and
school attended before joining the university (X2(8.807) = .003, P< .05);
while decreases with current place of residence (c2(.152) = .696, P> .05).
However, sexual behavior of respondents decreases with gender difference
(X2(.155) = .694, P> .05); previous place of residence (X2(.122) = .727, P>
.05); school attended before joining the university (X2(.092) = .762, P>
.05); and current place of residence (X2(.088)= .767, P> .05). Conclusions:
There is statistical significant relation between substance abuse and gender
differentials, previous places of residences and school attended before
joining the university while there is no statistical relation between
current places of residences. Therefore prevention of practices of substance
abuse and risky sexual behaviors among students should be strengthened at
primary and secondary school program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
sexual behavior
substance abuse
technology
undergraduate student
university
EMTREE MEDICAL INDEX TERMS
education
gender
high school
inferential statistics
interview
logistic regression analysis
prevalence
prevention
sampling
school
sex difference
statistics
student
triangulation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72085050
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 336
TITLE
Behavioral economic analysis of marijuana consumption, diversion, and
medical certification demand in HIV+ patients
AUTHOR NAMES
Greenwald M.K.
Lundah L.H.
AUTHOR ADDRESSES
(Greenwald M.K.; Lundah L.H.) Psychiatry, Wayne State University, Detroit,
United States.
CORRESPONDENCE ADDRESS
M.K. Greenwald, Psychiatry, Wayne State University, Detroit, United States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e83-e84). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Evaluate whether MJ consumption, diversion or medical certification
demand relates to past 3-month drug use, psychiatric or medical factors in
HIV+ patients. Methods: MJ-using HIV+ patients (n = 98, ongoing) complete an
economic simulation to measure demand intensity (L) and elasticity (a) for
MJ (# 0.1-oz units purchased/consumed on average day, income = $120) vs. MJ
unit price (UP $2.50-20) and time to purchase one 0.1-oz (3-120 min).
Survival analysis is used to measure MJ diversion (% willing to sell 0.1-oz
MJ) vs. profit ($5-90), and demand for medical certification (%
participation) vs. yearly certification cost ($10-150), # physicians visited
to get certified (1-15), and delay until getting card (0.5-26 wk). All
results reported are significant (p < .05). Results: MJ demand intensity is
higher for patients whose past 3-month MJ use is frequent (>270 times) vs.
moderate (90-270) or infrequent (<90), L = .62, .33, .32 oz/day). MJ demand
intensity is higher for patients <41 than 42-49 and >50 yr (L = .55, .36,
.29 oz/day). Certified patients have the lowest MJ demand intensity.
Patients with slight or moderate pain severity have higher MJ demand
intensity than patients with no pain or severe pain. Certification demand is
higher for patients with severe pain (UP = card cost, delay until
certification), opioid use (UP = card cost, #physicians), and frequent MJ
use (UP = #physicians). MJ diversion is most likely among patientswhoreport
cocaine use. Psychiatric and other medical factors are not related to MJ
use, certification, or diversion. Conclusions: MJ use is price-elastic and
modulated by MJ-use frequency, age and pain. Certified patients exhibit
lower demand. Patients with severe pain, opioid use and frequent MJ use
exhibit higher certification demand. MJ diversion potential is related to
cocaine use. This knowledge may inform clinical and policy decisions.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
EMTREE DRUG INDEX TERMS
cocaine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
certification
college
drug dependence
human
Human immunodeficiency virus
patient
EMTREE MEDICAL INDEX TERMS
drug use
elasticity
income
pain
pain severity
physician
policy
profit
simulation
survival
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72176613
DOI
10.1016/j.drugalcdep.2015.07.1144
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.1144
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 337
TITLE
Are medical marijuana users different than recreational marijuana users?
AUTHOR NAMES
Martins S.S.
Santaella J.
Pacek L.R.
Keyes K.
Cerda M.
Hasin D.S.
Galea S.
AUTHOR ADDRESSES
(Santaella J.) Columbia University, New York, United States.
(Martins S.S.; Keyes K.; Cerda M.; Hasin D.S.; Galea S.) Epidemiology,
Columbia University, New York City, United States.
(Pacek L.R.) Psychiatry and Behavioral Sciences, Johns Hopkins University,
Baltimore, United States.
CORRESPONDENCE ADDRESS
S.S. Martins, Epidemiology, Columbia University, New York City, United
States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e141). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: To describe the profiles of recreational versus medical marijuana
users. Methods: Datacamefrom the 2013 U.S. National Survey on Drug Use and
Health 54,981 respondents aged 12 and older. Respondents were asked about
past-year marijuana use (MU) recreationally and/or as prescribed by a
doctor. Using weighted multinomial logistic regression, we compared
respondents who were non-MU, recreational MU, medical MU, and
recreational+medical MU on demographic characteristics, living in a state
with or without medical marijuana laws (MMLs), psychiatric disorders,
substance use, and perceived risk of drug use. Results: Of the US population
12 years and older, 11.5% were past-year recreational MU, 0.7% were
past-year medical MU, and 0.4% were medical/recreational MU. States with
MMLs versus those without such laws had higher prevalence of recreational MU
(13.1% vs. 10.8%, p<0.001), medical MU (1.7% vs. 0.2%, p<0.001) and
recreational+medicalMU(0.7% vs. 0.3%, p<0.001). Compared to recreational MU,
medical users, and recreational+medical MU were more likely to be 18 and
older vs. 12-17, to have past-year anxiety disorder and to be past-month
alcohol abstainers, and less likely to be Asian vs. non-Hispanic White,
adjusted for all other covariates. Past-year major depressive episodes were
significantly associated with medical/recreational use vs. recreational-only
MU in states without MMLs.Recreational, medical and recreational+medical+MU
were less likely than non-users to perceive great risk in using marijuana
weekly. Recreational users were less likely than non-users to perceive great
risk in daily heavy drinking. Similar associations were found in analyses
stratified by state MML. Conclusions: Medical MU users report more
psychiatric comorbidity and lower levels of alcohol use compared to those of
recreational users. AllMUsubgroups have lower levels of perceived risk of MU
compared to non-users.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
medical cannabis
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
EMTREE MEDICAL INDEX TERMS
alcohol consumption
anxiety disorder
Asian
cannabis use
comorbidity
demography
drinking
drug use
health
Hispanic
human
logistic regression analysis
major depression
mental disease
physician
population
prevalence
risk
substance use
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72176762
DOI
10.1016/j.drugalcdep.2015.07.385
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.385
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 338
TITLE
Incident non-medical use of prescription opioids is associated with heroin
initiation among U.S. veterans: A prospective cohort study
AUTHOR NAMES
Banerjee G.
Edelman E.J.
Barry D.T.
Becker W.
Cerda M.
Crystal S.
Gaither J.R.
Gordon A.J.
Gordon K.S.
Kerns R.
Martins S.
Fiellin D.A.
Marshall B.D.
AUTHOR ADDRESSES
(Edelman E.J.; Barry D.T.; Gaither J.R.; Fiellin D.A.) Yale, New Haven,
United States.
(Gordon A.J.) VA Pittsburgh, Pittsburgh, United States.
(Becker W.; Gordon K.S.; Kerns R.) CT VA, West Haven, United States.
(Banerjee G.; Marshall B.D.) Brown, Providence, United States.
(Cerda M.; Martins S.) Columbia, New York, United States.
(Crystal S.) Rutgers, New Brunswick, United States.
CORRESPONDENCE ADDRESS
G. Banerjee, Brown, Providence, United States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e14-e15). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: We assessed whether incident non-medical use of prescription opioids
(NMUPO) is associated with heroin initiation among U.S. veterans in primary
care who had no prior history of NUMPO or heroin use. Methods: The Veterans
Aging Cohort Study (VACS) is a prospective cohort study of HIV-infected and
uninfected veterans in care. Werestricted our analysis to
subjectswhoreported no prior history of injection drug use, heroin use, or
NMUPO at baseline. Incident NMUPO and date of heroin initiation were
ascertained from surveys administered over six follow up interviews
(2002-2012). We used Cox regression to examine the relationship between
incident NMUPO and heroin use, adjusting for HIV status, sociodemographics,
pain interference, receipt of chronic opioid therapy, and previous diagnosis
of PTSD and major depression. Results: Among 3430 eligible participants, the
mean age was 49.7 (SD = 10.6) and 2203 (66.4%) were African American. Over
the 10-year study period, the incidence of heroin initiation was 2.76 per
100 person-years, and greater among those who reported any NMUPO (log-rank
p-value < 0.001). In a multivariable model, incident NMUPO was positively
and independently associated with heroin initiation (adjusted hazard ratio =
5.25, 95% CI: 4.20, 6.57). Conclusions: NMUPO is a strong risk factor for
heroin initiation among veterans seen in primary care. Most reported new
onset NMUPO prior to or concurrent with heroin initiation. Strategies are
needed to identify and address NMUPO among veterans.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
diamorphine
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cohort analysis
college
drug dependence
human
prescription
United States
veteran
EMTREE MEDICAL INDEX TERMS
African American
aging
diagnosis
drug use
follow up
hazard ratio
Human immunodeficiency virus
injection
interview
major depression
model
pain
posttraumatic stress disorder
primary medical care
proportional hazards model
risk factor
statistical significance
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72176427
DOI
10.1016/j.drugalcdep.2015.07.958
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.958
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 339
TITLE
Medical marijuana laws and annual opioid analgesic sales in the United
States
AUTHOR NAMES
Kim J.H.
Santaella J.
Cerda M.
Martins S.S.
AUTHOR ADDRESSES
(Santaella J.; Cerda M.; Martins S.S.) Epidemiology, Columbia University,
New York City, United States.
(Kim J.H.) Epidemilogy, Mailman School of Public Health, New York, United
States.
CORRESPONDENCE ADDRESS
J.H. Kim, Epidemilogy, Mailman School of Public Health, New York, United
States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e111). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: To date, twenty-three states have enacted some type of medical
marijuana legislation (MML), and more states may soon pass similar
legislation. Concurrently, the epidemic of prescription opiate overdoses has
recently shown signs of decline. It has been hypothesized that the increased
availability of medical marijuana has provided a viable substitute for
opioids in the treatment of chronic pain, resulting in fewer overdose
deaths. This study assesses whether state MMLs are associated with actual
opiate use, as measured by annual state opioid sales for the years
1999-2001. Methods: Annual opioid sales for 1999-2011 were culled from the
Automation of Reports and Consolidated Orders System (ARCOS), compiled by
the Drug Enforcement Administration (DEA). This data includes annual sales
of oxycodone, hydromorphone, hydrocodone, meperdine, and morphine to
pharmacies, hospitals and practitioners by state. Morphine equivalent doses
(MED) per 100,000 residents were calculated for each state-year observation.
States were classified as having a MML based on the date the law became
effective. Mixed models with a fixed effect for year and a random effect for
state were used to estimate differences in the (natural log) average MED
rate for states with and without MML by year and across years, while also
taking into account state and year specific prescription opioid
policies/regulations and unemployment rates. Results: For both states with
and without MML, the mean MED increased from 1999 to 2011 (25,267mg vs.
23,067.5mg and 89,114.3mg vs. 89,956.1 mg, respectively). After controlling
for this statistically increasing annual trend in MED (β = 0.12, tvalue =
60.5, p-value < 0.0001), a one percent reduction in annual opiate sales was
observed for each additional year a MML was in effect (β =-0.01, t-value
=-3.17, p-value = 0.0016). Conclusions: These findings suggest that medical
marijuana laws are significantly associated with reduced prescription opioid
sales at the state level. Further research is warranted.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
medical cannabis
narcotic analgesic agent
EMTREE DRUG INDEX TERMS
hydrocodone
hydromorphone
morphine
opiate
oxycodone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
United States
EMTREE MEDICAL INDEX TERMS
automation
chronic pain
death
epidemic
government
hospital
human
intoxication
law
model
pharmacy
physician
prescription
statistical significance
unemployment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72176684
DOI
10.1016/j.drugalcdep.2015.07.307
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.307
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 340
TITLE
Identifying and addressing unmet medical needs: A call to broaden the scope
of drug courts
AUTHOR NAMES
Dugosh K.L.
Festinger D.
AUTHOR ADDRESSES
(Dugosh K.L.; Festinger D.) Section on Law and Ethics, Treatment Research
Institute, Philadelphia, United States.
CORRESPONDENCE ADDRESS
K.L. Dugosh, Section on Law and Ethics, Treatment Research Institute,
Philadelphia, United States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e60). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Drug courts are an effective approach to reducing drug use and crime.
They offer substance abusing offenders the opportunity to avoid sentencing
by engaging in court-supervised treatment. Although they address life issues
like employment and housing, they do not generally address healthcare issues
or provide linkages to medical care. This may represent a lost opportunity
as these individuals may be susceptible to a host of illnesses due to their
chronic substance use and maladaptive lifestyles. This study examines the
prevalence of health-related issues in a drug court sample. Methods: A total
of 185 felony drug court clients completed an interview about their current
health-related issues (e.g., health insurance status, last medical visit,
chronic health conditions, treatment status) at entry into the program and
15-months post-entry. At the follow-up, clients were asked whether anyone
from the drug court team talked to them about their chronic conditions or
provided them with a referral to medical treatment. Results: Significantly
more clients had health insurance at follow-up than at baseline (74% vs.
59%, X2(1) = 11.83, p < .001). At follow-up, 89% reported having visited a
doctor and 74% having received a physical exam since they entered the
program. Overall, 50% had at least one chronic medical condition with
chronic respiratory problems (25%), high blood pressure (16%), diabetes
(5%), and epilepsy (5%) reported most frequently. Among those with chronic
conditions, 40% had conditions for which they were not receiving treatment.
Members of the drug court team talked to 13% of these clients about their
untreated conditions and 5% received a referral to medical treatment for
them. Conclusions: Findings suggest that drug courts should begin to widen
their focus to address health-related issues. Individuals in this sample
reported many chronic conditions that were going untreated and for which
they did not receive a medical referral. These untreated medical issues may
serve as a roadblock in clients' path to recovery.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
EMTREE MEDICAL INDEX TERMS
crime
diabetes mellitus
diseases
drug use
employment
epilepsy
follow up
health
health care
health insurance
housing
human
hypertension
interview
lifestyle
medical care
offender
physician
prevalence
substance use
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72176551
DOI
10.1016/j.drugalcdep.2015.07.1082
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.1082
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 341
TITLE
The Opioid Rotation Ratio (ORR) from transdermal fentanyl (TDF) to strong
opioids in cancer patients
AUTHOR NAMES
Reddy A.S.
Yennu S.
Reddy S.K.
Wu J.
Liu D.D.
Bruera E.
AUTHOR ADDRESSES
(Reddy A.S.; Yennu S.; Reddy S.K.; Wu J.; Liu D.D.; Bruera E.) The
University of Texas MD Anderson Cancer Center, Houston, TX; The University
of Texas MD Anderson Cancer Center, Bellaire, TX
CORRESPONDENCE ADDRESS
A.S. Reddy,
SOURCE
Journal of Clinical Oncology (2015) 33:29 SUPPL. 1. Date of Publication: 10
Oct 2015
CONFERENCE NAME
2015 Palliative Care in Oncology Symposium
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2015-10-09 to 2015-10-10
ISSN
0732-183X
BOOK PUBLISHER
American Society of Clinical Oncology
ABSTRACT
Background: Despite being the most frequently prescribed strong opioid by
oncologists, there is a lack of knowledge of the accurate the opioid
rotation ratio (ORR) from transdermal fentanyl (TDF) to other strong opioids
in cancer patients. Opioid rotation (OR) from TDF to other strong opioids is
performed very frequently in cancer patients for uncontrolled pain or opioid
induced neurotoxicity (OIN). The aim of our study was to determine the ORR
of TDF to other strong opioids, as measured by morphine equivalent daily
dose (MEDD). Methods: In this ad hoc analysis, we reviewed 2471 consecutive
patient visits to the supportive care center of a tertiary cancer center in
2008 for an OR from TDF to other strong opioids by a palliative medicine
specialist. Information regarding demographics, Edmonton Symptom Assessment
Scale (ESAS), and MEDD were collected in patients who followed-up within 6
weeks. Linear regression analysis was used to estimate the ORR between TDF
dose and net MEDD (MEDD after OR minus MEDD of breakthrough opioid used
along with TDF before OR). Successful OR was defined as 2-point or 30%
reduction in pain score and continuation of the new opioid at follow up.
Results: 47/2471 patients underwent OR from TDF to other opioids and
followed-up within 6 weeks. The median age was 54 years, 53% were male, and
77% had advanced cancer. The median time between OR and follow up was 14
days. Uncontrolled pain (83%) followed by OIN (15%) were the most frequent
reasons for OR and 77% had a successful OR with significant improvement in
ESAS pain and symptom distress scores. In patients with OR and no worsening
of pain at follow-up (n = 41), the median ORR (range) from TDF mg/day to net
MEDD was 100 (12.5-217), TDF mcg/hour to net MEDD was 2.4 (0.3-5.2), and
correlation of TDF dose to net MEDD was .60 (P < 0.0001). Conclusions: The
median ORR from TDF mg/day to MEDD is 100 and from TDF mcg/hour to MEDD is
2.4. Further validation studies are needed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
fentanyl
opiate
EMTREE DRUG INDEX TERMS
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer patient
human
oncology
palliative therapy
transdermal drug administration
EMTREE MEDICAL INDEX TERMS
advanced cancer
cancer center
follow up
linear regression analysis
male
medical specialist
neurotoxicity
oncologist
pain
patient
symptom assessment
validation study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72190089
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 342
TITLE
The Opioid Rotation Ratio (ORR) to transdermal fentanyl (TDF) in cancer
patients
AUTHOR NAMES
Reddy A.S.
Haider A.
Tayjasanant S.
Wu J.
Liu D.D.
Yennu S.
De La Cruz M.G.
Vidal M.
Reddy S.K.
Bruera E.
AUTHOR ADDRESSES
(Reddy A.S.; Haider A.; Tayjasanant S.; Wu J.; Liu D.D.; Yennu S.; De La
Cruz M.G.; Vidal M.; Reddy S.K.; Bruera E.) The University of Texas MD
Anderson Cancer Center, Houston, TX; The University of Texas MD Anderson
Cancer Center, Bellaire, TX
CORRESPONDENCE ADDRESS
A.S. Reddy,
SOURCE
Journal of Clinical Oncology (2015) 33:29 SUPPL. 1. Date of Publication: 10
Oct 2015
CONFERENCE NAME
2015 Palliative Care in Oncology Symposium
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2015-10-09 to 2015-10-10
ISSN
0732-183X
BOOK PUBLISHER
American Society of Clinical Oncology
ABSTRACT
Background: Cancer patients frequently undergo opioid rotation (OR) for
uncontrolled pain or opioid induced neurotoxicity. TDF is one of the most
common opioids prescribed to cancer patients. However, the accurate ORR from
other opioids to TDF is unknown and various currently used methods result in
a wide variation of ORRs. Our aim was to determine the ORR of morphine
equivalent daily dose (MEDD) to TDF when correcting for MEDD of breakthrough
opioids (net MEDD) in cancer outpatients. Methods: We reviewed records of
22,532 consecutive patient visits at our Supportive Care Center in 2010-13
for OR from to TDF by a palliative medicine specialist. Data regarding
Edmonton Symptom Assessment Scale (ESAS) and MEDD were collected in patients
who returned for follow up within 5 weeks. Linear regression analysis was
used to estimate the ORR between TDF dose and net MEDD (MEDD prior to OR
minus MEDD of breakthrough opioid used along with TDF after OR). Successful
OR was defined as 2-point or 30% reduction in pain score and continuation of
the new opioid at follow up. Results: 129 patients underwent OR to TDF from
other opioids. The mean age was 56 years, 59% male, and 88% had advanced
cancer. The median time between OR and follow up was 14 days. Uncontrolled
pain (80%) was the most frequent reason for OR and 59% had a successful OR
with significant improvement in ESAS pain, constipation, and symptom
distress scores. In 101 patients with OR and no worsening of pain at follow
up, the median ORR (range) from net MEDD to TDF mg/day was .01 (-0.02-0.04)
and correlation of TDF dose to net MEDD was .77 (P < .0001). The ORR was not
significantly impacted by variables such as mucositis, serum albumin, and
body mass index (BMI). The ORR of .01 suggests that MEDD of 100mg is
equivalent to 1mg TDF/day or 40mcg/hour TDF patch (1000mcg/24hours).
Conclusions: The median ORR from MEDD to TDF mg/day is .01 and the ORR from
MEDD to TDF mcg/hour patch is 0.4. Further validation studies are needed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
fentanyl
opiate
EMTREE DRUG INDEX TERMS
morphine
serum albumin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer patient
human
oncology
palliative therapy
transdermal drug administration
EMTREE MEDICAL INDEX TERMS
advanced cancer
body mass
constipation
follow up
linear regression analysis
male
medical specialist
mucosa inflammation
neoplasm
neurotoxicity
outpatient
pain
patient
symptom assessment
validation study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72190088
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 343
TITLE
Teaching effective opioid prescribing through a simulation curriculum
AUTHOR NAMES
Boyle K.L.
AUTHOR ADDRESSES
(Boyle K.L.) University of Massachusetts Medical School, Worcester, United
States.
CORRESPONDENCE ADDRESS
K.L. Boyle, University of Massachusetts Medical School, Worcester, United
States.
SOURCE
Annals of Emergency Medicine (2015) 66:4 SUPPL. 1 (S157). Date of
Publication: October 2015
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2015 Research Forum
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2015-10-26 to 2015-10-27
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Introduction: The epidemic of opioid-associated deaths poses a daily
challenge for emergency medicine physicians as they strive to treat pain.
The goal of this work is to develop an educational curriculum for residents
regarding safe and evidence-based opioid prescribing. To assess the
effectiveness of the curriculum, we will determine the number of
prescriptions written by residents for specific diagnoses before and after
implementation of the curriculum. These diagnoses were identified as
conditions in which opioid prescribing was not recommended in the 2012
American College of Emergency Physicians (ACEP) Clinical Policy: Critical
Issues in the Prescribing of Opioids for Adult Patients in the Emergency
Department. This curriculum was developed as part of a project supported by
the 2014 Medical Toxicology Foundation Drug Abuse Prevention Award. Study
Objectives: The goals of this curriculum are to: (1) Describe existing
guidelines regarding prescription of opioid pain mediations upon patient
discharge from the emergency department (ED); (2) Use a simulation
curriculum to offer examples of how to navigate difficult patient
conversations and teach residents how to provide effective counseling for
patients receiving opioid prescriptions; and (3) Use small group discussion
to develop lists of best practices, behaviors to avoid, and predictors of
opioid misuse in the ED. The overall objective is to decrease the number of
inappropriate opioid prescriptions written by EM residents for patients upon
discharge from the ED as defined by the ACEP clinical policy. Methods: The
curriculum begins with a short lecture to introduce the scope of the opioid
abuse epidemic, as well as the prescribing guidelines that exist for EM
providers, specifically the ACEP clinical policy. The majority of the
curriculum focuses on a simulation encounter using a standardized patient
with video recording, debriefing, and small group discussion. The encounter
is conducted with a resident volunteer and standardized patient, and is
projected for the entire group to watch. After the encounter, small group
discussions are held using five discussion points focused on defining best
practices for opioid prescribing by EM providers, as well as strategies for
dealing with difficult encounters. At the end of the small group discussion,
there is a final simulation encounter performed by the same resident, this
time using strategies the group developed during their discussion. To
measure the effectiveness of the curriculum, the number of opioid
prescriptions written by the group of learners on patient discharge from the
ED will be collected for a 3-month period prior to the delivery of the
curriculum, and after completion of the curriculum. Additionally, the
learners will be asked to complete surveys assessing the extent of their
training regarding opioid prescribing and their comfort with prescribing
opioids prior to data collection, directly after participation in the
curriculum, and after completion of data collection. Conclusion: Safe and
effective prescribing of opioid pain medications is an important skill for
EM providers. Aside from published guidelines, there is still a paucity of
formal educational training available regarding prescribing of opioid
medications. This curriculum addresses the urgent need for formal training
in residency education regarding opioid prescribing on patient discharge
from the ED.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
college
curriculum
emergency physician
human
simulation
teaching
EMTREE MEDICAL INDEX TERMS
abuse
adult
awards and prizes
comfort
conversation
counseling
death
diagnosis
drug abuse
drug therapy
emergency medicine
emergency ward
epidemic
evidence based practice
hospital discharge
information processing
non profit organization
pain
patient
physician
policy
prescription
prevention
problem patient
residency education
skill
toxicology
videorecording
volunteer
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72032966
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 344
TITLE
Work schedules and smoking behavior outcomes among physicians in training: A
cross sectional study
AUTHOR NAMES
Adraneda A.
AUTHOR ADDRESSES
(Adraneda A.) Chinese General Hospital, Manila, Philippines, Pasig City,
Philippines.
CORRESPONDENCE ADDRESS
A. Adraneda, Chinese General Hospital, Manila, Philippines, Pasig City,
Philippines.
SOURCE
Chest (2015) 148:4 MEETING ABSTRACT. Date of Publication: October 2015
CONFERENCE NAME
CHEST 2015
CONFERENCE LOCATION
Montreal, QC, Canada
CONFERENCE DATE
2015-10-24 to 2015-10-28
ISSN
0012-3692
BOOK PUBLISHER
American College of Chest Physicians
ABSTRACT
PURPOSE: The general objective of this study is to determine the prevalence
of smoking among physicians undergoing specialty training. The study also
aims to evaluate the smoking behaviors, knowledge and attitudes about
smoking among these health professionals and the relationship between
smoking motives and working schedules METHODS: A modified survey sheet with
questionnaires adapted from the Global Health Professional Survey by the
World Health Organization (WHO) and The Wisconsin Inventory of Smoking
Dependence Motives (WISDM-68) was distributed among the physicians included
in the study. Physicians undergoing specialty training in Metro Manila
hospitals were included in the study. The study sample was divided according
to duty schedules and the specialty training they are undertaking. RESULTS:
Five hundred fifty seven (557) from a total of seven hundred twenty (720)
questionnaires were accomplished and included in the data analysis.
Participants who were never smokers made up 57.45% of the study population
while those who currently smoke made up 27.83% of the overall. For the
specialty training programs, the highest prevalence of smoking is observed
among physicians in the Surgery group at 39.62%. Among the duty groups, the
highest prevalence of smoking was noted on those who are currently on every
two (2) days duty schedule. Data collected showed that those with family
members, immediate superiors and colleagues who smoke are more likely to
smoke as well. CONCLUSIONS: There is a high prevalence of smoking among
physicians in training in Metro Manila. Specialty Training and to a lesser
extent, the duty hours are major factors that bring about this high
prevalence. Social factors such as the presence of a family member, an
immediate superior or a colleague who smoke are major determinants in the
tendency to smoke. There is a significant difference in knowledge and
attitudes between smokers and nonsmokers. CLINICAL IMPLICATIONS: Health care
professionals particularly those who are considered specialists should act
as role models for health and wellness, and are supposedly promoters of a
non-smoking lifestyle. However, a considerable number of physicians continue
the habit despite knowing its ill effects and consequences. Hopefully, with
the results of this study, it could help reduce the number of smokers or
cigarette consumption by improving work schedules among these health care
professionals-making them worthy promoters of smoking cessation programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cross-sectional study
human
physician
smoking
work schedule
EMTREE MEDICAL INDEX TERMS
data analysis
habit
health
health care personnel
health practitioner
hospital
lifestyle
medical specialist
model
population
prevalence
promoter region
questionnaire
smoke
smoking cessation program
social aspect
surgery
training
United States
wellbeing
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72132926
DOI
10.1378/chest.2219074
FULL TEXT LINK
http://dx.doi.org/10.1378/chest.2219074
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 345
TITLE
Emergency Physician Utilization of Alcohol/Substance Screening, Brief Advice
and Discharge: A 10-Year Comparison
AUTHOR NAMES
Broderick K.B.
Kaplan B.
Martini D.
Caruso E.
AUTHOR ADDRESSES
(Broderick K.B.; Caruso E.) Denver Health Medical Center, Denver, United
States.
(Kaplan B.; Martini D.) University of Colorado at Denver, Denver, United
States.
CORRESPONDENCE ADDRESS
K.B. Broderick, Denver Health Medical Center, Denver, United States.
SOURCE
Journal of Emergency Medicine (2015) 49:4 (400-407). Date of Publication: 1
Oct 2015
ISSN
0736-4679
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Background In 2007, of the 130 million emergency department (ED) visits, ∼
38 million were due to injury, and of those, 1.9 million involved alcohol.
The emergency department is a pivotal place to implement Screening, Brief
Intervention, and Referral to Treatment (SBIRT) due to the high number of
patients presenting with alcohol/substance abuse risk factors or related
injuries. Study Objective This study compares two surveys, approximately 11
years apart, of emergency physicians nationwide which assesses the use of
validated screening tools, the availability of community resources for
alcohol/substance abuse treatment, and the prevailing attitudes of emergency
physicians regarding Screening and Brief Intervention for alcohol/substance
abuse. Methods We performed cross-sectional anonymous surveys of 1500
emergency physicians drawn from American College of Emergency Physicians
members. The survey results were compared for time interval change. Results
The two surveys had comparable response rates. The median percentage of
patients screened for alcohol/substance abuse in 1999 was 15%, vs. 20% in
2010. In 2010, 26% of emergency physicians had a formal screening tool, and
the majority used Cut-down, Annoyed, Guilty, Eye-opener (85%). In 2010, a
statistically significant increase in the number of emergency physicians
said they would "always" or "almost always" use discharge instructions that
were specific for alcohol/substance abuse, if available, vs. 1999.
Conclusion Few emergency physicians screen for alcohol/substance abuse
despite evidence that screening and brief intervention is effective.
Emergency physicians are receptive to the use of discharge material.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
emergency physician
hospital discharge
hospital utilization
screening test
substance abuse
EMTREE MEDICAL INDEX TERMS
article
physician attitude
priority journal
questionnaire
Screening and Brief Intervention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015236896
MEDLINE PMID
26234716 (http://www.ncbi.nlm.nih.gov/pubmed/26234716)
PUI
L605418339
DOI
10.1016/j.jemermed.2015.05.014
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jemermed.2015.05.014
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 346
TITLE
Domestic abuse and the duties of physicians: a case report
AUTHOR NAMES
Hossain N.
Khan S.
AUTHOR ADDRESSES
(Hossain N., Nazli.hossain@duhs.edu.pk) Professor, Department of Obstetrics
& Gynecology, Unit II, Dow University of Health Sciences, Karachi, Pakistan,
(Khan S., sharmeen@amgen.com) Corporate lawyer, Karachi, Pakistan,
SOURCE
Indian journal of medical ethics (2015) 12:4 (248-250). Date of Publication:
1 Oct 2015
ISSN
0975-5691 (electronic)
ABSTRACT
Domestic violence against women is a global issue. An earlier report from
the Centers for Disease Control and Prevention (CDC), USA, reported that
injury caused by domestic violence was the second most common cause of death
during pregnancy and in the postpartum period (1). The pregnancy-associated
homicide ratio was found to be 1.7 per 100,000 deliveries and firearms were
identified as the main source of injury. Domestic violence is more common in
developing countries than in the developed world, and rural areas are worse
affected than urban ones. The risk factors associated with intimate partner
violence include husbands being unemloyed, belonging to a lower
socioeconomic group, poor educational status, and alcohol and substance
abuse. In a hospital-based study of 500 women, around 12.6% reported
physical abuse by their spouses in index pregnancy (2). In another
hospital-based study in which women were interviewed during the postpartum
period, 23% reported physical abuse during index pregnancy (3). Death as a
result of violence is not a new phenomenon. In 1994 the Human Rights
Commission of Pakistan reported 372 cases of domestic violence, due to which
around 274 women died during an 8-month period. According to a report for
the year 2012-13 around 389 cases of domestic violence were reported in the
Pakistani media that year. The same report states that in 2013, more than
800 women committed suicide due to domestic violence. In 2013, the
Provincial Assembly of Sindh, Pakistan, passed The Domestic Violence
(Prevention and Protection) Bill, 2013, which imposes a fine of Rs 20,000
for violent offences against women. Such bills have not been passed in other
provincial assemblies of the country. Other countries in South Asia (India,
Nepal, Bangladesh, the Maldives, Sri Lanka and Afghanistan) have national
laws which make provision for extending medical assistance to women who have
suffered domestic violence (4). However, a lot remains to be done to
translate these laws into actual practice. In Nepal, special cells have been
set up in police stations to offer services to women reporting domestic
violence. Among those responsible for the implementation of these services,
only a few were found to be aware of the fact that such services were
supposed to be provided (5). Only 8% of women knew that such services were
available (6). In Bangladesh, crisis centres have been established in
tertiary care hospitals to deal with domestic abuse. Manuals have been
designed for the attending doctors on how to provide assistance to the women
and on the reporting of such events (6). In India, providers of medical care
do not consider it their duty to report domestic violence (4).There is a
need to sensitise the medical fraternity to this issue, especially since
many victims present to hospitals. Health providers also need to be given
guidance on the steps they can take when confronted with cases of domestic
violence. Around two decades ago, the American Medical Association
recommended universal screening for intimate partner violence. This led to a
sharp increase of 30% in reporting of intimate partner violence among
certain groups of the population (7).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
domestic violence
health care delivery
health service
partner violence
physician
professional standard
EMTREE MEDICAL INDEX TERMS
adult
Asia
awareness
case report
female
health personnel attitude
human
mandatory reporting
mass screening
morality
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26592790 (http://www.ncbi.nlm.nih.gov/pubmed/26592790)
PUI
L615199449
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 347
TITLE
Prevalence of non-alcoholic fatty pancreas disease (NAFPD) and its risk
factors among adult medical check-up patients in a private hospital: A large
cross sectional study
AUTHOR NAMES
Lesmana C.R.
Pakasi L.
Inggriani S.
Aidawati M.
Lesmana L.A.
AUTHOR ADDRESSES
(Lesmana C.R.) Department of Internal Medicine, Cipto Mangunkusumo Hospital,
University of Indonesia and Digestive Disease, Jakarta, Indonesia.
(Pakasi L.) Digestive Disease and GI Oncology Center, Medistra Hospital,
Jakarta, Indonesia.
(Inggriani S.; Aidawati M.) Department of Radiology, Medistra Hospital,
Jakarta, Indonesia.
(Lesmana L.A.) Department of Internal Medicine, Cipto Mangunkusumo Hospital,
University of Indonesia, Jakarta, Indonesia.
CORRESPONDENCE ADDRESS
C.R. Lesmana, Department of Internal Medicine, Cipto Mangunkusumo Hospital,
University of Indonesia and Digestive Disease, Jakarta, Indonesia.
SOURCE
American Journal of Gastroenterology (2015) 110 SUPPL. 1 (S2). Date of
Publication: October 2015
CONFERENCE NAME
80th Annual Scientific Meeting of the American College of Gastroenterology
CONFERENCE LOCATION
Honolulu, HI, United States
CONFERENCE DATE
2015-10-16 to 2015-10-21
ISSN
0002-9270
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Introduction: The clinical significance of non-alcoholic fatty pancreatic
disease (NAFPD) or fatty pancreas is largely unknown. It is often an
incidental finding on abdominal ultrasound, which is not explored further,
especially its association with metabolic condition and the risk of
pancreatic malignancy. Methods: A large cross-sectional study was done among
adult medical check-up patients underwent abdominal ultrasound between
January and December 2013 in Medistra Hospital, Jakarta. Data was obtained
from the patients' medical record and include demographic data, blood
pressures, fasting blood glucose level, and lipid profile. The presence of
fatty pancreas was diagnosed by ultrasound. Bivariate and multivariate
analyses were done to find associated risk factors for NAFPD. Statistical
analysis was done using SPSS version 17. Results: A total of 1054 cases were
included in this study; pancreas cannot be visualized in 153 cases and were
excluded from the analysis. Fatty pancreas was present in 315 (35.0%)
patients. Bivariate analyses found significant associations among fatty
pancreas and several risk factors such as gender, age, systolic and
diastolic blood pressures, body mass index (BMI), fasting blood glucose
(FBG), triglycerides (TG) and cholesterol levels. Conclusion: The prevalence
of NAFPD in Indonesia is high and it is strongly correlated with other
metabolic conditions. The clinical significance of routine fatty pancreas
screening needs to be included in our clinical practice. However, it would
need further investigation about the long standing condition of fatty
pancreas and the usefulness of pancreatic biopsy to see the possibility of
disease progression. (Table Presented).
EMTREE DRUG INDEX TERMS
cholesterol
lipid
triacylglycerol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult
alcoholism
American
college
cross-sectional study
gastroenterology
human
medical examination
pancreas disease
patient
prevalence
private hospital
risk factor
EMTREE MEDICAL INDEX TERMS
bivariate analysis
blood pressure
body mass
clinical practice
data analysis software
diastolic blood pressure
diet restriction
disease course
gender
glucose blood level
hospital
incidental finding
Indonesia
medical record
multivariate analysis
pancreas
pancreas biopsy
risk
screening
statistical analysis
ultrasound
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72130069
DOI
10.1038/ajg.2015.269
FULL TEXT LINK
http://dx.doi.org/10.1038/ajg.2015.269
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 348
TITLE
Challenges in the development of investigator-initiated trial in addiction
medicine
AUTHOR NAMES
Yang Y.
Guo S.
Assam P.
Koh P.K.
Wong K.E.
AUTHOR ADDRESSES
(Yang Y.; Guo S.; Koh P.K.; Wong K.E.) Institute of Mental Health,
Singapore, Singapore.
(Assam P.) Singapore Clinical Research Institute, Singapore, Singapore.
CORRESPONDENCE ADDRESS
Y. Yang, Institute of Mental Health, Singapore, Singapore.
SOURCE
Annals of the Academy of Medicine Singapore (2015) 44:10 SUPPL. 1 (S445).
Date of Publication: October 2015
CONFERENCE NAME
Singapore Health and Biomedical Congress, SHBC 2015
CONFERENCE LOCATION
Singapore, Singapore
CONFERENCE DATE
2015-10-02 to 2015-10-03
ISSN
0304-4602
BOOK PUBLISHER
Academy of Medicine Singapore
ABSTRACT
Background & Hypothesis: National addictions management service (NAMS) is a
tertiary care provider which specialises in addictions. In the course of
improving treatment while considering the patients' needs and welfare,
research is required to inform and educate clinicians on the next best step.
Investigator-initiated trials (IITs), as compared to those by pharmaceutical
companies, are preferred as they emphasise scientific ideas over marketing
agenda, avoiding conflict of interests. Methods: The lofexidine trial is
NAMS' first IIT. It adopts a double-blind, double-dummy inpatient phase-IV
approach to compare the efficacy of lofexidine and diazepam in the
management of opioid withdrawal. However, there are several challenges in
the process. They include obtaining of funds and difficulty in the execution
of complex study design due to the study team's minimal experience with
clinical trials. While many IITs in other fields also face recruitment and
retention difficulties, these challenges are particularly so for substance
abuse. Results: Given that Singapore adopts a zero-tolerance stance towards
substance use, many potential patients face legal concerns which affect
their motivation to come forth and their eventual attendance for treatment.
Opiate-assisted detoxification done overseas have been proven to improve
retention in treatment. Hence, the unavailability of opiate-assisted
detoxification locally is expected to further strain the retention of
patients in this study. Discussion & Conclusion: These obstacles cannot be
easily overcome with design and external control. With that, statistical
consideration was given to address these concerns. Intensive training was
also carried out prior to the start of the trial and whilst the study was
ongoing to ensure protocol compliance.
EMTREE DRUG INDEX TERMS
diazepam
lofexidine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health
Singapore
EMTREE MEDICAL INDEX TERMS
clinical trial (topic)
conflict of interest
detoxification
drug industry
hospital patient
human
hypothesis
marketing
motivation
patient
protocol compliance
standing
study design
substance abuse
substance use
tertiary health care
welfare
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72150936
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 349
TITLE
See One, Do One, Order One: a study protocol for cluster randomized
controlled trial testing three strategies for implementing motivational
interviewing on medical inpatient units
AUTHOR NAMES
Martino S.
Zimbrean P.
Forray A.
Kaufman J.
Desan P.
Olmstead T.A.
Gueorguieva R.
Howell H.
McCaherty A.
Yonkers K.A.
AUTHOR ADDRESSES
(Martino S., steve.martino@yale.edu.Department) Psychology Service, VA
Connecticut Healthcare System, 950 Campbell Avenue (116B), West Haven, CT,
06516, USA
(Martino S., steve.martino@yale.edu.Department; Zimbrean P.,
paula.zimbrean@yale.edu; Forray A., ariadna.forray@yale.edu; Kaufman J.,
joy.kaufman@yale.edu; Desan P., paul.desan@yale.edu; Howell H.,
heather.howell@yale.edu; McCaherty A., ashley.mccaherty@yale.edu; Yonkers
K.A., kimberly.yonkers@yale.edu) Department of Psychiatry, Yale University
School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA
(Olmstead T.A., tolmstead@austin.utexas.edu.Seton/UT) Lyndon B. Johnson
School of Public Affairs, The University of Texas at Austin, 2300 Red River
St., Stop E2700, Sid Richardson Hall, Unit 3, Austin, TX, 78712, USA
(Olmstead T.A., tolmstead@austin.utexas.edu.Seton/UT) Seton/UT Clinical
Research Institute, 1400 North IH 35, Austin, TX, 78701, USA
(Gueorguieva R., ralitza.gueorguieva@yale.edu) Department of Biostatistics,
Yale University School of Medicine, 60 College Street, New Haven, CT, 06510,
USA
SOURCE
Implementation science : IS (2015) 10 (138). Date of Publication: 29 Sep
2015
ISSN
1748-5908 (electronic)
ABSTRACT
BACKGROUND: General medical hospitals provide care for a disproportionate
share of patients who abuse or are dependent upon substances. This group is
among the most costly to treat and has the poorest medical and addiction
recovery outcomes. Hospitalization provides a unique opportunity to identify
and motivate patients to address their substance use problems in that
patients are accessible, have time for an intervention, and are often
admitted for complications related to substance use that renders
hospitalization a "teachable moment."METHODS/DESIGN: This randomized
controlled trial will examine the effectiveness of three different
strategies for integrating motivational interviewing (MI) into the practice
of providers working within a general medical inpatient hospitalist service:
(1) a continuing medical education workshop that provides background and
"shows" providers how to conduct MI (See One); (2) an apprenticeship model
involving workshop training plus live supervision of bedside practice (Do
One); and (3) ordering MI from the psychiatry consultation-liaison (CL)
service after learning about it in a workshop (Order One). Thirty providers
(physicians, physician assistants, nurses) will be randomized to conditions
and then assessed for their provision of MI to 40 study-eligible inpatients.
The primary aims of the study are to assess (1) the utilization of MI in
each condition; (2) the integrity of MI when providers use it on the medical
units; and (3) the relative costs and cost-effectiveness of the three
different implementation strategies.DISCUSSION: If implementation of Do One
and Order One is successful, the field will have two alternative strategies
for supporting medical providers' proficient use of brief behavioral
interventions, such as MI, for medical inpatients who use substances
problematically.TRIAL REGISTRATION: Clinical Trials.gov ( NCT01825057 ).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
hospital patient
methodology
procedures
EMTREE MEDICAL INDEX TERMS
continuing education
controlled study
cost benefit analysis
drug dependence (therapy)
health care personnel
human
in service training
motivational interviewing
nurse
organization and management
patient referral
physician
physician assistant
randomized controlled trial
university hospital
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT01825057)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26420671 (http://www.ncbi.nlm.nih.gov/pubmed/26420671)
PUI
L615153391
DOI
10.1186/s13012-015-0327-9
FULL TEXT LINK
http://dx.doi.org/10.1186/s13012-015-0327-9
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 350
TITLE
The Toxicologist as Educator: Addressing Pain Management in the Midst of an
Opioid Epidemic
AUTHOR NAMES
Beauchamp G.A.
AUTHOR ADDRESSES
(Beauchamp G.A., beauchamp.gillian@gmail.com) Department of Emergency
Medicine and the Oregon Poison Center, Oregon Health & Science University,
Campus Services Building 559, 3181 SW Sam Jackson Park Road, Portland,
United States.
CORRESPONDENCE ADDRESS
G.A. Beauchamp, Department of Emergency Medicine and the Oregon Poison
Center, Oregon Health & Science University, Campus Services Building 559,
3181 SW Sam Jackson Park Road, Portland, United States. Email:
beauchamp.gillian@gmail.com
SOURCE
Journal of Medical Toxicology (2015) 11:3 (279-280). Date of Publication: 27
Sep 2015
ISSN
1937-6995 (electronic)
1556-9039
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
medical education
medical personnel
toxicologist
EMTREE MEDICAL INDEX TERMS
addiction
comorbidity
editorial
human
medical error
medication therapy management
pain
prescription
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Toxicology (52)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2015168406
MEDLINE PMID
26123686 (http://www.ncbi.nlm.nih.gov/pubmed/26123686)
PUI
L605056371
DOI
10.1007/s13181-015-0491-y
FULL TEXT LINK
http://dx.doi.org/10.1007/s13181-015-0491-y
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 351
TITLE
Are informing knowledge and supportive attitude enough for tobacco control?
A latent class analysis of cigarette smoking patterns among medical teachers
in China
AUTHOR NAMES
Niu L.
Luo D.
Silenzio V.M.B.
Xiao S.
Tian Y.
AUTHOR ADDRESSES
(Niu L., angela_niulu@hotmail.com; Luo D., luodan_csu_2011@126.com; Xiao S.,
xiaosy@csu.edu.cn; Tian Y., tianyq@csu.edu.cn) Department of Social Medicine
and Health Management, School of Public Health, Central South University,
Changsha, China.
(Niu L., angela_niulu@hotmail.com; Luo D., luodan_csu_2011@126.com; Silenzio
V.M.B., vincent_silenzio@urmc.rochester.edu) Department of Psychiatry,
University of Rochester Medical Center, Rochester, New York, United States.
CORRESPONDENCE ADDRESS
D. Luo, Department of Social Medicine and Health Management, School of
Public Health, Central South University, Changsha, China. Email:
luodan_csu_2011@126.com
SOURCE
International Journal of Environmental Research and Public Health (2015)
12:10 (12030-12042). Date of Publication: 25 Sep 2015
ISSN
1660-4601 (electronic)
1661-7827
BOOK PUBLISHER
MDPI AG, Postfach, Basel, Switzerland.
ABSTRACT
Background: This study is one part of a five-year tobacco-control project in
China, which aimed to gain insight into the smoking behavior, knowledge, and
attitudes among medical teachers in China. Methods: In May 2010, a
cross-sectional survey was conducted among medical teachers of Xiangya
Medical School, Central South University, China. Results: A total number of
682 medical teachers completed the surveys. Latent class analysis indicated
the sample of smoking patterns was best represented by three latent
subgroups of smoking consumption severity levels. Most respondents were
informed of smoking related knowledge, but lack of knowledge on smoking
cessation. Most of them held a supportive attitude towards their
responsibilities among tobacco control, as well as the social significance
of smoking. However, both smoking related knowledge and attitude were not
correlated with severity of smoking consumption among medical teachers.
Conclusion: The smoking prevalence among medical teachers in China remains
high. Programs on smoking cessation training are required. Future study
should also develop targeted interventions for subgroups of smokers based on
smoking consumption. Persistent and effective anti-tobacco efforts are
needed to achieve the goals of creating smoke-free campuses and hospitals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
knowledge
medical information
medical teacher
smoking
smoking ban
teacher
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
China
ethnicity
female
health program
human
human experiment
information processing
latent class analysis
male
normal human
questionnaire
responsibility
smoking cessation
social behavior
statistical analysis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Environmental Health and Pollution Control (46)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015416278
MEDLINE PMID
26404331 (http://www.ncbi.nlm.nih.gov/pubmed/26404331)
PUI
L606151785
DOI
10.3390/ijerph121012030
FULL TEXT LINK
http://dx.doi.org/10.3390/ijerph121012030
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 352
TITLE
Substance abuse: a national survey of Canadian residency program directors
and site chiefs at university-affiliated anesthesia departments
ORIGINAL (NON-ENGLISH) TITLE
L’abus de substances: un questionnaire national auprès des directeurs de
programmes de résidence en anesthésie au Canada et des chefs de site des
départements d’anesthésie affiliés à des universités
AUTHOR NAMES
Boulis S.
Khanduja P.K.
Downey K.
Friedman Z.
AUTHOR ADDRESSES
(Boulis S.; Khanduja P.K., kkhanduja@mtsinai.on.ca; Downey K.; Friedman Z.)
Department of Anesthesia and Pain Management, Mount Sinai Hospital,
University of Toronto, 600 University Avenue, Room 19-104, Toronto, Canada.
CORRESPONDENCE ADDRESS
P.K. Khanduja, Department of Anesthesia and Pain Management, Mount Sinai
Hospital, University of Toronto, 600 University Avenue, Room 19-104,
Toronto, Canada. Email: kkhanduja@mtsinai.on.ca
SOURCE
Canadian Journal of Anesthesia (2015) 62:9 (964-971). Date of Publication:
17 Sep 2015
ISSN
1496-8975 (electronic)
0832-610X
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
Purpose: The abuse of substances available to anesthesiologists in their
workspace is a potentially lethal occupational hazard. Our primary objective
was to define the prevalence of substance abuse cases among Canadian
anesthesiologists at university-affiliated hospitals. Our secondary aim was
to describe the current management of confirmed cases, rehabilitation
procedures being offered, and preventative strategies being employed.
Methods: We conducted a cross-sectional electronic survey of all Canadian
anesthesia residency program directors and site chiefs at
university-affiliated hospitals. Data analysis was performed using
descriptive statistics. Results: The survey response rate was 54% (53/98).
Substance abuse was reported as 1.6% for residents and 0.3% for clinical
fellows over a ten-year period ending in June 2014. Fentanyl was abused in
nine of 24 reported cases. At present, one of 22 respondents (4.5%) reported
a formal education program on substance abuse for faculty members, and 72%
described mandatory education for residents. The majority of participants
did not perceive substance abuse as a growing problem. Seventy-one percent
of respondents indicated that methods for controlled-drug handling had
changed in the previous ten years; however, 66% did not think that the
incidence of controlled substance abuse could be decreased further by more
stringent measures. Only 21% of respondents supported the introduction of
random urine drug testing. Conclusion: The prevalence of substance abuse
among Canadian anesthesiologists and the substances abused appear comparable
with data from the United States, with residents being the group most often
affected. Early recognition and treatment of chemically dependent
anesthesiologists remain imperfect.
EMTREE DRUG INDEX TERMS
alcohol
fentanyl
ketamine
opiate
oxycodone
pethidine
propofol
remifentanil
sufentanil
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesist
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
administrative personnel
article
Canada
Canadian
cross-sectional study
data analysis
early diagnosis
early intervention
education program
hospital department
human
incidence
occupational hazard
prevalence
priority journal
rehabilitation care
resident
statistics
university
university hospital
urinalysis
workplace
CAS REGISTRY NUMBERS
alcohol (64-17-5)
fentanyl (437-38-7)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
pethidine (28097-96-3, 50-13-5, 57-42-1)
propofol (2078-54-8)
remifentanil (132539-07-2)
sufentanil (56030-54-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2015065095
MEDLINE PMID
26001750 (http://www.ncbi.nlm.nih.gov/pubmed/26001750)
PUI
L604486723
DOI
10.1007/s12630-015-0404-1
FULL TEXT LINK
http://dx.doi.org/10.1007/s12630-015-0404-1
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 353
TITLE
Rural substance use treatment centers in the United States: An assessment of
treatment quality by location
AUTHOR NAMES
Edmond M.B.
Aletraris L.
Roman P.M.
AUTHOR ADDRESSES
(Edmond M.B., medmond@uga.edu; Aletraris L.; Roman P.M.) Owens Institute for
Behavioral Research, University of Georgia, 101B Barrow Hall, Athens, United
States.
CORRESPONDENCE ADDRESS
M.B. Edmond, Owens Institute for Behavioral Research, University of Georgia,
101B Barrow Hall, Athens, United States. Email: medmond@uga.edu
SOURCE
American Journal of Drug and Alcohol Abuse (2015) 41:5 (449-457). Date of
Publication: 3 Sep 2015
ISSN
1097-9891 (electronic)
0095-2990
BOOK PUBLISHER
Taylor and Francis Ltd, healthcare.enquiries@informa.com
ABSTRACT
Background: While previous research has added to the understanding of rural
residents unique health challenges, much remains to be learned about the
provision of substance use disorder (SUD) treatment in rural areas. A key
question is difference in structural resources and quality of care between
rural and urban treatment centers. Objective: To examine differences in
treatment quality in rural and urban centers and to determine if differences
in treatment quality are contextualized by centers structural resources.
Methods: Utilizing combined data from two representative samples of SUD
treatment centers (n = 591), we used a series of multivariate regressions to
analyze the association between center rurality and various indicators of
structural characteristics and treatment quality. Interaction effects were
further examined between structural characteristics and treatment quality
indicators. Results: We found that structural and quality differences
between rural and urban treatment centers were present. Rural centers had
reduced access to highly educated counselors, were more likely to be
non-profit and dependent on public funding, offered fewer wraparound
services, and had less diverse specialized treatment options. Our results
also indicated that rural centers were less likely to prescribe
buprenorphine as part of their treatment but were more likely to employ
nursing staff and offer specialized treatment for adolescents. Rural center
access to a physician contextualized the association between center rurality
and the more limited provision of wraparound services. Conclusion: Our
findings suggest that treatment quality differs between urban and rural
centers in complex ways that are subject to resource availability.
EMTREE DRUG INDEX TERMS
acamprosate
buprenorphine
naltrexone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
health care quality
substance abuse
EMTREE MEDICAL INDEX TERMS
article
behavior therapy
human
nursing staff
physician
rural area
United States
CAS REGISTRY NUMBERS
acamprosate (77337-73-6)
buprenorphine (52485-79-7, 53152-21-9)
naltrexone (16590-41-3, 16676-29-2)
EMBASE CLASSIFICATIONS
Rehabilitation and Physical Medicine (19)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015363764
MEDLINE PMID
26337202 (http://www.ncbi.nlm.nih.gov/pubmed/26337202)
PUI
L605949810
DOI
10.3109/00952990.2015.1059842
FULL TEXT LINK
http://dx.doi.org/10.3109/00952990.2015.1059842
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 354
TITLE
International society addiction journal editors (ISAJE): Education and
training activities in addiction science
AUTHOR NAMES
Miovsky M.
Pates R.
AUTHOR ADDRESSES
(Miovsky M.; Pates R.) Carle University in Prague, Czech Republic.
CORRESPONDENCE ADDRESS
M. Miovsky, Carle University in Prague, Czech Republic.
SOURCE
Alcohol and Alcoholism (2015) 50 Supplement 1 (i38). Date of Publication: 1
Sep 2015
CONFERENCE NAME
15th European Society for Biomedical Research on Alcoholism Congress, ESBRA
2015
CONFERENCE LOCATION
Valencia, Spain
CONFERENCE DATE
2015-09-12 to 2015-09-15
ISSN
1464-3502
BOOK PUBLISHER
Oxford University Press
ABSTRACT
ISAJE was established in 2000 for supporting editors of addiction
pro-fessional Journals (for more info: www.parint.org). Alcohol and
ad-diction studies is a multidisciplinary area of scientific research and
clinical practice that is devoted to the understanding, management and
prevention of health and social problems connected with the use of
psychoactive substances and other products. In recent years addiction
studies has become the framework for specialized education training
programs, which depend on a vital interaction between science, clinical
practice and social policy. This presentation describes the growth of
education and training programs in addiction and the opportunities it
presents to persons entering this new interdisciplinary field. In addition
to almost 40 degree programs at the bachelor, master and doctoral levels,
there are many post-baccalaureate programs that provide training to
addiction professionals in public health, social science, and addiction
medicine. Even more numerous are training programs and workshops that
provide specialized courses in continuing education. For example, the
International Society of Addiction Journal Editors (ISAJE) has developed 4
areas of education and training activities targeted primarily at young PHD
students, post-doctoral and young researchers. Specifically the organization
has produced (1) a comprehensive manual, Publishing Addiction Science, (2) a
series of interactive training programs and workshops, (3) e-learning
lectures and e-learning materials and (4) specific training programmes for
students and young researchers from middle and low-income countries.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction medicine
editor
education
EMTREE MEDICAL INDEX TERMS
adult
conference abstract
human
low income country
PhD student
public health
publishing
scientist
simulation training
sociology
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621266665
DOI
10.1093/alcalc/agv079.10
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agv079.10
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 355
TITLE
The Pattern of Opioid Management by Australian General Practice Trainees
AUTHOR NAMES
Holliday S.
Morgan S.
Tapley A.
Dunlop A.
Henderson K.
van Driel M.
Spike N.
Mcarthur L.
Ball J.
Oldmeadow C.
Magin P.
AUTHOR ADDRESSES
(Holliday S., simon.holliday@albertstmc.com; Dunlop A.; Magin P.) School of
Medicine and Public Health, Faculty of Health, University of Newcastle,
Newcastle, Australia.
(Holliday S., simon.holliday@albertstmc.com; Dunlop A.) Drug and Alcohol
Clinical Services, Hunter New England Local Health District, Australia.
(Morgan S.; Tapley A.; Henderson K.; Magin P.) General Practice Training
Valley to Coast, Mayfield, Australia.
(van Driel M.) Discipline of General Practice, School of Medicine, The
University of Queensland, Brisbane, Australia.
(Spike N.) Department of General Practice, The University of Melbourne,
Australia.
(Spike N.) Director of Medical Education and Training, VMA General Practice
Training, Melbourne, Australia.
(Mcarthur L.) Adelaide to Outback GP Training, Adelaide, United States.
(Ball J.) Clinical Research Design, Information Technology and Statistical
Support (CReDITSS), Hunter Medical Research Institute, Newcastle, Australia.
(Oldmeadow C.) Centre for Clinical Epidemiology and Biostatistics,
University of Newcastle, Newcastle, Australia.
CORRESPONDENCE ADDRESS
S. Holliday, Albert St Medical Centre, 78 Albert St Taree NSW 2430 Taree, ,
Australia. Email: simon.holliday@albertstmc.com
SOURCE
Pain Medicine (United States) (2015) 16:9 (1720-1731). Date of Publication:
1 Sep 2015
ISSN
1526-4637 (electronic)
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc., jnl.info@oup.co.uk
ABSTRACT
Objective: With escalating opioid prescribing come individual and public
health harms. To inform quality improvement measures, understanding of
opioid prescribing is essential. We aimed to establish consultation-level
prevalence and associations of opioid prescribing. Design: A cross-sectional
secondary analysis from a longitudinal multisite cohort study of general
practitioner (GP) vocational trainees: "Registrar Clinical Encounters in
Training." Setting: Four of Australia's seventeen GP Regional Training
Providers, during 2010-13. Subjects: GP trainees. Methods: Practice and
trainee demographic data were collected as well as patient, clinical and
educational data of 60 consecutive consultations of each trainee, each
training term. Outcome factors were any opioid analgesic prescription and
initial opioid analgesic prescription for a specific problem for the first
time. Results: Overall, 645 trainees participated. Opioids comprised 4.3%
prescriptions provided for 3.8% of patients. Most frequently prescribed were
codeine (39.9%) and oxycodone (33.4%). Prescribing was for acute pain
(29.3%), palliative care (2.6%) or other indications (68.1%). Most
prescribing involved repeat prescriptions for pre-existing problems (62.7%
of total). Other associations included older patients; prescriber and
patient male gender; Aboriginal/Torres Strait Islander status; rural and
disadvantaged locations; longer consultations; and generation of referrals,
follow-up, and imaging requests. Opioid initiation was more likely for new
patients with new problems, but otherwise associations were similar.
Trainees rarely reported addiction risk-mitigation strategies. Conclusions:
Most opioids were prescribed as maintenance therapy for non-cancer pain.
Demographic associations with opioid analgesic prescribing resemble those
presenting for opioid dependency treatment. Our findings should inform
measures by regulators and medical educators supporting multimodal pain
management.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE DRUG INDEX TERMS
buprenorphine (drug therapy)
codeine (drug therapy)
dihydrocodeine (drug therapy)
fentanyl (drug therapy)
hydromorphone (drug therapy)
morphine (drug therapy)
oxycodone (drug therapy)
pethidine (drug therapy)
tramadol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practice
medical education
pain (drug therapy, drug therapy)
prescription
EMTREE MEDICAL INDEX TERMS
adult
age distribution
article
Australia
Australian Aborigine
cohort analysis
consultation
cross-sectional study
drug dependence
drug indication
female
general practitioner
health care quality
human
longitudinal study
maintenance therapy
male
opiate addiction
outcome assessment
palliative therapy
prevalence
professional development
risk reduction
secondary analysis
sex difference
Torres Strait Islander
total quality management
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
codeine (76-57-3)
dihydrocodeine (125-28-0, 24204-13-5, 5965-13-9)
fentanyl (437-38-7)
hydromorphone (466-99-9, 71-68-1)
morphine (52-26-6, 57-27-2)
oxycodone (124-90-3, 76-42-6)
pethidine (28097-96-3, 50-13-5, 57-42-1)
tramadol (27203-92-5, 36282-47-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015164750
MEDLINE PMID
26118466 (http://www.ncbi.nlm.nih.gov/pubmed/26118466)
PUI
L605032194
DOI
10.1111/pme.12820
FULL TEXT LINK
http://dx.doi.org/10.1111/pme.12820
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 356
TITLE
Evalaution of smoking frequency and smoking cessation training among Turkish
family physicians
AUTHOR NAMES
Baltaci D.
Aydin L.Y.
Annakkaya A.N.
Velioglu U.
Alasan F.
Sariguzel F.
Ankarali H.
AUTHOR ADDRESSES
(Baltaci D.; Aydin L.Y.; Annakkaya A.N.; Velioglu U.; Alasan F.; Sariguzel
F.; Ankarali H.)
CORRESPONDENCE ADDRESS
D. Baltaci,
SOURCE
European Respiratory Journal (2015) 46 SUPPL. 59. Date of Publication: 1 Sep
2015
CONFERENCE NAME
European Respiratory Society Annual Congress 2015
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2015-09-26 to 2015-09-30
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Smoking is main problem among family physicians. They are gate keeper and
role model for their patients. Aim: To evaluate the prevalence of smoking
among Turkish family physicians and smoking cessation training. Methods: The
cross-sectional and primary care based study was has been conducted since
May 2014 and will be completed in May 2015. The primary care-based survey
was applied in face to face interview to family physicians. Results: The
study enrolled 261 physicians (mean age of 46 years-old). Male to female
ratio was 95/166. The frequency of current smokers was 29.1%. The ratio of
current smokers among male to female physicians was significantly high
(37.3% versus 14.7%; p<0.001). Among male family physicians under 50
years-old, the ratio of current smokers was comparatively higher than female
counterparts (41.2% versus 13.8%; p<0.001), whereas the ratio of current
smokers among male and female family physicians over 50 years-old was
similar (23.5% versus 25.0%; p=0.082). Pre-graduate and post-graduate course
on smoking cessation practice among family physicians were 10.3% and
13.8%.Noo significant difference was observed between gender (12.7% versus
15.% for pre-, p= 0.576; 8.4% versus 14.7% for post-graduate, p=0.086) and
smoking status (current: 11.8%; former: 9.2% and never smoker: 13.3% for
pre-, p=0.081; current: 14.5%, former: 10.0% and never: 14.8% for
post-graduate, p=0.686). Conclusion: The preliminary study revealed that the
smoking prevalence was quite high and comparatively higher among male than
female. The significant difference was more marked under age of 50. Pre-and
post-graduate training on smoking cessation among family physicians seemed
to be not satisfactory.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
general practitioner
human
smoking
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
female
female physician
gender
graduate
interview
male
model
patient
physician
prevalence
primary medical care
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72107692
DOI
10.1183/13993003.congress2015.PA5125
FULL TEXT LINK
http://dx.doi.org/10.1183/13993003.congress2015.PA5125
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 357
TITLE
Refresher course: Opioids for non-cancer pain: The good, the bad, the ugly
AUTHOR NAMES
De Leon-Casasola O.
AUTHOR ADDRESSES
(De Leon-Casasola O.) Department of Anesthesiology and Pain Medicine,
Roswell Park Cancer Institute, Buffalo, United States.
CORRESPONDENCE ADDRESS
O. De Leon-Casasola, Department of Anesthesiology and Pain Medicine, Roswell
Park Cancer Institute, Buffalo, United States.
SOURCE
Regional Anesthesia and Pain Medicine (2015) 40:5 SUPPL. 1 (e69-e70). Date
of Publication: September-October 2015
CONFERENCE NAME
34th Annual European Society of Regional Anaesthesia and Pain Therapy
Congress, ESRA 2015
CONFERENCE LOCATION
Ljubljana, Slovenia
CONFERENCE DATE
2015-09-02 to 2015-09-05
ISSN
1098-7339
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Current Practice of Opioid Prescribing for Chronic Noncancer Pain: Despite
the publication and widespread dissemination of new clinical practice
guidelines that include the use of opioid therapy in chronic noncancer
pain1,2,3, several surveys of physician attitudes and behaviors show
numerous barriers to optimal use of opioids in this setting, potentially
causing unnecessary suffering among patients. A survey completed by 248
primary care physicians found that the majority were comfortable prescribing
opioids to patients with terminal cancer, but less comfortable prescribing
opioids for chronic pain conditions. The reasons listed included concerns
about prescription drug abuse (84%), addiction (80%), adverse effects (68%)
and tolerance (61%). 4 In another survey, 38% of 132 physician responders
expressed concern about causing addiction by prescribing opioids. 5 There is
also evidence for a reluctance to prescribe long acting opioid formulations
even when medically appropriate. Of 267 family physicians responding to a
survey, while 80% of respondents believed that long-acting opioids would be
effective in controlling pain and would improve overall quality of life in
patients with chronic noncancer pain, only two thirds of them indicated that
they would be willing to prescribe long-acting opioids and about half of
them believed that this would lead to patient addiction. 6 Even though the
evidence for long-term opioid therapy in chronic noncancer pain conditions
remains limited, new guidelines provide detailed recommendations for
clinical practice. Clinicians who treat patients with chronic pain need to
understand these recommendations and apply them in everyday practice. Recent
Evidence of Opioid Efficacy in Chronic Non cancer Pain: In addition to the
systematically reviewed and stratified evidence in the recent AAPM-APS and
AGS guidelines, subsequent studies have added important data on the use of
opioids for the treatment of several painful chronic conditions. For
example, there is increasing evidence that in carefully selected
osteoarthritis patients appropriately dosed and monitored opioids have
potentially fewer life-threatening complications than some of the more
commonly employed pharmacotherapeutic approaches. 7 Furthermore, a review of
10 placebo controlled studies in chronic OA pain showed improvements in both
pain intensity and in sleep disturbances with the use of long-acting
opioids, including improved sleep quality, reduced awakenings from pain, and
increased duration of sleep.8 Opioids are commonly prescribed for chronic
back pain and have proven efficacy for short-term pain relief. 9 Long-term
efficacy is unclear, primarily due to a lack of long-term studies.10 It is
also unclear to what extent the use of opioids contributes to an improvement
in functionality. Low back pain is very heterogeneous in etiology and
presentation and proper patient selection for opioid prescribing is of
critical importance. A systematic review published in 2008 evaluated 10
randomized trials of long-acting opioids in chronic back pain concluding
that the various opioids studied were of similar efficacy. 11 The current
neuropathic pain guidelines recommend opioids as second line treatment that
can be used as a first-line approach in select clinical circumstances, such
as the alleviation of severe pain, acute neuropathic pain, or during
titration of another first-line medication. 12 Since the publication of
these guidelines additional evidence supporting the efficacy of opioids in
neuropathic pain has emerged.3 For example, a head-to-head comparison of
oxycodone and gabapentin in PHN showed that oxycodone, but not gabapentin,
significantly reduced worst pain compared to placebo.13 In an earlier study
the combination of morphine and gabapetin at lower doses achieved better
analgesia than either drug as a single agent.14 Research seems to be
focusing on comparing existing agents in neuropathic pain as well as on
systematically evaluating combination therapies with the goal of identifying
synergistic or additive efficacy in pain control with attendant reductions
in side effects. This research is reaffirming the important role that
opioids have in the management of chronic neuropathic pain conditions. High
variability in response to different opioids has long been recognized and
observed. One strategy to improve the response to therapy or to reduce
adverse effects is opioid rotation or switching from one opioid to another.
The first step in this strategy is the selection of a new drug at a starting
dose that minimizes potential risks while maintaining analgesic efficacy.
This starting dose is based on an estimate of the relative potency between
the existing opioid and the new one. An expert panel was recently convened
to re-evaluate the equianalgesic dose tables and the clinical protocols for
opioid rotation as the science underlying relative potency evolves. The
panel proposed a guideline intended to promote safety during opioid rotation
by establishing best practice recommendations. 15,16 The 2009 Guidelines
from the American Geriatrics Society have reaffirmed the importance of
opioids in this large and vulnerable patient population.2While advocating an
individualized and careful approach to opioid therapy, these guidelines
remind clinicians to balance opioid analgesia against the harms of
unrelieved pain as well as the potential adverse effects of opioid therapy.
While these guidelines were reprinted in one pain publication (Pain
Medicine) since their initial publication in the Journal of the American
Geriatrics Society, they remain insufficiently known among other clinicians
who provide care for older adults. Consequences of long-term opioid use: the
need for increased awareness and strategies for management: Opioids affect
the endocrine, immune, respiratory and other systems. Most of the data on
these effects come from animal studies, but there is a growing body of
evidence on some of these effects in humans. Additionally, some of these
effects are better understood than others and their clinical ramifications
are not always clear. As long-term opioid prescribing for chronic noncancer
pain conditions increases, clinicians will need to be aware of these effects
and of strategies to diagnose and manage them. Even though the negative
effects of long-term opioid use on the endocrine system have been known for
some time, neither these effects nor strategies to manage them are much
discussed in pain management literature and there seems to be limited
awareness of these effects among clinicians. Long-term opioid therapy often
induces hypogonadism via central suppression of hypothalamic secretion of
gonadotropin-releasing hormone. There is some evidence that opioid-induced
hypogonadism is much more prevalent in men then in women. Three studies have
been published on the effect of longterm oral opioid therapy in men with
chronic pain and have found that hormone levels were much lower in opioid
users compared with controls. Specifically, total testosterone levels were
subnormal in 74%of the opioid group with the attendant decrease in libido
and sexual function. At least one study showed a dose-response effect.
Significant improvements in hypogonadal symptoms, sexual function and mood
were observed in these patients when they were treated with testosterone
replacement therapy. 17 Since the signs and symptoms of hypogonadism
(including decreased libido, tiredness, depressed mood, loss of muscle mass
and strength, erectile dysfunction) are also widespread in patients with
chronic pain, clinicians may not entertain the possibility of hypogonadism
as the cause. Best practice should include prospective assessment of these
symptoms as well as laboratory endocrine monitoring. There are no accepted
standards for the management of presumptive opioidinduced hypogonadism. In
patients with symptoms or laboratory abnormalities, the first option would
be to switch treatments. While there is no information regarding whether
opioid hypogonadism improves with opioid rotation, since other opioid
side-effects occur idiosyncratically between patients, hypogonadism may also
occur with different degree with different opioids in any individual
patient. In patients who have failed multiple opioids testosterone
supplementation for men and estrogen supplementation for women may be more
appropriate. 17 These patients need to be appropriately monitored,
particularly because of the risk of cardiovascular disease with the former
and cancer with the later. High prevalence of osteoporosis has been reported
in patients onmethadone maintenance. 18 Additionally, at least one study
suggests that osteoporotic fractures can be caused by opioid-induced
hypogonadism even when no other symptoms of hypogonadism are present.19
Monitoring of bone density should be considered in all patients at risk.
When appropriate, one of the many treatments to maintain or increase bone
density can be considered. Chronic opioid use may have an effect on
respiration and may be associated with sleep-disordered breathing or central
apnea in about 30%of patients. 20 Patients who are obese, have COPD, or
obstructive sleep apnea may be at higher risk of developing nocturnal
sleeping disorders. At the same time, chronic pain itself causes sleep
disturbances. As in all other areas of long-term opioid therapy, the
individualization of treatment and careful monitoring are needed for
achieving the balance between pain relief and side effects. Opioid-induced
hyperalgesia remains controversial. While there seems to be reasonable
evidence in animals that opioid exposure will decrease the pain threshold,
such evidence in humans is unclear. A recent systematic review of the
literature has evaluated the evidence of opioid-induced hyperalgesia and
concluded that its existence can be neither supported nor refuted, except in
normal volunteers receiving opioid infusions.
EMTREE DRUG INDEX TERMS
analgesic agent
estrogen
gabapentin
gonadorelin
morphine
new drug
opiate
oxycodone
placebo
prescription drug
testosterone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain
European
pain
refresher course
regional anesthesia
society
therapy
EMTREE MEDICAL INDEX TERMS
addiction
adult
adverse drug reaction
American
analgesia
analgesia (sensory dysfunction)
androgen therapy
animal experiment
apnea
arousal
backache
bone density
cardiovascular disease
chronic pain
clinical practice
clinical protocol
controlled study
diseases
dose response
drug abuse
drug therapy
endocrine system
erectile dysfunction
etiology
exposure
fatigue
female
fragility fracture
general practitioner
geriatrics
hormone determination
human
hyperalgesia
hypogonadism
individualization
infusion
laboratory
libido
libido disorder
low back pain
male
monitoring
mood
muscle mass
neoplasm
neuropathic pain
normal human
osteoarthritis
osteoporosis
pain intensity
pain threshold
patient
patient selection
physical disease by body function
physician
physician attitude
population
practice guideline
prevalence
quality of life
risk
safety
secretion (process)
sexual function
side effect
sleep
sleep disorder
sleep disordered breathing
sleep quality
substitution therapy
supplementation
systematic review
titrimetry
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72027078
DOI
10.1097/AAP.0000000000000308
FULL TEXT LINK
http://dx.doi.org/10.1097/AAP.0000000000000308
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 358
TITLE
Characteristics of smoking, nicotine dependence and motivation for change in
specialists training in health sciences (residents) in Andalusia (Spain)
ORIGINAL (NON-ENGLISH) TITLE
Características del consumo de tabaco, dependencia y motivación para el
cambio de los especialistas internos residentes de Andalucía (España)
AUTHOR NAMES
Juárez-Jiménez M.V.
Valverde-Bolívar F.J.
Pérez-Milena A.
Moreno-Corredor A.
AUTHOR ADDRESSES
(Juárez-Jiménez M.V.) Médica de Familia, Centro de Salud El Valle, Servicio
Andaluz de Salud, España
(Valverde-Bolívar F.J.; Moreno-Corredor A.) Médico de Familia, Unidad
Docente de Medicina Familiar y Comunitaria, Distrito Sanitario de Jaén,
Servicio Andaluz de Salud, Jaén, España
(Pérez-Milena A., alejandro.perez.milena.sspa@juntadeandalucia.es) Doctor en
Medicina, Médico de Familia, Centro de Salud El Valle, Servicio Andaluz de
Salud, España
SOURCE
Semergen (2015) 41:6 (296-304). Date of Publication: 1 Sep 2015
ISSN
1578-8865 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
motivation
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adult
clinical trial
cross-sectional study
female
human
male
medical education
multicenter study
psychology
questionnaire
smoking
smoking cessation
Spain
tobacco dependence (epidemiology)
young adult
LANGUAGE OF ARTICLE
Spanish
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25242238 (http://www.ncbi.nlm.nih.gov/pubmed/25242238)
PUI
L616666333
DOI
10.1016/j.semerg.2014.07.002
FULL TEXT LINK
http://dx.doi.org/10.1016/j.semerg.2014.07.002
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 359
TITLE
Smoking prevention intervention with school classes at a university hospital
by thoracic surgeon and pulmonologist
AUTHOR NAMES
Schuurmans M.
Tomaszek S.
Schneiter D.
Weder W.
Hillinger S.
AUTHOR ADDRESSES
(Schuurmans M.) Pulmonology, University Hospital Zürich, Zürich,
Switzerland.
(Tomaszek S.; Schneiter D.; Weder W.; Hillinger S.) Thoracic Surgery,
University Hospital Zürich, Zürich, Switzerland.
CORRESPONDENCE ADDRESS
M. Schuurmans, Pulmonology, University Hospital Zürich, Zürich, Switzerland.
SOURCE
Journal of Thoracic Oncology (2015) 10:9 SUPPL. 2 (S486). Date of
Publication: September 2015
CONFERENCE NAME
16th World Conference on Lung Cancer
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2015-09-06 to 2015-09-09
ISSN
1556-0864
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Background: Smoking prevention in schoolchildren with the aim to inform and
prevent smoking initiation has been widely studied and has shown variable
results. Interventions provided by physicians in a hospital setting have
been rarely reported. Here we show the feasibility and gain of knowledge of
our smoking prevention project in a hospital setting. Methods: Interventions
performed from November 2009 - December 2014 were evaluated. Overall 790
children participated in our preventive intervention. A 7-item questionnaire
was provided to the school classes (Grades 6 to 10) before and after a
two-hour smoking prevention intervention consisting of anatomical models,
oral presentations, videos, patient interviews and hands-on lung function
tests. The goal was to show the anatomical and physiological basics as well
as agebased information about the harms of smoking. During the intervention
the children have been motivated to be actively involved. Class selection
has been performed for groups of children in a highly vulnerable phase of
age before smoking initiation. Results: The baseline questionnaire was
completed by 768 children, the one after intervention by 719. The knowledge
about which organs are affected by smoking increased from 7.1-99.3% to
64.5-99.5% (p<0.01). While only 58.9% knew that only a minority of people is
able to quit smoking successfully, 96.3% answered the question correctly
after intervention (p<0.001). Prior to the intervention only 75.6% believed
that minor tobacco consumption is not damaging which increased to 87.8%
after the teaching session (p<0.05). Smoking hookah was believed to be less
harmful than cigarettes by 32.2% of children decreasing to 8.3% after the
intervention (p<0.001). Conclusion: Information on health effects provided
by lung specialists in the hospital leads to a statistically significant
increase in knowledge as assessed by a short questionnaire. The intervention
is feasible and well received. This kind of interventions might help to
prevent schoolchildren from smoking in a highly vulnerable phase of age.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
lung cancer
prevention
pulmonologist
school
school child
smoking
thorax surgery
tobacco
university hospital
EMTREE MEDICAL INDEX TERMS
anatomic model
child
health
hospital
interview
lung
lung function test
medical specialist
patient
physician
questionnaire
smoking cessation
teaching
tobacco consumption
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72233749
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 360
TITLE
Pro-con debate: Long-term opioid use in low back pain patient should be
discouraged pro
AUTHOR NAMES
Van Zundert J.
AUTHOR ADDRESSES
(Van Zundert J.) Ziekenhuis Oost-Limburg, Department of Anesthesiology-
Critical Care- Emergency Medicine and Multidisciplinary Pain Center, Genk,
Belgium.
CORRESPONDENCE ADDRESS
J. Van Zundert, Ziekenhuis Oost-Limburg, Department of Anesthesiology-
Critical Care- Emergency Medicine and Multidisciplinary Pain Center, Genk,
Belgium.
SOURCE
Regional Anesthesia and Pain Medicine (2015) 40:5 SUPPL. 1 (e61). Date of
Publication: September-October 2015
CONFERENCE NAME
34th Annual European Society of Regional Anaesthesia and Pain Therapy
Congress, ESRA 2015
CONFERENCE LOCATION
Ljubljana, Slovenia
CONFERENCE DATE
2015-09-02 to 2015-09-05
ISSN
1098-7339
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Introduction: In 2002 a congress entitled “Opioids the Janus Drugs, and the
Relief of Pain.” intended to give a historical review of the use of opioids.
The lectures were bundled in a book where the editor asked the question:
'“What other drug . . . is so interwoven with the . . . best and worst in
humanity?” Morphine and its derivatives initially reserved for the treatment
of pain in cancer patients were gradually more liberally used for the
treatment of chronic pain. Patients rapidly learned how to motive their
physician for a prescription of higher doses. Many physicians with little
training in pain management and no training in addiction were prescribing
large doses of opioids. The majority of these may have a worsening condition
that is no longer responding to the initial treatment, but often the
underlying reason for the non-response is not the pain but the increasing
disability towork, sometimes because of the side effects of opioid
consumption, and the social and economic problems induced by this
disability. In the last two decennia the sales of prescription opioids in
the US increased with 300% but the number of deaths from overdose on pain
pills increased in parallel.[1] The size and origin of the problem: J. Gregg
in her article: “A startling injustice: Pain, Opioids and addiction” [1]
states “Through good intentions and bad medicine, the medical community
helped create a deadly epidemic. Now, in an act of startling injustice, we
are abandoning its victims.” Addiction is still highly stigmatized.
Physicians, during the short consultation time will focus on the physiologic
disease and its symptoms with pain being themost prominent and readily
reported by the patient. The drug seeking behavior may be missed.
Additionally to the risk of addiction and overdose, opioid-induced
hyperalgesia is only recently recognized. Opioid-induced hyperalgesia is a
phenomenon whereby exposure to opioids sensitizes a patient to a pain
stimulus, causing a paradoxical increase in pain. [2] A retrospective cohort
study found that patients on long-term opioid treatment (>30 days) had large
increases in health-care utilization during the first 6-months after start
of treatment, afterwards those utilization rates decreased but never
returned to baseline levels. Costs followed the same movement.[3] An
Australian prospective cohort study showed the demographic characteristics
op patients who received prescription opioids for chronic pain had complex
demographic and clinical profiles. Age-related differences in the experience
of pain, coping, mental health, and substance use justify the need for an
individual treatment approach.[4] The clinical decision to install chronic
opioid therapy should be a balance of opioid selection, dose initiation and
titration strategies; integration of risk assessment and mitigation
strategies; and consideration of alternative, nonopioid therapies. [5] A
systematic review on the efficacy of long-term opioid therapy for chronic
pain found insufficient evidence to determine the effectiveness but evidence
supports a dose-dependent risk for serious harms[6]. The origin of the
problem may be searched in the aggressive promotion of the right for
treatment for each pain patient. But themarketing from the pharmaceutical
companies has also contributed to the increased opioid use for noncancer
patients. A careful approach: We fully agree that each patient has the right
for treatment and pain relief. It is the right of the producers to advertise
and promote their products, but physicians should be coached into a more
appropriate use of opioids. We suggest exploring all other treatment options
that for the pharmaceutical treatment include the search for a more
mechanism-based approach. For specific conditions a well-selected minimum
invasive interventional pain treatment should be considered prior to
installing an opioid therapy. When opioids are needed, the general
practitioner should not proceed beyond the dose of 60 mg morphine equivalent
before asking specialist advice. When correctly used for the correct
patient, opioids are definitely a very valuable tool in our therapeutic
armamentarium. The appropriate use consists of the balance between potential
benefits and potential risks. Patients and health care providers require
appropriate information to make the right therapeutic choices.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
low back pain
pain
patient
regional anesthesia
society
therapy
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
Australian
cancer patient
chronic pain
cohort analysis
community
consultation
coping behavior
death
demography
disability
drug industry
drug seeking behavior
drug therapy
editor
epidemic
exposure
general practitioner
health care personnel
health care utilization
humanities
hyperalgesia
intoxication
medical specialist
mental health
physician
pill
prescription
risk
risk assessment
side effect
stimulus
substance use
systematic review
titrimetry
victim
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72027073
DOI
10.1097/AAP.0000000000000308
FULL TEXT LINK
http://dx.doi.org/10.1097/AAP.0000000000000308
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 361
TITLE
Laying the groundwork for Tobacco Cessation Education in Medical Colleges in
Indonesia
AUTHOR NAMES
Prabandari Y.S.
Nichter M.
Nichter M.
Padmawathi R.S.
Muramoto M.
AUTHOR ADDRESSES
(Nichter M.) University of Arizona, School of Anthropology and College of
Public Health, Tucson, USA
(Prabandari Y.S.)
(Nichter M.; Padmawathi R.S.; Muramoto M.)
SOURCE
Education for health (Abingdon, England) (2015) 28:3 (169-175). Date of
Publication: 1 Sep 2015
ISSN
1469-5804 (electronic)
ABSTRACT
BACKGROUND: This paper describes a pioneering effort to introduce smoking
cessation into Indonesia's medical school curriculum, and the first ever
attempt to fully integrate tobacco control in all four years of medical
school anywhere in Southeast Asia. The development, pretesting, and piloting
of an innovative modular tobacco curriculum are discussed as well as the
challenges that face implementation.METHODS: In-depth interviews were
conducted with medical school administrators and faculty in four medical
colleges to determine interest in and willingness to fully integrate tobacco
cessation into the college curriculum. A tobacco focused curriculum review,
student focus groups, and a survey of medical students (n = 579) assessed
current exposure to information about tobacco and interest in learning
cessation skills. A modular tobacco curriculum was developed and was
pretested, modified, piloted, and evaluated. Qualitative research was
conducted to identify potential challenges to future curriculum
implementation.RESULTS: Fifteen modules were successfully developed focusing
on the relationship between tobacco and specific organ systems, diseases
related to smoking, the impact of tobacco on medication effectiveness, and
information on how to explain to patients about effects of tobacco on their
health condition. Lecturers and students positively evaluated the curriculum
as increasing their competency to support cessation during illness as a
teachable moment. Systemic challenges to implementing the curriculum were
identified including shifts in pedagogy, decentralized curriculum
decision-making, and frequent lecturer turnover.DISCUSSION: A fully
integrated tobacco curriculum for medical schools was piloted and is now
freely available online. An important lesson learned in Indonesia was that a
tobacco curriculum must be flexible enough to be adjusted when shifts in
medical education take place. The curriculum is a resource for medical
colleges and expert committees in Southeast Asia deliberating how best to
address lifestyle factors undermining population health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
medical school
smoking cessation
EMTREE MEDICAL INDEX TERMS
human
Indonesia
information processing
interview
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26996640 (http://www.ncbi.nlm.nih.gov/pubmed/26996640)
PUI
L616138900
DOI
10.4103/1357-6283.178602
FULL TEXT LINK
http://dx.doi.org/10.4103/1357-6283.178602
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 362
TITLE
Comparison of smoking habits among students from medical and non medical
universities across Pakistan
AUTHOR NAMES
Akhter S.
Ali U.
Bhura S.
Rizvi N.
Khursheed M.
AUTHOR ADDRESSES
(Akhter S.; Ali U.; Bhura S.; Rizvi N.; Khursheed M.)
CORRESPONDENCE ADDRESS
S. Akhter,
SOURCE
European Respiratory Journal (2015) 46 SUPPL. 59. Date of Publication: 1 Sep
2015
CONFERENCE NAME
European Respiratory Society Annual Congress 2015
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2015-09-26 to 2015-09-30
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Background: Despite its harmful effect, tobacco smoking is on rise among
students. Objective: This study determined the relative prevalence of
tobacco smoking among medical and non medical students and influence of
university related factors on smoking habits. Methodology: We surveyed 1487
students from 18 universities across Pakistan from September to December
2014. A self-administered questionnaire after consent was filled by
students. Chi square for was used through SPSS 22. Results: Mean age of
study population was 20.47 years. Over all prevalence of smoking was 21.5%
with 13%, 28.5% and 30.6% among medical, engineering and social sciences
students respectively. 69.9% started smoking between 16-20 years. No
difference in smoking habits seen among metropolitan and small cities. In
non medical universities cigarette smoking is more prevalent then shisha and
number of smokers increase with each year of graduation. (p
<0.05).Allocation of specific place for smoking within campus, presence of
shisha bar nearby, awareness talk from teachers has association with smoking
habits. (p<0.05) Conclusion: There is strong relationship between university
related factors and smoking prevalence. Smoking related health education
must be part of curriculum in all type of universities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
Pakistan
smoking habit
society
student
university
EMTREE MEDICAL INDEX TERMS
biomedical engineering
city
curriculum
data analysis software
health education
medical student
methodology
population
prevalence
questionnaire
smoking
sociology
teacher
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72107621
DOI
10.1183/13993003.congress2015.PA1188
FULL TEXT LINK
http://dx.doi.org/10.1183/13993003.congress2015.PA1188
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 363
TITLE
Do Palliative Care Clinics Screen for Substance Abuse and Diversion? Results
of a National Survey
AUTHOR NAMES
Tan P.D.
Barclay J.S.
Blackhall L.J.
AUTHOR ADDRESSES
(Tan P.D.; Barclay J.S., jsb8y@virginia.edu; Blackhall L.J.) Department of
Medicine, Division of General Medicine, Geriatrics and Palliative Care,
University of Virginia, PO Box 800909, Charlottesville, United States.
(Tan P.D.) Department of Medicine, Eastern Maine Medical Center, Veazie,
United States.
CORRESPONDENCE ADDRESS
J.S. Barclay, Department of Medicine, Division of General Medicine,
Geriatrics and Palliative Care, University of Virginia, PO Box 800909,
Charlottesville, United States. Email: jsb8y@virginia.edu
SOURCE
Journal of Palliative Medicine (2015) 18:9 (752-757). Date of Publication: 1
Sep 2015
ISSN
1557-7740 (electronic)
1096-6218
BOOK PUBLISHER
Mary Ann Liebert Inc., info@liebertpub.com
ABSTRACT
Background: Opioids are the mainstay of treatment of cancer pain. With
increased use there have been concerns about rising rates of prescription
drug abuse and diversion. Although there has been an increase in research
and practice guidelines about the scope of the problem for chronic,
nonmalignant pain, less information is available about both the frequency of
the problem and current practices regarding screening for substance abuse
and diversion in patients and family members seen in palliative care
clinics. Objective: The aim of this study was to evaluate the degree to
which palliative programs felt that substance abuse and diversion was an
issue, and to identify practices regarding care of patients with potential
substance misuse issues. Methods: We sent a survey regarding substance abuse
perception, policies, training, and screening to 94 accredited palliative
medicine fellowship program directors as obtained by the Accreditation
Council for Graduate Medical Education (ACGME) directory. Results: We
received usable responses from 38 (40.4%) programs. Policies for screening
patients (40.5%) or family members (16.2%), dealing with diversion (27%),
and use of a screening tool (32.4%) were reported infrequently. Despite
this, one-half of respondents indicated that substance abuse and diversion
was an issue for their clinics, with only 25% indicating substance abuse was
not an issue. Additionally, the majority of fellows (83%) and about half
(47%) of staff received mandatory training for dealing with substance
misuse. All programs provided some screening of patients, with 48.7%
screening all patients for abuse. Screening of family members was relatively
rare, as was routine use of the urine drug screen (UDS). Conclusion: Despite
increased concerns about substance abuse, the majority of programs did not
have substance abuse and diversion policies or report screening all
patients, with screening of caregivers rarely reported. Consensus guidelines
addressing substance abuse and diversion for palliative patients are needed
to address this growing problem.
EMTREE DRUG INDEX TERMS
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription drug diversion
substance abuse
EMTREE MEDICAL INDEX TERMS
caregiver
clinical article
conference paper
health program
hospital
human
screening
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015334364
MEDLINE PMID
26302425 (http://www.ncbi.nlm.nih.gov/pubmed/26302425)
PUI
L605813197
DOI
10.1089/jpm.2015.0098
FULL TEXT LINK
http://dx.doi.org/10.1089/jpm.2015.0098
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 364
TITLE
Gateway to curiosity: Medical marijuana ads and intention and use during
middle school
AUTHOR NAMES
D'Amico E.J.
Miles J.N.V.
Tucker J.S.
AUTHOR ADDRESSES
(D'Amico E.J., damico@rand.org; Miles J.N.V.; Tucker J.S.) RAND Corporation,
1776 Main Street, Santa Monica, United States.
CORRESPONDENCE ADDRESS
E.J. D'Amico, RAND Corporation, 1776 Main Street, Santa Monica, United
States. Email: damico@rand.org
SOURCE
Psychology of Addictive Behaviors (2015) 29:3 (613-619). Date of
Publication: 1 Sep 2015
ISSN
1939-1501 (electronic)
0893-164X
BOOK PUBLISHER
Educational Publishing Foundation
ABSTRACT
Over the past several years, medical marijuana has received increased
attention in the media, and marijuana use has increased across the United
States. Studies suggest that as marijuana has become more accessible and
adults have become more tolerant regarding marijuana use, adolescents
perceive marijuana as more beneficial and are more likely to use if they are
living in an environment that is more tolerant of marijuana use. One factor
that may influence adolescents' perceptions about marijuana and marijuana
use is their exposure to advertising of this product. We surveyed sixth- to
eighth-grade youth in 2010 and 2011 in 16 middle schools in Southern
California (n = 8,214; 50% male; 52% Hispanic; mean age = 13 years) and
assessed exposure to advertising for medical marijuana, marijuana
intentions, and marijuana use. Cross-lagged regressions showed a reciprocal
association of advertising exposure with marijuana use and intentions during
middle school. Greater initial medical marijuana advertising exposure was
significantly associated with a higher probability of marijuana use and
stronger intentions to use 1 year later, and initial marijuana use and
stronger intentions to use were associated with greater medical marijuana
advertising exposure 1 year later. Prevention programs need to better
explain medical marijuana to youth, providing information on the context for
proper medical use of this drug and the potential harms from use during this
developmental period. Furthermore, as this is a new frontier, it is
important to consider regulating medical marijuana advertisements, as is
currently done for alcohol and tobacco products.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
advertising
cannabis use
medical marijuana advertisement
middle school
EMTREE MEDICAL INDEX TERMS
adolescent
African American
article
Asian
Caucasian
controlled study
female
Hispanic
human
male
probability sample
tobacco
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015414458
MEDLINE PMID
26030167 (http://www.ncbi.nlm.nih.gov/pubmed/26030167)
PUI
L606212668
DOI
10.1037/adb0000094
FULL TEXT LINK
http://dx.doi.org/10.1037/adb0000094
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 365
TITLE
A systems medicine approach towards understanding alcohol addiction
AUTHOR NAMES
Spanagel R.
AUTHOR ADDRESSES
(Spanagel R., rainer.spanagel@zi-mannheim.de) Institute of
Psychopharmacology, Central Institute of Mental Health, University of
Heidelberg Square J5, Mannheim, Germany.
CORRESPONDENCE ADDRESS
R. Spanagel, Institute of Psychopharmacology, Central Institute of Mental
Health, University of Heidelberg Square J5, Mannheim, Germany. Email:
rainer.spanagel@zi-mannheim.de
SOURCE
Alcohol and Alcoholism (2015) 50 Supplement 1 (i1). Date of Publication: 1
Sep 2015
CONFERENCE NAME
15th European Society for Biomedical Research on Alcoholism Congress, ESBRA
2015
CONFERENCE LOCATION
Valencia, Spain
CONFERENCE DATE
2015-09-12 to 2015-09-15
ISSN
1464-3502
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Here I will discuss our systems medicine approach to define (i) individual
neurobehavioral risk profiles in adolescents that are predictive of alcohol
use disorder later in life and (ii) to identify new treatment strategies for
alcoholism. To achieve these goals we apply existing databanks and multiple
omics-derived datasets that have been supported by several national and EU
programs, and combine them with biostatistics, mathematical modeling and
neuroimaging. Our approach uses information from epigenomics, genomics,
transcriptomics, neurodynamics, and neuroimaging to feed mathematical
prediction modules, the results of which will subsequently be functionally
validated in independent clinical samples and appropriate animal models. In
particular, prediction models for future risky alcohol consumption and
addiction that de-rive from machine learning will be presented that
incorporate genes, brain structure and function, individual personality,
environmental factors, and life experiences. A novel in silico framework for
medication development will be also discussed that models alcohol-receptor
inter-actions and that allows us to predict drug-induced neurochemical
re-sponses in the alcohol dependent brain. This approach will help to
deliver early intervention strategies and identify innovative molecules for
relapse prevention that will be tested in experimental human studies.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medicine
EMTREE MEDICAL INDEX TERMS
adolescent
animal experiment
animal model
biostatistics
brain
conference abstract
early intervention
environmental factor
epigenetics
female
genomics
machine learning
male
neuroimaging
nonhuman
personal experience
personality
prediction
relapse
structure activity relation
transcriptomics
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L621266696
DOI
10.1093/alcalc/agv077.03
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agv077.03
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 366
TITLE
Effectiveness and Organization of Addiction Medicine Training Across the
Globe
AUTHOR NAMES
Ayu A.P.
Schellekens A.F.A.
Iskandar S.
Pinxten L.
De Jong C.A.J.
AUTHOR ADDRESSES
(Ayu A.P., parawitayu@gmail.com) Atma Jaya Catholic University of Indonesia,
School of Medicine, Jakarta, Indonesia.
(Schellekens A.F.A.) Radboud University Medical Centre, Department of
Psychiatry, Nijmegen, Netherlands.
(Iskandar S.) Department of Psychiatry, Padjajaran University, Hasan Sadikin
Hospital, Bandung, Indonesia.
(Ayu A.P., parawitayu@gmail.com; Schellekens A.F.A.; Pinxten L.; De Jong
C.A.J.) Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA),
Radboud University, Nijmegen, Netherlands.
CORRESPONDENCE ADDRESS
A.P. Ayu, Radboud University/ACSW NISPA, Postbus 6909, , Netherlands. Email:
parawitayu@gmail.com
SOURCE
European Addiction Research (2015) 21:5 (223-239). Date of Publication: 20
Aug 2015
ISSN
1421-9891 (electronic)
1022-6877
BOOK PUBLISHER
S. Karger AG
ABSTRACT
Background: Over the past decade, addiction medicine training curricula have
been developed to prepare physicians to work with substance use disorder
patients. This review paper aimed at (1) summarizing scientific publications
that outline the content of addiction medicine curricula and (2) evaluating
the evidence for efficacy for training in addiction medicine. Methods: We
carried out a literature search on articles about addiction medicine
training initiatives across the world, using PubMed, PsychINFO and EMBASE
with the following search terms 'substance abuse, addiction medicine,
education and training.' Results: We found 29 articles on addiction medicine
curricula at various academic levels. Nine studies reported on the need for
addiction medicine training, 9 described addiction medicine curricula at
various academic levels, and 11 described efficacy on addiction medicine
curricula. Conclusions: Several key competences in addiction medicine were
identified. Efficacy studies show that even short addiction medicine
training programs can be effective in improving knowledge, skills and
attitudes related to addiction medicine. A more uniform approach to
addiction medicine training in terms of content and accreditation is
discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
organization
EMTREE MEDICAL INDEX TERMS
competence
curriculum
education program
general practitioner
human
medical school
medical student
physician
priority journal
residency education
review
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015067150
MEDLINE PMID
25966903 (http://www.ncbi.nlm.nih.gov/pubmed/25966903)
PUI
L604498696
DOI
10.1159/000381671
FULL TEXT LINK
http://dx.doi.org/10.1159/000381671
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 367
TITLE
Attitudes toward Substance Abuse Clients: An Empirical Study of Clinical
Psychology Trainees
AUTHOR NAMES
Mundon C.R.
Anderson M.L.
Najavits L.M.
AUTHOR ADDRESSES
(Mundon C.R.) Senior Staff Psychologist, University of Oregon Counseling
Center, Eugene, United States.
(Anderson M.L., melissa.anderson@umassmed.edu) Psychologist and Clinical
Researcher, Assistant Professor of Psychiatry, University of Massachusetts
Medical School, Worcester, United States.
(Najavits L.M.) Clinical Psychologist, VA Boston Healthcare System, and
Professor of Psychiatry, Boston University School of Medicine, Boston,
United States.
CORRESPONDENCE ADDRESS
M.L. Anderson, Department of Psychiatry, University of Massachusetts Medical
School, 55 Lake Avenue North, Worcester, United States. Email:
melissa.anderson@umassmed.edu
SOURCE
Journal of Psychoactive Drugs (2015) 47:4 (293-300). Date of Publication: 8
Aug 2015
ISSN
2159-9777 (electronic)
0279-1072
BOOK PUBLISHER
Routledge, aabs@uw.edu
ABSTRACT
Despite the high prevalence of substance use disorder (SUD) and its frequent
comorbidity with mental illness, individuals with SUD are less likely to
receive effective SUD treatment from mental health practitioners than SUD
counselors. Limited competence and interest in treating this clinical
population are likely influenced by a lack of formal training in SUD
treatment. Using a factorial survey-vignette design that included three
clinical vignettes and a supplementary survey instrument, we investigated
whether clinical psychology doctoral students differ in their level of
negative emotional reactions toward clients with SUD versus major depressive
disorder (MDD); whether they differ in their attributions for SUD versus
MDD; and how their negative emotional reactions and attributions impact
their interest in pursuing SUD clinical work. Participants were 155 clinical
psychology graduate-level doctoral students (72% female). Participants
endorsed more negative emotional reactions toward clients with SUD than
toward clients with MDD. They were also more likely to identify poor
willpower as the cause for SUD than for MDD. More than a third reported
interest in working with SUD populations. Highest levels of interest were
associated with prior professional and personal experience with SUD, four to
six years of clinical experience, and postmodern theoretical orientation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical psychology
medical student
student attitude
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
adult
alcoholism
article
behavior assessment
clinical assessment
comorbidity
correlation coefficient
DSM-IV-TR
emotionality
female
health care survey
human
major depression
male
mental disease
online system
questionnaire
ratings of emotional attitudes to clients by treaters scale
social medicine
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015381544
MEDLINE PMID
26375324 (http://www.ncbi.nlm.nih.gov/pubmed/26375324)
PUI
L606037282
DOI
10.1080/02791072.2015.1076090
FULL TEXT LINK
http://dx.doi.org/10.1080/02791072.2015.1076090
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 368
TITLE
Improving Tobacco Dependence Treatment Delivery: Medical Student Training
and Assessment
AUTHOR NAMES
Folan P.A.
Juster H.R.
Lennon S.E.
Briest P.J.
Gero C.B.
AUTHOR ADDRESSES
(Folan P.A., pfolan@nshs.edu) North Shore University Hospital, 225 Community
Dr. South, Great Neck, United States.
(Juster H.R.) New York State Department of Health, Albany, United States.
(Lennon S.E.) Center for Tobacco Free Hudson Valley, White Plains, United
States.
(Briest P.J.) St. Joseph's Hospital, Syracuse, United States.
(Gero C.B.) Canton-Potsdam Hospital, Potsdam, United States.
CORRESPONDENCE ADDRESS
P.A. Folan, North Shore University Hospital, 225 Community Dr. South, Great
Neck, United States. Email: pfolan@nshs.edu
SOURCE
American Journal of Preventive Medicine (2015) 49:2 (e9-e12). Date of
Publication: 1 Aug 2015
ISSN
1873-2607 (electronic)
0749-3797
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Tobacco dependence is a chronic condition, with cigarette smoking considered
the leading cause of preventable death, disease, and disability in the U.S.
Currently, the U.S. adult smoking rate is 17.8%. National surveys reveal
that approximately half of all smokers who have been treated by a healthcare
provider in the last 12 months received Public Health Service-recommended
guideline-concordant tobacco dependence treatment. Although smoking
prevalence has been declining, several disparate groups continue to smoke at
rates significantly higher than the national average, including those with
low income, low educational attainment, or mental health disorders. To
address these disparities and more effectively address tobacco use,
provision of guideline-concordant tobacco dependence treatment within the
healthcare system must improve. We discuss changes to the medical licensing
examination that may result in enhanced tobacco dependence treatment
education and skills training for students in medical school.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care delivery
licensing
medical education
professional competence
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
education program
evidence based medicine
health care policy
health promotion
human
medical student
patient counseling
practice guideline
public health
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015125680
MEDLINE PMID
26091923 (http://www.ncbi.nlm.nih.gov/pubmed/26091923)
PUI
L604849069
DOI
10.1016/j.amepre.2015.04.005
FULL TEXT LINK
http://dx.doi.org/10.1016/j.amepre.2015.04.005
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 369
TITLE
Drugs of abuse, pharmacology curriculum and learning styles of medical
students
AUTHOR NAMES
Barros H.M.T.
Tannhauser C.L.
Tannhauser M.
AUTHOR ADDRESSES
(Barros H.M.T.; Tannhauser C.L.) Ligue 132, Pharmacosciences Dept, UFCSPA,
Brazil.
(Tannhauser C.L.; Tannhauser M.) Encrementare, Porto Alegre, Brazil.
CORRESPONDENCE ADDRESS
H.M.T. Barros, Ligue 132, Pharmacosciences Dept, UFCSPA, Brazil.
SOURCE
Clinical Therapeutics (2015) 37:8 SUPPL. 1 (e69). Date of Publication:
August 2015
CONFERENCE NAME
12th Congress of the European Association for Clinical Pharmacology and
Therapeutics, EACPT 2015
CONFERENCE LOCATION
Madrid, Spain
CONFERENCE DATE
2015-06-27 to 2015-06-30
ISSN
0149-2918
BOOK PUBLISHER
Excerpta Medica Inc.
ABSTRACT
Introduction: Drug abuse (tobacco, alcohol and illicit drugs) can worsen
several health disorders; are among the twenty most common burden to health
problems worldwide. Medical student education should provide detailed
knowledge of these issues together with skills needed to detect/counsel
patients with unhealthy drug use patterns. Time to include subjects in the
clinical pharmacology curriculum to medical students is limited. Online
educational strategies are often sought. It is necessary to evaluate the
educational outcomes. This study was designed to develop and evaluate an
online module on drug abuse to teach medical students about pharmacology of
drugs and brief intervention of drug use problems. Material and Methods:
Eighty-nine medical students of UFCSPA were taking the Pharmacology Course
in 2014. Drug abuse is not part of their curricular medical program and an
online training was offered as additional set of studies for volunteer
enrolment. Information (written and videos, exercises, reading
recommendations) on drugs of abuse and health, mechanisms of action,
biological effects of drugs, methods of drug screening, brief interventions
and treatment protocols for drug abuse and dependence were presented online.
After the course, all students, volunteering or not, completed an evaluation
and the Kolb Learning Style Inventory (KLSI). Results: Seventy students
enrolled and completed the online training with success. The range time for
completion was 5 to 20 hours. The mean knowledge score after completing the
online training was 90/100. All medical students who completed the online
Training described satisfaction. A difference in KLSI was detected between
students who had/had not volunteered to the online training. Conclusions:
The online training on drugs of abuse resulted in significant changes in
knowledge. This online format could be incorporated into the medical school
curriculum, with students learning the material at their own pace and in
their available time.
EMTREE DRUG INDEX TERMS
alcohol
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
clinical pharmacology
curriculum
European
human
learning style
medical student
pharmacology
therapy
EMTREE MEDICAL INDEX TERMS
biological activity
diseases
drug abuse
drug screening
drug use
education
exercise
health
learning
medical education
medical school
patient
reading
satisfaction
skill
student
tobacco
videorecording
volunteer
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72007226
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 370
TITLE
Cigarette smoking and non-medical use of new type of drugs associated with
family, school, and psychosocial factors among Chinese adolescents
AUTHOR NAMES
Lu C.
Guo L.
Zhang W.-H.
AUTHOR ADDRESSES
(Lu C., 260004774@qq.com; Guo L.) Department of Medical Statistics and
Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou,
China.
(Zhang W.-H.) Biostatistics and Clinical Research Centre, School of Public
Health, Université Libre De Bruxelles (ULB), Belgium.
CORRESPONDENCE ADDRESS
C. Lu, Department of Medical Statistics and Epidemiology, School of Public
Health, Sun Yat-sen University, Guangzhou, China. Email: 260004774@qq.com
SOURCE
European Journal of Epidemiology (2015) 30:8 (882). Date of Publication:
August 2015
CONFERENCE NAME
8th European Congress of Epidemiology
CONFERENCE LOCATION
Maastricht, Netherlands
CONFERENCE DATE
2015-06-25 to 2015-06-27
ISSN
0393-2990
BOOK PUBLISHER
Springer Netherlands
ABSTRACT
Objective: To investigate the prevalence of cigarette smoking and
non-medical use of new type of drugs among Chinese adolescents, to explore
their common predictors and connections among family, school, and
psychosocial domains. Method: A national cross-sectional study was involved
in a total of 105,752 students in grades 7th-12th sampled from schools in
eighteen cities of China. An anonymous self-administered questionnaire was
used to survey main variables for interest included family factors, school
factors, and psychosocial adjustment. Multilevel logistic regression
analyses were used to explore potentially influential factors. Results: Of
the 105,752 participants, 48,906 were boys: a total of 49.1 % were from
grade 7th to grade 9th. The mean onset age of smoking is 13.16 (SD 4.84)
years old. The adjusted prevalence of heavy smoking, problem drug use, and
drug use disorder was 2.12 %, 0.52 and 0.24 %, respectively: there was a
uniformly higher prevalence of mild use than use-related problems or
disorders. Boys were 4.78 times more likely to smoke heavily than girls, and
the mean onset age of boys is earlier than girls. Having 1-2 siblings was
the protective predictor for heavy smoking: being a school bully or victim
were both risk predictors for using most substances. It is rather remarkable
that mostly negative family, school and psychosocial factors were associated
with cigarette smoking and drug use. Conclusion: This study indicates that
cigarette smoking and new type of drugs use among Chinese adolescents is a
major public health problem nationwide, and a well-established surveillance
is needed in China.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
epidemiology
European
human
school
smoking
social psychology
EMTREE MEDICAL INDEX TERMS
boy
China
city
cross-sectional study
diseases
drug use
female
girl
logistic regression analysis
male
onset age
prevalence
public health problem
questionnaire
risk
sibling
smoke
student
victim
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72274731
DOI
10.1007/s10654-015-0072-z
FULL TEXT LINK
http://dx.doi.org/10.1007/s10654-015-0072-z
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 371
TITLE
Impact of residential schooling and of child abuse on substance use problem
in Indigenous Peoples
AUTHOR NAMES
Ross A.
Dion J.
Cantinotti M.
Collin-Vézina D.
Paquette L.
AUTHOR ADDRESSES
(Ross A.; Dion J., jacinthe_dion@uqac.ca; Paquette L.) Department of Health
Sciences, Université du Québec à Chicoutimi, Saguenay, Canada.
(Ross A.; Dion J., jacinthe_dion@uqac.ca; Collin-Vézina D.) CRIPCAS
(Interdisciplinary Research Centre on Intimate Relationship Problems and
Sexual Abuse), Canada.
(Cantinotti M.) Department of Psychology, Université du Québec à
Trois-Rivières, Trois-Rivières, Canada.
(Collin-Vézina D.) School of Social Work, McGill University, Montreal,
Canada.
CORRESPONDENCE ADDRESS
J. Dion, Département des sciences de la santé, Université du Québec à
Chicoutimi, 555 Boul. Université, Chicoutimi, Canada.
SOURCE
Addictive Behaviors (2015) 51 (184-192). Date of Publication: 31 Jul 2015
ISSN
1873-6327 (electronic)
0306-4603
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Residential schools were the institutions, in operation from the 19th
century to the late 20th century, which Indigenous children in Canada were
forced to attend. The literature shows that many young people who attended
these institutions were victims of neglect and abuse. Negative psychological
effects resulting from child abuse have been amply documented. However, very
few studies on this subject have been carried out among Canada's Indigenous
Peoples. The objective of this study is to evaluate, for an Indigenous
population in Quebec (Canada), the impact of residential schooling as well
as self-reported experiences of sexual and physical abuse during childhood
on the development of alcohol and drug use problems in adulthood. A total of
358 Indigenous participants were interviewed (164 men [45.8%] and 194 women
[54.2%]). Alcoholism was evaluated using the Michigan Alcoholism Screening
Test (MAST). Drug abuse was assessed with the Drug Abuse Screening Test-20
(DAST). Child abuse and residential schooling were assessed with dichotomous
questions (yes/no). Among the participants, 28.5% (n= 102) had attended
residential schools, 35.2% (n= 121) reported having experienced sexual
abuse, and 34.1% (n= 117) reported having experienced physical abuse before
adulthood. Results of the exact logistic regression analyses indicated that
residential school attendance was linked to alcohol problems, while child
abuse was related to drug use problems. The results of this study highlight
the importance of considering the consequences of historical traumas related
to residential schools to better understand the current situation of
Indigenous Peoples in Canada.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child abuse
residency education
school
substance use
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
alcoholism
article
Canada
child neglect
drug abuse
drug use
female
human
indigenous people
major clinical study
male
physical abuse
population
prevalence
screening test
self report
sexual abuse
wellbeing
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015307674
MEDLINE PMID
26280378 (http://www.ncbi.nlm.nih.gov/pubmed/26280378)
PUI
L605602479
DOI
10.1016/j.addbeh.2015.07.014
FULL TEXT LINK
http://dx.doi.org/10.1016/j.addbeh.2015.07.014
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 372
TITLE
Training in addiction medicine should be standardised and scaled up
AUTHOR NAMES
Klimas J.
AUTHOR ADDRESSES
(Klimas J., jan.klimas@ucd.ie) Urban Health Research Initiative, BC Centre
for Excellence in HIV/AIDS, University of British Columbia, Canada.
(Klimas J., jan.klimas@ucd.ie) Department of Medicine, University of British
Columbia, St Paul's Hospital, 608-1081 Burrard St, Vancouver, Canada.
(Klimas J., jan.klimas@ucd.ie) School of Medicine and Medical Science,
University College Dublin, Dublin 4, Ireland.
CORRESPONDENCE ADDRESS
J. Klimas, Urban Health Research Initiative, BC Centre for Excellence in
HIV/AIDS, University of British Columbia, Canada.
SOURCE
BMJ (Online) (2015) 351 Article Number: h4027. Date of Publication: 28 Jul
2015
ISSN
1756-1833 (electronic)
0959-8146
BOOK PUBLISHER
BMJ Publishing Group, subscriptions@bmjgroup.com
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
education program
professional standard
EMTREE MEDICAL INDEX TERMS
accreditation
Australia
Canada
certification
continuing education
Europe
evidence based practice
health care delivery
health care quality
health care system
human
Indonesia
licensing
medical education
Netherlands
North America
opiate addiction
practice guideline
prescription
priority journal
review
scale up
standardization
United Kingdom
workshop
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2015385249
MEDLINE PMID
26220548 (http://www.ncbi.nlm.nih.gov/pubmed/26220548)
PUI
L606006158
DOI
10.1136/bmj.h4027
FULL TEXT LINK
http://dx.doi.org/10.1136/bmj.h4027
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 373
TITLE
Successful nicotine intake in medical assisted use of E-cigarettes: A pilot
study
AUTHOR NAMES
Pacifici R.
Pichini S.
Graziano S.
Pellegrini M.
Massaro G.
Beatrice F.
AUTHOR ADDRESSES
(Pacifici R., roberta.pacifici@iss.it; Pichini S., simona.pichini@iss.it;
Graziano S., silviagrzn@gmail.com; Pellegrini M., manuela.pellegrini@iss.it)
Drug Abuse and Doping Unit, Department of Therapeutic Research and Medicines
Evaluation, National Institute of Health, Roma, Italy.
(Massaro G., massaro.giuseppina@yahoo.it; Beatrice F.,
fabio.beatrice@tin.it) Ospedale San Giovanni Bosco, ASL TO2, Torino, Italy.
CORRESPONDENCE ADDRESS
S. Pichini, Drug Abuse and Doping Unit, Department of Therapeutic Research
and Medicines Evaluation, National Institute of Health, Roma, Italy. Email:
simona.pichini@iss.it
SOURCE
International Journal of Environmental Research and Public Health (2015)
12:7 (7638-7646). Date of Publication: 8 Jul 2015
ISSN
1660-4601 (electronic)
1661-7827
BOOK PUBLISHER
MDPI AG, Postfach, Basel, Switzerland.
ABSTRACT
The electronic cigarette (e-cig) has gained popularity as an aid in smoking
cessation programs mainly because it maintains the gestures and rituals of
tobacco smoking. However, it has been shown in inexperienced e-cig users
that ineffective nicotine delivery can cause tobacco craving that could be
responsible for unsuccessful smoking reduction/cessation. Moreover, the
incorrect use of an e-cig could also led to potential nicotine overdosage
and intoxication. Medically assisted training on the proper use of an e-cig
plus behavioral support for tobacco dependence could be a pivotal step in
avoiding both issues. We performed an eight-month pilot study of adult
smokers who started e-cig use after receiving a multi-component medically
assisted training program with monitoring of nicotine intake as a biomarker
of correct e-cig use. Participants were tested during follow-up for breath
carbon monoxide (CO), plasma cotinine and trans-3’-hydroxycotinine, and
number of tobacco cigarettes smoked. At the end of the first, fourth, and
eighth month of follow-up, 91.1, 73.5, and 76.5% of participants
respectively were e-cig users (‘only e-cig’ and ‘dual users’). They showed
no significant variation in plasma cotinine and trans-3’-hydroxycotinine
with respect to the start of the study when they smoked only tobacco
cigarettes, but a significant reduction in breath CO. The proposed medically
assisted training program of e-cig use led to a successful nicotine intake,
lack of typical cigarette craving and overdosage symptoms and a significant
decrease in the biomarker of cigarette combustion products.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine
EMTREE DRUG INDEX TERMS
3' hydroxycotinine
carbon monoxide
cotinine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
electronic cigarette
health education
medically assisted training program
tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
behavior therapy
blood level
breath analysis
female
follow up
harm reduction
human
intoxication
major clinical study
male
nicotine intoxication
pilot study
smoking cessation program
therapy effect
tobacco use
treatment outcome
CAS REGISTRY NUMBERS
3' hydroxycotinine (27323-64-4, 34834-67-8)
carbon monoxide (630-08-0)
cotinine (486-56-6)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015315248
MEDLINE PMID
26184244 (http://www.ncbi.nlm.nih.gov/pubmed/26184244)
PUI
L605674995
DOI
10.3390/ijerph120707638
FULL TEXT LINK
http://dx.doi.org/10.3390/ijerph120707638
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 374
TITLE
Teaching family medicine residents brief interventions for alcohol misuse
AUTHOR NAMES
Rule J.C.
Samuel P.
AUTHOR ADDRESSES
(Rule J.C., JCRule@uams.edu) Department of Psychiatry, University of
Arkansas for Medical Sciences, 4301W. Markham St. Slot 530, Little Rock,
United States.
(Rule J.C., JCRule@uams.edu; Samuel P.) Department of Family and Preventive
Medicine, University of Arkansas for Medical Sciences, Little Rock, United
States.
CORRESPONDENCE ADDRESS
J.C. Rule, Department of Psychiatry, University of Arkansas for Medical
Sciences, 4301W. Markham St. Slot 530, Little Rock, United States. Email:
JCRule@uams.edu
SOURCE
International Journal of Psychiatry in Medicine (2015) 50:1 (81-91). Date of
Publication: 1 Jul 2015
ISSN
1541-3527 (electronic)
0091-2174
BOOK PUBLISHER
SAGE Publications Inc., baywood@baywood.com
ABSTRACT
Across the lifespan, alcohol misuse affects a large percentage of patients
seen in primary care clinics. It can lead to alcohol use disorders, ranging
from risky use to alcohol dependence. Alcohol use disorders frequently
complicate acute and chronic illnesses of patients seen in FM clinics.
Screening patients for alcohol and substance use has become a standard of
practice in most primary care settings. This report describes how a family
medicine residency program solidified a residency curriculum in substance
abuse screening, assessment, and brief intervention by merging three
presentation-style didactics into a blended approach. The curriculum
combines didactic teaching, motivational interviewing, and behavioral
rehearsal of clinical practice skills. Qualitative feedback suggests that
the curriculum has been successful in exposing residents to a variety of
practical assessment methods and, through rehearsal, has improved resident
confidence in addressing alcohol use and misuse in a primary care
population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
alcohol misuse
family medicine
health education
EMTREE MEDICAL INDEX TERMS
adult
African American
alcoholism
alcoholism
anterior cruciate ligament reconstruction
article
Asian American
body mass
borderline state
case report
Caucasian
chronic disease
clinical practice
communication skill
curriculum development
depression
diabetes mellitus
drinking behavior
electronic medical record
elevated blood pressure
feedback system
female
follow up
generalized anxiety disorder
health care quality
health insurance
human
hyperlipidemia
insomnia
lifestyle modification
male
mass screening
medical history
middle aged
motivational interviewing
patient care
primary medical care
resident
risk factor
total quality management
traffic accident
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160193038
MEDLINE PMID
26130770 (http://www.ncbi.nlm.nih.gov/pubmed/26130770)
PUI
L608851524
DOI
10.1177/0091217415592363
FULL TEXT LINK
http://dx.doi.org/10.1177/0091217415592363
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 375
TITLE
Cancer and pain management: Debunking myths in latino patients and
caregivers
AUTHOR NAMES
Mayorga L.
Juarez G.
AUTHOR ADDRESSES
(Mayorga L.; Juarez G.) City Of Hope National Medical Center, United States.
CORRESPONDENCE ADDRESS
L. Mayorga, City Of Hope National Medical Center, United States.
SOURCE
Psycho-Oncology (2015) 24 SUPPL. 2 (192-193). Date of Publication: July 2015
CONFERENCE NAME
2015 World Congress of Psycho-Oncology
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2015-07-28 to 2015-08-01
ISSN
1057-9249
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
BACKGROUND/PURPOSE: Pain is a sensitive topic among Latinos, due to fear of
disease progression, treatment delays or fear of pain medication addiction.
To date, limited Spanish educational materials/programs on pain management
are available. In the USA, pain is the most common reason individuals
consult with a physician, yet for many-especially the Hispanic
community-pain is a very sensitive topic especially among cancer patients.
However, through culturally relevant education on how best to manage pain,
patients can empower themselves to have an active voice in their healthcare
and learn how their cancer journey can be pain free. The purpose of this
educational intervention was to educate Spanish speaking patients, families
and caregivers on pain management and debunking their myths about cancer
pain. METHODS: Based on results of performance improvement activity amongst
new Latino cancer patients, an educational intervention was provided to
Spanish speaking cancer patients, caregivers and their families over a
2-year period. Pretests and posttests were collected as well as 1-month
follow-up calls and focus groups. A total of 10 Spanish pain classes were
conducted by Advance Practice Nurse and Health Educator. Five interactive
components were embedded to ensure patients understanding and learning. The
educational intervention and resources were provided in Spanish. Education
was provided on: types of cancer pain, pain scales, pain diaries, medication
safety, including CAM and non-therapeutic options for pain management.
Including education on pain management, pain types, and dispelling
myths/perceptions of cancer pain and taking an active role in their care by
communicating their pain. Patients/Families received a 2 h educational
class, culturally relevant tools and resources. RESULTS: A total of 64
patients and caregivers attended the educational program in Spanish. Of
these 36 were caregivers. The educational intervention further identified a
distorted perception of pain when undergoing cancer treatment: (1) pain was
not manageable (2) part of the treatment process (3) a way that the body is
getting rid of cancer. Others refused medication for fear of addiction. When
asked how they dealt with pain, the majority mentioned that they preferred
to receive support or comfort in their families or talk with other cancer
patients in similar situations. Some patients shared that they did not
communicate their pain issues to their healthcare team, for fear of
treatment delay. In addition 75% were currently experiencing cancer pain, of
those 90% had yet to discuss this with their medical team and 50% did not
know that cancer pain could be managed. Patients stated that the class
provided them with tools and resources to take more of an active role in
their care and managing their pain. CONCLUSIONS: After attending class
patients are able to take more of an active role in their care. Attendees
are able to communicate their pain to their healthcare team by using
descriptive words and/ or using the pain scale to rate their pain or
describe it. Patients have incorporated non-drug intervention strategies to
help them cope with pain (music, meditation, attending educational classes).
Patients reported improvements in communication with their healthcare team,
managed pain and ability to better enjoy day-to-day activities. Caregivers
reported a better sense of taking control of their care as well and
empowered to be better advocates of their own health. Research Implications:
Findings from this study can guide future research interventions and
education to improve cancer pain perceptions amongst Latinos and patient
engagement in the healthcare process. It can also guide the development of
future educational programs for patients and families and to explore
innovative ways to deliver pain educational program sand interventions.
Practice Implications: Understanding gained from this study provides an
opportunity to enhance health communication and health education strategies
more effectively to benefit patients and families.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
caregiver
Hispanic
human
literature
neoplasm
oncology
patient
EMTREE MEDICAL INDEX TERMS
addiction
cancer pain
cancer patient
cancer therapy
comfort
community
disease course
drug therapy
education
fear
follow up
health
health care
health education
health educator
information processing
interpersonal communication
learning
medical information
meditation
music
nociception
nurse
pain
pain assessment
physician
safety
sand
speech
therapy delay
voice
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71968142
DOI
10.1002/pon.3874
FULL TEXT LINK
http://dx.doi.org/10.1002/pon.3874
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 376
TITLE
Cancer and pain management: Debunking myths in latino patients and
caregivers
AUTHOR NAMES
Mayorga L.
AUTHOR ADDRESSES
(Mayorga L.) City of Hope National Medical Center, United States.
CORRESPONDENCE ADDRESS
L. Mayorga, City of Hope National Medical Center, United States.
SOURCE
Psycho-Oncology (2015) 24 SUPPL. 2 (194-195). Date of Publication: July 2015
CONFERENCE NAME
2015 World Congress of Psycho-Oncology
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2015-07-28 to 2015-08-01
ISSN
1057-9249
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
BACKGROUND/PURPOSE: Pain is a sensitive topic among Latinos, due to fear of
disease progression, treatment delays or fear of pain medication addiction.
To date, limited Spanish educational materials/programs on pain management
are available. In the USA, pain is the most common reason individuals
consult with a physician, yet for many-especially the Hispanic
community-pain is a very sensitive topic especially among cancer patients.
However, through culturally relevant education on how best to manage pain,
patients can empower themselves to have an active voice in their healthcare
and learn how their cancer journey can be pain free. The purpose of this
educational intervention was to educate Spanish speaking patients, families
and caregivers on pain management and debunking their myths about cancer
pain. METHODS: Based on results of performance improvement activity amongst
new Latino cancer patients, an educational intervention was provided to
Spanish speaking cancer patients, caregivers and their families over a
2-year period. Pretests and posttests were collected as well as 1-month
follow-up calls and focus groups. A total of 10 Spanish pain classes were
conducted by Advance Practice Nurse and Health Educator. Five interactive
components were embedded to ensure patients understanding and learning. The
educational intervention and resources were provided in Spanish. Education
was provided on: types of cancer pain, pain scales, pain diaries, medication
safety, including CAM and non-therapeutic options for pain management.
Including education on dispelling myths/perceptions of cancer pain and
taking an active role in their care by communicating their pain.
Patients/Families received a 2 h educational class and were provided
culturally relevant tools and resources. RESULTS: A total of 64 patients and
caregivers attended the educational program in Spanish. Of these, 36 were
caregivers. The educational intervention further identified a distorted
perception of pain when undergoing cancer treatment: (1) pain was not
manageable (2) part of the treatment process (3) a way that the body is
getting rid of cancer. Others refused medication for fear of addiction. When
asked how they dealt with pain, the majority mentioned that they preferred
to receive support or comfort in their families or talk with other cancer
patients in similar situations. Some patients shared that they did not
communicate their pain issues to their healthcare team, for fear of
treatment delay. In addition 75% were currently experiencing cancer pain, of
those 90% had yet to discuss this with their medical team and 50% did not
know that cancer pain could be managed. Patients stated that the class
provided them with tools and resources to take more of an active role in
their care and managing their pain. CONCLUSIONS: After attending class
patients are able to take more of an active role in their care. Attendees
are able to communicate their pain to their healthcare team by using
descriptive words and/or using the pain scale to rate their pain or describe
it. Patients have incorporated non-drug intervention strategies to help them
cope with pain (music, meditation, attending educational classes). Patients
reported improvements in communication with their healthcare team, managed
pain and ability to better enjoy day-to-day activities. Caregivers reported
a better sense of taking control of their care as well and empowered to be
better advocates of their own health. Research Implications: Findings from
this study can guide future research interventions and education to improve
cancer pain perceptions amongst Latinos and patient engagement in the
healthcare process. It can also guide the development of future educational
programs for patients and families and to explore innovative ways to deliver
pain educational programs and interventions. Practice Implications:
Understanding gained from this study provides an opportunity to enhance
health communication and health education strategies more effectively to
benefit patients and families.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
caregiver
Hispanic
human
literature
neoplasm
oncology
patient
EMTREE MEDICAL INDEX TERMS
addiction
cancer pain
cancer patient
cancer therapy
comfort
community
disease course
drug therapy
education
fear
follow up
health
health care
health education
health educator
information processing
interpersonal communication
learning
medical information
meditation
music
nociception
nurse
pain
pain assessment
physician
safety
speech
therapy delay
voice
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71968146
DOI
10.1002/pon.3874
FULL TEXT LINK
http://dx.doi.org/10.1002/pon.3874
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 377
TITLE
Screening and Brief Intervention for Alcohol Misuse in Older Adults:
Training Outcomes Among Physicians and Other Healthcare Practitioners in
Community-Based Settings
AUTHOR NAMES
Coogle C.L.
Owens M.G.
AUTHOR ADDRESSES
(Coogle C.L.; Owens M.G.) Virginia Center on Aging, School of Allied Health
Professions, Virginia Commonwealth University, P.O. Box 980229, Richmond,
VA, 23298-0229, USA, ccoogle@vcu.edu
SOURCE
Community mental health journal (2015) 51:5 (546-553). Date of Publication:
1 Jul 2015
ISSN
1573-2789 (electronic)
ABSTRACT
Screening and brief intervention (SBI) is increasingly available to older
adults who engage in at-risk drinking. This study examined the extent to
which SBI training influenced the willingness of healthcare providers in a
community-based hospital and other clinical settings to promote the
implementation of SBI. Ninety-three healthcare practitioners (primarily
physicians, nurses, and social workers) who attended SBI training were asked
about their intentions to apply the information in their professional
practice, as well as their enthusiasm about recommending the training to
others in their profession. Although there were no differences among the
professions in terms of commitment to apply the information or level of
comfort using the techniques, physicians were less interested in promoting
SBI training among their colleagues. Although it may be more difficult to
promote SBI in locations that don't primarily provide mental health
services, results suggest that primary care settings are precisely where
training may be most useful.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, prevention)
education
health personnel attitude
medical education
psychology
EMTREE MEDICAL INDEX TERMS
adult
aged
analysis of variance
clinical trial
community hospital
comparative study
female
health care personnel
human
male
mental health service
middle aged
multicenter study
nurse
physician
procedures
social worker
Virginia
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25628241 (http://www.ncbi.nlm.nih.gov/pubmed/25628241)
PUI
L611477580
DOI
10.1007/s10597-014-9804-x
FULL TEXT LINK
http://dx.doi.org/10.1007/s10597-014-9804-x
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 378
TITLE
Empowerment through education and science: three intersecting strands in the
career of Griffith Edwards
AUTHOR NAMES
Crome I.
AUTHOR ADDRESSES
(Crome I.) Keele University School of Medicine, South Staffordshire and
Shropshire Healthcare NHS Foundation Trust, Stafford, UK
SOURCE
Addiction (Abingdon, England) (2015) 110 Supplement 2 (47-49). Date of
Publication: 1 Jul 2015
ISSN
1360-0443 (electronic)
ABSTRACT
This paper describes three important strands in the career of Griffith
Edwards that define him as a leader and an innovator. Believing that
education and science were critical for the development of addiction as a
profession and as a field of inquiry, his approach was multi-faceted:
educating all doctors to appreciate the fundamental issues in addiction;
training psychiatrists in the complexity of 'dual diagnosis' and specific
specialist intervention; and teaching that addiction could be a chronic
condition which required care management over the life course. These three
inter-related areas are directly related to the need for a range of
practitioners to have an understanding of addiction so that patients can be
properly managed. The greater our understanding of the nature of addiction
behaviour, the more likely the potential to optimize treatment and train
practitioners from different professional disciplines.
EMTREE MEDICAL INDEX TERMS
age
drug dependence
history
medical education
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26042568 (http://www.ncbi.nlm.nih.gov/pubmed/26042568)
PUI
L615679143
DOI
10.1111/add.12909
FULL TEXT LINK
http://dx.doi.org/10.1111/add.12909
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 379
TITLE
Opioid rotation
ORIGINAL (NON-ENGLISH) TITLE
Rotación de opioides
AUTHOR NAMES
De Barutell Farinós C.
AUTHOR ADDRESSES
(De Barutell Farinós C., cbarutell@gmail.com) Clínica del Dolor, Clínica del
Pilar, Barcelona, Spain.
CORRESPONDENCE ADDRESS
C. De Barutell Farinós, Clínica del Dolor, Clínica del Pilar, Spain.
SOURCE
DOLOR (2015) 30:3 (149-157). Date of Publication: 1 Jul 2015
ISSN
0214-0659
BOOK PUBLISHER
Publicaciones Permanyer, permanyer@permanyer.com
ABSTRACT
Chronic pain is a primary health problem that reduces the quality of life of
the patients that suffer from it. In these patients, pain control is a
priority and the first treatment of choice is opioids. Both careful
management by medical staff and the responsible use by the patients ensures
a favorable balance between benefits and side effects. However, pain control
with opioids has some drawbacks, especially regarding the risk of aberrant
behaviors, among which addiction and tolerance are the most noticeable.
Opioid rotation, i.e., the changing of a potent opioid for another one, is
an increasingly common maneuver to improve analgesia and reduce adverse
effects in patients with sub-analgesic pain control. Moreover, a high
variability exists for the equianalgesic conversion table among opioids.
However, this should not be a barrier to its use. Finally, it is important
to inform the patient about the procedure of opioid rotation and the
possible short-term side effects such as the appearance of withdrawal or a
temporary increase in pain.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
rotation
EMTREE MEDICAL INDEX TERMS
analgesia
article
chronic pain
human
quality of life
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English, Spanish
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160305946
PUI
L609943057
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 380
TITLE
Overdose Education and Naloxone for Patients Prescribed Opioids in Primary
Care: A Qualitative Study of Primary Care Staff
AUTHOR NAMES
Binswanger I.A.
Koester S.
Mueller S.R.
Gardner E.M.
Goddard K.
Glanz J.M.
AUTHOR ADDRESSES
(Binswanger I.A., Ingrid.A.B.inswanger@kp.org; Mueller S.R.; Goddard K.;
Glanz J.M.) Institute for Health Research, Kaiser Permanente Colorado, P.O
Box 378066, Denver, United States.
(Binswanger I.A., Ingrid.A.B.inswanger@kp.org; Mueller S.R.) Division of
General Internal Medicine, University of Colorado Denver School of Medicine,
Aurora, United States.
(Binswanger I.A., Ingrid.A.B.inswanger@kp.org; Gardner E.M.) Denver Health
and Hospital Authority, Denver, United States.
(Koester S.) Department of Anthropology, University of Colorado Denver,
Denver, United States.
(Koester S.; Mueller S.R.) Department of Health and Behavioral Sciences,
University of Colorado Denver, Denver, United States.
(Glanz J.M.) Department of Epidemiology, Colorado School of Public Health,
Aurora, United States.
CORRESPONDENCE ADDRESS
I.A. Binswanger, Institute for Health Research, Kaiser Permanente Colorado,
P.O Box 378066, Denver, United States. Email: Ingrid.A.B.inswanger@kp.org
SOURCE
Journal of General Internal Medicine (2015) 30:12 (1837-1844). Date of
Publication: 9 Jun 2015
ISSN
1525-1497 (electronic)
0884-8734
BOOK PUBLISHER
Springer New York LLC, barbara.b.bertram@gsk.com
ABSTRACT
BACKGROUND: The rate of fatal unintentional pharmaceutical opioid poisonings
has increased substantially since the late 1990s. Naloxone is an effective
opioid antidote that can be prescribed to patients for bystander use in the
event of an overdose. Primary care clinics represent settings in which large
populations of patients prescribed opioids could be reached for overdose
education and naloxone prescription. OBJECTIVE: Our aim was to investigate
the knowledge, attitudes and beliefs about overdose education and naloxone
prescription among clinical staff in primary care. DESIGN: This was a
qualitative study using focus groups to elucidate both clinic-level and
provider-level barriers and facilitators. SETTING: Ten primary care internal
medicine, family medicine and infectious disease/HIV practices in three
large Colorado health systems. METHODS: A focus group guide was developed
based on behavioral theory. Focus group transcripts were coded for manifest
and latent meaning, and analyzed for themes using a recursive approach that
included inductive and deductive analysis. RESULTS: Themes emerged in four
content areas related to overdose education and naloxone prescription:
knowledge, barriers, benefits and facilitators. Clinical staff (N = 56)
demonstrated substantial knowledge gaps about naloxone and its use in
outpatient settings. They expressed uncertainty about who to prescribe
naloxone to, and identified a range of logistical barriers to its use in
practice. Staff also described fears about offending patients and concerns
about increased risk behaviors in patients prescribed naloxone. When
considering naloxone, some providers reflected critically and with
discomfort on their own opioid prescribing. These barriers were balanced by
beliefs that prescribing naloxone could prevent death and result in safer
opioid use behaviors. LIMITATIONS: Findings from these qualitative focus
groups may not be generalizable to other settings. CONCLUSION: In addition
to evidence gaps, logistical and attitudinal barriers will need to be
addressed to enhance uptake of overdose education and naloxone prescription
for patients prescribed opioids for pain.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
patient education
prescription
primary medical care
EMTREE MEDICAL INDEX TERMS
adult
article
drug overdose
family medicine
female
group structure
health belief
Health Belief Model
high risk behavior
human
Human immunodeficiency virus infection
information processing
male
medical assistant
nurse
nurse practitioner
patient attitude
patient satisfaction
physician
physician assistant
professional knowledge
qualitative research
Theory of Planned Behavior
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015110460
MEDLINE PMID
26055224 (http://www.ncbi.nlm.nih.gov/pubmed/26055224)
PUI
L604784662
DOI
10.1007/s11606-015-3394-3
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-015-3394-3
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 381
TITLE
Practice patterns among eye care providers at US-based teaching hospitals
with respect to educating patients regarding risks of smoking and providing
smoking cessation counselling
AUTHOR NAMES
Rolius R.
Scott I.U.
Brill D.
Landis Z.
AUTHOR ADDRESSES
(Rolius R.; Scott I.U.; Brill D.; Landis Z.) Ophthalmology, Penn State
Milton S. Hershey Medical Center, Hershey, United States.
CORRESPONDENCE ADDRESS
R. Rolius, Ophthalmology, Penn State Milton S. Hershey Medical Center,
Hershey, United States.
SOURCE
Investigative Ophthalmology and Visual Science (2015) 56:7 (128). Date of
Publication: 1 Jun 2015
CONFERENCE NAME
2015 Annual Meeting of the Association for Research in Vision and
Ophthalmology, ARVO 2015
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2015-05-03 to 2015-05-07
ISSN
0146-0404
BOOK PUBLISHER
Association for Research in Vision and Ophthalmology Inc.
ABSTRACT
Purpose: Smoking is a risk factor for several ocular diseases, including
age-related macular degeneration and cataract. However, little is known
about practice patterns among eye care providers with respect to educating
patients regarding risks of smoking and providing smoking cessation
counselling. Our study was designed to investigate such practice patterns
among eye care providers at US-based teaching hospitals. Methods: An
anonymous survey including multiple choice and Likert-style questions was
created on www.surveymonkey.com. An email containing an explanation of the
study, an invitation to participate, and the survey link was sent to the
coordinator of each ophthalmology residency program accredited by the
Accreditation Council for Graduate Medical Education, and the program
coordinators were asked to forward the email to all ophthalmologists,
optometrists, ophthalmology residents and fellows in the program. Weekly
reminders were emailed for 4 consecutive weeks. Results: To date, 15 program
coordinators confirmed distribution of the survey to 469 eye care providers;
103 completed surveys were received. Ophthalmologists, optometrists,
ophthalmology residents and fellows contributed 38%, 11%, 43% and 8% of
responses, respectively. Overall, 37% of respondents reported they always
ask their patients about smoking status, 37% advise patients who smoke to
quit smoking, 32% always educate their patients about ocular diseases
associated with smoking, and 20% always educate patients about systemic
risks associated with smoking. Fewer than half of the respondents (46%)
reported having received adequate training in smoking cessation counselling
during residency/fellowship. Conclusions: Survey results collected to date
indicate that a minority of eye care providers at US-based teaching
hospitals consistently ask their patients about smoking status, educate
patients about ocular and systemic risks associated with smoking, and advise
patients who smoke to stop smoking. This suggests that interventions
designed to encourage eye care providers to educate patients about the risks
of smoking and advise patients to stop smoking may have a substantial impact
on patients' general and ocular health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
eye care
female
male
smoking cessation
teaching hospital
EMTREE MEDICAL INDEX TERMS
accreditation
disease course
doctor patient relation
e-mail
eye disease
human
major clinical study
medical education
ophthalmologist
ophthalmology
optometrist
resident
smoke
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615916912
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 382
TITLE
Cost-effectiveness analysis of smoking-cessation counseling training for
physicians and pharmacists
AUTHOR NAMES
Cantor S.B.
Deshmukh A.A.
Luca N.S.
Nogueras-González G.M.
Rajan T.
Prokhorov A.V.
AUTHOR ADDRESSES
(Cantor S.B., sbcantor@mdanderson.org; Deshmukh A.A.; Rajan T.) Department
of Health Services Research, The University of Texas MD Anderson Cancer
Center, Houston, United States.
(Luca N.S.) Office of Research, Texas Woman's University, Houston, United
States.
(Nogueras-González G.M.) Department of Biostatistics, The University of
Texas MD Anderson Cancer Center, Houston, United States.
(Prokhorov A.V.) Department of Behavioral Science, The University of Texas
MD Anderson Cancer Center, Houston, United States.
CORRESPONDENCE ADDRESS
S.B. Cantor, Department of Health Services Research, Unit 1444, The
University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston,
United States.
SOURCE
Addictive Behaviors (2015) 45 (79-86). Date of Publication: 1 Jun 2015
ISSN
1873-6327 (electronic)
0306-4603
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Background: Although smoking-cessation interventions typically focus
directly on patients, this paper conducts an economic evaluation of a novel
smoking-cessation intervention focused on training physicians and/or
pharmacists to use counseling techniques that would decrease smoking rates
at a reasonable cost. Purpose: To evaluate the cost-effectiveness of
interventions that train physicians and/or pharmacists to counsel their
patients on smoking-cessation techniques. Methods: Using decision-analytic
modeling, we compared four strategies for smoking-cessation counseling
education: training only physicians, training only pharmacists, training
both physicians and pharmacists (synergy strategy), and training neither
physicians nor pharmacists (i.e., no specialized training, which is the
usual practice). Short-term outcomes were based on results from a clinical
trial conducted in 16 communities across the Houston area; long-term
outcomes were calculated from epidemiological data. Short-term outcomes were
measured using the cost per quit, and long-term outcomes were measured using
the cost per quality-adjusted life-year (QALY). Cost data were taken from
institutional sources; both costs and QALYs were discounted at 3%. Results:
Training both physicians and pharmacists added 0.09 QALY for 45-year-old
men. However, for 45-year-old women, the discounted quality-adjusted life
expectancy only increased by 0.01 QALY when comparing the synergy strategy
to no intervention. The incremental cost-effectiveness ratio (ICER) of the
synergy strategy with respect to the non-intervention strategy was
US$868/QALY for 45-year-old men and US$8953/QALY for 45-year-old women. The
results were highly sensitive to the quit rates and community size.
Conclusion: Synergistic educational training for physicians and pharmacists
could be a cost-effective method for smoking cessation in the community.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cost effectiveness analysis
health care cost
medical education
patient counseling
pharmacist
physician
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
female
human
life expectancy
male
medical decision making
middle aged
outcome assessment
quality adjusted life year
smoking cessation program
tobacco dependence (disease management, therapy)
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015706592
MEDLINE PMID
25644592 (http://www.ncbi.nlm.nih.gov/pubmed/25644592)
PUI
L601875498
DOI
10.1016/j.addbeh.2015.01.004
FULL TEXT LINK
http://dx.doi.org/10.1016/j.addbeh.2015.01.004
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 383
TITLE
Training eye-care providers to deliver smoking cessation counseling to their
patients
AUTHOR NAMES
Asfar T.
Lee D.J.
Owsley C.
McGwin G.
Gower E.W.
Friedman D.S.
Murchison A.P.
Mayro E.L.
Saaddine J.
AUTHOR ADDRESSES
(Asfar T.; Lee D.J.) Department of Public Health Sciences, University of
Miami Miller School of Medicine, Miami, United States.
(Owsley C.; McGwin G.) Ophthalmology, University of Alabama at Birmingham,
Birmingham, United States.
(Gower E.W.) Public Health Sciences and Ophthalmology, Wake Forest School of
Medicine, Winston-Salem, United States.
(Friedman D.S.) Ophthalmology, Johns Hopkins University, Baltimore, United
States.
(Murchison A.P.; Mayro E.L.) Ophthalmology, Wills Eye Institute,
Philadelphia, United States.
(Saaddine J.) Division of Diabetes Translation, Centers for Disease Control
and Prevention, Atlanta, United States.
CORRESPONDENCE ADDRESS
T. Asfar, Department of Public Health Sciences, University of Miami Miller
School of Medicine, Miami, United States.
SOURCE
Investigative Ophthalmology and Visual Science (2015) 56:7 (125). Date of
Publication: 1 Jun 2015
CONFERENCE NAME
2015 Annual Meeting of the Association for Research in Vision and
Ophthalmology, ARVO 2015
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2015-05-03 to 2015-05-07
ISSN
0146-0404
BOOK PUBLISHER
Association for Research in Vision and Ophthalmology Inc.
ABSTRACT
Purpose: Mounting scientific evidence indicates that smoking can lead to
visual impairment and blindness. Eye care providers are uniquely positioned
to help their patients quit smoking. The current study developed,
implemented, and evaluated a smoking cessation internet-based training
program targeting eye care providers. The training program was based on the
3A1R: “Ask about tobacco use, Advise to quit, Assess willingness to quit,
and Refer to a telephone tobacco quit line (QL)”. Methods: The training
program was developed and pre-tested among 10 eye-care providers. Feedback
from these providers was used to improve the training materials. Eye care
providers (n=654) at four academic centers were invited to participate in
the study. The program included a 30-minute video integrated into the Wills
Eye Hospital Knowledge Portal (http://www.willseyeonline.org/). Providers
were asked to complete pre- and post-training survey to test their current
smoking cessation practices, knowledge with the QL, and changes in their
attitudes and knowledge with respect to the 3A1R. Results: A total of 116
eye care providers participated in the study. Eighty (69.0%) participants
were White, 20 (17.2%) Asian, 4 (3.4%) Black, and 5 (4.3%) Hispanic. Half of
the participants were male 62 (53.4%), 49 (42.2%) ophthalmologists, 10
(8.6%) optometrists, 42 (36.2%) ophthalmology residents and 14 (12.1%)
fellows. Only half of the participating providers reported routinely asking
patients about their smoking status, 47.4% advised their patients to quit,
23.3% assessed patients' motivation to quit, 2.6% assisted patients in
quitting, and 0.9% arranged a follow-up to address smoking. Surprisingly,
69% of providers were not familiar with tobacco QLs, and only 7.8% referred
their smoking patients to tobacco QLs. At the posttraining survey,
providers' confidence improved with respect to the 3A1R guidelines by 9% for
Ask (95% Confidence Interval CI; 0.05-0.16;p<.001); 23.0% for Advise (0.15-
0.32;p<.001); 12.8% for Assess (0.07-0.21;p<.001); and 46.8% for Refer
(0.37- 0.56;p=.25). Conclusions: Eye-care providers' perceived effcacy in
helping their smoking patients improved significantly and immediately after
receiving the training. On-line training targeting eye health care
professionals has the potential to reduce the burden of tobacco-associated
eye disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
doctor patient relation
eye care
smoking cessation
EMTREE MEDICAL INDEX TERMS
confidence interval
disease course
eye disease
follow up
Hispanic
human
Internet
jurisprudence
major clinical study
male
motivation
ophthalmologist
ophthalmology
optometrist
practice guideline
resident
telephone
training
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L615916798
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 384
TITLE
Smoking prevalence in an established cohort of rheumatoid arthritis patients
in a large UK teaching hospital
AUTHOR NAMES
Ahmed T.
Yalakki L.
Moss K.
AUTHOR ADDRESSES
(Ahmed T.) Rheumatology, Croydon University Hospital, London, United
Kingdom.
(Yalakki L.) Rheumatology, Kingston Hospital NHS Trust, London, United
Kingdom.
(Moss K.) Rheumatology, St Georges Healthcare NHS Trust, London, United
Kingdom.
CORRESPONDENCE ADDRESS
T. Ahmed, Rheumatology, Croydon University Hospital, London, United Kingdom.
SOURCE
Annals of the Rheumatic Diseases (2015) 74 SUPPL. 2 (1025-1026). Date of
Publication: June 2015
CONFERENCE NAME
Annual European Congress of Rheumatology of the European League Against
Rheumatism, EULAR 2015
CONFERENCE LOCATION
Rome, Italy
CONFERENCE DATE
2015-06-10 to 2015-06-13
ISSN
0003-4967
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Background: Smoking is known to be a modifiable risk factor for the
development of seropositive rheumatoid arthritis (RA). It contributes 25% of
the population burden of RA. Those who are smokers are less likely to
respond to methotrexate1 and are more likely to fail anti TNF2 with a
reduction of response to rituximab3. Although the prevalence of smoking is
well known in early arthritis (25%)4 smoking in established rheumatoid
arthritis is less well characterized. Objectives: This study looks at
smoking in an established cohort of RA patients. Methods: All RA patients
testing positive for ACPA from 2010-2013 and all RA patients receiving aTNF
treatment from 2008-2013 were contacted. 265 patients were included in the
study. Patients were contacted by telephone and asked about their smoking
history and efforts in cessation of smoking. Results: 178 patients took part
in the survey, (178/265, 67.2%) the remaining patients were non contactable,
deceased or refused participation. 76% were Caucasian, 12% Asian, 8%
AfroCaribean. Average age was 58 and 74% were female.15% (26/178) were
smokers. The mean age of smokers was 57.6 years and the mean pack year
history was 21.1. The majority of smokers were Caucasian (20/26, 75%). The
majority of current smokers were male. 85% had tried to quit, 81% had been
asked by their doctor about smoking, 73% had been asked to stop smoking but
only 46% had been given support smoking. Conclusions: 15% of the rheumatoid
arthritis population were smokers. The known prevalence of smoking in the
general population is 21.2%. A review of the effectiveness of NHS smoking
cessation services in 2009 demonstrated quit rates of 53% at 1 month and 15%
at 1 yr5. Offering very brief smoking cessation advice is the single most
cost effective and clinically proven preventative action a healthcare
professional can take. Rheumatology outpatients may be an ideal opportunity
to support patients to give up smoking and improve their disease prognosis.
It's time to Ask, Advise and Act on smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
patient
prevalence
rheumatic disease
rheumatoid arthritis
rheumatology
smoking
teaching hospital
United Kingdom
EMTREE MEDICAL INDEX TERMS
arthritis
Asian
Caucasian
female
health care personnel
male
outpatient
physician
population
prognosis
risk factor
smoking cessation
telephone
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72153805
DOI
10.1136/annrheumdis-2015-eular.1090
FULL TEXT LINK
http://dx.doi.org/10.1136/annrheumdis-2015-eular.1090
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 385
TITLE
Knowlege, training, and SBIRT practice among New York state physicians,
nurse practitioners, and physician assistants
AUTHOR NAMES
Yu J.
Harris B.R.
DeStafeno S.
O'Grady M.
AUTHOR ADDRESSES
(Yu J.; Harris B.R.; DeStafeno S.; O'Grady M.) School of Social Welfare,
University at Albany, State University of New York, Albany, United States.
CORRESPONDENCE ADDRESS
J. Yu, School of Social Welfare, University at Albany, State University of
New York, Albany, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2015) 39 SUPPL. 1 (209A).
Date of Publication: June 2015
CONFERENCE NAME
38th Annual Scientific Meeting of the Research Society on Alcoholism
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2015-06-20 to 2015-06-24
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Background: Past research has indicated the cost-effectiveness of Screening,
Brief Intervention, and Referral to Treatment (SBIRT) as an early
intervention strategy in various healthcare and public health settings,
including the primary care setting, to address substance use disorders. The
Office of National Drug Control Policy has included SBIRT in its current
drug control strategy, and New York State is promoting the statewide
expansion and sustainability of SBIRT. This study examines the extent to
which SBIRT is currently being integrated in primary care in New York State.
Methods: Between October and November 2013, an electronic survey was emailed
to members of the Medical Society of the State of New York (MSSNY), the
Nurse Practitioner Association of New York (NPANY), and the New York State
Society of Physician Assistants (NYSSPA). The survey focused on SBIRT
knowledge, training, and practice among primary care professionals to obtain
a better understanding of the future needs in the development of a statewide
strategic plan for integration of SBIRT in the primary care setting.
Results: The survey received 258 responses; 66.9% physicians, 24.3%
physician assistants, and 7.7% nurse practitioners. Less than half of
respondents had received training in how to: (1) screen patients for
substance use (45%), (2) advise patients about risky substance use (49%),
and (3) provide referrals to specialty treatment (46%). Thirty-eight percent
of respondents reported screening for substance use, 31.4% reported
conducting brief interventions, and 32.6% reported providing referrals to
specialty treatment. Only 27.6% reported being somewhat or very familiar
with the SBIRT model. Most respondents did not use a screening tool required
for Medicaid reimbursement; 53.1% reported asking patients directly about
their use while 45% reported using the CAGE instrument which identifies
substance dependence, not risky use. Fifty-nine percent of respondents
reported rarely or never billing for SBIRT. Conclusion: Findings suggest
increasing awareness of the SBIRT model, of federal and state
recommendations for conducting SBIRT, and of the requirements to bill and be
reimbursed by insurance plans for screening and intervention. Results also
have implications for other states that are making efforts to integrate
SBIRT in primary care. Further research is required to study factors
associated with levels of practice identified in this survey.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
human
nurse practitioner
physician
physician assistant
society
United States
EMTREE MEDICAL INDEX TERMS
control strategy
cost effectiveness analysis
drug control
early intervention
health care
insurance
medicaid
medical society
model
patient
policy
primary medical care
public health
reimbursement
screening
substance abuse
substance use
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71902108
DOI
10.1111/acer.12741
FULL TEXT LINK
http://dx.doi.org/10.1111/acer.12741
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 386
TITLE
A Medical Student's Education in Addiction
AUTHOR NAMES
Palma N.
AUTHOR ADDRESSES
(Palma N.) University of Florida College of Medicine, Gainesville, FL, USA,
npalma@ufl.edu
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2015) 39:3 (342-343). Date of Publication: 1 Jun 2015
ISSN
1545-7230 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical student
standards
EMTREE MEDICAL INDEX TERMS
adult
female
human
male
medical education
LANGUAGE OF ARTICLE
English
MEDLINE PMID
25416610 (http://www.ncbi.nlm.nih.gov/pubmed/25416610)
PUI
L608171960
DOI
10.1007/s40596-014-0246-0
FULL TEXT LINK
http://dx.doi.org/10.1007/s40596-014-0246-0
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 387
TITLE
Barriers and facilitators to pharmacotherapy for alcohol use disorders in
primary care: Results of a qualitative study in 4 VA primary care clinics
AUTHOR NAMES
Williams E.C.
Achtmeyer C.E.
Young J.P.
Bradley K.A.
Berger D.B.
Forehand M.
Siegel M.B.
Curran G.
Ludman E.J.
Lapham G.T.
Harris A.H.S.
AUTHOR ADDRESSES
(Williams E.C.; Achtmeyer C.E.; Young J.P.; Bradley K.A.; Berger D.B.;
Forehand M.; Siegel M.B.; Curran G.; Ludman E.J.; Lapham G.T.; Harris
A.H.S.) VA HSRD and SUD QuERI, Seattle, United States.
(Williams E.C.; Achtmeyer C.E.; Young J.P.; Bradley K.A.; Berger D.B.;
Forehand M.; Siegel M.B.; Curran G.; Ludman E.J.; Lapham G.T.; Harris
A.H.S.) VA HSRD and SUD QuERI, Palo Alto, United States.
(Williams E.C.; Achtmeyer C.E.; Young J.P.; Bradley K.A.; Berger D.B.;
Forehand M.; Siegel M.B.; Curran G.; Ludman E.J.; Lapham G.T.; Harris
A.H.S.) Group Health Research Institute, Seattle, United States.
(Williams E.C.; Achtmeyer C.E.; Young J.P.; Bradley K.A.; Berger D.B.;
Forehand M.; Siegel M.B.; Curran G.; Ludman E.J.; Lapham G.T.; Harris
A.H.S.) Boston University, Boston, United States.
(Williams E.C.; Achtmeyer C.E.; Young J.P.; Bradley K.A.; Berger D.B.;
Forehand M.; Siegel M.B.; Curran G.; Ludman E.J.; Lapham G.T.; Harris
A.H.S.) University of Arkansas for Medical Sciences, Little Rock, United
States.
CORRESPONDENCE ADDRESS
E.C. Williams, VA HSRD and SUD QuERI, Seattle, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2015) 39 SUPPL. 1 (79A).
Date of Publication: June 2015
CONFERENCE NAME
38th Annual Scientific Meeting of the Research Society on Alcoholism
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2015-06-20 to 2015-06-24
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Objective: While several medications are effective for treating alcohol use
disorders (AUD), most patients with AUD are not offered them. Primary care
may be an optimal setting in which to increase access to AUD medications,
but multiple barriers may exist to prescribing AUD medications in primary
care. This qualitative study sought to understand barriers and facilitators
to use of AUD medications in primary care. Methods: Key contacts and
snowball sampling were used to recruit 20 primary care providers (16
Attending MDs, 3 NPs, and 1 Resident NP) from 4 clinics of a single VA
facility. Participants completed semi-structured interviews in person, which
were recorded, transcribed, and qualitatively analyzed using rapid
team-based methods. Analyses were guided by a social marketing theoretical
framework to explicitly identify barriers related to participants' emotions,
as distinct from knowledge and awareness. Results: Participants reflected a
spectrum of readiness and willingness to prescribe AUD medications. Some
viewed it as part of their role as a primary care provider, others were open
to but not comfortable prescribing without specific support and/or training,
and some stated explicitly that they were not willing to prescribe AUD
medications as it was outside the scope of primary care. Those willing to
prescribe described possible facilitators: training in AUD medications and
side-effect profiles, and on-site staff to provide monitoring and behavioral
support. Participants expressed a range of beliefs and attitudes. Some
reflected a lack of optimism regarding their ability to help patients with
AUD, expressing beliefs that medications were ineffective in the absence of
behavioral treatments, that patients needed to be ready to change in order
to be treated, that most patients with AUD were not interested in change and
that abstinence was the only goal of treatment. Others reflected a desire to
help patients with AUD with any option available and viewed treatment in
primary care as a way of catalyzing change and addressing stigma and
barriers to specialty treatment. Attitudes and beliefs were often informed
by personal experiences unless interrupted by formal training, such as an
addiction medicine rotation or fellowship. Conclusion: With the provision of
training and staff support, it may be possible to capitalize on some
providers' willingness and optimismin order to encourage provision of
medications as part of care for AUD in primary care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
alcoholism
drug therapy
hospital
primary medical care
qualitative research
society
EMTREE MEDICAL INDEX TERMS
abstinence
addiction
conceptual framework
emotion
human
monitoring
optimism
patient
personal experience
sampling
semi structured interview
side effect
social marketing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71901586
DOI
10.1111/acer.12741
FULL TEXT LINK
http://dx.doi.org/10.1111/acer.12741
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 388
TITLE
A two year experience of a high resolution outpatient unit for adolescents
AUTHOR NAMES
Perez Moreno M.
Olivares L.
Lazaro Y.
Rodriguez Quijano J.
Pelaz A.
Tur N.
Oca L.
Reneses B.
AUTHOR ADDRESSES
(Perez Moreno M.; Olivares L.; Lazaro Y.; Rodriguez Quijano J.; Pelaz A.;
Tur N.; Oca L.; Reneses B.) Hospital Clinico San Carlos, Madrid, Spain.
CORRESPONDENCE ADDRESS
M. Perez Moreno, Hospital Clinico San Carlos, Madrid, Spain.
SOURCE
European Child and Adolescent Psychiatry (2015) 24:1 SUPPL. 1 (S230-S231).
Date of Publication: June 2015
CONFERENCE NAME
16th International Congress of European Society for Child and Adolescent
Psychiatry, ESCAP 2015
CONFERENCE LOCATION
Madrid, Spain
CONFERENCE DATE
2015-06-20 to 2015-06-24
ISSN
1018-8827
BOOK PUBLISHER
Dr. Dietrich Steinkopff Verlag GmbH and Co. KG
ABSTRACT
Objective: Evaluate the results of an specific outpatient unit for
adolescents that started functioning in October 2012. In this Unit, patients
aged 14 to 18 years are referred from General Practitioner and evaluated by
a psychiatrist consultant with the aim to make a diagnosis and, if possible,
return back the patient to Primary Care after the first visit with treatment
recommendations if necessary. Materials and methods: We made a descriptive
study collecting data from the patients that were referred to the high
resolution outpatient unit of Hospital Clínico San Carlos of Madrid since
October 2012 till November 2014. We separated data from the first year and
data from the second year in order to compare both. Results: The number of
patients referred from Primary care along these 2 years were 223. Patients
referred in the first year were 92 and the number that attended was 71 (77.1
%). Among those who attended, 22 were discharged to Primary care (30.9 %)
and 48 continued attending mental health visits for complete study and
treatment (69.1 %). Among those who discharged, we recommended relaxation
training in 4 cases, familiar treatment in Social Services in 1 case,
substance abuse specific center in 1 case and adult mental health unit in
another case. Patients referred in the second year were 131 and the number
that attended was 95 (72.5 %). Among those who attended, 38 were discharged
to Primary care (40 %) and 57 continued attending mental health visits for
complete study and treatments (60 %). Among those who discharged, we
recommended familiar treatment in Social Services in 4 cases, substance
abuse specific center in 2 cases, relaxation training in 1 case, neurology
in 1 case, other psychiatry unit in a different hospital in 1 case and
specific approach for gender violence problems in 1 case. Conclusions: - The
high resolution adolescents unit is a valid model to help General
Practitioners to identify and differentiate mental health problems, that
need a specialized assessment and treatment, from other kind of problems
that are commonly found in clinical settings (familiar problems, adolescence
crisis, developmental difficulties). - The experience along this period has
let enhance the number of patients discharged after the assessment with the
therapeutic advices for the General Practitioner in the second year of
functioning.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
child
child psychiatry
European
human
outpatient department
society
EMTREE MEDICAL INDEX TERMS
adolescence
adult
consultation
diagnosis
gender
general practitioner
hospital
mental health
mental health center
model
neurology
patient
primary medical care
psychiatrist
psychiatry
relaxation training
social work
substance abuse
violence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71991480
DOI
10.1007/s00787-015-0714-4
FULL TEXT LINK
http://dx.doi.org/10.1007/s00787-015-0714-4
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 389
TITLE
Comparison of autism spectrum disorder and Schizophrenia using the rorschach
test
AUTHOR NAMES
Kishimoto N.
Yamamuro K.
Ota T.
Tanaka S.
Sugimoto S.
Onishi T.
Uratani M.
Kyo M.
Iida J.
Kishimoto T.
AUTHOR ADDRESSES
(Kishimoto N.; Yamamuro K.; Ota T.; Tanaka S.; Sugimoto S.; Onishi T.;
Uratani M.; Kyo M.; Iida J.; Kishimoto T.) Nara Medical University School of
Medicine, Nara University of Education, Nara, Japan; Nara Prefectural
General Rehabilitation Center; Kyo Mental Clinic, Nara, Japan
CORRESPONDENCE ADDRESS
N. Kishimoto,
SOURCE
European Child and Adolescent Psychiatry (2015) 24:1 SUPPL. 1 (S140). Date
of Publication: June 2015
CONFERENCE NAME
16th International Congress of European Society for Child and Adolescent
Psychiatry, ESCAP 2015
CONFERENCE LOCATION
Madrid, Spain
CONFERENCE DATE
2015-06-20 to 2015-06-24
ISSN
1018-8827
BOOK PUBLISHER
Dr. Dietrich Steinkopff Verlag GmbH and Co. KG
ABSTRACT
In this study, we have aimed to reveal quantitative tendencies of the
Rorschach response of people with Autism Spectrum Disorder (ASD) and
Schizophrenia. Forty participants were recruited from the outpatient clinic
of the Department of Psychiatry, Nara Medical University School of Medicine
and Mental Clinic Kyo. Twenty patients were diagnosed with ASD, and 20
gender-, age- and, IQ-matched patients were diagnosed with schizophrenia
according to DSM-5 by skilled psychiatrists. Exclusion criteria included any
neurological disorder, a head injury, a serious medical condition, or a
history of substance abuse/dependence. Two senior psychologists, well
trained in psychological testing and certified in the CS method, performed
the Rorschach test according to the standard procedures of administration
and scoring in Exner Comprehensive System. The Exner Comprehensive System
requires 14 or more responses for interpretative validity. They were
independent of the project insofar as they responsible in any way for the
treatment or assessment of the patients. They performed the Rorschach test
and scored to each of the patients. We examined Rorschach variables in ASD
group and schizophrenia group. We found significant differences in six
variables of Rorschach test date on Comprehensive system. Schizophrenia
group had significantly higher scores on D, Adj D, DQo and FQ- than ASD
group. On the other hand, schizophrenia group had significantly lower scores
on active, and DQ+ than ASD group. It is suggested that ASD group showed
lower strength of stress, more simplex recognition and more keeping reality
testing ability than Schizophrenia group. Our research indicates possible
utility of the Rorschach test in differential diagnosis between ASD and
schizophrenia.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
autism
child
child psychiatry
European
human
personality test
schizophrenia
society
EMTREE MEDICAL INDEX TERMS
differential diagnosis
DSM-5
ego
gender
head injury
heart atrium septum defect
hospital
intelligence quotient
neurologic disease
outpatient department
patient
procedures
psychiatrist
psychiatry
psychologic test
psychologist
school
university
validity
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71991243
DOI
10.1007/s00787-015-0714-4
FULL TEXT LINK
http://dx.doi.org/10.1007/s00787-015-0714-4
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 390
TITLE
Developing a fully integrated tobacco curriculum in medical colleges in
India
AUTHOR NAMES
Yamini T.R.
Nichter M.
Nichter M.
Sairu P.
Aswathy S.
Leelamoni K.
Unnikrishnan B.
P P.M.
Thapar R.
Basha S.R.
Jayasree A.K.
Mayamol T.R.
Muramoto M.
Mini G.K.
Thankappan K.R.
AUTHOR ADDRESSES
(Yamini T.R., yaminiganesh@gmail.com; Mini G.K., minisureshkumar@yahoo.com)
Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal
Institute for Medical Science and Technology, Thiruvananthapuram, Kerala,
India
(Nichter M., nichtermark@gmail.com.Department; Nichter M.,
mimi.nichter@gmail.com) University of Arizona, School of Anthropology,
85721, Tucson, AZ, USA
(Nichter M., nichtermark@gmail.com.Department; Muramoto M.,
myram@email.arizona.edu) Department of Family and Community Medicine,
University of Arizona, Tucson, AZ, USA
(Sairu P., sairuphilip09@gmail.com) Department of Community Medicine, T.D.
Medical College, Alappuzha, Kerala, India
(Aswathy S., draswathygopan@gmail.com; Leelamoni K.,
kleelamoni@aims.amrita.edu) Department of Community Medicine, Amrita
Institute of Medical Sciences, Kochi, Kerala, India
(Unnikrishnan B., unnikrishnan.b@manipal.edu; P P.M., ppmithra@gmail.com;
Thapar R., rekha.apar@manipal.edu) Department of Community Medicine,
Kasturba Medical College, Manipal University, Mangalore, Karnataka, India
(Basha S.R.) Department of Community Medicine, Bangalore Medical College and
Research Institute, Bangalore, Karnataka, India. drriyaz@gmail.com
(Jayasree A.K., akjayasree@gmail.com; Mayamol T.R.,
pradeepmayamol@gmail.com) Department of Community Medicine, Academy of
Medical Sciences, Pariyaram, Kannur, Kerala, India
(Thankappan K.R.) Achutha Menon Centre for Health Science Studies, Sree
Chitra Tirunal Institute for Medical Science and Technology,
Thiruvananthapuram, Kerala, India. kavumpurathu@yahoo.com
SOURCE
BMC medical education (2015) 15 (90). Date of Publication: 20 May 2015
ISSN
1472-6920 (electronic)
ABSTRACT
BACKGROUND: This paper describes a pioneering effort to introduce tobacco
cessation into India's undergraduate medical college curriculum. This is the
first ever attempt to fully integrate tobacco control across all years of
medical college in any low and middle income country. The development,
pretesting, and piloting of an innovative modular tobacco curriculum are
discussed as well as challenges that face implementation and steps taken to
address them and to advocate for adoption by the Medical Council of
India.METHODS: In-depth interviews were conducted with administrators and
faculty in five medical colleges to determine interest in and willingness to
fully integrate smoking cessation into the college curriculum. Current
curriculum was reviewed for present exposure to information about tobacco
and cessation skill training. A modular tobacco curriculum was developed,
pretested, modified, piloted, and evaluated by faculty and students.
Qualitative research was conducted to identify challenges to future
curriculum implementation.RESULTS: Fifteen modules were successfully
developed focusing on the public health importance of tobacco control, the
relationship between tobacco and specific organ systems, diseases related to
smoking and chewing tobacco, and the impact of tobacco on medication
effectiveness. Culturally sensitive illness specific cessation training
videos were developed. Faculty and students positively evaluated the
curriculum as increasing their competency to support cessation during
illness as a teachable moment. Students conducted illness centered cessation
interviews with patients as a mandated part of their coursework. Systemic
challenges to implementing the curriculum were identified and
addressed.CONCLUSIONS: A fully integrated tobacco curriculum for medical
colleges was piloted in 5 colleges and is now freely available online. The
curriculum has been adopted by the state of Kerala as a first step to
gaining Medical Council of India review and possible recognition.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
developing country
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
educational model
health care planning
human
India
pilot study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25990861 (http://www.ncbi.nlm.nih.gov/pubmed/25990861)
PUI
L615661140
DOI
10.1186/s12909-015-0369-3
FULL TEXT LINK
http://dx.doi.org/10.1186/s12909-015-0369-3
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 391
TITLE
Prevalence and correlation of hypertension among adult population in Bahir
Dar city, northwest Ethiopia: A community based cross-sectional study
AUTHOR NAMES
Anteneh Z.A.
Yalew W.A.
Abitew D.B.
AUTHOR ADDRESSES
(Anteneh Z.A., kzolam@gmail.com; Yalew W.A.; Abitew D.B.) School of Public
Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir
Dar, Ethiopia.
CORRESPONDENCE ADDRESS
Z.A. Anteneh, College of Medicine and Health Sciences, Bahir Dar University,
PO Box 79, Bahir Dar, Ethiopia.
SOURCE
International Journal of General Medicine (2015) 8 (175-185). Date of
Publication: 6 May 2015
ISSN
1178-7074 (electronic)
BOOK PUBLISHER
Dove Medical Press Ltd., PO Box 300-008, Albany, Auckland, New Zealand.
ABSTRACT
Background: Hypertension is one of the most common causes of premature death
and morbidity and has a major impact on health care costs. It is an
important public health challenge to both developed and developing
countries. The aim of this study was to determine the magnitude and
correlates of hypertension. Methods: A community-based cross-sectional study
was conducted in June 2014 among 681 adult residents of Bahir Dar city using
multistage sampling techniques. An interview-administrated questionnaire and
physical measurements such as blood pressure (BP), weight, height, and waist
and hip circumferences were employed to collect the data. The data were
coded, entered, and analyzed with SPSS version 16 software package. Results:
A total of 678 responses were included in the analysis resulting in a
response rate of 99.6%. The findings declared that 17.6%, 19.8%, and 2.2% of
respondents were prehypertension, hypertension stage I, and hypertension
stage II, respectively, on screening test. The overall prevalence of
hypertension (systolic BP ≥140 mmHg, or diastolic BP ≥90 mmHg, or known
hypertensive patient taking medications) was 25.1%. According to the
multivariate logistic regression analysis, age; having ever smoked
cigarette; number of hours spent walking/cycling per day; number of hours
spent watching TV per day; history of diabetes; adding salt to food in
addition to the normal amount that is added to the food during cooking; and
body mass index were statistically significant predictors of hypertension.
Conclusion: One out of every four respondents of the study had hypertension,
and more than one out of three cases of hypertension (38.8%) did not know
that they had the hypertension; 17.6% of the respondents were in
prehypertension stage, which adds to overall future risk of hypertension.
Therefore, mass screening for hypertension, health education to prevent
substance use, regular exercise, reducing salt consumption, and life style
modifications are recommended.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hypertension (diagnosis)
EMTREE MEDICAL INDEX TERMS
adult
article
blood pressure measurement
body height
body mass
body weight
city
community
controlled study
cooking
correlational study
cross-sectional study
cycling
diabetes mellitus
diastolic blood pressure
Ethiopia
exercise
female
health education
hip circumference
human
information processing
interview
lifestyle modification
major clinical study
male
mass screening
medical history
multivariate logistic regression analysis
prehypertension
prevalence
questionnaire
salt intake
sampling
screening test
smoking
software
substance use
systolic blood pressure
television viewing
waist circumference
walking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015102685
PUI
L604705615
DOI
10.2147/IJGM.S81513
FULL TEXT LINK
http://dx.doi.org/10.2147/IJGM.S81513
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 392
TITLE
Change in provider perspectives about opioid analgesics following a
multidisciplinary educational intervention to enhance safe opioid use
AUTHOR NAMES
Agarwal A.K.
Gugelmann H.
O'Conor K.
Shofer F.
Perrone J.
AUTHOR ADDRESSES
(Agarwal A.K.; Shofer F.; Perrone J.) University of Pennsylvania,
Philadelphia, United States.
(Gugelmann H.) Veterans Affairs Medical Center, San Francisco, United
States.
(O'Conor K.) Johns Hopkins University, School of Medicine, Baltimore, United
States.
CORRESPONDENCE ADDRESS
A.K. Agarwal, University of Pennsylvania, Philadelphia, United States.
SOURCE
Academic Emergency Medicine (2015) 22:5 SUPPL. 1 (S131). Date of
Publication: May 2015
CONFERENCE NAME
2015 Annual Meeting of the Society for Academic Emergency Medicine, SAEM
2015
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2015-05-12 to 2015-05-15
ISSN
1069-6563
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Background: Increased opioid prescribing is associated with rising addiction
rates, overdoses, and deaths. Although several organizations have
established guidelines to effect safe ED opioid prescribing, it is unknown
which aspects of provider perspectives are affected when prescribing
changes. Objectives: The objective of this study was to assess the effect of
an educational intervention upon ED providers' perspectives regarding pain
management. Methods: This prospective study measured the change in
providers' perspectives following a previously reported ED-based,
multidisciplinary educational intervention. The study population included ED
nurses, nurse practitioners (NPs), residents, and attending physicians.
Participants completed baseline and post-intervention surveys measuring
analgesic prescribing preferences and providers' responsibilities. The
primary outcome was a change in perspectives measured in group means and
assessed by t-test. Secondary outcomes included changes in providers' views
of ED pain management. Results: 108 (65.5%) of providers completed the
baseline survey and 91 (69%) completed the (6-month) post-intervention
survey. Respondents includes nurses (47.2%), attending physicians (22.6%),
resident physicians (30.1%), and NPs (4.4%); 32.5% of respondents had
practiced over 10 years. Analgesics for acute pain shifted towards NSAIDs
and acetaminophen (p=0.012) and away from opioids for chronic pain
(p=0.005). Providers increasingly identified the risks of (Table presented)
short and long term opioid addiction (p=0.003, 0.0001). Providers
acknowledged the potential exacerbation of opioid misuse secondary to the
use of opioids for chronic pain, and reported that ED providers can affect
individual outcomes in pain management (Table 293). Conclusion: Previously
published data illustrate that educational interventions targeted at both
prescribers and non-prescribing nurses decreased ED opioid prescribing. This
follow-up study illustrates the significant changes in provider perspectives
on factors related to both acute and chronic ED pain management. This
included increased emphasis on non-opioid analgesics and heightened
awareness of the risk of opioid addiction. The prescriber education
succeeded in changing perspectives, which may explain the success of the
intervention.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent
opiate
EMTREE DRUG INDEX TERMS
analgesic agent
paracetamol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency medicine
society
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
chronic pain
death
education
follow up
human
intoxication
nurse
nurse practitioner
organization
pain
physician
population
prospective study
resident
responsibility
risk
Student t test
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71878935
DOI
10.1111/acem.12644
FULL TEXT LINK
http://dx.doi.org/10.1111/acem.12644
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 393
TITLE
Setting up an addictionsfocused training program for general practitioners
AUTHOR NAMES
Mohiuddin S.M.
AUTHOR ADDRESSES
(Mohiuddin S.M.) Mental Health Service Group, Townsville Hospital and Health
Service, Townsville, Australia.
CORRESPONDENCE ADDRESS
S.M. Mohiuddin, Mental Health Service Group, Townsville Hospital and Health
Service, Townsville, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2015) 49 SUPPL. 1 (114).
Date of Publication: May 2015
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2015
CONFERENCE LOCATION
South Brisbane, QLD, Australia
CONFERENCE DATE
2015-05-03 to 2015-05-07
ISSN
0004-8674
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: In Australia, there are 16.3 FTE psychiatrists per 100,000
population for 'Major cities' while there are only 3.9 FTE psychiatrists for
'Outer Regional' areas. This emphasizes the access barrier to sub-specialty
psychiatric services such as addictions services for those who live outside
metropolitan centres. Townsville, with a population of approximately
180,000, is classified as 'RA-3, outer regional area'. The Mental Health
Service Group, with an integrated Alcohol Tobacco and Other Drug Services
(ATODS), has taken numerous steps to meet an increasing demand for substance
use, gambling and persistent pain assessment and intervention services.
These include up-skilling Generalist Psychiatrists, accrediting advanced
training positions for addictions subspecialty training, and setting up a
training program for General Practitioners (GPs). Objectives: To provide an
insight into the systematic approach used in setting up an
addictions-focused training program for GPs in a regional setting. To also
discuss the barriers encountered during the development and implementation
of this program. Methods: The steps of the project included: planning;
consultation with GPs to identify learning needs as well as barriers to
engagement; design of training program; allocation of resources;
accreditation for CPD points; marketing; recruitment and commencement.
Findings and conclusions: This is an innovative approach by a mental health
service to meet the high demands of addictions problems in a regional area.
The presentation aims to describe the methodology undertaken to set up a
training program for GPs in order to improve access to clinical care.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Australian
college
general practitioner
human
New Zealand
psychiatrist
training
EMTREE MEDICAL INDEX TERMS
accreditation
addiction
Australia
city
consultation
gambling
learning
marketing
mental health service
methodology
pain assessment
planning
population
substance use
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71904824
DOI
10.1177/0004867415578344
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867415578344
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 394
TITLE
Suicidal behavior in a medical professional with comorbid depression and
substance use disorder: An educational case report
AUTHOR NAMES
Kiraly D.D.
Sher L.
AUTHOR ADDRESSES
(Kiraly D.D., drew.kiraly@mssm.edu; Sher L.) Department of Psychiatry, Icahn
School of Medicine at Mount Sinai, Box 1230, One Gustave L Levy Place, New
York, United States.
(Kiraly D.D., drew.kiraly@mssm.edu; Sher L.) James J. Peters Veterans
Administration Medical Center, New York, United States.
CORRESPONDENCE ADDRESS
D.D. Kiraly, Department of Psychiatry, Icahn School of Medicine at Mount
Sinai, Box 1230, One Gustave L Levy Place, New York, United States. Email:
drew.kiraly@mssm.edu
SOURCE
International Journal of Adolescent Medicine and Health (2015) 27:2
(231-233). Date of Publication: 1 May 2015
ISSN
2191-0278 (electronic)
0334-0139
BOOK PUBLISHER
Walter de Gruyter GmbH, info@degruyter.com
ABSTRACT
Here, we publish a report of a previously practicing nurse practitioner who
presented to a community hospital with severely depressed mood and
neurovegetative symptoms in the context of recent relapse to alcohol and
cocaine abuse. This patient had a long history of depression and
polysubstance abuse. Additionally, the patient had a history of multiple
previous suicide attempts with a high possibility for lethality. All of his
attempts occurred in the setting of depression, escalating substance use,
and interpersonal difficulties. Due to his chronic struggles with mental
health and substance abuse issues, the patient lost his marriage, many close
friends, and, eventually, his license to practice medicine. In this report,
we highlight the increased risk of suicidal behavior or completed suicide in
patients with co-occurring depressive and substance abuse disorders. We also
look to highlight the often unmet need of mental health and substance abuse
treatment for healthcare professionals. Studies suggest that healthcare
providers experience increasing rates of burnout, mood and anxiety
disorders, and substance use disorders, but available treatment resources
remain scarce. This is a serious public health issue that will require
increased vigilance by the community at large to ensure the safety and
wellbeing of both patients and their providers.
EMTREE DRUG INDEX TERMS
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression
nurse practitioner
substance abuse
suicidal behavior
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
alertness
anxiety disorder
burnout
case report
cocaine dependence
health care personnel
human
lethality
male
marriage
mental health
middle aged
mood disorder
relapse
review
risk assessment
substance use
suicide attempt
wellbeing
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015018492
MEDLINE PMID
25411994 (http://www.ncbi.nlm.nih.gov/pubmed/25411994)
PUI
L604277468
DOI
10.1515/ijamh-2015-5017
FULL TEXT LINK
http://dx.doi.org/10.1515/ijamh-2015-5017
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 395
TITLE
The effect of training level on opioid utilization efficiency
AUTHOR NAMES
Roberman D.
Ahmad M.
Green M.S.
AUTHOR ADDRESSES
(Roberman D.; Ahmad M.; Green M.S., Michael.Green@Drexelmed.edu) Drexel
University College of Medicine, Hahnemann University Hospital, 245 N. 15th
St, Suite 7502, MS 310, Philadelphia, United States.
CORRESPONDENCE ADDRESS
M.S. Green, Drexel University College of Medicine, Hahnemann University
Hospital, 245 N. 15th St, Suite 7502, MS 310, Philadelphia, United States.
SOURCE
Journal of Clinical Anesthesia (2015) 27:3 (233-236) Article Number: 7897.
Date of Publication: 1 May 2015
ISSN
1873-4529 (electronic)
0952-8180
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Abstract Study Objective This study focuses on residents' ability to predict
opioid administration requirements and if improvement is made as learners
progress. Residents request opioid from the pharmacy at the start of the day
based on clinical assignment. Unused and wasted opioids are returned at the
end of the day. The labor and cost associated with this process are not
trivial nor is the risk of excess opioid access. We examined if estimation
of daily opioid use by residents increased in accuracy as progression
through the program occurred. Materials and Methods We conducted a
retrospective analysis in the setting of the operating room examining
pharmacy opioid usage. The measurements included the number of vials
requested, the number of vials dispensed, and the number of vials returned.
Information was stratified in our database by the level of training. The set
inclusion criterion was any surgery performed in the operating rooms that
required the use of opioids. The exclusion criteria included anesthesia that
required a regional block, cardiac surgeries, emergent cases, and obstetric
cases. Main Results A total of 104 opioid requests were made that met our
criteria. Comparing CA-1 and CA-3 residents and CA-2 and CA-3 residents, a
statistically significant difference exists between the number of vials
requested and the number returned. Our data show a statistically significant
difference in efficiency as residents progress from their CA-1 year to CA-3
year. Conclusion In summary, our findings support the idea that residents
are able to better predict opioid requirements for cases as they progress
through training. Closely monitoring such patterns can serve a useful
educational purpose and allow for identification of misuse. Improvement in
cost-effective care and limiting waste while working in a complex integrated
health care environment are additional benefits.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
fentanyl (pharmacoeconomics)
hydromorphone (pharmacoeconomics)
morphine (pharmacoeconomics)
remifentanil (pharmacoeconomics)
sufentanil (pharmacoeconomics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
residency education
EMTREE MEDICAL INDEX TERMS
article
cost effectiveness analysis
data base
drug utilization
human
measurement accuracy
operating room
pharmacy
priority journal
resident
retrospective study
syringe (device economics)
CAS REGISTRY NUMBERS
fentanyl (437-38-7)
hydromorphone (466-99-9, 71-68-1)
morphine (52-26-6, 57-27-2)
remifentanil (132539-07-2)
sufentanil (56030-54-7)
EMBASE CLASSIFICATIONS
Anesthesiology (24)
Biophysics, Bioengineering and Medical Instrumentation (27)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015715375
MEDLINE PMID
25657066 (http://www.ncbi.nlm.nih.gov/pubmed/25657066)
PUI
L602005844
DOI
10.1016/j.jclinane.2014.12.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jclinane.2014.12.003
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 396
TITLE
'Speeding towards heart failure'-amphetamine associated cardiomyopathy
AUTHOR NAMES
Lewis G.G.
Saravanan P.
AUTHOR ADDRESSES
(Lewis G.G.; Saravanan P.) Wirral University Teaching Hospital, NHS Trust,
Wirral, United Kingdom.
CORRESPONDENCE ADDRESS
G.G. Lewis, Wirral University Teaching Hospital, NHS Trust, Wirral, United
Kingdom.
SOURCE
European Journal of Heart Failure (2015) 17 SUPPL. 1 (256-257). Date of
Publication: May 2015
CONFERENCE NAME
Heart Failure 2015 and the 2nd World Congress on Acute Heart Failure
CONFERENCE LOCATION
Seville, Spain
CONFERENCE DATE
2015-05-23 to 2015-05-26
ISSN
1388-9842
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
Introduction and case report description: We report two patients with
dilated cardiomyopathy secondary to amphetamine use - the diagnosis was not
initially recognised and treatment was delayed. A 45 year old male was
initially diagnosed with pneumonia. He presented with dyspnoea, chest
discomfort and cough, his electrocardiogram (ECG) showed T-wave inversion
throughout the precordial leads, and high-sensitivity Troponin T (HS-TnT)
34. After treatment with antibiotics he remained tachycardic, hypertensive
and breathless. Cardiology review demonstrated signs of acute heart failure.
A focused history revealed chronic amphetamine use for the past 10-years.
His echocardiogram showed a dilated cardiomyopathy with severe left
ventricular systolic dysfunction (LVSD) and ejection fraction (EF) of 11%.
He was diagnosed with amphetamine associated cardiomyopathy and commenced on
standard heart failure treatment. The second patient was a 49 year old male
presenting with exertional dyspnoea. His ECG showed T-wave inversion in the
anterolateral leads and sinus tachycardia. His HS-TnT 39. General physician
diagnosed and treated him for acute coronary syndrome. Cardiology review
revealed a 2 month history of paroxysmal nocturnal dyspnoea. Examination
demonstrated signs of acute heart failure. In a focused drug history he
disclosed amphetamine use since age 18. An echocardiogram demonstrated a
dilated cardiomyopathy with severe LVSD and EF 15%. He was treated for acute
heart failure. Description of the problem: Amphetamine use is common. In the
UK it is now the second most common drug of abuse and cardiomyopathy
resulting from its use may become more frequent although the true prevalence
is unknown. Physicians and medical doctors need to be able to recognise the
clinical signs of heart failure in younger patients and be able to take a
focused history to identify at risk behaviour that may lead to
cardio-toxicity and subsequent cardiomyopathy. Questions (1) How is this
condition recognised? (2) How should our patients be treated and managed?
(3) What is the likelihood of recovery of left ventricular function? (4)
What is the underlying pathophysiology? Answers and discussion: In young
patients presenting with heart failure a high index of suspicion of
substance abuse is warranted. Both patients remained abstinent from
amphetamine use following diagnosis. Our first patient had a repeat
echocardiogram six weeks later which showed marked improvement in left
ventricular systolic function. Recovery of ventricular function is well
described throughout previous case reports if managed with strict drug
abstinence and standard heart failure medications. The proposed mechanism of
cardiomyopathy is persistent adrenergic stimulation leading to
sub-endocardial ischaemia, possibly related to coronary artery spasm, and
myocarditis secondary to catecholamine toxicity. Conclusions and learning
points: • A high index of suspicion for substance abuse is necessary for
younger patients presenting with heart failure • Drug abstinence is
essential in the management of amphetamine associated cardiomyopathy •
Increased awareness is required by general physicians to identify patients
on initial Presentation.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amphetamine
EMTREE DRUG INDEX TERMS
antibiotic agent
catecholamine
troponin T
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acute heart failure
cardiomyopathy
heart failure
EMTREE MEDICAL INDEX TERMS
abuse
acute coronary syndrome
adrenergic stimulation
cardiology
cardiotoxicity
congestive cardiomyopathy
coronary artery spasm
coughing
diagnosis
drug therapy
drug withdrawal
dyspnea
echocardiography
electrocardiogram
endocardium
examination
general practitioner
heart ejection fraction
heart left ventricle function
heart ventricle function
His bundle electrogram
human
ischemia
learning
left ventricular systolic dysfunction
male
myocarditis
paroxysmal dyspnea
pathophysiology
patient
physician
pneumonia
prevalence
risk
sinus tachycardia
substance abuse
T wave inversion
thorax pain
toxicity
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71903377
DOI
10.1002/ejhf.277
FULL TEXT LINK
http://dx.doi.org/10.1002/ejhf.277
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 397
TITLE
What experienced experts almost miss: Unusual somatic causes of fatigue
AUTHOR NAMES
Laube E.S.
Bonetti N.R.
Bächli E.
Beer J.H.
AUTHOR ADDRESSES
(Laube E.S.; Bonetti N.R.; Beer J.H.) Internal Medicine, Cantonal Hospital
of Baden, Baden, Switzerland.
(Bächli E.) Internal Medicine, Hospital of Uster, Uster, Switzerland.
(Bächli E.) President of the Swiss Society of Department Heads, Uster,
Switzerland.
(Beer J.H.) Laboratory for Platelet Research, Center for Molecular
Cardiology, University of Zurich, Zurich, Switzerland.
CORRESPONDENCE ADDRESS
E.S. Laube, Internal Medicine, Cantonal Hospital of Baden, Baden,
Switzerland.
SOURCE
Praxis (2015) 104 SUPPL. 1 (109). Date of Publication: May 2015
CONFERENCE NAME
SGIM Jahresversammlung 2015
CONFERENCE LOCATION
Basel, Switzerland
CONFERENCE DATE
2015-05-20 to 2015-05-22
ISSN
1661-8157
BOOK PUBLISHER
Verlag Hans Huber AG
ABSTRACT
Background: Fatigue as an everyday symptom of everyday patients is often
considered to be of minor importance, even by experienced doctors. Managing
“tired” patients can present a challenge. Often enough it is attributed to
psychosomatic reasons or disregarded altogether. This may lead to
underrecognition of potentially treatable somatic diseases. Methods: To
approach this complex field we asked the most experienced clinicians to
share their (almost) missed somatic causes of fatigue. We reasoned that
these cases would be of great teaching value. We conducted a nationwide
survey among the members of the Swiss Society of Department Heads of
Medicine. A questionnaire with the following inquiries was sent out to 150
chiefs: 1. What was the most surprising somatic cause of fatigue in your
career thus far? 2. Which diagnosis did you (almost) miss? Results: We
received the lively descriptions of ≥ 50 surprising and outstanding cases.
In the table we summarize the most frequently mentioned somatic causes for
fatigue (“the Big 5”) as well as the rarest and most surprising diagnoses
(“the Zebras”). General take home messages: • The rare reasons for fatigue
and the near missed diagnoses by experts are valuable teaching tools. •
Generate new hypotheses if fatigue is explained by a disease, but does not
improve during treatment. • Be persistent - the devil is in the details.
Specific learning points: • Make the distinction between sleepiness and
fatigue. • More often than generally anticipated, the sound of hooves is
actually due to zebras. • “Think medication”: The wrong dosage, the wrong
substance, substance abuse, the medication of the wrong patient. Educate
your patients on pharmacotherapy. (Table Presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
fatigue
human
EMTREE MEDICAL INDEX TERMS
diagnosis
diseases
drug therapy
hoof and claw
hypothesis
learning
patient
physician
psychosomatics
questionnaire
society
somnolence
substance abuse
Swiss
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71977057
DOI
10.1024/1661-8157/a001994
FULL TEXT LINK
http://dx.doi.org/10.1024/1661-8157/a001994
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 398
TITLE
Addictions and mental health services: A brief overview of recent history in
Queensland
AUTHOR NAMES
Reilly J.
AUTHOR ADDRESSES
(Reilly J.) Mental Health Service Group, Townsville Hospital and Health
Service, Townsville, Australia.
CORRESPONDENCE ADDRESS
J. Reilly, Mental Health Service Group, Townsville Hospital and Health
Service, Townsville, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2015) 49 SUPPL. 1 (50).
Date of Publication: May 2015
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2015
CONFERENCE LOCATION
South Brisbane, QLD, Australia
CONFERENCE DATE
2015-05-03 to 2015-05-07
ISSN
0004-8674
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: The longstanding breach in many states between public sector
mental health services (MHS) and clinical addiction services has been
associated with loss of capacity and de-skilling of psychiatrists in
addiction, contributing to lack of training pathways in addiction
psychiatry. Developing Hospital and Health Service structures in Queensland
have supported the reunion of MHS and Alcohol, Tobacco and Other Drugs
Services (ATODS). This has necessitated the development of clinical capacity
in addictions among psychiatrists and other clinicians in addition to
applicable clinical governance processes. ATODS model of care historically
has hovered between primary and secondary care, with associated de-skilling
of primary care services. Objectives: To stimulate discussion about
strategies for enhancing subspecialty knowledge, skills and practice in
addictions in clinicians who work in rural and remote settings. Methods: We
will consider addictions as a specific example of the issues highlighted by
Dr Lee. We will outline existing service delivery structures and gaps in
Queensland. We will identify core requirements for psychiatrists to work as
clinicians in addiction services, whether as subspecialists or generalists,
and consider strategies for upskilling psychiatrists, other mental health
clinicians and general practitioners in addictions. Findings and
conclusions: Linkages between psychiatry and addictions need further
nurturing. RANZCP training and the attitudes of psychiatrists will play a
vital role in the reunions and the recognition of addictions as a core
component of psychiatry.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Australia
Australian
college
human
mental health service
New Zealand
psychiatrist
EMTREE MEDICAL INDEX TERMS
general practitioner
health care delivery
health care quality
health service
hospital
mental health
model
organization and management
primary medical care
psychiatry
Reunion
secondary health care
skill
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71904675
DOI
10.1177/0004867415578344
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867415578344
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 399
TITLE
Developing capacity in addictions in rural and remote health services: A
north Queensland perspective
AUTHOR NAMES
Mohiuddin M.
AUTHOR ADDRESSES
(Mohiuddin M.) Mental Health Service Group, Townsville Hospital and Health
Service, Townsville, Australia.
CORRESPONDENCE ADDRESS
M. Mohiuddin, Mental Health Service Group, Townsville Hospital and Health
Service, Townsville, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2015) 49 SUPPL. 1 (50-51).
Date of Publication: May 2015
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2015
CONFERENCE LOCATION
South Brisbane, QLD, Australia
CONFERENCE DATE
2015-05-03 to 2015-05-07
ISSN
0004-8674
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: The longstanding breach in many states between public sector
mental health services (MHS) and clinical addiction services has been
associated with loss of capacity and de-skilling of psychiatrists in
addictions, contributing to lack of training pathways in addiction
psychiatry. Developing Hospital and Health Service structures in Queensland
have supported the reunion of MHS and Alcohol, Tobacco and Other Drugs
Services (ATODS). This has necessitated the development of clinical capacity
in addictions among psychiatrists and other clinicians in addition to
applicable clinical governance processes. Objectives: To identify core
requirements for psychiatrists to work as clinicians in addiction services,
whether as sub-specialists or generalists, in rural and remote areas, though
with possible applicability in some metropolitan areas. Methods: Outline the
experience of the Rural, Remote and Indigenous (RRI) MHS of Townsville in
modifying previous models of service delivery in addictions. Explain
strategies to develop addiction capacity in the psychiatrists and other
mental health clinicians of the RRI MHS and their implementation to date.
Explain how this process has been incorporated into personal training in
Addiction Psychiatry. Findings: Current status of addictions services in the
RRI will be outlined. Difficulties experienced in the process will be
highlighted in addition to achievements thus far. Conclusion: The process to
date and the training package developed for addiction psychiatry in rural
and remote settings offers a template for other trainees and other services
wishing to develop such capacity.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Australia
Australian
college
health service
human
New Zealand
psychiatrist
EMTREE MEDICAL INDEX TERMS
achievement
health care delivery
health care quality
hospital
medical specialist
mental health
mental health service
model
organization and management
psychiatry
Reunion
student
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71904676
DOI
10.1177/0004867415578344
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867415578344
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 400
TITLE
Generalists and (SUB)- specialists: Has the balance swung too far? Are the
scales weighted equally in metropolitan and regional settings?
AUTHOR NAMES
Reilly J.
Lee J.
Mohiuddin M.
AUTHOR ADDRESSES
(Reilly J.; Lee J.; Mohiuddin M.) Mental Health Service Group, Townsville
Hospital and Health Service, Townsville, Australia.
CORRESPONDENCE ADDRESS
J. Reilly, Mental Health Service Group, Townsville Hospital and Health
Service, Townsville, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2015) 49 SUPPL. 1 (49).
Date of Publication: May 2015
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2015
CONFERENCE LOCATION
South Brisbane, QLD, Australia
CONFERENCE DATE
2015-05-03 to 2015-05-07
ISSN
0004-8674
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: Medical specialisation and its inevitable hand-maiden,
sub-specialisation, has been associated with significant advances in
effectiveness of health service delivery, facilitating high-quality
assessment and effective evidence-based health care in addition to targeted
research. It does come at a potential cost of fragmentation of service
delivery with focus on organ systems or service delivery structures rather
than holistic care. The balance between generalist care and specialisation
is influenced by many factors not necessarily related to most cost-effective
clinical service delivery and certainly including training structures.
Objectives: To stimulate discussion about impacts of subspecialisation on
RANZCP training and on service delivery to people with mental illness,
particularly in regional settings. To consider possible benefits and risks
of more generalist psychiatric care, including existing barriers to training
in and maintenance of sub-specialist skills for generalists. Methods: The
speakers will consider this topic from various perspectives, including
historical trends, those of other Medical Colleges, service development and
delivery, psychiatric training and particularly addiction, child and
adolescent, and old age psychiatry as sub-specialties. They will use their
current roles of psychiatric trainee, psychiatrists and service directors
from a regional centre to do so and to outline the strategies being used in
Townsville and the surrounding area to provide generalist and subspecialty
care. The audience will be encouraged to discuss personal experiences of
generalist vs sub-specialist psychiatry and of access to sub-specialty
knowledge and skills and the relevance of sub-specialty training, and the
strategies used by or planned in other services, including their outcomes.
We anticipate this will be of particular relevance to psychiatrists working
in rural and remote settings, but believe it is important for all.
Conclusion: The symposium will enhance understanding of possible generalist
and sub-specialist models of care and encourage discussion about the impact
of further sub-specialisation in psychiatry and a possible shift to
generalist training with associated training and service delivery
requirements.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Australian
college
human
medical specialist
New Zealand
psychiatrist
EMTREE MEDICAL INDEX TERMS
addiction
adolescent
child
evidence based practice
health care
health care delivery
health service
holistic care
medical school
mental disease
mental health care
model
organ systems
personal experience
psychiatry
quality control
risk
senescence
skill
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71904672
DOI
10.1177/0004867415578344
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867415578344
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 401
TITLE
The addiction recovery clinic: A novel primary care-based approach to
teaching addiction medicine
AUTHOR NAMES
Tetrault J.M.
Holt S.
Cavallo D.
Fiellin D.A.
AUTHOR ADDRESSES
(Holt S.; Cavallo D.; Fiellin D.A.) Yale University, New Haven, United
States.
(Tetrault J.M.) Yale University, School of Medicine, New Haven, United
States.
CORRESPONDENCE ADDRESS
J.M. Tetrault, Yale University, School of Medicine, New Haven, United
States.
SOURCE
Journal of General Internal Medicine (2015) 30 SUPPL. 2 (S509). Date of
Publication: April 2015
CONFERENCE NAME
38th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2015-04-22 to 2015-04-25
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: Substance use is prevalent in the U.S. resulting in
major public health burdens. Despite the high prevalence of substance use in
Internal Medicine (IM) practice, little curricular time is devoted to
training IM residents in Addiction Medicine (AM) and evaluating their skills
in identification, diagnosis, treatment and prevention of substance use and
substance use disorders. We developed and launched the Yale Addiction
Recovery Clinic (ARC), intended to meet this educational deficit while also
providing an outpatient clinical service to patients with addictive
disorders, based upon the chronic disease management model. The educational
objectives of the ARC include providing IM residents with knowledge of the
biologic basis for addiction, and educating residents about available
pharmacologic and behavioral interventions. SETTING AND PARTICIPANTS: The
ARC is embedded within our outpatient adult Primary Care Residency Clinic
and is staffed by two to three IM trainees per block, two AM-certified
attending physicians, one AM Fellow, one social worker and a licensed
behavioral psychologist and provides comprehensive care to patients with
addiction. During their ambulatory rotation, trainees spend 1/2day per week
for four consecutive weeks at the ARC seeing new and established patients.
DESCRIPTION: Patient referrals are made from both the outpatient Primary
Care Residency Clinic, and the inpatient service. Inpatient consults are
evaluated by the ARC team during the inpatient stay, treatment is initiated,
and follow up with the ARC is then arranged. Once patients are stabilized at
the ARC, residents are encouraged to transition the patients' care back into
their longitudinal primary care practice, utilizing the skills obtained
during their ARC rotation. Services provided within the clinic include:
treatment of opioid use disorder with buprenorphine induction, maintenance
therapy, and behavioral counseling; treatment of alcohol use disorder with
pharmacotherapy (naltrexone, disulfiram, acamprosate) and behavioral
counseling, outpatient management of alcohol withdrawal, consultative
services for other drugs of abuse (e.g. marijuana, cocaine), smoking
cessation pharmacotherapy and counseling, and direct referral to local
addiction treatment facilities for patients who cannot be safely managed
within the ARC. EVALUATION: We developed a multi-level evaluation system.
Clinical practice is evaluated by visit numbers and patient satisfaction
surveys. Between August 2014 and December 2014, a total of 156 visits were
seen with an average of 2 new patients and 7 follow-up patients were seen
during each half-day session. Fifty percent of patients were treated for
opioid use disorder, 30% for alcohol use disorder and 20% for other
substance use disorder. Patient satisfaction surveys are currently being
collected and analyzed. Residents are evaluated using a novel Entrus table
Professional Activity (EPA) based system specifically designed for this
rotation, which includes three specific EPAs across ten different domains.
Overall, the rotation has been highly regarded by the residents as assessed
by qualitative evaluation data. DISCUSSION / REFLECTION / LESSONS LEARNED:
The ARC offers a unique primary care-based approach to teaching IM residents
the knowledge and skills to identify, diagnose, treat and prevent addiction
throughout the disease spectrum, in keeping with the chronic disease
management model. A multilevel assessment system is used to evaluate the
overall clinical practice, resident performance and skill acquisition
through an EPA based system, and resident satisfaction with the educational
experience.
EMTREE DRUG INDEX TERMS
acamprosate
buprenorphine
cannabis
cocaine
disulfiram
naltrexone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
hospital
internal medicine
primary medical care
society
teaching
EMTREE MEDICAL INDEX TERMS
abuse
adult
alcohol withdrawal syndrome
alcoholism
chronic disease
clinical practice
counseling
diagnosis
disease management
diseases
drug therapy
follow up
hospital patient
human
maintenance therapy
model
outpatient
patient
patient referral
patient satisfaction
physician
prevalence
prevention
psychologist
public health
satisfaction
skill
smoking cessation
social worker
student
substance abuse
substance use
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71878552
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 402
TITLE
Wam! week of addiction medicine: an intensive curriculum for internal
medicine-primary care interns
AUTHOR NAMES
Bhatraju E.P.
Kurland S.
Van Metre Baum L.
Chang A.A.
Taff J.
Fox J.
Lipkin M.
Hanley K.
AUTHOR ADDRESSES
(Fox J.) Manhattan VA and NYU SoM, New York, United States.
(Hanley K.) NYU, New York, United States.
(Chang A.A.) NYU/Gouverneur, New York, United States.
(Kurland S.; Taff J.) New York University, New York, United States.
(Lipkin M.) New York University, School of Medicine, New York, United
States.
(Bhatraju E.P.) Virginia Mason, Seattle, United States.
(Van Metre Baum L.) Montefiore Medical Center, New York, United States.
CORRESPONDENCE ADDRESS
E.P. Bhatraju, Virginia Mason, Seattle, United States.
SOURCE
Journal of General Internal Medicine (2015) 30 SUPPL. 2 (S299). Date of
Publication: April 2015
CONFERENCE NAME
38th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2015-04-22 to 2015-04-25
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: Medical residencies inadequately address substance use (SU)
disorders despite their significant contribution to disability, death, and
healthcare costs. Physicians avoid counseling and treating patients with SU
disorders because of discomfort discussing SU with patients, poor baseline
knowledge and clinical skills, and negative attitudes towards SU. We
undertook to improve SU education in a primary care residency by designing
and implementing an intensive weeklong addiction medicine curriculum for
interns and assessed its impact on knowledge, skills, and attitudes.
METHODS: The curriculum utilized a learner-centered, experiential education
model. Sessions included lectures, guided discussions, patient interviews,
journal club, and treatment site visits. Content included neurobiology of
addiction, opiates, alcohol, motivational interviewing (MI), brief
interventions, harm reduction, and policy. MI training included theory,
skills based practice, and coaching sessions. Knowledge and attitudes were
assessed by pre- and post-test: 18 questions tested clinical knowledge;
eight assessed confidence and attitudes using a Likert scale from (1)
strongly disagree to (5) strongly agree. For the four questions pertaining
to confidence, a composite “confidence score” was computed (Cronbach's
alphas >0.85 for both pre- and post-tests). The intern cohorts were similar
and analyzed together. RESULTS: The curriculum was implemented in March 2013
(n=9) and March 2014 (n= 8). Fifteen pre-tests and 17 post-tests were
completed. The clinical knowledge mean test score improved from 50 to 70 %
(p<0.0005). The mean confidence score increased from 2.7 to 4.2 (p<0.0005).
Post-test, 94 % of participants somewhat or strongly agreed that treating SU
is rewarding, vs. 69 % baseline. Eighty-eightpercent somewhat or strongly
believed they could make a difference in their addicted patients, compared
to 57 % baseline. Participant feedback was strongly positive. CONCLUSIONS:
Baseline knowledge and confidence were poor. Knowledge, confidence, and
attitudes towards SU improved after WAM. Further assessment is needed to
determine if the effects are durable and translate into improved provider
satisfaction, patient counseling and treatment, and health outcomes.
EMTREE DRUG INDEX TERMS
alcohol
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
internal medicine
primary medical care
society
EMTREE MEDICAL INDEX TERMS
counseling
Cronbach alpha coefficient
death
disability
diseases
education
educational model
feedback system
harm reduction
health
health care cost
human
interview
Likert scale
motivational interviewing
neurobiology
patient
patient counseling
physician
policy
satisfaction
skill
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71878001
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 403
TITLE
Work life balance in residency, how to make it possible
AUTHOR NAMES
Moazami D.
AUTHOR ADDRESSES
(Moazami D.) Capital Health, Trenton, United States.
CORRESPONDENCE ADDRESS
D. Moazami, Capital Health, Trenton, United States.
SOURCE
Journal of General Internal Medicine (2015) 30 SUPPL. 2 (S513). Date of
Publication: April 2015
CONFERENCE NAME
38th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2015-04-22 to 2015-04-25
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
NEEDS AND OBJECTIVES: One of the core requirements in the ACGME Program
Requirements for Internal Medicine states “the program must be committed to
and responsible for promoting patient safety and resident well-being in a
supportive educational environment.” Resident well-being is essential for
optimal resident learning as well as competent and compassionate patient
care. It is estimated that 27-75% of residents are burned out at any given
time depending on the medical specialty. SETTING AND PARTICIPANTS: To
promote a culture of wellness, our program developed the Wellness Curriculum
to assess and improve resident well-being during their training. Goals: To
increase coping skills and strategies to manage stress. To identify and
recognize burnout symptoms and signs in themselves and others. To introduce
the concept and importance of wellness at the beginning of residency. To
create and maintain a supportive educational environment in which wellness
is a mindful value. DESCRIPTION: In a series of didactic sessions, residents
were educated about the importance of recognizing symptoms of fatigue and
burnout in themselves and among their peers. Wellness goals were added to
the agenda of monthly faculty advisor meeting. The Program and the GME
Department monitors resident duty hours and teaches residents ACGME Duty
Hour requirements. The Program has a referral system in place for residents
to seek help confidentially. A series of monthly Resident Well-being topics
was added to the Noon Conference agenda throughout the year, once a month:
Video and discussion of “Struggling in Silence: Physician Depression and
Suicide” (American foundation for Suicide Prevention) Debriefing sessions
Lectures about healthy diet, substance abuse, fatigue and sleep deprivation.
Lectures and interactive sessions about professional competence and
relationship: difficult patient, conflict management, social media, team
building exercise, job satisfaction, insurance companies, medical health
reform. In addition, innovative wellness activities took the place of
traditional Noon Conference lecture format. Some of these included the value
auction game, simulated calls to a loved one and reflections on
thankfulness. Through these activities residents were able to focus on
issues that are important outside of residency training. Avariety of group
activities were added throughout the year as “stress relievers” and team
building activities. Some of these included: fundraising for AHA, holiday
and birthday celebrations, off-site social gatherings, community activities
(volunteering at NYC Marathon, local flu vaccine event) Residents have been
involved in different activities to increase a sense of control: Hospital
committee, curriculum committee, and Program Evaluation Committee. Faculty
members were encouraged to provide positive feedback and to use praise card.
The Maslach Burnout Inventory (MBI) was administered to 32 residents.
EVALUATION: Thirty-two out of 32 residents took the MBI. The group average
scores for Emotional Exhaustion and Depersonalization were less than general
population and for Personal Accomplishment was more than general population.
15.6 % (5/32) resident had severe burnout and 28.1 % (9/32) had moderate
burnout. The results were provided to residents and will be monitored by the
program and faculty advisors. DISCUSSION / REFLECTION / LESSONS LEARNED:
Through the Wellness Curriculum, our residents have a greater understanding
of the relationship between their well-being and the provision of high
quality, and safe patient care. Methods of identifying residents with
increased stress and burnout are implemented, as well as avenues for relief
and treatment of burnout symptoms. Elements of the curriculum will be
implemented earlier in the PGY1 year including during orientation. Wellness
issues will be discussed during semiannual resident evaluation meetings and
resident faculty meetings.
EMTREE DRUG INDEX TERMS
influenza vaccine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internal medicine
society
EMTREE MEDICAL INDEX TERMS
American
burnout
community
conflict management
coping behavior
curriculum
depersonalization
diet
emotional stress
environment
exercise
fatigue
health
hospital
human
insurance
job satisfaction
learning
leisure
medicine
monitor
non profit organization
patient care
patient safety
physician
population
positive feedback
praise
prevention
problem patient
professional competence
program evaluation
residency education
skill
sleep deprivation
social media
substance abuse
suicide
team building
videorecording
wellbeing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71878562
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 404
TITLE
Beyond post partum depression: Interactive methods for teaching about
pregnancy related obsessive compulsive disorder (OCD) and substance use
disorders (SUDS)
AUTHOR NAMES
Frank J.B.
Chisolm M.S.
AUTHOR ADDRESSES
(Frank J.B.) Department of Psychiatry George, Washington University, School
of Medicine and Health Sciences, United States.
(Chisolm M.S.) Department of Psychiatry and Behavioral Sciences, Johns
Hopkins University, School of Medicine, United States.
CORRESPONDENCE ADDRESS
J.B. Frank, Department of Psychiatry George, Washington University, School
of Medicine and Health Sciences, United States.
SOURCE
Archives of Women's Mental Health (2015) 18:2 (311). Date of Publication:
April 2015
CONFERENCE NAME
International Marce Society for Perinatal Mental Health Biennial Scientific
Conference 2014
CONFERENCE LOCATION
Swansea, United Kingdom
CONFERENCE DATE
2014-09-10 to 2014-09-12
ISSN
1434-1816
BOOK PUBLISHER
Springer-Verlag Wien
ABSTRACT
Explain the objective and expected outcomes of the workshop. The education
of midwives, nurses, psychiatrists and obstetricians has evolved from
lectures and apprenticeship to active learning methods such as interviews
with standardized patients, demonstration followed by practice with peers,
use of media and team based learning. When guided by clear objectives, such
methods allow trainees to develop a more than superficial understanding of
relatively uncommon, yet important and disabling disorders associated with
pregnancy. Reliable methods of efficiently screening for obsessive
compulsive disorder and substance use disorders can be transposed from
general settings into training at many levels for those in obstetrics and
perinatal health care. This workshop demonstrates the use of the Yale Brown
Obsessive Compulsive Checklist (YBOC) and the Alcohol Use Disorders
Identification Test (AUDIT) in simulations relevant to pregnant and post
partum women.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental health
obsessive compulsive disorder
postnatal depression
pregnancy
society
substance abuse
teaching
EMTREE MEDICAL INDEX TERMS
alcoholism
checklist
diseases
education
female
health care
human
interview
learning
midwife
nurse
obstetrician
obstetrics
patient
psychiatrist
screening
simulation
student
workshop
Yale Brown Obsessive Compulsive Scale
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71915538
DOI
10.1007/s00737-014-0488-6
FULL TEXT LINK
http://dx.doi.org/10.1007/s00737-014-0488-6
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 405
TITLE
Please, docineedmedicine!: Can residents diagnose and man-age opiate use
disorder?
AUTHOR NAMES
Hanley K.
Gillespie C.
Naidu M.
Nudelman I.
Adams J.
Lipkin M.
Zabar S.
AUTHOR ADDRESSES
(Hanley K.; Gillespie C.; Naidu M.; Nudelman I.; Adams J.; Lipkin M.; Zabar
S.) NYU School of Medicine, New York, United States.
CORRESPONDENCE ADDRESS
K. Hanley, NYU School of Medicine, New York, United States.
SOURCE
Journal of General Internal Medicine (2015) 30 SUPPL. 2 (S228-S229). Date of
Publication: April 2015
CONFERENCE NAME
38th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2015-04-22 to 2015-04-25
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
BACKGROUND: Drug overdose was the leading cause of accidental death in 2012.
Over 70 % of these deaths involved prescription opioids. In 2008, there were
14,800 deaths connected with prescription painkillers. In response to this
epidemic, many states have implemented prescription-monitoring programs and
guidelines for responsible prescribing are being promoted. We implemented a
standardized patient case to assess our residents' approach to a patient
seeking help for addiction to prescription opioids as a needs assessment for
our addiction medicine curriculum. METHODS: We incorporated into our annual
10 station performance based assessment (OSCE) a case involving a young
woman with shoulder pain who exhibits many signs of opioid use disorder and
whose hidden agenda is to get help for her addiction. Standardized patients
evaluated residents using a behaviorally anchored checklist (response
options: not done, partly done, well done) that included items assessing
general communication and patient activation skills as well as items
specific to this case including assessment of substance use, recognition of
opioid use disorder, and treatment plan/next steps. Analyses include
frequencies for specific items focused on opioid use and treatment as well
as a post-OSCE survey administered to all the residents that assessed what
they found challenging about this case. T tests were used to compare
communication and patient activation performance (percent items rated as
well done) on these cases with residents' overall performance on all cases.
RESULTS: Of the 24 residents who saw the case, 54 % asked what type and
amount of pain medication the patient was taking but only 38 % discovered
that the patient had also used heroin. Only 17 % assessed her use of
alcohol, tobacco and other illicit drugs. In terms diagnosing an opioid use
disorder, 42 % assessed for tolerance, 50 % for cravings and 71 % for
withdrawal. However, only 17% inquired about effects of opioid use on her
social functioning and only 38% determined that the patient had
unsuccessfully attempted to cut back. Few (29 %) residents did a good job of
explaining the diagnosis of opioid use disorder and guided her to an
agreeable treatment plan. Only 4 % of SPs felt that the visit would help
them to change their drug uses although 54 % felt it helped them recognize
they had a problem and 67% were motivated to change. Patient activation
measures were uniformly poor with none of the SPs feeling that the doctor
helped them feel confident that they could stop using opiates and only 13%
understanding the available treatment options. Patient activation scores
were lower in the opiate case than for the rest the cases (mean 8% vs 38 %
well done, p<.001) but overall communication scores were not significantly
different (p<.76). SPs reported that more than half of the residents ran out
of time and many of the residents reported that they found it challenging to
directly explore opioid abuse. CONCLUSIONS: Residents recognized the problem
of opioid use disorder but did not perform a comprehensive assessment of the
patient's substance use and lacked information and/or skills to counsel the
patient on treatment options. Curricula need to be enhanced for residents to
have the skills and confidence to treat and manage patients with this
increasingly common and devastating substance use disorder.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
alcohol
diamorphine
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diseases
human
internal medicine
male
society
EMTREE MEDICAL INDEX TERMS
abuse
accidental death
addiction
checklist
curriculum
death
diagnosis
drug overdose
drug therapy
drug use
epidemic
female
interpersonal communication
monitoring
needs assessment
pain
patient
physician
prescription
shoulder pain
skill
social interaction
Student t test
substance abuse
substance use
tobacco
withdrawal syndrome
work
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71877848
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 406
TITLE
Is on demand use of tramadol more effective than selective serotonin
reuptake inhibitors and/or sildenafil and/or topical penile anesthetics in
treating premature ejaculation (PE)?
AUTHOR NAMES
Boulos V.
Hassanin A.
Roaiah M.F.
AUTHOR ADDRESSES
(Boulos V.) El Sahel Teaching Hospital, Dept. of Urology, Cairo, Egypt.
(Hassanin A.; Roaiah M.F.) Cairo University, Dept. of Andrology, Cairo,
Egypt.
CORRESPONDENCE ADDRESS
V. Boulos, El Sahel Teaching Hospital, Dept. of Urology, Cairo, Egypt.
SOURCE
European Urology, Supplements (2015) 14:2 (e242). Date of Publication: April
2015
CONFERENCE NAME
30th Annual Congress of the European Association of Urology, EAU15
CONFERENCE LOCATION
Madrid, Spain
CONFERENCE DATE
2015-03-20 to 2015-03-24
ISSN
1569-9056
BOOK PUBLISHER
Elsevier
ABSTRACT
INTRODUCTION & OBJECTIVES: To compare effects of on demand use of different
drugs in treating PE & detect superior one. MATERIAL & METHODS: This study
was conducted on 245 men between Feb. 2010 & Dec. 2012 in Sahel Hospital
Urology Dept. & Cairo University Andrology Dept. with mean age of 30.6±2.69
SD. Informed consent was taken. Detailed medical & sexual history, genital
examination & lab. investigations, were done. Patients included are those
with primary PE>1 year with intravaginal ejaculation latency time (IELT)75%
of sexual intercourse episodes over 2 weeks. Exclusion criteria include
patients with erectile dysfunction, active U.T.I,prostatitis.neurologic,
chronic current medical diseases, drug or alcohol abuse, previous pelvic
trauma & those receiving psychiatric medications. Patients were randomly
divided into 7 groups (=gps)(each 35 patients). On demand tramadol,
sildenafil, paroxetine, local lidocaine gel, combined sildenafil &
paroxetine, combined sildenafil & lidocaine gel & vitamin pills were given
in gps 1-7 respectively. Pretreatment mean IELT & sexual satisfaction score
(SSS) for each patient were considered baseline values & compared to mean
IELT & SSS after 8 weeks of on demand drug administered, with recording any
possible side effects. Statistical analysis was done using ANOVA test to
compare between different gps & paired T test for related sample by SPSS
version 18 programme. RESULTS: No significant difference in 7 gps baseline
IELT. The 1st 6 gps (but not 7th=Placebo) post-treatment mean IELT was
significantly improved compared to baseline values(P<0.05). Comparing mean
IELT in different gps showed that tramadol treated patients had a
significantly longer IELT of 441.1 secs ±70.35 SD than those treated with
sildenafil, paroxetine, local penile anesthetics, combined sildenafil &
paroxetine, combined sildenafil & local penile anesthetics, placebo with
values of 277.75± 84.96, 179.8±57.85, 292.53±60.94, 324.90± 60.08, 343.26 ±
63.12 &79.17± 18.25 SD respectively (P<0.05). Moreover, local anesthetics
showed longer IELT versus paroxetine (292.5 versus 179.8)(P<0.05) or placebo
group (292.5 versus 79.17). Pretreatment mean sss was not significantly
different but post-treatment one was significantly higher in gps 1-6 than
placebo (P<0.05). However, sss improvement degree of tramadol gp was
significantly higher versus paroxetine or local penile anesthetic gps
(P<0.05). Sildenafil gp showed greatest sss improvement compared to
paroxetine & local anesthetic gps(3.31 versus 2.16 & 1.82 points) (P<0.05).
Combining sildednafil with paroxetine or local penile anesthetics, improved
IELT & sss better than either alone & this is most probably mainly due to
sildenafil effect but with more possible side effects. CONCLUSIONS: All
drugs alone or combined significantly improved IELT over placebo. On demand
use of tramadol or sildenafil was better in treating PE as it is effective,
safe & tolerable with no serious side effects. Tramadol was best in
prolonging IELT while sildenafil had best sss with good prolonged IELT.
Combining sildenafil with either of paroxetine or local penile anesthetics
yielded better results than either alone as regards IELT & sss but with more
side effects. Although tramadol had good results, we don't recommend its use
bec of maluse & addiction especially in low socioeconomic classes.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
anesthetic agent
serotonin uptake inhibitor
sildenafil
tramadol
EMTREE DRUG INDEX TERMS
aranidipine
lidocaine
local anesthetic agent
paroxetine
placebo
vitamin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
premature ejaculation
urology
EMTREE MEDICAL INDEX TERMS
addiction
alcohol abuse
analysis of variance
andrology
data analysis software
developing country
diseases
drug therapy
ejaculation
erectile dysfunction
examination
hospital
human
informed consent
intravaginal drug administration
latent period
male
patient
pelvis injury
pill
recording
sexual intercourse
sexual satisfaction
side effect
social class
statistical analysis
Student t test
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71831196
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 407
TITLE
Prevention of alcohol dependence
AUTHOR NAMES
Trova A.C.
Paparrigopoulos T.
Liappas I.
Ginieri-Coccossis M.
AUTHOR ADDRESSES
(Trova A.C.; Paparrigopoulos T.; Liappas I.; Ginieri-Coccossis M.) 1st
Department of Psychiatry, University of Athens, "ATHENA" Programme, Athens,
Greece
SOURCE
Psychiatrike = Psychiatriki (2015) 26:2 (131-140). Date of Publication: 1
Apr 2015
ISSN
1105-2333
ABSTRACT
With the exception of cardiovascular diseases, no other medical condition
causes more serious dysfunction or premature deaths than alcohol-related
problems. Research results indicate that alcohol dependent individuals
present an exceptionally poor level of quality of life. This is an outcome
that highlights the necessity of planning and implementing preventive
interventions on biological, psychological or social level, to be provided
to individuals who make alcohol abuse, as well as to their families.
Preventive interventions can be considered on three levels of prevention:
(a) primary prevention, which is focused on the protection of healthy
individuals from alcohol abuse and dependence, and may be provided on a
universal, selective or indicated level, (b) secondary prevention, which
aims at the prevention of deterioration regarding alcoholic dependence and
relapse, in the cases of individuals already diagnosed with the condition
and (c) tertiary prevention, which is focused at minimizing deterioration of
functioning in chronically sufferers from alcoholic dependence. The term
"quaternary prevention" can be used for the prevention of relapse. As for
primary prevention, interventions focus on assessing the risk of falling
into problematic use, enhancing protective factors and providing information
and health education in general. These interventions can be delivered in
schools or in places of work and recreation for young people. In this
context, various programs have been applied in different countries,
including Greece with positive results (Preventure, Alcolocks, LST, SFP,
Alcohol Ignition Interlock Device). Secondary prevention includes counseling
and structured help with the delivery of programs in schools and in high
risk groups for alcohol dependence (SAP, LST). These programs aim at the
development of alcohol refusal skills and behaviors, the adoption of models
of behaviors resisting alcohol use, as well as reinforcement of general
social skills. In the context of relevant interventions, various techniques
are used, such as role playing. At the level of social policy, different
measures may contribute to increase the effectiveness of preventive programs
(e.g. prohibition of sale of alcohol in young people). Interventions of
tertiary prevention aim at the development of motivation for abstinence in
alcohol dependent individuals and the prevention of relapse, as well as the
acquisition of new behaviors, which support modification of the problem of
alcohol dependence. These interventions can take place in the context of
psychotherapeutic follow-up provided to alcohol dependent individuals, and
may include various short-term interventions, such as motivational
interviewing, but also alternative forms of treatment (e.g. acupuncture,
meditation). Elements of prevention in combination with elements of
promotion of mental health may be incorporated in the same programme for
alcohol dependence, endorsing similar or different activities, which may be
complementary and may reinforce the effectiveness of the prevention program.
Finally, it is necessary to raise the awareness of mental health
professionals regarding prevention and provide specialized education to
those who work in drug addiction programmes. Mental health professionals may
act as therapists and as intervention coordinators, and performing these
roles, they may contribute to the effectiveness of preventive programs and
more generally to the treatment of disorders connected with alcohol use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, therapy)
chronic disease (therapy)
procedures
psychological and psychiatric procedures
quality of life
EMTREE MEDICAL INDEX TERMS
attitude to health
early intervention
human
pathophysiology
psychology
secondary prevention
substance abuse
LANGUAGE OF ARTICLE
Greek
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26197102 (http://www.ncbi.nlm.nih.gov/pubmed/26197102)
PUI
L615157172
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 408
TITLE
Preventive strategies for medically induced drug addiction:
AUTHOR NAMES
Khan M.
Saeed R.
Sujjat J.
Mukhtar Z.
Mukhtar Z.
Naiz S.
AUTHOR ADDRESSES
(Khan M.) Psychiatry, Sexual Health Institute of Pakistan, Lahor, Pakistan.
(Saeed R.) Psychiatry, Azra Naheed Medical College, Lahor, Pakistan.
(Sujjat J.) Psychology, International Islamic University, Rawalpindi,
Pakistan.
(Mukhtar Z.; Mukhtar Z.) Psychology, Univeristy of Sargodha, Sargodha,
Pakistan.
(Naiz S.) Pschiatry, Univeristy of Sargodha, London, United Kingdom.
CORRESPONDENCE ADDRESS
M. Khan, Psychiatry, Sexual Health Institute of Pakistan, Lahor, Pakistan.
SOURCE
European Psychiatry (2015) 30 SUPPL. 1 (1070). Date of Publication: 31 Mar
2015
CONFERENCE NAME
23rd European Congress of Psychiatry, EPA 2015
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2015-03-28 to 2015-03-31
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
INTRODUCTION: Many time people get addicted to a drug like opiods when
prescribed for some medical purpose. Neurobiological models of addiction has
proposed cellular adaptation as mechanism of drug addiction. Excessive
release of dopamine in NA due to drug intake produces euphoric sensation
leading to pathological learning. .Repeated use of drug increase
glutametergic drive from prefrontal to NA cause compulsive seeking of drug
in drug addicts .Is it possible to prevent medically induced addiction.
Method: . Pub med search was made by using key words , addiction model,
dopamine ,glutamate ,anticraving medicine, oxidative stress. RESULTS:
Different antiglutametergic medication like ketamine, mementine,
accomprosate modulate glutamatic excitation to prevent addiction. Natural
medicine like N acetyle cystine and oxytocin have protective role . Typical
antipsychotic can block surge of dopamine in NA. Discussion : When addictive
drug has to be used inevitably for medical purpose it should be combined
with other drugs to prevent development of addiction. First euphoria related
to dopamine release in NA can be blocked by use of low dose typical
antipsychotic or dopamine partial antagonist . NMDA is molecular target of
various addictive drugs. Memtentine, ketamine or accomprosate can minimize
effects of glutametergic plasticity. N accetyle cystine can restore
glutamatergic pathway by its system of cystine- glutamate antiporter. It is
source of glutathione largest anti oxidant system of body. Intranasal
oxytocin can prevent addiction through its action on stress ,learning,
memory and intimacy. Intranasal oxytocin can be delivered directly to the
brain. CONCLUSION: Different strategies can be used to prevent medically
induced addiction.
EMTREE DRUG INDEX TERMS
antiporter
cystine
dopamine
glutamic acid
glutathione
ketamine
n methyl dextro aspartic acid
neuroleptic agent
oxidizing agent
oxytocin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
European
psychiatry
EMTREE MEDICAL INDEX TERMS
adaptation
addiction
brain
dopamine release
drug therapy
euphoria
excitation
human
intimacy
intranasal drug administration
learning
low drug dose
memory
model
oxidative stress
plasticity
sensation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71931633
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 409
TITLE
Transcultural research of suicidal behavior in adolescents from far East of
Russia and northern China
AUTHOR NAMES
Loginov I.
Solodkaia E.
Savin S.
Jian H.
AUTHOR ADDRESSES
(Loginov I.; Solodkaia E.) Department of Psychiatry and Narcology, Far
Eastern State Medical University, Khabarovsk, Russian Federation.
(Savin S.) Department of Narcology, Computer Center of FEB RAS, Khabarovsk,
Russian Federation.
(Jian H.) Department of Psychiatry, Harbin Medical University China, Harbin,
China.
CORRESPONDENCE ADDRESS
I. Loginov, Department of Psychiatry and Narcology, Far Eastern State
Medical University, Khabarovsk, Russian Federation.
SOURCE
European Psychiatry (2015) 30 SUPPL. 1 (1807). Date of Publication: 31 Mar
2015
CONFERENCE NAME
23rd European Congress of Psychiatry, EPA 2015
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2015-03-28 to 2015-03-31
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
INTRODUCTION: According to current epidemiological data the peak of suicides
because of depressions is in the age group of 15 to 25 years old.
OBJECTIVES: To identify the clinical particular qualities of depressions, in
adolescents living in culturally different countries such as Russia and
China. To identify the factors that shape depression and suicidal behavior
in adolescents for further development of optimal methods of prevention.
MATERIAL AND METHODS: We have examined 38 Chinese students, who are studying
at Harbin Medical University and the same group, who are studying at Far
Eastern State Medical University. Their mean age was 19,5 ± 1,7 years. Our
research was conducted by the Russian-Chinese agreement on scientific and
technical cooperation. We used psychological and psychopathological research
methods. RESULTS: The Russian group 14% had a tendency to suicidal behavior,
6% of them thought about the possibility of suicide. The main cause of
suicidal behavior in adolescents is interpersonal factor (break with a
partner, family conflicts), then social and economic factors (alcoholism,
drug addiction, conflicts related to education and career, anxiety disorders
and depression). In the Chinese group 25% had a tendency to suicidal
behavior, 14% thought about the possibility of suicide. First factor shaping
suicidal behavior is social and then economic factor (difficulty entering at
university and employment, low social security), followed by interpersonal
factor (break with a partner), psychopathological family history,
depression, high anxiety, alcoholism, drug use, loneliness. CONCLUSION:
Students of both nationalities need active psychotherapeutic assistance.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
China
European
Far East
human
psychiatry
Russian Federation
suicidal behavior
EMTREE MEDICAL INDEX TERMS
alcoholism
anxiety
anxiety disorder
drug dependence
drug use
education
employment
epidemiological data
family conflict
family history
groups by age
loneliness
prevention
Russian (citizen)
social security
student
suicide
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71932131
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 410
TITLE
The globalization of addiction research: Capacity-building mechanisms and
selected examples
AUTHOR NAMES
Rawson R.A.
Woody G.
Kresina T.F.
Gust S.
AUTHOR ADDRESSES
(Rawson R.A., rrawson@mednet.ucla.edu) Semel Institute for Neuroscience and
Human Behavior and UCLA Integrated Substance Abuse Programs, David Geffen
School of Medicine, University of California, Los Angeles, United States.
(Woody G.) Department of Psychiatry, Perelman School of Medicine, University
of Pennsylvania, United States.
(Kresina T.F.) Division of Pharmacologic Therapies, Center for Substance
Abuse Treatment, Substance Abuse and Mental Health Services Administration,
United States.
(Gust S.) International Program, National Institute on Drug Abuse, United
States.
CORRESPONDENCE ADDRESS
R.A. Rawson, 11075 Santa Monica Blvd., Suite 100, Los Angeles, United
States.
SOURCE
Harvard Review of Psychiatry (2015) 23:2 (147-156). Date of Publication: 18
Mar 2015
ISSN
1465-7309 (electronic)
1067-3229
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Over the past decade, the amount and variety of addiction research around
the world has increased substantially. Researchers in Australia, Canada,
United Kingdom, United States, and western Europe have significantly
contributed to knowledge about addiction and its treatment. However, the
nature and context of substance use disorders and the populations using
drugs are far more diverse than is reflected in studies done in Western
cultures. To stimulate new research from a diverse set of cultural
perspectives, the National Institute on Drug Abuse (NIDA) has promoted the
development of addiction research capacity and skills around the world for
over 25 years. This review will describe the programs NIDA has developed to
sponsor international research and research fellows and will provide some
examples of the work NIDA has supported. NIDA fellowships have allowed 496
individuals from 96 countries to be trained in addiction research. The
United Arab Emirates and Saudi Arabia have recently developed funding to
support addiction research to study, with advice from NIDA, the substance
use disorder problems that affect their societies. Examples from Malaysia,
Tanzania, Brazil, Russian Federation, Ukraine, Republic of Georgia, Iceland,
China, and Vietnam are used to illustrate research being conducted with NIDA
support. Health services research, collaboratively funded by the U.S.
National Institutes of Health and Department of State, addresses a range of
addiction service development questions in low- and middle-income countries.
Findings have expanded the understanding of addiction and its treatment, and
are enhancing the ability of practitioners and policy makers to address
substance use disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
capacity building
medical research
EMTREE MEDICAL INDEX TERMS
Brazil
China
funding
health program
health services research
human
Iceland
international cooperation
Malaysia
medical education
priority journal
review
Russian Federation
Saudi Arabia
substance abuse
Tanzania
Ukraine
United Arab Emirates
Viet Nam
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015854360
MEDLINE PMID
25747927 (http://www.ncbi.nlm.nih.gov/pubmed/25747927)
PUI
L603252929
DOI
10.1097/HRP.0000000000000067
FULL TEXT LINK
http://dx.doi.org/10.1097/HRP.0000000000000067
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 411
TITLE
Efficacy of an internet-based learning module and small-group debriefing on
trainees' attitudes and communication skills toward patients with substance
use disorders: results of a cluster randomized controlled trial
AUTHOR NAMES
Lanken P.N.
Novack D.H.
Daetwyler C.
Gallop R.
Landis J.R.
Lapin J.
Subramaniam G.A.
Schindler B.A.
AUTHOR ADDRESSES
(Lanken P.N.; Novack D.H.; Daetwyler C.; Gallop R.; Landis J.R.; Lapin J.;
Subramaniam G.A.; Schindler B.A.) Dr. Lanken is associate dean for
professionalism and humanism and professor of medicine and medical ethics
and health policy, Perelman School of Medicine at the University of
Pennsylvania, Philadelphia, Pennsylvania. Dr. Novack is associate dean for
medical education and professor of medicine, Drexel University College of
Medicine, Philadelphia, Pennsylvania. Dr. Daetwyler is associate professor
of family medicine and community and preventive medicine and developer of
online resources for medical education, Drexel University College of
Medicine, Philadelphia, Pennsylvania. Dr. Gallop is instructor in
biostatistics, West Chester University, West Chester, Pennsylvania. Dr.
Landis is professor and director, Division of Biostatistics, Department of
Biostatistics and Epidemiology, and faculty director, Clinical Research
Computing Unit, Perelman School of Medicine at the University of
Pennsylvania, Philadelphia, Pennsylvania. Dr. Lapin is director of graduate
medical education evaluation and research, Office of Evaluation and
Assessment, Perelman School of Medicine at the University of Pennsylvania,
Philadelphia, Pennsylvania. Dr. Subramaniam is team leader and medical
officer, Center for Clinical Trials Network, National Institute on Drug
Abuse, Bethesda, Maryland. Dr. Schindler was vice dean for educational and
academic affairs, Drexel University College of Medicine, at the time this
study was conducted. She remains professor of psychiatry and pediatrics,
Drexel University College of Medicine, Philadelphia, Pennsylvania
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(2015) 90:3 (345-354). Date of Publication: 1 Mar 2015
ISSN
1938-808X (electronic)
ABSTRACT
PURPOSE: To examine whether an Internet-based learning module and
small-group debriefing can improve medical trainees' attitudes and
communication skills toward patients with substance use disorders
(SUDs).METHOD: In 2011-2012, 129 internal and family medicine residents and
370 medical students at two medical schools participated in a cluster
randomized controlled trial, which assessed the effect of adding a two-part
intervention to the SUDs curricula. The intervention included a
self-directed, media-rich Internet-based learning module and a small-group,
faculty-led debriefing. Primary study outcomes were changes in self-assessed
attitudes in the intervention group (I-group) compared with those in the
control group (C-group) (i.e., a difference of differences). For residents,
the authors used real-time, Web-based interviews of standardized patients to
assess changes in communication skills. Statistical analyses, conducted
separately for residents and students, included hierarchical linear
modeling, adjusted for site, participant type, cluster, and individual
scores at baseline.RESULTS: The authors found no significant differences
between the I- and C-groups in attitudes for residents or students at
baseline. Compared with those in the C-group, residents, but not students,
in the I-group had more positive attitudes toward treatment efficacy and
self-efficacy at follow-up (P<.006). Likewise, compared with residents in
the C-group, residents in the I-group received higher scores on screening
and counseling skills during the standardized patient interview at follow-up
(P=.0009).CONCLUSIONS: This intervention produced improved attitudes and
communication skills toward patients with SUDs among residents. Enhanced
attitudes and skills may result in improved care for these patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
health personnel attitude
interpersonal communication
medical education
teaching
EMTREE MEDICAL INDEX TERMS
clinical competence
cluster analysis
controlled study
drug dependence (therapy)
education
human
Internet
randomized controlled trial
self concept
self evaluation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25295964 (http://www.ncbi.nlm.nih.gov/pubmed/25295964)
PUI
L603913507
DOI
10.1097/ACM.0000000000000506
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0000000000000506
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 412
TITLE
Medical school curriculum characteristics associated with intentions and
frequency of tobacco dependence treatment among 3rd year U.S. medical
students
AUTHOR NAMES
Hayes R.B.
Geller A.C.
Crawford S.L.
Jolicoeur D.G.
Churchill L.C.
Okuyemi K.S.
David S.P.
Adams M.
Waugh J.
Allen S.S.
Leone F.T.
Fauver R.
Leung K.
Liu Q.
Ockene J.K.
AUTHOR ADDRESSES
(Hayes R.B., Rashelle.Hayes@umassmed.edu; Crawford S.L.; Jolicoeur D.G.;
Churchill L.C.; Leung K.; Ockene J.K.) Division of Preventive and Behavioral
Medicine, Department of Medicine, University of Massachusetts Medical
School, Worcester, United States.
(Geller A.C.) Department of Social and Behavioral Sciences, Harvard School
of Public Health, Boston, United States.
(Okuyemi K.S.; Allen S.S.) Family Medicine and Community Health, University
of Minnesota Medical School, Minneapolis, United States.
(David S.P.; Fauver R.) Center for Education and oResearch in Family and
Community Medicine, Division of General Medical Disciplines, Department of
Medicine, Stanford University School of Medicine, Palo Alto, United States.
(Adams M.) Division of General Internal Medicine, Department of Medicine,
Georgetown University Hospital, United States.
(Waugh J.) Department of Clinical and Diagnostics Sciences/UAB Lung Health
Center, University of Alabama at Birmingham, Birmingham, United States.
(Leone F.T.) Division of Pulmonary, Allergy and Critical Care Medicine,
Perelman School of Medicine, University of Pennsylvania, Philadelphia,
United States.
(Liu Q.) Wistar Institute, Philadelphia, United States.
CORRESPONDENCE ADDRESS
R.B. Hayes, Division of Preventive and Behavioral Medicine, Department of
Medicine, University of Massachusetts Medical School, 55 Lake Avenue North,
Worcester, United States.
SOURCE
Preventive Medicine (2015) 72 (56-63). Date of Publication: 1 Mar 2015
ISSN
1096-0260 (electronic)
0091-7435
BOOK PUBLISHER
Academic Press Inc., apjcs@harcourt.com
ABSTRACT
Objective: Physicians play a critical role in addressing tobacco dependence,
yet report limited training. Tobacco dependence treatment curricula for
medical students could improve performance in this area. This study
identified student and medical school tobacco treatment curricula
characteristics associated with intentions and use of the 5As for tobacco
treatment among 3rd year U.S. medical students. Methods: Third year medical
students (N=. 1065, 49.3% male) from 10 U.S. medical schools completed a
survey in 2009-2010 assessing student characteristics, including
demographics, tobacco treatment knowledge, and self-efficacy. Tobacco
curricula characteristics assessed included amount and type of classroom
instruction, frequency of tobacco treatment observation, instruction, and
perception of preceptors as role models. Results: Greater tobacco treatment
knowledge, self-efficacy, and curriculum-specific variables were associated
with 5A intentions, while younger age, tobacco treatment self-efficacy,
intentions, and each curriculum-specific variable were associated with
greater 5A behaviors. When controlling for important student variables,
greater frequency of receiving 5A instruction (OR. =. 1.07; 95%CI 1.01-1.12)
and perception of preceptors as excellent role models in tobacco treatment
(OR. =. 1.35; 95%CI 1.04-1.75) were significant curriculum predictors of 5A
intentions. Greater 5A instruction (B=. .06 (.03); p<. .05) and observation
of tobacco treatment (B=. .35 (.02); p<. .001) were significant curriculum
predictors of greater 5A behaviors. Conclusions: Greater exposure to tobacco
treatment teaching during medical school is associated with both greater
intentions to use and practice tobacco 5As. Clerkship preceptors, or those
physicians who provide training to medical students, may be particularly
influential when they personally model and instruct students in tobacco
dependence treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
article
behavior
controlled study
decision making
female
human
human experiment
male
medical school
medical student
normal human
perception
primary medical care
priority journal
self concept
teaching
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015686035
MEDLINE PMID
25572623 (http://www.ncbi.nlm.nih.gov/pubmed/25572623)
PUI
L601467571
DOI
10.1016/j.ypmed.2014.12.035
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2014.12.035
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 413
TITLE
Evaluating training of screening, brief intervention, and referral to
treatment (SBIRT) for substance use: Reliability of the MD3 SBIRT coding
scale
AUTHOR NAMES
DiClemente C.C.
Crouch T.B.
Norwood A.E.Q.
Delahanty J.
Welsh C.
AUTHOR ADDRESSES
(DiClemente C.C., diclemen@umbc.edu; Crouch T.B.) University of Maryland
Baltimore County, Department of Psychology, 1000 Hilltop Circle, Baltimore,
United States.
(Norwood A.E.Q.) Springfield Hospital Center, Office of Forensic Services,
Sykesville, United States.
(Delahanty J.; Welsh C.) University of Maryland, Department of Psychiatry,
United States.
(Norwood A.E.Q.) Department of Psychology, University of Maryland Baltimore
County, United States.
(Welsh C.) University of Maryland Medical School, United States.
CORRESPONDENCE ADDRESS
C.C. DiClemente, University of Maryland Baltimore County, Department of
Psychology, 1000 Hilltop Circle, Baltimore, United States. Email:
diclemen@umbc.edu
SOURCE
Psychology of Addictive Behaviors (2015) 29:1 (218-224). Date of
Publication: 1 Mar 2015
ISSN
1939-1501 (electronic)
0893-164X
BOOK PUBLISHER
Educational Publishing Foundation
ABSTRACT
Screening, brief intervention, and referral to treatment (SBIRT) has become
an empirically supported and widely implemented approach in primary and
specialty care for addressing substance misuse. Accordingly, training of
providers in SBIRT has increased exponentially in recent years. However, the
quality and fidelity of training programs and subsequent interventions are
largely unknown because of the lack of SBIRT-specific evaluation tools. The
purpose of this study was to create a coding scale to assess quality and
fidelity of SBIRT interactions addressing alcohol, tobacco, illicit drugs,
and prescription medication misuse. The scale was developed to evaluate
performance in an SBIRT residency training program. Scale development was
based on training protocol and competencies with consultation from
Motivational Interviewing coding experts. Trained medical residents
practiced SBIRT with standardized patients during 10-to 15-min videotaped
interactions. This study included 25 tapes from the Family Medicine program
coded by 3 unique coder pairs with varying levels of coding experience.
Interrater reliability was assessed for overall scale components and
individual items via intraclass correlation coefficients. Coder
pair-specific reliability was also assessed. Interrater reliability was
excellent overall for the scale components (>.85) and nearly all items.
Reliability was higher for more experienced coders, though still adequate
for the trained coder pair. Descriptive data demonstrated a broad range of
adherence and skills. Subscale correlations supported concurrent and
discriminant validity. Data provide evidence that the MD3 SBIRT Coding Scale
is a psychometrically reliable coding system for evaluating SBIRT
interactions and can be used to evaluate implementation skills for fidelity,
training, assessment, and research. Recommendations for refinement and
further testing of the measure are discussed.
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical assessment tool
MD3 Screening Brief Intervention and Referral to Treatment Coding Scale
psychometry
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholism (diagnosis)
article
clinical competence
concurrent validity
consultation
correlation coefficient
descriptive research
discriminant validity
drug dependence (diagnosis)
drug misuse (diagnosis)
family medicine
human
interrater reliability
medical expert
motivational interviewing
quality control
rating scale
reliability
residency education
tobacco dependence (diagnosis)
videorecording
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015456253
MEDLINE PMID
25402834 (http://www.ncbi.nlm.nih.gov/pubmed/25402834)
PUI
L606514470
DOI
10.1037/adb0000022
FULL TEXT LINK
http://dx.doi.org/10.1037/adb0000022
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 414
TITLE
An Inpatient Treatment and Discharge Planning Protocol for Alcohol
Dependence: Efficacy in Reducing 30-Day Readmissions and Emergency
Department Visits
AUTHOR NAMES
Wei J.
Defries T.
Lozada M.
Young N.
Huen W.
Tulsky J.
AUTHOR ADDRESSES
(Wei J., jennie.wei@ihs.gov; Defries T.; Lozada M.; Young N.; Huen W.;
Tulsky J.) University of California, San Francisco, San Francisco, United
States.
(Wei J., jennie.wei@ihs.gov) University of California, San Francisco, 1506
Fairways Circle, Gallup, United States.
CORRESPONDENCE ADDRESS
J. Wei, University of California, San Francisco, 1506 Fairways Circle,
Gallup, United States.
SOURCE
Journal of General Internal Medicine (2015) 30:3 (365-370). Date of
Publication: 1 Mar 2015
ISSN
1525-1497 (electronic)
0884-8734
BOOK PUBLISHER
Springer New York LLC, journals@springer-sbm.com
ABSTRACT
BACKGROUND: Alcohol dependence results in multiple hospital readmissions,
but no discharge planning protocol has been studied to improve outcomes. The
inpatient setting is a frequently missed opportunity to discuss treatment of
alcohol dependence and initiate medication-assisted treatment, which is
effective yet rarely utilized. AIM: Our aim was to implement and evaluate a
discharge planning protocol for patients admitted with alcohol dependence.
SETTING: The study took place at the San Francisco General Hospital (SFGH),
a university-affiliated, large urban county hospital. PARTICIPANTS: Learner
participants included Internal Medicine residents at the University of
California, San Francisco (UCSF) who staff the teaching service at SFGH.
Patient participants included inpatients with alcohol dependence admitted to
the Internal Medicine teaching service. PROGRAM DESCRIPTION: We developed
and implemented a discharge planning protocol for patients admitted with
alcohol dependence that included eligibility assessment and initiation of
medication-assisted treatment. PROGRAM EVALUATION: Rates of
medication-assisted treatment increased from 0 % to 64 % (p value < 0.001).
All-cause 30-day readmission rates to SFGH decreased from 23.4 % to 8.2 % (p
value = 0.042). All-cause emergency department visits to SFGH within 30 days
of discharge decreased from 18.8 % to 6.1 % (p value = 0.056). DISCUSSION:
Through implementation of a discharge planning protocol by Internal Medicine
residents for patients admitted with alcohol dependence, there was a
statistically significant increase in medication-assisted treatment and a
statistically significant decrease in both 30-day readmission rates and
emergency department visits.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
emergency ward
hospital discharge
hospital patient
hospital readmission
human
medical education
medical student
residency education
skill
substance abuse
EMTREE MEDICAL INDEX TERMS
drug therapy
general hospital
hospital
internal medicine
patient
public hospital
statistical significance
teaching
United States
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014745966
MEDLINE PMID
25092008 (http://www.ncbi.nlm.nih.gov/pubmed/25092008)
PUI
L53276160
DOI
10.1007/s11606-014-2968-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-014-2968-9
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 415
TITLE
Drug Testing Incoming Residents and Medical Students in Family Medicine
Training: A Survey of Program Policies and Practices
AUTHOR NAMES
Bell P.F.
Semelka M.W.
Bigdeli L.
AUTHOR ADDRESSES
(Bell P.F.; Semelka M.W.; Bigdeli L.)
SOURCE
Journal of graduate medical education (2015) 7:1 (59-64). Date of
Publication: 1 Mar 2015
ISSN
1949-8349
ABSTRACT
BACKGROUND: Despite well-established negative consequences, high rates of
substance use and related disorders continue to be reported. Physicians in
training are not immune from this, or the associated risks to their health
and careers, while impaired physicians are a threat to patient
safety.OBJECTIVE: We surveyed family medicine residency programs' practices
relating to drug testing of medical students and incoming residents. The
survey asked about the extent to which residency programs are confronted
with trainees testing positive for prohibited substances, and how they
respond.METHODS: The survey was sent to the directors of family medicine
residency programs. A total of 205 directors (47.2%) completed the
survey.RESULTS: A majority of the responding programs required drug testing
for incoming residents (143, 68.9%). Most programs did not require testing
of medical students (161, 81.7%). Few programs reported positive drug tests
among incoming residents (9, 6.5%), and there was only 1 reported instance
of a positive result among medical students (1, 3.3%). Respondents reported
a range of responses to positive results, with few reporting that they would
keep open training spots or offer supportive services for a medical student
who tested positive.CONCLUSIONS: Changing laws legalizing certain drugs may
require corresponding changes in the focus on drug testing and associated
issues in medical training; however, many residency program directors were
not aware of their institution's current policies. Programs will need to
reexamine drug testing policies as new generations of physicians, growing up
under altered legal circumstances concerning drug use, progress to clinical
training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
medical education
medical student
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
female
general practice
human
male
personnel management
questionnaire
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26217424 (http://www.ncbi.nlm.nih.gov/pubmed/26217424)
PUI
L609447559
DOI
10.4300/JGME-D-14-00308.1
FULL TEXT LINK
http://dx.doi.org/10.4300/JGME-D-14-00308.1
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 416
TITLE
Prevalence of Drug Testing Among Family Medicine Residents and Students:
Much Needed Data
AUTHOR NAMES
Pham J.C.
Pronovost P.J.
Skipper G.E.
AUTHOR ADDRESSES
(Pham J.C.; Pronovost P.J.; Skipper G.E.)
SOURCE
Journal of graduate medical education (2015) 7:1 (128-130). Date of
Publication: 1 Mar 2015
ISSN
1949-8349
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
medical education
medical student
substance abuse
EMTREE MEDICAL INDEX TERMS
female
general practice
human
male
LANGUAGE OF ARTICLE
English
MEDLINE PMID
26217441 (http://www.ncbi.nlm.nih.gov/pubmed/26217441)
PUI
L609448155
DOI
10.4300/JGME-D-14-00754.1
FULL TEXT LINK
http://dx.doi.org/10.4300/JGME-D-14-00754.1
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 417
TITLE
Alcohol abuse management in primary care: an e-learning course
AUTHOR NAMES
Pereira C.A.
Wen C.L.
Tavares H.
AUTHOR ADDRESSES
(Pereira C.A.) 1 Department of Psychiatry, University of São Paulo Medical
School , São Paulo, Brazil
(Wen C.L.; Tavares H.)
SOURCE
Telemedicine journal and e-health : the official journal of the American
Telemedicine Association (2015) 21:3 (200-206). Date of Publication: 1 Mar
2015
ISSN
1556-3669 (electronic)
ABSTRACT
BACKGROUND: The mental health knowledge gap challenges public health. The
Alcohol Abuse Management in Primary Care (AAMPC) is an e-learning course
designed to cover alcohol-related problems from the primary care
perspective. The goal of this study was to verify if the AAMPC was able to
enhance healthcare professionals' alcohol-related problems
knowledge.MATERIALS AND METHODS: One hundred subscriptions for the AAMPC
were offered through the federal telehealth program. The course was
instructor-led and had nine weekly classes, delivered synchronously or
asynchronously, at the students' convenience, using a varied array of
learning tools. At the beginning, students took a test that provided a
positive score, related to critical knowledge for clinical management, and a
negative score, related to misconceptions about alcohol-related problems.
The test was repeated 2 months after course completion.RESULTS: Thirty-three
students completed the course. The positive score improved significantly
(p<0.001), but not the negative score. Students with previous experience
with e-courses presented greater improvement on the positive score
(p<0.036). Eighty-percent of the students thought the course excelled in
meeting its objectives. Web conferences and video and audio recordings were
the most appreciated learning tools. Course satisfaction was negatively
related to frequency of Internet access (Spearman's rho=-0.455,
p=0.022).CONCLUSIONS: E-learning was highly appreciated as a learning tool,
especially by students with the least frequency of Internet use.
Nonetheless, it worked better for those previously familiar with e-courses.
The AAMPC e-course provided effective knowledge transmission and retention.
Complementary strategies to reduce misconceptions about alcohol-related
problems must be developed for the training of primary care staff.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
organization and management
EMTREE MEDICAL INDEX TERMS
alcoholism (prevention, therapy)
Brazil
disease management
female
human
Internet
male
medical education
medical student
primary health care
procedures
program evaluation
statistics and numerical data
teaching
telemedicine
utilization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25599269 (http://www.ncbi.nlm.nih.gov/pubmed/25599269)
PUI
L615106955
DOI
10.1089/tmj.2014.0042
FULL TEXT LINK
http://dx.doi.org/10.1089/tmj.2014.0042
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 418
TITLE
Colin Drummond
AUTHOR NAMES
Mohammadi D.
AUTHOR ADDRESSES
(Mohammadi D.)
CORRESPONDENCE ADDRESS
D. Mohammadi,
SOURCE
The Lancet Psychiatry (2015) 2:3 (208). Date of Publication: 1 Mar 2015
ISSN
2215-0374 (electronic)
2215-0366
BOOK PUBLISHER
Elsevier Ltd
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
academic achievement
alcoholism
medical education
psychiatry
EMTREE MEDICAL INDEX TERMS
addiction
automutilation
child neglect
death
education program
emergency ward
human
mental health care
mental health care personnel
mental health service
nicotine replacement therapy
note
poverty
practice guideline
primary medical care
psychiatrist
public health
relapse
suicide
tobacco dependence
world health organization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2015774190
MEDLINE PMID
26359895 (http://www.ncbi.nlm.nih.gov/pubmed/26359895)
PUI
L602497039
DOI
10.1016/S2215-0366(15)00067-X
FULL TEXT LINK
http://dx.doi.org/10.1016/S2215-0366(15)00067-X
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 419
TITLE
Correlation between identified and resolved drug therapy problems to
rehospitalization rates and patient outcomes discovered through a
pharmacist-led transitional care unit patient discharge education program
AUTHOR NAMES
Fiske A.
Anderson D.
Friesner D.
Taylor S.
AUTHOR ADDRESSES
(Fiske A., afiske@thriftywhite.com; Taylor S.) Thrifty White Pharmacy,
France.
(Anderson D.) Sanford Medical Center, United States.
(Friesner D.) North Dakota State University, United States.
CORRESPONDENCE ADDRESS
A. Fiske, Thrifty White Pharmacy, France. Email: afiske@thriftywhite.com
SOURCE
Journal of the American Pharmacists Association (2015) 55:2 (e175). Date of
Publication: March-April 2015
CONFERENCE NAME
APhA2015
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2015-03-27 to 2015-03-30
ISSN
1544-3191
BOOK PUBLISHER
American Pharmacists Association
ABSTRACT
Objective: According to the Centers for Medicaid and Medicare Services, one
in five Medicare patients (2.6 million individuals) is readmitted to the
hospital within 30 days post discharge, accounting for nearly $26 billion
per year. From admission to discharge and through continuance of care,
pharmacists assist patients and caregivers by coordinating medication
handoffs, eliminating medication discrepancies, and improving adherence. The
goal of this research project is to evaluate how a pharmacist-led
transitional care unit (TCU) patient discharge education program affects
rehospitalization rates and patient outcomes through identified and resolved
drug therapy problems (DTPs). Methods: The study is an observational pilot
project using data collected from an existing patient discharge education
program. The type, quantity of identified and resolved DTPs, and time at
which the DTP was identified will be analyzed. DTPs include: (1) missing
therapy, (2) unnecessary therapy, (3) suboptimal drug, (4) cost efficacy,
(5) adverse drug reaction, (6) drug-drug interaction, (7) drug-condition
interaction, (8) dose too low, (9) dose too high, (10) proper monitoring of
drug, (11) appropriate duration of therapy, (12) underuse of medication,
(13) overuse of medication, (14) inappropriate administration, and (15)
immunization history. Data will be analyzed using χ(2) tests and 5%
significance levels. Data collection and analysis are ongoing. Results:
Currently, data collected from July 1, 2014 to September 17, 2014 yields 15
patients completing the program. Pharmacists identified 43 DTPs with an
average number of 2.86 DTPs per patient. DTPs identified range from 0 per
patient to 8 per patient. There have been 37 DTPs addressed by the patient/
physician and 32 interventions were implemented (86% success rate). This
pharmacist-led TCU patient education discharge program is a realistic model
to incorporate pharmacists in helping to bridge the care gap during patient
transitions of care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug therapy
education program
hospital discharge
hospital readmission
human
patient
pharmacist
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
caregiver
drug cost
drug interaction
hospital
immunization
information processing
low drug dose
medicaid
medicare
model
monitoring
patient education
physician
pilot study
therapy
treatment duration
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71970946
DOI
10.1331/JAPhA.2015.15515
FULL TEXT LINK
http://dx.doi.org/10.1331/JAPhA.2015.15515
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 420
TITLE
Best practice recommendations for Canadian harm reduction programs that
provide service to people who use drugs and are at risk for HIV, HCV, and
other harms-part 2: Service models, referrals for services, and emerging
areas of practice
AUTHOR NAMES
Strike C.
Watson T.M.
Gohil H.
Miskovic M.
Robinson S.
Arkell C.
Challacombe L.
AUTHOR ADDRESSES
(Strike C.; Watson T.M.; Gohil H.; Miskovic M.; Robinson S.; Arkell C.;
Challacombe L.) Toronto, Canada.
CORRESPONDENCE ADDRESS
C. Strike, Toronto, Canada.
SOURCE
Canadian Journal of Infectious Diseases and Medical Microbiology (2015) 26
SUPPL. SB (92B). Date of Publication: March-April 2015
CONFERENCE NAME
24th Annual Canadian Conference on HIV/AIDS Research, CAHR 2015
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2015-04-30 to 2015-05-03
ISSN
1712-9532
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
Our aim was to create an evidence-based set of user-friendly recommendations
for Canadian harm reduction programs that provide service to people who use
drugs and are at risk for HIV and other harms. This new document addresses
practice issues not addressed in Part 1 (see www.
catie.ca/en/programming/best-practices-harm-reduction) which focused on
equipment distribution for injection drug use and smoking crack cocaine,
safer drug use education, and overdose prevention. We used a narrative
synthesis method to search, retrieve, assess, and synthesize the most
up-to-date evidence from Canada, United States, Great Britain, Europe,
Australia, and other countries with public health systems similar to Canada.
Scientific evidence was reviewed to create syntheses and recommendations
concerning the following areas of practice: service model design; equipment
distribution for steroid/hormone injection, piercing and tattooing, smoking
heroin, and smoking crystal methamphetamine; testing and vaccination; skin
and vein care; referrals to HIV and HCV treatment, substance use treatment,
mental health services, and housing services; education and other services
for the prison context; and relationships with law enforcement. Due to study
designs (i.e., evidence from cross-sectional studies) and/or limited
available evidence, it was difficult to ascertain 'key' intervention
components for some topic areas. Using varied knowledge exchange methods by
multiple team members (including conference presentations, webinars, fact
sheets, and panel discussions), our goal is to promote awareness of and
access to the Best Practice Recommendations among harm reduction
practitioners across Canada. Changing existing harm reduction policies and
practices to be in line with these newer recommendations will improve the
health of marginalized populations by reducing inequities including improved
access to safer injection and inhalation supplies.
EMTREE DRUG INDEX TERMS
cocaine
diamorphine
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Canadian
harm reduction
human
Human immunodeficiency virus
model
risk
EMTREE MEDICAL INDEX TERMS
Australia
Canada
cross-sectional study
crystal
drug use
education
Europe
evidence based practice
health
health care
housing
inhalation
injection
intoxication
law enforcement
mental health service
narrative
physician
policy
population
prevention
prison
public health
skin
smoking
study design
substance use
synthesis
tattooing
United Kingdom
United States
vaccination
vein
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71971470
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 421
TITLE
The role of reactive oxygen species in morphine addiction of SH-SY5Y cells
AUTHOR NAMES
Ma J.
Yuan X.
Qu H.
Zhang J.
Wang D.
Sun X.
Zheng Q.
AUTHOR ADDRESSES
(Ma J.; Qu H.; Sun X., Sunxiling@sohu.com; Zheng Q., zqsyt@sohu.com) Binzhou
Medical University, Yantai, Shandong, China.
(Ma J.; Zheng Q., zqsyt@sohu.com) Life Science School, Yantai University,
Yantai, Shandong, China.
(Yuan X.; Zhang J.) Key Laboratory of Xinjiang Endemic Phytomedicine
Resources, Ministry of Education, Shihezi University, Shihezi, Xinjiang,
China.
(Wang D.) Qianfoshan Hospital of Shandong Province, Jinan, China.
CORRESPONDENCE ADDRESS
X. Sun, Binzhou Medical University, Yantai, Shandong, China.
SOURCE
Life Sciences (2015) 124 (128-135). Date of Publication: 1 Mar 2015
ISSN
1879-0631 (electronic)
0024-3205
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Aims The alteration of ROS level is frequently observed in the course of
morphine addiction, and ROS is proverbially involved in this process. This
study aims to explore the relationship among morphine addiction, reactive
oxygen species (ROS) and expression of μ-opioid receptor (MOR) in
differentiated SH-SY5Y cells. Main methods SH-SY5Y cells were induced to
differentiation by treatment with retinoic acid (RA); the activity of
lactate dehydrogenase (LDH) and the nitro blue tetrazolium (NBT) reduction
were assessed by spectrophotometry. Intracellular reactive oxygen species
(ROS) was measured with the 2,7-dichlorofluorescin diacetate (DCFH-DA)
assay. Cellular cAMP was determined by using a competitive protein binding
kit. The mRNA expression of μ-opioid receptor (MOR) was evaluated by
qRT-PCR. Key findings Morphine-induced ROS are generated in a concentration-
and time-dependent manner and inhibited by naloxone. Exogenous oxidants
increase the level of ROS and aggravate morphine addiction, while the
exogenous antioxidants efficiently reverse these effects. Morphine decreases
the mRNA level of MOR in a concentration-dependent manner. And the mRNA
level of MOR is remarkably reduced in the presence of exogenous oxidants and
effectively promoted by antioxidants. Significance This study indicates that
ROS can affect morphine addiction through involving MOR. Treatment with ROS
scavenging can serve as a medical therapy for morphine addiction.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
mu opiate receptor (endogenous compound)
reactive oxygen metabolite (endogenous compound)
EMTREE DRUG INDEX TERMS
lactate dehydrogenase (endogenous compound)
morphine
naloxone
nitroblue tetrazolium
retinoic acid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
morphine addiction
EMTREE MEDICAL INDEX TERMS
article
cell differentiation
controlled study
down regulation
human
human cell
in vitro study
nerve cell
neuroblastoma cell
protein binding
protein expression
reverse transcription polymerase chain reaction
synthesis
upregulation
CAS REGISTRY NUMBERS
lactate dehydrogenase (9001-60-9)
morphine (52-26-6, 57-27-2)
naloxone (357-08-4, 465-65-6)
nitroblue tetrazolium (298-83-9)
retinoic acid (302-79-4)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015782744
MEDLINE PMID
25623851 (http://www.ncbi.nlm.nih.gov/pubmed/25623851)
PUI
L602459855
DOI
10.1016/j.lfs.2015.01.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.lfs.2015.01.003
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 422
TITLE
The effect of an educational program on opioid prescription patterns in hand
surgery: A quality improvement program
AUTHOR NAMES
Stanek J.J.
Renslow M.A.
Kalliainen L.K.
AUTHOR ADDRESSES
(Stanek J.J.; Renslow M.A.; Kalliainen L.K., lkkllnn@aol.com) Department of
Plastic and Hand Surgery, Institute for Education and Research, Regions
Hospital, 640 Jackson Street, St. Paul, United States.
(Stanek J.J.; Renslow M.A.; Kalliainen L.K., lkkllnn@aol.com) Health
Partners, Bloomington, United States.
(Stanek J.J.; Renslow M.A.; Kalliainen L.K., lkkllnn@aol.com) Office of
Education, University of Minnesota School of Medicine, Minneapolis, United
States.
CORRESPONDENCE ADDRESS
L.K. Kalliainen, Department of Plastic and Hand Surgery, Institute for
Education and Research, Regions Hospital, 640 Jackson Street, St. Paul,
United States.
SOURCE
Journal of Hand Surgery (2015) 40:2 (341-346). Date of Publication: 1 Feb
2015
ISSN
1531-6564 (electronic)
0363-5023
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
Purpose To assess the variability of opioid prescription patterns among hand
surgeons in a single practice and to attempt to standardize postoperative
prescription sizes based on the patient's surgical procedure. Methods We
performed a preliminary chart review to assess the range of prescription
sizes for 4 common hand surgery procedures. A group of hand surgeons agreed
to write postoperative opioid prescriptions based on an evaluation of
historical prescription patterns. An educational assist device (the pink
card) was created to serve as a memory prompt and was given to physicians,
midlevel practitioners, and trainees. Subsequent chart reviews of number of
pills prescribed were done 3 and 15 months later. Results After
implementation of the pink card, the average postoperative prescription size
decreased for all 4 case types by 15% to 48%, reaching statistical
significance for 2 of the procedures. Variability in prescription sizes
decreased in all cases. There was a trend toward a decreasing number of
prescription refills over the course of the study. There was no evidence
that patients were obtaining refills from other sources within our
multigroup practice. Conclusions Although generalized opioid prescription
guidelines exist, they lack specificity. Our multimodal approach using a
simple educational-assist device and changes to postoperative order sets
significantly affected surgeon behavior without evidence of inadequate
treatment of pain. Type of study/level of evidence Therapeutic III.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
hand surgery
prescription
total quality management
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
controlled study
follow up
ganglion cyst
general device
human
medical record review
metacarpal bone fracture
orthopedic surgeon
patient coding
physician
pill
postoperative period
priority journal
protocol compliance
student
the pink card device
trigger finger
wrist ganglion
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
Orthopedic Surgery (33)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014625448
MEDLINE PMID
25542435 (http://www.ncbi.nlm.nih.gov/pubmed/25542435)
PUI
L601043619
DOI
10.1016/j.jhsa.2014.10.054
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jhsa.2014.10.054
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 423
TITLE
A survey of the prevalence of smoking and smoking cessation advice received
by in patients in two teaching hospitals in Ireland
AUTHOR NAMES
Ohakim A.L.
Jafar B.
O'Bryne C.
McElvaney N.G.
AUTHOR ADDRESSES
(Ohakim A.L.; Jafar B.; O'Bryne C.) Royal College of Surgeons in Ireland,
Dublin 2, Ireland.
(McElvaney N.G.) Respiratory Research Division, Department of Medicine,
Royal College of Surgeons, Ireland.
CORRESPONDENCE ADDRESS
A.L. Ohakim, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
SOURCE
BMC Proceedings (2015) 9 SUPPL. 1. Date of Publication: 14 Jan 2015
CONFERENCE NAME
International Conference for Healthcare and Medical Students, ICHAMS 2013
CONFERENCE LOCATION
Dublin, Ireland
CONFERENCE DATE
2013-10-11 to 2013-10-12
ISSN
1753-6561
BOOK PUBLISHER
BioMed Central Ltd.
ABSTRACT
Background: Brief cessation advice from healthcare professionals
significantly increases the likelihood of patients quitting smoking, yet
patients are not routinely provided with this advice. Smoke-free Brief
cessation advice from healthcare professionals significantly increases the
likelihood of patients quitting smoking, yet patients are not routinely
provided with this advice. Smoke-free hospital policies aim to protect
individuals from the adverse effects of smoking, however it is not clear if
it encourages patients to quit or doctors to give smoking cessation advice.
The aim was to determine the prevalence of smoking and cessation advice
received by in- patients in two teaching hospitals in Ireland, which have
smoke-free hospital policies. We also compared data from one hospital from
before and after the policy implementation. Methods: This study surveyed 466
eligible in-patients, 260 in Beaumont hospital and 206 in Connolly hospital;
assessing their smoking habits, and advice they received from healthcare
professionals on smoking cessation. Results: Smoking prevalence was higher
in Connolly (28%) compared to Beaumont (17%). 26% of current smokers in
Connolly had received smoking cessation advice compared to 51% in Beaumont.
The before-and-after analysis of Beaumont (2011 vs. 2013) showed a reduction
in smoking prevalence and an increase in cessation advice. Conclusions:
Smoke-free hospital policies play a role in decreasing the prevalence of
in-patient smokers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care
human
Ireland
medical student
patient
prevalence
smoking
smoking cessation
teaching hospital
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
health care personnel
hospital
hospital patient
hospital policy
physician
policy
smoke
smoking habit
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72260397
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 424
TITLE
Medicine Resident Preparedness to Diagnose and Treat Substance Use
Disorders: Impact of an Enhanced Curriculum
AUTHOR NAMES
Wakeman S.E.
Pham-Kanter G.
Baggett M.V.
Campbell E.G.
AUTHOR ADDRESSES
(Wakeman S.E.; Baggett M.V.; Campbell E.G.) a Department of Medicine ,
Massachusetts General Hospital , Boston , Massachusetts , USA
(Wakeman S.E.; Baggett M.V.; Campbell E.G.) b Department of Medicine,
Harvard Medical School , Boston , Massachusetts , USA
(Wakeman S.E.) c Massachusetts General Hospital Center for Community Health
Improvement , Boston , Massachusetts , USA
(Pham-Kanter G.; Campbell E.G.) d Mongan Institute for Health Policy ,
Boston , Massachusetts , USA
(Pham-Kanter G.) e Edmond J. Safra Center for Ethics , Harvard University ,
Boston , Massachusetts , USA
(Pham-Kanter G.) f Department of Health Systems, Management, and Policy,
Colorado School of Public Health , University of Colorado Anschutz Medical
Campus , Aurora , Colorado , USA
SOURCE
Substance abuse (2015) 36:4 (427-433). Date of Publication: 2015
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: The authors' previous study found that despite caring for many
patients with addiction, most Massachusetts General Hospital (MGH) internal
medicine residents feel unprepared to treat substance use disorders (SUDs)
and rate SUD instruction during training as fair or poor. This follow-up
study evaluates the impact of an enhanced curriculum on resident perceptions
of the quality of instruction, knowledge base, and self-perceived
preparedness to diagnose and treat SUDs.METHODS: Based on the findings of
the earlier study, an enhanced SUD curriculum was designed and delivered to
MGH medicine residents. Impact of the curriculum was evaluated using the
same Web-based survey that was administered in the earlier study to compare
pre- and posttest results.RESULTS: The authors' earlier study found that 75%
of residents felt prepared to diagnose and 37% to treat SUDs and 45% of
residents rated the overall quality of SUD instruction as good or excellent.
Following the curriculum intervention, 87% of residents reported feeling
prepared to diagnose (P=.028) and 60% to treat (P=.002) SUDs. Three quarters
of residents rated the overall quality of instruction as good or excellent
(P<.001), and 98% reported residency curriculum had a positive impact on
their preparedness to care for patients with a SUDs. Residents who reported
receiving an adequate amount of SUD instruction were more likely to feel
prepared to diagnose and treat addiction (P<.001). Thirty-one percent of
residents still rated the overall amount of SUD instruction as too little.
The intervention did not significantly improve answers to knowledge
questions.CONCLUSIONS: An enhanced SUDs curriculum for medicine residents
increased self-perceived preparedness to diagnose and treat SUDs and
educational quality ratings. However, there was no significant change in
knowledge. Implementation of a more comprehensive curriculum and evaluation
at other sites are necessary to determine the ideal SUD training model.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
clinical competence
curriculum
education
medical education
EMTREE MEDICAL INDEX TERMS
drug dependence (diagnosis, therapy)
female
follow up
human
internal medicine
male
program evaluation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25257796 (http://www.ncbi.nlm.nih.gov/pubmed/25257796)
PUI
L615106692
DOI
10.1080/08897077.2014.962722
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2014.962722
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 425
TITLE
Web-based medical school education on substance use disorders
AUTHOR NAMES
McLellan A.T.
Curtis B.L.
Nordstrom B.
Skrajewski J.
AUTHOR ADDRESSES
(McLellan A.T.; Curtis B.L.) Treatment Research Institute, Philadelphia,
United States.
(McLellan A.T.) University of Pennsylvania, Philadelphia, United States.
(Nordstrom B.) Dartmouth College, Hanover, United States.
(Skrajewski J.) Betty Ford Institute, Rancho Mirage, United States.
CORRESPONDENCE ADDRESS
A.T. McLellan, Treatment Research Institute, Philadelphia, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e35). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: The implementation of the ACA and the Parity Acts have elevated the
importance of training physicians to effectively identify and manage
substance use disorders. The Betty Ford Institute and the Treatment Research
Institute have created a 12-lecture, online course for medical students that
also include virtual medical cases and preparation for course instructors.
The course is preclinical to clinical and contains 12 high-quality video
lectures on topics agreed as essential by NIDA, NIAAA, SAMHSA, ASAM and
AMERSA. The lectures are 25-40 min each, delivered by experts in the field,
and also include interactive content. The lectures can be used as a set in a
full elective course; and/or individually as part of other existing courses
during any year of medical school. Because medical education also involves
case presentations, the course includes three “virtual cases” capturing
common substance use related conditions that simultaneously illustrate
important concepts in pathology, physiology, pharmacology and clinical care
while also illustrating important aspects of the diagnosis, treatment and
management of substance use disorders. The course and virtual cases are
supplemented with preparation for course instructors through a one-week,
clinical immersion education experience at the Betty Ford Center.
Conclusions: This course was developed with guidance from medical school
deans and key faculty; addiction experts, government agencies, and
medical/scientific associations. It will be made available through
subscriptions to medical schools that will enable them to meet the demands
for more education and training about substance use disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
education
medical school
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
diagnosis
government
human
immersion
medical education
medical student
parity
pathology
pharmacology
physician
physiology
substance use
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802004
DOI
10.1016/j.drugalcdep.2014.09.466
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.466
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 426
TITLE
Addressing Adolescent Substance Use: Teaching Screening, Brief Intervention,
and Referral to Treatment (SBIRT) and Motivational Interviewing (MI) to
Residents
AUTHOR NAMES
Whittle A.E.
Buckelew S.M.
Satterfield J.M.
Lum P.J.
O'Sullivan P.
AUTHOR ADDRESSES
(Whittle A.E.) a Department of Pediatrics , University of California San
Francisco , San Francisco , California , USA
(Buckelew S.M.; Satterfield J.M.; Lum P.J.; O'Sullivan P.)
SOURCE
Substance abuse (2015) 36:3 (325-331). Date of Publication: 2015
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: The American Academy of Pediatrics Committee on Substance Use
recommends screening, brief intervention, and referral to treatment (SBIRT)
at every adolescent preventive and all appropriate urgent visits. We
designed an SBIRT curriculum as part of the adolescent block of a pediatric
residency that combined online modules with an in-person workshop, faculty
feedback on resident interactions with patients, and resident
self-reflection on their motivational interviewing (MI) skills.METHODS: To
evaluate the curriculum, we measured resident satisfaction and self-reported
confidence in using SBIRT and MI with teens using a retrospective pre/post
questionnaire. We used qualitative analysis to evaluate the written comments
from faculty observations of patient-trainee interactions and comments from
resident self-reflection(s) on patient interactions.RESULTS: Thirty-two
residents completed the curriculum. Residents reported high satisfaction
with the training. Comparing retrospective pre/post scores on the survey of
resident self-reported confidence, measures increased significantly in all
domains, including for both alcohol and other drug use. Regarding
self-reported MI, skillfulness also increased significantly. Analysis of
specific faculty feedback to residents revealed subthemes such as
normalizing confidentiality and focusing more on the patient's perspectives
on substance use. Resident reflections on their own abilities with SBIRT/MI
focused on using the ruler tool and on adapting the MI style of shared
decision-making.CONCLUSIONS: A curriculum that combines online training,
small-group practice, clinical observations, and self-reflection is valued
by residents and can increase resident self-reported confidence in using
SBIRT and MI in adolescent encounters. Future studies should examine to what
extent confidence predicts performance using standardized measures of MI
skillfulness in patient encounters.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mass screening
medical education
motivational interviewing
patient referral
EMTREE MEDICAL INDEX TERMS
adolescent
adolescent behavior
adult
clinical competence
curriculum
drug dependence (diagnosis, therapy)
education
female
human
male
pediatrics
psychiatry
retrospective study
short term psychotherapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25260121 (http://www.ncbi.nlm.nih.gov/pubmed/25260121)
PUI
L615279552
DOI
10.1080/08897077.2014.965292
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2014.965292
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 427
TITLE
Needs assessment survey of addictions training in general psychiatry
residency
AUTHOR NAMES
Billups D.
Shorter D.
AUTHOR ADDRESSES
(Billups D.; Shorter D., shorter@bcm.edu) Menninger Department of Psychiatry
and Behavioral Sciences, Baylor College of Medicine, Houston, United States.
(Shorter D., shorter@bcm.edu) Michael E. DeBakey VA Medical Center, Houston,
United States.
CORRESPONDENCE ADDRESS
D. Shorter, Menninger Department of Psychiatry and Behavioral Sciences,
Baylor College of Medicine, Houston, United States.
SOURCE
American Journal on Addictions (2015) 24:3 (191-192). Date of Publication: 1
Apr 2015
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley-Blackwell Publishing Ltd, info@royensoc.co.uk
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
needs assessment
psychiatry
residency education
EMTREE MEDICAL INDEX TERMS
cognitive therapy
drug misuse
human
letter
physician
physician attitude
psychiatrist
resident
skill
substance abuse
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2015971613
MEDLINE PMID
25809494 (http://www.ncbi.nlm.nih.gov/pubmed/25809494)
PUI
L604013308
DOI
10.1111/ajad.12211
FULL TEXT LINK
http://dx.doi.org/10.1111/ajad.12211
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 428
TITLE
Improving Psychiatry Residents' Attitudes Toward Individuals Diagnosed with
Substance Use Disorders
AUTHOR NAMES
Smith F.A.
Avery J.
Zerbo E.
AUTHOR ADDRESSES
(Smith F.A.; Avery J., jdavery15@gmail.com) Departments of Psychiatry, Weill
Cornell Medical College, 525 E. 68th St., New York, United States.
(Zerbo E.) New York University, Langone Medical Center, United States.
CORRESPONDENCE ADDRESS
J. Avery, Departments of Psychiatry, Weill Cornell Medical College, 525 E.
68th St., New York, United States. Email: jdavery15@gmail.com
SOURCE
Harvard Review of Psychiatry (2015) 23:4 (296-300). Date of Publication: 1
Jan 2015
ISSN
1465-7309 (electronic)
1067-3229
BOOK PUBLISHER
Taylor and Francis Ltd, kathiest.clai@apta.org
ABSTRACT
Special attention needs to be paid to the attitudes of psychiatry residents
toward individuals diagnosed with substance use disorders. The attitudes of
trainees may be worse toward these individuals than toward individuals with
other diagnoses, and these attitudes may worsen over time. While psychiatry
residencies are increasingly teaching residents about how to diagnosis and
treat individuals diagnosed with substance use disorders, more attention
needs to be paid to educating residents about common attitudes toward these
individuals. We recommend that psychiatry residency programs start with
basic educational didactics and reflection exercises on attitudes toward
individuals diagnosed with substance use disorders and that programs try to
form a positive "hidden curriculum" in their institutions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
physician attitude
psychiatrist
resident
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholism
article
curriculum
education program
exercise
human
knowledge
medical student
priority journal
residency education
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160065263
MEDLINE PMID
26146757 (http://www.ncbi.nlm.nih.gov/pubmed/26146757)
PUI
L607895685
DOI
10.1097/HRP.0000000000000047
FULL TEXT LINK
http://dx.doi.org/10.1097/HRP.0000000000000047
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 429
TITLE
South Texas Residency Screening, Brief Intervention, and Referral to
Treatment (SBIRT) Training: 12-Month Outcomes
AUTHOR NAMES
Malone G.P.
Vale Arismendez S.
Schneegans Warzinski S.
Amodei N.
Burge S.K.
Wathen P.I.
Conde M.V.
Palmer R.
Williams J.F.
AUTHOR ADDRESSES
(Malone G.P.) a Department of Pediatrics , University of Texas Health
Science Center at San Antonio , San Antonio , Texas , USA
(Vale Arismendez S.; Schneegans Warzinski S.; Amodei N.; Burge S.K.; Wathen
P.I.; Conde M.V.; Palmer R.; Williams J.F.)
SOURCE
Substance abuse (2015) 36:3 (272-280). Date of Publication: 2015
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT)
is an efficacious and cost-effective skill set when implemented in primary
care settings regarding hazardous alcohol use. This study assesses the
impact of medical resident SBIRT training across 3 specialties and
identifies predictors of change in trainee behavior, attitudes, and
knowledge over 12 months.METHODS: This program's substance use SBIRT
training was developed and tailored to fit diverse curricular objectives and
settings across an array of medical residency programs in South Texas. The
329 residents training in pediatrics, family medicine, and internal medicine
during 2009-2012 constituted the trainee group reported in this analysis.
Surveys assessing SBIRT-related knowledge, current practice, confidence,
role responsibility, attitudes, beliefs, and readiness to change were
completed by 234 (71%) trainees at 3 time points: pre-training, then 30 days
and 12 months post-initial training.RESULTS: SBIRT-related knowledge,
confidence, and practice increased from pre-training to 12-month follow-up.
Residents who reported the least amount of pre-training clinical and/or
prior academic exposure to substance use reported the greatest SBIRT
practice increases. When controlling for demographic and prior exposure
variables, the largest contributor to variance in SBIRT practice was
attributed to residents' confidence in their SBIRT skills.CONCLUSIONS: SBIRT
training that employs diverse educational methodologies as part of
customizing the training to residency specialties can similarly enhance
SBIRT-related knowledge, confidence, and practice. Trainee report of limited
prior clinical or academic exposure to substance use and/or low confidence
regarding SBIRT skills and their professional role responsibilities related
to substance use predicted trainee success and sustained SBIRT strategy
application. When customizing SBIRT training, curriculum developers should
consider leveraging and capacity building related to those factors
predicting continued use of SBIRT practices.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mass screening
medical education
patient referral
EMTREE MEDICAL INDEX TERMS
adult
clinical competence
drug dependence (diagnosis, therapy)
education
female
general practice
human
internal medicine
male
middle aged
pediatrics
short term psychotherapy
Texas
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25581553 (http://www.ncbi.nlm.nih.gov/pubmed/25581553)
PUI
L615316400
DOI
10.1080/08897077.2014.988839
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2014.988839
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 430
TITLE
Smoking cessation education and training in U.K. medical schools: A National
Survey
AUTHOR NAMES
Raupach T.
Al-Harbi G.
McNeill A.
Bobak A.
McEwen A.
AUTHOR ADDRESSES
(Raupach T., raupach@med.uni-goettingen.de; McEwen A.) Department of
Epidemiology and Public Health, Cancer Research UK Health Behaviour Research
Centre, University College London, London, United Kingdom.
(Raupach T., raupach@med.uni-goettingen.de) Department of Cardiology and
Pneumology, University Medical Centre Göttingen, Göttingen, Germany.
(Al-Harbi G.) Department of Service Development and Health Promotion,
Primary Health Care Corporation, Doha, Qatar.
(McNeill A.) National Addiction Centre, Institute of Psychiatry, King's
College London, UK Centre for Tobacco and Alcohol Studies, London, United
Kingdom.
(Bobak A.) Wandsworth Medical Centre, London, United Kingdom.
(McEwen A.) National Centre for Smoking Cessation and Training, London,
United Kingdom.
CORRESPONDENCE ADDRESS
T. Raupach, Department of Cardiology and Pneumology, University Medical
Centre Göttingen, Göttingen, Germany.
SOURCE
Nicotine and Tobacco Research (2015) 17:3 (372-375). Date of Publication:
2015
ISSN
1469-994X (electronic)
1462-2203
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
ABSTRACT
Introduction: Smoking cessation is one of the most cost-effective of all
health interventions. Physicians are in a strong position to encourage
smokers to make a quit attempt and to help them achieve long-term
abstinence. Formal teaching on tobacco-related disease, the evidence base of
smoking cessation, and practical skills training regarding cessation advice
and counseling are therefore important parts of undergraduate medical
education. A survey of U.K. medical schools conducted 11 years ago revealed
substantial deficits in the curricular coverage of these topics. This study
aimed at establishing whether the situation has improved since then.
Methods: In 2013, all U.K. medical schools were invited to participate in an
online survey of their curricular coverage of tobacco addiction and smoking
cessation. Results: Of the 33 medical schools, 22 (67%) schools responded.
Health effects of smoking were addressed in more than 90% of curricula, and
factual knowledge on nicotine addiction and withdrawal symptoms was covered
in 50% of curricula. Only 1 in 3 medical schools offered practical skills
training in artificial (i.e., role play) or clinical settings, and 50% of
schools did not address smoking in summative assessments. Conclusions:
Practical skills training regarding cessation counseling is insufficient at
most U.K. medical schools and may have become worse during the last 11
years. Increased curricular coverage-including summative assessments-of
these topics would ensure that future physicians are adequately equipped to
encourage and support effective evidence-based quit attempts in their
patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
curriculum development
health survey
human
knowledge
medical school
online system
priority journal
tobacco dependence
United Kingdom
withdrawal syndrome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015456885
MEDLINE PMID
25257981 (http://www.ncbi.nlm.nih.gov/pubmed/25257981)
PUI
L606422822
DOI
10.1093/ntr/ntu199
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/ntu199
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 431
TITLE
Increasing tobacco dependence treatment through continuing education
training for behavioral health professionals
AUTHOR NAMES
Williams J.M.
Miskimen T.
Minsky S.
Cooperman N.A.
Miller M.
Budsock P.D.
Cruz J.
Steinberg M.L.
AUTHOR ADDRESSES
(Williams J.M., jill.williams@rutgers.edu; Miskimen T.; Minsky S.; Cooperman
N.A.; Budsock P.D.; Cruz J.; Steinberg M.L.) Department of Psychiatry,
Rutgers-Robert Wood Johnson Medical School, Piscataway, United States.
(Williams J.M., jill.williams@rutgers.edu; Miskimen T.; Minsky S.; Miller
M.) Rutgers University Behavioral Health Care, Piscataway, United States.
(Cooperman N.A.; Steinberg M.L.) Rutgers Cancer Institute of New Jersey,
Canada.
SOURCE
Psychiatric Services (2015) 66:1 (21-26). Date of Publication: 1 Jan 2015
ISSN
1557-9700 (electronic)
1075-2730
BOOK PUBLISHER
American Psychiatric Association, apa@psych.org
ABSTRACT
Objective: Few continuing education programs to train behavioral health
professionals to deliver tobacco treatment services have been described and
evaluated. Methods: The effectiveness of two-day training on changing
practice was examined by review of clinical charts from 20 clinicians who
attended in 2012. Ten medical records were randomly selected for review from
each clinician's outpatient practice at a large behavioral health system.
Five charts from smokers seen within six months before and after training
were reviewed per clinician, for a total of 200. Records were electronically
searched on "cigarette," "nicotine," "tobacco," "quit," "smoking," and
"smoke." Results were compared via chi square tests (all p<.05). Results:
Almost half of the smokers indicated that they were interested in quitting,
although baseline rates of tobacco use treatment were very low.
Documentation of tobacco use significantly increased between baseline and
posttraining, both on the problem list (35% versus 74%) and treatment plan
(20% versus 60%). Also posttraining, clinicians advised significantly more
outpatients to quit (9% versus 36%) or referred them to individual or group
counseling. Discussion of nicotine replacement was documented more
frequently in charts (10% versus 31%), and prescriptions for tobacco
treatment medications increased significantly in the posttraining period,
although overall prescribing remained low. The proportion of patients making
quit attempts also significantly increased in the posttraining period (10%
versus 39%), suggesting that providers were delivering more tobacco
treatment than was reflected in charts. Conclusions: An intensive training
program for behavioral health professionals increased tobacco treatment and
patient quit attempts. Strategies beyond training may be needed to enhance
prescribing by these practitioners.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavioral health professional
continuing education
health practitioner
paramedical education
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
clinical practice
electronic medical record
evaluation study
evidence based practice
female
health care system
health personnel attitude
human
male
medical record review
outpatient care
psychiatrist
registered nurse
self report
smoking
smoking cessation
tobacco use
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015084897
MEDLINE PMID
25220158 (http://www.ncbi.nlm.nih.gov/pubmed/25220158)
PUI
L604627021
DOI
10.1176/appi.ps.201300523
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ps.201300523
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 432
TITLE
Geographic and specialty distribution of US physicians trained to treat
opioid use disorder
AUTHOR NAMES
Rosenblatt R.A.
Andrilla C.H.
Catlin M.
Larson E.H.
AUTHOR ADDRESSES
(Rosenblatt R.A.) WWAMI Rural Health Research Center, Department of Family
Medicine, University of Washington School of Medicine, Seattle, Washington
(Andrilla C.H.) WWAMI Rural Health Research Center, Department of Family
Medicine, University of Washington School of Medicine, Seattle, Washington
hollya@uw.edu
(Catlin M.) WWAMI Rural Health Research Center, Department of Family
Medicine, University of Washington School of Medicine, Seattle, Washington
Group Health Cooperative of Puget Sound, Seattle, Washington
(Larson E.H.) WWAMI Rural Health Research Center, Department of Family
Medicine, University of Washington School of Medicine, Seattle, Washington
SOURCE
Annals of family medicine (2015) 13:1 (23-26). Date of Publication: 1 Jan
2015
ISSN
1544-1717 (electronic)
ABSTRACT
PURPOSE: The United States is experiencing an epidemic of opioid-related
deaths driven by excessive prescribing of opioids, misuse of prescription
drugs, and increased use of heroin. Buprenorphine-naloxone is an effective
treatment for opioid use disorder and can be provided in office-based
settings, but this treatment is unavailable to many patients who could
benefit. We sought to describe the geographic distribution and specialties
of physicians obtaining waivers from the Drug Enforcement Administration
(DEA) to prescribe buprenorphine-naloxone to treat opioid use disorder and
to identify potential shortages of physicians.METHODS: We linked physicians
authorized to prescribe buprenorphine on the July 2012 DEA Drug Addiction
Treatment Act (DATA) Waived Physician List to the American Medical
Association Physician Masterfile to determine their age, specialty,
rural-urban status, and location. We then mapped the location of these
physicians and determined their supply for all US counties.RESULTS: Sixteen
percent of psychiatrists had received a DEA DATA waiver (41.6% of all
physicians with waivers) but practiced primarily in urban areas. Only 3.0%
of primary care physicians, the largest group of physicians in rural
America, had received waivers. Most US counties therefore had no physicians
who had obtained waivers to prescribe buprenorphine-naloxone, resulting in
more than 30 million persons who were living in counties without access to
buprenorphine treatment.CONCLUSIONS: In the United States opioid use and
related unintentional lethal overdoses continue to rise, particularly in
rural areas. Increasing access to office-based treatment of opioid use
disorder--particularly in rural America--is a promising strategy to address
rising rates of opioid use disorder and unintentional lethal overdoses.
EMTREE DRUG INDEX TERMS
buprenorphine (drug therapy)
buprenorphine plus naloxone
naloxone (drug therapy)
narcotic antagonist (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
supply and distribution
EMTREE MEDICAL INDEX TERMS
adult
education
female
general practice
human
internal medicine
male
manpower
middle aged
opiate addiction (drug therapy, epidemiology)
opiate substitution treatment
physician
psychiatry
rehabilitation medicine
rural population
United States
urban population
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
naloxone (357-08-4, 465-65-6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25583888 (http://www.ncbi.nlm.nih.gov/pubmed/25583888)
PUI
L613393654
DOI
10.1370/afm.1735
FULL TEXT LINK
http://dx.doi.org/10.1370/afm.1735
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 433
TITLE
Addressing a training gap through addiction research education for medical
students: letter to the editor
AUTHOR NAMES
Klimas J.
Cullen W.
AUTHOR ADDRESSES
(Klimas J.; Cullen W.) a School of Medicine and Medical Science , University
College Dublin , Dublin , Ireland
SOURCE
Substance abuse (2015) 36:1 (3-5). Date of Publication: 2015
ISSN
1547-0164 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
patient referral
psychotherapy
standards
substance abuse
EMTREE MEDICAL INDEX TERMS
curriculum
health care personnel
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
25084806 (http://www.ncbi.nlm.nih.gov/pubmed/25084806)
PUI
L604456346
DOI
10.1080/08897077.2014.939802
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2014.939802
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 434
TITLE
How, Why, and for Whom Do Emergency Medicine Providers Use Prescription Drug
Monitoring Programs?
AUTHOR NAMES
Smith R.J.
Kilaru A.S.
Perrone J.
Paciotti B.
Barg F.K.
Gadsden S.M.
Meisel Z.F.
AUTHOR ADDRESSES
(Smith R.J.; Kilaru A.S.; Perrone J.; Paciotti B.; Meisel Z.F.,
Zachary.Meisel@uphs.upenn.edu) Department of Emergency Medicine, Center for
Emergency Care Policy and Research, Perelman School of Medicine at the
University of Pennsylvania, Philadelphia, United States.
(Kilaru A.S.) Department of Emergency Medicine, Highland Hospital, Oakland,
United States.
(Perrone J.) Division of Medical Toxicology, Department of Emergency
Medicine, Perelman School of Medicine at the University of Pennsylvania,
Philadelphia, United States.
(Barg F.K.; Gadsden S.M.) Mixed Methods Research Lab, Department of Family
Medicine and Community Health, Perelman School of Medicine, University of
Pennsylvania, Philadelphia, United States.
CORRESPONDENCE ADDRESS
Z.F. Meisel, Center for Emergency Care Policy and Research, Department of
Emergency Medicine, Ravdin Ground, 3400 Spruce St, Philadelphia, United
States.
SOURCE
Pain Medicine (United States) (2015) 16:6 (1122-1131). Date of Publication:
1 Jun 2015
ISSN
1526-4637 (electronic)
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc., subscrip@blackwellpub.com
ABSTRACT
Objective: The prescription opioid epidemic is currently responsible for the
greatest number of unintentional deaths in the United States. One potential
strategy for decreasing this epidemic is implementation of state-based
Prescription Drug Monitoring Programs (PDMPs), which are designed for
providers to identify patients who "doctor shop" for prescriptions.
Emergency medicine physicians are some of the most frequent PDMP users and
opioid prescribers, but little is known about how they actually use PDMPs,
for which patients, and for what reasons. Methods: We conducted and
transcribed semistructured qualitative interviews with 61 physicians at a
national academic conference in October 2012. Deidentified transcripts were
entered into QSR NVivo 10.0, coded, and analyzed for themes using modified
grounded theory. Results: There is variation in pattern and frequency of
PDMP access by emergency physicians. Providers rely on both structural
characteristics of the PDMP, such as usability, and also their own clinical
gestalt impression when deciding to use PDMPs for a given patient encounter.
Providers use the information in PDMPs to alter clinical decisions and guide
opioid prescribing patterns. Physicians describe alternative uses for the
databases, such as improving their ability to facilitate discussions on
addiction and provide patient education. Conclusion: PDMPs are used for
multiple purposes, including identifying opioid misuse and enhancing
provider-patient communication. Given variation in practice, standards may
help direct indication and manner of physician use. Steps to minimize
administrative barriers to PDMP access are warranted. Finally, alternative
PDMP uses should be further studied to determine their appropriateness and
potentially expand their role in clinical practice.
EMTREE DRUG INDEX TERMS
narcotic agent
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug surveillance program
emergency medicine
physician attitude
prescription drug monitoring program
EMTREE MEDICAL INDEX TERMS
adult
article
clinical decision making
data base
emergency physician
female
health care access
human
male
opiate addiction
patient education
prescription
semi structured interview
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015772560
MEDLINE PMID
25688454 (http://www.ncbi.nlm.nih.gov/pubmed/25688454)
PUI
L602490469
DOI
10.1111/pme.12700
FULL TEXT LINK
http://dx.doi.org/10.1111/pme.12700
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 435
TITLE
Can naloxone prescription and overdose training for opioid users work in
family practice? Perspectives of family physicians
AUTHOR NAMES
Leece P.
Orkin A.
Shahin R.
Steele L.S.
AUTHOR ADDRESSES
(Leece P., pamela.leece@mail.utoronto.ca) Public Health and Preventive
Medicine Program, Dalla Lana School of Public Health, University of Toronto,
Canada.
(Orkin A.) Dalla Lana School of Public Health, University of Toronto,
Canada.
(Shahin R.) Toronto Public Health, Canada.
(Shahin R.) Dalla Lana School of Public Health, Canada.
(Steele L.S.) Department of Family and Community Medicine, University of
Toronto, Canada.
(Steele L.S.) Li Ka Shing Knowledge Institute, St Michael's Hospital,
Toronto, Canada.
CORRESPONDENCE ADDRESS
P. Leece, Public Health and Preventive Medicine Program, Dalla Lana School
of Public Health, University of Toronto, Canada.
SOURCE
Canadian Family Physician (2015) 61:6 (538-543). Date of Publication: 1 Jun
2015
ISSN
0008-350X
BOOK PUBLISHER
College of Family Physicians of Canada
ABSTRACT
Objective: To explore family physicians' attitudes toward prescribing
naloxone to at-risk opioid users, as well as to determine the opportunities
and challenges for expanding naloxone access to patients in family practice
settings. Design: One-hour focus group session and SWOT (strengths,
weaknesses, opportunities, and threats) analysis. Setting: Workshop held at
the 2012 Family Medicine Forum in Toronto, Ont. Participants: Seventeen
conference attendees from 3 Canadian cities who practised in various family
practice settings and who agreed to participate in the workshop. Methods:
The workshop included an overview of information about naloxone distribution
and overdose education programs, followed by group discussion in smaller
focus groups. Participants were instructed to focus their discussion on the
question, "Could this [overdose education and naloxone prescription] work in
your practice?" and to record notes using a standardized discussion guide
based on a SWOT analysis. Two investigators reviewed the forms, extracting
themes using an open coding process. Main findings: Some participants
believed that naloxone could be used safely among family practice patients,
that the intervention fit well with their clinical practice settings, and
that its use in family practice could enhance engagement with at-risk
individuals and create an opportunity to educate patients, providers, and
the public about overdose. Participants also indicated that the current
guidelines and support systems for prescribing or administering naloxone
were inadequate, that medicolegal uncertainties existed for those who
prescribed or administered naloxone, and that high-quality evidence about
the intervention's effectiveness in family practice was lacking. Conclusion:
Family physicians believe that overdose education and naloxone prescription
might provide patients at risk of opioid overdose in their practices with
broad access to a potentially lifesaving intervention. However, they explain
that there are key barriers currently limiting widespread implementation of
naloxone use in family practice settings.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone (drug therapy)
opiate (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug intoxication (drug therapy, drug therapy)
general practice
EMTREE MEDICAL INDEX TERMS
article
Canada
clinical article
clinical practice
drug use
education program
general practitioner
health care planning
human
information processing
patient safety
practice guideline
risk factor
uncertainty
weakness
workshop
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2015134508
PUI
L604901580
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 436
TITLE
Tobacco use, exposure to secondhand smoke and cessation training among
third-year medical technology students in Thailand
AUTHOR NAMES
Namjuntra P.
Suriyaprom K.
AUTHOR ADDRESSES
(Namjuntra P.; Suriyaprom K., kanjana.su@rsu.ac.th) Rangsit University,
Thailand.
CORRESPONDENCE ADDRESS
K. Suriyaprom, Rangsit University, Paholyothin Road, , Thailand.
SOURCE
Journal of the Medical Association of Thailand (2015) 98:10 (1028-1034).
Date of Publication: 1 Oct 2015
ISSN
0125-2208 (electronic)
0125-2208
BOOK PUBLISHER
Medical Association of Thailand, math@loxinfo.co.th
ABSTRACT
Objective: Compare tobacco use, exposure to second-hand smoke, and smoking
cessation training among third-year medical technology students in Thailand
between 2006 and 2011. Material and Method: The medical technology student
survey was carried out with Global Health Professions Student Survey (GHPSS)
between October and November 2011. The population of the present study was
all students in nine medical technology schools. There were 773 students
enrolled in this study yielding a response rate of 95.1%. Results: The
prevalence of current cigarette smokers had decreased from 2006 to 2011
(4.8% to 1.4%, respectively). Rates of exposure to second-hand smoke at home
were 36.3% in 2006 and 39.7% in 2011, while rates of exposure to second-hand
smoke in other places did not change. Most students recognized that they
should give patients counseling to quit smoking, but only 20.6% in 2006 and
28.4% in 2011 of them had received formal training in tobacco cessation
counseling. Conclusion: There were low percentages of current cigarette
smoking but high percentages of exposure to second-hand smoke among medical
technology students. The percentage of cessation training was still low
among students. Therefore, medical technology schools should provide formal
training in tobacco cessation for all students to help improve their ability
in providing advice to patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
passive smoking
smoking cessation program
smoking cessation training
tobacco use
training
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
health practitioner
health survey
human
male
prevalence
questionnaire
smoking
smoking ban
Thailand
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Thai
EMBASE ACCESSION NUMBER
2015456682
MEDLINE PMID
26638595 (http://www.ncbi.nlm.nih.gov/pubmed/26638595)
PUI
L606516358
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 437
TITLE
Can a five-day training programme on opioid substitution therapy (OST)
improve scores on knowledge and skills of different cadre of service
providers? Analysis of routine programme data
AUTHOR NAMES
Rao R.
Pawar A.K.S.
Agrawal A.
Ambekar A.
Khandelwal S.K.
AUTHOR ADDRESSES
(Rao R., drrvrao@gmail.com; Pawar A.K.S., adityapawar@gmail.com; Agrawal A.,
dralok.nddtc.aiims@gmail.com; Ambekar A., atul.ambekar@gmail.com; Khandelwal
S.K., sudhir_aiims@yahoo.co.uk) All India Institute of Medical Sciences,
India.
CORRESPONDENCE ADDRESS
R. Rao, All India Institute of Medical Sciences, India. Email:
drrvrao@gmail.com
SOURCE
Indian Journal of Psychiatry (2015) 57:5 SUPPL. 1 (S104). Date of
Publication: January 2015
CONFERENCE NAME
67th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2015
CONFERENCE LOCATION
Hyderabad, India
CONFERENCE DATE
2015-01-08 to 2015-01-11
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Objectives: To study the impact of a five-day training programme on Opioid
Substitution Therapy (OST) on different cadre of service providers by
analysis of data routinely collected, pre- and post-training. Methodology:
Training programmes are held regularly to provide knowledge and skills on
OST to service providers employed for running OST services supported under
the National AIDS Control Programme. Each programme is for five-day
duration, and has participants from medical and non-medical field. Every
participant is administered a questionnaire of 20 questions (MCQs and
true/false questions, possible score range: 0-20) on harm reduction, basics
of drugs and OST, before and after training. The trainings are conducted by
experienced trainers using standard training module. We analyzed data
collected routinely and compared pre- and post-training scores using
paired-t test analysis with SPSS software. Results: A total of nine
trainings were held in the 13-month period, in which 267 OST staff members
(average 30 participants per training) from various states of North and
South region were trained, using standardized training module. A total of
six trainers were involved in imparting the training. The mean age of
participants was 32.5±9.5 years. The proportion of different cadre was:
Doctors: 17.7%, Nurses: 20%, Counsellors: 19%, Outreach workers: 28.2%, and
programme managerial staff: 14.7%. The mean pre-test and post-test score was
9.3±2.6 and 13.4± 2.9 respectively. Comparison of mean scores using paired
t-test analysis showed significant difference between the two scores
(p<0.001). Conclusion: The five-day training programme improves knowledge
and skills of OST staff. It is feasible to train different cadre of staff in
single training programme to initiate OST services.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Indian
medical society
opiate substitution treatment
skill
training
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
data analysis software
harm reduction
human
methodology
nurse
physician
questionnaire
software
Student t test
worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71769214
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 438
TITLE
Analysis of barriers to adoption of buprenorphine maintenance therapy by
family physicians
AUTHOR NAMES
DeFlavio J.R.
Rolin S.A.
Nordstrom B.R.
Kazal L.A.
AUTHOR ADDRESSES
(DeFlavio J.R.) Geisel School of Medicine at Dartmouth, Hanover, New
Hampshire, USA. jeffrey.r.deflavio@dartmouth.edu
(Rolin S.A.) Geisel School of Medicine at Dartmouth, Hanover, New Hampshire,
USA. stephanie.a.rolin@dartmouth.edu
(Nordstrom B.R.) Department of Psychiatry, Geisel School of Medicine at
Dartmouth, Hanover, New Hampshire, USA. benjamin.r.nordstrom@hitchcock.org
(Kazal L.A.) Department of Community and Family Medicine, Geisel School of
Medicine at Dartmouth, Hanover, New Hampshire, USA.
louis.a.kazal.jr@dartmouth.edu
SOURCE
Rural and remote health (2015) 15 (3019). Date of Publication: 2015
ISSN
1445-6354 (electronic)
ABSTRACT
INTRODUCTION: Opioid abuse has reached epidemic levels. Evidence-based
treatments such as buprenorphine maintenance therapy (BMT) remain
underutilized. Offering BMT in primary care settings has the potential to
reduce overall costs of care, decrease medical morbidity associated with
opioid dependence, and improve treatment outcomes. However, access to BMT,
especially in rural areas, remains limited. This article will present a
review of barriers to adoption of BMT among family physicians in a primarily
rural area in the USA.METHODS: An anonymous survey of family physicians
practicing in Vermont or New Hampshire, two largely rural states, was
conducted. The survey included both quantitative and qualitative questions,
focused on BMT adoption and physician opinions of opioids. Specific factors
assessed included physician factors, physicians' understanding of patient
factors, and logistical issues.RESULTS: One-hundred and eight family
physicians completed the survey. Approximately 10% were buprenorphine
prescribers. More than 80% of family physicians felt they regularly saw
patients addicted to opiates. The majority (70%) felt that they, as family
physicians, bore responsibility for treating opiate addiction. Potential
logistical barriers to buprenorphine adoption included inadequately trained
staff (88%), insufficient time (80%), inadequate office space (49%), and
cumbersome regulations (37%). Common themes addressed in open-ended
questions included lack of knowledge, time, or interest; mistrust of people
with addiction or buprenorphine; and difficult patient
population.CONCLUSIONS: This study aims to quantify perceived barriers to
treatment and provide insight expanding the community of family physicians
offering BMT. The results suggest family physicians are excellent candidates
to provide BMT, as most report regularly seeing opioid-addicted patients and
believe that treating opioid addiction is their responsibility. Significant
barriers remain, including inadequate staff training, lack of access to
addiction experts, and perceived efficacy of BMT. Addressing these barriers
may lower resistance to buprenorphine adoption and increase access to BMT in
rural areas.
EMTREE DRUG INDEX TERMS
buprenorphine (drug administration, drug therapy)
narcotic antagonist (drug administration, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
procedures
psychology
EMTREE MEDICAL INDEX TERMS
attitude to health
clinical practice
confidentiality
female
general practitioner
health care delivery
human
in service training
male
opiate addiction (drug therapy)
opiate substitution treatment
perception
primary health care
statistics and numerical data
time
trust
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25651434 (http://www.ncbi.nlm.nih.gov/pubmed/25651434)
PUI
L607080447
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 439
TITLE
Harm to Others from Substance use and Abuse
AUTHOR NAMES
Lund I.O.
Sundin E.
Konijnenberg C.
Rognmo K.
Martinez P.
Fielder A.
AUTHOR ADDRESSES
(Lund I.O., lngunnOlea.Lund@fhi.no) Department of Alcohol, Drug and Tobacco
Research, Norwegian Institute of Public Health, Oslo, Norway.
(Sundin E.) Swedish Council for Information on Alcohol and Other Drugs
(CAN), Stockholm, Sweden.
(Konijnenberg C.) Cognitive Developmental Research Unit, Department of
Psychology, University of Oslo, Oslo, Norway.
(Rognmo K.) Department of Psychology, University of Tromsø-The Arctic
University of Norway, Tromsø, Norway.
(Martinez P.) Alcohol Research Group, University of California, Berkeley,
United States.
(Fielder A.) Division of Health Sciences, School of Pharmacy and Medical
Sciences, University of South Australia, Adelaide, Australia.
CORRESPONDENCE ADDRESS
I.O. Lund, Department of Alcohol, Drug and Tobacco Research, Norwegian
Institute of Public Health, Oslo, Norway. Email: lngunnOlea.Lund@fhi.no
SOURCE
Substance Abuse: Research and Treatment (2015) 9s2 (119-124). Date of
Publication: 1 Jan 2015
ISSN
1178-2218 (electronic)
BOOK PUBLISHER
SAGE Publications Ltd, info@sagepub.co.uk
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
substance use
EMTREE MEDICAL INDEX TERMS
alcohol consumption
cohort analysis
crime
cross-sectional study
editorial
health care cost
health survey
human
low birth weight
neonatal abstinence syndrome
population research
premature labor
prenatal period
risk factor
United States
violence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20170720808
PUI
L618685615
DOI
10.4137/SART.S39722
FULL TEXT LINK
http://dx.doi.org/10.4137/SART.S39722
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 440
TITLE
Cognitive-behavioral therapy and educational counseling for chronic pain and
opioid dependence
AUTHOR NAMES
Barry D.T.
Cutter C.J.
Beitel M.
Liong C.
Schottenfeld R.S.
AUTHOR ADDRESSES
(Barry D.T.; Cutter C.J.; Beitel M.; Schottenfeld R.S.) Psychiatry, Yale
School of Medicine, New Haven, United States.
(Barry D.T.; Cutter C.J.; Beitel M.; Liong C.) APT Foundation Pain Treatment
Services, New Haven, United States.
CORRESPONDENCE ADDRESS
D.T. Barry, Psychiatry, Yale School of Medicine, New Haven, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e218-e219). Date of Publication: 1
Jan 2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: To examine the efficacy of cognitive behavioral therapy (CBT) and
educational counseling (EC)-the educational component of CBT augmented by
additional psychoeducation on chronic pain and addiction-for co-occurring
chronic low-back pain and opioid dependence (POD). Methods: 90 POD patients
received a standard protocol of buprenorphine/naloxone (BUP/NLX) and were
assigned to: physician management (PM) alone, consisting of six 10-15 min
medically focused sessions; PM plus psychologist-delivered CBT (10 sessions
over 12 weeks); or PM plus nurse-delivered EC (10 sessions over 12 weeks).
Primary outcomes were pain interference, pain intensity, and percentage of
opioid-negative urines. Results: The majority were men (68%), Caucasian
(89%), and never married (60%). Completion rates (>90%) and PM attendance
(mean of 5.6 of 6 planned sessions) did not vary across conditions. There
was a significant overall decrease in average pain interference from 4.6 at
baseline to 3.4 at month 3 (p < .05) and a significant interaction between
condition and time (p < .05), favoring PM plus CBT or EC over PM alone: The
mean (SD) reductions in pain interference (scored on 0-10 scales) in the
CBT, EC, and PM alone groups were 1.7 (1.7), 1.4 (1.6), and 0.6 (1.6),
respectively. Pain intensity decreased over time (p < .05) but did not
differ by group nor was there a significant interaction with group by time.
Overall, the proportion of urine samples indicating nonmedical opioid use
decreased from 100% at baseline to 31% (95% CI 23-40%) at month 1, 36% (95%
CI 27-46%) at month 2, and 39% (95% CI 30-50%) at month 3. Covarying for
nonmedical opioid use during BUP/NLX induction, there was a significant
interaction between counseling and time (p < .05): reductions from baseline
were sustained in both CBT and EC groups, while nonmedical opioiduse
increased in the PM alone group. Conclusions: Our findings support the
efficacy of PM enhanced by CBT or EC for patients with POD treated with
BUP/NLX.
EMTREE DRUG INDEX TERMS
buprenorphine plus naloxone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
cognitive therapy
college
counseling
drug dependence
opiate addiction
EMTREE MEDICAL INDEX TERMS
addiction
Caucasian
human
low back pain
male
married person
nurse
pain
pain intensity
patient
physician
psychoeducation
psychologist
urinalysis
urine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802492
DOI
10.1016/j.drugalcdep.2014.09.062
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.062
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 441
TITLE
Socio-demographic characteristics associated with cigarettes smoking, drug
abuse and alcohol drinking among male medical university students in Iran
AUTHOR NAMES
Jalilian F.
Matin B.K.
Ahmadpanah M.
Ataee M.
Jouybari T.A.
Eslami A.A.
Alavijeh M.M.
AUTHOR ADDRESSES
(Jalilian F.; Matin B.K.; Ataee M.; Jouybari T.A.) Substance Abuse
Prevention Research Center, Kermanshah University of Medical Sciences,
Kermanshah, Iran.
(Ahmadpanah M.) Research Center for Behavioral Disorders and Substances
Abuse, Hamadan University of Medical Sciences, Hamadan, Iran.
(Eslami A.A., eslamiaa@gmail.com) Department of Health Education and
Promotion, School of Health, Isfahan University of Medical Sciences,
Isfahan, Iran.
(Alavijeh M.M.) Social Determinants of Health Research Center, Yasuj
University of Medical Sciences, Yasuj, Iran.
CORRESPONDENCE ADDRESS
A.A. Eslami, Department of Health Education and Promotion, School of Health,
Isfahan University of Medical Sciences, Isfahan, Iran.
SOURCE
Journal of Research in Health Sciences (2015) 15. Date of Publication: 2015
ISSN
1682-2765
BOOK PUBLISHER
Health Hamadan University of Medical Sciences, Shaheed Fahmideh Ave.,P.O.
Box 65175, Hamedan, Iran.
ABSTRACT
Background: Substance abuse is one of the most complicated social problems.
Understanding socio-demographic characteristics of those who abuse
substances could help deal with this problem more efficiently. The main
objective of this study was to determine socio-demographic characteristics
associated with alcohol drinking, cigarettes smoking and drug abuse among a
sample of male medical university students in Iran. Methods: This
cross-sectional study was conducted in 2014 among 425 male medical college
students randomly selected with the proportional to size among different
faculties in Isfahan and Kermanshah medical universities in Iran. A
self-report written questionnaire was applied to collect data. Data were
analyzed by the SPSS-20. Results: Mean age of the respondents was 19.9 yr
(ranging from 18 to 22 yr). About 19.4%, 3.9%, and 10.1% of the respondents
had a history of cigarette smoking, drug use, and alcohol drinking during
the past three months, respectively. Logistic regression showed that
mother’s educational level, living place, economic status, and parents’
divorce was the most influential predictive factors in substance abuse.
Conclusions: Considering the high prevalence of substance abuse (especially
smoking and alcohol drinking), it seems essential to design educational
interventions to prevent substance abuse, paying attention to predictive
factors mentioned above, among college students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
demography
drinking behavior
drug dependence
medical student
smoking
social aspect
EMTREE MEDICAL INDEX TERMS
academic achievement
adult
age distribution
article
controlled study
cross-sectional study
divorced parent
economic aspect
human
Iran
major clinical study
male
medical history
prevalence
questionnaire
random sample
residential area
self report
substance abuse
university student
young adult
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015834424
MEDLINE PMID
25821025 (http://www.ncbi.nlm.nih.gov/pubmed/25821025)
PUI
L603050184
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 442
TITLE
How fit are medical students from Dresden to treat alcohol-related
disorders?
ORIGINAL (NON-ENGLISH) TITLE
Wie fit fühlen sich Dresdner Medizinstudierende, alkoholbezogene Störungen
behandeln zu können?
AUTHOR NAMES
Hoffmann T.
Voigt K.
Schlißke L.
Riemenschneider H.
Bergmann A.
Kugler J.
AUTHOR ADDRESSES
(Hoffmann T., alphabetisierer@me.com; Voigt K.; Schlißke L.; Riemenschneider
H.; Bergmann A.; Kugler J.) Medizinische Fakultät TU Dresden,
Gesundheitswissenschaften, Public Health, Fetscherstraße 74, Dresden,
Germany.
CORRESPONDENCE ADDRESS
T. Hoffmann, Medizinische Fakultät TU Dresden, Gesundheitswissenschaften,
Public Health, Fetscherstraße 74, Dresden, Germany.
SOURCE
Zeitschrift fur Allgemeinmedizin (2015) 91:7-8 (315-320). Date of
Publication: 2015
ISSN
1439-9229 (electronic)
0937-6801
BOOK PUBLISHER
Deutscher Arzte-Verlag GmbH, Dieselstrasse 2 (Postfach 0254), Cologne,
Germany. verlag@aerzteblatt.de
ABSTRACT
Background: The prevalence of alcohol dependency in Germany is high. Data
indicate a lack of quality of care for the respective poulation. A survey of
medical students of the 10th semester at the Medical Faculty of the
Technical University of Dresden (TUD) should cover the achieved degree of
competence to effectively care for alcohol-related disorders in their later
work as doctors. Methods: This cross-sectional study is based on a paper -
and - pen survey of medical students of the 10th semester at the Medical
Faculty of the TUD in July-2013. The data were analysed descriptively using
crosstabs. For the analysis of group differences or correlations the
Mann-Whitney U-test or chi-square test was used. For the risk classification
of amounts of alcohol consumed, the classification scheme of the German
Centre for Addiction questions was used. Results: 11.3 % of the medical
students feel "adequately trained and educated" while more than 60 % feel
inadequately prepared to work with alcoholic patients. 77.1 % wanted to be
better informed and trained on alcohol- related disorders as part of their
medical studies. The analysis by risk groups of students in terms of their
alcohol consumption did not reveal any significant differences in answering
the various competence items. Conclusions: The results indicate deficits in
training alcohol-related disorders. The self-perceived level of knowledge is
inadequate; the scope of theoretical and practical training however, is
assessed as insufficient. In view of its significance the clinical picture
of alcohol-related disorders should be included in the curricula of
education and become a rule-based part of the tests.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
cross-sectional study
education program
Germany
human
knowledge management
medical school
medical student
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2015347470
PUI
L605873721
DOI
10.3238/zfa.2015.0315-0320
FULL TEXT LINK
http://dx.doi.org/10.3238/zfa.2015.0315-0320
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 443
TITLE
The impact of state medical marijuana legislation on adolescent marijuana
use
AUTHOR NAMES
McConnell J.
Choo E.
Zaller N.
Benz M.
Warren O.
Rising K.
AUTHOR ADDRESSES
(Choo E.; Benz M.; Warren O.) Department of Emergency Medicine, Brown
University, Providence, United States.
(Zaller N.) Department of Medicine, Brown University, Providence, United
States.
(Rising K.) Department of Emergency Medicine, University of Pennsylvania,
Philadelphia, United States.
(McConnell J.) Department of Emergency Medicine, Oregon Health and Science
University, Portland, United States.
CORRESPONDENCE ADDRESS
J. McConnell, Department of Emergency Medicine, Oregon Health and Science
University, Portland, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e200). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: The objective of this study was to assess the impact of medical
marijuana legalization across the United States by comparing trends in
adolescent marijuana use between states with and without legalization of
medical marijuana. Methods: The study utilized data from the Youth Risk
Behavioral Surveillance Survey (YRBS) between 1991 and 2011. States with a
medical marijuana law for which at least two cycles of YRBS data were
available before and after the implementation of the law were selected for
analysis. Each of these states was paired with a state in geographic
proximity that had not implemented the law. Chi-squared analysis was used to
compare characteristics between states with and without medical marijuana
use policies. A difference-in-difference regression was performed to control
for time-invariant factors relating to drug use in each state, isolating the
policy effect, then calculated the marginal probabilities of policy change
on the binary dependent variable. Results: Across years and states,
past-month marijuana use was common (20.9%, 95% CI, 20.3-21.4). There were
no statistically significant differences in marijuana use before and after
policy change for any state pairing. In the regression analysis, we did not
find an overall increased probability of marijuana use related to the policy
change (marginal probability, 0.007, 95% CI -0.009, 0.02). Conclusions: This
study did not find increases in adolescent marijuana use related to
legalization of medical marijuana.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
medical cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
cannabis use
college
drug dependence
human
law
EMTREE MEDICAL INDEX TERMS
dependent variable
drug use
juvenile
policy
regression analysis
risk
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802444
DOI
10.1016/j.drugalcdep.2014.09.459
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.459
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 444
TITLE
Substance use and risk profiles of adolescent medical patients
AUTHOR NAMES
Lightfoot M.
Morgan-Jackson J.
Pollack L.
AUTHOR ADDRESSES
(Lightfoot M.; Morgan-Jackson J.; Pollack L.) Medicine, University of
California, San Francisco, United States.
CORRESPONDENCE ADDRESS
M. Lightfoot, Medicine, University of California, San Francisco, United
States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e179-e180). Date of Publication: 1
Jan 2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Many adolescents with asymptomatic HIV/STI or STI related symptoms do
not seek treatment services and those who do access the health care system
may not be screened for HIV. Further, adolescent medicine clinics have low
rates of substance use screening and referral. This study examines the risk
profiles of patients attending an adolescent health clinic located in a
predominately African American and Latino neighborhood and how substance use
interacts with sexual risk behavior. Methods: An electronic intake is
completed by every new patient and patient not seen at the clinic in the
previous 12 months. Clinic intake data from new and returning patients (N=
250) was analyzed. Patients reported lifetime and recent sexual behavior,
condom use, pregnancy, STI diagnosis, and substance use. Results: In the
prior 3 months, substance use was high (59% alcohol, 57% marijuana, 34%
other substances), as was sexual risk behavior (89% vaginal sex, 25% anal
sex, 61% no condom at last intercourse, 20% never use a condom, 21%
Chlamydia). Patients who report substance use are more likely to report
sexual activity. Patients who report an STI are also more likely to report
substance use, with the relationship between marijuana and STI diagnosis
being significant (p = 0.015). Patients reporting substance use were also
less likely to be consistent condom users. Conclusions: This study suggests
that adolescents self-referring to an adolescent health clinic are likely to
engage in multiple risk behaviors and involvement in sexual risky behavior
is related to substance use. Therefore, there is a significant need for
medical providers to screen adolescents for both sexual risk behaviors and
substance use, which provides an opportunity for comprehensive care.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
college
drug dependence
human
patient
risk
substance use
EMTREE MEDICAL INDEX TERMS
adolescent health
African American
Chlamydia
condom
condom use
diagnosis
female
health care system
health center
high risk behavior
Hispanic
hospital
Human immunodeficiency virus
lifespan
medicine
pregnancy
screening
sexual behavior
sexual intercourse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802389
DOI
10.1016/j.drugalcdep.2014.09.404
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.404
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 445
TITLE
Attitudes of healthcare professionals in a general hospital to patients with
substance misuse disorders
AUTHOR NAMES
Raistrick D.S.
Tober G.W.
Unsworth S.L.
AUTHOR ADDRESSES
(Raistrick D.S., d.raistrick@nhs.net; Tober G.W.; Unsworth S.L.) Leeds
Addiction Unit, 19 Springfield Mount, Leeds, United Kingdom.
CORRESPONDENCE ADDRESS
D.S. Raistrick, Leeds Addiction Unit, 19 Springfield Mount, Leeds, United
Kingdom.
SOURCE
Journal of Substance Use (2015) 20:1 (56-60). Date of Publication: 1 Feb
2015
ISSN
1475-9942 (electronic)
1465-9891
BOOK PUBLISHER
Informa Healthcare, healthcare.enquiries@informa.com
ABSTRACT
Aims and method: To repeat a survey (reported 2007) of the attitudes of
staff in a general hospital setting towards working with people who have
substance misuse problems. Therapeutic attitude and the frequency of
undertaking tasks related to dealing with substance misuse problems were
measured using a modified version of the Alcohol and Alcohol Problems
Perception Questionnaire (AAPPQ). The questionnaire was given to staff on
wards in general hospitals where people with substance misuse problems are
commonly admitted. Results: The questionnaire return rate of 24% was lower
than 2007 and the possible reasons are discussed. Doctors, nurses and
healthcare assistants all reported low levels of therapeutic commitment and
lower than 2007. Older doctors scored the lowest and younger doctors
highest. Brief training seemed to have a positive effect. Implications: The
authors conclude that there should be a policy shift away from trying to
"piggy back" care of people with substance misuse problems onto
practitioners in other clinical specialties. Although addiction problems are
found in most areas of health and social care, the role of staff in treating
addiction is limited-effective substance misuse treatment is best delivered
by trained addiction practitioners.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse
general hospital
health personnel attitude
EMTREE MEDICAL INDEX TERMS
article
human
physician
policy
questionnaire
social care
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014626422
PUI
L601046731
DOI
10.3109/14659891.2013.878763
FULL TEXT LINK
http://dx.doi.org/10.3109/14659891.2013.878763
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 446
TITLE
Implementing Adolescent Screening, Brief Intervention, and Referral to
Treatment (SBIRT) Education in a Pediatric Residency Curriculum
AUTHOR NAMES
Schram P.
Harris S.K.
Van Hook S.
Forman S.
Mezzacappa E.
Pavlyuk R.
Levy S.
AUTHOR ADDRESSES
(Schram P.) a Department of Pediatrics , Harvard Medical School , Boston ,
Massachusetts , USA
(Harris S.K.; Van Hook S.; Forman S.; Mezzacappa E.; Pavlyuk R.; Levy S.)
SOURCE
Substance abuse (2015) 36:3 (332-338). Date of Publication: 2015
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT)
is recommended as part of routine health care for adolescents as well as
adults. In an effort to promote universal SBIRT, the Substance Abuse and
Mental Health Services Administration awarded funding to residency programs
to develop and implement SBIRT education and training. Our project focused
on creating scientifically based, developmentally appropriate strategies and
teaching materials for the adolescent age range. This paper describes
curriculum development and implementation and presents evaluation
data.METHODS: Pediatric and child psychiatry residents were trained. The
training consisted of 4 activities: (1) case-based teaching modules, (2)
role-play of motivational interviewing and brief interventions, (3) mock
interviews with trained adolescents, and (4) supervised "hands-on" screening
and brief interventions. Main outcome measures included trainee
satisfaction, and SBIRT knowledge, perceived self-efficacy, and self- and
observer report of use of the SBIRT algorithm.RESULTS: Among 150 total
participants completing the SBIRT training modules, nearly all (92.3%) were
satisfied/very satisfied with the training modules. Knowledge accuracy
immediately post training was high, but declined significantly by the end of
the first residency year, with little change across subsequent years of
residency. Confidence ratings also declined over time. Use of the SBIRT
algorithm during the Adolescent Medicine rotation was high according to
trainee self- and faculty observer report.CONCLUSIONS: We found evidence of
training satisfaction, increased confidence in talking to adolescents about
substance use, and widespread use of recommended practices immediately
following training. Use of a highly structured algorithm to guide practice,
and simple, highly structured brief interventions was a successful training
approach, as residents self-reported accurate use of the SBIRT algorithm
immediately after training. Knowledge and self-confidence declined over
time. It is possible that "booster" sessions and ongoing opportunities to
review materials could help residents retain knowledge and skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
drug dependence (diagnosis, therapy)
education
mass screening
medical education
patient referral
EMTREE MEDICAL INDEX TERMS
adolescent
adolescent behavior
adult
attitude to health
child psychiatry
clinical competence
female
human
male
pediatrics
self concept
short term psychotherapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25036267 (http://www.ncbi.nlm.nih.gov/pubmed/25036267)
PUI
L615275925
DOI
10.1080/08897077.2014.936576
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2014.936576
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 447
TITLE
Situating tobacco dependency education in health professional prelicensure
curricula: An interprofessional learning opportunity
AUTHOR NAMES
Schultz A.S.H.
Dunford E.
Atout R.
Grymonpre R.
AUTHOR ADDRESSES
(Schultz A.S.H., annette.schultz@umanitoba.ca; Grymonpre R.) College of
Nursing, Faculty of Heath Sciences, University of Manitoba, Winnipeg,
Canada.
(Dunford E.) College of Pharmacy, Faculty of Heath Sciences, University of
Manitoba, Winnipeg, Canada.
(Atout R.) College of Dentistry, Faculty of Heath Sciences, University of
Manitoba, Winnipeg, Canada.
CORRESPONDENCE ADDRESS
A.S.H. Schultz, College of Nursing, Faculty of Heath Sciences, University of
Manitoba, CR3022, 369 Tache Avenue, Winnipeg, Canada. Email:
annette.schultz@umanitoba.ca
SOURCE
Canadian Journal of Respiratory Therapy (2015) 51:4 (86-88). Date of
Publication: 2015
ISSN
2368-6820 (electronic)
1205-9838
BOOK PUBLISHER
Canadian Society of Respiratory Therapists, pubs@cma.ca
ABSTRACT
The present commentary articulates several reasons to support integration of
tobacco dependency treatment into health professional prelicensure education
curricula. Evidence from the current literature suggests curriculum content
specific to tobacco tends to address related health risks and advice to
quit, with minimal knowledge or skill development to support prelicensure
health professionals gaining self-efficacy and competence necessary to treat
tobacco dependency within their emerging practice norm. Moreover, although
the health effects of tobacco use and exposure to tobacco smoke reaches
across ALL health professional practice areas, there is no evidence of
interprofessional prelicensure education opportunities to address this
health priority. We then highlight interprofessional education activities at
the University of Manitoba (Winnipeg, Manitoba) with health and social
service academic units, and briefly introduce an exciting new project
specific to tobacco dependence treatment. We conclude by featuring
involvement from the respiratory therapy community in addressing this health
priority and in interprofessional endeavours.
EMTREE DRUG INDEX TERMS
tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
health practitioner
licensing
medical education
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
artificial ventilation
clinical decision making
cost effectiveness analysis
health care system
health hazard
human
passive smoking
patient care
patient safety
practice guideline
social work
tobacco use
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20151005925
PUI
L607162561
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 448
TITLE
Does health status influence attitudes about and use of medical marijuana?
Findings from a general population survey in California
AUTHOR NAMES
Grella C.E.
Cochran S.
Mays V.
AUTHOR ADDRESSES
(Grella C.E.) Integrated Substance Abuse Programs, University of California,
Los Angeles, United States.
(Cochran S.) Public Health, University of California, Los Angeles, United
States.
(Mays V.) Psychology, University of California, Los Angeles, United States.
CORRESPONDENCE ADDRESS
C.E. Grella, Integrated Substance Abuse Programs, University of California,
Los Angeles, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e130-e131). Date of Publication: 1
Jan 2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Legalization of medical marijuana (MM) has dramatically changed access
to marijuana in some states. Findings will be presented from a
population-based survey in California on the relationship of health status
with attitudes toward and use of MM. Methods: The California Quality of Life
Survey (2012-13) is a telephone follow-back survey of a subset of
individuals (n = 2267) who had participated in a statewide probability
survey. The follow back survey obtained information on health conditions,
attitudes, and behaviors. Analyses examined socio-demographic
characteristics and health conditions associated with attitudes toward and
use of M Min the past year. All estimates were weighted to account for
survey design. Results: Overall, 27.4% of the sample disapproved of M Muse
and was higher among females; Asians and Hispanics; and individuals that
were married/cohabitating, had lower education and SES, were foreign-born,
heterosexual (vs. sexual minority), in fair/poor health, and had no illicit
drug use in past year (all p < 0.05). Less disapproval of M Muse was
associated with having diabetes, chronic back problems, major depression,
and alcohol or drug abuse/dependence (all p < 0.05). An estimated 5.2%
reported that they had obtained M Min the past year. Past-year use of MM was
associated with younger age, unmarried status, less than college degree,
U.S. birth, and illicit use of drugs (all p < 0.05). Although there was no
difference in their self reported overall health status, MM users had higher
rates of drug abuse/dependence, alcohol dependence, major depression,
chronic pain, HIV/AIDS, and gynecological problems (all p < 0.05).
Conclusions: Disapproval of MM was associated with poorer overall health
status, but was less among individuals that had several health conditions
commonly associated with MM use. Study findings may be used to inform
policies related to MM use and interventions to reduce behavioral health
problems among users.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
medical cannabis
EMTREE DRUG INDEX TERMS
alcohol
cannabis
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
health status
population
United States
EMTREE MEDICAL INDEX TERMS
alcoholism
Asian
chronic pain
demography
diabetes mellitus
drug use
education
female
health
heterosexuality
human
major depression
policy
quality of life
sexual and gender minority
telephone
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802258
DOI
10.1016/j.drugalcdep.2014.09.273
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.273
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 449
TITLE
Strategies to influence attitudes towards pharmacotherapies for alcohol and
opioid use disorders
AUTHOR NAMES
Alanis-Hirsch K.
Croff R.
Ford J.
Schmidt L.
McCarty D.
Chalk M.
AUTHOR ADDRESSES
(Alanis-Hirsch K.; Chalk M.) Treatment Research Institute, Philadelphia,
United States.
(Croff R.; McCarty D.) Oregon Health and Science University, Portland,
United States.
(Ford J.) Center for Health Enhancement System Studies, Madison, United
States.
(Schmidt L.) University of California, San Francisco, United States.
CORRESPONDENCE ADDRESS
K. Alanis-Hirsch, Treatment Research Institute, Philadelphia, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e204). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: To facilitate the implementation of pharmacotherapies used to treat
alcohol and opioid use disorders in specialty treatment. Methods: Nine
treatment centers and a large, commercial health plan created internal
change teams to increase patient access to addiction medications. Using
bi-annual Learning Sessions, topical webinars, and coaching, sites were
trained on medication efficacy and their potential role in increasing
patient engagement, retention, and recovery. Sites implemented three 6-month
change cycles. Qualitative interviews charted change strategies, change
impacts, barriers/facilitators, and patient use of pharmacotherapies.
Results: Incongruity between leadership and staff attitudes inhibited
adoption. At one site, staff and physicians were motivated to use
medications but faced an abstinence-oriented Board. The staff used education
and advocacy, and after a year received Board approval. Another site with
progressive leadership faced an abstinence-oriented staff. Data tracking and
staff education enhanced staff support for use of medication. When staff and
leadership had similar attitudes, the best opportunity existed for the
adoption of medications. A progressive staff and research-driven leadership
extended their goals and made data tracking part of the agency culture.
Conclusions: Changes in attitude among staff and leadership towards
addiction medications occur slowly. The use of strategies that challenge
existing attitudes and knowledge encourages change and promotes the
organization' adoption of addiction medications. Sites with attitudinal
consensus are able to focus on higher-order medication implementation goals
while sites with attitude incongruences must first work to achieve attitude
alignment.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
diseases
drug dependence
EMTREE MEDICAL INDEX TERMS
abstinence
addiction
consensus
drug therapy
education
health
human
interview
leadership
learning
patient
physician
staff training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802453
DOI
10.1016/j.drugalcdep.2014.09.023
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.023
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 450
TITLE
Non-medical use of prescription drugs among HIV-positive individuals taking
antiretroviral therapy
AUTHOR NAMES
Newville H.
Roley J.
Sorensen J.
AUTHOR ADDRESSES
(Newville H.) St. Luke's-Roosevelt Hospital, New York, United States.
(Roley J.; Sorensen J.) University of California, San Francisco, San
Francisco, United States.
CORRESPONDENCE ADDRESS
H. Newville, St. Luke's-Roosevelt Hospital, New York, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e50). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: The non-medical use (NMU) of prescription drugs is increasing
dramatically. The HIV-positive is at high risk due to co-occurring pain,
mental health, and substance use issues. An increased understanding of the
factors associated with prescription drug misuse in HIV may help clinicians
balance patients' access and legitimate use of such drugs and reduce the
risks for abuse and addiction. Methods: We assessed 294 HIV-clinic patients
who were prescribed antiretroviral therapy in San Francisco. We compared
participants who reported NMU of prescription drugs (past month use of
methadone, other opiates/analgesics, barbiturates, and/or
sedatives/hypnotics/tranquilizers without a prescription) to those who did
not on demographics, other drug use, psychiatric/medical conditions,
antiretroviral adherence, and quality of life in bivariate analyses, and
then put all significant variables into a logistic regression. Results: 32
(11%) reported past month NMU of prescription drugs. Alcohol use severity (Z
=-3.45, p = 0.001), use of heroin (X(2) = 20.58, p < 0.001), cocaine (X(2) =
12.06, p < 0.001), amphetamines (X(2) = 5.02, p = 0.025), and cannabis (X(2)
= 4.69, p = 0.03), general health perceptions (t = 2.90, p = 0.004),
cognitive functioning (t = 3.15, p = 0.002), health distress (t = 2.29, p =
0.023), depression (Z =-2.63, p = 0.009), and medication side effect
severity (Z =-2.90, p = 0.004) were associated with NMU in bivariate
analyses. Medication side effects (B = 1.08, 95% CI: 1.02-1.14, p = 0.007)
and cognitive functioning (t = 0.96, 95% CI: 0.93-0.99, p = 0.025) remained
significant in regression analysis. Conclusions: This analysis provides
important information about NMU of prescription drugs among HIV-positive
individuals. NMU of prescription drugs may serve to aid coping with
medication side effects and decreases in cognitive functioning. Results
support that both substance use programs and behavioral self-management
skills are important components of future interventions. Promising
intervention models will be those that integrate prevention, mental health,
and substance use services.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug
EMTREE DRUG INDEX TERMS
amphetamine derivative
barbituric acid derivative
cannabis
cocaine
diamorphine
methadone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
Human immunodeficiency virus
therapy
EMTREE MEDICAL INDEX TERMS
abuse
addiction
alcohol consumption
bivariate analysis
coping behavior
drug misuse
drug therapy
drug use
health
hospital
human
logistic regression analysis
mental health
model
pain
patient
prescription
prevention
quality of life
regression analysis
risk
self care
side effect
skill
substance use
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802045
DOI
10.1016/j.drugalcdep.2014.09.507
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.507
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 451
TITLE
College student opinions about the use of non-medical prescription drugs
AUTHOR NAMES
Parks K.A.
Levonyan-Radloff K.
Przybyla S.
Hequembourg A.
AUTHOR ADDRESSES
(Parks K.A.; Levonyan-Radloff K.; Przybyla S.; Hequembourg A.) Research
Institute on Addictions, University at Buffalo, Buffalo, United States.
CORRESPONDENCE ADDRESS
K.A. Parks, Research Institute on Addictions, University at Buffalo,
Buffalo, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e62-e63). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: The use of NMPDs has risen among college students over the past 20
years. The aims of the study were to determine college student perceptions
of: (1) the common types of NMPDs being used; (2) the reasons for use of
NMPDs; and (3) the positive and negative consequences associated with NMPD
use. Methods: We conducted 8 focus group discussions with 61 students, who
reported current NMPD use (i.e., past 3 months). The average age of the
participants was 20 (SD = 1.6). The majority were male (64%), Caucasian
(80%), and not Hispanic (81%). Nearly half (49%) were freshman or
sophomores, and 46% lived on-campus. Results: These students reported using
several NMPDs (Median = 2, Mode= 3), and an average of 2.4 (SD = 1.2) other
illicit drugs. Students reported stimulants, benzodiazepines, and opioids as
the three most popular NMPDs used by college students. They indicated that
stimulants were the most popular, least expensive, and easiest to obtain on
campus, followed by benzodiazepines. Opioids were less popular, more
dangerous because of their addiction potential, more difficult to find on
campus, and far more expensive. They indicated primarily utilitarian reasons
for using stimulants. These included: studying, getting more done,
organizing and improving grades. They rarely reported using stimulants to
get high, but did indicate using stimulants to drink longer or larger
amounts. Benzodiazepines were used to come down from other drugs (e.g.,
stimulant crash, bad LSD trip), mellow out, or in combination with alcohol
(e.g., intentional black out, increase intoxication). Opioids were described
primarily for recreational use and as the best feeling the individual had
ever experienced. Students indicated both positive and negative consequences
associated with each NMPD. However, when asked why they continued to use
NMPDs, they indicated that the positives far outweighed the negatives.
Conclusions: This study suggests that among those students currently using
NMPDs, polydrug use is common and combined use of alcohol and NMPDs is of
substantial concern.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug
EMTREE DRUG INDEX TERMS
alcohol
benzodiazepine derivative
central stimulant agent
illicit drug
lysergide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
college student
drug dependence
human
EMTREE MEDICAL INDEX TERMS
addiction
Caucasian
Hispanic
information processing
intoxication
male
multiple drug abuse
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802077
DOI
10.1016/j.drugalcdep.2014.09.539
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.539
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 452
TITLE
Medical marijuana: Stepping stone or protective effect?
AUTHOR NAMES
Lankenau S.
Iverson E.
AUTHOR ADDRESSES
(Lankenau S.) Drexel University, Philadelphia, United States.
(Iverson E.) Children's Hospital Los Angeles, Los Angeles, United States.
CORRESPONDENCE ADDRESS
S. Lankenau, Drexel University, Philadelphia, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e167-e168). Date of Publication: 1
Jan 2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Following implementation of medical marijuana laws around the U.S.,
concerns have been raised that greater availability and acceptance of
marijuana could be associated with increased use of illicit drugs among
young adults, which follows the logic of the stepping stone theory. However,
other research suggests that regular access to marijuana through medical
marijuana programs may offer a protective effect against initiating other
drugs. Methods: A total of 301 young adults (18-25 years old) were recruited
in Los Angeles between 2009 and 2011 as part of a study focusing on
prescription drug misuse. Among the sample, 56 (18.6%) reported being a
current medical marijuana patient (MMP) compared to 245 (81.4%)who were
non-patient users (NPU) of marijuana. Participants were administered a
cross-sectional survey and answered a range of questions pertaining to
history of marijuana use, illicit drug use, and prescription drug misuse.
Results: First, a “maturing out” process occurred among NPU: fewer members
of the oldest cohort used marijuana in the past 90 days compared to the
youngest cohorts (48.7% vs. 67.8%). In contrast, no maturing out process
occurred among MMP: each age cohort reported nearly identical marijuana use
(approximately 80% reported use of marijuana in the past 90 days). Overall,
a greater proportion of MMP reported 90 day use of marijuana compared to NPU
(80.2% vs. 64%). Second, a significantly smaller proportion of MMP reported
lifetime use of three key illicit drugs compared to NPU: ecstasy (75% vs.
87.3%); cocaine (67.9% vs. 83.7%); and methamphetamine (48.2 vs. 64.5%).
Also, a lower proportion of MMP reported lifetime misuse of OxyContin and
Xanax compared to NPU (but not statistically significant). Conclusions:
Among MMP in this study, a greater proportion were recent marijuana users
and a lower proportion were lifetime users of illicit and prescription
drugs. Among NPU, the reverse was true. Overall, these findings provide
preliminary evidence to suggest that among young MMP, marijuana could
provide a protective effect against initiating illicit and prescription
drugs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
medical cannabis
EMTREE DRUG INDEX TERMS
alprazolam
cannabis
cocaine
illicit drug
methamphetamine
oxycodone
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
EMTREE MEDICAL INDEX TERMS
cannabis use
drug misuse
drug use
human
lifespan
patient
United States
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802357
DOI
10.1016/j.drugalcdep.2014.09.372
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.372
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 453
TITLE
“It's like trying to change a flat tire when you got a blown engine”.
Counselor views on treating clients with co-occurring medical conditions
AUTHOR NAMES
Cathers L.A.
Armstrong A.
Hawley C.
Bradford J.
Keyser-Marcus L.A.
Svikis D.
AUTHOR ADDRESSES
(Cathers L.A.; Armstrong A.; Hawley C.; Keyser-Marcus L.A.; Svikis D.)
Virginia Commonwealth University, Richmond, United States.
(Bradford J.) Fenway Institute, Boston, United States.
CORRESPONDENCE ADDRESS
L.A. Cathers, Virginia Commonwealth University, Richmond, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e242). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: While the integration of substance abuse screening and intervention
into primary care has been central to the Affordable Care Act, medical
problems in clients entering substance use disorder (SUD) treatment has
received less attention. Individuals' entering SUD treatment often present
with medical co-morbidities, but little is known about how they impact SUD
counseling. Study aims were to: (a) describe SUD counselor experiences
treating patients with medical co-morbidities; (b) explore counselor
perceptions of the relationship between SUDs and medical issues; (c)
identify challenges in providing treatment to such clients; and (d) identify
strategies used to assist their clients. Methods: The present study used an
Interpretative Phenomenological Analysis to explore community outpatient
counselors' experiences treating clients with medical issues. In-depth
interviews were completed in Summer 2013, with 5 SUD treatment counselors in
Central Virginia. The interviews were analyzed in Atlas-ti qualitative
software and themes compared across interviews. Results: Four super-ordinate
themes emerged illustrating the relationship between SUDs, medical
conditions and other bio-psychosocial factors. Analyses highlight how SUD
outpatient counselors assist clients in focusing on therapy, identifying
resources to treat the basic needs of clients (including medical care) and
the challenges brought on by limited resources, complex systems, and client
fear. Also prominent were unique challenges related to medical conditions
treated by potentially habit forming medications and traumatic brain injury.
SUD counselors also advocated for additional education in: counselor
self-care, trauma, grief and loss, chronic pain and assessment. Conclusions:
Study findings support the need for additional research and
multi-disciplinary discussion focused on integrated behavioral and physical
health care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
human
EMTREE MEDICAL INDEX TERMS
basic needs
chronic pain
community
counseling
drug therapy
education
fear
grief
habit
health
health care
injury
interview
laryngeal mask
medical care
morbidity
outpatient
patient
primary medical care
screening
self care
social psychology
software
substance abuse
summer
therapy
traumatic brain injury
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802554
DOI
10.1016/j.drugalcdep.2014.09.124
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.124
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 454
TITLE
How Does an Undergraduate Pain Course Influence Future Physicians' Awareness
of Chronic Pain Concepts? A Comparative Study
AUTHOR NAMES
Argyra E.
Siafaka I.
Moutzouri A.
Papadopoulos V.
Rekatsina M.
Vadalouca A.
Theodoraki K.
AUTHOR ADDRESSES
(Argyra E.; Siafaka I.; Vadalouca A.; Theodoraki K.,
ktheodoraki@hotmail.com) Department of Anesthesiology, Pain Relief and
Palliative Care, Aretaieion Hospital, University of Athens, Athens, Greece.
(Moutzouri A.; Papadopoulos V.; Rekatsina M.) Medical Graduate, School of
Medicine, University of Athens, Athens, Greece.
CORRESPONDENCE ADDRESS
K. Theodoraki, Department of Anesthesiology, Pain Relief and Palliative
Care, Aretaieion Hospital, School of Medicine, University of Athens,
Vassilissis Sofias 76, Athens, Greece.
SOURCE
Pain Medicine (United States) (2015) 16:2 (301-311). Date of Publication: 1
Feb 2015
ISSN
1526-4637 (electronic)
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc., subscrip@blackwellpub.com
ABSTRACT
Objective: Pain is one of the most undertreated medical complaints, with
barriers to effective pain management lying in poor education of health
professionals and misconceptions regarding patients in pain. The aim of this
study was to assess whether an elective undergraduate course on chronic pain
offered in Greek medical schools influences knowledge and attitudes of
medical undergraduates about chronic pain and helps them clarify
pain-related concepts. Methods: An electronic questionnaire with 6
demographic and 21 pain-related items was uploaded on SurveyMonkey. The
questionnaire was open to medical students in every Greek medical school for
1 month. Students were asked to respond to questions regarding various
aspects of pain taught in the aforementioned course. In specific, they were
asked to respond to questions regarding the definition, types, and adequacy
of treatment of chronic cancer and non-cancer pain. They were queried about
their knowledge of pain clinics, health practitioners who run them, and
types of treatment available there. There were also questions about opioid
use in cancer and non-cancer chronic pain patients and regarding the
likelihood of opioid addiction. Results: According to their responses,
medical students had good knowledge about the definition and consequences of
pain, and those who attended the pain course had greater knowledge regarding
the adequacy of treatment of chronic pain and were more familiar with the
recent classification of types of pain. Students who did not have exposure
to the undergraduate pain course had little information regarding pain
clinics and had poor knowledge regarding the use of opioids in cancer and in
nonmalignant chronic pain. All students expressed concerns regarding
addiction to opioids. Conclusions: Although students enter medical school
with little knowledge about pain issues, pain awareness can be positively
influenced by education. A curriculum about pain should not only teach the
basic science of pain but also present treatment strategies available and
address the socio-emotional dimensions of pain. Additionally, if
misconceptions about opioid use and addiction are properly elucidated early
in medical education, the future health practitioners will be one step
forward in achieving the goal of alleviating suffering patients' pain.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
health care concepts
physician attitude
EMTREE MEDICAL INDEX TERMS
article
cancer pain
cancer patient
comparative study
female
Greece
human
Internet
male
medical education
opiate addiction
pain clinic
patient care
pilot study
professional knowledge
questionnaire
undergraduate student
work experience
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015741922
MEDLINE PMID
25219419 (http://www.ncbi.nlm.nih.gov/pubmed/25219419)
PUI
L602221011
DOI
10.1111/pme.12568
FULL TEXT LINK
http://dx.doi.org/10.1111/pme.12568
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 455
TITLE
Past year non-medical opioid use and PTSD diagnosis: Interactions with
gender and associations with symptom clusters
AUTHOR NAMES
Cercone S.A.
Smith P.H.
Smith K.M.
Homish G.G.
McKee S.
AUTHOR ADDRESSES
(Cercone S.A.; Homish G.G.) Community Health and Health Behavior, State
University of New York, Buffalo, United States.
(Smith P.H.) Epidemiology and Public Health, Yale University, New Haven,
United States.
(Smith K.M.; McKee S.) Department of Psychiatry, Yale University, School of
Medicine, New Haven, United States.
CORRESPONDENCE ADDRESS
S.A. Cercone, Community Health and Health Behavior, State University of New
York, Buffalo, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e243-e244). Date of Publication: 1
Jan 2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: The purpose of this study is to examine associations between PTSD
(diagnosis and specific symptom clusters) and past year nonmedical opioid
use (NMOU), as well as differences by gender. Methods: Data from the
National Epidemiologic Survey on Alcohol and Related Conditions Wave 2 (N=
34,653) were used to examine associations between past year PTSD diagnosis
and past year NMOU. Selecting for those with a PTSD diagnosis (N= 2492),
associations between symptom clusters (hyper-arousal, avoidance,
re-experiencing, emotional numbing; standardized variables) and NMOU, as
well as gender interactions, were explored. Models accounted for survey
design and were adjusted for age, education, race/ethnicity, and pain.
Results: In bivariate analyses, PTSD diagnosis and all symptom clusters were
positively associated with past year NMOU for both men and women. In
adjusted models, PTSD diagnosis was positively associated with NMOU for both
men and women; the odds ratio for women was slightly larger (women: OR=
1.23, 95% CI = 1.95, 2.66; men: OR= 1.65, 95% CI = 1.37, 2.00, p < 0.01).
There were significant gender interactions with hyper-arousal and avoidance
symptom clusters. Hyper-arousal was positively associated with NMOU for men
(OR = 1.84, 95% CI = 1.50, 2.25) but not women, while avoidance was
positively associated with NMOU for women (OR = 1.23, 95% CI = 1.03, 1.47)
but not men. Emotional numbing and re-experiencing symptoms were not
associated with NMOU (p > 0.05). Conclusions: These results illustrate
significant associations with NMOU and PTSD diagnosis as well as gender
interactions with PTSD symptom clusters and NMOU. The findings have
substantial implications for NMOU screening among individuals diagnosed with
PTSD; further work is needed to better understand causative factors and
temporal associations.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
diagnosis
drug dependence
gender
posttraumatic stress disorder
EMTREE MEDICAL INDEX TERMS
arousal
bivariate analysis
education
epidemiology
female
human
male
model
pain
risk
screening
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802559
DOI
10.1016/j.drugalcdep.2014.09.129
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.129
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 456
TITLE
Detection of opioid overdoses and poisonings in electronic medical records
as compared to medical chart reviews
AUTHOR NAMES
Janoff S.
Coplan P.
Perrin N.
Campbell C.
Shuster E.
Ray T.
Roberts M.
Chilcoat H.
Green C.
AUTHOR ADDRESSES
(Janoff S.; Perrin N.; Roberts M.; Green C.) Kaiser Permanente, Portland,
United States.
(Coplan P.; Chilcoat H.) Purdue Pharma, Stamford, United States.
(Campbell C.; Shuster E.; Ray T.) Kaiser Permanente, Oakland, United States.
CORRESPONDENCE ADDRESS
S. Janoff, Kaiser Permanente, Portland, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e146-e147). Date of Publication: 1
Jan 2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: The study assessed the proportion of opioid overdose and poisoning
(OOP) events identified by ICD diagnostic codes in electronic medical
records that were true OOP events as confirmed by medical chart review
(i.e., the positive predictive value of ICD codes). Accurate identification
of OOP events is essential if data are to be used to assess population risk,
care quality, or evaluate preventive interventions. Methods: The study
population consisted of the Kaiser Permanente Northwest and Northern
California memberships between August 2008 and October 2012. ICD diagnostic
codes possibly indicative of overdoses were selected from published
literature and putatively related ICD codes. Events identified from codes
were compared to medical chart outcomes. All overdoses were included,
regardless of opioid prescriptions or pain diagnosis. Two groups of
opioid-specific ICD codes were assessed: (1) adverse event codes (E935.x and
Y45) combined with ICD codes for overdose symptoms (e.g., altered
consciousness, respiratory distress, etc.) and (2) poisoning codes (965.xx,
E850.x, and X42). Results: Adverse event codes were not predictive of OOP
events: only 13% were confirmed as OOP events by chart review. Poisoning
codes were more predictive. Of 2045 opioid poisoning events identified by
ICD codes, 382 (18.7%) had no medical chart entry and were excluded from the
study. Of the remaining 1663 OOP events, 64.3% (1070) were confirmed opioid
analgesic-related overdose/ poisonings (44.7% unintentional and 19.7%
intentional), 14.1% (235) were OOP events associated with opioid anesthesia,
16.5% (274) were opioid adverse events but not overdose/poisonings, 4.0%
(67) were miscoded, 0.5% (7) were misidentified, and 0.5% (7) were missing
data. Conclusions: The ICD codes for opioid-related poisoning had a positive
predictive value of 64.3% to detect opioid overdose/ poisoning events not
related to inpatient opioid anesthesia, and increases to 78.5% if
analgesic-related overdose/poisonings are included.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
analgesic agent
narcotic analgesic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
electronic medical record
intoxication
medical record review
EMTREE MEDICAL INDEX TERMS
anesthesia
consciousness
diagnosis
hospital patient
human
International Classification of Diseases
pain
population
population risk
predictive value
prescription
respiratory distress
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71802301
DOI
10.1016/j.drugalcdep.2014.09.316
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.316
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 457
TITLE
Female opioid users may be at excess risk of becoming dependent soon after
extra-medical prescription pain reliever use in adolescence but not in young
adulthood: Estimates for the United States, 2002-2011
AUTHOR NAMES
Yeh H.-H.H.
Anthony J.C.
AUTHOR ADDRESSES
(Yeh H.-H.H.; Anthony J.C.) Epidemiology and Biostatistics, Michigan State
University, East Lansing, United States.
CORRESPONDENCE ADDRESS
H.-H.H. Yeh, Epidemiology and Biostatistics, Michigan State University, East
Lansing, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e29). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Here, we aim to estimate male-female differences in a rapid transition
to a dependence syndrome, once there is occurrence of the first
extra-medical use of prescription pain relievers (e.g., to get high, EMPPR).
We also seek to shed light on variations for adolescent-onset versus
later-onset EM users, as well as time trends in this transition probability.
Methods: Nationally representative sample data from more than 28,000 EMPPR
users come from U.S. National Surveys on Drug Use and Health (NSDUH,
2002-2011), with an IRB-approved protocol that involved computerized
self-interview assessments of the study variables. Newly incident users
initiated EMPPR use < 24 months before assessment. Analysis-weighted
estimation yields Taylor series variances for complex survey data. Results:
Among females, an estimated 7% of adolescent-onset EMPPR users had become
dependent, vs. 4% among male newly incident users (p < 0.05), with no
male-female difference seen among later-onset EMPPR users (p > 0.05).
Analyses of subgroup variation disclosed a possibly increasing time-trend in
risk of dependence among newly incident EMPPR users. Conclusions: Building
from Seedall & Anthony (2013) and Parker & Anthony (under review), we find
some evidence that adolescent EMPPR users are more likely make a rapid
transition and to become dependent, but this is not the case when EMPPR use
starts in young adulthood. Underlying sex-associated neurobiological and
neuropsychopharmacological mechanisms deserve more attention as we seek to
understand these developmental risk variations.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
adulthood
college
drug dependence
female
pain
prescription
risk
United States
EMTREE MEDICAL INDEX TERMS
adolescent
drug use
health
human
interview
male
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71801990
DOI
10.1016/j.drugalcdep.2014.09.758
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.758
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 458
TITLE
Life skills education for school students the Kerala experience
AUTHOR NAMES
Nair A.B.
Vivek U.
Jithu V.P.
AUTHOR ADDRESSES
(Nair A.B., arunb.nair@yahoo.com) Medical College Thiruvananthapuram, India.
(Vivek U., vivekullatil@gmail.com) Renai Medicity Hospital, India.
(Jithu V.P.) Medical College Kozhikode, India.
CORRESPONDENCE ADDRESS
A.B. Nair, Medical College Thiruvananthapuram, India. Email:
arunb.nair@yahoo.com
SOURCE
Indian Journal of Psychiatry (2015) 57:5 SUPPL. 1 (S166). Date of
Publication: January 2015
CONFERENCE NAME
67th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2015
CONFERENCE LOCATION
Hyderabad, India
CONFERENCE DATE
2015-01-08 to 2015-01-11
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Background: Life skills are a group of abilities which every person should
imbibe in order to face new and difficult situations in life. It helps to
improve psychosocial competence and enhance assertiveness so that a person
can abstain from unhealthy practices like substance abuse, aggression,
unhealthy sexual behaviour and abuse. UNICEF has pointed out that
adolescence is the key period to develop life skills in an individual. WHO
has listed a group of 10 life skills, which have to be imparted to children
and adolescents in a structured way. Since most of the available life skills
education modules are city based and having high western influence, it is
important to develop new modules which are culturally appropriate and
addresses the local issues pertaining to every state. The state council for
education and research and training, Government of Kerala attempted to
develop a module suitable for training school students of Kerala. The module
which was to be in Malayalam was supposed to contain separate modules for
each class from std 1 to 12. A high level meeting of psychiatrists,
paediatricians, teachers and education experts was convened to form a core
committee to design the module. The committee identified eight different
areas including selfsafety, personal hygiene, environmental hygiene, social
responsibility, nutrition, growth and development etc. which are important
in the development of a child. Structured group activities and role plays
utilising the 10 like skills are employed to impart a clear awareness to
students, regarding how to handle various real life situations. The
modules-separate ones for each class from std 1-12-addresses various issues
including sexual abuse, developing good friendships, career guidance,
substance abuse, and assertiveness. The module has been implemented in pilot
basis in 20 schools in Kerala based on the results of which it will be
extended to the whole public education sector in the state.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
human
Indian
medical society
school
skill
student
EMTREE MEDICAL INDEX TERMS
abuse
adolescence
adolescent
aggression
assertiveness
child
city
competence
environmental sanitation
friendship
government
growth, development and aging
life
nutrition
pediatrician
personal hygiene
psychiatrist
role playing
sexual abuse
sexual behavior
sexually transmitted disease
social behavior
substance abuse
teacher
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71769432
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 459
TITLE
The impact of knowledge on attitudes of emergency department staff towards
patients with substance related presentations: a quantitative systematic
review protocol
AUTHOR NAMES
Clarke D.E.
Gonzalez M.
Pereira A.
Boyce-Gaudreau K.
Waldman C.
Demczuk L.
AUTHOR ADDRESSES
(Clarke D.E., diana.clarke@umanitoba.ca; Waldman C.) College of Nursing,
Canada.
(Clarke D.E., diana.clarke@umanitoba.ca; Gonzalez M.) Manitoba Centre for
Nursing and Health Research, University of Manitoba, Canada.
(Pereira A.) Health Sciences Centre, Winnipeg, Canada.
(Boyce-Gaudreau K.) College of Nursing, Red River College, Canada.
(Demczuk L.) Elizabeth Dafoe Library, University of Manitoba, Canada.
CORRESPONDENCE ADDRESS
D.E. Clarke, College of Nursing, Canada. Email: diana.clarke@umanitoba.ca
SOURCE
JBI Database of Systematic Reviews and Implementation Reports (2015) 13:10
(133-145). Date of Publication: 2015
ISSN
2202-4433 (electronic)
BOOK PUBLISHER
Joanna Briggs Institute, jbi@adelaide.edu.au
ABSTRACT
REVIEW QUESTION/OBJECTIVE The overall objective of this systematic review is
to synthesize the available evidence on the relationship between new
knowledge (gained through educational interventions about substance
use/abuse) and health care providers’ attitudes (measured by well validated
instruments such as the Drug and Drug Problems Perceptions Questionnaire,
the Short Alcohol and Alcohol Problems Perception Questionnaire, etc.)
towards patients with substance-related presentations to emergency
departments. The specific review question is: Among emergency department
staff, does the acquisition of knowledge (on educational interventions about
substance use) impact attitudes in relation to their therapeutic role
towards patients with substance-related presentations? INCLUSION CRITERIA
Types of participants This review will consider studies that include health
care providers (nurses, physicians, social workers, psychologists,
psychiatrists and other mental health care professionals), working in urban
and rural emergency departments (emergency rooms, accident and emergency
rooms) of healthcare facilities worldwide, and providing care to adult
patients who indicate some level of substance use.Substance-related
presentation phenomena will include hazardous alcohol use, alcohol misuse,
use of legal and restricted pharmacological agents, and illicit drug use.
Studies that address patient presentations to emergency departments for
traumatic injury, motor vehicle crashes, traumatic presentations secondary
to violence, and drug and alcohol overdoses or physical health conditions
related to substance usage (such as heart and liver failure, pancreatitis
and gastric problems) will be included. Types of intervention(s)
Quantitative papers examining the impact of educational interventions about
substance use/abuse on health care providers’ attitudes towards substance
using patients will be included. TRUNCATED AT 250 WORDS.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency ward
knowledge management
EMTREE MEDICAL INDEX TERMS
article
education program
emergency medicine
health care
health care personnel
human
medical staff
mortality
motivation
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015525833
MEDLINE PMID
26571289 (http://www.ncbi.nlm.nih.gov/pubmed/26571289)
PUI
L606986947
DOI
10.11124/jbisrir-2015-2203
FULL TEXT LINK
http://dx.doi.org/10.11124/jbisrir-2015-2203
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 460
TITLE
Factors associated with perceived effectiveness of health promotion messages
among Japanese adults Focus on socioeconomic status
AUTHOR NAMES
Fukuda Y.
Hayashi T.
AUTHOR ADDRESSES
(Fukuda Y.; Hayashi T.) Department of Community Health and Medicine,
Yamaguchi University School of Medicine
SOURCE
[Nihon kōshū eisei zasshi] Japanese journal of public health (2015) 62:7
(347-356). Date of Publication: 2015
ISSN
0546-1766
ABSTRACT
OBJECTIVES: Responses and receptiveness to messages advocating health
promotion are expected to vary according to differences in personal
characteristics. To increase communication effectiveness, this study
examined the differences in perceptions of the effectiveness of messages
among Japanese adults by socioeconomic status and other
characteristics.METHODS: A structured questionnaire survey was administered
to residents aged 30-59 randomly selected in two cities (Yamaguchi and
Iwakuni) of Yamaguchi prefecture. The questionnaire consisted of items on
sociodemographic characteristics including sex, age, marital status,
education, and household income; the perceived effectiveness of health
messages; and other factors. The subjects were shown different messages on
several themes (smoking cessation, cancer screening, weight gain) and asked
to select those that they considered most effective. The associations
between perception and subjects' sociodemographic characteristics were
analyzed.RESULTS: A total of 445 subjects responded (response rate, 37.1%).
The negative messages (health effects of risk behaviors) were generally
perceived as the most effective. Sex, age, marital status, education, and
income were significantly associated with the perceived effectiveness of
health messages: higher income was significantly associated with secondhand
smoke in the case of smoking cessation, lower income was associated with
addiction in the case of drinking restraints, lower education and middle
income were associated with affection, and lower income was associated with
own expense in the case of cancer screening.CONCLUSION: Despite some
differences among the health themes, personal characteristics including age,
sex, and marital and socioeconomic status were associated with the perceived
effectiveness of health messages, and our results suggest that health
communication may be made more effective by consideration of the
sociodemographic characteristics of target populations and subjects.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
EMTREE MEDICAL INDEX TERMS
adult
Asian continental ancestry group
female
human
interpersonal communication
male
middle aged
questionnaire
social class
LANGUAGE OF ARTICLE
Japanese
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26310955 (http://www.ncbi.nlm.nih.gov/pubmed/26310955)
PUI
L611425276
DOI
10.11236/jph.62.7_347
FULL TEXT LINK
http://dx.doi.org/10.11236/jph.62.7_347
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 461
TITLE
A study of factors affecting juvenile delinquency
AUTHOR NAMES
Nourollah M.
Fatemeh M.
Farhad J.
AUTHOR ADDRESSES
(Nourollah M.; Fatemeh M.) Tehran, Iran.
(Farhad J., jafari@shahed.ac.ir) Department of Health and Social Medicine,
School of Medicine Shahed University, Tehran, Iran.
CORRESPONDENCE ADDRESS
J. Farhad, Department of Health and Social Medicine, School of Medicine
Shahed University, Tehran, Iran. Email: jafari@shahed.ac.ir
SOURCE
Biomedical and Pharmacology Journal (2015) 8 (25-30). Date of Publication:
2015
ISSN
0974-6242
BOOK PUBLISHER
Oriental Scientific Publishing Company
ABSTRACT
Children and juvenile delinquency is considered as one of the problems and
concerns of different countries. This phenomenon has a growing trend in our
country as one of the youngest countries in the world. This study aims at
investigating the factors affecting juvenile delinquency. This research is a
cross-sectional study performed on 250 subjects including 200 male juvenile
delinquents and 50 female juvenile delinquents aged 9-18 years and sentenced
in juvenile institution and tribunals responsible with addressing the
children's offenses in Tehran. The data collection tool was an information
form completed through interviews and studying the records of the subjects.
SPSS software for data analysis and frequency distribution tables and
chi-square test were used. In this study, 62% of young people aged 17-18
years were studied among which 80% is male and 20% female. Besides, 48% of
them were educated at guidance school level and 50.8% of them did not live
with their parents. The crimes committed in order of frequency were: Theft,
evil-doing, drugs, mischief, mayhem and 40.8% of them were addicted.
Moreover, gender and education level as well as occupation and education
level of their mothers were significantly associated with delinquency
(P<0.05). Additionally, no significant relationship was observed among the
marital status, place of residence, family size, birth order, educational
backwardness, performing religious duties, education level, fathers' job,
level of income and criminal background of their family members. A
significant correlation was observed between the separation from family and
addiction, with delinquency type, as well as addiction of families with the
addiction of the juveniles (P<0.05). In this study, various demographic,
social and familial factors, such as education, occupation, separation from
family and drug addiction have turned out to be influential on the
development of juvenile delinquency.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
juvenile delinquency
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
child
crime
cross-sectional study
demography
drug dependence
education
family life
female
gender
homicide
human
major clinical study
male
social aspect
theft
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160128596
PUI
L608343531
DOI
10.13005/bpj/551
FULL TEXT LINK
http://dx.doi.org/10.13005/bpj/551
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 462
TITLE
Seroprevalence of positive hbsag and its associated factors in pregnant
women referred to health centers of agh-ghala city in 2010-2012
AUTHOR NAMES
Kavosi A.
Vizvari P.
Mohammadi G.
Jouybari L.
Sanagu A.
AUTHOR ADDRESSES
(Kavosi A.; Mohammadi G.) Department of Operating Room, Neyshabur University
of Medical Sciences, Neyshabur, Iran.
(Vizvari P.) Gorgan Health Center 5, Golestan University of Medical
Sciences, Gorgan, Iran.
(Jouybari L.) Medical Education Development Center, School of Nursing and
Midwifery, School of Nursing and Midwifery, Gorgan, Iran.
(Sanagu A.) Nursing Research Center, School of Nursing and Midwifery,
Golestan University of Medical Sciences, Gorgan, Iran.
SOURCE
Iranian Journal of Obstetrics, Gynecology and Infertility (2015) 18:149
(8-16). Date of Publication: 1 Jun 2015
ISSN
2008-2363 (electronic)
1680-2993
BOOK PUBLISHER
Mashhad University of Medical Sciences, P.O. Box: 445, Daneshgah Avenue,
Mashhad, Iran. akhlaghif@mums.ac.ir;
ABSTRACT
Introduction: The mother's infection to HBV viruses can expose the baby to
the risk of next infection to chronic hepatitis, on the other hand, the
prevalence of hepatitis is related to the health and socio-economic factors
of the people in an area.This study was performed with aim to determine the
seroprevalence of HbsAg+ and its relation with some effective factors in
pregnant women referred to health centers of Agh-Ghala city. Methods: In
this descriptive, and cross-sectional study, 1057 pregnant women were
studied during two years of 2010 until 2012 in terms of prevalence of HbsAg+
in Agh-Ghala city. Data was recorded in the questionnaire with blood
samples. Data were analyzed using SPSS statistical software (version 16) and
Fisher, Chi-square, and T-Test. P< 0.05 was considered statistically
significant. Results: Among total women, HBsAg was found positive in 17
(1.6%) pregnant women. Most percentage was related to the Turkmen and
Sistani and rural areas. There was significant relationship between
ethnicity and tattoos and history of jaundice with hepatitis B (P<0.05).
But, no significant relationship was found between the age, job, place of
residence, education, history of surgery and dental surgery, addiction of
the subjects and their husbands and blood transfusion (P>0.05). Conclusions:
The prevalence of hepatitis B is somewhat high in Agh-Ghala city and
suggests the need for screening and treatment. Therefore, tests must be
performed as one of the routine tests for searching hepatitis B virus during
the perinatal period.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
hepatitis B surface antigen
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis B (epidemiology)
pregnant woman
seroprevalence
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
ethnicity
female
human
jaundice
major clinical study
perinatal period
questionnaire
tattooing
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015247899
PUI
L605485452
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 463
TITLE
A cooperative agreement for workforce development in vietnam: HIV-addiction
technology transfer center (VH-ATTC)
AUTHOR NAMES
Darfler K.
Larkins S.
Rawson R.
Le Minh G.
AUTHOR ADDRESSES
(Darfler K.; Larkins S.; Rawson R.) University of California Los Angeles,
Integrated Substance Abuse Programs, Los Angeles, United States.
(Le Minh G.) Hanoi Medical University, Hanoi, Viet Nam.
CORRESPONDENCE ADDRESS
K. Darfler, University of California Los Angeles, Integrated Substance Abuse
Programs, Los Angeles, United States.
SOURCE
Annals of Global Health (2015) 81:1 (143-144). Date of Publication:
January-February 2015
CONFERENCE NAME
6th Annual CUGH Conference, Consortium of Universities for Global Health:
Mobilizing Resesarch for Global Health
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2015-03-26 to 2015-03-28
ISSN
2214-9996
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Program/Project Purpose: Vietnam is experiencing an HIV epidemic due, in
large part, to the persistent problem of injection heroin use. There is an
urgent need for workforce development in the areas of HIV and substance use
disorders (SUD). Based at Hanoi Medical University (HMU), the Vietnam
HIV-Addiction Technology Transfer Center (VH-ATTC) aims to provide a
workforce that can deliver services to reduce the individual and societal
impacts of HIV and SUD by (1) improving access to treatment and prevention
services through systems linkage, and (2) increasing the capacity of the
workforce to provide a wide range of evidence-based treatments. Phase I
Project: 9/1/2011 - 8/31/2014 Phase II Project: 9/1/2014 - 8/ 31/2017
Structure/Method/Design: The overarching goals of this initiative are to
disseminate evidence-based knowledge and skills; to adapt approaches to the
Vietnamese culture; to monitor, support and encourage implementation of
these practices; and to develop a Vietnam- based resource that will sustain
these efforts in the future. HMU was selected as the VH-ATTC hub, as it is
the country's leading institution in coordinating curriculum development in
many fields of medicine and public health. UCLA provides consultation to HMU
in developing a plan to become a self-sustaining training and technical
assistance resource. Outcomes & Evaluation: The VH-ATTC has succeeded in
building the capacity to develop a skilled and knowledgeable local workforce
by establishing: master trainers with considerable technical knowledge and
capabilities, an abundance of Vietnamese language materials, resources and
curricula, and a website, newsletter and listserv. The VH-ATTC has been
designated as a national training institution, and its staff members have
provided technical assistance to clinics in more than 10 provinces.
Evaluation activities are designed to determine whether theVH-ATTCis
effectively providing ongoing workforce development and training resources,
andmeeting U.S. Government (GPRA) reporting requirements. Since its
inception, the VH-ATTC team has carried out more than 60 trainings, 15
lectures on addiction science, and two large conferences; far exceeding
projected GPRA targets (380+% of goal). Going Forward: During Phase II, a
second high-functioning VHATTC will be created in southern Vietnam at the Ho
Chi Minh City University of Medicine and Pharmacy. The priority of this
project is to expand training and technical assistance resources throughout
Vietnam and strengthen the capacity of the addiction services system. The
VH-ATTC at HMU will play a substantial role in mentoring the South VH-ATTC
in the foundation components of a newly established VH-ATTC. By the end of
the current work plan, each university will “own” their VH-ATTC, and will
have developed a plan to generate revenue for sustainability beyond the
project period.
EMTREE DRUG INDEX TERMS
diamorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health
Human immunodeficiency virus
technology
university
Viet Nam
EMTREE MEDICAL INDEX TERMS
city
consultation
curriculum
curriculum development
epidemic
evidence based practice
government
hospital
injection
language
non profit organization
pharmacy
prevention
public health
publication
skill
substance abuse
United States
Vietnamese
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72073766
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 464
TITLE
Psycho-educative protocol in spa treatment for introduction and feasibility
in withdrawal from benzodiapezines
ORIGINAL (NON-ENGLISH) TITLE
Protocole psychoéducatif en cure thermale pour sevrage de benzodiazépines:
Mise en place, faisabilité
AUTHOR NAMES
Dubois O.
Hergueta T.
Diallo A.
Salamon R.
Vaugeois C.
de Maricourt P.
Galinowski A.
AUTHOR ADDRESSES
(Dubois O., thermes.odubois@wanadoo.fr; Hergueta T.; Diallo A.; Salamon R.;
Vaugeois C.; de Maricourt P.; Galinowski A.) Thermes de Saujon, Parc des
Chalets, Saujon, France.
CORRESPONDENCE ADDRESS
O. Dubois, Thermes de Saujon, Parc des Chalets, Saujon, France.
SOURCE
Annales Medico-Psychologiques (2015) 173:6 (525-530). Date of Publication: 1
Jul 2015
ISSN
1769-6631 (electronic)
0003-4487
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France. infos@masson.fr
ABSTRACT
Objective: The consumption of benzodiazepines in France has become a public
health issue, which has been the subject of many a national report over
these last years (HAS, INPES, OPEPS, ANSM...). Since the 1990s, numerous
works have pointed out the excessively high level of consumption in
psychotropic medication. In 2009, France came second as a European country
after Portugal in anxiolytic consumption, and second after Sweden in
consumption of hypnotics. Every year, 1French person out of 5consumes at
least one benzodiazepines or one related molecule. This consumption of
anxiolytics is in majority feminine and increases with age. It is also known
that the introduction of a treatment by benzodiazepines leads to an average
of 7-month continual consumption and for 52% of those patients an average
exposure for a further 2consecutive years. The HAS Autumn2007report reminds
people that benzodiazepines intake endangers the risks of falls (gradeB),
cognitive alteration (gradeC) and accidents on the public highway (gradeC),
whereas when stopping progressively and supervising use of benzodiazepines,
it may improve certain cognitive functions. Facing up to this problem, there
are very few efficient therapeutic strategies for withdrawal or maintenance
in stopping the medicinal consumption. Materials and methods: In recent
studies, balneotherapy has shown its efficacy in treating generalised
anxiety disorder. Furthermore, psycho-educative programmes have proved to be
efficient in addiction studies to prevent relapse. In this way, the project
associating a psycho-educative programme of cognitive and behavioural type
with a 3-week spa treatment, validated by experts appeared to be credible.
The programme was constituted and set up in 4out of 5of the French
psychiatric spa resorts. The programme consisted in associating behavioural
and cognitive-based therapy, motivational support and relaxation sessions. A
psychologist clinician specializing in behavioural and cognitive therapy
trained each team. Seventy patients with an average age of 54years and
9months took part in the protocol. They were divided up into 9groups of 6to
12patients over the 4centres. The aim of the study consisted in ensuring a
lasting withdrawal from benzodiazepines. At the outcome of the treatment, a
longitudinal follow-up was carried out on Day5, day30, day60, day100,
day180. The methodological assessment of this study was implemented by the
ISPED of BordeauxII. Results: The results are still being analysed, but it
can already be concluded that the feasibility of setting up such a programme
in a spa resort has been shown from the very encouraging incoming results in
terms of the objective of withdrawal in 6months of benzodiazepines.
Conclusions: Thermal medicine, which may be associated with an undertaking
in behavioural and cognitive therapy can well be a therapeutic solution
adapted to the taking-in of those with stable chronic dependency to
benzodiazepines in particular. This study is the first clinical trial
assessing the efficacy of balneotherapy associated with a psycho-educative
treatment in withdrawal from benzodiazepines.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
benzodiazepine dependence (therapy)
psychoeducation
spa treatment
withdrawal syndrome (therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
cognitive therapy
controlled study
feasibility study
follow up
France
generalized anxiety disorder (therapy)
health program
human
longitudinal study
major clinical study
middle aged
motivation
outcome assessment
psychologist
psychosocial care
public health
relaxation training
training
treatment duration
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2015155625
PUI
L604982129
DOI
10.1016/j.amp.2015.05.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.amp.2015.05.001
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 465
TITLE
Assessing the needs of victim women of domestic violence based on the type
and causes of violence: A qualitative study
AUTHOR NAMES
Bahrami M.
Shokrollahi P.
Kohan S.
Momeni G.
Rivaz M.
AUTHOR ADDRESSES
(Bahrami M.; Kohan S.) Nursing and Midwifery Care Research Center, School of
Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan,
Iran.
(Shokrollahi P.) Student Research Center, School of Nursing and Midwifery,
Isfahan University of Medical Sciences, Isfahan, Iran.
(Shokrollahi P.) Department of Nursing and Midwifery, Islamic Azad
University-Firoozabad Branch, Firoozabad, Iran.
(Momeni G.) Department of Islamic Study, Isfahan University of Medical
Sciences, Isfahan, Iran.
(Rivaz M.) Student Research Committee, School of Nursing and Midwifery,
Shiraz University of Medical Sciences, Shiraz, Iran.
CORRESPONDENCE ADDRESS
P. Shokrollahi, Student Research Center, School of Nursing and Midwifery,
Isfahan University of Medical Sciences, Isfahan, Iran.
SOURCE
Acta Medica Mediterranea (2015) 31:7 (1411-1419). Date of Publication: 2015
ISSN
2283-9720 (electronic)
0393-6384
BOOK PUBLISHER
A. CARBONE Editore, carbone@imd.it
ABSTRACT
Introduction: Domestic violence is a common phenomenon which strongly
affects women's mental health. The promotion of women's health among victims
of domestic violence has been considered in health care systems.
Comprehensive health promotion programs are possible when qualitative and
quantitative methods are used in studies on health promotion. The current
research purposes to describe the needs of female victims of domestic
violence through content analysis to design health promotion programs.
Methods: In this qualitative content analysis, semi-structured interviews
were conducted with 25 participants, 18 women who were victims of domestic
violence, 4 health workers, and 3 counseling psychologists. Types and causes
of domestic violence were investigated to explore needs through content
analysis Result: From different type of domestic violence such as physical,
emotional, psychological, sexual, and economic violence, different needs
were derived, such as emergency medical and social care, counseling and
couples therapy, and communication skills. Causes of domestic violence
include the sub-categories of addiction; inappropriate choice of spouse and
marriage age; lack of responsibility, commitment, and communication skills
in common life; defect in the law; cultural factors; personality disorder of
the spouse; the role of couple's families; and economic poverty. From these
sub-categories, the following subjects were identified as areas in which
training and counseling are needed: support resources for an addict's
spouse, responsibilities and roles of common life, communication skills,
spouse selection skills, individual counseling for personality and mental
disorders, and legal-cultural reform Conclusion: Health promotion programs
should be designed based on the needs of female victims of domestic abuse.
Health systems should respond to the need for screening victims and
determining the type of violence, considering physical symptoms, screening
for spouse addiction, the need for education and sexual relationship
counseling, communication skills for common life and mate selection,
responsibility and commitment, and identifying mental and personality
disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
domestic violence
needs assessment
victim
EMTREE MEDICAL INDEX TERMS
addiction
adult
age
article
communication skill
content analysis
counseling
cultural factor
economic violence
emergency care
emotional violence
female
health program
health promotion
human
marital therapy
marriage
personality disorder
physical violence
poverty
psychological violence
qualitative research
responsibility
semi structured interview
sexual violence
social care
spouse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160053636
PUI
L607802508
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 466
TITLE
Gender and drug addiction: From the animal models to human medicine
ORIGINAL (NON-ENGLISH) TITLE
Pohlaví a drogová závislost: od animálních modelů ke klinické praxi
AUTHOR NAMES
Amchová P.
Kučerová J.
AUTHOR ADDRESSES
(Amchová P.; Kučerová J., jkucer@med.muni.cz) Farmakologický Ústav, Lékařská
Fakulta, Masarykova Univerzita, Kamenice 5, Brno, Czech Republic.
(Amchová P.; Kučerová J., jkucer@med.muni.cz) Vyzkumna Skupina
Experimentalni A Aplikovane Neuropsychofarmakologie, CEITEC - Středoevropský
Technologický Institut, Masarykova Univerzita, Brno, Czech Republic.
CORRESPONDENCE ADDRESS
J. Kučerová, Farmakologický Ústav, Lékařská Fakulta, Masarykova Univerzita,
Kamenice 5, Brno, Czech Republic.
SOURCE
Ceska a Slovenska Psychiatrie (2015) 111:2 (72-78). Date of Publication: 1
Apr 2015
ISSN
1212-0383
BOOK PUBLISHER
Czech Medical Association J.E. Purkyne, cls@cls.cz
ABSTRACT
Drug addiction is a serious medical and psychosocial problem which leads to
organic harm of the body as well as distortion of the normal functioning of
affected persons within the society and family. There is a large body of
clinical evidence suggesting differential characteristics of the disorder in
men and women. Despite the absolute number of female drug abusers is lower
than the male ones, women usually show higher escalation rate, more frequent
relapses and more difficulties when discontinuing the drug use. These gender
specific differences will require specific treatment strategies for men and
women in the near future. Preclinical studies of drug addiction were carried
out with male subject only for a long time because significant influence of
the estrous cycle is well known in terms of behavioural and neurochemical
effects but recently this approach has been abandoned on order to identify
the gender differences and develop new more specific treatments. Levels of
male and female gonadal hormones strongly affect the behaviour of people
which concerns the addictive one as well. However, there have been reported
also gender dependent differences in the brain structure in both humans and
animals. Another source of the gender differences comprise metabolic
adjustments leading to pharmacokinetic changes of the drugs including
different fat deposition, amount of water in the body or proportion of
skeletal muscles. Pharmacodynamic changes could be under lied by changes in
connectivity of the neuronal tracts and neurotransmitter systems which are
modified prenatally by gonadal hormones or chromosomes. These
pharmacodynamic specificities are the major source of subjective differences
in the effects of the abused drugs and to the variable tendency to develop
the addiction, tolerance or sensitization to the drug. The aim of this
review article is to provide a survey of the current knowledge on the gender
differences in drug addiction based on both clinical and preclinical studies
preklinických together with the mechanisms responsible for such differences
in the course of the drug addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
sex difference
EMTREE MEDICAL INDEX TERMS
article
human
nonhuman
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Czech
LANGUAGE OF SUMMARY
English, Czech
EMBASE ACCESSION NUMBER
2015062719
PUI
L604480151
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 467
TITLE
Patient perspectives on tobacco use treatment in primary care
AUTHOR NAMES
Halladay J.R.
Vu M.
Ripley-Moffitt C.
Gupta S.K.
O'Meara C.
Goldstein A.O.
AUTHOR ADDRESSES
(Halladay J.R.) University of North Carolina at Chapel Hill, Department of
Family Medicine, 590 Manning Dr, Chapel Hill, NC 27599. E-mail:
jacqueline_halladay@med.unc.edu. Dr Halladay is also affiliated with the
Cecil G. Sheps Center for Health Services Research, Chapel Hill, North
Carolina
(Vu M.) University of North Carolina at Chapel Hill, Chapel Hill, North
Carolina
(Ripley-Moffitt C.) University of North Carolina at Chapel Hill, Chapel
Hill, North Carolina
(Gupta S.K.) Community-Based Family Practice Physicians, Cary, North
Carolina
(O'Meara C.) Community-Based Family Practice Physicians, Cary, North
Carolina
(Goldstein A.O.) University of North Carolina at Chapel Hill, Chapel Hill,
North Carolina
SOURCE
Preventing chronic disease (2015) 12 (E14). Date of Publication: 2015
ISSN
1545-1151 (electronic)
ABSTRACT
INTRODUCTION: Evidence-based tobacco cessation interventions increase quit
rates, yet most smokers do not use them. Every primary care visit offers the
potential to discuss such options, but communication can be tricky for
patients and provider alike. We explored smokers' personal interactions with
health care providers to better understand what it is like to be a smoker in
an increasingly smoke-free era and the resources needed to support quit
attempts and to better define important patient-centered outcomes.METHODS:
Three 90-minute focus groups, involving 33 patients from 3 primary care
clinics, were conducted. Participants were current or recent (having quit
within 6 months) smokers. Topics included tobacco use, quit attempts, and
interactions with providers, followed by more pointed questions exploring
actions patients want from providers and outcome measures that would be
meaningful to patients.RESULTS: Four themes were identified through
inductive coding techniques: 1) the experience of being a tobacco user
(inconvenience, shame, isolation, risks, and benefits), 2) the medical
encounter (expectations of providers, trust and respect, and positive,
targeted messaging), 3) high-value actions (consistent dialogue, the
addiction model, point-of-care nicotine patches, educational materials,
carbon monoxide monitoring, and infrastructure), and 4) patient-centered
outcomes.CONCLUSION: Engaged patient-centered smoking cessation counseling
requires seeking the patient voice early in the process. Participants
desired honest, consistent, and pro-active discussions and actions.
Participants also suggested creative patient-centered outcome measures to
consider in future research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adverse event
prevention and control
procedures
EMTREE MEDICAL INDEX TERMS
clinical trial
counseling
epidemiology
human
incidence
information processing
motivation
multicenter study
primary health care
smoking
smoking cessation
tobacco use
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25654219 (http://www.ncbi.nlm.nih.gov/pubmed/25654219)
PUI
L613421913
DOI
10.5888/pcd12.140408
FULL TEXT LINK
http://dx.doi.org/10.5888/pcd12.140408
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 468
TITLE
The complex impact of risk and protective factors on suicide mortality: a
study of the Ukrainian general population
AUTHOR NAMES
Yur'yev A.
Yur'yeva L.
Värnik P.
Lumiste K.
Värnik A.
AUTHOR ADDRESSES
(Yur'yev A.; Yur'yeva L.; Värnik P.; Lumiste K.; Värnik A.) a Harlem
Hospital Center, College of Physicians and Surgeons of Columbia University ,
New York , New York , USA
SOURCE
Archives of suicide research : official journal of the International Academy
for Suicide Research (2015) 19:2 (249-259). Date of Publication: 2015
ISSN
1543-6136 (electronic)
ABSTRACT
This study assesses the complex impact of risk and protective factors on
suicide mortality in the Ukrainian general population. Data on suicide rates
and socioeconomic and medical factors were obtained from the Ukrainian State
Statistical Office, WHO, and the European Social Survey. Structural equation
modeling was used for data analysis. Religion and education were negatively
associated with suicide. The relationship between drug addiction/alcoholism
and suicide was positive. The association between urbanization and suicide
mortality was negative. The relationship between gross regional product
(GRP) and female suicide was slightly negative. Religiosity was the
protective factor most strongly linked with suicide mortality followed by
urbanization. The harmful role of drug addiction and alcoholism was
confirmed. The role of education and GRP is controversial. No striking
gender differences were found.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
suicide (prevention)
EMTREE MEDICAL INDEX TERMS
adult
demography
drug dependence (epidemiology)
female
human
male
mortality
protection
psychological model
psychology
risk factor
sex difference
socioeconomics
statistics and numerical data
suicide attempt
Ukraine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25706485 (http://www.ncbi.nlm.nih.gov/pubmed/25706485)
PUI
L612095273
DOI
10.1080/13811118.2015.1004471
FULL TEXT LINK
http://dx.doi.org/10.1080/13811118.2015.1004471
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 469
TITLE
Development and evaluation of an educational intervention in youth mental
health for primary care practitioners
AUTHOR NAMES
Birrane J.
Swan D.
Aherne D.
Davis R.
Hannigan A.
McPhillips D.
Meagher D.
O’Regan A.
Ryan P.
Schaffalitzky E.
Cullen W.
AUTHOR ADDRESSES
(Birrane J.; Swan D.; Aherne D.; Hannigan A.; Meagher D.; O’Regan A.;
Schaffalitzky E.) Graduate Entry Medical School, University of Limerick,
Limerick, Ireland.
(Davis R.) Child and Adolescent Mental Health Service, Limerick, Ireland.
(McPhillips D.) Community Substance Misuse Team, Limerick, Ireland.
(Ryan P.) Department of Psychology, University of Limerick, Limerick,
Ireland.
(Cullen W., Walter.Cullen@ucd.ie) UCD School of Medicine and Medical
Science, Belfield, Ireland.
CORRESPONDENCE ADDRESS
W. Cullen, UCD School of Medicine and Medical Science, Belfield, Dublin 4,
Ireland. Email: Walter.Cullen@ucd.ie
SOURCE
Irish Journal of Psychological Medicine (2015) 32:1 (137-146). Date of
Publication: 22 Dec 2014
ISSN
2051-6967 (electronic)
0790-9667
BOOK PUBLISHER
Cambridge University Press, sfarrell@irishpsychiatry.ie
ABSTRACT
Objectives. Irish adolescents have one of the highest rates of suicide and
self-harm in the European Union. Although primary care has been identified
as an opportune environment in which to detect and treat mental health
problems in adolescents, lack of training among primary care professionals
(PCPs) is a barrier to optimum identification and treatment. We describe the
development and evaluation of an educational intervention on youth mental
health and substance misuse for PCPs. Methods. Thirty general practitioners
and other PCPs working in the Mid-West region participated in an educational
session on youth-friendly consultations, and identification and treatment of
mental ill-health and substance use. Learning objectives were addressed
through a presentation, video demonstration, small group discussions, role
play, questionand-answer sessions with clinical experts, and an information
pack. Following the session, participants completed an evaluation form
assessing knowledge gain and usefulness of different components of the
session. Results. A total of 71% of participants were involved in the
provision of care to young people and 55% had no previous training in youth
mental health or substance abuse. Participants rated knowledge gains as
highest with regard to understanding the importance of early intervention,
and primary care, in youth mental health. The components rated as most
useful were case studies/small group discussion, the ‘question-and-answer
session’ with clinical experts, and peer interaction. Conclusions. The
educational session outlined in this pilot was feasible and acceptable and
may represent an effective way to train professionals to help tackle the
current crisis in youth mental health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
juvenile
medical education
mental health
EMTREE MEDICAL INDEX TERMS
consultation
early intervention
human
human experiment
learning
role playing
substance abuse
substance use
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160811872
PUI
L612995131
DOI
10.1017/ipm.2014.71
FULL TEXT LINK
http://dx.doi.org/10.1017/ipm.2014.71
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 470
TITLE
Teachable moments and missed opportunities for smoking cessation counseling
in a hospital emergency department: a mixed-methods study of
patient-provider communication
AUTHOR NAMES
Buchbinder M.
Wilbur R.
Zuskov D.
McLean S.
Sleath B.
AUTHOR ADDRESSES
(Buchbinder M., mara.buchbinder@gmail.com) Department of Social Medicine,
University of North Carolina at Chapel Hill, 333 S. Columbia St., 341A
MacNider Hall CB 7240, Chapel Hill, NC, 27599, USA
(Wilbur R., rwilbur@live.unc.edu; Zuskov D., dzuskov@live.unc.edu)
Department of Health Behavior and Health Education, University of North
Carolina at Chapel Hill, Chapel Hill, NC, USA
(McLean S., smclean@aims.unc.edu) Departments of Anesthesiology and
Emergency Medicine, University of North Carolina at Chapel Hill, Chapel
Hill, NC, USA
(Sleath B., betsy_sleath@unc.edu) Division of Pharmaceutical Outcomes and
Policy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
SOURCE
BMC health services research (2014) 14 (651). Date of Publication: 20 Dec
2014
ISSN
1472-6963 (electronic)
ABSTRACT
BACKGROUND: While primary care medical clinics have been the most common
setting for the delivery of advice about smoking cessation, the hospital
emergency department (ED) is a valuable context for counseling medically
underserved tobacco users. We conducted a secondary analysis based on a
larger audio-recorded study of patient-provider communication about pain and
analgesics in the ED. Within a sample of ED patients with back pain, the
purpose of this mixed-methods study was to examine how physicians and nurse
practitioners capitalize on "teachable moments" for health education to
offer spontaneous smoking cessation counseling in the ED.METHODS: Patients
presenting to an academic ED with a primary complaint of back pain were
invited to participate in a study of patient-provider communication.
Audio-recorded encounters were transcribed verbatim. Two coders reviewed
each transcript to determine whether smoking was discussed and to build a
corpus of smoking-related discussions. We then developed inductively
generated coding categories to characterize how providers responded when
patients endorsed smoking behavior. Categories were refined iteratively to
accommodate discrepancies.RESULTS: Of 52 patient-provider encounters during
which smoking was discussed, two-thirds of the patients indicated that they
were smokers. Providers missed opportunities for smoking cessation
counseling 70% of the time. Eleven encounters contained teachable moments
for smoking cessation. We identified four primary strategies for creating
teachable moments: 1) positive reinforcement, 2) encouragement, 3) assessing
readiness, and 4) offering concrete motivating reasons.CONCLUSIONS: Most
providers missed opportunities to offer teachable moments for smoking
cessation. In encounters that contained teachable moments, providers
employed multiple strategies, combining general advice with motivation
tailored to the patient's particular circumstances. Creating motivational
links to enhance smoking cessation efforts may be possible with a minimal
investment of ED resources.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
hospital emergency service
human relation
interpersonal communication
patient education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
aged
female
human
male
middle aged
motivation
physician
Queensland
recording
smoking
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25526749 (http://www.ncbi.nlm.nih.gov/pubmed/25526749)
PUI
L615305630
DOI
10.1186/s12913-014-0651-9
FULL TEXT LINK
http://dx.doi.org/10.1186/s12913-014-0651-9
COPYRIGHT
Copyright 2017 Medline is the source for the citation and abstract of this
record.
RECORD 471
TITLE
Tobacco brief intervention training for chiropractic, acupuncture, and
massage practitioners: Protocol for the CAM reach study
AUTHOR NAMES
Muramoto M.L.
Howerter A.
Matthews E.
Floden L.
Gordon J.
Nichter M.
Cunningham J.
Ritenbaugh C.
AUTHOR ADDRESSES
(Muramoto M.L., myram@email.arizona.edu; Howerter A.,
howerter@email.arizona.edu; Matthews E., evam@email.arizona.edu; Floden L.,
lford@email.arizona.edu; Gordon J., judithg@email.arizona.edu; Cunningham
J., jkcunning@email.arizona.edu; Ritenbaugh C., ritenbau@email.arizona.edu)
University of Arizona College of Medicine, Department of Family and
Community Medicine, 1450 N. Cherry Avenue, Tucson, United States.
(Nichter M., mnichter@email.arizona.edu) University of Arizona, School of
Anthropology, 1009 E. South Campus Drive, Tucson, United States.
CORRESPONDENCE ADDRESS
M.L. Muramoto, University of Arizona College of Medicine, Department of
Family and Community Medicine, 1450 N. Cherry Avenue, Tucson, United States.
SOURCE
BMC Complementary and Alternative Medicine (2014) 14:1 Article Number: 510.
Date of Publication: 18 Dec 2014
ISSN
1472-6882 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., info@biomedcentral.com
ABSTRACT
Background: Tobacco use remains the leading cause of morbidity and mortality
in the US. Effective tobacco cessation aids are widely available, yet
underutilized. Tobacco cessation brief interventions (BIs) increase quit
rates. However, BI training has focused on conventional medical providers,
overlooking other health practitioners with regular contact with tobacco
users. The 2007 National Health Interview Survey found that approximately
20% of those who use provider-based complementary and alternative medicine
(CAM) are tobacco users. Thus, CAM practitioners potentially represent a
large, untapped community resource for promoting tobacco cessation and use
of effective cessation aids. Existing BI training is not well suited for CAM
practitioners' background and practice patterns, because it assumes a
conventional biomedical foundation of knowledge and philosophical approaches
to health, healing and the patient-practitioner relationship. There is a
pressing need to develop and test the effectiveness of BI training that is
both grounded in Public Health Service (PHS) Guidelines for tobacco
dependence treatment and that is relevant and appropriate for CAM
practitioners. Methods/Design: The CAM Reach (CAMR) intervention is a
tobacco cessation BI training and office system intervention tailored
specifically for chiropractors, acupuncturists and massage therapists. The
CAMR study utilizes a single group one-way crossover design to examine the
CAMR intervention's impact on CAM practitioners' tobacco-related practice
behaviors. Primary outcomes included CAM practitioners' self-reported
conduct of tobacco use screening and BIs. Secondary outcomes include tobacco
using patients' readiness to quit, quit attempts, use of guideline-based
treatments, and quit rates and also non-tobacco-using patients' actions to
help someone else quit. Discussion: CAM practitioners provide care to
significant numbers of tobacco users. Their practice patterns and
philosophical approaches to health and healing are well suited for providing
BIs. The CAMR study is examining the impact of the CAMR intervention on
practitioners' tobacco-related practice behaviors, CAM patient behaviors,
and documenting factors important to the conduct of practice-based research
in real-world CAM practices.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acupuncturist
chiropractor
health care personnel
massage therapist
medical education
tobacco use
EMTREE MEDICAL INDEX TERMS
alternative medicine
article
conversation
crossover procedure
human
screening test
semi structured interview
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015812924
MEDLINE PMID
25524595 (http://www.ncbi.nlm.nih.gov/pubmed/25524595)
PUI
L602652587
DOI
10.1186/1472-6882-14-510
FULL TEXT LINK
http://dx.doi.org/10.1186/1472-6882-14-510
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 472
TITLE
Changes in success rates of smoking cessation treatment associated with of a
national evidence-based training programme
AUTHOR NAMES
Brose L.S.
West R.
Michie S.
McEwen A.
AUTHOR ADDRESSES
(Brose L.S., Leonie.brose@kcl.ac.uk) UK Centre for Tobacco and Alcohol
Studies, Addictions, Institute of Psychiatry, King's College, London, United
Kingdom.
(West R.; McEwen A.) Cancer Research UK Health Behaviour Research Centre,
University College, London, United Kingdom.
(Michie S.) Clinical, Educational and Health Psychology, University College,
London, United Kingdom.
(West R.; Michie S.; McEwen A.) National Centre for Smoking Cessation and
Training (NCSCT), United Kingdom.
CORRESPONDENCE ADDRESS
L.S. Brose, Addictions, Institute of Psychiatry, King's College London, 4
Windsor Walk, London, United Kingdom.
SOURCE
Preventive Medicine (2014) 69 (1-4). Date of Publication: 1 Dec 2014
ISSN
1096-0260 (electronic)
0091-7435
BOOK PUBLISHER
Academic Press Inc., apjcs@harcourt.com
ABSTRACT
Objective: The English 'stop smoking services' provide behavioural support
to some 700,000 smokers annually. Success rates of the services varied
considerably before 2010 and had been in slight decline so, to improve
performance, a national programme of evidence-based practitioner training
was developed to improve knowledge and skills-based competences. This study
evaluated whether uptake of the training was associated with improvements in
success rates of services. Methods: Mean 4-week biochemically verified
abstinence rates were compared for 146 (of 151) stop smoking services
between 2008-10 (before roll-out of training) and 2011-13 (after roll-out),
and the change in success rates for each service was regressed on to the
number of practitioners per service trained in a) knowledge (online) and b)
skills (face-to-face). Results: Success rate across all services improved
between the two periods (34.1% to 36.5%, p=. 0.01 1-tailed; 95% CI for
difference 0.44-4.48). The magnitude of improvement for each service was
associated with the number of practitioners who completed the knowledge and
skills training (beta. =. 0.22, p=. 0.005 1-tailed), and marginally with the
number who completed the knowledge training (beta. =. 0.14, p=. 0.047
1-tailed). Conclusion: English stop smoking services that have greater
uptake of a national evidence-based training programme showed greater
improvements in success rates.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
evidence based practice
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
human
physician
program cost effectiveness
staff training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014815562
PUI
L600086319
DOI
10.1016/j.ypmed.2014.08.021
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2014.08.021
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 473
TITLE
Level of awareness of lung cancer risk factors, signs, symptoms and safe
practices among college teachers in India: Do awareness have a role in
prevention and early detection along with change in practice?
AUTHOR NAMES
Roy S.
Barnwal K.
Upadhyaya S.
Shankar A.
AUTHOR ADDRESSES
(Roy S.) VMMC, Safdarjung Hospital, New Delhi, Delhi, India.
(Barnwal K.; Upadhyaya S.) Punarjeevan Bihar, Warisaliganj, Bihar, India.
(Shankar A.) Radiation Oncology, All India Institute of Medical Sciences,
New Delhi, Delhi, India.
CORRESPONDENCE ADDRESS
S. Roy, VMMC, Safdarjung Hospital, New Delhi, DELHI, India.
SOURCE
Asia-Pacific Journal of Clinical Oncology (2014) 10 SUPPL. 9 (243). Date of
Publication: December 2014
CONFERENCE NAME
2014 World Cancer Congress
CONFERENCE LOCATION
Melbourne, VIC, Australia
CONFERENCE DATE
2014-12-03 to 2014-12-06
ISSN
1743-7555
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Background: Lung cancer is a serious public health issue because of high
mortality and increaing incidence in India, but actually they are largely
preventable diseases and there is limited data from India on this issues.
Aim: To know the impact of awareness program on change in adoption of safe
practices in prevention and early detection. Methods: This assessment was
part of pink chain campaign. During the events in 2011 at various women
colleges in India, Pre test was conducted by questionnaire. It was followed
by awareness program consisting of lectures with special note of tobacco and
smoking and an interactive session followed by post test. Literature related
to cancer awareness was sent regularly. After completion of 6 months and 1
year, same questionnaires were mailed to the participants to see the change
in practice. Data was collected and analysed. Results: A total of 156 out of
182 teachers participated in the study (85.71%).109 and 95 teachers
responded at the end of 6 months and 1 year respectively. For lung cancer,
the correct risk factors indicated by teachers were smoking (89%),
Secondhand smoke (37%), Family history (5%), and tuberculosis (36%).
Symptoms of lung cancer were not well known in teachers. Symptoms of lung
cancer known to teachers were Persistent cough (24%), Sputum streaked with
blood (36%), Chest pain (12%), Voice change (12%), Recurrent bronchitis
(5%). Magazines and newspapers were source for knowledge in 60% of teachers
and 30% were educated by doctors regarding. At 6 months and 1 year,
significant change in alcohol and smoking habits was noted. There was a
significant increase in knowledge at 6 months and this was sustained at 1
year. For not doing regular checkup, major reasons came out to be ignorance
(50%), lethargic attitude (44.87%) and lack of time (34.61%) Conclusions:
Knowledge of lung cancer was not well known to teachers. Though there was
significant change in addiction habits, there was not much improvement in
people undergoing regular check ups.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer risk
college
human
India
lung cancer
neoplasm
prevention
risk factor
teacher
EMTREE MEDICAL INDEX TERMS
addiction
blood
bronchitis
coughing
diseases
family history
female
habit
mortality
passive smoking
physician
public health
publication
questionnaire
smoking
smoking habit
sputum
thorax pain
tobacco
tuberculosis
voice change
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71741160
DOI
10.1111/ajco.12332
FULL TEXT LINK
http://dx.doi.org/10.1111/ajco.12332
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 474
TITLE
Preliminary survey of office-based opioid treatment practices and attitudes
among psychiatrists never receiving buprenorphine training to those who
received training during residency
AUTHOR NAMES
Suzuki J.
Connery H.S.
Ellison T.V.
Renner J.A.
AUTHOR ADDRESSES
(Suzuki J., jsuzuki2@partners.org; Ellison T.V.) Department of Psychiatry,
Brigham and Women' Hospital, 75 Francis St, Boston, United States.
(Suzuki J., jsuzuki2@partners.org; Connery H.S.; Ellison T.V.) Harvard
Medical School, Boston, United States.
(Connery H.S.) McLean Hospital, Belmont, United States.
(Ellison T.V.) Harvard Longwood Psychiatry Residency Training Program,
Boston, United States.
(Renner J.A.) VA Boston HealthCare, Boston, United States.
(Renner J.A.) Boston University School of Medicine, Boston, United States.
CORRESPONDENCE ADDRESS
J. Suzuki, Department of Psychiatry, Brigham and Women' Hospital, 75 Francis
St, Boston, United States.
SOURCE
American Journal on Addictions (2014) 23:6 (618-622). Date of Publication: 1
Nov 2014
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley-Blackwell Publishing Ltd, info@royensoc.co.uk
ABSTRACT
Objective To compare the characteristics, attitudes, and current prescribing
practices of recently graduating psychiatrists who completed buprenorphine
training during residency to those who never completed any training. Methods
A total of 359 psychiatrists completing residency training between 2008 and
2011 were recruited to complete an on-line survey. Results Responses from 93
psychiatrists were included for a response rate of 25.9%. Psychiatrists
completing any buprenorphine training during residency were more likely to
be male and report more favorable views of OBOT with buprenorphine than
compared to those who never completed any training. Twenty (38.5%) of those
psychiatrists who completed training during residency reported the current
prescribing of buprenorphine. Conclusions Completion of buprenorphine
training during residency may be a factor in shaping future attitudes
towards OBOT and buprenorphine prescribing practices. Further research is
needed to clarify the impact of buprenorphine training during residency.
Scientific Significance Buprenorphine training during residency training may
be a contributing factor in shaping future physician attitudes towards
office-based opioid treatment and buprenorphine prescribing practices. (Am J
Addict 2014;23:618-622)
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
office based opioid treatment
physician attitude
residency education
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
female
human
human experiment
maintenance therapy
male
medical practice
normal human
opiate addiction
prescription
psychiatrist
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014712367
MEDLINE PMID
25065457 (http://www.ncbi.nlm.nih.gov/pubmed/25065457)
PUI
L53264415
DOI
10.1111/j.1521-0391.2014.12143.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2014.12143.x
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 475
TITLE
Web-based training for primary care providers on screening, brief
intervention, and referral to treatment (SBIRT) for alcohol, tobacco, and
other drugs
AUTHOR NAMES
Stoner S.A.
Mikko A.T.
Carpenter K.M.
AUTHOR ADDRESSES
(Stoner S.A., sastoner@uw.edu; Mikko A.T.; Carpenter K.M.) Talaria, Inc.,
Seattle, United States.
(Stoner S.A., sastoner@uw.edu) The Alcohol and Drug Abuse Institute,
University of Washington, Seattle, United States.
(Mikko A.T.) VA Puget Sound Healthcare System, Seattle, United States.
(Carpenter K.M.) Alere Wellbeing, Seattle, United States.
CORRESPONDENCE ADDRESS
S.A. Stoner, Alcohol and Drug Abuse Institute, 1107 NE 45th Street, Suite
120, Seattle, United States.
SOURCE
Journal of Substance Abuse Treatment (2014) 47:5 (362-370). Date of
Publication: 1 Nov 2014
ISSN
1873-6483 (electronic)
0740-5472
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
This project evaluated a Web-based multimedia training for primary care
providers in screening, brief intervention, and referral to treatment
(SBIRT) for unhealthy use of alcohol, tobacco, and other drugs. Physicians
(n = 37), physician assistants (n = 35), and nurse practitioners (n = 20)
were recruited nationally by email and randomly assigned to online access to
either the multimedia training or comparable reading materials. At baseline,
compared to non-physicians, physicians reported lower self-efficacy for
counseling patients regarding substance use and doing so less frequently.
All provider types in both conditions showed significant increases in
SBIRT-related knowledge, self-efficacy, and clinical practices. Although the
multimedia training was not superior to the reading materials with regard to
these outcomes, the multimedia training was more likely to be completed and
rated more favorably. Findings indicate that SBIRT training does not have to
be elaborate to be effective. However, multimedia training may be more
appealing to the target audiences.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
drug dependence (therapy)
early intervention
health care personnel
health education
Internet
multimedia
screening, brief intervention and referral to treatment
tobacco
tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
behavior change
clinical practice
controlled study
e-mail
health care delivery
human
human experiment
knowledge
nurse practitioner
outcome assessment
patient counseling
physician
physician assistant
primary medical care
randomized controlled trial
rating scale
reading
self concept
substance use
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014739811
MEDLINE PMID
25115136 (http://www.ncbi.nlm.nih.gov/pubmed/25115136)
PUI
L53273642
DOI
10.1016/j.jsat.2014.06.009
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2014.06.009
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 476
TITLE
Pre-registration nursing students' perceptions and experiences of violence
in a nursing education institution in South Africa
AUTHOR NAMES
de Villiers T.
Mayers P.M.
Khalil D.
AUTHOR ADDRESSES
(de Villiers T.) Division of Nursing & Midwifery, Department of Health &
Rehabilitation Sciences, Faculty of Health Sciences, University of Cape
Town, Observatory, Cape Town, South Africa. Electronic address:
tania.devilliers@uct.ac.za
(Mayers P.M.) Division of Nursing & Midwifery, Department of Health &
Rehabilitation Sciences, Faculty of Health Sciences, University of Cape
Town, Observatory, Cape Town, South Africa. Electronic address:
Pat.mayers@uct.ac.za
(Khalil D., Doris.khalil@uct.ac.za) Division of Nursing & Midwifery,
Department of Health & Rehabilitation Sciences, Faculty of Health Sciences,
University of Cape Town, Observatory, Cape Town, South Africa. Electronic
address:
SOURCE
Nurse education in practice (2014) 14:6 (666-673). Date of Publication: 1
Nov 2014
ISSN
1873-5223 (electronic)
ABSTRACT
Violence is a growing problem worldwide in the field of health care and
within the nursing profession. A study comprising a survey and focus groups
with nursing students, and interviews with nurse educators was conducted to
examine nursing students' perceptions and experiences of violence at a
nursing education institution in the Western Cape, South Africa. A
self-administered questionnaire was distributed to all nursing students. Two
hundred and twenty three (n = 223) respondents completed the questionnaire.
Focus groups were conducted with purposively sampled student participants
and semi-structured interviews with nurse educators. The findings indicated
that the nature of the violent incidents experienced by students on campus,
especially in the residences, ranged from verbal abuse to violation of
students' property and personal space, and could be attributed primarily to
substance abuse. Violence among student nurses could negatively affect
learning. In a profession in which nurses are exposed to violence in the
workplace, it is important that violence in the learning environment is
actively prevented and respect of individual rights, tolerance and
co-operation are promoted.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
psychology
violence
EMTREE MEDICAL INDEX TERMS
adolescent
adult
attitude
female
human
information processing
male
middle aged
nursing student
questionnaire
South Africa
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25262064 (http://www.ncbi.nlm.nih.gov/pubmed/25262064)
PUI
L606018672
DOI
10.1016/j.nepr.2014.08.006
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nepr.2014.08.006
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 477
TITLE
Evaluation of student pharmacists' participation in an interactive event to
educate teens about substance abuse
AUTHOR NAMES
Chan H.V.
Pervanas H.C.
AUTHOR ADDRESSES
(Chan H.V.) MCPHS University, Manchester, United States.
(Pervanas H.C.) Pharmacy Practice Department, MCPHS University, Manchester,
United States.
CORRESPONDENCE ADDRESS
H.V. Chan, MCPHS University, Manchester, United States.
SOURCE
Pharmacotherapy (2014) 34:10 (e269). Date of Publication: October 2014
CONFERENCE NAME
2014 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2014
CONFERENCE LOCATION
Austin, TX, United States
CONFERENCE DATE
2014-10-12 to 2014-10-15
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: Substance abuse is one of many challenges among teenagers. Student
pharmacists can play an active role to increase awareness of substance
abuse. An interactive event presented by student pharmacists at the Boys and
Girls Club was done to raise awareness of prescription drug and alcohol
abuse among teenagers. METHODS: Student pharmacists enrolled in the
accelerated Doctor of Pharmacy program at MCPHS University implemented an
interactive event that involved the creation of a video recorded skit
depicting a substance abuse scenario, a breakout discussion session, and the
use of interactive learning materials. Following the event an anonymous,
online 9 questions survey was sent to students electronically. The survey
was used to assess the perceptions of student pharmacists with regards to
effectiveness of the event and materials used, the engagement of teens and
appropriate training prior to the event. This project was approved by the
MCPHS University Institutional Review Board. RESULTS: A total of 24 student
pharmacists participated in the event and 54% completed the online survey.
The majority of the students were female (69%) and were in their first year
of the pharmacy program (54%). When asked whether this activity raised
awareness of substance abuse among teens, 62% responded agreed or strongly
agreed. With regards to the training session, 23% of the students strongly
agreed that the session well prepared them for the event and 38% responded
neutrally. Sixty-two percent of participants strongly agreed that teenagers
were engaged in the breakout sessions. CONCLUSION: Student pharmacists
reported that the teens were engaged during the session and that they felt
that the use of the skit and breakout sessions allowed the teens to be
engaged and understand the message. For future events additional training
may be required so that all student pharmacists are comfortable with the
information.
EMTREE DRUG INDEX TERMS
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
clinical pharmacy
college
human
pharmacist
student
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
alcohol abuse
boy
female
girl
institutional review
learning
male
pharmacy
physician
university
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71767554
DOI
10.1002/phar.1497
FULL TEXT LINK
http://dx.doi.org/10.1002/phar.1497
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 478
TITLE
Smoking prevention intervention with school classes at a university hospital
by thoracic surgeon und pulmonologist
AUTHOR NAMES
Tomaszek S.
Schuurmans M.M.
Schneiter D.
Weder W.
Hillinger S.
AUTHOR ADDRESSES
(Tomaszek S.; Schuurmans M.M.; Schneiter D.; Weder W.; Hillinger S.)
University Hospital Zürich, Zürich, Switzerland.
CORRESPONDENCE ADDRESS
S. Tomaszek, University Hospital Zürich, Zürich, Switzerland.
SOURCE
Cancer Research (2014) 74:19 SUPPL. 1. Date of Publication: 1 Oct 2014
CONFERENCE NAME
105th Annual Meeting of the American Association for Cancer Research, AACR
2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-05 to 2014-04-09
ISSN
0008-5472
BOOK PUBLISHER
American Association for Cancer Research Inc.
ABSTRACT
Purpose: Smoking prevention in schoolchildren with the aim to inform and
prevent smoking initiation has been widely studied and has shown variable
results. Interventions provided by physicians in a hospital setting have
been rarely reported. Here we show the feasibility and gain of knowledge of
our smoking prevention project in a hospital setting. Methods: Interventions
performed from November 2009 - February 2013 were evaluated. Overall 470
children participated in our preventive intervention. A 7-item questionnaire
was provided to the school classes (Grades 6 to 10) before and after a
two-hour smoking prevention intervention consisting of anatomical models,
oral presentations, videos, patient interviews and hands-on lung function
tests. The goal was to show the anatomical and physiological basics as well
as age-based information about the harms of smoking. During the intervention
the children have been motivated to be actively involved. Class selection
has been performed for groups of children in a highly vulnerable phase of
age before smoking initiation. Results: The baseline questionnaire was
completed by 457 children, the one after intervention by 426. The knowledge
about which organs are affected by smoking increased from 6.8-99.6% to
65.5-99.5% (p<0.01). While only 59.5% knew that only a minority of people is
able to quit smoking successfully, 94.1% answered the question correctly
after intervention (p<0.001). Prior to the intervention only 78.1% believed
that minor tobacco consumption is not damaging which increased to 89.4%
after the teaching session (p<0.05). Smoking hookah was believed to be less
harmful than cigarettes by 30.2% of children decreasing to 7.7% after the
intervention (p<0.001). Conclusion: Information on health effects provided
by lung specialists in the hospital leads to a statistically significant
increase in knowledge as assessed by a short questionnaire. The intervention
is feasible and well received. This kind of interventions might help to
prevent schoolchildren from smoking in a highly vulnerable phase of age.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
cancer research
human
prevention
pulmonologist
school
smoking
thorax surgery
university hospital
EMTREE MEDICAL INDEX TERMS
anatomic model
child
health
hospital
interview
lung
lung function test
medical specialist
patient
physician
questionnaire
school child
smoking cessation
teaching
tobacco consumption
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71721930
DOI
10.1158/1538-7445.AM2014-5054
FULL TEXT LINK
http://dx.doi.org/10.1158/1538-7445.AM2014-5054
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 479
TITLE
Examining the impact of the Utah opioid guideline based intensive
educational intervention on opioid prescribing in Utah
AUTHOR NAMES
Sauer B.C.
Teng C.-C.
Porusnik C.
Johnson E.
Rolfs R.
Nebeker J.
AUTHOR ADDRESSES
(Sauer B.C.; Teng C.-C.; Nebeker J.) SLC HSR and D COIN (IDEAS 2.0),
Veterans Health Administration, Salt Lake City, United States.
(Sauer B.C.; Teng C.-C.) Internal Medicine Division of Epidemiology,
University Utah, Salt Lake City, United States.
(Porusnik C.) Family Practice and Medicine, University of Utah, Salt Lake
City, United States.
(Johnson E.; Rolfs R.) Utah Department of Health, Salt Lake City, United
States.
CORRESPONDENCE ADDRESS
B.C. Sauer, SLC HSR and D COIN (IDEAS 2.0), Veterans Health Administration,
Salt Lake City, United States.
SOURCE
Pharmacoepidemiology and Drug Safety (2014) 23 SUPPL. 1 (102). Date of
Publication: October 2014
CONFERENCE NAME
30th International Conference on Pharmacoepidemiology and Therapeutic Risk
Management
CONFERENCE LOCATION
Taipei, Taiwan
CONFERENCE DATE
2014-10-24 to 2014-10-27
ISSN
1053-8569
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
Background: As a response to the alarming increase in opioid related deaths,
the Utah State Legislature passed a Bill to establish opioid quality of care
guidelines. In addition, the state sponsored a 20 credit Performance
Improvement Continuing Medical Education (PI-CME) to teach prescribers about
the new opioid prescribing guidelines, how to access and use the Controlled
Substance Database (CSD) to check individual patients and review their
patient panel to assess improvements in their prescribing patterns.
Objectives: To quantify changes in opioid prescribing and adverse events
among providers who received various levels of the PI-CME designed to teach
opioid prescribing guidelines and use of promoted tools. Methods: Providers
voluntarily enrolled in the 3 Stage course. Stage A involved generating a
CSD report of each provider's patients during the past 6-weeks, Stage B
focused on the 6 tools for safe opioid use and Stage C required participants
to assess changes in their prescribing. Multiple data sources were used for
this analysis including the CSD, Utah ED encounter database, and the state
medical examiner database. Process flags included the dual use of
long-acting opioids or short-acting opioids, combined use of benzodiazepines
and long-acting opioids, methadone titration. Outcome flags included the
opioid related ED visits and deaths. Opioid users were categorized as acute,
intermittent, chronic or palliative. Flags were compared between patients
who completed different stages of the educational intervention. Risk ratios
were adjusted using previous year prescribing flags and specialty. Results:
Stage A or higher was completed by 288 providers while Stage B or higher was
completed by 95 providers. Approximately 8000 providers were not exposed to
the educational intervention. Providers exposed to stage A or higher had a
significantly lower incidence of dual long-acting and dual short-acting
opioids. They also had a significantly lower incidence of any process
violation. Conclusions: Providers who attended the intensive educational
intervention reduced the use of potentially hazardous opioid prescribing.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
benzodiazepine derivative
controlled substance
methadone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pharmacoepidemiology
risk management
United States
EMTREE MEDICAL INDEX TERMS
coroner
data base
death
human
medical education
patient
risk
titrimetry
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71635887
DOI
10.1002/pds.3701
FULL TEXT LINK
http://dx.doi.org/10.1002/pds.3701
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 480
TITLE
A pilot implementation of buddhist mindfulness training, combined with the
Ottawa model for smoking cessation in an out-patient respirology clinic
setting
AUTHOR NAMES
Pakhale S.
Armstrong M.A.
Garde A.
Reid B.
Aitken D.
Mullen K.
Wells G.
Pipe A.
AUTHOR ADDRESSES
(Pakhale S.) Ottawa Hospital, Research Institute, University of Ottawa,
Ottawa, Canada.
(Pakhale S.; Armstrong M.A.; Garde A.) Ottawa Hospital, Research Institute,
Ottawa, Canada.
(Reid B.; Aitken D.; Mullen K.; Wells G.; Pipe A.) University of Ottawa,
Heart Institute, Ottawa, Canada.
CORRESPONDENCE ADDRESS
S. Pakhale, Ottawa Hospital, Research Institute, University of Ottawa,
Ottawa, Canada.
SOURCE
American Journal of Respiratory and Critical Care Medicine (2014) 189
MeetingAbstracts. Date of Publication: 2014
CONFERENCE NAME
American Thoracic Society International Conference, ATS 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-05-16 to 2014-05-21
ISSN
1073-449X
BOOK PUBLISHER
American Thoracic Society
ABSTRACT
Introduction: A third pilot arm was added to an ongoing randomized trial of
smoking cessation at an adult Respirology clinic at The Ottawa Hospital
General Campus. The goal of the parent study is to test the hypothesis that
a systematic approach to smoking cessation (the 'Ottawa Model' for Smoking
Cessation) with subsidized quit smoking medication (using the 'SmartCard')
is more efficacious than the standard care (physicians' advice for smoking
cessation + smoking cessation brochure) at achieving smoking cessation among
smokers attending an outpatient Respirology clinic at a tertiary care
center. The objective of this current study is to determine if adding a
Buddhist mindfulness training intervention to a systemic, subsidized quit
smoking program, improves quit rates above and beyond those of participants
in the intervention and standard care arms of the parent study. Methods: In
addition to the interventions offered in the parent study, an intervention
of Buddhist mindfulness training was offered to 10 new participants.
Individuals in this additional group received weekly sessions of 90 minutes
on Buddhist mindfulness, entwined in all its interrelated concepts as
described in Buddhism, for 12 weeks. These sessions were comprised of a talk
by a layperson practicing Buddhism followed by a session of guided
meditation. The talk was broadly based upon the Four Noble truths and the
Eightfold Noble Path as described in Buddhism. The guided meditation was
based upon the principles of meditation laid out in Buddhism. Subjects were
invited to ask questions to generate material for the talks. The talks
incorporated topics based upon the questions asked by the subjects in the
intervention. Results: Participants that were offered the Buddhist
mindfulness intervention (n = 10) expressed keen interest in engaging in a
group therapy intervention as part of their smoking cessation plan. Some
participants were wary that a Buddhist mindfulness intervention would
contain religious teachings, however, most of these concerns were quelled by
a detailed explanation by the research coordinator, assuring participants
that no religious content would be used in the intervention. Of the 10
participants who registered for the sessions, 7 attended at least one
meeting. Conclusion: Follow-up appointments scheduled for 6 months post quit
date are currently underway. These study visits include the primary outcome
of carbon monoxide (CO)-confirmed continuous abstinence from quit date, as
well as a brief mixed methods (quantitative & qualitative) survey addressing
smoking behavior, cessation aids, and facilitators and barriers to their
quitting efforts.
EMTREE DRUG INDEX TERMS
carbon monoxide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
Buddhist
hospital
human
mindfulness
model
outpatient
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
abstinence
adult
arm
Buddhism
drug therapy
follow up
group therapy
hypothesis
meditation
parent
physician
smoking
teaching
tertiary care center
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72042323
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 481
TITLE
Prevalence of nonmedical prescription drug misuse in a sample of Greek
medical students
AUTHOR NAMES
Papazisis G.
Platsa C.M.
Zargani S.
Spachos D.
Apostolidou E.
Kouvelas D.
AUTHOR ADDRESSES
(Papazisis G.; Platsa C.M.; Zargani S.; Apostolidou E.; Kouvelas D.) School
of Medicine Aristotle University of Thessaloniki, Pharmacology and Clinical
Pharmacology, Thessaloniki, Greece.
(Spachos D.) School of Medicine Aristotle University of Thessaloniki,
Medical Physics, Thessaloniki, Greece.
CORRESPONDENCE ADDRESS
G. Papazisis, School of Medicine Aristotle University of Thessaloniki,
Pharmacology and Clinical Pharmacology, Thessaloniki, Greece.
SOURCE
European Neuropsychopharmacology (2014) 24 SUPPL. 2 (S351). Date of
Publication: October 2014
CONFERENCE NAME
27th European College of Neuropsychopharmacology, ECNP Congress
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2014-10-18 to 2014-10-21
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Purpose: Nonmedical prescription drug misuse has risen to unprecedented
levels over the past decade worldwide and is considered a national epidemic
in the US. High rates are observed among young adults 18 to 25 years old and
a widespread use is reported among students [1]. The misuse of opioid
prescription painkillers is recognized as the main issue. In order to fully
comprehend the risks associated with the misuse and the abuse of
prescription medications it is necessary to understand the motivations of
that use [2]. The aim of the present study was: (a) to examine the
prevalence of nonmedical use of four classes of prescription drugs (pain,
anxiety/sedative, sleeping and stimulants) among medical students in Greece
and (b) to classify the misusers into three subtypes (selftreatment,
recreational, and mixed) based on the motive of the use. To the best of our
knowledge this is the first study ever conducted in Greece measuring
nonmedical prescribing drug misuse. Methods: In this cross-sectional sample,
545 medical students from the Aristotle University of Thessaloniki in Greece
completed an anonymous, self-administered, web-based survey. Misuse was
assessed with the following question: 'On how many occasions in (a) your
lifetime or (b) the past 12 months have you used the following types of
drugs, not prescribed to you?' Motivations were assessed by asking
respondents to provide the reasons why they used each class of prescription
drugs nonmedically. Selftreatment subtypes were characterized by motives
consistent with the drug's pharmaceutical main indication. Recreational
subtypes were characterized by recreational motives only. Mixed subtypes
consisted of the combination of motives. All statistical analyses were
performed using SPSS 18.0. One-way analyses of variance were used to assess
associations between subtypes and frequency of nonmedical prescription drug
misuse. Results: Among the participants 44% were males and 56% were females.
The sample was made up of 4% first-year, 14.7% second-year, 19.1%
third-year, 21.5% fourth-year, 15.8 fifth-year, 15.2 sixth-year and 9.4%
final year students. The life time prevalence of non-prescribed prescription
drug use was: 21.4% for pain relievers, 9.2 for anxiolytics, 19.6% for
sleeping drugs, and only 1.9% for stimulants. Past year prevalence was 17%
for pain relievers, 6.7% for anxiolytics, 11.5% for sleeping drugs and 1.1%
for stimulants. The substance most commonly abused was codeine analgesics,
which was consumed by 15% of the students followed by antihistamines
(13.6%). Among the misusers the majority was classified into the
self-treatment subtype. Misuse of anxiolytics/sedatives and painkillers was
more prevalent among women than men and was associated with self-treatment
purposes. Conclusion: The results of the present study provide evidence that
nonmedical prescription drug misuse is a growing problem in Greece. Although
the prevalence of stimulants misuse was relative low, the lifetime and
past-year prevalence for pain relievers and sleeping drugs was found
noticeable high, especially considering that the participants were medical
students. Therefore, there is an urgent need to intensify the research on
the epidemiology of prescription drug misuse in nationally representative,
independent samples of adolescents and adults in Greece.
EMTREE DRUG INDEX TERMS
analgesic agent
antihistaminic agent
anxiolytic agent
central stimulant agent
codeine
opiate
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug misuse
Greece
human
medical student
prevalence
psychopharmacology
EMTREE MEDICAL INDEX TERMS
abuse
adolescent
adult
data analysis software
drug therapy
drug use
epidemic
epidemiology
female
lifespan
male
motivation
non implantable urine incontinence electrical stimulator
pain
prescription
risk
self care
sleep
statistical analysis
student
university
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71641182
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 482
TITLE
Stimulant effectiveness on driving citations and crashes of children with
ADHD
AUTHOR NAMES
Winterstein A.G.
Gerhard T.
Kubilis P.
Shuster J.
AUTHOR ADDRESSES
(Winterstein A.G.; Kubilis P.) Pharmaceutical Outcomes and Policy,
University of Florida, Gainesville, United States.
(Winterstein A.G.) Epidemiology, University of Florida, Gainesville, United
States.
(Gerhard T.) Institute for Health, Health Care Policy,and Aging Research,
Rutgers University, New Brunswick, United States.
(Gerhard T.) Ernest Mario School of Pharmacy, Rutgers University, New
Brunswick, United States.
(Shuster J.) Biostatistics, University of Florida, Gainesville, United
States.
CORRESPONDENCE ADDRESS
A.G. Winterstein, Pharmaceutical Outcomes and Policy, University of Florida,
Gainesville, United States.
SOURCE
Pharmacoepidemiology and Drug Safety (2014) 23 SUPPL. 1 (151-152). Date of
Publication: October 2014
CONFERENCE NAME
30th International Conference on Pharmacoepidemiology and Therapeutic Risk
Management
CONFERENCE LOCATION
Taipei, Taiwan
CONFERENCE DATE
2014-10-24 to 2014-10-27
ISSN
1053-8569
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
Background: Observational and driving simulator studies suggest that ADHD
causes higher risk-taking behavior, decreased attention and greater risk for
car accidents, but little is known about the effectiveness of respective
pharmacological treatment. Objectives: To evaluate the effectiveness of
central nervous stimulants on driving outcomes in adolescents and young
adults with ADHD. Methods: We established the study cohort by linkage of
Florida Medicaid fee-for-service billing data and Division of Motor Vehicle
(DMV) records to obtain information on driver licensure, citations and
crashes. Eligible subjects entered the cohort after their 15th birthday, an
in- or outpatient diagnosis for ADHD, and issuance of a driver's license
(DL). Follow-up ended at end of eligibility, >12 months without ADHD
diagnosis, DL expiration/ suspension, age 21 or the study endpoint. Two
endpoints were ascertained from DMV records: crashes, and citations for
active driving violations. We defined exposure based on days' supply plus
25% including methylphenidate, mixed amphetamine salts and atomoxetine. We
used logistic regression to estimate propensity scores (PS) based on
socio-demographic characteristics, substance abuse (DUI or ICD9 code), DL
learner's permit status, 2000 population size in county of residence, and
countywide total annual daily vehicular miles traveled per total miles of
paved road. Cox proportional hazards regression was used to estimate
stimulant effects while adjusting for PS, valid DL status >1 year, and
timedependent exposure to antidepressants, antipsychotics, anticonvulsants,
anxiolytics and alpha-agonists. Results: 2161 subjects had a total of 71
crashes and 338 citations. Hazard ratios for stimulants were HR= 1.01 (95%
CI 0.61-1.70) for crashes and 0.86 (0.68-1.09) for citations.
Antidepressants showed a significant association among all included
psychotropics with HR= 0.29 (0.11-0.81) for crashes and 0.68 (0.50-0.95) for
citations. Conclusions: Stimulants showed no effect on citations and
crashes. The effect of antidepressants might be due to parental driving
restrictions.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
central stimulant agent
EMTREE DRUG INDEX TERMS
alpha adrenergic receptor stimulating agent
amphetamine
anticonvulsive agent
antidepressant agent
anxiolytic agent
atomoxetine
methylphenidate
neuroleptic agent
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder
child
human
pharmacoepidemiology
risk management
EMTREE MEDICAL INDEX TERMS
adolescent
demography
diagnosis
driver licence
drug therapy
exposure
follow up
hazard ratio
high risk behavior
licensing
logistic regression analysis
medicaid
motor vehicle
outpatient
population size
propensity score
proportional hazards model
risk
simulator
substance abuse
traffic accident
United States
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71635982
DOI
10.1002/pds.3701
FULL TEXT LINK
http://dx.doi.org/10.1002/pds.3701
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 483
TITLE
Responding to opioid overdose in Rhode Island: where the medical community
has gone and where we need to go
AUTHOR NAMES
Green T.C.
Bratberg J.
Dauria E.F.
Rich J.D.
AUTHOR ADDRESSES
(Green T.C.) Assistant Professor of Emergency Medicine and Epidemiology at
the Warren Alpert Medical School of Brown University. She is an affiliated
researcher at The Center for Prisoner Health and Human Rights at the Miriam
Hospital and the Injury Prevention Center at Rhode Island Hospital
(Bratberg J.) Clinical Professor of Pharmacy Practice, University of Rhode
Island College of Pharmacy
(Dauria E.F.) Postdoctoral Fellow in the Department of Psychiatry and Human
Behavior at the Warren Alpert Medical School of Brown University
(Rich J.D.) Attending Physician in the Division of Infectious Diseases, The
Miriam Hospital, co-director of The Center for Health and Human Rights, and
Professor of Medicine and Community Health at the Warren Alpert Medical
School of Brown University
SOURCE
Rhode Island medical journal (2013) (2014) 97:10 (29-33). Date of
Publication: 1 Oct 2014
ISSN
2327-2228 (electronic)
ABSTRACT
The number of opioid overdose events in Rhode Island has increased
dramatically/catastrophically in the last decade; Rhode Island now has one
of the highest per capita overdose death rates in the country. Healthcare
professionals have an important role to play in the reduction of
unintentional opioid overdose events. This article explores the medical
community's response to the local opioid overdose epidemic and proposes
strategies to create a more collaborative and comprehensive response. We
emphasize the need for improvements in preventing, identifying and treating
opioid addiction, providing overdose education and ensuring access to the
rescue medicine naloxone.
EMTREE DRUG INDEX TERMS
naloxone (drug therapy)
narcotic analgesic agent (drug toxicity)
narcotic antagonist (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
organization and management
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
attitude to health
clinical practice
drug misuse
drug overdose (epidemiology, prevention)
emergency health service
health care delivery
health education
health service
human
United States
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25271657 (http://www.ncbi.nlm.nih.gov/pubmed/25271657)
PUI
L606783365
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 484
TITLE
Cancer and pain management: Debunking myths in Latino patients
AUTHOR NAMES
Juarez G.
Mayorga L.
AUTHOR ADDRESSES
(Juarez G.; Mayorga L.) City Of Hope, Duarte, United States.
CORRESPONDENCE ADDRESS
G. Juarez, City Of Hope, Duarte, United States.
SOURCE
Psycho-Oncology (2014) 23 SUPPL. 3 (380-381). Date of Publication: October
2014
CONFERENCE NAME
IPOS 16th World Congress of Psycho-Oncology and Psychosocial Academy
CONFERENCE LOCATION
Lisbon, Portugal
CONFERENCE DATE
2014-10-20 to 2014-10-24
ISSN
1057-9249
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
BACKGROUND: Pain is a sensitive topic among Latinos, due to fear of disease
progression, treat- ment delays or pain medication addiction. Limited
Spanish educational materials/programs on pain management are available.
Culturally-relevant education on managing pain can empower patients to have
an active voice in their care and learn how their cancer journey can be pain
free. Purpose of this Spanish interactive education program was to educate
patients/families on pain management and debunk cultural myths of cancer
pain. METHOD: Cultural factors were considered developing the education
intervention such as the significance of family or “familismo,” the most
specific value for Latinos. Ten Spanish pain classes were conducted by
Advance Practice Nurse and Health Educator. Five interactive components were
embedded to ensure patients understanding and learning. Education was
provided on how to interpret/use pain scales, creating a pain diary,
medication list, and medication safety, including CAM & non-therapeutic
options for pain management. Including education on pain management, pain
types, and dispelling myths/perceptions of cancer pain. Patients/Families
received a 2 hours educational class, program evaluation and post 30 day
followup. RESULTS: 81 patients/caregivers participated in the educational
program. Program identified a distorted perception of pain amongst Latinos:
(1) pain was not manageable (2) it's part of treatment process (3) a way
that the body is getting rid of cancer. Some refused medication for fear of
addiction. 50% patients did not communicate their pain issues to their
providers, for fear of treatment delay. 90% stated that the class provided
them with tools and resources to take an active role in their care and
managing their pain. In post 30 day follow-up patients reported that their
cancer pain was reduced by 50%. CONCLUSIONS: Power of education and
knowledge was evident within a 2-hour class, these perceptions were quickly
dispelled. Patients learned that they could go through their cancer journey
pain free. In addition to the importance of learning the facts about pain,
equally critical in our classes has been the role of culture and how to
frame information within this context. With our Hispanic patients, they had
an added bonus - an incredible support system from their families, who
attend the education classes with them. We learned that in most families
everyone has a role in taking care of the patient. RESEARCH IMPLICATIONS:
Need for more research in the area of pain management amongst latinos and
their perceptions on cancer pain. CLINICAL IMPLICATIONS: Both the medical
community and patients need to do understand more about pain and pain
management strategies in order to attain better health outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
Hispanic
human
literature
neoplasm
oncology
patient
EMTREE MEDICAL INDEX TERMS
addiction
cancer pain
community
cultural factor
disease course
drug therapy
education
education program
fear
follow up
health
health educator
learning
nurse
pain
pain assessment
program evaluation
safety
therapy delay
vascular guide wire
voice
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71675684
DOI
10.1111/j.1099-1611.2014.3697
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1099-1611.2014.3697
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 485
TITLE
Evaluation of post-graduate training effect on smoking cessation practice
and attitudes of family physicians towards tobacco control
AUTHOR NAMES
Turker Y.
Aydin L.Y.
Baltaci D.
Erdem O.
Tanriverdi M.H.
Sarigüzel Y.
Alasan F.
AUTHOR ADDRESSES
(Turker Y., dryaseminturker@gmail.com) Family Health Center No. 3, Duzce,
Turkey.
(Aydin L.Y.; Alasan F.) Department of Chest Diseases, School of Medicine,
Duzce University, Duzce, Turkey.
(Baltaci D.; Sarigüzel Y.) Department of Family Medicine, School of
Medicine, Duzce University, Duzce, Turkey.
(Erdem O.) Kayapınar No. 9 Family Health Center, Kayapinar, Diyarbakir,
Turkey.
(Tanriverdi M.H.) Department of Family Medicine, School of Medicine, Dicle
University, Diyarbakir, Turkey.
CORRESPONDENCE ADDRESS
Y. Turker, Family Health Center No. 3, Duzce, Turkey.
SOURCE
International Journal of Clinical and Experimental Medicine (2014) 7:9
(2763-2770). Date of Publication: 30 Sep 2014
ISSN
1940-5901 (electronic)
BOOK PUBLISHER
E-Century Publishing Corporation, 40 White Oaks Lane, Madison, United
States.
ABSTRACT
Objective: Family physicians (FPs) are cornerstone for tobacco control. It
was aimed to compare the effect of training on their smoking cessation
practice, knowledge level and attitudes towards smoking and tobacco control.
Methods and materials: The cross-sectional and multi-centered study was
carried out using structured survey modified WHO based questionnaire. It was
delivered to 1500 FPs randomly selected among approximately 23000 family
physicians across the country. The study survey was self-reported by FPs,
assessing their knowledge, attitudes, status of post-graduate training, and
practice about tobacco control. Participants were assigned into two groups
as non-trainee groups (Group 1) and post-graduate trainee (Group 2).
Results: The mean age was 38.4 ± 7.1 years-old. The percentage of male and
female FPs in the study was 53.1% and 46.9%. The ratio of family physicians
who participated in training program Group 2) was 26.5% (n = 327). The ratio
of female FPs who participated the SCP training course was significantly
higher than that of male FPs (27.3% versus 22.5%, p = 0.035). There was no
significant difference for smoking status between groups (p = 0.686). When
the number FPs whose consulted by the smokers over ≥ 5 a week was compared,
the ratio of FPs was significantly higher in group 2 than group 1 (p <
0.001), but overall ratio of FPs (2.8%) who consulted within a week smokers
was considerably lower Statements of Competence and confidence items stated
by all FPs were 24.2% and 32.2%, respectively. Physicians who had attended
post-graduate training on SCP were more competent and confident, compared to
non-trained FPs (p = 0.002 and p = 0.001). Conclusion: Post-graduate
training on tobacco control improved self-confidence and competence of FPs.
With post-graduate training, significant improvement was seen in practical
skills of physicians. A continuing training program should be introduced to
FPs, to engage them for smoking cessation practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
physician attitude
postgraduate education
smoking cessation
tobacco
EMTREE MEDICAL INDEX TERMS
adult
article
cross-sectional study
demography
female
human
knowledge
male
professional competence
questionnaire
self concept
skill
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014827769
PUI
L600132743
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 486
TITLE
The evolution of addiction medicine education in British Columbia
AUTHOR NAMES
Rieb L.
Wood E.
AUTHOR ADDRESSES
(Rieb L., Launette.Rieb@ubc.ca) Faculty of Medicine, Department of Family
Practice, University of British Columbia, Canada.
(Wood E.) Faculty of Medicine, Department of Internal Medicine, Division of
AIDS, University of British Columbia, Canada.
(Rieb L., Launette.Rieb@ubc.ca) St. Paul's Hospital Goldcorp Addiction,
Canada.
CORRESPONDENCE ADDRESS
L. Rieb, Department of Family and Community Medicine, St. Paul's Hospital,
1081 Burrard St. - Hornby St. Site, Vancouver, Canada. Email:
Launette.Rieb@ubc.ca
SOURCE
Canadian Journal of Addiction (2014) 5:3 (17-20). Date of Publication: 1 Sep
2014
ISSN
2368-4720
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Internationally, improving Addiction Medicine training has been identified
as a critical strategy to improve patient care. In British Columbia, a firm
foundation has been laid with didactic sessions and clinical exposure in
substance use disorders embedded into undergraduate medical education and
various residency programs at the University of British Columbia. More
recently, with guidance from the American Board of Addiction Medicine and
experienced program directors internationally, along with financial support
through grants and donations, coupled with community input, an
interdisciplinary Addiction Medicine clinical fellowship and a NIDA funded
Addiction Medicine research fellowship have been established.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
British Columbia
drug dependence
health care quality
medical education
medicine
physician
EMTREE MEDICAL INDEX TERMS
adult
female
financial management
human
male
patient care
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170702985
PUI
L618646470
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 487
TITLE
What is new in addiction medicine training at the college of family
physicians of Canada?
AUTHOR NAMES
Cirone S.
AUTHOR ADDRESSES
(Cirone S., sharoncirone2@gmail.com) Addiction Medicine Program Committee,
Section of Special Interest and Focused Practice, College of Family
Physicians of Canada, 2333 Dundas Street west, suite 410, Toronto, Canada.
CORRESPONDENCE ADDRESS
S. Cirone, Addiction Medicine Program Committee, Section of Special Interest
and Focused Practice, College of Family Physicians of Canada, 2333 Dundas
Street west, suite 410, Toronto, Canada. Email: sharoncirone2@gmail.com
SOURCE
Canadian Journal of Addiction (2014) 5:3 (14-16). Date of Publication: 1 Sep
2014
ISSN
2368-4720
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Will review the activities of the Addiction Medicine Program Committee of
the College of Family Physicians of Canada which is actively involved in the
enhancement and development of educational tools pertaining to addiction
medicine. The Committee's main focus is to develop an up-to-date, national
curriculum in addiction medicine for Family Medicine trainees.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Canada
college
family medicine
general practitioner
EMTREE MEDICAL INDEX TERMS
curriculum
human
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170702984
PUI
L618646469
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 488
TITLE
Training in addiction medicine around the world and ISAM's network of
national contacts
AUTHOR NAMES
Welle-Strand G.K.
AUTHOR ADDRESSES
(Welle-Strand G.K.) Department for Psychiatry and Substance Treatment,
Norwegian Directorate of Health, Norway.
CORRESPONDENCE ADDRESS
G.K. Welle-Strand, Department for Psychiatry and Substance Treatment,
Norwegian Directorate of Health, Norway.
SOURCE
Alcohol and Alcoholism (2014) 49 SUPPL. 1 (i12). Date of Publication: 1 Sep
2014
CONFERENCE NAME
16th International Society of Addiction Medicine Annual Meeting
CONFERENCE LOCATION
Yokohama, Japan
CONFERENCE DATE
2014-10-02 to 2014-10-06
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Background. Addiction Medicine is taught in many different ways around the
world. In order to ensure competent and well trained doctors for substance
use patients, the training has to be well organized and in accordance with
knowledge-based principles. Methods. The board of ISAM has an educational
officer. ISAM has established a network of medical doctors as national
contacts in many countries. The purpose is to have a global network of
doctors working in Addiction Medicine, to enable exchange of experiences,
systems and ideas. ISAM has also performed a review in 2013 to get updated
information about the state of Addiction Medicine training in different
countries and also future plans. Results. A network of 30 national contacts
from the five continents has been established, but we welcome as many as
possible. The results of the review on national training in Addiction
Medicine will be presented in this workshop for 26 different countries.
Conclusion. ISAM has established a network of national contacts which we
hope to expand further. This network and the update on the situation and
plans for Addiction Medicine Training in different countries can be a
valuable contribution to improving patient care in Addiction Medicine around
the world.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
society
EMTREE MEDICAL INDEX TERMS
hope
human
patient
patient care
physician
substance use
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71754447
DOI
10.1093/alcalc/agu052.50
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agu052.50
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 489
TITLE
International addiction medicine: Educational and training efforts
AUTHOR NAMES
El-Guebaly N.A.
AUTHOR ADDRESSES
(El-Guebaly N.A.) Psychiatry, University of Calgary, Canada.
CORRESPONDENCE ADDRESS
N.A. El-Guebaly, Psychiatry, University of Calgary, Canada.
SOURCE
Alcohol and Alcoholism (2014) 49 SUPPL. 1 (i12-i13). Date of Publication: 1
Sep 2014
CONFERENCE NAME
16th International Society of Addiction Medicine Annual Meeting
CONFERENCE LOCATION
Yokohama, Japan
CONFERENCE DATE
2014-10-02 to 2014-10-06
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Promoting training in Addiction Medicine worldwide has resulted in a number
of efforts, two of which will be the topic of this presentation. A. The
international meeting on International Addiction Medicine Training
(Nijmegen) has the following aims: - Sharing knowledge and experience in the
field across various educational stages; - Sharing ideas about the
undergraduate and postgraduate curricula concerning knowledge, skills and
competencies; - Determine whether and where international standardization is
possible. Highlights and recommendations will be reported. B. A parallel
effort has been the drafting of an International Textbook. The Education and
Training section has nine chapters. A number of conclusions emerge from this
Section. The initiatives described are uniformly recent ones and are at
various stages of development. Until recently, there was little
international awareness of each other's national efforts and it is hoped
that the Section will promote more international collaboration and support
and may even be a catalyst for long distance learning. We still lack a clear
picture of undergraduate education at various medical schools as in many
countries each design its own. This is important because almost every
medical doctor will be confronted with addicted patients. A well designed
curriculum will presumably help to destigmatize addicted patients but will
also bring to the fore that addiction medicine can be an interesting field
for future doctors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
society
EMTREE MEDICAL INDEX TERMS
book
cardiac resynchronization therapy device
catalyst
curriculum
education
human
learning
medical school
patient
physician
postgraduate student
skill
standardization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71754449
DOI
10.1093/alcalc/agu052.52
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agu052.52
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 490
TITLE
Increasing addiction medicine capacity in Canada: The case for collaboration
in education and research
AUTHOR NAMES
Hering R.D.
Lefebvre L.G.
Stewart P.A.
Selby P.L.
AUTHOR ADDRESSES
(Hering R.D.) Department of Family and Community Medicine, Faculty of
Medicine, University of Toronto, Canada.
(Lefebvre L.G.) Departments of Family and Community Medicine and Psychiatry,
Faculty of Medicine, University of Toronto, Canada.
(Stewart P.A.) Department of Psychiatry, Faculty of Medicine, University of
Toronto, Canada.
(Selby P.L., peter.selby@camh.ca) Departments of Family and Community
Medicine and Psychiatry, Dalla Lana School of Public Health, University of
Toronto, Canada.
CORRESPONDENCE ADDRESS
P.L. Selby, Ontario Tobacco Research Unit, Centre for Addiction and Mental
Health (CAMH), 100 Stokes Street, Toronto, Canada. Email:
peter.selby@camh.ca
SOURCE
Canadian Journal of Addiction (2014) 5:3 (10-14). Date of Publication: 1 Sep
2014
ISSN
2368-4720
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Collaboration in addiction medicine education and research is important in
Canada. The large unmet need for addiction services will only be met by the
relatively small number of addiction clinicians, researchers, educators and
policy makers in Canada if they collaborate and grow in a coordinated
fashion toward common goals. Leadership from national organizations will
facilitate growth in a coordinated fashion, which will allow us to reach the
goal of providing adequate treatment for those with addiction and related
illnesses as quickly as possible. Recent developments give significant
reason to be optimistic that there will be more rapid progress in the coming
years. Important initiatives currently underway include: 1) the expansion of
Addiction Medicine training programs across Canada, 2) a new federal
governmentsponsored initiative to build collaborations in Addictions
research, and 3) an application for the first Canadian certification in
Addiction Medicine based on a standardized competency based curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Canada
certification
drug dependence
organization
EMTREE MEDICAL INDEX TERMS
curriculum
education
human
leadership
scientist
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170702983
PUI
L618646468
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 491
TITLE
Electronic cigarettes: Perceptions of doctors working in a large teaching
hospital in the UK
AUTHOR NAMES
Raju R.
Palissery V.
Al-Ameri A.
Dimov D.
AUTHOR ADDRESSES
(Raju R.; Palissery V.; Al-Ameri A.; Dimov D.) Department of Respiratory
Medicine, St James's University Hospital, Leeds, United Kingdom.
CORRESPONDENCE ADDRESS
R. Raju, Department of Respiratory Medicine, St James's University Hospital,
Leeds, United Kingdom.
SOURCE
European Respiratory Journal (2014) 44 SUPPL. 58. Date of Publication: 1 Sep
2014
CONFERENCE NAME
European Respiratory Society Annual Congress 2014
CONFERENCE LOCATION
Munich, Germany
CONFERENCE DATE
2014-09-06 to 2014-09-06
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Background Electronic cigarettes (E-cigarettes) are marketed as a smoking
cessation method but the overall risks and benefits uncertain. Medical
professionals are expected to offer advice regarding E-cigarettes and
therefore, this study explored the perception amongst doctors towards the
use of E-cigarette by patients. Methods An electronic survey was emailed to
all doctors in a large teaching hospital in Leeds (United Kingdom). The
survey consisted of 10 questions including doctors' grade and specialty,
exposure to patients using E-cigarettes, advice provided and professional
perception of E-cigarettes. Results 146 responses were received. Grades
consisted of consultants (37%), specialty registrars (29%) and foundation
trainees (25.5%). Main Specialties included medical (39%), surgical (13.6%),
anaesthetics (15.5%) and emergency medicine (9%). 70% had come across
patients using E-cigarettes occasionally (52%), one to five times a week
(41%) or five to ten times a week (6%). 64 doctors (44%) provided advise to
patients. The advise was to continue using E-cigarettes, as the intention
was smoking cessation (n=13, 20%), to continue using E-cigarettes despite
the reason (n=3, 5%), to stop using E-cigarettes (n=9, 14%) or explained
they were unable to provide any specific medical advice (n=39, 61%).
E-cigarettes were deemed to be safe by 20 (14%) and unsafe by 57 (40%). 67
(46%) admitted lack of knowledge in this regard. Conclusions Healthcare
professionals are increasingly exposed to patients using E-cigarettes. There
is however, a lack of consensus regarding its use and safety with a majority
unable to give any specific advice. Research and guidelines in this area are
urgently needed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
electronic cigarette
EMTREE DRUG INDEX TERMS
anesthetic agent
nitrogen 13
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
physician
society
teaching hospital
United Kingdom
EMTREE MEDICAL INDEX TERMS
consensus
consultation
emergency medicine
exposure
health care personnel
non profit organization
patient
risk
safety
smoking cessation
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71850783
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 492
TITLE
Addiction medicine and addiction Psychiatry in Calgary, Alberta
AUTHOR NAMES
Lim R.
AUTHOR ADDRESSES
(Lim R., ron.lim@albertahealthservices.ca) Department of Family Medicine and
Psychiatry, Resident (R3) Enhanced Skill Residency Program, Department of
Family Medicine, University of Calgary, Addiction Centre Foothills Adult
Program, Foothills Medical Centre, 6th Fl. North Tower, 1403 19 St., NW,
Calgary, Canada.
CORRESPONDENCE ADDRESS
R. Lim, Department of Family Medicine and Psychiatry, Resident (R3) Enhanced
Skill Residency Program, Department of Family Medicine, University of
Calgary, Addiction Centre Foothills Adult Program, Foothills Medical Centre,
6th Fl. North Tower, 1403 19 St., NW, Calgary, Canada. Email:
ron.lim@albertahealthservices.ca
SOURCE
Canadian Journal of Addiction (2014) 5:3 (21-23). Date of Publication: 1 Sep
2014
ISSN
2368-4720
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Addiction is a common chronic brain disease that affects a significant
proportion of the North American population. Addiction is not only confined
to the use of substances but also extends to behaviors such as gambling.
Many addicted individuals suffer concurrent disorders with chronic pain and
other psychiatric issues. This has resulted in significant harms and cost to
individuals and society. Despite the high prevalence of addiction, physician
training in this field of medicine remains fragmented and lacking. This
article outlines the post graduate training opportunities to enhance skills
in Addiction Medicine and Addiction Psychiatry that currently exist in
Calgary.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
postgraduate education
psychiatry
skill
EMTREE MEDICAL INDEX TERMS
adult
chronic brain disease
chronic pain
gambling
human
North American
physician
prevalence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170702986
PUI
L618646472
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 493
TITLE
Improving the landscape of substance misuse teaching in undergraduate
medical education in English medical schools from concept to implementation
AUTHOR NAMES
Goodair C.
Crome I.
AUTHOR ADDRESSES
(Goodair C., cgoodair@sgul.ac.uk; Crome I.) Programmes Manager (Substance
Misuse), International Centre for Drug Policy - Population Health Research
Institute, St George's, University of London,, 6th Floor, Hunter Wing,
Cranmer Terrace, London, United Kingdom.
CORRESPONDENCE ADDRESS
C. Goodair, Programmes Manager (Substance Misuse), International Centre for
Drug Policy - Population Health Research Institute, St George's, University
of London,, 6th Floor, Hunter Wing, Cranmer Terrace, London, United Kingdom.
Email: cgoodair@sgul.ac.uk
SOURCE
Canadian Journal of Addiction (2014) 5:3 (5-10). Date of Publication: 1 Sep
2014
ISSN
2368-4720
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Briefly describes the work undertaken to develop guidance on the teaching of
substance misuse in undergraduate medical curricula and its implementation
in English medical schools and to comment upon its applicability in Europe
and elsewhere and to other allied health professionals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
landscape
medical education
medical school
EMTREE MEDICAL INDEX TERMS
Europe
human
human experiment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170702982
PUI
L618646467
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 494
TITLE
Norway: A new full specialty in addiction medicine
AUTHOR NAMES
K.Welle-Strand G.
AUTHOR ADDRESSES
(K.Welle-Strand G.) Department for Psychiatry and Substance Treatment,
Norwegian Directorate of Health, Norway.
CORRESPONDENCE ADDRESS
G. K.Welle-Strand, Department for Psychiatry and Substance Treatment,
Norwegian Directorate of Health, Norway.
SOURCE
Alcohol and Alcoholism (2014) 49 SUPPL. 1 (i13). Date of Publication: 1 Sep
2014
CONFERENCE NAME
16th International Society of Addiction Medicine Annual Meeting
CONFERENCE LOCATION
Yokohama, Japan
CONFERENCE DATE
2014-10-02 to 2014-10-06
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Background. The Norwegian Directorate of Health has been commissioned to
help the Ministry of Health to establish a full specialty in Addiction
Medicine. Methods. A work group for the new specialty has been appointed by
the Directorate of Health with medical doctors representing different parts
of the system, user representatives and other professions. The work group
cooperates closely with the Norwegian Medical Association which has
appointed a specialty board. Results. The requirement for the specialty is
five years of internship in accredited institutions. Three and a half year
should be in Addiction Medicine, including one year in detoxification ward,
one year in a department for out-patient treatment and half a year in a
hospital department for in-patient treatment. Half a year should be in
psychiatry. The last year the candidate can chose between two of the three
following: Another half year of psychiatry, half a year in a somatic ward or
half a year as general practitioner. Discussion. Addiction Medicine will be
a full medical specialty in Norway, probably as the first country of the
world. Hopefully the first candidates in Addiction Medicine will start their
training in January 2015.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Norway
society
EMTREE MEDICAL INDEX TERMS
certification
detoxification
general practitioner
health
hospital department
hospital patient
human
medicine
occupation
outpatient
physician
psychiatry
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71754451
DOI
10.1093/alcalc/agu052.54
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agu052.54
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 495
TITLE
Publication in international journals: Perspectives from the experience of
leadership in the international society of addiction medicine
AUTHOR NAMES
Bunt G.
Galanter M.
El-Guebaly N.A.
AUTHOR ADDRESSES
(Bunt G.) Daytop Village,Inc., United States.
(Galanter M.) Division of Alcoholism and Drug Abuse, NYU School of Medicine,
United States.
(El-Guebaly N.A.) Psychiatry, University of Calgary, Canada.
CORRESPONDENCE ADDRESS
G. Bunt, Daytop Village,Inc., United States.
SOURCE
Alcohol and Alcoholism (2014) 49 SUPPL. 1 (i12). Date of Publication: 1 Sep
2014
CONFERENCE NAME
16th International Society of Addiction Medicine Annual Meeting
CONFERENCE LOCATION
Yokohama, Japan
CONFERENCE DATE
2014-10-02 to 2014-10-06
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Since its establishment in 1998, ISAM has focused on dissemination of recent
research findings to the medical community, both in its annual conferences
and its publication. Given the considerable expansion of both basic and
clinical research in the addiction field in the recent years, it is
important to members of the worldwide academic community to consider a
variety of options for publication of their research findings. These include
a number of journals and textbooks where this can be undertaken. In light of
this, three key members of ISAM will be presenting perspectives on this
field of academic activity based on roles they have played in relation to
the editorial management of ISAM and related publications. This symposium
will therefore provide attendees with useful background information on
options for publication and a perspective on ISAM's role in this area of
international scholarship. Gregory Bunt, M.D., the President-elect of ISAM,
will review experiences in our organization with regard to this aspect of
research dissemination. This will include the role of ISAM publications,
with particular reference to the society's conference grant from the
National Institute on Drug Abuse, of which he is Project Director, and
research conducted in the therapeutic community program which he has
directed, which has been presented in symposia at the ISAM annual meeting.
Nady El-guebaly, M.D. edits, along with co-editors, Drs. Giuseppe Carra and
Marc Galanter ISAM's “Textbook on Addiction Treatment: International
Perspectives.” He will present a talk on, “Defining An International
Perspective: Lessons from a Textbook,” describing the extensive contents in
the upcoming textbook, also the opportunity it presents to bring together a
remarkable group of international contributors in a collaborative venture.
Marc Galanter, M.D., Founding Editor of ISAM's official Journal, “Substance
Abuse,” is currently Senior Editor, focusing on international issues. He
will describe the 34 year history of the development of this journal, the
kinds of articles which have been published, and the relationship of the
journal to ISAM.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
leadership
society
EMTREE MEDICAL INDEX TERMS
book
clinical research
community
community program
editor
human
national health organization
substance abuse
therapeutic community
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71754446
DOI
10.1093/alcalc/agu052.49
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agu052.49
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 496
TITLE
Building national capacity for management of substance use disorders in
India
AUTHOR NAMES
Dhawan A.
Chopra A.
S. Balhara Y.P.
AUTHOR ADDRESSES
(Dhawan A.; Chopra A.; S. Balhara Y.P.) National Drug Dependence Treatment
Centre, All India Institute of Medical Sciences, India.
CORRESPONDENCE ADDRESS
A. Dhawan, National Drug Dependence Treatment Centre, All India Institute of
Medical Sciences, India.
SOURCE
Alcohol and Alcoholism (2014) 49 SUPPL. 1 (i12). Date of Publication: 1 Sep
2014
CONFERENCE NAME
16th International Society of Addiction Medicine Annual Meeting
CONFERENCE LOCATION
Yokohama, Japan
CONFERENCE DATE
2014-10-02 to 2014-10-06
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Background. The number of trained professionals including psychiatrists is
inadequate for management of Substance Use Disorders (SUD) in India.
Objective. To build national capacity in India for management of SUD
Methods. Efforts to train various categories of staff (general duty medical
officers, nurses and paramedical staff ) have been ongoing supported by
resource material for both trainees and trainers. Currently a national
training exercise is ongoing with the target to train at least one doctor in
the management of SUD in each district in the country through six training
institutions. Intensive efforts in capacity building along with mentorship
through Quality Assurance Visits have also supported the scale up of Opioid
Substitution Treatment (OST) in the country. Simultaneously, short and long
term trainings of psychiatrists in Substance Use Disorder are also taking
place including the recent initiation of a super-specialist programme (DM
Addiction Psychiatry) of 3 years duration in India. Conclusion. Future plans
include refresher programmes, online mentorship and efforts to mobilise
additional resources (for medication, support staff ) so that the training
of doctors at the district level lead to strengthening of primary/secondary
care services by overcoming limitations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
India
society
substance abuse
EMTREE MEDICAL INDEX TERMS
capacity building
drug therapy
exercise
human
medical personnel
medical specialist
nurse
opiate substitution treatment
paramedical personnel
physician
psychiatrist
psychiatry
quality control
scale up
student
teacher
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71754448
DOI
10.1093/alcalc/agu052.51
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agu052.51
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 497
TITLE
The opioid pandemic in children: Equipping ourselves for success
AUTHOR NAMES
Brennan T.
AUTHOR ADDRESSES
(Brennan T.) Psychiatry, Addiction Institute of New York Mount Sinai
Hospital, United States.
CORRESPONDENCE ADDRESS
T. Brennan, Psychiatry, Addiction Institute of New York Mount Sinai
Hospital, United States.
SOURCE
Alcohol and Alcoholism (2014) 49 SUPPL. 1 (i4). Date of Publication: 1 Sep
2014
CONFERENCE NAME
16th International Society of Addiction Medicine Annual Meeting
CONFERENCE LOCATION
Yokohama, Japan
CONFERENCE DATE
2014-10-02 to 2014-10-06
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Opioid overdoses kill more young adults in the world than overdoses of any
other drug. With the proliferation of prescription opioids (oxycontin,
hydromorphone, etc), there has been a tremendous increase in opioid use
disorders among all humans, specifically children and young adults. While
statistics regarding youth opioid disorders are alarming, there has not been
a concurrent increase in formalized medical education for pediatricians,
family physicians or addiction medicine physicians regarding children and
adolescents. Because drug abusers are often highly stigmatized in society,
their healthcare utilization tends to be fragmented and sporadic.
Pediatricians, family physicians, and addiction medicine physicians need to
equip themselves with a cohesive skill-set to provide optimal care to such a
high-risk patient population. This oral presentation will begin with a brief
lecture-based review of the opioid epidemic among world children. We will
then discuss the various screening and diagnostic tools available to
clinicians and provide a referenced bibliography for further reading. Next,
we will define evidence-based medical and non-medical treatment strategies
employed in the treatment of youth opioid use disorders. The workshop will
then transition to small group learning exercises where participants will
practice learned objectives through case-based clinical vignettes. After the
small group sessions, each group will present their particular conclusions
to the group-at-large, and the workshop leader will highlight the learning
objectives. The workshop will conclude with a question and answer session.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
hydromorphone
oxycodone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
child
human
pandemic
society
EMTREE MEDICAL INDEX TERMS
adolescent
diagnosis
diseases
drug abuse
epidemic
evidence based practice
exercise
general practitioner
health care utilization
high risk patient
intoxication
juvenile
learning
medical education
pediatrician
physician
population
prescription
publication
reading
screening
skill
statistics
therapy
vignette
workshop
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71754406
DOI
10.1093/alcalc/agu052.10
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agu052.10
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 498
TITLE
RA in opiod tolerant patients
AUTHOR NAMES
Moka E.
Vadalouca A.
Argyra E.
Siafaka I.
AUTHOR ADDRESSES
(Moka E.) Anaesthesiology Department, Creta InterClinic Hospital, Heraklion
Crete, Greece.
(Vadalouca A.; Argyra E.; Siafaka I.) Anaesthesiology Department, Chronic
Pain and Palliative Care Centre, Aretaieion University Hospital, Athens,
Greece.
CORRESPONDENCE ADDRESS
E. Moka, Anaesthesiology Department, Creta InterClinic Hospital, Heraklion
Crete, Greece.
SOURCE
Regional Anesthesia and Pain Medicine (2014) 39:5 SUPPL. 1 (e96-e100). Date
of Publication: September-October 2014
CONFERENCE NAME
33rd Annual European Society of Regional Anaesthesia and Pain Therapy, ESRA
Congress 2014
CONFERENCE LOCATION
Seville, Spain
CONFERENCE DATE
2014-09-03 to 2014-09-06
ISSN
1098-7339
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Introduction: Noticeable shifts in pain pharmacotherapy and physicians
attitude have occurred during the previous years, in reference to opioids
use for the treatment of benign and malignancy-related pain, with pain
specialists prescribing opioids to a greater number of patients and in doses
appropriately titrated towards individualized needs. The percentage of
patients to whom opiates for chronic pain are prescribed has increased
dramatically in recent years. Interestingly, 47% of these patients are
treated with strong opioids, such as morphine, oxycodone and methadone,
whereas long-term opioid use and dose escalation has been noted in one third
of patients with chronic non-cancer pain. Avariety of opioid analgesics and
delivery systems have been introduced, that have increased patient
satisfaction, physician acceptance, and overall use. Concomitant with
improvements in pain relief and quality of life improvement, an increasing
number of patients are affected by issues related to opioid tolerance and
physical dependence. Only few published reviews address the treatment of
acute pain in patients with substance abuse disorders, and even fewer have
focused specifically on perioperative pain management in opioid- tolerant or
opioid-dependent patients, incorporating Regional Anaesthesia (RA)
techniques. Multiple factors are responsible for opioid tolerance, physical
dependence and/or addiction, making pain management even more difficult in
this specialized subset of patients. Many patients who present for surgery
and anesthesia may be opioid- dependent or at least moderately tolerant to
the therapeutic effects of opioid analgesics. Causal factors underlying
tolerance and dependency include substance use disorder and, more commonly,
legitimate use of opioid analgesics for treatment of chronic benign or
malignancy-associated pain. Opioid- dependent/tolerant patients,
particularly substance abusers, may present with organ damage, infectious
diseases such as human immunodeficiency virus, tuberculosis, hepatitis,
associated psychological disorders, and drug-specific adaptations such as
tolerance, physical dependence, and withdrawal. These variables alone or in
combination may diminish opioid analgesic effectiveness in the perioperative
setting. Perioperative management of opioid-tolerant/ dependent patients and
RAapplication pose a special challenge to primary caregivers,
anaesthesiologists and pain specialists alike, with the problem usually
emanating from the often conflicting needs to balance the rights of the
patient on one hand and concerns regarding safety, diversion, and abuse on
the other, thus raising important ethical issues. Basic Concepts of Opioid
Use Disorders: Terminology-Criteria-Key Issues: Prior to presentation of RA
role in opioid tolerant patients, the following issues should be considered
to provide a comprehensive perioperative pain management strategy: (1) key
concepts and definitions, such as substance abuse, physical versus
psychological dependence, and tolerance development; (2) clinical
differentiation of opioid dependency; (3) preoperative assessment issues;
and (4) postoperative-perioperative management issues. Substance use
disorders have been classified according to clinical manifestations of
psychological dependence, with/without physical dependence or tolerance
or/and both. Specific definitions have already been consolidated in current
literature. Distinctive boundaries of definitions might not be always clear
(especially for terms such as addiction, dependence, abuse and substance
abuse), partly due to terminology evolvement over time in varying historical
and sociocultural contexts, also reflecting conflicts regarding appropriate
terminology for the complex medical and psychosocial issues, that underlie
chronic and compulsive substance-using behaviour. Opioids Physical
Dependence - Withdrawal Syndrome: It describes alterations in physiologic
response that result from opioid binding and receptor-mediated activity.
Abrupt discontinuation of oral or parenterally administered opioids leads to
opioid withdrawal or abstinence syndrome (hypertension, tachycardia,
diaphoresis, abdominal cramping, and diarrhea, as well as physiologic and
behavioral responses). These symptoms, although very unpleasant are rarely
life threatening; however, they can often confuse clinical diagnosis and
care. The time course of withdrawal (onset, peak intensity) is variable,
depending on the opioid used. Opioid Tolerance - Definition: Opioid
tolerance is a predictable pharmacologic adaptation. Continued opioid
exposure results in a rightward shift in the dose-response curve, and
patients require increasing amounts of drug to maintain the same
pharmacologic effects. The phenomenon of tolerance develops to analgesic,
euphoric, sedative, respiratory depressant, and nauseating effects of
opioids, but not to their effects on miosis and bowel motility. The degree
or gradation of opioid tolerance is generally related to duration of
exposure, daily dose requirement, and receptor association/disassociation
kinetics. Opioid agonists binding to the same receptor may show asymmetric
cross-tolerance, depending on their intrinsic efficacy. For example,
patients treated with sufentanil, an agonist having high intrinsic efficacy
and requiring low receptor occupancy for a given analgesic effect, develop
tolerance more slowly than to opioids having low intrinsic efficacy, such as
morphine. Tolerance is observed in patients to whom opioids are legitimately
prescribed for pain management, as well as in those abusing this class of
drug. In general, the higher the daily dose requirement, the greater is the
degree of tolerance development, thus reflecting harmful addiction rather
than a normal adaptation to this class of analgesics. Types of Opioid
Tolerance - Molecular and Cellular Mechanisms: Several types of opioid
tolerance, including (1) Innate and (2) Acquired, have been defined. Innate
tolerance refers to preexisting insensitivity, which is genetically
determined and hence is present before drug exposure. True Tolerance is
acquired after multiple exposures. This can be of three types:
Pharmacokinetic Tolerance, Learned Tolerance, and Pharmacodynamic Tolerance.
Pharmacokinetic tolerance refers to changes in distribution or metabolism of
the drug, usually by enzyme induction and subsequent acceleration in
metabolism. There is also adequate evidence that drug metabolism by
genetically variable P-450 can also influence the development of tolerance
and dependence. Learned tolerance, refers to a reduction in the effects of a
drug due to compensatory mechanisms that are learned. For example, an opioid
abuser learns to behave normally despite intoxication. Learned tolerance is
also observed in methadone maintenance programs, where abusers mask the
effects of methadone, so that a higher dose will be prescribed. Perhaps the
most important form of tolerance relevant to opioids is pharmacodynamic
tolerance. Pharmacodynamic tolerance has been related to neuroadaptive
changes that take place after long-term exposure to the drug. These include
changes in receptor density and alterations in receptor coupling to G
proteins and signal transduction pathways. Basic research has provided a
better understanding of the cellular and molecular mechanisms mediating
pharmacodynamic opioid tolerance. These mechanisms possibly occur at two
distinct levels. The first occurs at the level of the opioid receptor and
involves (a) receptor desensitization on long-term or repeated exposure to
opioids, (b) subsequent decreases in the absolute number of opioid receptors
(down-regulation), (c) receptor trafficking from cell surface to the
interior of the cells (internalization), and (d) secondary uncoupling of
opioid receptors from underlying G proteins. Another mechanism proposed to
explain pharmacodynamic tolerance involves up-regulation of the cyclic
adenosine monophosphate (cAMP). Acutely, opiates inhibit the functional
activity of the cAMP pathway, although with long-term opiate exposure, the
cAMP pathway gradually recovers, and tolerance develops. Increased synthesis
of cAMP may be responsible for physical dependence and physiologic changes
associated with withdrawal. Up-regulation of cAMP has been most clearly
demonstrated in brain, but up-regulation within the dorsal horn of the
spinal cord seems to be responsible for tolerance to opioid - induced
analgesia.
EMTREE DRUG INDEX TERMS
analgesic agent
cyclic AMP
cytochrome P450
guanine nucleotide binding protein
methadone
morphine
narcotic analgesic agent
opiate
opiate agonist
opiate receptor
oxycodone
receptor
sedative agent
sufentanil
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
pain
patient
regional anesthesia
society
therapy
EMTREE MEDICAL INDEX TERMS
abuse
acceleration
adaptation
addiction
agonist
analgesia
analgesic activity
anesthesia
anesthesia (sensory dysfunction)
basic research
behavior
brain
cancer pain
caregiver
cell surface
chronic pain
cross tolerance
diagnosis
diaphoresis
diarrhea
diseases
dose response
down regulation
drug dependence
drug exposure
drug metabolism
drug therapy
enzyme induction
exposure
hepatitis
Human immunodeficiency virus
hypertension
implantable cardioverter defibrillator
infection
internalization
intestine motility
intoxication
kinetics
long term exposure
medical specialist
mental disease
metabolism
methadone treatment
miosis
patient satisfaction
pharmacokinetics
physician
preoperative evaluation
quality of life
receptor density
receptor down regulation
receptor occupancy
respiration depression
safety
signal transduction
spinal cord
spinal cord dorsal horn
substance abuse
surgery
synthesis
tachycardia
therapy effect
tuberculosis
upregulation
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71687565
DOI
10.1097/AAP.0000000000000142
FULL TEXT LINK
http://dx.doi.org/10.1097/AAP.0000000000000142
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 499
TITLE
Alcohol use disorder clinical course research: informing clinicians'
treatment planning now and in the future
AUTHOR NAMES
Maisto S.A.
Kirouac M.
Witkiewitz K.
AUTHOR ADDRESSES
(Maisto S.A.) Department of Psychology, Syracuse University, Syracuse, New
York
(Kirouac M.) Department of Psychology, University of New Mexico,
Albuquerque, New Mexico
(Witkiewitz K.) Department of Psychology, University of New Mexico,
Albuquerque, New Mexico
SOURCE
Journal of studies on alcohol and drugs (2014) 75:5 (799-807). Date of
Publication: 1 Sep 2014
ISSN
1938-4114 (electronic)
ABSTRACT
OBJECTIVE: The clinical course of alcohol use disorder (AUD) has been widely
researched over the past half-century and has been used to advance our
understanding of the treatment of AUD. Nevertheless, new directions in AUD
clinical course research could enhance its value in informing clinical
decision-making in patient-centered treatment of AUD.METHOD: An overview, a
critical analysis, and a discussion of AUD clinical course research are
presented.RESULTS: This article discusses three research directions that
promote the advancement of the knowledge regarding the clinical course of
AUD to better inform clinical decision-making in patient-centered treatment
of AUD. Specifically, we hypothesized that (a) real-time data collection of
the clinical course of AUD via ecological momentary assessment would help
elucidate near real-time associations between risk factors and alcohol use,
(b) future research designs should use person-centered and dynamic analyses
of alcohol use over time, and (c) adaptive treatment designs would provide
personalized and optimized AUD treatment. Consequently, the field will
advance the development of clinical decision-making support systems to
better inform clinicians and clients in making informed AUD treatment
decisions. In addition, such research would advance clinical practice with
more attention to theory and expansion of the study of the clinical course
of AUD to include areas of life functioning besides alcohol use.CONCLUSIONS:
These research directions have the potential to build a scientific knowledge
base that could improve our understanding of AUD among individuals with
alcohol problems, would allow providers to predict patient outcomes during
and after treatment, and would offer practical strategies regarding steps
that could ultimately improve the clinical course of AUD.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical protocol
physician
procedures
EMTREE MEDICAL INDEX TERMS
alcoholism (diagnosis, epidemiology, therapy)
forecasting
human
medical research
trends
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25208198 (http://www.ncbi.nlm.nih.gov/pubmed/25208198)
PUI
L604855464
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 500
TITLE
Research studies at the NRC
AUTHOR NAMES
Elkashef A.M.
AUTHOR ADDRESSES
(Elkashef A.M.) Public Health and Research, NRC, United Arab Emirates.
CORRESPONDENCE ADDRESS
A.M. Elkashef, Public Health and Research, NRC, United Arab Emirates.
SOURCE
Alcohol and Alcoholism (2014) 49 SUPPL. 1 (i12). Date of Publication: 1 Sep
2014
CONFERENCE NAME
16th International Society of Addiction Medicine Annual Meeting
CONFERENCE LOCATION
Yokohama, Japan
CONFERENCE DATE
2014-10-02 to 2014-10-06
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Established in 2011 as part of evolution of the NRC to a center of
excellence. After an initial build up phase, the research section is
currently very active with a fully functional IRB committee. National and
International collaborations on active research projects are ongoing and
planned. The first two projects involved data extractions from patients
admitted to the NRC from 2002 to 2011, to evaluate the extent of the
addiction problem in the UAE. This project was done in collaboration with
UAE University, completed and published in 2012. The second project involved
a survey of primary care physicians on their current practice, attitude, and
training needs towards treating patients with addiction. This project was
completed in collaboration with Aberdeen university, and is published 2014.
Two research projects are currently ongoing. The first project is SBIRT
training for primary care physicians in two primary care clinics of SEHA in
Abu Dhabi. This project has recruited 300 patients so far out of total
sample of 900. The second project involves screening patients (n = 250) at
the NRC for genetics of addiction, so far 162 samples were collected. Data
will be presented from the completed projects as well as an update on the
ongoing studies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
society
EMTREE MEDICAL INDEX TERMS
data extraction
general practitioner
genetics
hospital
human
patient
primary medical care
screening
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71754445
DOI
10.1093/alcalc/agu052.48
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agu052.48
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 501
TITLE
Teaching motivational interviewing skills to medical care providers in the
tohoku area, where people suffered from an earthquake and atsunami in 2011
AUTHOR NAMES
Sakuma H.
Matsushita S.
Fujita S.
AUTHOR ADDRESSES
(Sakuma H.; Matsushita S.; Fujita S.) National Health Organization Kurihama
Medical and Addiction Center, Japan.
CORRESPONDENCE ADDRESS
H. Sakuma, National Health Organization Kurihama Medical and Addiction
Center, Japan.
SOURCE
Alcohol and Alcoholism (2014) 49 SUPPL. 1 (i26). Date of Publication: 1 Sep
2014
CONFERENCE NAME
16th International Society of Addiction Medicine Annual Meeting
CONFERENCE LOCATION
Yokohama, Japan
CONFERENCE DATE
2014-10-02 to 2014-10-06
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
An earthquake of 9.0 magnitude hit the north eastern area of Japan on March
11, 2011. Many residents in the area are still forced to live in temporary
housing. Under stressful situation such as these natural disasters, various
risks of mental illness tend to increase. Many kinds of community mental
health care providers such as public health nurses, psychiatric social
workers, and administrative health care consultants are active in disaster
areas. Sometimes they face the residents' denial. Some people refuse to be
concerned about their drinking issues or unhealthy habits. We are visiting
the disaster areas of Ofunato City and Rikuzen-takata City monthly, and we
are supervising the intervention of the mental health care providers.We are
providing intervention skills that are based on motivational interviewing
and problem solving. As a result of the health care providers applying such
intervention skills, some residents have changed their distractive
behaviors. In one case, one person who had alcohol abuse problems stopped
drinking, although he had never changed his drinking behavior before. In
another case, one person who had serious Somatoform Disorder participated
regularly in counseling with an administrative health care consultant.
Through these cases, one can see the application of motivational
interviewing techniques for community health care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
earthquake
human
medical care
motivational interviewing
skill
society
teaching
EMTREE MEDICAL INDEX TERMS
alcohol abuse
city
community care
community mental health
consultation
counseling
drinking
drinking behavior
habit
health care
health care personnel
housing
Japan
mental disease
mental health care
natural disaster
nurse
problem solving
risk
social worker
somatoform disorder
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71754518
DOI
10.1093/alcalc/agu052.124
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agu052.124
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 502
TITLE
Prevalence and predictors of substance abuse in multiple sclerosis
AUTHOR NAMES
Brennecke N.
Boster A.L.
Wehr A.M.
Nicholas J.A.
AUTHOR ADDRESSES
(Brennecke N.) Ohio State University, College of Medicine, Columbus, United
States.
(Boster A.L.; Nicholas J.A.) Ohio State University, Department of Neurology,
Columbus, United States.
(Boster A.L.; Nicholas J.A.) Ohio State University Multiple Sclerosis
Center, Columbus, United States.
(Wehr A.M.) Ohio State University, Department of Biostatistics, Columbus,
United States.
CORRESPONDENCE ADDRESS
N. Brennecke, Ohio State University, College of Medicine, Columbus, United
States.
SOURCE
Multiple Sclerosis (2014) 20:1 SUPPL. 1 (150-151). Date of Publication:
September 2014
CONFERENCE NAME
2014 Joint Americas Committee for Treatment and Research in Multiple
Sclerosis ACTRIMS - European Committee for Treatment and Research in
Multiple Sclerosis ECTRIMS Meeting
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2014-09-10 to 2014-09-13
ISSN
1352-4585
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: Patients with multiple sclerosis (MS) have been shown to be more
likely to engage in adverse health behaviors and suffer from depression
relative to the general population, creating interest in the prevelance and
risk factors for substance abuse among this patient population. Objectives:
To assess the prevalence of substance abuse among MS patients in a large,
academic MS clinic and to identify predictors associated with substance
abuse. Methods: MS patients presenting for routine clinic visits at The OSU
MS Center were invited to voluntarily and anonymously participate by
completing the Alcohol, Smoking and Substance Involvement Screening Test
(ASSIST) and a demographic questionnaire to obtain data on age, sex, race,
education, employment status, marital status and disability. Substance abuse
was defined as any patient who stated that use of a substance (alcohol,
tobacco, cannabis, cocaine, amphetamine, inhalants, sedative, hallucinogens,
opiods or other) led to social, legal or financial problems in the past 3
months and/or failed to do what was expected of them because of substance
use. A multivariate logistic regression model using backward selection was
performed to identify predictors of substance abuse. Results: A total of 255
MS patients were included in the study. Baseline demographics: 83% Relapsing
Remitting MS, 82% Caucasian, 10% African American, 65% married, 77% female
and 31% were between the ages of 36-45. A total of 29 patients (12%) were
identified to have current substance abuse, 208 (88%) did not currently
abuse substances and 18 were excluded due to missing data. Additionally, 87%
utilized some substance in their lifetime of which 48% used a substance
other than tobacco or alcohol. Employment status was found to be a
significant predictor of current substance abuse. For unemployed patients
with MS, the odds of current substance abuse was 4.67 times that of an
employed patient with MS (95% CI: 1.99-10.97; p=0.002). Conclusions:
Substance abuse is present in the MS patient population. Unemployment
significantly increased the risk of current substance abuse. Race, age, sex,
MS disease course, disability and marital status were not significant
predictors of substance abuse. Larger studies are needed to confirm the
results obtained from this study. Since substance abuse may adversely affect
MS patient health and ability to remain adherent to MS disease modifying
therapy, screening for substance abuse should be considered by MS
specialists, especially among patients who are unemployed.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
cannabis
cocaine
psychedelic agent
sedative agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
multiple sclerosis
prevalence
substance abuse
Western Hemisphere
EMTREE MEDICAL INDEX TERMS
abuse
African American
Caucasian
disability
disease course
education
employment status
female
health
health behavior
hospital
human
implantable cardioverter defibrillator
lifespan
logistic regression analysis
marriage
married person
medical specialist
model
patient
population
questionnaire
risk
risk factor
screening
screening test
smoking
substance use
therapy
tobacco
unemployment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71632099
DOI
10.1177/1352458514546077
FULL TEXT LINK
http://dx.doi.org/10.1177/1352458514546077
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 503
TITLE
Development and validation of the live donor psychosocial assessment tool
(LDAT)
AUTHOR NAMES
LaPointe Rudow D.
Iacoviello B.
Braoude J.
Jennings T.
Vaidya S.
Brouwer J.
Haydel B.
Arroyo H.
Thakur D.
Leinwand J.
Shenoy A.
AUTHOR ADDRESSES
(LaPointe Rudow D.; Iacoviello B.; Braoude J.; Jennings T.; Vaidya S.;
Brouwer J.; Haydel B.; Arroyo H.; Thakur D.; Leinwand J.; Shenoy A.) Icahn
School of Medicine, Mount Sinai Hospital, New York, United States.
CORRESPONDENCE ADDRESS
D. LaPointe Rudow, Icahn School of Medicine, Mount Sinai Hospital, New York,
United States.
SOURCE
Transplantation (2014) 98 SUPPL. 1 (198). Date of Publication: 15 Jul 2014
CONFERENCE NAME
2014 World Transplantation Congress, WTC 2014
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2014-07-26 to 2014-07-31
ISSN
0041-1337
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Purpose: There is no standardized approach to the live donor (LD)
psychosocial evaluation. It typically consists of a semi-structured
interview to explore psychosocial stressors/ disorders that may make
donation high risk for psychological complications. There are validated
psychometric instruments available to assess candidates for transplantation
but none exist to determine psychosocial risks of LD. Our live donor team
developed a Live Donor Psychosocial Assessment Tool (LDAT) to standardize
the approach at our center. Methods: The LDAT was developed by a
multi-disciplinary team of experts in the care of LD after careful review of
recipient tools, the literature and consultation with two outside experts in
the field of psychosocial care of the LD. The tool assessed motivation,
knowledge of LD, support, closeness to the recipient, feelings about
donation, stability in life and psychiatric and addiction history. We
trained 4 raters (2 psychiatric residents and 2 social workers) to use the
tool and had them complete the LDAT using 58 donor evaluations from the
prior two years. Raters were blinded to the impression of the psychosocial
evaluation team and the outcomes of the evaluations. We assessed inter-rater
reliability by calculating Pearson's correlation coefficient for the scores
assigned by each pair of raters, and calculating the median of these
coefficients. LDAT scores for declined and dropped out LDs (DLD) were
compared to psychosocially cleared LD (CLD) in the study group, using a
Student's t-test. Results: - 44 liver donor and 14 kidney donor charts were
examined. The LDAT exhibited excellent inter-rater reliability. Pearson's
correlation coefficients ranged from .773 - .923, all were significant at p
< .01, and the median was .811. Comparison of the means between the DLD (M=
55.73, SD= 7.52) and CLD (M= 64.12, SD= 6.08) groups revealed a significant
difference, t (56) = -3.937, p < .001. Conclusion: The LDAT is a reliable
measure of pre-donation characteristics that are of importance in the
assessment of potential live organ donors. Future research is warranted to
investigate associations between LDAT scores and donor outcome, as well as
prospective replication of LDAT inter-rater reliability and validation
across sites.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
donor
transplantation
EMTREE MEDICAL INDEX TERMS
addiction
consultation
correlation coefficient
diseases
human
kidney donor
liver
motivation
organ donor
psychosocial care
recipient
reliability
risk
semi structured interview
social worker
Student t test
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71544134
DOI
10.1097/01.tp.0000452125.97468.28
FULL TEXT LINK
http://dx.doi.org/10.1097/01.tp.0000452125.97468.28
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 504
TITLE
Barriers to implementation of treatment guidelines for ADHD in adults with
substance use disorder
AUTHOR NAMES
Matthys F.
Soyez V.
Van Den Brink W.
Joostens P.
Tremmery S.
Sabbe B.
AUTHOR ADDRESSES
(Matthys F., frieda.matthys@vub.ac.be) Department Psychiatry, Vrije
Universiteit Brussel (VUB), Brussels and MSOC Free Clinic, Antwerp, Belgium.
(Soyez V.) Faculty of Psychology and Educational Sciences Department, Vrije
Universiteit Brussel (VUB), Brussels, Belgium.
(Van Den Brink W.) Amsterdam Institute for Addiction Research, Amsterdam,
Department of Psychiatry, University of Amsterdam, Netherlands.
(Joostens P.) Psychiatric Centre Broeders Alexianen, Tienen, Belgium.
(Tremmery S.) Department Child and Adolescent Psychiatry, University
Hospitals Leuven, KU Leuven, Belgium.
(Sabbe B.) Collaborative Antwerp Psychiatric Research Institute (CAPRI),
University of Antwerp, Psychiatric Hospital Sint-Norbertus, Duffel, Belgium.
CORRESPONDENCE ADDRESS
F. Matthys, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, 1090
Brussels, Belgium. Email: frieda.matthys@vub.ac.be
SOURCE
Journal of Dual Diagnosis (2014) 10:3 (130-138). Date of Publication: 3 Jul
2014
ISSN
1550-4271 (electronic)
1550-4263
ABSTRACT
Objective: Attention deficit hyperactivity disorder (ADHD) is common among
adult patients with a substance use disorder, yet often goes undetected.
This is a qualitative study to explore implementation barriers to a
guideline developed in Belgium for the recognition and treatment of ADHD in
adult patients with substance use disorder and to gain a better
understanding of the strategies to overcome these barriers.Methods: Focus
groups were conducted with caregivers and patients to explore experiences
with comorbid substance use disorder and ADHD. The barriers reported in
these focus groups became the subject of further study in focus groups with
addiction professionals (physicians, psychiatrists, and psychologists) who
had tried the guideline and with psychiatrists specializing in addiction but
without experience with ADHD.Results: Our analysis revealed a number of
barriers to the implementation of this guideline, including lack of
information from the family, pressure from patients and caregivers to make
an ADHD diagnosis, and the potential for abuse of ADHD medication.
Furthermore, diagnostic instruments for ADHD have not been validated in
people with substance use disorder. Although patients with ADHD are usually
treated in an outpatient setting, patients with ADHD comorbid with substance
use disorder are difficult to identify in an outpatient setting for various
reasons. Finally, there is a lack of specific ADHD expertise in substance
use treatment organizations. Conclusions: Despite the availability of an
approved guideline for recognizing and treating adult ADHD in patients with
a substance use disorder, underdiagnosis and inadequate treatment still
persist. As in general substance use treatment, medication only plays a
supportive role in the treatment of substance use disorder with comorbid
ADHD. An integrated approach and further improvements in the competence of
practitioners may help to reduce the resistance to diagnosing ADHD in
substance use treatment centers. Practitioners who specialize in addiction
medicine and therapists without medical education view the problem from
different perspectives and therefore each group needs specific information
and training. Targeted interventions need to be developed to keep these
patients in treatment. © 2014 Taylor & Francis Group, LLC.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder
drug dependence
EMTREE MEDICAL INDEX TERMS
adult
aged
article
Belgium
caregiver
clinical article
comorbidity
controlled study
female
health care planning
human
male
medical education
medical specialist
outpatient
physician
practice guideline
psychiatrist
psychologist
substance abuse
substance use
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014537906
MEDLINE PMID
25392286 (http://www.ncbi.nlm.nih.gov/pubmed/25392286)
PUI
L373746015
DOI
10.1080/15504263.2014.926691
FULL TEXT LINK
http://dx.doi.org/10.1080/15504263.2014.926691
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 505
TITLE
Impact of a patient engagement and SBIRT knowledge translation strategy on
physician behaviour
AUTHOR NAMES
Salvalaggio G.
Vandenberghe C.
Kirkland S.
Cummings G.
McKim B.
Wild C.
AUTHOR ADDRESSES
(Salvalaggio G.; Vandenberghe C.; Kirkland S.; Cummings G.; McKim B.; Wild
C.)
CORRESPONDENCE ADDRESS
G. Salvalaggio,
SOURCE
Canadian Family Physician (2014) 60:7 Supplement 1 (S29). Date of
Publication: 1 Jul 2014
CONFERENCE NAME
Family Medicine Forum, FMF 2013
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2013-11-07 to 2013-11-09
ISSN
0008-350X
BOOK PUBLISHER
College of Family Physicians of Canada
ABSTRACT
Context The longitudinal, comprehensive nature of primary care settings
allows them to facilitate behaviour change, treatment entry, and follow-up
for people using alcohol or drugs. Unfortunately, Screening, Brief
Intervention, and Referral for Treatment (SBIRT) implementation has been
suboptimal, and little is known about best practices for SBIRT in
disadvantaged settings with additional barriers to patient engagement.
Objective The goals of this project were to develop and evaluate a set of
SBIRT and patient engagement knowledge translation (KT) resources designed
to enhance the capacity of physicians to effectively intervene with
lowsocioeconomic- position patients engaging in substance use. Design
Nonrandomized 2-group, pre-post, quasi-experimental intervention design.
Participants Family and emergency medicine physicians and residents.
Intervention A partnership of researchers, clinicians, KT experts,
inner-city agencies and residents, and policy makers oversaw the project.
The core team hired an inner-city community member to optimize information
sharing and project relevance. Information sources for resource development
included a literature review, local pilot studies, and needs assessments.
Physician KT resources included workshops, point-of-care tools, e-modules,
addiction medicine champions, and inner-city orientations. Outcome measures
Self-reported frequency of SBIRT use at 12 months after enrolment. Results A
total of 131 physicians were assigned to the intervention (n = 78) or
control (n = 53) condition according to their usual location of practice. A
total 39 intervention and 25 control participants were available for follow
up at 12 months. Uptake of KT resources ranged from 25% for e-modules to 63%
for point-of-care reminders; when used, the majority found these resources
useful. After adjusting for age, sex, years in practice, discipline,
baseline comfort, and baseline assessment behaviour, intervention physicians
trended toward increased screening and brief intervention behaviour (P =
.069). Conclusion A community-based patient engagement and SBIRT KT strategy
was favourably received by participants and associated with early changes in
physician assessment behaviour. Other mediators of physician behaviour might
need to be considered to encourage sustained physician behaviour change in a
real-world setting.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior change
doctor patient relation
female
male
EMTREE MEDICAL INDEX TERMS
addiction
behavior assessment
comfort
controlled study
emergency medicine
experimental model
family
follow up
human
major clinical study
mediator
needs assessment
normal human
patient referral
pilot study
resident
scientist
screening
substance use
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L617600758
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 506
TITLE
Comparing smoking habits and tobacco-related education between Canadian and
Greek medical students
AUTHOR NAMES
Pantsidis G.-M.
Papageorgiou D.-I.
Bouros D.
AUTHOR ADDRESSES
(Pantsidis G.-M., george.marios.pantsidis@gmail.com; Bouros D.) Faculty of
Medicine, Democritus University of Thrace, Alexandroupolis, Greece.
(Papageorgiou D.-I.) Faculty of Medicine, University of Thessaly, Larisa,
Greece.
CORRESPONDENCE ADDRESS
G.-M. Pantsidis, Faculty of Medicine, Democritus University of Thrace,
Alexandroupolis, Greece. Email: george.marios.pantsidis@gmail.com
SOURCE
Tobacco Induced Diseases (2014) 12 SUPPL. 1. Date of Publication: 6 Jun 2014
CONFERENCE NAME
11th Annual Conference of the International Society for the Prevention of
Tobacco Induced Diseases, ISPTID 2013
CONFERENCE LOCATION
Athens, Greece
CONFERENCE DATE
2013-12-09 to 2013-12-11
ISSN
1617-9625
BOOK PUBLISHER
BioMed Central Ltd.
ABSTRACT
Background: According to a survey on Canadian medical students' smoking
habits and beliefs, the key results show that the prevalence of smoking
among the future healthcare professionals is high and they lack of
tobacco-related education [1]. Last year a similar survey was conducted at
Democritus University of Thrace [2]. Its findings show that there is
difference in smoking habits between the two students' groups, but their
tobacco-related education is equally poor. Materials and methods: In both
researches participated undergraduate students who completed a questionnaire
about their smoking habits, attitudes and education level towards tobacco
cessation interventions. Results: The prevalence of cigarette smoking among
Greek medical students is higher than the Canadians (24% vs. 3.3%). Although
Canadian students smoke, also, other tobacco products (cigars, water pipe),
the total prevalence is 15.3%. 65.5% of the Greek medical students report
that they had ever tried cigarettes, but only 29.9% of the Canadian students
make a same statement. Both students groups reported that they have moderate
levels of education concerning tobacco-related subjects and cessation
techniques. Only 8.1% of Greek and 10% of Canadian medical students report
that they had ever received trainings in smoking cessation methods. Finally
only a small percentage seems to be familiar with the cessation guidelines
and only a few students are aware of the fact that they lack knowledge to
help their patients cease smoking. Conclusions: The prevalence of cigarettes
smoking among Greek medical students is significantly higher. Also the
tobacco-related education in both countries is equally poor. It is
desperately necessary to enhance the medical schools' curricula with courses
regarding smoking issues, since future physicians have a key-role in tobacco
cessation and prevention.
EMTREE DRUG INDEX TERMS
water
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diseases
education
Greece
human
medical student
prevention
smoking habit
society
tobacco
EMTREE MEDICAL INDEX TERMS
curriculum
health care personnel
medical school
patient
physician
prevalence
questionnaire
smoke
smoking
smoking cessation
student
tube
undergraduate student
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71534744
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 507
TITLE
Smoking habits, attitudes and training among medical students of the
Democritus University of Thrace
AUTHOR NAMES
Pantsidis G.-M.
Papageorgiou D.-I.
Bouros D.
AUTHOR ADDRESSES
(Pantsidis G.-M., george.marios.pantsidis@gmail.com; Bouros D.) Faculty of
Medicine, Democritus University of Thrace, Alexandroupolis, Greece.
(Papageorgiou D.-I.) Faculty of Medicine, University of Thessaly, Larisa,
Greece.
CORRESPONDENCE ADDRESS
G.-M. Pantsidis, Faculty of Medicine, Democritus University of Thrace,
Alexandroupolis, Greece. Email: george.marios.pantsidis@gmail.com
SOURCE
Tobacco Induced Diseases (2014) 12 SUPPL. 1. Date of Publication: 6 Jun 2014
CONFERENCE NAME
11th Annual Conference of the International Society for the Prevention of
Tobacco Induced Diseases, ISPTID 2013
CONFERENCE LOCATION
Athens, Greece
CONFERENCE DATE
2013-12-09 to 2013-12-11
ISSN
1617-9625
BOOK PUBLISHER
BioMed Central Ltd.
ABSTRACT
Background: Tobacco use continues to be the leading global cause of
preventable death, contributing to the death of nearly 6 million people each
year. Medical students, who are future doctors, have an important role to
play in smoking cessation and prevention. The objective of this study was to
estimate the prevalence of tobacco use among medical students of Democritus
University of Thrace Medical School, and to evaluate their smoking-related
attitudes and their training in tobacco issues they receive during their
studies in University. Materials and methods: This study was conducted from
March to May 2011. The students were asked to complete a modified version of
the Global Professional Students' Survey (GHPSS) questionnaire. The final
study population consisted of 233 randomly selected students in the 1st-6th
year of medical studies. Results: Of the 233 students invited to
participate, 229 submitted adequately completed questionnaires. Of this
sample, 24% were smokers, 38.2% of whom had experimented with smoking at the
age of 11-15 years. The banning of smoking in all enclosed public places was
considered useful by 88.6% with a statistically significant difference
between smokers and non-smokers (65.5% vs. 96%, p<0.001). Of the
participants, 31% believed that slim/light and hand-rolled cigarettes are
less harmful and only 8.1% had been taught cessation techniques and 17.8%
the reasons why people smoke. Conclusions: The study shows that the
prevalence of smoking among medical students in northern Greece is high
compared with other countries. It is evident that the issue of tobacco use
is not covered adequately and systematically by the Medical School
curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diseases
human
medical student
prevention
smoking habit
society
tobacco
university
EMTREE MEDICAL INDEX TERMS
curriculum
death
Greece
medical school
medicine
physician
population
prevalence
questionnaire
smoke
smoking
smoking cessation
student
tobacco use
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71534743
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 508
TITLE
Epidemiology of smoking among the employees of a medical university and
strategies to decrease prevalence
AUTHOR NAMES
Viragh K.
Viragh E.
AUTHOR ADDRESSES
(Viragh K., judy_khi@yahoo.com) Olive View UCLA Medical Center, Sylmar, Los
Angeles, United States.
(Viragh E.) University of Medicine and Pharmacy, Targu Mures, Romania.
CORRESPONDENCE ADDRESS
K. Viragh, Olive View UCLA Medical Center, Sylmar, Los Angeles, United
States. Email: judy_khi@yahoo.com
SOURCE
Tobacco Induced Diseases (2014) 12 SUPPL. 1. Date of Publication: 6 Jun 2014
CONFERENCE NAME
11th Annual Conference of the International Society for the Prevention of
Tobacco Induced Diseases, ISPTID 2013
CONFERENCE LOCATION
Athens, Greece
CONFERENCE DATE
2013-12-09 to 2013-12-11
ISSN
1617-9625
BOOK PUBLISHER
BioMed Central Ltd.
ABSTRACT
Background: The purpose of the study is to assess the prevalence of smoking
among the employees of a medical university, to provide descriptive
statistics of the actual situation, and to suggest university targeted
policy changes in reducing smoking for the ultimate goal of a smoke-free
campus. Materials and methods: A review of the medical files of all
employees of the University of Medicine and Pharmacy, Targu Mures, Romania
(UMF-TGM), was performed in the Occupational Health and Safety Office in
July 2013. For each employee, the person's age, gender, occupation, and
smoking history (pack-years, reasons to start, reasons to quit) were
recorded. Epidemiological data analysis was performed using Microsoft Excel
and the data was organized in subgroups based on age, gender and occupation.
The significance levels were assessed. The study was performed in
concordance with university research policy. Results: UMF-TGM has 677 total
employees, of which 6 had no information available. Of the 671 employees
with information, the age range was 26-65 years with a median of 44 years.
There were 218 smokers (32.0%, 1-to-56 pack-year range) and 453 non-smokers
(68.0%), of which 406 never smoked and 47 were former smokers. There were
390 women (113 smokers, 29.0%) and 281 men (105 smokers, 37.0%). There were
375 health professionals, of which 295 were physicians (72 smokers, 24.0%),
51 were dentists (16 smokers, 31.0%), and 29 pharmacologists (6 smokers,
21.0%). The teaching faculty had 413 members (health professionals and
non-health professionals), of which 108 were smokers (26.0%). The
non-teaching university employees (technicians, administrative assistants,
maintenance personnel) included 258 persons, of which 110 (43.0%) were
smokers. Reasons to start smoking included the presence of smokers in the
social environment, curiosity/boredom, and coolness. Reasons to quit smoking
included health, money and social environment. Conclusions: Despite of major
public health efforts, smoking remains one of the most important causes of
morbidity and mortality. The prevalence rate of smoking at UMF-TGM is 32.0%,
which was significantly higher in men and non-teaching employees than in
women and teaching faculty. These rates are unacceptably high, given that a
medical institution should set example of a smoke-free environment and
healthy lifestyle. Current university smoking policy conforms to the
national smoking policies; however, there are no targeted programs in place
to reduce smoking. Therefore, initiatives will be presented to the
university to increase awareness and assist current smokers in quitting.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diseases
employee
epidemiology
human
prevalence
prevention
smoking
society
tobacco
university
EMTREE MEDICAL INDEX TERMS
data analysis
dentist
environment
epidemiological data
female
gender
health
health practitioner
implantable cardioverter defibrillator
lifestyle
male
money
morbidity
mortality
occupation
occupational health
personnel
pharmacy
physician
policy
public health
Romania
safety
smoke
smoking cessation
smoking regulation
social environment
statistics
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71534742
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 509
TITLE
Changes in family medicine residents' attitudes, knowledge and perceived
skills for substance abuse assessment following sbirt training
AUTHOR NAMES
Osborne V.A.
Cleveland I.
AUTHOR ADDRESSES
(Osborne V.A.; Cleveland I.) St. Louis University, School of Medicine,
Department of Family and Community Medicine, St. Louis, United States.
CORRESPONDENCE ADDRESS
V.A. Osborne, St. Louis University, School of Medicine, Department of Family
and Community Medicine, St. Louis, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2014) 38 SUPPL. 1 (73A).
Date of Publication: June 2014
CONFERENCE NAME
37th Annual Scientific Meeting of the Research Society on Alcoholism, RSA
2014
CONFERENCE LOCATION
Bellevue, WA, United States
CONFERENCE DATE
2014-06-21 to 2014-06-25
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Purpose: Physicians frequently encounter patients with substance use
problems. The Screening, Brief Intervention and Referral to Treatment
(SBIRT)model was initially designed to train practicing physicians to detect
and assess alcohol and drug problems among their patients. While SBIRT has
been utilized in practice, it is not yet consistently included as part of
the medical school curriculum, or during residency training. In recent
years, there has been a push to focus on teaching SBIRT to physicians before
they enter their practice-at the medical school and residency levels. This
project trained family and communitymedicine residents in the SBIRT model
via online didactic training as well as experiential simulation training
with standardized patients. The goal was to assess residents' knowledge,
attitudes and perceived skills before and after their SBIRT training.
Methods: Students were given a questionnaire assessing attitudes, knowledge
and perceived skills with regard to substancemisuse. A computerized training
session focused on symptoms of at-risk drinking and implementing the SBIRT
model. Descriptive statistics explained overall knowledge, attitudes and
perceived screening and intervention skills. T-tests compared changes pre-to
post-test. Results: 46 residents completed the training and questionnaires.
Significant differences were found in four of the 14 questions. Residents
reported feeling more strongly that routine screening and brief intervention
were crucial to clinical practice, and agreed more strongly that discussing
substance use would not make patients angry. They also agreed more strongly
that substance use is an appropriate topic to discuss in a clinical
encounter. Similarly, residents felt more strongly that assessing for
substancemisuse does not take toomuch time during the examination.
Qualitative feedback from residents after the patient simulations indicated
that practicing with standardized patients helped them gain confidence in
their substance misuse assessment skills. Conclusion: Incorporating
substance misuse screening and brief intervention techniques into clinical
practice is an important aspect of effective treatment. Training medical
residents to screen and intervene is critical to improving treatment skills.
SBIRT training appears effective in increasing residents' perceptions of
their ability to change patient behaviors and reduce patients' substance
misuse.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
family medicine
skill
society
substance abuse
EMTREE MEDICAL INDEX TERMS
clinical practice
curriculum
drinking
drug abuse
examination
feedback system
human
medical school
model
patient
physician
questionnaire
residency education
risk
screening
simulation
statistics
student
Student t test
substance use
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71503377
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 510
TITLE
Opioid rotation and Route Switch in cancer patients
AUTHOR NAMES
Lester L.
Walsh D.
Dhuibhir P.
Balding L.
Higgins S.
O'Leary N.
AUTHOR ADDRESSES
(Lester L.) Trinity College Dublin, Palliative Medicine, Dublin, Ireland.
(Lester L.; Walsh D.; Dhuibhir P.; Balding L.; O'Leary N.) Our Lady's
Hospice and Care Services, Harold's Cross, Dublin, Ireland.
(Walsh D.) Trinity College Dublin, Dublin, Ireland.
(Walsh D.) UCD, Dublin, Ireland.
(Balding L.) St James's Hospital, Dublin, Ireland.
(Higgins S.) Our Lady's Hospice and Care Services, Harold's Crossiii,
Dublin, Ireland.
(Higgins S.) AMNCH Hospital, Dublin, Ireland.
(O'Leary N.) St Catherine's Hospice, Dublin, Ireland.
CORRESPONDENCE ADDRESS
L. Lester, Trinity College Dublin, Palliative Medicine, Dublin, Ireland.
SOURCE
Palliative Medicine (2014) 28:6 (835-836). Date of Publication: June 2014
CONFERENCE NAME
8th World Research Congress of the European Association for Palliative Care,
EAPC 2014
CONFERENCE LOCATION
Lleida, Spain
CONFERENCE DATE
2014-06-05 to 2014-06-07
ISSN
0269-2163
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: Opioid choice is influenced by availability, economic factors,
education and marketing. Opioid Rotation is the substitution of one strong
opioid for another to improve the balance between pain relief and adverse
effects. Route Switch describes a change in route of administration. The
scientific basis for these common practices is unclear. Aims: 1. Investigate
period prevalence of Opioid Rotation and Route Switch 2. Examine choice of
opioid for Rotation and Route Switch Methods: Retrospective period
prevalence chart review from admission day to study day. Medical notes and
opioid prescriptions of consecutive Specialist Palliative Medicine Unit
cancer patients evaluated. Data entered in Microsoft Excel. Results: Opioid
rotation: Median length of stay (admission -study) = 19 days (range 1-68).
22/26 (85%) had cancer. 14/22 (64%) on Around The Clock Opioid (ATCO) on
study day. 6/14 (43%) had rotated ATCO post-admission: 1. Oral Hydromorphone
(H) → Oral Tapentadol (T) → Subcutaneous Infusion Alfentanil A) 2. Oral
Oxycodone (O) → Oral H → Transdermal Fentanyl (F) 3. Oral O → to oral H 4.
Subcutaneous Infusion H → Subcutaneous Infusion A 5. Oral O → Transdermal F
6. Subcutaneous Infusion O → Transdermal F These six had 8 Opioid Rotation
episodes in total: four had 1 rotation; two had 2. Median 12.5 days (range
3-23) between rotations. 8/22 (36%) not prescribed Around The Clock Opioid
on study day: 4/8 never on ATCO; other 4/8 ATCO discontinued. Route switch:
7/14 (50%) had an ATCO Route Switch. 12 Route Switch episodes in total: Oral
to subcutaneous infusion = 7; oral to transdermal = 1; subcutaneous infusion
to transdermal =3; subcutaneous infusion to oral = 1. 4 episodes of
simultaneous Opioid Rotation and Route Switch. Conclusion: 1. Period
prevalence: Route Switch > than Opioid Rotation 2. Most frequent Route
Switch → Subcutaneous Infusion 3. Most frequent Opioid Rotation →
Transdermal Fentanyl 4. Most prescribed opioid: Hydromorphone.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
alfentanil
fentanyl
hydromorphone
nitrofural
oxycodone
tapentadol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer patient
human
palliative therapy
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
analgesia
education
length of stay
marketing
medical record review
medical specialist
neoplasm
prescription
prevalence
subcutaneous drug administration
transdermal drug administration
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71484799
DOI
10.1177/0269216314532748
FULL TEXT LINK
http://dx.doi.org/10.1177/0269216314532748
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 511
TITLE
National survey of opioid rotation practices in cancer pain
AUTHOR NAMES
Lester L.
Walsh D.
Ui Dhuibhir P.
O'Connor B.
Higgins S.
AUTHOR ADDRESSES
(Lester L.) Trinity College Dublin, Palliative Medicine, Dublin, Ireland.
(Lester L.; Walsh D.; Ui Dhuibhir P.; O'Connor B.; Higgins S.) Our Lady's
Hospice and Care Services, Harold's Cross, Dublin, Ireland.
(Walsh D.) Trinity College Dublin, Dublin, Ireland.
(Walsh D.; O'Connor B.) UCD, Dublin, Ireland.
(Higgins S.) AMNCH Hospital, Dublin, Ireland.
CORRESPONDENCE ADDRESS
L. Lester, Trinity College Dublin, Palliative Medicine, Dublin, Ireland.
SOURCE
Palliative Medicine (2014) 28:6 (734-735). Date of Publication: June 2014
CONFERENCE NAME
8th World Research Congress of the European Association for Palliative Care,
EAPC 2014
CONFERENCE LOCATION
Lleida, Spain
CONFERENCE DATE
2014-06-05 to 2014-06-07
ISSN
0269-2163
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: Opioid Rotation (OR) is the clinical practice of substituting
one strong opioid for another. The indication is to improve balance between
pain relief and adverse effects. Opioid Rotation incidence is 20-44%
internationally. The scientific basis for this practice is unclear. Aims:
Capture opioid prescribing patterns of Palliative Medicine Consultant
Physicians (C), Physician Trainees (T) and Nurse Specialists (NS): 1. Opioid
choice: 1st, 2nd, 3rd line 2. OR choice in opioid toxicity (OT): brain,
kidney, liver failure 3. Indication for alfentanil 4. Conversion ratios
relative to morphine: oxycodone and alfentanil Methods: Cross-sectional
study. Survey Questionnaire. Consecutive C, T and NS surveyed at National
Meetings. Data analysed using Microsoft excel. Results: National sample: C
11/35 (31%); T 13/14 (93%); NS 11/49 (22%). Opioid Choice: 1st line morphine
(C 100%; T100%; NS 100%). 2nd line oxycodone (C 91%; T 100%; NS 100%). 3rd
line hydromorphone (C 55%; T 85%; NS 64%) Opioid Rotation Choice in Morphine
Toxicity: Brain Failure: oxycodone (C 82%; T 85%; NS 73%) Kidney Failure:
alfentanil (C 45%; T 69%; NS 36%) Liver Failure: oxycodone (C 36%; T 38%; NS
73%); hydromorphone (C 9%; T 38%; NS 18%); fentanyl (C 36%; T 0%; NS 0%).
Oxycodone: Morphine conversion ratio: 1:1.5 (C 55%, T 54%; NS 27%) 1:2 (C
27%; T 38%; NS 64%) Alfentanil widely prescribed: C 100%; T 77%; NS 54%.
Kidney failure major indication: C 91%; T 90%; NS 36%. Parenteral morphine:
alfentanil conversion ratio 15:1 (C 73%; T 69%; NS 36%) Conclusions: 1.
Morphine first choice in opioid naïve 2. Variations in opioid rotation
practice evident 3. Toxicity: rotation practice consistent in brain and
kidney but not liver failure 4. Physicians favour 1:1.5 oxycodone: morphine
conversion ratio 5. Nursing experience of alfentanil limited.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
alfentanil
fentanyl
hydromorphone
morphine
oxycodone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain
palliative therapy
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
analgesia
brain
brain dysfunction
clinical practice
consultation
cross-sectional study
human
kidney
kidney failure
liver failure
medical specialist
nurse
nursing
physician
questionnaire
student
toxicity
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71484585
DOI
10.1177/0269216314532748
FULL TEXT LINK
http://dx.doi.org/10.1177/0269216314532748
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 512
TITLE
Pain management knowledge and attitudes of hemophilia providers: Physicians
& nurses
AUTHOR NAMES
Witkop M.
Lambing A.
AUTHOR ADDRESSES
(Witkop M.) Northern Regional Bleeding Disorders, Traverse City, United
States.
(Lambing A.) Henry Ford Bleeding and Thrombosis Treatment Center, Detroit,
United States.
CORRESPONDENCE ADDRESS
M. Witkop, Northern Regional Bleeding Disorders, Traverse City, United
States.
SOURCE
American Journal of Hematology (2014) 89:6 (E96). Date of Publication: June
2014
CONFERENCE NAME
2014 Thrombosis and Hemostasis Summit of North America, THSNA 2014
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2014-04-10 to 2014-04-12
ISSN
0361-8609
BOOK PUBLISHER
Wiley-Liss Inc.
ABSTRACT
OBJECTIVES: The National Pain Survey identified that persons with hemophilia
(PWH) reported daily pain ratings of 5/10 as well as using the same words to
describe acute and chronic pain. Additionally, 59% of hemophilia pts who
completed the National Pain Survey reported receiving pain management from
their HTC providers. The purpose of this survey was to assess the knowledge
and attitudes of hemophilia providers regarding pain assessment and
treatment. METHODS: A validated Survey Monkey (TM) survey with 38 true/false
and likert scale questions specific to pain mangement was emailed to every
physician and nurse provider in the United States listed on the CDC bleeding
disorders website affiliated with a hemophilia treatment center. SUMMARY: A
total of 529 surveys were emailed to HTC providers with 152 completed
(response rate 29%); 57 physicians, 22 nurse practitioners, 68 RNs, 5 other
providers. Most respondents were female (78%) and RNs (45%), followed by MDs
(38%), NPs (15%) with an average age of 49 years age. While most
participants had greater than 20 years in health care (57%), the majority of
subjects had 0-5 years of hemophilia experience (28%); followed closely by
greater than 20 years of hemophilia experience (24%). Participants worked in
a variety of settings; life span centers (45%), followed by pediatrics only
(32%), then adult only (23%). At least 34% of the participants worked in
HTCs with more than 300 hemophilia patients. The greatest response rate was
from Region V-East (19%) and lowest from Region II (3%). Only 19% of
respondents had taken advanced training in pain management. RESULTS:
Questions were stratified into 4 separate categories; assessment, treatment,
pharmacology and substance abuse. In approximately 1/3 of the total
questions only 75% of the participants answered correctly. Despite 100% of
the respondents recognizing patient self-report of pain as the gold
standard, signficant attitudinal differences were noted in the assessment
and treatment of pain. Knowledge deficits across the spectrum of providers
were noted, specifcially regarding dose conversions, opioid metabolism, and
adjuvant medications. CONCLUSIONS: HTC providers demonstrate knowledge
regarding pain management. PWH consider their HTC providers experts in
hemophilia care and the conditiona related to hemophilia. Since the majority
of hemophilia related pain mangement is provided by HTCs, additional
education specific to pharmacology, dependence, and addiction concerns may
be beneficial.
EMTREE DRUG INDEX TERMS
adjuvant
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
hemophilia
hemostasis
human
North America
nurse
physician
thrombosis
EMTREE MEDICAL INDEX TERMS
addiction
adult
bleeding disorder
chronic pain
drug therapy
education
female
gold standard
Haplorhini
health care
lifespan
Likert scale
metabolism
nurse practitioner
pain
pain assessment
patient
pediatrics
pharmacology
self report
substance abuse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71747922
DOI
10.1002/ajh.23759
FULL TEXT LINK
http://dx.doi.org/10.1002/ajh.23759
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 513
TITLE
Before and after instatement of a medical amnesty policy: A comparison of
two college cohorts
AUTHOR NAMES
Martinez J.A.
Jones J.A.
AUTHOR ADDRESSES
(Martinez J.A.; Jones J.A.) Colgate University, Hamilton, United States.
CORRESPONDENCE ADDRESS
J.A. Martinez, Colgate University, Hamilton, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2014) 38 SUPPL. 1 (131A).
Date of Publication: June 2014
CONFERENCE NAME
37th Annual Scientific Meeting of the Research Society on Alcoholism, RSA
2014
CONFERENCE LOCATION
Bellevue, WA, United States
CONFERENCE DATE
2014-06-21 to 2014-06-25
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Problematic and heavy alcohol consumption has been a public health issue on
college campuses for many years. It has been suggested that not only will
medical amnesty and Good Samaritan (MAGS) policies be effective in
increasing students' safety, but they will be effective in addressing
alcoholrelated problems on college campuses. Specifically, by reframing
behaviors as “mistakes” to be learned from rather than punished, it is
thought that students will be motivated toward healthy behaviors. Our aim
was to examine survey response differences between a 2005 cohort of n=1,006
students (including all class years) prior to instatement of a MAGS policy
and a 2013 cohort of n=537 students the year after instatement at a small
private northeastern university. Comparisons were made between cohorts
(controlling for sex, age, race and Greekmembership status) and then were
replicated in comparisons between cohort participantsmatched on sex, class
year, race, and Greek membership status (sample size for each matched group
was n=438). Results indicated that students' beliefs about the drinking
culture had changed. Specifically, the 2013 cohort was more likely than the
2005 cohort to believe that campus alcohol policies were enforced (OR=1.76,
95% CI=1.29-2.40) and they were more likely to believe that faculty and
staff cared about them (OR=1.69, 95%CI=1.48-1.93). They were also more
likely to report that others' drinking made them feel unsafe (OR=1.69, 95%
CI=1.14-2.51) and they reported feeling that drinking is central to
fraternity (OR=5.02, 95%CI=2.44-10.33) and sorority (OR=2.97,
95%CI=1.94-4.57) life on campus. With regard to alcohol-related
consequences, the 2013 cohort was less likely than the earlier cohort to get
into drinking-related arguments or fights (OR=0.87, 95% CI=0.79-0.95) and to
drive a car while under the influence (OR=0.72, 95%CI=0.61-0.85). There were
no statistically significant differences in terms of rates of binge
drinking, frequent binge drinking, or exceeding weekly consumption limits.
Though it cannot be determined whether differences are directly a result of
the MAGS policy, it is clear that campus-wide changes occurred between
cohorts. Our findings of these differences, which were mainly in the realm
of students' beliefs, suggest that further research into
social-environmental changes and ways in which theymay possibly contribute
to later trends towards healthier behaviors is indicated.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
college
policy
society
EMTREE MEDICAL INDEX TERMS
alcohol consumption
binge drinking
car
drinking
environmental change
error
Greece
human
public health
safety
sample size
student
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71503606
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 514
TITLE
Age at onset of illness in bipolar patients in South Africa
AUTHOR NAMES
Grobler C.
Smith N.
AUTHOR ADDRESSES
(Grobler C., dr.stof@mweb.co.za; Smith N.) Walter Sisulu University, Eastern
Cape, South Africa.
CORRESPONDENCE ADDRESS
C. Grobler, Walter Sisulu University, Eastern Cape, South Africa. Email:
dr.stof@mweb.co.za
SOURCE
South African Journal of Psychiatry (2014) 20:3 (116). Date of Publication:
2014
CONFERENCE NAME
18th National Congress of the South African Society of Psychiatrists, SASOP
2014
CONFERENCE LOCATION
Durban, South Africa
CONFERENCE DATE
2014-09-03 to 2014-09-07
ISSN
1608-9685
BOOK PUBLISHER
South African Medical Association
ABSTRACT
Background. Bipolar disorder (BD) is a recurrent mood disorder which
typically manifests in late adolescence or early adulthood. Age at onset
(AAO) has been proposed as a variable that may distinguish more homogeneous
subgroups in BD. An early-onset BD has been associated with a more chronic
course of the illness, comorbid substance abuse, higher comorbidity with
anxiety disorders, poorer response to lithium, higher rates of suicidal
behaviour and poor overall outcome. Objective. To investigate and describe
the course of illness and clinical features in a cross-section of patients
with a history of mania attending public hospitals in Limpopo Province with
specific attention to the AAO of BD. Method. A purposeful sample of 103
patients presenting with a history of mania between October 2009 and April
2010 to three public hospitals in the Limpopo Province were selected and
interviewed using the Affective Disorder Evaluation. AAO of affective
illness was analysed by dividing the groups into age brackets, namely: <15
years, 15 - 19 years, 20 - 30 years, 31 - 45 years and >45 years of age.
Early age of onset (EAOO) in this particular study was defined as ≥19 years
of age. Results. The mean age of onset of first manic episode was 25 years
and the mean age of onset of depression was 26 years. The majority of
patients experienced their first affective episode between age 20 and 30.
The following features were identified in the EAOO group: less likely to get
married (12.5% v. 27.85%) (p=0.175); less likely to obtain tertiary
education (12.5% v. 29.11%) (p=0.116); more likely to have a family history
of BD (62.5% v. 55.7%) (p=0.641); less likely to attempt suicide (20.83% v.
29.11%) in this study (p=0.601); more likely to receive lithium (29.17% v.
18.99%) (p=0.393), zuclopenthixol (54.17% v. 30.88%) (p=0.051) and clozapine
(25% v. 6.33%) (p=0.018); less likely to receive oral haloperidol (37.5% v.
53.16%) (p=0.244); more likely to have a comorbid anxiety disorder (54.17%
v. 48.1%) (p=0.647); and more likely to be rated 'markedly ill' (20.83% v.
16.46%) to 'severely ill' (12.5% v. 6.33%) on the CGI, which could point
toward a more severe and disabling course of illness (p=0.700).The only
statistically significant difference that emerged from the above comparison
was that the EAOO group was more likely to be prescribed clozapine
(p=0.018). Conclusion. Apart from the fact that clozapine was more likely to
be prescribed to the EAOO group, no other statistically significant
differences between early- and later-onset BD emerged in this study. Some
interesting trends were observed that could be indicative of a more
disabling course of illness.
EMTREE DRUG INDEX TERMS
clozapine
haloperidol
lithium
zuclopenthixol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diseases
human
onset age
patient
psychiatrist
society
South Africa
South African
EMTREE MEDICAL INDEX TERMS
adolescence
adulthood
anxiety disorder
bipolar disorder
clinical feature
comorbidity
education
family history
mania
married person
mood disorder
public hospital
substance abuse
suicidal behavior
suicide
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72323930
DOI
10.7196/SAJP.664
FULL TEXT LINK
http://dx.doi.org/10.7196/SAJP.664
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 515
TITLE
Extrapyramidal motor side-effects in antipsychotic-treated patients with
non-affective psychosis and major affective disorders with and without
co-occurring alcohol, cannabis and methamphetamine use disorders
AUTHOR NAMES
Temmingh H.
Broekhof B.
Sibeko G.
Stein D.J.
AUTHOR ADDRESSES
(Temmingh H., henk.temmingh@uct.ac.za; Stein D.J.) Department of Psychiatry
and Mental Health, University of Cape Town, South Africa.
(Broekhof B.) University of Amsterdam, Netherlands.
(Sibeko G.) University of Cape Town, South Africa.
CORRESPONDENCE ADDRESS
H. Temmingh, Department of Psychiatry and Mental Health, University of Cape
Town, South Africa. Email: henk.temmingh@uct.ac.za
SOURCE
South African Journal of Psychiatry (2014) 20:3 (126-127). Date of
Publication: 2014
CONFERENCE NAME
18th National Congress of the South African Society of Psychiatrists, SASOP
2014
CONFERENCE LOCATION
Durban, South Africa
CONFERENCE DATE
2014-09-03 to 2014-09-07
ISSN
1608-9685
BOOK PUBLISHER
South African Medical Association
ABSTRACT
Background. Comorbid substance use disorders occur in as many as 75% of
people with schizophrenia and bipolar disorder. Alcohol, cannabis and
cocaine have been shown to lead to anatomical and physiological changes in
basal ganglia structures, including striatal dopaminergic down-regulation
and the induction of extrapyramidal motor side-effects (EPSE). Whereas the
overall effect is likely to be small, the associations with EPSE are the
strongest for cocaine, weakest for alcohol use, and remain unclear for
cannabis use, with many studies not specifying substance-use type. Little is
known about the impact of methamphetamine on the risk of EPSE in patients
with schizophrenia and other disorders such as bipolar disorder for which
antipsychotics are indicated. Objective. Our objective was determine if
there is an association between alcohol, cannabis and methamphetamine use
disorders and the presence of ESPE in patients prescribed antipsychotics.
Method. We determined diagnosis using the SCID-I for the Diagnostic and
Statistical Manual of Mental Disorders, 4th edition, text revised
(DSM-IV-TR) and the presence and severity of substance use disorders using
module E of the SCID-I. We determined the presence of akathisia using the
Barnes Akathisia Rating Scale (BARS), parkinsonism using the Simpson-Angus
Scale (SAS) and tardive dyskinesia using the Abnormal Involuntary Movement
Scale (AIMS). We constructed a series of logistic regression models. The
primary outcome was the presence of any EPSEs reaching operationalised
threshold on the different EPSE scales. Results. The total sample consisted
of 96 patients. The most common diagnosis was schizophrenia (55.2%),
followed by bipolar disorder (20.8%); schizoaffective disorder (11.4%) and
substanceinduced psychotic disorder (12.5%). Alcohol-use disorders occurred
in 30.2%, cannabis-use disorders in 39.6% and methamphetamineuse disorders
in 25% of participants. As many as 41.7% had at least one EPSE, with 38.5%
having parkinsonism, 10.4% akathisia, and 1.04% narrowly defined tardive
dyskinesia while 9.4% had broadly defined dyskinesia. Participants with EPSE
were more likely to be male. Multivariate logistic regression models
adjusted for age, gender, diagnosis and treatment with first-generation
antipsychotics revealed no association between alcohol- or cannabis-use
disorders and EPSEs. Patients with a methamphetamine dependence were more
likely to have EPSEs (odds ratio (OR)=3.23) and this association approached
significance at the 5% level (p=0.051, 95% confidence interval (CI)=0.99 -
10.5). When looking at patients with only methamphetamine abuse this
association remained non-significant (p=0.824). Sensitivity analysis with a
definition of broadly defined dyskinesia on the AIMS resulted in a
significant association between methamphetamine dependence and EPSE
(OR=3.87, p=0.030, 95% CI=1.13 - 13.1). Conclusion. Patients with more
severe methamphetamine use disorders (i.e. dependence) may have more EPSEs
when treated with antipsychotics. Clinicians should assess substance use
severity and monitor side-effects on a regular basis in dual diagnosis
patients. Limited conclusions can be drawn on causality because of the
crosssectional nature of the study. Other limitations include no adjustment
for antipsychotic dose.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
cannabis
methamphetamine
neuroleptic agent
EMTREE DRUG INDEX TERMS
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
affective psychosis
diseases
human
major affective disorder
patient
psychiatrist
side effect
society
South African
EMTREE MEDICAL INDEX TERMS
Abnormal Involuntary Movement Scale
abuse
akathisia
alcohol consumption
alcoholism
Barnes Akathisia Scale
basal ganglion
bipolar disorder
cannabis use
confidence interval
diagnosis
down regulation
DSM-IV
DSM-IV-TR
dyskinesia
epidemiology
gender
logistic regression analysis
male
methamphetamine dependence
model
parkinsonism
psychosis
risk
schizoaffective psychosis
schizophrenia
sensitivity analysis
Simpson-Angus Scale
Structured Clinical Interview for DSM Disorders
substance abuse
substance use
tardive dyskinesia
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72323954
DOI
10.7196/SAJP.664
FULL TEXT LINK
http://dx.doi.org/10.7196/SAJP.664
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 516
TITLE
Complementary and Alternative Medicine (CAM) practitioners' readiness for
tobacco intervention training: Development and psychometric properties of a
new measure
AUTHOR NAMES
Cunningham J.K.
Floden L.L.
Howerter A.L.
Matthews E.
Gordon J.S.
Muramoto M.L.
AUTHOR ADDRESSES
(Cunningham J.K., jkcunnin@email.arizona.edu; Floden L.L.; Howerter A.L.;
Matthews E.; Gordon J.S.; Muramoto M.L.) Department of Family and Community
Medicine, The University of Arizona, 3950 S. Country Club Road, Suite 330,
Tucson, AZ 85714, United States
(Cunningham J.K., jkcunnin@email.arizona.edu) Native American Research and
Training Center, The University of Arizona, Tucson, AZ, United States
(Muramoto M.L.) College of Public Health, The University of Arizona, Tucson,
AZ, United States
CORRESPONDENCE ADDRESS
J.K. Cunningham, Department of Family and Community Medicine, The University
of Arizona, 3950 S. Country Club Road, Suite 330, Tucson, AZ 85714, United
States
SOURCE
Translational Proteomics (2015). Date of Publication: 25 May 2014
ISSN
2212-9634 (electronic)
2212-9626
BOOK PUBLISHER
Elsevier
ABSTRACT
Objective: Complementary and Alternative Medicine (CAM) practitioners are an
important potential resource for expanding the use of tobacco cessation
brief interventions. Training these practitioners to conduct such
interventions has been hampered, however, by a lack of tools for assessing
the practitioners' tobacco intervention behaviors and interest, and openness
to non-CAM tobacco cessation aids (e.g., medications, quitlines).
Recognizing this, we developed a new measure: the CAM Readiness for Training
in Tobacco Intervention (CAM RTTI) questionnaire. Methods: Together with a
key informant group of CAM experts, we constructed 18 questionnaire items.
For structured review and face validity assessment, the items were submitted
to a national panel of CAM practitioners and tobacco cessation experts, and
revised according to their comments. The items were then administered to a
sample of 97 CAM practitioners (30 chiropractors, 26 licensed
acupuncturists, 41 licensed massage therapists). Exploratory factor analysis
and internal reliability tests were used to examine the items' psychometric
properties. Results: Three underlying factors were indicated: current
tobacco cessation activity, motivation/confidence regarding the conduct of
tobacco cessation activity, and comfort providing patients/clients with
information about non-CAM tobacco interventions. Acceptable internal
validity was indicated for the factor-based subscales (Cronbach's alphas
ranged .71-.81). Responses differed substantially across the
factors/subscales. The practitioners indicated little current engagement in
tobacco-cessation activities (factor 1), but were well-motivated to begin
doing so (factor 2). Level of comfort with non-CAM tobacco interventions
(factor 3) had pronounced dispersion from negative to positive. Conclusions:
CAM RTTI assessed three factors that can be critical to implementing
effective tobacco intervention trainings for a CAM practitioner: (1) current
tobacco intervention activity, (2) motivation/confidence and (3) comfort
with non-CAM interventions. Moreover, it assessed these factors using
language appropriate to CAM practitioners, providing the first measure, to
our knowledge, specific to the development of tobacco intervention training
for this group.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acupuncture
alternative medicine
chiropractic
human
massage
physician
therapy
tobacco
EMTREE MEDICAL INDEX TERMS
chiropractor
comfort
Cronbach alpha coefficient
dispersion
drug therapy
face validity
factor analysis
internal validity
language
questionnaire
reliability
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015685920
PUI
L601605844
DOI
10.1016/j.aimed.2014.10.012
FULL TEXT LINK
http://dx.doi.org/10.1016/j.aimed.2014.10.012
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 517
TITLE
Effectiveness of training family physicians to deliver a brief intervention
to address excessive substance use among young patients: A cluster
randomized controlled trial
AUTHOR NAMES
Haller D.M.
Meynard A.
Lefebvre D.
Ukoumunne O.C.
Narring F.
Broers B.
AUTHOR ADDRESSES
(Haller D.M., dagmar.haller-hester@hcuge.ch) Division of Primary Care,
Faculty of Medicine, University of Geneva, Geneva, Switzerland.
(Haller D.M., dagmar.haller-hester@hcuge.ch; Meynard A.; Narring F.)
Adolescent and Young Adult Program, Departments of Child and Adolescent
Health, Community Medicine, Primary Care, Geneva University Hospitals,
Geneva, Switzerland.
(Haller D.M., dagmar.haller-hester@hcuge.ch) Department of General Practice,
University of Melbourne, Parkville, Australia.
(Ukoumunne O.C.) National Institute for Health Research (NIHR),
Collaboration for Leadership in Applied Health Research and Care in South
West Peninsula, University of Exeter Medical School, Exeter, Devon, United
Kingdom.
(Lefebvre D.) Versoix, Switzerland.
(Broers B.) Department of Community Medicine, Primary Care and Emergency
Medicine, Dependencies Unit, Geneva University Hospitals, Geneva,
Switzerland.
CORRESPONDENCE ADDRESS
D.M. Haller, Division of Primary Care, Faculty of Medicine, University of
Geneva, Geneva, Switzerland. Email: dagmar.haller-hester@hcuge.ch
SOURCE
CMAJ (2014) 186:8 (E263-E272). Date of Publication: 13 May 2014
ISSN
1488-2329 (electronic)
0820-3946
BOOK PUBLISHER
Canadian Medical Association, dahlia@car.ca
ABSTRACT
Background: Brief interventions delivered by family physicians to address
excessive alcohol use among adult patients are effective. We conducted a
study to determine whether such an intervention would be similarly effective
in reducing binge drinking and excessive canna - bis use among young people.
Methods: We conducted a cluster randomized controlled trial involving 33
family physicians in Switzerland. Physicians in the intervention group
received training in delivering a brief intervention to young people during
the consultation in addition to usual care. Physicians in the control group
delivered usual care only. Consecutive patients aged 15-24 years were
recruited from each practice and, before the consultation, completed a
confidential questionnaire about their general health and substance use.
Patients were followed up at 3, 6 and 12 months after the consultation. The
primary outcome measure was self-reported excessive substance use (≥ 1
episode of binge drinking, or ≥ 1 joint of cannabis per week, or both) in
the past 30 days. Results: Of the 33 participating physicians, 17 were
randomly allocated to the intervention group and 16 to the control group. Of
the 594 participating patients, 279 (47.0%) identified themselves as binge
drinkers or excessive cannabis users, or both, at baseline. Excessive
substance use did not differ significantly between patients whose physicians
were in the intervention group and those whose physicians were in the
control group at any of the follow-up points (odds ratio [OR] and 95%
confidence interval [CI] at 3 months: 0.9 [0.6-1.4]; at 6 mo: 1.0 [0.6-1.6];
and at 12 mo: 1.1 [0.7-1.8]). The differences be - tween groups were also
nonsignificant after we re stricted the analysis to patients who reported
excessive substance use at baseline (OR 1.6, 95% CI 0.9-2.8, at 3 mo; OR
1.7, 95% CI 0.9-3.2, at 6 mo; and OR 1.9, 95% CI 0.9- 4.0, at 12 mo).
Interpretation: Training family physicians to use a brief intervention to
address excessive substance use among young people was not effective in
reducing binge drinking and excessive cannabis use in this patient
population. © 2014 Canadian Medical Association or its licensors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
binge drinking
cannabis addiction
consultation
controlled study
female
follow up
health care delivery
human
major clinical study
male
outcome assessment
questionnaire
randomized controlled trial
self report
Switzerland
work experience
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014331116
MEDLINE PMID
24616136 (http://www.ncbi.nlm.nih.gov/pubmed/24616136)
PUI
L373073682
DOI
10.1503/cmaj.131301
FULL TEXT LINK
http://dx.doi.org/10.1503/cmaj.131301
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 518
TITLE
Trends in opioid prescribing in U.S. Emergency departments based on provider
level of training
AUTHOR NAMES
Mazer-Amirshahi M.
Mullins P.M.
Pines J.M.
Nelson L.
Perrone J.
AUTHOR ADDRESSES
(Mazer-Amirshahi M.) Children's National Medical Center, Washington, United
States.
(Mullins P.M.; Pines J.M.) George Washington University, Washington, United
States.
(Nelson L.) New York University, New York, United States.
(Perrone J.) University of Pennsylvania, Philadelphia, United States.
CORRESPONDENCE ADDRESS
M. Mazer-Amirshahi, Children's National Medical Center, Washington, United
States.
SOURCE
Academic Emergency Medicine (2014) 21:5 SUPPL. 1 (S118). Date of
Publication: May 2014
CONFERENCE NAME
2014 Annual Meeting of the Society for Academic Emergency Medicine, SAEM
2014
CONFERENCE LOCATION
Dallas, TX, United States
CONFERENCE DATE
2014-05-13 to 2014-05-17
ISSN
1069-6563
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Background: Over the past decade, there have been significant increases in
opioid analgesic prescribing. Variation in opioid prescribing based on
provider level of training and specific opioids is less well characterized.
Objectives: To assess trends in opioid prescribing based on provider level
of training and specific agents in U.S. EDs. Methods: We reviewed all ED
visits from the CDC's National Hospital Ambulatory Medical Care Survey
(NHAMCS) 2001-2010 involving patients ≥18 years. Trends in ED prescribing of
all opioids stratified by Drug Enforcement Agency (DEA) schedule and
provider level of training were analyzed. Prescribing trends for five common
opioids (codeine, hydrocodone, hydromorphone, morphine, and oxycodone) were
individually explored. Visits were stratified into three categories by
provider level of training: those that involved an attending physician only,
a resident, or a mid-level provider (nurse practitioner, physician
assistant). The proportion of visits for which each medication was
prescribed was tabulated and trends were analyzed using survey-weighted
logistic regression. Results: The weighted estimate of adult ED visits
increased from 81,251,195 in 2001 to 100,027,879 in 2010 and the proportion
of visits during which an opioid was prescribed by any provider increased
from 10.0% to 19.0%, p<0.001. Overall opioid prescribing increased for all
visit types but was most pronounced in visits involving residents.
Prescribing of schedule II agents increased more than schedule III-V agents
for all groups (Table 275). Hydromorphone use increased the most for all
provider groups (433.4%-529.9%, p<0.001), followed by morphine
(139.7%-219.9%, p<0.001) and oxycodone (94.7%-142.3%, p<0.001). A variable
effect was noted on codeine and hydrocodone prescribing among providers.
Conclusion: There were significant increases in opioid prescribing among
visits involving all providers over time, with hydromorphone demonstrating
the greatest increase among the opioids studied. Visits involving residents
showed the largest change among providers. (Table presented).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
codeine
hydrocodone
hydromorphone
morphine
narcotic analgesic agent
oxycodone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency medicine
emergency ward
society
United States
EMTREE MEDICAL INDEX TERMS
adult
drug therapy
hospital
human
logistic regression analysis
medical care
nurse practitioner
patient
physician
physician assistant
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71469579
DOI
10.1111/acem.12365
FULL TEXT LINK
http://dx.doi.org/10.1111/acem.12365
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 519
TITLE
Knowledge and attitudes of pain management in hemophilia providers
AUTHOR NAMES
Lambing A.
AUTHOR ADDRESSES
(Lambing A.) Henry Ford Health System, Detroit, United States.
CORRESPONDENCE ADDRESS
A. Lambing, Henry Ford Health System, Detroit, United States.
SOURCE
Haemophilia (2014) 20 SUPPL. 3 (155). Date of Publication: May 2014
CONFERENCE NAME
World Federation of Hemophilia, WFH 2014 World Congress
CONFERENCE LOCATION
Melbourne, VIC, Australia
CONFERENCE DATE
2014-05-11 to 2014-05-15
ISSN
1351-8216
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Introduction and Objectives: The National Pain Survey identified that
persons with hemophilia (PWH) reported daily pain ratings of 5/10 as well as
describing acute and chronic pain with same words. Additionally 59% of
respondents seek pain management from their HTC providers. The purpose of
this survey was to assess the knowledge and attitudes of hemophilia
providers regarding pain assessment and treatment. Methods: A validated
Survey Monkey™ survey with 38 true/false and likert scale questions specific
to pain management was emailed to every physician and nurse provider in the
United States listed via CDC bleeding disorders website. Results: A total of
529 surveys were emailed to HTC providers with 152 completed (response rate
29%); 57 physicians, 22 nurse practitioners, 68 RNs; 5 other providers. Most
respondents were female (78%), RNs,(45%) (38% MDs, 15% NPs), and average age
of 49 years. While most participants had greater than 20 years in health
care (57%), the majority of subjects had 0-5 years of hemophilia experience
(28%); followed by greater than 20 years of hemophilia experience (24%).
Participants worked in a variety of settings; life span centers (45%),
pediatrics only (32%), or adult only (23%). At least 34% of the participants
HTCs cared for more than 300 hemophilia patients. Only 19% had taken
advanced training in pain management. The greatest response rate was from
Region V-East (19%) and lowest Region II (3%). Questions were stratified
into four categories; assessment, treatment, pharmacology and substance
abuse. In approximately 1/3 of the total questions only 75% of the
participants answered correctly. Despite 100% of respondents recognizing
patient selfreport of pain as the gold standard, significant attitudinal
differences were noted in the assessment and treatment of pain. Knowledge
deficits across the spectrum of providers were noted, specifically regarding
dose conversions, opioid metabolism, and adjuvant medications. Conclusion:
HTC providers demonstrate some knowledge regarding pain management. PWH
consider their HTC providers experts in hemophilia care and the conditions
related to hemophilia. Since the majority of hemophilia related pain
management is provided by HTCs additional education specific to
pharmacology, dependence, and addiction concerns may be beneficial.
EMTREE DRUG INDEX TERMS
adjuvant
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
hemophilia
EMTREE MEDICAL INDEX TERMS
addiction
adult
bleeding disorder
chronic pain
drug therapy
education
female
gold standard
Haplorhini
health care
human
lifespan
Likert scale
metabolism
nurse
nurse practitioner
pain
pain assessment
patient
pediatrics
pharmacology
physician
substance abuse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71475899
DOI
10.1111/hae.12400
FULL TEXT LINK
http://dx.doi.org/10.1111/hae.12400
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 520
TITLE
When worlds collide: Co-stewardship of chronic pain, addiction, and mental
health using the ECHO model
AUTHOR NAMES
Duhigg D.
AUTHOR ADDRESSES
(Duhigg D.) Department of Psychiatry, ECHO Institute, University of New
Mexico, Albuquerque, United States.
CORRESPONDENCE ADDRESS
D. Duhigg, Department of Psychiatry, ECHO Institute, University of New
Mexico, Albuquerque, United States.
SOURCE
Pain Research and Management (2014) 19:3 (e45). Date of Publication:
May-June 2014
CONFERENCE NAME
35th Annual Scientific Meeting of the Canadian Pain Society
CONFERENCE LOCATION
Quebec City, QC, Canada
CONFERENCE DATE
2014-05-20 to 2014-05-23
ISSN
1203-6765
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
Project ECHO's Chronic Pain/Headache and Integrated Addictions/Psychiatry
tele-health clinics are a forum for primary care providers (PCPs) to present
challenging cases to an inter-professional network of specialists. PCPs
receive real-time feedback and recommendations on complex patients with
unmet needs due to psychiatric, substance use, chronic pain, and/or
disadvantageous social determinants of health. ECHO is a forum for the most
difficult cases to be managed by the primary care provider with input from
expert mentors in a supportive, accessible community of practice. Project
ECHO also provides training and certification for Suboxone use, as well as
PCP education in evidence-based treatments for chronic pain, addiction and
mental health issues including rational prescribing, non-pharmacological
approaches, motivational interviewing, and harm reduction. New Mexico has
one of the highest rates of accidental opioid deaths in the United States,
and the highest rate of alcohol-related mortality. It is largely rural and
mostly medically underserved, with severely limited access to mental health,
chronic pain and addiction services. Project ECHO eliminates the geographic
divide by connecting primary care providers with specialists in order to
deliver evidence-based care to patients where they live. The ECHO approach
can mean that PCPs embrace these complex patients with confidence, and
maintain the crucial supportive patient-primary care physician relationship.
EMTREE DRUG INDEX TERMS
alcohol
buprenorphine plus naloxone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
chronic pain
mental health
model
pain
society
EMTREE MEDICAL INDEX TERMS
certification
community
death
education
evidence based practice
feedback system
general practitioner
harm reduction
health center
human
medical specialist
medically underserved
mortality
motivational interviewing
patient
primary medical care
social determinants of health
substance use
teacher
telehealth
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71606956
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 521
TITLE
Smoking-related medical conditions in the emergency department: Prevalence
and accuracy of patient perception that their visit may be related to
smoking
AUTHOR NAMES
Tsai A.
Tsai J.
Stewart L.
Cheung K.
AUTHOR ADDRESSES
(Tsai A.; Tsai J.; Stewart L.; Cheung K.) University of British Columbia,
Vancouver, Canada.
CORRESPONDENCE ADDRESS
A. Tsai, University of British Columbia, Vancouver, Canada.
SOURCE
Canadian Journal of Emergency Medicine (2014) 16 SUPPL. 1 (S58-S59). Date of
Publication: May 2014
CONFERENCE NAME
2014 CAEP/ACMU
CONFERENCE LOCATION
Ottawa, ON, Canada
CONFERENCE DATE
2014-05-31 to 2014-06-04
ISSN
1481-8035
BOOK PUBLISHER
Decker Publishing
ABSTRACT
Introduction: Worldwide, smoking is the single leading cause of preventable
deaths and disability. In 2004, the US General Surgeon's Report provided a
list of medical conditions that were causally found to be smoking-related.
In this study, we determine the prevalence of smoking-related conditions as
the Emergency Department (ED) discharge diagnosis among tobacco users who
visited a tertiary care academic ED. We also sought to determine which
medical conditions were more or less likely to be accurately perceived by
patients as being smoking-related. Methods: All adults ≥18 years of age who
had used tobacco within the last 30 days prior to their ED visit and who
were enrolled in a randomized controlled trial (ClinicalTrials.gov,
NCT01454375) from Dec.1, 2011 to Aug.31, 2012 were included in the study. As
part of the randomized controlled trial, all patients were asked whether or
not they perceived that their ED visit could be due to a smoking-related
condition. Blinded abstractors coded ED diagnoses from patient charts as
smoking-related or not smoking-related. All smoking-related conditions were
placed under 7 major disease categories: cardiovascular disease, neoplasm,
respiratory disease, reproductive complication, peptic ulcer disease,
post-op complication, or dental disease. Results: Eight hundred and twelve
patients were included; the mean age was 40 years and 61% were male. In
total, 14% had a smoking-related condition - 56% were respiratory diseases,
16% cardiovascular disease, 7% peptic ulcer disease, 7% post-operative
complications, 7% dental disease, 5% neoplasm, and 2% reproductive
complications. Of the conditions identified, 33% were correctly perceived by
patients to be smoking-related. Cardiovascular diseases, neoplasms, and
respiratory diseases were more likely to be accurately perceived by patients
to be smoking-related. Dental diseases, peptic ulcer disease, post-operative
complications, and reproductive complications were less likely to be
perceived as smokingrelated. Conclusion: In this study, 14% of all visits to
the ED among smokers were secondary to a smoking-related condition. Only 33%
of smoking-related conditions were accurately perceived by patients to be
related to tobacco. Further patient education is required to increase
awareness of smoking-related conditions, which may ultimately lead to
increased quit rates.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency ward
health education
human
patient
prevalence
smoking
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
cardiovascular disease
death
diagnosis
disability
male
neoplasm
patient education
peptic ulcer
postoperative complication
randomized controlled trial
respiratory tract disease
surgeon
tertiary health care
tobacco
tooth disease
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71929787
DOI
10.1017/S1481803500003171
FULL TEXT LINK
http://dx.doi.org/10.1017/S1481803500003171
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 522
TITLE
Addictive psychiatry: A career hard to give up!
AUTHOR NAMES
Montebello M.
Arunogiri S.
Coleman M.
Florida D.
Juckes L.
Rege S.
AUTHOR ADDRESSES
(Montebello M.) South Eastern Sydney Local Health District, Sydney,
Australia.
(Montebello M.; Florida D.) National Drug and Alcohol Research Centre,
University of NSW, Sydney, Australia.
(Arunogiri S.) Turning Point Drug and Alcohol, Eastern Health, Melbourne,
Australia.
(Coleman M.) Great Southern Mental Health Service, Perth, Australia.
(Florida D.; Juckes L.) Concord Drug Health, Sydney, Australia.
(Florida D.) Hills Clinic, Sydney, Australia.
(Juckes L.) Northern Sydney LHD Drug and Alcohol Services, Sydney,
Australia.
(Juckes L.) Wesley Private Hospital, Sydney, Australia.
(Rege S.) Psych Scene, Melbourne, Australia.
(Rege S.) Positive Psychology Wellness Centre, Melbourne, Australia.
CORRESPONDENCE ADDRESS
M. Montebello, South Eastern Sydney Local Health District, Sydney,
Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2014) 48 SUPPL. 1 (4).
Date of Publication: May 2014
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2014
CONFERENCE LOCATION
Perth, WA, Australia
CONFERENCE DATE
2014-05-11 to 2014-05-15
ISSN
0004-8674
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
This half-day workshop is aimed at registrars interested in passing the
addictions component of training and exams, as well as those considering
addiction subspecialty training. It will deliver comprehensive practical
insights into training and career opportunities in addiction psychiatry.
There is an increasing recognition of comorbid drug and alcohol problems
across all of psychiatry. Addiction psychiatry is a rapidly-growing
subspecialty field with established pathways for advanced training. Despite
the high prevalence of these disorders, trainees often report lack of
confidence and skills in this area. This workshop will include: • An
overview of training pathways, including progression to obtaining the
Advanced Certificate in Addiction; • A practical approach to Entrustable
Professional Activities (EPAS) specific to addictions; • A framework for
passing the 'addictions' components, for both the written and clinical
exams; • A panel discussion, including current trainees and addiction
psychiatrists from various states, focussing on public and private sectors,
academic paths, and opportunities for impacting on public health and policy.
This will be an interactive workshop, with ample opportunities for
discussion, coffee and networking. So come and see what's so addictive about
addiction psychiatry!.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
human
New Zealand
psychiatrist
psychiatry
EMTREE MEDICAL INDEX TERMS
addiction
coffee
diseases
implantable cardioverter defibrillator
organization and management
policy
prevalence
public health
skill
student
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71565189
DOI
10.1177/0004867414529061
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867414529061
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 523
TITLE
Socioeconomic inequalities in risk of hospitalization for community-acquired
bacteremia: A Danish population-based case-control study
AUTHOR NAMES
Koch K.
Søgaard M.
Nørgaard M.
Thomsen R.W.
Thomsen H.C.S.
AUTHOR ADDRESSES
(Koch K., k.koch@rn.dk; Søgaard M.; Nørgaard M.; Thomsen R.W.; Thomsen
H.C.S.) Department of Clinical Microbiology, Aalborg University Hospital,
Mølleparkvej 10, 9000 Aalborg, Denmark.
CORRESPONDENCE ADDRESS
K. Koch, Department of Clinical Microbiology, Aalborg University Hospital,
Mølleparkvej 10, 9000 Aalborg, Denmark. Email: k.koch@rn.dk
SOURCE
American Journal of Epidemiology (2014) 179:9 (1096-1106). Date of
Publication: 1 May 2014
ISSN
1476-6256 (electronic)
0002-9262
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
ABSTRACT
In a Danish population-based case-control study, we examined the association
between socioeconomic status (SES) and risk of community-acquired
bacteremia, as well as the contribution of chronic diseases and substance
abuse to differences in bacteremia risk. Analyses were based on 4,117
patients aged 30-65 years who were hospitalized with first-time
community-acquired bacteremia during 2000-2008 and 41,170 population
controls matched by sex, age, and region of residence. Individual-level
information on SES (education and income), chronic diseases, and substance
abuse was retrieved from public and medical registries. Conditional logistic
regression was used to compute odds ratios for bacteremia. Persons of low
SES had a substantially higher risk of bacteremia than those of high SES
(for short duration of education vs. long duration, odds ratio = 2.30 (95%
confidence interval: 2.10, 2.52); for low income vs. high income, odds ratio
= 2.77 (95% confidence interval: 2.54, 3.02)). A higher prevalence of
chronic diseases and substance abuse in low-SES individuals versus high-SES
individuals explained 43%-48% of the socioeconomic differences in bacteremia
risk. In a country with a universal welfare system, differences in the
burden of chronic diseases and substance abuse seem to have major importance
in explaining inequalities in bacteremia risk. © 2014 The Author.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bacteremia (disease management)
community acquired infection (disease management)
hospitalization
EMTREE MEDICAL INDEX TERMS
adult
aged
article
chronic disease
controlled study
Denmark
female
high risk population
human
income
infection risk
major clinical study
male
population research
socioeconomics
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014295775
MEDLINE PMID
24682527 (http://www.ncbi.nlm.nih.gov/pubmed/24682527)
PUI
L372975002
DOI
10.1093/aje/kwu032
FULL TEXT LINK
http://dx.doi.org/10.1093/aje/kwu032
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 524
TITLE
Optogenetics in neurology
AUTHOR NAMES
Adamantidis A.
AUTHOR ADDRESSES
(Adamantidis A.) Bern, Switzerland.
CORRESPONDENCE ADDRESS
A. Adamantidis, Bern, Switzerland.
SOURCE
European Journal of Neurology (2014) 21 SUPPL. 1 (7). Date of Publication:
May 2014
CONFERENCE NAME
Joint Congress of European Neurology 2014
CONFERENCE LOCATION
Istanbul, Turkey
CONFERENCE DATE
2014-05-31 to 2014-06-03
ISSN
1351-5101
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Understanding the biological basis of neurological disorders affecting the
nervous system is crucial to the development of therapeutic strategies. The
heterogeneity of cell types in the central nervous system and their complex
wiring into circuits has often limit both clinical and experimental progress
in translational medicine. Recently, the optogenetic technology has opened
new perspectives to identify the functions of those circuits in health and
disease. Optogenetics represents a versatile approach to probe the function
of neural circuits in animal model of human pathologies. Combined with
electrophysiological, optical or behavioral methods, the use of optogenetics
recently identified cellular substrates of disease symptoms, including
arousal/sleep, anxiety/depression, addiction, fear, autism and parkinsonism.
This lecture will provide the audience with up-to-date information and
illustration of optogenetic principles and applications in experimental
neurology.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neurology
optogenetics
EMTREE MEDICAL INDEX TERMS
addiction
animal model
autism
cells by body anatomy
central nervous system
fear
health
human
nervous system
neurologic disease
optics
parkinsonism
pathology
technology
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71480638
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 525
TITLE
Optogenetics in Neurology
AUTHOR NAMES
Adamantidis A.
AUTHOR ADDRESSES
(Adamantidis A.) Berne, Switzerland.
CORRESPONDENCE ADDRESS
A. Adamantidis, Berne, Switzerland.
SOURCE
Journal of Neurology (2014) 261 SUPPL. 1 (S7). Date of Publication: May 2014
CONFERENCE NAME
Joint Congress of European Neurology 2014
CONFERENCE LOCATION
Istanbul, Turkey
CONFERENCE DATE
2014-05-31 to 2014-06-03
ISSN
0340-5354
BOOK PUBLISHER
D. Steinkopff-Verlag
ABSTRACT
Understanding the biological basis of neurological disorders affecting the
nervous system is crucial to the development of therapeutic strategies. The
heterogeneity of cell types in the central nervous system and their complex
wiring into circuits has often limit both clinical and experimental progress
in translational medicine. Recently, the optogenetic technology has opened
new perspective to identify the functions of those circuits in health and
disease. Optogenetics represents a versatile approach to probe the function
of neural circuits in animal model of human pathologies. Combined with
electrophysiological, optical or behavioral methods, the use of optogenetics
recently identified cellular substrates of disease symptoms, including
arousal/sleep, anxiety/depression, addiction, fear, autism and parkinsonism.
This lecture will provide the audience with up-to-date information and
illustration of optogenetic principles and applications in experimental
neurology.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neurology
optogenetics
EMTREE MEDICAL INDEX TERMS
addiction
animal model
autism
cells by body anatomy
central nervous system
fear
health
human
nervous system
neurologic disease
optics
parkinsonism
pathology
technology
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71563721
DOI
10.1007/s00415-014-7337-4
FULL TEXT LINK
http://dx.doi.org/10.1007/s00415-014-7337-4
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 526
TITLE
Alcohol and substance abuse risk among students at the Kenya Medical
Training College
AUTHOR NAMES
Muriungi S.K.
Ndetei D.M.
Karanja J.
Matheka C.W.
AUTHOR ADDRESSES
(Muriungi S.K., skagwi2004@yahoo.com; Karanja J.) Kenya Medical Training
College, Nairobi, Kenya.
(Muriungi S.K., skagwi2004@yahoo.com) School of Human and Social Sciences,
Daystar University, Nairobi, Kenya.
(Ndetei D.M.) University of Nairobi, Nairobi, Kenya.
(Ndetei D.M.) Africa Mental Health Foundation (AMHF), Nairobi, Kenya.
(Matheka C.W.) School of Medicine, University of Nairobi, Nairobi, Kenya.
CORRESPONDENCE ADDRESS
S.K. Muriungi, Kenya Medical Training College, Nairobi, Kenya. Email:
skagwi2004@yahoo.com
SOURCE
Mental Health and Substance Use: Dual Diagnosis (2014) 7:2 (125-133). Date
of Publication: 3 Apr 2014
ISSN
1752-3281
1752-3273 (electronic)
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
The object was to determine alcohol and substance use risk among students at
the Kenya Medical Training College (KMTC). Data related to alcohol and
substance use were obtained from 3107 first- and second-year basic diploma
students from seven of the KMTC campuses in Kenya. Data were collected using
a researcher-designed socio-demographic questionnaire and the Alcohol,
Smoking and Substance Involvement Screening Test questionnaire. Most of the
participants had low risk for alcohol use (98.1%), while a small percentage
had moderate (1.7%) and high (0.25%) risk of alcohol use. Low risk of
alcohol use was higher in females (99.15%) compared to males (97%). The risk
for alcohol and tobacco use was comparable between those below 24 and those
above 24 years. All the separated, divorced and widowed students (n=34)
(100%) had low risk for sedatives and hallucinogens use. The risk of alcohol
and substance use exists among KMTC students at different levels. There is
need to screen students for substance use, increase awareness and provide
appropriate intervention to prevent drug use and its related co-morbidities.
© 2013 Taylor & Francis.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
cannabis
cocaine
opiate
psychedelic agent
sedative agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
medical student
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
female
groups by age
human
Kenya
male
medical school
priority journal
risk assessment
screening test
sex ratio
tobacco use
young adult
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014142413
PUI
L52638193
DOI
10.1080/17523281.2013.804862
FULL TEXT LINK
http://dx.doi.org/10.1080/17523281.2013.804862
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 527
TITLE
Improving internal medicine resident preparedness to diagnose and treat
substance use disorders; Evaluating the impact of an enhanced addiction
curriculum
AUTHOR NAMES
Wakeman S.E.
Pham-Kanter G.
Baggett M.
Campbell E.
AUTHOR ADDRESSES
(Wakeman S.E.; Baggett M.; Campbell E.) Massachusetts General Hospital,
Boston, United States.
(Pham-Kanter G.) University of Colorado, Anschutz Medical Campus, Denver,
United States.
(Campbell E.) Mongan Institute for Health Policy, Boston, United States.
CORRESPONDENCE ADDRESS
S.E. Wakeman, Massachusetts General Hospital, Boston, United States.
SOURCE
Journal of General Internal Medicine (2014) 29 SUPPL. 1 (S124). Date of
Publication: April 2014
CONFERENCE NAME
37th Annual Meeting of the Society of General Internal Medicine, SGIM 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-23 to 2014-04-26
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Substance use disorders (SUD) are the number one public health
problem facing America, accounting for more morbidity and mortality than any
other preventable health condition and affecting 16 % of the population.
Despite providing care for large numbers of patients with addiction, a
majority of internal medicine residents feel unprepared to treat SUDs and
rate the quality of SUD instruction during training as fair or poor.
METHODS: This prospective study evaluated the impact of an enhanced SUD
curriculum at Massachusetts General Hospital on internal medicine residents'
selfperceived preparedness to diagnose and treat SUDs, their ratings of the
quality and quantity of SUD education, and their basic knowledge of SUDs.
The intervention was a didactic curriculum designed by a collaborative group
of internists and psychiatrists with addiction expertise, incorporated into
the inpatient noon conference, resident report, and ambulatory lecture
series over the course of one academic year. Core topics included the
neurobiology of addiction; motivational interviewing; SUD screening and
diagnosis; withdrawal management; pharmacotherapy for alcohol and opioid use
disorders; opioid overdose prevention and management; physician addiction;
care for the hospitalized patient with addiction; and exposure to patients
in recovery. RESULTS: Following the intervention, 86 % of residents reported
feeling prepared to diagnose addiction and 58 % of residents reported
feeling prepared to treat addiction as compared to 74 % and 37 %
respectively in the baseline survey. Three quarters of residents rated the
overall quality of instruction as good or excellent and 98 % of residents
reported that formal residency curriculum had a positive impact on their
self-perceived preparedness to provide care to addicted patients. However,
39 % of residents still reported feeling unprepared to treat addiction.
Residents who reported receiving an adequate amount of SUD instruction were
more likely to feel prepared to diagnose and treat addiction. Nearly one
third of residents (31 %) still rated the overall amount of instruction in
addictions as too little. Additionally, the majority of residents reported
issues with insurance or cost of care (88 %) and access to addiction
treatment (80 %) had a negative impact on their self-perceived preparedness
to provide care for patients with SUDs. Nearly all residents (96 %) noted
time constraints also negatively impacted preparedness. The intervention did
not significantly improve residents' answers to knowledge questions.
CONCLUSIONS: An enhanced didactic SUD curriculum for internal medicine
residents resulted in improved self-perceived preparedness to diagnose and
treat SUDs and higher quality ratings for SUD instruction. However, there
was no significant change in knowledge. Limited access to addiction
treatment negatively impacts resident self-perceived preparedness which
highlights the need for overall policy changes related to SUD treatment in
addition to educational reform. Given the complexity of SUDs, a
comprehensive training model beginning in medical school, incorporating
clinical experiences, and comparable to other chronic disease curricula is
needed to adequately impact knowledge and clinical care.
EMTREE DRUG INDEX TERMS
alcohol
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
internal medicine
society
substance abuse
EMTREE MEDICAL INDEX TERMS
chronic disease
diagnosis
diseases
drug therapy
education
exposure
general hospital
health
hospital patient
human
insurance
internist
intoxication
medical school
model
morbidity
mortality
motivational interviewing
neurobiology
patient
physician
policy
population
prevention
prospective study
psychiatrist
public health problem
screening
United States
Western Hemisphere
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71494974
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 528
TITLE
Extent and predictors of training in office-based treatment of opioid
addiction in U.S. residency programs: A national survey of program directors
AUTHOR NAMES
Tesema L.
Marshall J.
Hathaway R.
Pham C.
Clarke C.
Bergeron G.
Yeh J.
Soliman M.
McCormick D.
AUTHOR ADDRESSES
(Tesema L.; Marshall J.; Hathaway R.; Pham C.; Clarke C.; Bergeron G.; Yeh
J.; Soliman M.; McCormick D.) Cambridge Health Alliance and Harvard Medical
School, Cambridge, United States.
CORRESPONDENCE ADDRESS
L. Tesema, Cambridge Health Alliance and Harvard Medical School, Cambridge,
United States.
SOURCE
Journal of General Internal Medicine (2014) 29 SUPPL. 1 (S93). Date of
Publication: April 2014
CONFERENCE NAME
37th Annual Meeting of the Society of General Internal Medicine, SGIM 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-23 to 2014-04-26
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Opioid addiction (OA) is a public health epidemic and is
associated with a high mortality rate. Highly effective pharmacotherapies to
treat OA exist, but less than 15 % of those in need of treatment receive it.
While methadone and buprenorphine are the gold standard treatments for OA,
buprenorphine alone can be prescribed in office-based settings, potentially
providing greater access. Prescription of buprenorphine in ambulatory
medical practice is uncommon, however, potentially due to limited
instruction of physicians during residency training. However, little is
known about the extent to which residency programs provide training in the
prescribing of buprenorphine or the treatment of OA. METHODS: We conducted
an email based survey of all U.S. residency program directors (RPD) in
Family Medicine, Internal Medicine and Psychiatry that were listed on the
website of the American College of Graduate Medical Education (ACGME).
Survey items assessed the extent of program training in the use of
buprenorphine, in addictions medicine generally, and whether or not
residents were required or encouraged to obtain a Drug Enforcement
Administration buprenorphine waiver (required to prescribe this medication).
We also assessed program directors' views and attitudes regarding the use of
buprenorphine and potential barriers to buprenorphine training. We produced
descriptive statistics for all items and also compared responses of RPD
across the three program types. We also examined the relationship between
RPD views of the value of buprenorphine and the extent of program training
in buprenorphine by calculating odds ratios of 95 % confidence intervals.
RESULTS: Of the 947 RPD we surveyed, 471 responded (49 % response rate). The
majority of RPD report that their residents frequently manage patients with
opioid addiction (77 %), believe buprenorphine is an important treatment
option for opioid dependence (88 %), and believe increased residency
training in buprenorphine would expand access to care for OA patients (73
%). Yet a minority of programs train residents in the use of buprenorphine
(36 %), require or encourage residents to obtain a waiver (23 %) or dedicate
greater than 12 h (over 3 years) to formal training to addiction medicines
(23 %), although psychiatry programs were more likely to do so (data not
shown) A minority also believed that prescribing buprenorphine should be a
core competency (37 %) of their discipline. We also found that RPD belief
that buprenorphine is an important treatment option for OA was associated
with a greater odds of the program providing training in buprenorphine (3.5
[CI95% 1.6-7.4)]. The most frequently cited barriers to implementing
buprenorphine training in residency programs included: shortage of licensed
preceptors (77 %), competing curricular priorities (64 %), and lack of
support services (54 %). CONCLUSIONS: Most residency programs frequently
care for OA patients and most RPD believe in the effectiveness of
buprenorphine and its ability to expand access to treatment for OA. Yet only
a minority of training programs offer formal training in the treatment of OA
generally, or with buprenorphine specifically. Increasing the exposure of
physicians during residency training to ambulatory treatment of OA using
buprenorphine could promote greater access to this treatment option.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
buprenorphine
methadone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
internal medicine
society
United States
EMTREE MEDICAL INDEX TERMS
cardiac resynchronization therapy device
college
confidence interval
drug therapy
e-mail
epidemic
exposure
family medicine
gold standard
government
graduate
human
medical education
medical practice
mortality
opiate addiction
outpatient care
patient
physician
prescription
psychiatry
public health
residency education
risk
statistics
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71494903
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 529
TITLE
The effect of gender on attitudes toward the homeless among primary care
internal medicine residents
AUTHOR NAMES
Norlock F.
Sadowski L.
Kapolnek M.
AUTHOR ADDRESSES
(Norlock F.; Sadowski L.; Kapolnek M.) Stroger Hospital of Cook County,
Chicago, United States.
CORRESPONDENCE ADDRESS
F. Norlock, Stroger Hospital of Cook County, Chicago, United States.
SOURCE
Journal of General Internal Medicine (2014) 29 SUPPL. 1 (S539). Date of
Publication: April 2014
CONFERENCE NAME
37th Annual Meeting of the Society of General Internal Medicine, SGIM 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-23 to 2014-04-26
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
NEEDS AND OBJECTIVES: The prevalence of homelessness is increasing. Few
resident programs offer formal training in how to provide care for the
homeless. Educators implemented a homeless medicine rotation to decrease
residents' stigma associated with homelessness and improve the clinical care
they provide to homeless patients. Investigators hypothesized that resident
gender would affect one's attitude toward the homeless in that female
residents would have lower stigma than their male counterparts prior to the
educational intervention, and in turn, male residents would have greater
improvement of their stigma scores than female residents by the end of the
rotation. SETTING AND PARTICIPANTS: PCIM residents (n=12) participated in a
2 week homeless medicine rotation based at an urban, public hospital focused
on collaborating with partners in the community. Residents participated in
group seminars on campus, engaged in tours and clinical experiences in the
community including working with patients in shelters, clinics and
residential housing programs. DESCRIPTION: Curriculum consisted of small
group seminars on the epidemiology, chronic disease management, health
outcomes, and lifestyle issues affecting morbidity and mortality in this
population. Residents worked in community-based clinics that served the
homeless including those with addictions and the recently incarcerated.
Learners were assigned evening shifts to care for those in shelters with
medical issues as well as residential facilities which cared for women and
children. Residents also heard life stories from homeless individuals in
small group settings. Residents' attitudes were assessed before and after
the course through an 11 item Attitudes Toward Homelessness Inventory (ATHI)
consisting of 4 subscales which attribute homelessness to societal cause;
personal cause; having a willingness to affiliate with the homeless; and
belief that homelessness is a solvable problem. A higher summation score of
the 4 subscales equates to a lower stigmatizing attitude of homelessness. A
meaningful difference score of 5.5 was set a priori. EVALUATION: Results
from the ATHI showed that women did have lower levels of stigma toward the
homeless at the onset of the rotation with a higher total summation score of
45.5 compared to the male summation score of 38.5 (p-value 0.14) consistent
with a meaningful difference in gender prior to the rotation. The
improvement in total scores overall was 1.75 among women and 7.6 points
among men consistent with a meaningful change in scores between men and
women (5.85 points), and a meaningful change in score for male residents
(7.6 points) post-rotation. The greatest mean change in score between men
and women was an improvement of 2.6 points in the personal cause subscale.
Lastly, women had lower stigma scores for all 4 subscales pre- and
post-rotation with the greatest improvement of 2.5 points in the societal
cause score. DISCUSSION/REFLECTION/LESSONS LEARNED: Educators showed higher
stigmatizing attitudes toward the homeless associated with gender, but with
a dedicated homeless medicine rotation male residents did have a meaningful
improvement in their attitudes by the end of the rotation with the greatest
improvement in the personal cause subscale. Findings suggest the need for
residents to be trained in caring for the homeless to improve attitudes and
lower stigma when caring for this vulnerable population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
gender
internal medicine
primary medical care
society
EMTREE MEDICAL INDEX TERMS
addiction
child
chronic disease
community
curriculum
disease management
epidemiology
female
health
homelessness
hospital
housing
human
lifestyle
male
morbidity
mortality
patient
population
prevalence
public hospital
residential home
statistical significance
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71496030
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 530
TITLE
Use of a web-based module for faculty development in communication and
chronic opioid prescribing
AUTHOR NAMES
Donovan A.K.
Wood G.J.
Rubio D.
Gibbs P.
Day H.
Spagnoletti C.
AUTHOR ADDRESSES
(Donovan A.K.; Rubio D.; Day H.; Spagnoletti C.) University of Pittsburgh,
School of Medicine, Pittsburgh, United States.
(Wood G.J.) Northwestern Lake Forest Hospital, Midwest Palliative and
Hospice CareCenter, Glenview, United States.
(Rubio D.; Gibbs P.) University of Pittsburgh, Center for Research on Health
Care, Pittsburgh, United States.
CORRESPONDENCE ADDRESS
A.K. Donovan, University of Pittsburgh, School of Medicine, Pittsburgh,
United States.
SOURCE
Journal of General Internal Medicine (2014) 29 SUPPL. 1 (S244). Date of
Publication: April 2014
CONFERENCE NAME
37th Annual Meeting of the Society of General Internal Medicine, SGIM 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-23 to 2014-04-26
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: As prescription opioid use and its complications reach epidemic
proportions, internists must effectively communicate with patients with
chronic nonmalignant pain (CNMP). However, few published curricula focus on
communication surrounding opioid prescribing. Results of an informal survey
of the internal medicine faculty at the University of Pittsburgh School of
Medicine (UPSOM) called for faculty development in “communicating with
patients about opioid use”. As such, we implemented a web-based curriculum
entitled Collaborative Opioid Prescribing Education-Risk Evaluation and
Management Strategy (COPE-REMS®), which was developed at the University of
Washington School of Medicine. We hypothesized that this curriculum would
increase faculty participants' communication skills knowledge and confidence
level, as well as self-reported and actual use of these skills with patients
who have CNMP. METHODS: Eligible participants were the clinician-educator
faculty affiliated with the UPSOM Internal Medicine Residency Program.
Participants were also required to care for outpatients given the focus of
the module. Of note, this study had an IRB exemption. Funding for this study
was provided by the Thomas Nimick, Jr. Competitive Research Fund. Faculty
were asked to complete the curriculum, along with pre and post electronic
surveys to assess their knowledge, attitudes, and reported use of skills
between May and June 2013. A follow-up survey was administered to all
participants in December 2013, to assess delayed attitudes and reported uses
of skills. Analysis of survey items included summary statistics and repeated
measures ANOVA between pre, post, and 6 month responses to survey questions.
We used the Bonferroni correction for posthoc analysis. All statistical
analysis was done using Stata 13. In addition, 23 of the eligible faculty
members were randomly selected to participate in a pre and post-module
Observed Structured Clinical Exam (OSCE) during this time to assess change
in actual communication skills. Each OSCE was scored with a 16-item
checklist completed by one of four standardized patients (SPs) in real time
and by a communication expert (CE) who viewed recorded encounters in a
blinded fashion. Paired t-tests were used for statistical analysis comparing
pre and post-module scores on the knowledge-based test and OSCE. RESULTS: A
total of 62 % (33/53) of eligible participants, with a mean of 16.1 years of
post-training clinical practice experience, completed the curriculum. They
rated their overall baseline physician-patient communication skills as 7.9
(scale 1-10 where 1 = poor and 10 = outstanding). All reported at least some
prior faculty-level training in both physician-patient communication and
management of patients with CNMP. Participants felt the curriculum was clear
(mean 4.7; scale 1-5 were 1 = strongly disagree and 5 = strongly agree) and
met its stated learning objectives (mean 4.7). Most felt that the time it
took to complete the module was too long (mean 4.5); some faculty reported
spending greater than 3 h on completing the module while one participant
spent only 24 min. The 25-item knowledge-based test scores improved with
completion of the curriculum (pre 75 % vs. post 90 %, p<0.001). Compared to
the pre-curriculum scores, participants reported improved comfort in
managing patients both immediately post-curriculum and at 6 months (3.6 vs.
4.0 vs. 4.1 at pre, post, and 6 month time points respectively, p=0.0184;
scale 1-5 where 1 = totally uncomfortable and 5 = totally comfortable),
prescribing opioids (3.3 vs. 3.8 vs. 3.9, p=0.0061), and conducting a
conversation about discontinuing opioids (2.8 vs. 3.5 vs. 3.9, p<0.001).
Additionally, repeated measures ANOVA between the three timepoints
demonstrated an improvement in faculty comfort with teaching residents about
managing patients with CNMP (3.5 vs. 3.9 vs. 4.0 for pre, post, and 6 months
respectively, p<0.0016). Of the 23 faculty randomized to the OSCE, the OSCE
participation rate was 57 % (13/23); an additional 4 faculty volunteered to
complete at least one OSCE to maximize utilization of the funded SP
encounters. When rated by the SPs, the mean pre-OSCE score was 74 % vs. post
82 % (p=0.0344). When rated by the CE, the scores were 65 % and 71 %
respectively (p=0.0767). The inter-rater reliability between the CE and each
of the four SPs was fair to moderate (k=0.28 to 0.66). CONCLUSIONS: The
COPE-REMS® curriculum was feasible to implement among clinician-educator
faculty. Despite rating their baseline communication skills highly, this
seasoned group of clinicians had improvement in their knowledge and comfort
with managing patients with CNMP after participating in the curriculum.
Improvement in actual skill was also achieved, and was statistically
significant when rated by SPs during the OSCE component of the study. A
web-based curriculum such as the COPE-REMS® may be useful for other programs
looking to improve their faculty's comfort and skill in managing patients
with CNMP.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internal medicine
interpersonal communication
society
EMTREE MEDICAL INDEX TERMS
analysis of variance
checklist
clinical practice
comfort
communication skill
conversation
curriculum
dental floss
education
epidemic
follow up
funding
human
internist
learning
outpatient
pain
patient
physician
prescription
reliability
risk
school
skill
statistical analysis
statistics
Student t test
teaching
United States
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71495241
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 531
TITLE
Overdose education and naloxone prescribing for patients on chronic opioids:
A qualitative study of health care providers
AUTHOR NAMES
Binswanger I.A.
Koester S.
Mueller S.
Gardner E.M.
Goddard K.
Glanz J.M.
AUTHOR ADDRESSES
(Binswanger I.A.; Mueller S.) University of Colorado, School of Medicine,
Denver, United States.
(Binswanger I.A.; Gardner E.M.) Denver Health Medical Center, Denver, United
States.
(Koester S.; Mueller S.) University of Colorado Denver, Denver, United
States.
(Goddard K.; Glanz J.M.) Kaiser Permanente Colorado, Denver, United States.
CORRESPONDENCE ADDRESS
I.A. Binswanger, University of Colorado, School of Medicine, Denver, United
States.
SOURCE
Journal of General Internal Medicine (2014) 29 SUPPL. 1 (S162-S163). Date of
Publication: April 2014
CONFERENCE NAME
37th Annual Meeting of the Society of General Internal Medicine, SGIM 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-23 to 2014-04-26
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Fatal unintentional poisonings from pharmaceutical opioids have
increased nearly four-fold in the last decade. Naloxone is an effective,
Food and Drug Administration approved opioid antidote usually administered
by first responders to reverse respiratory depression due to opioid
poisoning. Increasingly, communitybased programs have provided naloxone to
heroin users for potential overdose reversal. Patients on chronic
pharmaceutical opioids for pain could also benefit from overdose education
and naloxone prescription, but there are significant barriers to these
practices in routine clinical care. This qualitative study was designed to
assess the knowledge, attitudes and beliefs about overdose prevention and
naloxone prescription among primary care and HIV clinicians, pharmacists and
clinic administrators. METHODS: We conducted focus groups in two primary
care internal medicine and two infectious disease/HIV clinics from a
university and a safety net health system in Colorado, a state which passed
legislation to permit naloxone prescriptions in 2013. A focus group guide
was developed using domains from the Theory of Planned Behavior and the
Health Belief Model. Each focus group was led by two experienced qualitative
interviewers. Focus groups were recorded and transcribed, coded using
ATLAS.ti® qualitative software, and analyzed using a team-based constant
comparative method of inductive analysis. RESULTS: We enrolled 10 (40 %)
physicians, 6 (24 %) nurses, 4 (16 %) pharmacists, 3 (12 %) nurse
practitioners, 1 (4 %) administrator, and 1 (4 %) counselor into focus
groups. Fourteen (56 %) participants were female and participants had a mean
age of 42 years (range 26-58 years). Eighteen (72 %) were white, 3 (12 %)
were Hispanic or Latino, 2 (8 %) were African American, and 2 (8 %) were
Asian. Participants described opioid overdoses among their patients and
several formal and informal opioid prescribing policies and guidelines, but
little prior knowledge and uptake of overdose education and naloxone
prescribing in clinical practice. We identified the following themes from
the transcripts (see Table for illustrative quotations): 1) A wide spectrum
of patients could be targeted for naloxone prescription, including patients
with concomitant mental health problems, impulsivity, and poorly controlled
pain; 2) Barriers and challenges to implementation of a naloxone
prescription fell into two major categories: attitudinal and practical.
Providers were concerned about giving mixed messages about opioid safety
(attitudinal) and adding training to administer naloxone to an already busy
clinic schedule (practical). 3) The benefits of naloxone prescribing were
perceived as significant. They included direct benefits such as preventing
accidental overdose, as well as indirect benefits, such as alerting patients
and their significant others to the overdose potential of opioids and
enhancing medication safety. CONCLUSIONS: Health care providers had limited
awareness about naloxone for take-home use but were receptive to prescribing
it to a broad range of patients on opioids for pain. Providers also
identified a number of potential safety benefits to naloxone prescribing.
However, efficiency concerns and ambivalence about prescrib-ing opioids to
patients who could overdose limited enthusiasm for naloxone. To address
opioid overdose risk in clinical practice, future efforts should enhance
provider knowledge on overdose education and naloxone prescription, reduce
implementation barriers, and improve opioid safety messaging for patients on
chronic opioids. (Table presented).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
EMTREE DRUG INDEX TERMS
antidote
diamorphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
health care personnel
human
internal medicine
intoxication
patient
qualitative research
society
EMTREE MEDICAL INDEX TERMS
administrative personnel
African American
Asian
clinical practice
constant comparative method
drug therapy
female
food and drug administration
Health Belief Model
health care
Hispanic
hospital
Human immunodeficiency virus
impulsiveness
information processing
law
mental health
nurse
nurse practitioner
pain
pharmacist
physician
policy
prescription
prevention
primary medical care
respiration depression
risk
safety
software
Theory of Planned Behavior
United States
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71495056
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 532
TITLE
Breaking bad: The importance of recognizing physicians impaired by substance
abuse disorders
AUTHOR NAMES
Glassman R.
Libman H.
Matsumoto E.
AUTHOR ADDRESSES
(Glassman R.; Libman H.; Matsumoto E.) Beth Israel Deaconess Medical Center,
Boston, United States.
CORRESPONDENCE ADDRESS
R. Glassman, Beth Israel Deaconess Medical Center, Boston, United States.
SOURCE
Journal of General Internal Medicine (2014) 29 SUPPL. 1 (S326). Date of
Publication: April 2014
CONFERENCE NAME
37th Annual Meeting of the Society of General Internal Medicine, SGIM 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-23 to 2014-04-26
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
LEARNING OBJECTIVE 1: Understand the epidemiology of substance abuse among
physicians in the United States LEARNING OBJECTIVE 2: Identify resources
available for health care professionals with substance abuse disorders CASE:
A 54-year-old physician with a history of HIV infection and depression
presented to the emergency room with altered mental status, after failing to
arrive at his medical office. He was somnolent and minimally responsive, and
laboratory studies were noteworthy for a toxicology screen positive for
amphetamines. He was admitted to the intensive care unit for further
management. Overnight, the patient was treated with lorazepam for agitation.
When interviewed the following day, the patient communicated that he had
used crystal methamphetamine the night prior. He was encouraged to seek help
through the Massachusetts' Physician Health Services, and expressed that he
had been told to do so by several previous providers. He also reported a
recent admission to a nearby psychiatric hospital for suicide attempt while
under the influence of methamphetamine. Given evidence of repetitive abuse
and failure to follow through with Physician Health Services, a report was
sent to the Massachusetts State Medical Board. DISCUSSION: The prevalence of
substance abuse among health care providers is an estimated 6-8 %, similar
to the general population but concerning given the level of responsibility
placed in their hands. Studies have shown that large workloads and chronic
work-related stress lead to early burnout among physicians. To counter-act
the effect on mental health, physicians have been found to abuse drugs for
performance enhancement (stimulants) and for self-treatment of pain,
anxiety, and depression (opioids and benzodiazepines). In 1973, the American
Medical Association published a report entitled “The Sick Physician,” which
brought to light the prevalence of physician impairment secondary to
substance abuse and prompted the creation of state and local programs. All
50 states now have impaired-physician programs sponsored by the state
medical society aimed at providing physicians with rehabilitative services.
In Massachusetts, this program is called Physician Health Service. It is
independent of the state licensing boards and therefore free of punitive
action unless the practitioner does not comply with treatment guidelines.
For those who do not comply or have a severe enough disability to compromise
their professional activities, state medical boards should be informed for
both ethical and legal reasons. It is important to recognize the services
available to physicians with substance abuse issues so that they can receive
treatment early before endangering their patients.
EMTREE DRUG INDEX TERMS
amphetamine derivative
benzodiazepine derivative
central stimulant agent
lorazepam
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diseases
human
internal medicine
physician
society
substance abuse
EMTREE MEDICAL INDEX TERMS
abuse
agitation
anxiety
burnout
crystal
disability
emergency ward
epidemiology
health care personnel
health service
Human immunodeficiency virus
Human immunodeficiency virus infection
intensive care unit
job stress
laboratory
licensing
malpractice
medical society
mental health
mental hospital
night
pain
patient
population
prevalence
responsibility
self care
suicide attempt
toxicology
United States
workload
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71495461
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 533
TITLE
Curriculum based clinical reviews: Diagnosis and treatment of alcoholic
hepatitis
AUTHOR NAMES
Parker R.
McCune C.A.
AUTHOR ADDRESSES
(Parker R., richardparker@nhs.net) NIHR Centre for Liver Research,
University of Birmingham, Birmingham, United Kingdom.
(Parker R., richardparker@nhs.net) Liver Unit, University Hospitals
Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
(McCune C.A.) Department of Liver Medicine, University Hospitals Bristol NHS
Foundation Trust, Bristol, United Kingdom.
CORRESPONDENCE ADDRESS
R. Parker, NIHR Centre for Liver Research, University of Birmingham,
Birmingham, United Kingdom. Email: richardparker@nhs.net
SOURCE
Frontline Gastroenterology (2014) 5:2 (123-129). Date of Publication: April
2014
ISSN
2041-4137
2041-4145 (electronic)
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
ABSTRACT
Alcoholic liver disease (ALD) is increasing in incidence in the UK. It is
the commonest cause of liver-related deaths, predominantly in people below
the age of 60. Alcoholic hepatitis (AH) is an acute form of ALD with high
mortality when severe. Jaundice and coagulopathy are clinical hallmarks of
severe AH. Histology findings are characterised by parenchymal inflammation
and hepatocellular damage although biopsy is only required when diagnostic
uncertainty exists; clinical findings are usually sufficient for accurate
diagnosis. Patients with AH should be stratified as non-severe or severe
using non-invasive scoring systems such as the discriminant function or the
Glasgow Alcoholic Hepatitis Score. In patients with non-severe AH,
abstinence is the mainstay of treatment, and it is important that steps are
taken to help patients stop drinking. Severe AH requires specialist
treatment. Consensus guidelines recommend the use of prednisolone although
this remains subject to clinical trials. Pentoxifylline may have a survival
benefit if corticosteroids are contraindicated. Nutritional support and
N-acetylcysteine should be considered for use in conjunction with
corticosteroids although evidence of benefit is not conclusive. Patients
with severe disease who do not respond to therapy within a week have a very
poor outcome. Recent data have shown a survival benefit of liver
transplantation in this group although this remains experimental at present.
Current and future research should focus on targeted therapies for severe AH
and those who fail first-line treatment.
EMTREE DRUG INDEX TERMS
acetylcysteine (drug therapy)
albumin (drug therapy)
aminoglycoside antibiotic agent (drug therapy)
basiliximab (drug therapy)
benzodiazepine derivative (drug therapy)
gentamicin (drug therapy)
oxazepam (drug therapy)
pentoxifylline (drug therapy)
prednisolone (drug therapy)
terlipressin (drug therapy)
theophylline (drug therapy)
thiamine (drug therapy)
vancomycin (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol liver disease (drug therapy, diagnosis, drug therapy, epidemiology,
surgery)
EMTREE MEDICAL INDEX TERMS
acute kidney failure (complication)
age
alcohol abstinence
bleeding (complication)
blood clotting disorder
cause of death
cell death
cholestasis
clinical assessment
clinical trial (topic)
comorbidity
consensus
corticosteroid therapy
decompensated liver cirrhosis (complication)
diagnostic accuracy
diet supplementation
discriminant analysis
disease severity
drug contraindication
Glasgow Alcoholic Hepatitis Score
hepatorenal syndrome (complication, drug therapy)
human
hyperbilirubinemia
incidence
inflammation
inflammatory infiltrate
intensive care
jaundice
liver biopsy
liver cell damage
liver fibrosis
liver histology
liver parenchyma
liver transplantation
medical specialist
mitochondrion
mortality
neutrophilia
nutritional support
patient selection
practice guideline
priority journal
prothrombin time
review
scoring system
sepsis (drug therapy)
steatosis
survival
survival time
treatment failure
uncertainty
United Kingdom
CAS REGISTRY NUMBERS
acetylcysteine (616-91-1)
gentamicin (1392-48-9, 1403-66-3, 1405-41-0)
oxazepam (604-75-1)
pentoxifylline (6493-05-6)
prednisolone (50-24-8)
terlipressin (14636-12-5)
theophylline (58-55-9, 5967-84-0, 8055-07-0, 8061-56-1, 99007-19-9)
thiamine (59-43-8, 67-03-8)
vancomycin (1404-90-6, 1404-93-9)
EMBASE CLASSIFICATIONS
General Pathology and Pathological Anatomy (5)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014198792
PUI
L372647241
DOI
10.1136/flgastro-2013-100373
FULL TEXT LINK
http://dx.doi.org/10.1136/flgastro-2013-100373
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 534
TITLE
The impact of an educational group session on opioid treatment agreement
violations
AUTHOR NAMES
Summers P.
Martin C.
Quidgley-Nevares A.
AUTHOR ADDRESSES
(Summers P.; Martin C.; Quidgley-Nevares A.) Eastern Virginia Medical
School, Norfolk, United States.
CORRESPONDENCE ADDRESS
P. Summers, Eastern Virginia Medical School, Norfolk, United States.
SOURCE
Journal of Pain (2014) 15:4 SUPPL. 1 (S40). Date of Publication: April 2014
CONFERENCE NAME
33rd Annual Scientific Meeting of the American Pain Society
CONFERENCE LOCATION
Tampa, FL, United States
CONFERENCE DATE
2014-04-30 to 2014-05-03
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
Interventions are needed to decrease the growing epidemic of prescription
drug abuse. Opioids treatment agreements are often utilized as an abuse
deterrent. The purpose of this study is to evaluate if a one hour
educational group session for new patients has an impact on violation of
opioid treatment agreement violation. Violation of the opioid treatment
agreement results in discharge from the pain management clinic. The
educational session provided information by a clinical psychologist to new
patients about the nature of pain, theories of pain, and traditional and
complimentary treatments for pain. The study population consisted of new
patients 18 years or older attending a multidisciplinary comprehensive pain
management clinic. A total of 326 patients were included in the study (157
who had attended the educational session and 169 who had not). Preliminary
analysis revealed no significant difference between those who attended the
educational session versus those who did not in regards to gender, mean age
at first visit mean number of years in the clinic, source of pain, illicit
drug use or medication prescribed. Those who attended the educational
session were 1.8 times more likely to be discharged. The results suggest
that the one hour educational group session did not positively impact
discharge. The reason for the increased likelihood of discharge may be due
an increased false sense of privilege as they have participated in their
care beyond a typical first physician office visit. Patients either
participated in the session voluntarily or as a mandatory requirement due to
a change in clinic policies. Due to incomplete data collection this factor
could not be controlled for in this study. More intensive interventions are
warranted to decrease violations. This may include an increased number of
educational hours or individualized interventional plans which may help
decrease the prescription drug epidemic.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
illicit drug
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain
society
EMTREE MEDICAL INDEX TERMS
abuse
ambulatory care
analgesia
clinical psychology
drug abuse
drug therapy
drug use
epidemic
gender
hospital
human
information processing
patient
physician
policy
population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71404392
DOI
10.1016/j.jpain.2014.01.164
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2014.01.164
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 535
TITLE
State-level education standards for substance use prevention programs in
schools: A systematic content analysis
AUTHOR NAMES
Bruckner T.A.
Domina T.
Hwang J.K.
Gerlinger J.
Carpenter C.
Wakefield S.
AUTHOR ADDRESSES
(Bruckner T.A., tim.bruckner@uci.edu) Public Health and Planning, Policy and
Design, University of California, Irvine, 202 Social Ecology I, Irvine, CA
92697-7075, United States.
(Domina T.; Hwang J.K.) School of Education, University of California,
Irvine, Irvine, CA, United States.
(Gerlinger J.) Department of Criminology, Law and Society, University of
California, Irvine, Irvine, CA, United States.
(Carpenter C.) Department of Economics, Vanderbilt University, Nashville,
TN, United States.
(Wakefield S.) School of Criminal Justice, Rutgers, Newark, NJ, United
States.
CORRESPONDENCE ADDRESS
T.A. Bruckner, Public Health and Planning, Policy and Design, University of
California, Irvine, 202 Social Ecology I, Irvine, CA 92697-7075, United
States. Email: tim.bruckner@uci.edu
SOURCE
Journal of Adolescent Health (2014) 54:4 (467-473). Date of Publication:
April 2014
ISSN
1054-139X
1879-1972 (electronic)
BOOK PUBLISHER
Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Purpose Three fourths of public schools in the United States maintain
instructional programs to discourage alcohol, tobacco, and other drug (ATOD)
use. State-sanctioned instructional standards attempt to direct this ATOD
preventive education. No existing research, however, systematically codes
these standards across all grades and states. We performed such an analysis.
Methods We retrieved ATOD standards information from all 50 states and the
District of Columbia from multiple sources, including the National
Association of State Boards of Education's State School Health Policy Web
site. Three independent researchers classified and cross-validated ATOD
standards (inter-rater agreement = 98%) based on recommended content domains
and pedagogic delivery methods. Results We find substantial grade-level
variation in standards. Elementary schools emphasize generic social skills
and affective skills, whereas middle and high school standards focus on
knowledge about biological and behavioral consequences of ATOD use. States
also vary widely in their content and coverage of standards. Two thirds of
states do not include standards in all content areas considered
"evidence-based." Conclusions The ATOD curricular agenda for the majority of
states falls well below recommended content and delivery benchmarks. We
intend for our harmonized data set - the first of its kind - to promote
research that examines the relation among state ATOD standards, actual
classroom instruction, and adolescent ATOD use. © 2014 Society for
Adolescent Health and Medicine. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
preventive medicine
substance use
EMTREE MEDICAL INDEX TERMS
article
communication skill
content analysis
evidence based practice
health behavior
high school
human
interpersonal communication
primary school
priority journal
program effectiveness
social adaptation
standard
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014201479
MEDLINE PMID
24016749 (http://www.ncbi.nlm.nih.gov/pubmed/24016749)
PUI
L52767519
DOI
10.1016/j.jadohealth.2013.07.020
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jadohealth.2013.07.020
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 536
TITLE
Integrating behavioral health services and primary care atan Urban,
safety-net teaching hospital: A pilot program
AUTHOR NAMES
Pace C.A.
Buczek J.
Cruz A.
Ellenberg L.
Jonathan F.
Ginman E.W.
Gordon C.M.
Marks H.M.
Sokolove R.
Samet J.H.
Wu C.
AUTHOR ADDRESSES
(Pace C.A.; Buczek J.; Cruz A.; Ellenberg L.; Jonathan F.; Ginman E.W.;
Gordon C.M.; Marks H.M.; Sokolove R.; Samet J.H.; Wu C.) Boston University,
School of Medicine, Boston, United States.
CORRESPONDENCE ADDRESS
C.A. Pace, Boston University, School of Medicine, Boston, United States.
SOURCE
Journal of General Internal Medicine (2014) 29 SUPPL. 1 (S487-S488). Date of
Publication: April 2014
CONFERENCE NAME
37th Annual Meeting of the Society of General Internal Medicine, SGIM 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-23 to 2014-04-26
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
STATEMENT OF PROBLEM OR QUESTION (ONE SENTENCE): Although behavioral health
conditions are known to affect the overall health of primary care patients,
barriers to effective behavioral health care at Boston Medical Center's
Adult Primary Care Clinic (including the lack of systematic behavioral
health screening and the delivery of most behavioral health services in
another department) have led to missed opportunities for early
identification of these conditions as well as gaps in patient access and
coordination of care. OBJECTIVES OF PROGRAM/INTERVENTION (NO MORE THAN THREE
OBJECTIVES): To improve early identification of depression and unhealthy
substance use; improve access to psychotherapy and substance use counseling;
and improve the quality of on-site care for depression and unhealthy
substance use through primary care provider trainings and collaborative care
protocols. DESCRIPTION OF PROGRAM/INTERVENTION, INCLUDING ORGANIZATIONAL
CONTEXT (E.G. INPATIENT VS. OUTPATIENT, PRACTICE OR COMMUNITY
CHARACTERISTICS): Boston Medical Center's Adult Primary Care Clinic is a
36,000-patient practice at an urban, safety-net, academic teaching hospital.
This pilot program of integrated behavioral health services is located in
one of the clinic's 's six teams, with the goal of spreading an optimized
program across all teams. The pilot involves the following new elements: 1)
Standardized, annual screening for depression and unhealthy substance use,
initiated by front desk staff and medical assistants; 2) Short-course
psychotherapy and substance use counseling by an on-site, full-time licensed
clinical social worker (LICSW), with facilitated referrals to specialty
behavioral health for patients requiring long-term treatment; 3) A community
resource expert who connects patients with resources such as food stamps or
transportation; 4) Depression care management, modeled after IMPACT, in
which the LICSW collaborates with providers to assess, educate and counsel
patients with depression and adjust treatment as needed; 5) Staff and
provider training on the rationale for behavioral health screening, the
screening and referral workflows, and, for providers, brief interventions
for unhealthy substance use and evidence-based depression treatment in
primary care. MEASURES OF SUCCESS (DISCUSS QUALITATIVE AND/OR QUANTITATIVE
METRICS WHICH WILL BE USED TO EVALUATE PROGRAM/ INTERVENTION): Metrics
include: 1) Proportion of patients who receive annual screening for
depression and unhealthy substance use; 2) Of patients referred to the
LICSW: a) proportion given an appointment within 14 days; b) proportion who
attended their appointment; 3) Proportion of patients with a diagnosis of
depression who have a recorded PHQ9 score in their medical record; 4)
Provider satisfaction with behavioral health services, measured by pre- and
post-intervention surveys. FINDINGS TO DATE (IT IS NOT SUFFICIENT TO STATE
eFINDINGS WILL BE DISCUSSED): A 26 question pre-intervention survey was
completed by eight attending providers and five residents (n=13). PHQ9 and
referral data were obtained from hospital databases. Early pilot metrics
will be available in April. Baseline findings include: 1) Approximately half
of providers reported annual screening for depression with the majority of
patients. All providers reported annual screening for unhealthy substance
use with the majority of patients, but few reported consistently doing brief
interventions. Providers reported a low level of staff assistance with
screening. 2) With 10 being the highest score, the average satisfaction with
available behavioral health services was 4.4. Although providers rated the
importance of communication with behavioral health specialists as 8.4, the
average rating for communication with these specialists was 3.6. 3) In a
review of referral data over two week-long periods of the 2012-13 academic
year, 100 % of adult primary care patients referred to the specialty
Behavioral Health clinic were given appointments for a group clinic
orientation, but only 25 % percent attended a clinical intake visit within 6
months. 4) Of patients with depression in their problem list, only 2.5 % had
a recorded PHQ9 score in their record prior to the pilot. KEY LESSONS FOR
DISSEMINATION (WHAT CAN OTHERS TAKE AWAY FOR IMPLEMENTATION TO THEIR
PRACTICE OR COMMUNITY?): Our novel pilot program of behavioral health
integration in a safety net, academic hospital primary care setting has
yielded several lessons: 1) Customizing screening workflows to our clinic
and electronic record was challenging, requiring months of pre-testing with
staff and problem-solving with the multi-disciplinary team. Such efforts,
however, heightened staff engagement and helped us anticipate problems prior
to implementation. 2) Despite the pilot's small scale, each step has
benefited from extensive collaboration between Behavioral Health and Primary
Care. To ensure that participating providers and administrators have
sufficient time for the project, such collaboration has required buy-in from
departmental leadership, with a plan for sustainability and dissemination.
3) Even with high levels of institutional support and interdisciplinary
collaboration, it is challenging to support non-billable efforts from
providers such as psychiatrists when fee-for-service payment still
dominates. Creativity is required to adapt evidence-based models such as
IMPACT in an era of mixed payment models.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
lindane
EMTREE DRUG INDEX TERMS
nitrogen 13
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health service
internal medicine
primary medical care
safety
society
teaching hospital
EMTREE MEDICAL INDEX TERMS
administrative personnel
adult
community
counseling
creativity
data base
diagnosis
evidence based practice
food assistance
health
health care
health center
hospital
hospital patient
human
interpersonal communication
leadership
long term care
mass screening
medical assistant
medical record
medical specialist
model
patient
problem solving
psychiatrist
psychotherapy
satisfaction
screening
social worker
substance use
traffic and transport
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71495911
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 537
TITLE
Developing character during medical education
AUTHOR NAMES
Dormer K.
Wells J.
Hemrick M.
Swanson R.
AUTHOR ADDRESSES
(Wells J.; Swanson R.) Anatomical Sciences, Liberty University, College of
Osteopathic Medicine, Lynchburg, United States.
(Dormer K.) Integrative Physiology and Pharmacology, Liberty University,
College of Osteopathic Medicine, Lynchburg, United States.
(Hemrick M.) Molecular and Cellular Sciences, Liberty University, College of
Osteopathic Medicine, Lynchburg, United States.
CORRESPONDENCE ADDRESS
K. Dormer, Integrative Physiology and Pharmacology, Liberty University,
College of Osteopathic Medicine, Lynchburg, United States.
SOURCE
FASEB Journal (2014) 28:1 SUPPL. 1. Date of Publication: April 2014
CONFERENCE NAME
Experimental Biology 2014, EB
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-26 to 2014-04-30
ISSN
1530-6860
BOOK PUBLISHER
FASEB
ABSTRACT
Character (qualities that determine one's response to events regardless of
circumstances) determines success and is important because of powerful
influences physicians have on patients' health and well-being. Medical
education should endorse good character, e.g. compassion, empathy,
discernment, generosity, honor, justice, self-control, truthfulness and
virtue. Important for patient care, we designed a curriculum to promote
character in future physicians. Curricular examples: Neurophysiology:
Pornography addiction can destroy marriages, families and culture. Its
addiction is taught to encourage a physician's compassion and to facilitate
physician-patient education of self-control and virtue. Cardiovascular:
Prolonged stress, unresolved anger and CRH release with cardiovascular
sequelae, lead to major health problems. Attentiveness and sensitivity are
taught to recognize and treat stress preventatively, not only in disease.
GI/Nutrition: Responsibility and self-control in diet, fitness, and wellness
are promoted in students, as good examples for future patients. Anatomical
Sciences: Unselfishness and self-control are important in a patient for
healthy sexual relationships. Female reproductive tracts allow for pathology
(sperm proteins accessing the bloodstream can drag endometrial cells into
the Pouch of Douglas) if honor doesn't restrain intercourse during
menstruation.
EMTREE DRUG INDEX TERMS
protein
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
EMTREE MEDICAL INDEX TERMS
addiction
attention
curriculum
diet
empathy
endometrium cell
female
female genital system
fitness
health
human
justice
marriage
menstruation
morality
neurophysiology
pathology
patient
patient care
patient education
physician
pornography
responsibility
self control
sexual intercourse
sperm
student
wellbeing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71422994
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 538
TITLE
Level of awareness of lung cancer risk factors, signs, symptoms and safe
practices among college teachers of different states in India: Do awareness
programmes have an impact on adoption of safe practices?
AUTHOR NAMES
Shankar A.
Rath G.K.
Bhandari R.
Julka P.K.
Kishor K.
AUTHOR ADDRESSES
(Shankar A.; Rath G.K.; Bhandari R.; Julka P.K.; Kishor K.) Radiation
Oncology, All India Institute of Medical Sciences, New Delhi, India.
CORRESPONDENCE ADDRESS
A. Shankar, Radiation Oncology, All India Institute of Medical Sciences, New
Delhi, India.
SOURCE
Journal of Thoracic Oncology (2014) 9:4 SUPPL. 1 (S18). Date of Publication:
April 2014
CONFERENCE NAME
4th European Lung Cancer Conference, ELCC 2014
CONFERENCE LOCATION
Geneva, Switzerland
CONFERENCE DATE
2014-03-26 to 2014-03-29
ISSN
1556-0864
BOOK PUBLISHER
International Association for the Study of Lung Cancer
ABSTRACT
Aim: The aim of this study was to determine the impact of awareness
programmes on change in adoption of safe practices in prevention and early
detection. Methods: This assessment was part of pink chain campaign on
cancer awareness. During the events in 2011- 2013 at various womens colleges
in various states in India, Pre test was followed by awareness program
consisting of lectures on preventive aspects of lung cancer with special
note of tobacco and smoking and an interactive session. Post test using the
same questionnaire was conducted at the end of the interactive session.
Literatures related to cancer awareness were sent regularly for one year to
email ids provided. After 6 months and 1 year, the same questionnaires were
mailed to the participants to see the changes in practice. Data were
collected and analyzed by using statistical software STATA 10.1. P values
less than 0.05 were taken as significant. Results: A total of 1257 out of
1346 teachers participated in the study (93.38%). The same questionnaire was
answered by 1109 and 795 teachers at the end of 6 and 12 months,
respectively. Mean age was 42.46 years (28-59 yrs). Among teachers, 31.42%
were smokers and 35.73% were alcoholic. Correct risk factors mostly
indicated by teachers were smoking (89%), Secondhand smoke (37%), and
tuberculosis (36%). Lung cancer symptoms known to teachers were Persistent
cough (24%), hemoptysis (36%), chest pain (12%), and voice change (12%).
Magazines and newspapers were sources for knowledge in 60%, and 30% of
teachers were educated by doctors. There was a significant increase in
knowledge regarding lung cancer at 6 months and this was sustained at 1 year
with significant changes in smoking and alcohol habits. Major reasons not
going for checkup were ignorance (50%), lethargic attitude (44.87%) and lack
of time (34.61%). 3.81% teachers contacted us within 1 year for chest
complaints. Three teachers (0.23%) were found to be positive for cancer, and
one for lung cancer. Conclusions: Knowledge of lung cancer was very low
among teachers. Though there was significant change in addiction habits,
there was not much improvement in people undergoing regular check ups. To
inculcate safe practices in the lifestyle of people, awareness programmes
such as the pink chain campaign should be conducted more widely and
frequently. Further, creating awareness among health care providers is
another issue which has to be looked into.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer risk
college
human
India
lung cancer
risk factor
teacher
EMTREE MEDICAL INDEX TERMS
addiction
alcoholism
coughing
e-mail
habit
health care personnel
hemoptysis
lifestyle
neoplasm
passive smoking
physician
prevention
publication
questionnaire
smoking
software
statistical significance
thorax
thorax pain
tobacco
tuberculosis
voice change
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71462058
DOI
10.1097/JTO.0000000000000131
FULL TEXT LINK
http://dx.doi.org/10.1097/JTO.0000000000000131
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 539
TITLE
Post-prison blues: Utilizing a primary care student-faculty collaborative
clinic to concurrently treat heroin addiction, ptsd and hepatitis C
AUTHOR NAMES
Sue K.
Hubbeling H.
Kuo C.
Brubaker K.
Xu L.
Fernandez-Golarz C.
Cohen M.J.
Keuroghlian A.
AUTHOR ADDRESSES
(Sue K.; Hubbeling H.; Kuo C.; Brubaker K.; Xu L.; Fernandez-Golarz C.;
Cohen M.J.) Harvard Medical School/MGH-Chelsea, Chelsea, United States.
(Keuroghlian A.) Massachusetts General Hospital, Boston, United States.
CORRESPONDENCE ADDRESS
K. Sue, Harvard Medical School/MGH-Chelsea, Chelsea, United States.
SOURCE
Journal of General Internal Medicine (2014) 29 SUPPL. 1 (S411). Date of
Publication: April 2014
CONFERENCE NAME
37th Annual Meeting of the Society of General Internal Medicine, SGIM 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-23 to 2014-04-26
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
LEARNING OBJECTIVE 1: (1) Recognize that patients leaving prison are at
highrisk for chronic and infectious diseases, psychiatric illness, substance
use disorders and violent victimization LEARNING OBJECTIVE 2: (2) Recognize,
manage and coordinate care for some common multidisciplinary clinical
problems for patients leaving prison and identify common psychosocial
stressors for patients recently released from prison within our co-located
primary care and psychiatric clinic CASE: HPI: Mr. M is a 54-year-old man
with a history of mood disorders, heroin addiction, Hepatitis C and over 25
total years in prison presenting to establish primary care, psychiatric care
and suboxone maintenance treatment. Our clinic is uniquely oriented towards
serving post-incarcerated patients with co-located medical and psychiatric
services provided by medical students working with staff faculty
supervision. PMH: Significant for cocaine and heroin dependence. He relapsed
on heroin 6 months after release from prison in the context of depression
and posttraumatic stress disorder (PTSD). Experiences nightmares and
flashbacks. Two suicide attempts in prison and four lifetime overdoses.
Hepatitis C diagnosed while incarcerated in 2003, treatment naive. Social
History: Grew up in single-parent Italian household, survived childhood
sexual abuse. He has spent a total of 27 years in prison mostly related to
crimes to support drug use. He is currently unemployed. Sexually active with
girlfriend. Twenty pack-year smoking history. Physical Exam: General: Tall
man, overweight, many tattoos, well-groomed, track marks on R hand, anxious
affect Abd: Soft, nontender, no masses, no hepatosplenomegaly. No evidence
of stigmata of chronic liver disease Diagnostic Studies: Urine Tox: Positive
for opiates, cocaine, buprenorphine LFTS: AST 92, ALT 112 Hep Serologies:
HBVsAb Positive, HBVsAg Negative, HCG\VAb Positive, Genotype 1A, VL
7,910,000, HIV Negative DISCUSSION: Mr. M is a 54-year-old man seeking to
establish primary care and treatment for heroin addiction, depression and
PTSD. His case is further complicated by hepatitis C infection and history
of lengthy incarceration. In our co-located clinic, we provided Mr. M with
weekly CBT for PTSD, prazosin for nightmares, doxepin for depressed mood and
insomnia, and 12 mg daily suboxone for heroin addiction. We also manage his
Hepatitis C and future treatment given elevated risks for depression or
suicidality. Our student-faculty clinic provides streamlined treatment for
this patient's medical and psychiatric illnesses as well as addressing
social factors such as unemployment. The patient benefits from active
communication and collaboration between teams about his treatment as well as
the clinic's efforts to create a positive environment and a consistent
relationship with the patient. Such patients often are unable to keep their
appointments for many reasons including experiencing medical mistreatment in
prison, a general mistrust of healthcare systems, feeling stigmatized or
judged, lack of transportation or even lacking basics like clothing or a
cellphone. Individuals emerging from the prison system are both sicker and
at greater risk of death than the general population; for the first 2 weeks
post-release patients face an alarmingly acute mortality risk: 3-8 fold
above the general population (Binswanger et al. 2007). Perhaps the most
confounding aspect of taking care of these patients is the complex
interrelationship between chronic conditions and treatments: for example,
PEG-IFN/RBV treatment for Hepatitis C potentially exacerbating mental
illness (Maru et al. 2010). Inmates use street drugs to self-medicate for
untreated psychiatric illness and psychiatric issues characterized as
“post-incarceration syndrome” limit help-seeking behavior and willingness to
trust service providers (Rich et al. 2001). Consistent with these findings,
Mr. M faces increased risks of morbidity and mortality upon release from
prison. Such patients have pressing social situations such as homelessness
and ongoing drug use that must be addressed simultaneously or even prior to
addressing medical and psychiatric needs. In our clinic, we assisted the
patient with Social Security disability and transportation needs. The
structure of our student-faculty clinic, with special attention to patients
with histories of incarceration, is an exemplar model for addressing health
disparities and providing excellent clinical care for this vulnerable
population.
EMTREE DRUG INDEX TERMS
buprenorphine
buprenorphine plus naloxone
cocaine
diamorphine
doxepin
opiate
prazosin
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis C
heroin dependence
hospital
human
internal medicine
primary medical care
prison
society
student
EMTREE MEDICAL INDEX TERMS
childhood
chronic liver disease
clothing
crime
death
diagnosis
disability
drug use
environment
genotype
health care system
health disparity
help seeking behavior
hepatosplenomegaly
homelessness
household
Human immunodeficiency virus
infection
insomnia
interpersonal communication
intoxication
lifespan
maintenance therapy
male
medical student
mental disease
mental health care
mental health service
mental hospital
model
mood
mood disorder
morbidity
mortality
nightmare
obesity
patient
population
posttraumatic stress disorder
risk
serology
sexual abuse
single parent
smoking
social aspect
social security
substance abuse
suicide attempt
tattoo
traffic and transport
unemployment
urine
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71495703
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 540
TITLE
Opioid abuse potential and pain related measures in chronic pain patients
presenting to a primary care clinic
AUTHOR NAMES
Vargovich A.
Sperry J.
Foley K.
McNeil D.
AUTHOR ADDRESSES
(Vargovich A.; Sperry J.; Foley K.; McNeil D.) West Virginia University,
Morgantown, United States.
CORRESPONDENCE ADDRESS
A. Vargovich, West Virginia University, Morgantown, United States.
SOURCE
Journal of Pain (2014) 15:4 SUPPL. 1 (S18). Date of Publication: April 2014
CONFERENCE NAME
33rd Annual Scientific Meeting of the American Pain Society
CONFERENCE LOCATION
Tampa, FL, United States
CONFERENCE DATE
2014-04-30 to 2014-05-03
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
Over the past 20 years, the misuse and abuse of prescription opioids has
increased across the United States, causing a drastic increase in
opioid-related overdose deaths. Physicians often lack training in discerning
substance abuse or drug diversion, which can lead to over- or under-
prescribing of opioids and poor pain management. Utilizing mental health
professionals to assist physicians in better understanding their patients'
opioid abuse potential may be a possible solution to this problem. Using 115
adult chronic pain patients being considered for long-term opioid therapy
from a primary care clinic (n = 36, low risk for opioid misuse group; n =
38, moderate risk for opioid misuse group; n = 41, high risk for opioid
misuse group), this investigation examined possible differences on pain
related measures between patients ascribed a risk status of low, moderate,
or high following an opioid risk evaluation conducted by a mental health
professional. As part of an opioid risk evaluation, patients completed
several self-report instruments related to pain, as well as a clinical
interview. After adjusting for sex, results showed that patients in the low
risk category had significantly lower scores than both the moderate and high
risk categories on a measure of negative cognitions about pain and were
significantly older in age compared to the high risk category (p < .05).
Additionally, patients in the high risk category had significantly higher
scores than both the moderate and low risk categories on a measure of opioid
abuse potential (p <.05). These findings suggest that chronic pain patients,
regardless of sex, assigned with a lower opioid abuse potential tend to
score lower on measures of negative cognitions about pain and opioid abuse
potential, specifically the Pain Catastrophizing Scale (PCS) and the
Screener and Opioid Assessment for Patients with Pain (SOAPP).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
chronic pain
hospital
human
pain
patient
primary medical care
society
EMTREE MEDICAL INDEX TERMS
adult
analgesia
catastrophizing
cognition
death
health practitioner
interview
intoxication
mental health
physician
prescription
risk
self report
substance abuse
therapy
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71404305
DOI
10.1016/j.jpain.2014.01.074
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2014.01.074
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 541
TITLE
Effect of lifetime stress on resistance to antipsychotic treatment
AUTHOR NAMES
Hassan A.
De Luca V.
AUTHOR ADDRESSES
(Hassan A.; De Luca V.) University of Toronto, Canada.
CORRESPONDENCE ADDRESS
A. Hassan, University of Toronto, Canada.
SOURCE
Schizophrenia Research (2014) 153 SUPPL. 1 (S321). Date of Publication:
April 2014
CONFERENCE NAME
4th Biennial Schizophrenia International Research Conference
CONFERENCE LOCATION
Florence, Italy
CONFERENCE DATE
2014-04-05 to 2014-04-09
ISSN
0920-9964
BOOK PUBLISHER
Elsevier
ABSTRACT
Background: Approximately 20-30% of Schizophrenia patients fail to respond
to antipsychotic medications. The burden of treatment resistant (TR)
patients is between 60 to 80% of the total cost of schizophrenia. In
addition there is evidence that TR patients have more severe symptoms, more
co-morbidities, higher suicidal risk and lower quality of life than non TR
patients. Several studies showed that all types of childhood trauma increase
the risk of psychosis. Furthermore, other studies revealed that the
incidence of stressful events is higher prior to the psychosis onset.
However, to date the relationship between the number of stressful events and
resistance to antipsychotics has not been investigated. The aim of this
study is to compare the prevalence of traumatic events in TR and non TR
schizophrenia. Association between resistance and high number of traumatic
events has been found in other mental illnesses such as major depression.
Methods: We recruited 71 participants diagnosed with schizophrenia spectrum
disorders through the Center of Addiction and Mental Health (CAMH), a
Canadian teaching hospital located in Toronto. The diagnosis of
schizophrenia was ascertained by the means of the SCID-I/P and the presence
of adverse life-events was assessed using the Stressful Life Events
Screening Questionnaire (SLESQ) and the Childhood Trauma Questionnaire
(CTQ). Medical charts were reviewed for determining the history of failure
of two antipsychotic trials, or more, of adequate duration using the
criteria of the American Psychiatric Association for refractory
schizophrenia. Results: According to the APA criteria, in our sample 49.3%
of the participants were defined as TR and 50.7% as non TR. Higher numbers
of lifetime stressful events were reported by TR participants compared to
non TR patients (p<0.001). Also, there was a significant correlation between
the CTQ and TR (p=0.016). Discussion: Higher numbers of stressful and
traumatic events are found in TR schizophrenia patients, therefore
predicting a poorer outcome. Unresolved repeated exposures to childhood and
adulthood traumatic events perpetuate psychosis. Thus, TR schizophrenia
patients require a personalized bio-psycho-social approach to improve the
success of the therapeutic intervention.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
lifespan
schizophrenia
EMTREE MEDICAL INDEX TERMS
addiction
adulthood
American
Canadian
childhood
Childhood Trauma Questionnaire
diagnosis
diseases
drug therapy
exposure
human
injury
life event
major depression
mental disease
mental health
morbidity
patient
prevalence
psychosis
quality of life
questionnaire
risk
screening
teaching hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71729152
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 542
TITLE
Epidemiological study of poisoning in patients of Karaj Shariati hospital in
2011 to 2012
AUTHOR NAMES
Hashemnejad M.
Fatehi R.
AUTHOR ADDRESSES
(Hashemnejad M., hashemnejadmaryam@gmail.com) Bahonar Hospital, Alborz
University, Karaj, Iran.
(Fatehi R.) Karaj Shariati Hospital, Alborz University, Karaj, Iran.
CORRESPONDENCE ADDRESS
M. Hashemnejad, Bahonar Hospital, Alborz University, Karaj, Iran. Email:
hashemnejadmaryam@gmail.com
SOURCE
International Journal of Medical Toxicology and Forensic Medicine (2014) 4:1
(17-22). Date of Publication: 2014
ISSN
2251-8770
2251-8762 (electronic)
BOOK PUBLISHER
Shahid Beheshti University of Medical Sciences, Tehran, Iran.
ABSTRACT
Background: Acute poisoning is one of the most problems of health systems in
the world. The aims of this study are evaluation of demographic
characteristics and causes of poisonings in patients referred to Karaj
Shariati hospital. Methods: A cross sectional study was done in one year.
With a non-probability convenience sampling, all of poisoning patients
admitted in Karaj Shariati hospital from June 2011 to June 2012 were
studied. Data collected from patients records and then analyzed. Results:
One hundred seventy two drug poisoning patients with mean age of 29.8
(SD=13.4) years evaluated. The most common drugs which caused poisoning
were: Benzodiazepines, Tramadol, Psychiatry drugs and Acetaminophen. 12.8
percent of patients had drug-induced seizure and mortality rate was 5.8 %.
There was a relation between Tramadol poisoning and drug-induced seizure (p
value=0.000, Odds Ratio=12.8, 95%Confidence of Interval (4.7-34.8)).
Conclusion: This study showed that Tramadol poisoning prevalence is high and
opiates are the most common cause of death in drug poisonings, which show
need to more educations in schools and addiction-disuse centers and more
controls on pharmacies. © 2014 Forensic Medicine and Toxicology Department.
EMTREE DRUG INDEX TERMS
benzodiazepine derivative (drug toxicity)
central nervous system agents (drug toxicity)
paracetamol (drug toxicity)
tramadol (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
intoxication (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
child
comparative study
cross-sectional study
demography
drug abuse
drug dependence
drug intoxication
female
groups by age
human
Iran
major clinical study
male
middle aged
mortality
prevalence
school child
seizure
sex ratio
substance abuse
very elderly
young adult
CAS REGISTRY NUMBERS
paracetamol (103-90-2)
tramadol (27203-92-5, 36282-47-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014182822
PUI
L372602136
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 543
TITLE
The assessment of hepatitis B seroprevalence in persons with intravenous
drug use history in the Isfahan province: Community-based study
AUTHOR NAMES
Khodadoostan M.
Ataei B.
Shavakhi A.
Tavakoli T.
Nokhodian Z.
Yaran M.
AUTHOR ADDRESSES
(Khodadoostan M.; Shavakhi A.; Tavakoli T.) Department of Gastroenterology
and Hepatology, Isfahan, Iran.
(Ataei B.; Nokhodian Z.; Yaran M., idrc@mui.ac.ir) Infectious Diseases and
Tropical Medicine, Research Center, Isfahan Nosocomial Infection Research
Center, Isfahan University of Medical Sciences, Isfahan, Iran.
CORRESPONDENCE ADDRESS
M. Yaran, Infectious Diseases and Tropical Medicine Research Center, Isfahan
University of Medical Sciences, 21, Fribourg Street, Alley 8, Isfahan, Iran.
Email: idrc@mui.ac.ir
SOURCE
Journal of Research in Medical Sciences (2014) 19:1 (65-68). Date of
Publication: 2014
ISSN
1735-1995
1735-7136 (electronic)
BOOK PUBLISHER
Isfahan University of Medical Sciences, Hezar Jerib Avenue, P.O. Box
81745-319, Isfahan, Iran.
ABSTRACT
Background: Hepatitis B with its complications has become one of the
universal problems. Injection drug use is one of the most important risk
factors in the transmission of hepatitis B. Therefore, we assessed hepatitis
B virus prevalence among cases with a history of intravenous drug use (IVDU)
as the first announcement-based study in this regard. Materials and Methods:
The announcement-based detection of hepatitis B seroprevalence in volunteers
with a history of intravenous drug use was conducted in the Isfahan
province. A comprehensive community announcement was made in all the public
places and to all physicians, in all the regions. One thousand five hundred
and eighty-eight volunteers were invited to the Isfahan reference
laboratories and serum samples were tested for HBs-Ag, HBc Ab, and HBs-Ab,
using the enzyme-linked immunosorbent assay (ELISA) method. Results: In this
study, 1588 individuals volunteered, who were estimated to be 50% of all the
expected intravenous drug users in the community. HBs Ag was detected in
4.2% of them. HBc Ab and HBs Ab were detected in order in 11.4 and 17.3%,
respectively. Conclusion: We estimated that the seroprevalence of hepatitis
B positivity in intravenous drug users was moderate to high. Therefore, it
was suggested that this group be encouraged to prevent acquiring infection
by vaccination, education, counseling for risk reduction, and treatment of
substance abuse, and finally hepatitis B virus (HBV) screening.
EMTREE DRUG INDEX TERMS
hepatitis B surface antigen (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis B
seroprevalence
EMTREE MEDICAL INDEX TERMS
article
community
cross-sectional study
drug use
enzyme linked immunosorbent assay
human
mass screening
prevalence
risk factor
virus transmission
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014134127
PUI
L372444787
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 544
TITLE
Trends in opioid prescribing in US emergency departments based on provider
level of training
AUTHOR NAMES
Mazer-Amirshahi M.
Mullins P.M.
Pines J.M.
Nelson L.S.
Perrone J.
AUTHOR ADDRESSES
(Mazer-Amirshahi M.; Mullins P.M.; Pines J.M.) George Washington University,
Washington, United States.
(Nelson L.S.) New York University, School of Medicine, New York, United
States.
(Perrone J.) Perelman School of Medicine, University of Pennsylvania,
Philadelphia, United States.
CORRESPONDENCE ADDRESS
M. Mazer-Amirshahi, George Washington University, Washington, United States.
SOURCE
Journal of Medical Toxicology (2014) 10:1 (67). Date of Publication: March
2014
CONFERENCE NAME
2014 ACMT Annual Scientific Meeting
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2014-03-28 to 2014-03-30
ISSN
1556-9039
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
Background: Over the past decade, there have been significant increases in
opioid analgesic prescribing. Variation in opioid prescribing based on
provider level of training and specific opioids is less well characterized.
Research question: This study aims to assess trends in opioid prescribing
based on provider level of training and specific agents in US EDs. Methods:
We reviewed all ED visits from the Centers for Disease Control and
Prevention's National Hospital Ambulatory Medical Care Survey (NHAMCS)
2001-2010 involving patients ≥18 years. Trends in ED prescribing of all
opioids stratified by Drug Enforcement Agency (DEA) schedule and provider
level of training were analyzed. Prescribing trends for five common opioids
(codeine, hydrocodone, hydromorphone, morphine, and oxycodone) were
individually explored. Visits were stratified into three categories by
provider level of training: those that involved an attending only, a
resident or midlevel provider (nurse practitioners, physician assistants).
The proportion of visits for which each medication was prescribed was
tabulated and trends were analyzed using survey-weighted logistic
regression. Results: The weighted estimate of adult ED visits increased from
81,251,195 in 2001 to 100,027,879 in 2010 and the proportion of visits
during which an opioid was prescribed by any provider increased from 10.0 to
19.0%, p<0.001. Overall opioid prescribing increased for all visit types but
was most pronounced in visits involving residents. Prescribing of schedule
II agents increased more than schedule III-V agents for all groups (Table).
Hydromorphone use increased the most for all provider groups (433.4-529.9 %,
p<0.001), followed by morphine (139.7- 219.9 %, p<0.001) and oxycodone
(94.7-142.3 %, p<0.001). Avariable effect was noted on codeine and
hydrocodone prescribing among providers. Discussion: Opioid prescribing
increased dramatically in the past decade in the ED, and visits involving
residents had the greatest growth. Although attendings may influence
resident prescribing, these trends could reflect increased emphasis on pain
management in training programs. Other forces such as patient experience and
accreditation requirements could be driving overall prescribing rates
higher. Conclusion: There were significant increases in opioid prescribing
among visits involving all providers over time, with hydromorphone
demonstrating the greatest increase among the opioids studied. Visits
involving residents showed the largest change among providers. (Table
presented).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
codeine
hydrocodone
hydromorphone
morphine
narcotic analgesic agent
oxycodone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency ward
EMTREE MEDICAL INDEX TERMS
accreditation
adult
analgesia
disease control
drug therapy
hospital
human
logistic regression analysis
medical care
nurse practitioner
patient
physician assistant
prevention
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72202920
DOI
10.1007/s13181-013-0376-x
FULL TEXT LINK
http://dx.doi.org/10.1007/s13181-013-0376-x
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 545
TITLE
Tobacco intervention teachable moments for pediatric otolaryngologists:
Atopy and second hand smoke exposure among children
AUTHOR NAMES
Csákányi Z.
Spangler J.
Katona G.
AUTHOR ADDRESSES
(Csákányi Z.; Katona G.) Department of Otorhinolaryngology, Heim Pal
Children's Hospital, 13 Delej utca, H-1089 Budapest, Hungary.
(Spangler J., jspangle@wakehealth.edu) Department of Family and Community
Medicine, Wake Forest University School of Medicine, Winston-Salem, NC
27157, United States.
CORRESPONDENCE ADDRESS
J. Spangler, Department of Family and Community Medicine, Wake Forest School
of Medicine, Medical Center BLVD, Winston-Salem, NC 27157, United States.
Email: jspangle@wakehealth.edu
SOURCE
International Journal of Pediatric Otorhinolaryngology (2014) 78:3
(407-409). Date of Publication: March 2014
ISSN
0165-5876
1872-8464 (electronic)
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Objectives: Pediatric otolaryngology clinics have tremendous access to
children with allergic conditions, yet no research has evaluated in this
setting environmental tobacco smoke and the occurrence of atopic diseases.
Methods: Caregivers or parents of 201 consecutive patients in a Hungarian
pediatric otolaryngology clinic were queried on otolaryngologic conditions;
self-reported diagnoses of atopic diseases; and tobacco smoke exposure.
Results: A history of asthma was reported in 10.3% of children; 38.7% had at
least one parent who smoked. Fifteen out of the 20 children with asthma
(75.0%) had at least one parent who smoked. Having a diagnosis of hay fever
and having a parent who smoked greatly increased the odds of having a
diagnosis of asthma. Conclusions: Second hand smoke exposure among children
in an otolaryngology clinic was common, and was associated with co-existing
atopic conditions. Pediatric otolaryngologists have an important opportunity
to address parental smoking as part their care of children. © 2013 Elsevier
Ireland Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
atopy
otolaryngologist
passive smoking
pediatrics
EMTREE MEDICAL INDEX TERMS
article
asthma
child
female
human
major clinical study
male
parental smoking
physician attitude
pollen allergy
priority journal
risk assessment
risk factor
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Otorhinolaryngology (11)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
Immunology, Serology and Transplantation (26)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014102601
MEDLINE PMID
24485173 (http://www.ncbi.nlm.nih.gov/pubmed/24485173)
PUI
L52980253
DOI
10.1016/j.ijporl.2013.11.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ijporl.2013.11.008
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 546
TITLE
Determinants of buprenorphine treatment for opioid dependence
AUTHOR NAMES
Murphy S.M.
Fishman P.A.
McPherson S.
Dyck D.G.
Roll J.R.
AUTHOR ADDRESSES
(Murphy S.M., sean.murphy@wsu.edu) Department of Health Policy and
Administration, Washington State University, P.O. Box 1495, Spokane, WA
99210-1495, United States.
(Fishman P.A.) Group Health Research Institute, Seattle, WA 98101, United
States.
(McPherson S.) College of Nursing, Washington State University, Spokane, WA
99210-1495, United States.
(Dyck D.G.; Roll J.R.) Washington State University, Spokane, WA 99210-1495,
United States.
CORRESPONDENCE ADDRESS
S.M. Murphy, Department of Health Policy and Administration, Washington
State University, P.O. Box 1495, Spokane, WA 99210-1495, United States.
Email: sean.murphy@wsu.edu
SOURCE
Journal of Substance Abuse Treatment (2014) 46:3 (315-319). Date of
Publication: March 2014
ISSN
0740-5472
1873-6483 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
This study assessed the social, demographic and clinical determinants of
whether an opioid-dependent patient received buprenorphine versus an
alternative therapy. A retrospective cohort analysis of opioid-dependent
adults enrolled in Group Health Cooperative between January 1, 2006 and
December 1, 2010 was performed. Increasing the number of physicians with
DATA waivers in a region and living in a relatively-populated area increased
the likelihood of being treated with buprenorphine, indicating that lack of
access is a potential barrier. Comorbidity also appeared to be a factor in
receipt of treatment, with the effect varying by diagnosis. Finally,
patients with an insurance plan allowing health services to be sought from
any provider, with increased cost sharing, were significantly more likely to
receive buprenorphine, implying that patient demand is a factor. Programs
integrating patient education, physician training, and support from
addiction specialists would be likely facilitators of increasing access to
this cost-effective treatment. © 2014.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy, pharmacoeconomics)
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
health status indicator
opiate addiction (drug therapy, disease management, drug therapy)
treatment determinant
EMTREE MEDICAL INDEX TERMS
adult
alcoholism
alternative medicine
anxiety
article
chronic pain
cohort analysis
comorbidity
controlled study
demography
depression
drug dependence
female
health care cost
health care organization
health care policy
health insurance
health service
human
major clinical study
male
mental disease
mood disorder
patient education
physician
priority journal
program cost effectiveness
retrospective study
social aspect
training
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014038584
MEDLINE PMID
24209382 (http://www.ncbi.nlm.nih.gov/pubmed/24209382)
PUI
L52833017
DOI
10.1016/j.jsat.2013.09.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2013.09.003
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 547
TITLE
An audit examining the impact of a training session on interest in
prescribing opioid maintenance treatment among psychiatrists and trainees
AUTHOR NAMES
Foo L.
Lubman D.
Frei M.
Arunogiri S.
AUTHOR ADDRESSES
(Foo L.; Lubman D.; Frei M.; Arunogiri S.)
SOURCE
Australasian Psychiatry (2014) 22:1 (94). Date of Publication: February 2014
ISSN
1039-8562
1440-1665 (electronic)
BOOK PUBLISHER
SAGE Publications Ltd, 55 City Road, London, United Kingdom.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE DRUG INDEX TERMS
buprenorphine
methadone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
medical student
prescription
psychiatrist
EMTREE MEDICAL INDEX TERMS
chronic pain (drug therapy)
clinical audit
drug misuse
human
letter
maintenance therapy
mental health service
opiate addiction
questionnaire
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2014174158
MEDLINE PMID
24516246 (http://www.ncbi.nlm.nih.gov/pubmed/24516246)
PUI
L372574461
DOI
10.1177/1039856213510751
FULL TEXT LINK
http://dx.doi.org/10.1177/1039856213510751
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 548
TITLE
Does research into medical education on tobacco and alcohol get the respect
it deserves?
AUTHOR NAMES
Raupach T.
Krampe H.
Brown J.
AUTHOR ADDRESSES
(Raupach T.; Krampe H.; Brown J.) Department of Cardiology and Pneumology,
University Hospital Göttingen, Robert-Koch-Straße 40, D-37075, Göttingen,
Germany; Cancer Research UK Health Behaviour Research Centre, University
College London, London, UK. raupach@med.uni-goettingen.de
SOURCE
Addiction (Abingdon, England) (2014) 109:2 (173-174). Date of Publication: 1
Feb 2014
ISSN
1360-0443 (electronic)
ABSTRACT
Implementation of effective clinical interventions as part of routine
medical care to combat problem drinking and tobacco use is recognized to be
low. Insufficient training is an important barrier preventing physicians
from delivering interventions recommended in current guidelines. High-impact
medical journals publish almost nothing on how to address this. If they
start to take an interest perhaps we will see more progress and many
thousands of lives saved at minimal cost.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
medical research
prevention and control
EMTREE MEDICAL INDEX TERMS
drinking behavior
health
human
smoking
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24164582 (http://www.ncbi.nlm.nih.gov/pubmed/24164582)
PUI
L603636048
DOI
10.1111/add.12357
FULL TEXT LINK
http://dx.doi.org/10.1111/add.12357
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 549
TITLE
Alcohol, harry keen, retirement and cuban epidemiology
AUTHOR NAMES
Ebrahim S.
AUTHOR ADDRESSES
(Ebrahim S., Shah.ebrahim@lshtm.ac.uk)
CORRESPONDENCE ADDRESS
S. Ebrahim, Email: Shah.ebrahim@lshtm.ac.uk
SOURCE
International Journal of Epidemiology (2014) 43:1 (1-4) Article Number:
dyt283. Date of Publication: February 2014
ISSN
0300-5771
1464-3685 (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE DRUG INDEX TERMS
alkaline phosphatase (endogenous compound)
gamma glutamyltransferase (endogenous compound)
glucose (endogenous compound)
human albumin (endogenous compound)
insulin (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
epidemiology
medical education
retirement
EMTREE MEDICAL INDEX TERMS
autism
awards and prizes
cardiovascular disease
cardiovascular risk
diabetes mellitus
editorial
glaucoma
glucose blood level
glucose tolerance
glucose tolerance test
health care system
heart infarction
human
hypertension
insulin blood level
intellectual impairment
liver function test
microalbuminuria
mortality
observational study
pathophysiology
priority journal
risk factor
systematic review (topic)
systolic blood pressure
urinary excretion
CAS REGISTRY NUMBERS
alcohol (64-17-5)
alkaline phosphatase (9001-78-9)
gamma glutamyltransferase (85876-02-4)
glucose (50-99-7, 84778-64-3)
insulin (9004-10-8)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Clinical and Experimental Biochemistry (29)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2014154780
PUI
L372505695
DOI
10.1093/ije/dyt283
FULL TEXT LINK
http://dx.doi.org/10.1093/ije/dyt283
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 550
TITLE
Knowledge, attitude, and practice of water-pipe smoking among medical
students in Rawalpindi, Pakistan
AUTHOR NAMES
Haroon M.
Munir A.
Mahmud W.
Hyder O.
AUTHOR ADDRESSES
(Haroon M.) Department of Community Medicine, Rawalpindi Medical College,
Rawalpindi, Pakistan.
(Munir A.) Department of Medicine, Rawalpindi Medical College, Rawalpindi,
Pakistan.
(Mahmud W.) Department of Surgery, Rawalpindi Medical College, Rawalpindi,
Pakistan.
(Hyder O.) Department of Obstetrics and Gynaecology, Rawalpindi Medical
College, Rawalpindi, Pakistan.
CORRESPONDENCE ADDRESS
Department of Community Medicine, Rawalpindi Medical College, Rawalpindi,
Pakistan.
SOURCE
Journal of the Pakistan Medical Association (2014) 64:2. Date of
Publication: February 2014
ISSN
0030-9982
BOOK PUBLISHER
Pakistan Medical Association, Garden Road, Karachi - 3, Pakistan.
ABSTRACT
Objectives: To assess knowledge, attitude and practice of water-pipe smoking
among medical students. Methods: The cross-sectional study using
self-administered questionnaire was conducted at Rawalpindi Medical College,
Rawalpindi, in 2011, and included all five batches of medical students. SPSS
17 was used for statistical analysis of the data. Results: The final sample
comprised 724 participants; 505 (69.7%) being female and 219 (30.2%) being
male students. Besides, 625 (86.6%) participants knew about shisha smoking,
and 140 (22.4%) reported to have smoked shisha. Curiosity (n=44; 31.4%) and
social trends (n=41; 29.2%) were cited as main reasons for shisha smoking.
Overall, 572 (91.5%) participants thought shisha was dangerous for health,
with majority 261 (41.8%) believing it to be more dangerous than cigarettes.
Conclusions: There was awareness among medical students about the hazards of
shisha smoking. Even then water-pipe smoking was relatively common among
them.
EMTREE DRUG INDEX TERMS
carbon monoxide
sulfur dioxide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
patient education
smoking
waterpipe smoking
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
cross-sectional study
female
health hazard
human
male
medical student
Pakistan
public health
questionnaire
self concept
smoking cessation
tobacco dependence
young adult
CAS REGISTRY NUMBERS
carbon monoxide (630-08-0)
sulfur dioxide (7446-09-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014081734
MEDLINE PMID
24640803 (http://www.ncbi.nlm.nih.gov/pubmed/24640803)
PUI
L372233529
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 551
TITLE
Pre-transplant substance use: A retrospective chart review of inpatient
psychiatric consultations within 100 days of hematopoietic cell
transplantation
AUTHOR NAMES
Mayorga L.
Espenschied J.
Cooke L.
Gotto J.
Lynn R.
Grant M.
Snyder D.
AUTHOR ADDRESSES
(Mayorga L.; Espenschied J.; Cooke L.; Gotto J.; Grant M.; Snyder D.) City
of Hope National Medical Center, Duarte, United States.
(Lynn R.) MD Anderson Cancer Center, Houston, United States.
CORRESPONDENCE ADDRESS
L. Mayorga, City of Hope National Medical Center, Duarte, United States.
SOURCE
Psycho-Oncology (2014) 23 SUPPL. 1 (26-27). Date of Publication: February
2014
CONFERENCE NAME
11th Annual Conference of the American Psychosocial Oncology Society, APOS
2014
CONFERENCE LOCATION
Tampa, FL, United States
CONFERENCE DATE
2014-02-13 to 2014-02-15
ISSN
1057-9249
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
PURPOSE: The Hematopoietic Cell transplant (HCT) experience can include
multiple readmissions, complications, slow recovery and long-term issues.
Furthermore, addictive behaviors can contribute or significantly impact a
patient's outcome during the HCT process (Stagno, 2008). Despite the
literature discussing known characteristics which may place patients at risk
for psychiatric morbidity before transplant; to date, there is no report of
a complete risk assessment of transplant patients, including use of alcohol
and drugs. The purpose of this study was to identify common characteristics
of HCT patients who received psychiatric interventions within 100 days of
transplant. METHODS: This retrospective chart review includes adult HCT
patients from the year 2011 who were referred for psychiatric evaluation
within 100 days of transplant, either pre-transplant for screening or during
inpatient hospitalization for transplant. Data on sociodemographic, disease,
treatment, assessment and personal characteristics of transplant patients
who receive psychiatric evaluations were collected in a retrospective tool.
Psychiatric variables were collected from psychiatrist's dictated
consultation note and social worker's pre-transplant evaluation prior to
admission. Analysis included simple frequencies and descriptive statistics.
RESULTS: 22 charts were reviewed that met eligibility criteria. Gender was
equally distributed; average age of 40.3 (age range 23-64). Common reasons
for referral were depression (40.9%) and other (40.9%);“other” included
referrals for: substance abuse (7.7%), bipolar history (7.7%), and
“pre-transplant evaluation” (30.8%). Half of the patients had previous
psychiatric illness, with anxiety and depression contributing to majority.
Higher incidence of substance and alcohol use was noted in study population:
alcohol use within 6 months (22.7%), history marijuana use (22.7%), history
of tobacco or smoking (18.2%) and street drug use (4.5%). Half of the
patients experienced pretransplant distress. CONCLUSIONS: Although this was
a small sample size, the rate of substance use in this HCT population was
relatively high. Data provides a glance at the psychosocial and psychiatric
issues that HCT patient's experience. Further research is needed on the
effects of substance use amongst this population before/after treatment and
its predictors on compliance, medical management and complications.
Including education of staff involved in pre-transplant screening and
patient education regarding potential problems that can arise if substance
abuse occurs during transplant process and postdischarge. RESEARCH
IMPLICATIONS: Currently there is little to no research available on the
effects of substance abuse amongst the HCT population. Most of the research
has been focused on solid organ transplantation. CLINICAL IMPLICATIONS: At
times patients with prior history of alcohol or substance abuse are
overlooked prior to transplantation. Patients with preexisting alcohol or
substance use are at a higher risk for morbidity and mortality while
undergoing an HCT, including impacting medical management, physical and
emotional-wellbeing.
EMTREE DRUG INDEX TERMS
alcohol
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cell transplantation
consultation
hematopoietic cell
hospital patient
human
medical record review
oncology
society
substance use
transplantation
EMTREE MEDICAL INDEX TERMS
addiction
adult
alcohol consumption
anxiety
cannabis use
compliance (physical)
disease management
drug use
education
gender
hospital readmission
hospitalization
mental disease
morbidity
mortality
organ transplantation
patient
patient education
population
psychiatrist
risk
risk assessment
sample size
screening
smoking
social worker
solid
statistics
substance abuse
therapy
tobacco
wellbeing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71589209
DOI
10.1002/pon.3478
FULL TEXT LINK
http://dx.doi.org/10.1002/pon.3478
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 552
TITLE
The urine drug screen is abnormaldnow what?
AUTHOR NAMES
Barclay J.
Blackhall L.
Haverstick D.
Ray J.
Gehle B.
AUTHOR ADDRESSES
(Barclay J.; Haverstick D.) University of Virginia, Charlottesville, United
States.
(Blackhall L.) University of Virginia, School of Medicine, Charlottesville,
United States.
(Ray J.) University of Virginia Health System, Charlottesville, United
States.
(Gehle B.) Piedmont Liability Trust, Charlottesville, United States.
CORRESPONDENCE ADDRESS
J. Barclay, University of Virginia, Charlottesville, United States.
SOURCE
Journal of Pain and Symptom Management (2014) 47:2 (463-464). Date of
Publication: February 2014
CONFERENCE NAME
Annual Assembly of the American Academy of Hospice and Palliative Medicine
and the Hospice and Palliative Nurses Association 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-03-12 to 2014-03-15
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives 1. Discuss the indications for and implications of obtaining a
urine drug screen. 2. Discuss the metabolism of substances and techniques
for analyzing specimens that influence the reported results of drug
screening. 3. Describe and incorporate techniques for discussing urine drug
screening results with patients and developing an appropriate safety plan.
With increasing concerns about abuse of opioids and other controlled
substances, palliative care clinicians are being urged to screen for
substance abuse and diversion. Urine drug screens (UDS) are often
recommended when patients are at high risk for misuse of prescribed
medications. A thorough history and the use of screening tools and state
prescription drug monitoring programs (where available) can help uncover
such patients. If we are to use the UDS effectively, we must know when to
order one and how to interpret the results. Understanding the results
requires knowing the type of drug screen to order, what metabolites to
expect from which drugs, and when false positives and negatives might occur.
Palliative care and hospice clinicians need to know what to do when the UDS
uncovers evidence of use of unprescribed medications, illegal substances
such as cocaine or marijuana, or lack of prescribed medications, as well as
the medical and legal implications of prescribing to patients with substance
abuse. Concerns about the legal implications of the UDS, especially in an
increasingly harsh regulatory environment, are not trivial, but it is
important to distinguish between the use of the UDS for medical purposes and
those used for legal proceedings (such as for parolees, or for employment).
Finally, although palliative care clinicians are well trained in
communicating difficult news, they are rarely trained in discussing
addiction or negotiating a plan for treating at risk patients with severe
cancer-associated pain. In this concurrent session, we will discuss the
clinical utility of the UDS, including patient and test selection; review
drug metabolism, testing techniques, and their effect on test
interpretation; discuss legal implications of screening; and provide
role-play examples of model patient interactions following aberrant test
results.
EMTREE DRUG INDEX TERMS
cannabis
cocaine
controlled substance
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospice
human
nurse
palliative therapy
urine
EMTREE MEDICAL INDEX TERMS
abuse
addiction
drug metabolism
drug screening
drug surveillance program
drug therapy
employment
environment
metabolism
metabolite
model
neoplasm
pain
patient
risk
role playing
safety
screening
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71370498
DOI
10.1016/j.jpainsymman.2013.12.224
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpainsymman.2013.12.224
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 553
TITLE
Decision rules for GHB (gamma-hydroxybutyric acid) detoxification: A
vignette study
AUTHOR NAMES
Kamal R.M.
van Iwaarden S.
Dijkstra B.A.G.
de Jong C.A.J.
AUTHOR ADDRESSES
(Kamal R.M., rama.kamal@novadic-kentron.nl; Dijkstra B.A.G.; de Jong C.A.J.)
Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), 6525 ED
Nijmegen, Netherlands.
(Kamal R.M., rama.kamal@novadic-kentron.nl; Dijkstra B.A.G.) Novadic-Kentron
Addiction Care Network, 5260 AE Vught, Netherlands.
(van Iwaarden S.) Dimence Mental Health Care, 8012 EN Zwolle, Netherlands.
CORRESPONDENCE ADDRESS
R.M. Kamal, Hogedwarsstraat 3, PO Box 243, 5260 AE Vught, Netherlands.
Email: rama.kamal@novadic-kentron.nl
SOURCE
Drug and Alcohol Dependence (2014) 135:1 (146-151). Date of Publication:
2014
ISSN
0376-8716
1879-0046 (electronic)
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Background: GHB dependent patients can suffer from a severe and sometimes
life-threatening withdrawal syndrome. Therefore, most of the patients are
treated within inpatient settings. However, some prefers an outpatient
approach to treatment. The aim of this study was to develop decision rules
for addiction physicians to determine whether an outpatient or inpatient
setting should be chosen for a safe GHB detoxification. Methods: A
prospective vignette study was performed. Forty addiction medicine
specialists from various treatment settings and residents of the Addiction
Medicine postgraduate Master training were asked to contribute vignettes of
GHB dependent patients. A focus group of 15 psychiatrists and addiction
medicine specialists was asked to recommend an outpatient or inpatient
setting for GHB detoxification treatment per vignette. Finally, five
addiction medicine specialists, experts in GHB dependence treatment in the
Netherlands, assessed the bio-psychosocial reasons for the choices of the
focus group and formulated the recommended criteria. Results: Based on the
bio-psychosocial state of twenty vignette patients, addiction physicians and
psychiatrists established the criteria and conditions recommended for the
indication of an outpatient GHB detoxification. Intensity of addiction (GHB
dose ≤32. g/d and frequency of abuse ≤2. h) was stated as the primary
criterion in determining the setting as well as the complexity of the
psychiatric comorbid disorders. The importance of a stable support system
was emphasised. Conclusion: The vignette study resulted in a set of criteria
with which addiction medicine specialists can make a weighted decision as to
an outpatient or inpatient setting for GHB detoxification. © 2013 Elsevier
Ireland Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
4 hydroxybutyric acid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
decision support system
drug dependence
drug detoxification
EMTREE MEDICAL INDEX TERMS
article
comorbidity
human
medical decision making
medical specialist
patient safety
priority journal
prospective study
social psychology
treatment indication
CAS REGISTRY NUMBERS
4 hydroxybutyric acid (591-81-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014021572
MEDLINE PMID
24380737 (http://www.ncbi.nlm.nih.gov/pubmed/24380737)
PUI
L52935215
DOI
10.1016/j.drugalcdep.2013.12.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2013.12.003
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 554
TITLE
The evolution of addiction medicine education in British Columbia
AUTHOR NAMES
Rieb L.
Wood E.
AUTHOR ADDRESSES
(Rieb L., Launette.Rieb@ubc.ca) Faculty of Medicine, Department of Family
Practice, University of British Columbia, Canada.
(Wood E.) Faculty of Medicine, Department of Internal Medicine, Division of
AIDS, University of British Columbia, Canada.
CORRESPONDENCE ADDRESS
L. Rieb, Department of Family Practice, UBC Physician Director, St. Paul's
Hospital Goldcorp Addiction Medicine Fellowship, Department of Family and
Community Medicine, St. Paul's Hospital, 1081 Burrard St. - Hornby St. Site,
Vancouver, Canada.
SOURCE
CJAM Canadian Journal of Addiction Medicine (2014) 5:3 (17-20). Date of
Publication: 2014
ISSN
1923-1210
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Internationally, improving Addiction Medicine training has been identified
as a critical strategy to improve patient care. In British Columbia, a firm
foundation has been laid with didactic sessions and clinical exposure in
substance use disorders embedded into undergraduate medical education and
various residency programs at the University of British Columbia. More
recently, with guidance from the American Board of Addiction Medicine and
experienced program directors internationally, along with financial support
through grants and donations, coupled with community input, an
interdisciplinary Addiction Medicine clinical fellowship and a NIDA funded
Addiction Medicine research fellowship have been established.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction medicine
behavioral medicine
medical education
EMTREE MEDICAL INDEX TERMS
article
Canada
continuing education
curriculum development
evidence based practice
funding
human
interdisciplinary education
residency education
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014843978
PUI
L600232964
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 555
TITLE
What is new in addiction medicine training at the college of family
physicians of Canada?
AUTHOR NAMES
Cirone S.
AUTHOR ADDRESSES
(Cirone S., sharoncirone2@gmail.com) Addiction Medicine Program Committee,
Section of Special Interest and Focused Practice, College of Family
Physicians of Canada, 2333 Dundas Street west, suite 410, Toronto, Canada.
CORRESPONDENCE ADDRESS
S. Cirone, Addiction Medicine Program Committee, Section of Special Interest
and Focused Practice, College of Family Physicians of Canada, 2333 Dundas
Street west, suite 410, Toronto, Canada.
SOURCE
CJAM Canadian Journal of Addiction Medicine (2014) 5:3 (14-16). Date of
Publication: 2014
ISSN
1923-1210
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Will review the activities of the Addiction Medicine Program Committee of
the College of Family Physicians of Canada which is actively involved in the
enhancement and development of educational tools pertaining to addiction
medicine. The Committee's main focus is to develop an up-to-date, national
curriculum in addiction medicine for Family Medicine trainees.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
addiction medicine
behavioral medicine
family medicine
medical education
EMTREE MEDICAL INDEX TERMS
alcoholism
article
Canada
curriculum development
education program
general practitioner
human
professional competence
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014843977
PUI
L600232963
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 556
TITLE
Stimulating and evaluating acquired knowledge of addiction among residents
through repeat testing: A pilot study
AUTHOR NAMES
Karam-Hage M.
Ouyang F.
Ghorayeb J.
Mullan P.
Brower K.
Gruppen L.
AUTHOR ADDRESSES
(Karam-Hage M., maherkaram@mdanderson.org) Department of Behavioral Science,
University of Texas MD Anderson Cancer Center, C.P.B. Unit 1330, 1155
Pressler St, Houston, United States.
(Karam-Hage M., maherkaram@mdanderson.org) Department of Psychiatry,
University of Texas MD Anderson Cancer Center, Houston, United States.
(Ouyang F.) University of TexasSchool of Public Health, Houston, United
States.
(Ghorayeb J.) University of Leeds, Leeds, United Kingdom.
(Mullan P.) Department of Medical Education, University of Michigan Medical
School, Ann Arbor, United States.
(Brower K.) Department of Psychiatry, University of Michigan, Ann Arbor,
United States.
(Gruppen L.) Department of Medical Education, University of Michigan, Ann
Arbor, United States.
CORRESPONDENCE ADDRESS
M. Karam-Hage, Department of Behavioral Science, University of Texas MD
Anderson Cancer Center, C.P.B. Unit 1330, 1155 Pressler St, Houston, United
States.
SOURCE
American Journal on Addictions (2014) 23:6 (576-581). Date of Publication: 1
Nov 2014
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley-Blackwell Publishing Ltd, info@royensoc.co.uk
ABSTRACT
Background Addictive disorders receive little attention in medical school
and residency program curricula. Objective To evaluate an innovative
learning approach encouraging and stimulating residents to focus on key
competencies by testing before and after their addiction psychiatry
rotation. Methods We developed a 50-item test on substance use disorders.
Twenty-six general psychiatry residents, post-graduate year I (PGY-I) and II
(PGY-II), participated in the pilot study and were divided into three
groups. PGY-I residents were divided into Group 1, who were tested the last
day of the rotation and again 2 months later, and Group 2, who were tested
on the first and the last day of the rotation. Eight of 11 PGY-II residents
agreed to participate as controls (Group 3), as they had previously
completed their 2-month addiction psychiatry rotation as PGY-I's. All
residents were informed that the testing would not affect their individual
grade. After taking the first test, all three groups received related study
materials. Results A statistically significant increase in re-test scores
occurred in the combined groups (p-<-.001). The largest changes in scores
were among Group 2 (the group taking the test on first and last day of their
addiction psychiatry rotation). Conclusion The greatest learning seemed to
occur when residents were tested at beginning and end of the rotation.
However, all residents' test scores improved to some degree, regardless of
their level of training or the timing of the test. Scientific Significance
This study offers support for testing as a learning guide and as a means of
stimulating residents' learning. (Am J Addict 2014;23:576-581)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
learning
professional knowledge
residency education
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
demography
female
human
male
normal human
pilot study
prospective study
psychiatrist
psychiatry
resident
substance abuse
task performance
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014712359
MEDLINE PMID
25065389 (http://www.ncbi.nlm.nih.gov/pubmed/25065389)
PUI
L53264413
DOI
10.1111/j.1521-0391.2014.12141.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2014.12141.x
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 557
TITLE
Increasing addiction medicine capacity in Canada: The case for collaboration
in education and research
AUTHOR NAMES
Hering R.D.
Lefebvre L.G.
Stewart P.A.
Selby P.L.
AUTHOR ADDRESSES
(Hering R.D.; Lefebvre L.G.) Department of Family and Community Medicine,
Faculty of Medicine, University of Toronto, Canada.
(Stewart P.A.) Department of Psychiatry, Faculty of Medicine, University of
Toronto, Canada.
(Selby P.L., peter.selby@camh.ca) Departments of Family and Community
Medicine and Psychiatry, Lana School of Public Health, University of
Toronto, Canada.
(Selby P.L., peter.selby@camh.ca) Ontario Tobacco Research Unit, Centre for
Addiction and Mental Health (CAMH), 100 Stokes Street, Toronto, Canada.
CORRESPONDENCE ADDRESS
P.L. Selby, Departments of Family and Community Medicine and Psychiatry,
Dalla Lana School of Public Health, University of Toronto, Canada.
SOURCE
CJAM Canadian Journal of Addiction Medicine (2014) 5:3 (10-14). Date of
Publication: 2014
ISSN
1923-1210
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Collaboration in addiction medicine education and research is important in
Canada. The large unmet need for addiction services will only be met by the
relatively small number of addiction clinicians, researchers, educators and
policy makers in Canada if they collaborate and grow in a coordinated
fashion toward common goals. Leadership from national organizations will
facilitate growth in a coordinated fashion, which will allow us to reach the
goal of providing adequate treatment for those with addiction and related
illnesses as quickly as possible. Recent developments give significant
reason to be optimistic that there will be more rapid progress in the coming
years. Important initiatives currently underway include: 1) the expansion of
Addiction Medicine training programs across Canada, 2) a new federal
governmentsponsored initiative to build collaborations in Addictions
research, and 3) an application for the first Canadian certification in
Addiction Medicine based on a standardized competency based curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
addiction medicine
behavioral medicine
EMTREE MEDICAL INDEX TERMS
article
Canada
certification
education program
funding
general practitioner
human
medical education
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014843976
PUI
L600232962
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 558
TITLE
Educational opportunities and a call for Synergy
AUTHOR NAMES
El-Guebaly N.
AUTHOR ADDRESSES
(El-Guebaly N.)
CORRESPONDENCE ADDRESS
N. El-Guebaly,
SOURCE
CJAM Canadian Journal of Addiction Medicine (2014) 5:3 (1-4). Date of
Publication: 2014
ISSN
1923-1210
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
addiction medicine
behavioral medicine
medical education
EMTREE MEDICAL INDEX TERMS
article
curriculum development
human
professional competence
professional development
scope of practice
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2014843974
PUI
L600232958
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 559
TITLE
Teaching tobacco dependence treatment and counseling skills during medical
school: Rationale and design of the Medical Students helping patients Quit
tobacco (MSQuit) group randomized controlled trial
AUTHOR NAMES
Hayes R.B.
Geller A.
Churchill L.
Jolicoeur D.
Murray D.M.
Shoben A.
David S.P.
Adams M.
Okuyemi K.
Fauver R.
Gross R.
Leone F.
Xiao R.
Waugh J.
Crawford S.
Ockene J.K.
AUTHOR ADDRESSES
(Hayes R.B., rashelle.hayes@umassmed.edu; Churchill L.,
linda.churchill@umassmed.edu; Jolicoeur D., denise.jolicoeur@umassmed.edu;
Xiao R., rui.xiao@umassmed.edu; Crawford S., sybil.crawford@umassmed.edu;
Ockene J.K., judith.ockene@umassmed.edu) Department of Medicine, Division of
Preventive and Behavioral Medicine, University of Massachusetts Medical
School, Worcester, MA, United States.
(Geller A., ageller@hsph.harvard.edu) Department of Society of Human
Development and Health, Harvard School of Public Health, Boston, MA, United
States.
(Murray D.M., david.murray2@nih.gov) Biostatistics and Bioinformatics
Branch, Division of Epidemiology, Statistics, and Prevention Res., Eunice
Kennedy Shriver National Institute of Child Health and Human Development,
National Institute of Health, Bethesda, MD, United States.
(Shoben A., ashoben@cph.osu.edu) Division of Biostatics, College of Public
Health, Ohio State University, Columbus, OH, United States.
(David S.P., spdavid@stanford.edu; Fauver R., rfauver@stanford.edu) Center
for Education and oResearch in Family and Community Medicine, Division of
General Medical Disciplines, Department of Medicine, Stanford University
School of Medicine, Palo Alto, CA, United States.
(Adams M., adams@gunet.georgetown.edu) Division of General Internal
Medicine, Department of Medicine, Georgetown University Hospital, United
States.
(Okuyemi K., kokuyemi@umn.edu) Department of Medicine, University of
Minnesota Medical School, Minneapolis, MN, United States.
(Gross R., rlg4@gunet.georgetown.edu) Division of Pulmonary, Critical Care
and Sleep Medicine, Department of Medicine, Georgetown University Hospital,
Washington, DC, United States.
(Leone F., frank.tleone@uphs.upenn.edu) Division of Pulmonary, Allergy and
Critical Care Medicine, Perelman School of Medicine, University of
Pennsylvania, Philadelphia, PA, United States.
(Waugh J., waughj@uab.edu) Department of Clinical and Diagnostics Sciences,
UAB Lung Health Center, University of Alabama at Birmingham, Birmingham, AL,
United States.
CORRESPONDENCE ADDRESS
R.B. Hayes, University of Massachusetts Medical School, 55 Lake Avenue
North, Worcester, MA 01655, United States. Email:
rashelle.hayes@umassmed.edu
SOURCE
Contemporary Clinical Trials (2014) 37:2 (284-293). Date of Publication:
March 2014
ISSN
1559-2030 (electronic)
1551-7144
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Introduction: Physician-delivered tobacco treatment using the 5As is
clinically recommended, yet its use has been limited. Lack of adequate
training and confidence to provide tobacco treatment is cited as leading
reasons for limited 5A use. Tobacco dependence treatment training while in
medical school is recommended, but is minimally provided. The MSQuit trial
(Medical Students helping patients Quit tobacco) aims to determine if a
multi-modal and theoretically-guided tobacco educational intervention will
improve tobacco dependence treatment skills (i.e. 5As) among medical
students. Methods/design: 10 U.S. medical schools were pair-matched and
randomized in a group-randomized controlled trial to evaluate whether a
multi-modal educational (MME) intervention compared to traditional education
(TE) will improve observed tobacco treatment skills. MME is primarily
composed of TE approaches (i.e. didactics) plus a 1st year web-based course
and preceptor-facilitated training during a 3rd year clerkship rotation. The
primary outcome measure is an objective score on an Objective Structured
Clinical Examination (OSCE) tobacco-counseling smoking case among 3rd year
medical students from schools who implemented the MME or TE. Discussion:
MSQuit is the first randomized to evaluate whether a tobacco treatment
educational intervention implemented during medical school will improve
medical students' tobacco treatment skills. We hypothesize that the MME
intervention will better prepare students in tobacco dependence treatment as
measured by the OSCE. If a comprehensive tobacco treatment educational
learning approach is effective, while also feasible and acceptable to
implement, then medical schools may substantially influence skill
development and use of the 5As among future physicians. © 2014 The Author.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
medical school
skill
teaching
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
assessment of humans
clinical examination
cross-sectional study
curriculum
education
human
medical student
objective student clinical examination
randomized controlled trial
randomized controlled trial (topic)
self report
smoking
tobacco
traditional education
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014134767
MEDLINE PMID
24486635 (http://www.ncbi.nlm.nih.gov/pubmed/24486635)
PUI
L372446591
DOI
10.1016/j.cct.2014.01.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cct.2014.01.008
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 560
TITLE
Knowledge about health effects of cigarette smoking and quitting among
italian university students: The importance of teaching nicotine dependence
and treatment in the medical curriculum
AUTHOR NAMES
Grassi M.C.
Baraldo M.
Chiamulera C.
Culasso F.
Raupach T.
Ferketich A.K.
Patrono C.
Nencini P.
AUTHOR ADDRESSES
(Grassi M.C., caterina.grassi@uniroma1.it; Nencini P.,
paolo.nencini@uniroma1.it) Department of Physiology and Pharmacology V.
Erspamer, School of Medicine, Sapienza University of Rome, Piazzale Aldo
Moro 5, 00185 Rome, Italy.
(Baraldo M., massimo.baraldo@unius.it) Department of Experimental and
Clinical Medicine, School of Medicine, University of Udine, Piazzale S.
Maria della Misericordia, 33100 Udine, Italy.
(Chiamulera C., cristiano.chiamulera@univr.it) Department of Public Health
and Community Medicine, Section of Pharmacology, University of Verona,
Policlinico G. B. Rossi, Piazzale Scuro 10, 36134 Verona, Italy.
(Culasso F., franco.culasso@uniroma1.it) Department of Public Health and
Infectious Diseases, School of Medicine, Sapienza University of Rome,
Piazzale Aldo Moro 5, 00185 Rome, Italy.
(Raupach T., raupach@med.uni-goettingen.de) Department of Cardiology and
Pneumology, University Hospital Göttingen, Robert-Koch-Strasse 40, 37075
Göttingen, Germany.
(Raupach T., raupach@med.uni-goettingen.de) Department of Epidemiology and
Public Health, Health Behaviour Research Centre, University College London,
1-19 Torrington Place, London WC1E7HB, United Kingdom.
(Ferketich A.K., aferketich@cph.osu.edu) Division of Epidemiology, Ohio
State University College of Public Health, 310 Cunz Hall, 1841 Neil Ave,
Columbus, OH 43210, United States.
(Patrono C., carlo.patrono@rm.unicatt.it) Department of Pharmacology, School
of Medicine, Catholic University of Rome, Largo F. Vito 1, 00168 Rome,
Italy.
CORRESPONDENCE ADDRESS
M.C. Grassi, Department of Physiology and Pharmacology V. Erspamer, School
of Medicine, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome,
Italy. Email: caterina.grassi@uniroma1.it
SOURCE
BioMed Research International (2014) 2014 Article Number: 321657. Date of
Publication: 2014
ISSN
2314-6141 (electronic)
2314-6133
BOOK PUBLISHER
Hindawi Publishing Corporation, 410 Park Avenue, 15th Floor, 287 pmb, New
York, United States.
ABSTRACT
Aims of the study were to compare medical students (MS) to non-MS with
respect to their knowledge of smoking and to investigate the effect of a
short educational intervention on MS knowledge. MS (n = 962) and students of
architecture and law (n = 229) were asked to complete a 60-item
questionnaire addressing knowledge of smoking epidemiology and health
effects ("Score 1"), and effectiveness of cessation treatments ("Score 2").
Upon completion of questionnaire, fourth year MS received a lecture on
tobacco dependence. These students were asked to complete the same
questionnaire one and two years later. Mean values for Score 1 were 48.9 ±
11.5 % in MS and 40.5 ± 11.4 % in non-MS (P < 0.001; d = 0.69). Respective
values for Score 2 were 48.1 ± 10.8 % and 42.6 ± 10.6 % (P < 0.001; d =
0.50). Fifth year students who had attended the lecture in year 4 scored
higher than students who had not attended the lecture. Significant
differences were noted one but not two years after the educational
intervention. In conclusion, MS know slightly more about smoking-related
diseases and methods to achieve cessation than nonmedical students; a short
educational intervention was associated with better knowledge one year
later, but the effect was moderate and short-lived. © 2014 Maria Caterina
Grassi et al.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health hazard
smoking
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
female
human
Italy
major clinical study
male
medical education
medical student
middle aged
questionnaire
teaching
university student
young adult
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014322939
MEDLINE PMID
24804212 (http://www.ncbi.nlm.nih.gov/pubmed/24804212)
PUI
L373048180
DOI
10.1155/2014/321657
FULL TEXT LINK
http://dx.doi.org/10.1155/2014/321657
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 561
TITLE
Addiction medicine and addiction psychiatry in Calgary, Alberta
AUTHOR NAMES
Lim R.
AUTHOR ADDRESSES
(Lim R., ron.lim@albertahealthservices.ca) Department of Family Medicine,
University of Calgary, Addiction Centre Foothills Adult Program, Foothills
Medical Centre, 6th Fl. North Tower, 1403 19 Street, NW, Calgary, Canada.
CORRESPONDENCE ADDRESS
R. Lim, Department of Family Medicine, University of Calgary, Addiction
Centre Foothills Adult Program, Foothills Medical Centre, 6th Fl. North
Tower, 1403 19 Street, NW, Calgary, Canada.
SOURCE
CJAM Canadian Journal of Addiction Medicine (2014) 5:3 (21-23). Date of
Publication: 2014
ISSN
1923-1210
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Addiction is a common chronic brain disease that affects a significant
proportion of the North American population. Addiction is not only confined
to the use of substances but also extends to behaviors such as gambling.
Many addicted individuals suffer concurrent disorders with chronic pain and
other psychiatric issues. This has resulted in significant harms and cost to
individuals and society. Despite the high prevalence of addiction, physician
training in this field of medicine remains fragmented and lacking. This
article outlines the post graduate training opportunities to enhance skills
in Addiction Medicine and Addiction Psychiatry that currently exist in
Calgary.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction medicine
addiction psychiatry
behavioral medicine
psychiatry
EMTREE MEDICAL INDEX TERMS
article
Canada
certification
curriculum development
education program
general practitioner
human
postgraduate education
professional development
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014843979
PUI
L600232965
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 562
TITLE
Education Against Tobacco (EAT): A quasi-experimental prospective evaluation
of a programme for preventing smoking in secondary schools delivered by
medical students: a study protocol
AUTHOR NAMES
Brinker T.J.
Stamm-Balderjahn S.
Seeger W.
Groneberg D.A.
AUTHOR ADDRESSES
(Brinker T.J., titus.brinker@gmail.com; Groneberg D.A.) Institute of
Occupational Medicine, Social Medicine and Environmental Medicine,
Goethe-University, Frankfurt, Germany.
(Stamm-Balderjahn S.) Institute of Medical Sociology, Charité University
Medicine, Berlin, Germany.
(Seeger W.) University of Giessen and Marburg Lung Center (UGMLC),
Max-Planck Institute for Heart and Lung Research Bad Nauheim/Giessen, German
Center for Lung Research (DZL), Germany.
CORRESPONDENCE ADDRESS
T.J. Brinker, Institute of Occupational Medicine, Social Medicine and
Environmental Medicine, Goethe-University, Frankfurt, Germany. Email:
titus.brinker@gmail.com
SOURCE
BMJ Open (2014) 4:7 Article Number: e004909. Date of Publication: 2014
ISSN
2044-6055 (electronic)
BOOK PUBLISHER
BMJ Publishing Group, subscriptions@bmjgroup.com
ABSTRACT
Introduction: A survey conducted by the German Federal Centre for Health
Education in 2012 showed that 35.2% of all young adults (18-25 years) and
12.0% of all adolescents (12-17 years) in Germany are regular cigarette
smokers. Most smoked their first cigarette in early adolescence. We recently
reported a significantly positive short-term effect of a physiciandelivered
school-based smoking prevention programme on the smoking behaviour of
schoolchildren in Germany. However, physician-based programmes are usually
very expensive. Therefore, we will evaluate and optimise Education against
Tobacco (EAT), a widespread, low-cost programme delivered by about 400
medical students from 16 universities in Germany. Methods and analysis: A
prospective quasiexperimental study design with two measurements at baseline
(t1) and 6 months post-intervention (t2) to investigate an intervention in
10-15-year-olds in grades 6-8 at German secondary schools. The intervention
programme consists of two 60-min school-based medical-student-delivered
modules with (module 1) and without the involvement of patients with
tobaccorelated diseases and control groups (no intervention). The study
questionnaire measuring smoking status (water pipe and cigarette smoking),
smoking-related cognitions, and gender, social and cultural aspects was
designed and pre-tested in advance. The primary end point is the prevalence
of smokers and non-smokers in the two study arms at 6 months after the
intervention. The percentage of former smokers and new smokers in the two
groups and the measures of smoking behaviour will be studied as secondary
outcome measures. Ethics and dissemination: In accordance with Good
Epidemiologic Practice (GEP) guidelines, the study protocol was submitted
for approval by the responsible ethics committee, which decided that the
study does not need ethical approval (Goethe University, Frankfurt- Main,
Germany). Findings will be disseminated in peerreviewed journals, at
conferences, within our scientific advisory board and through medical
students within the EAT project.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health program
high school
smoking
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
cognition
controlled study
cultural factor
female
gender
human
male
medical student
outcome assessment
program efficacy
program evaluation
prospective study
quasi experimental study
questionnaire
social aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014493078
MEDLINE PMID
25059969 (http://www.ncbi.nlm.nih.gov/pubmed/25059969)
PUI
L373596068
DOI
10.1136/bmjopen-2014-004909
FULL TEXT LINK
http://dx.doi.org/10.1136/bmjopen-2014-004909
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 563
TITLE
Smoking cessation counseling by surgical and nonsurgical residents:
Opportunities for health promotion education
AUTHOR NAMES
Turner S.R.
Lai H.
Bédard E.L.R.
AUTHOR ADDRESSES
(Turner S.R.; Bédard E.L.R., elbedard@gmail.com) Department of Surgery,
University of Alberta, Edmonton, Canada.
(Lai H.) Department of Undergraduate Medical Education, University of
Alberta, Edmonton, Canada.
CORRESPONDENCE ADDRESS
E.L.R. Bédard, 416 Community Services Center, 10240 Kingsway Ave, Edmonton,
Canada.
SOURCE
Journal of Surgical Education (2014) 71:6 (892-895). Date of Publication: 1
Nov 2014
ISSN
1878-7452 (electronic)
1931-7204
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Background Cigarette smoking is the leading cause of preventable death in
North America and a major contributor to surgically treated diseases and
operative complications. Counseling by residents can be an effective means
of helping patients to quit smoking, and with the introduction of the
Accreditation Council for GraduateMedical Education and CanMEDS competency
frameworks, health promotion is a required component of residency training.
However, past studies have found that smoking cessation counseling by
residents, and in particular surgical residents, is lacking. In light of the
introduction of health promotion as a core competency in residency training,
this study was designed to examine the attitudes and practices of residents
at our institution regarding smoking cessation counseling, comparing
surgical and nonsurgical residents and seeking to identify barriers to
resident counseling. Methods An internet-based questionnaire was distributed
to all residents at the University of Alberta in the fall of 2012. Items
examined residents attitudes and practices related to smoking cessation
counseling and barriers to counseling.Results Although almost all residents
believed that smoking cessation was important and that counseling was part
of their job as a resident, far fewer routinely practiced the counseling
behaviors examined. Surgical residents were less likely to perform
counseling and more likely to think that counseling was not part of their
job. Surgical residents were also more likely to identify obstacles to
counseling such as a lack of time and formal training.Discussion Residents,
and surgical residents in particular, are missing opportunities to help
their patients quit smoking and improve their health. Given their positive
attitudes toward counseling, it may be possible to improve their counseling
practices through simple means. By identifying obstacles to counseling and
tools that may increase residents tendency to perform counseling, this study
can help to guide training programs aimed at improving resident competency
in health promotion.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
health promotion
patient counseling
resident
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
clinical competence
clinical practice
education program
human
physician attitude
questionnaire
residency education
responsibility
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015641562
MEDLINE PMID
24818539 (http://www.ncbi.nlm.nih.gov/pubmed/24818539)
PUI
L601096951
DOI
10.1016/j.jsurg.2014.03.011
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsurg.2014.03.011
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 564
TITLE
Baylor Pediatric SBIRT Medical Residency Training Program: model description
and evaluation
AUTHOR NAMES
Bray J.H.
Kowalchuk A.
Waters V.
Allen E.
Laufman L.
Shilling E.H.
AUTHOR ADDRESSES
(Bray J.H.; Kowalchuk A.; Waters V.; Allen E.; Laufman L.; Shilling E.H.) a
Department of Family & Community Medicine , Baylor College of Medicine ,
Houston , Texas , USA
SOURCE
Substance abuse (2014) 35:4 (442-449). Date of Publication: 2014
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: The Baylor College of Medicine SBIRT Medical Residency Training
Program is a multilevel project that trains residents and faculty in
evidenced-based screening, brief intervention, and referral to treatment
methods for alcohol and substance use problems.METHODS: This paper describes
the training program created for pediatric residents and provides an
evaluation of the program. Ninety-five first-year pediatric residents
participated in the training program. They were assessed on satisfaction
with the program, self-rated skills, observed competency, and implementation
into clinical practice.RESULTS: The program was successfully incorporated
into the residency curricula in two pediatric residencies. Evaluations
indicate a high degree of satisfaction with the program, self-reported
improvement in SBIRT skills, observed proficiency in SBIRT skills, and
utilization of SBIRT skills in clinical practice.CONCLUSIONS: SBIRT skills
training can be incorporated into pediatric residency training, and
residents are able to learn and implement the skills in clinical practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
education
medical education
program development
program evaluation
EMTREE MEDICAL INDEX TERMS
clinical competence
drug dependence (diagnosis, therapy)
female
human
male
patient referral
pediatrics
short term psychotherapy
Texas
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25148650 (http://www.ncbi.nlm.nih.gov/pubmed/25148650)
PUI
L613056531
DOI
10.1080/08897077.2014.954026
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2014.954026
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 565
TITLE
Rules and values: a coordinated regulatory and educational approach to the
public health crises of chronic pain and addiction.
AUTHOR NAMES
Katzman J.G.
Comerci G.D.
Landen M.
Loring L.
Jenkusky S.M.
Arora S.
Kalishman S.
Marr L.
Camarata C.
Duhigg D.
Dillow J.
Koshkin E.
Taylor D.E.
Geppert C.M.
AUTHOR ADDRESSES
(Katzman J.G.) Joanna G. Katzman, Cynthia M. A. Geppert, George D. Comerci,
Sanjeev Arora, Summers Kalishman, Lisa Marr, Chris Camarata, Daniel Duhigg,
Jennifer Dillow, Eugene Koshkin, and Denise E. Taylor are with the
University of New Mexico (UNM) Health Sciences Center, Albuquerque. Michael
Landen is with the New Mexico Department of Health, Santa Fe. Larry Loring
is with the New Mexico Board of Pharmacy, Albuquerque. Steven M. Jenkusky is
with the New Mexico Medical Board, Santa Fe.
(Comerci G.D.; Landen M.; Loring L.; Jenkusky S.M.; Arora S.; Kalishman S.;
Marr L.; Camarata C.; Duhigg D.; Dillow J.; Koshkin E.; Taylor D.E.; Geppert
C.M.)
CORRESPONDENCE ADDRESS
J.G. Katzman,
SOURCE
American journal of public health (2014) 104:8 (1356-1362). Date of
Publication: Aug 2014
ISSN
1541-0048 (electronic)
ABSTRACT
Chronic pain and opioid addiction are 2 pressing public health problems, and
prescribing clinicians often lack the skills necessary to manage these
conditions. Our study sought to address the benefits of a coalition of an
academic medical center pain faculty and government agencies in addressing
the high unintentional overdose death rates in New Mexico. New Mexico's
2012-2013 mandated chronic pain and addiction education programs studied
more than 1000 clinicians. Positive changes were noted in precourse and
postcourse surveys of knowledge, self-efficacy, and attitudes. Controlled
substance dispensing data from the New Mexico Board of Pharmacy also
demonstrated safer prescribing. The total morphine and Valium milligram
equivalents dispensed have decreased continually since 2011. There was also
a concomitant decline in total drug overdose deaths.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy)
medical education
opiate addiction (prevention)
EMTREE MEDICAL INDEX TERMS
analgesia
article
drug overdose (prevention)
human
methodology
prescription
public health
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24922121 (http://www.ncbi.nlm.nih.gov/pubmed/24922121)
PUI
L373963577
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 566
TITLE
Substance misuse teaching in undergraduate medical education.
AUTHOR NAMES
Carroll J.
Goodair C.
Chaytor A.
Notley C.
Ghodse H.
Kopelman P.
AUTHOR ADDRESSES
(Carroll J., j.carroll@chester.ac.uk) Psychology Department, University of
Chester, Critchley Building, Parkgate Road, Chester, UK.
(Goodair C.; Chaytor A.; Notley C.; Ghodse H.; Kopelman P.)
CORRESPONDENCE ADDRESS
J. Carroll, Email: j.carroll@chester.ac.uk
SOURCE
BMC medical education (2014) 14 (34). Date of Publication: 2014
ISSN
1472-6920 (electronic)
ABSTRACT
Over 12,000 hospital admissions in the UK result from substance misuse,
therefore issues surrounding this need to be addressed early on in a
doctor's training to facilitate their interaction with this client group.
Currently, undergraduate medical education includes teaching substance
misuse issues, yet how this is formally integrated into the curriculum
remains unclear. Semi-structured interviews with 17 key members of staff
responsible for the whole or part of the undergraduate medical curriculum
were conducted to identify the methods used to teach substance misuse. Using
a previously devised toolkit, 19 curriculum co-ordinators then mapped the
actual teaching sessions that addressed substance misuse learning
objectives. Substance misuse teaching was delivered primarily in psychiatry
modules but learning objectives were also found in other areas such as
primary care placements and problem-based learning. On average, 53 teaching
sessions per medical school focused on bio-psycho-social models of addiction
whereas only 23 sessions per medical school focused on professionalism,
fitness to practice and students' own health in relation to substance
misuse. Many sessions addressed specific learning objectives relating to the
clinical features of substance dependence whereas few focused on iatrogenic
addiction. Substance misuse teaching is now inter-disciplinary and the
frequent focus on clinical, psychological and social effects of substance
misuse emphasises the bio-psycho-social approach underlying clinical
practice. Some areas however are not frequently taught in the formal
curriculum and these need to be addressed in future changes to medical
education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
article
human
interview
medical school
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24533849 (http://www.ncbi.nlm.nih.gov/pubmed/24533849)
PUI
L373849661
DOI
10.1186/1472-6920-14-34
FULL TEXT LINK
http://dx.doi.org/10.1186/1472-6920-14-34
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 567
TITLE
Energy drinks, soft drinks, and substance use among united states secondary
school students
AUTHOR NAMES
Terry-McElrath Y.M.
O'Malley P.M.
Johnston L.D.
AUTHOR ADDRESSES
(Terry-McElrath Y.M., yterry@umich.edu; O'Malley P.M.; Johnston L.D.)
Institute for Social Research Room 2344, University of Michigan, PO Box
1248, Ann Arbor, MI 48106, United States.
CORRESPONDENCE ADDRESS
Y.M. Terry-McElrath, Institute for Social Research Room 2344, University of
Michigan, PO Box 1248, Ann Arbor, MI 48106, United States. Email:
yterry@umich.edu
SOURCE
Journal of Addiction Medicine (2014) 8:1 (6-13). Date of Publication:
January-February 2014
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
Objectives: Examine energy drink/shot and regular and diet soft drink use
among United States secondary school students in 2010-2011, and associations
between such use and substance use. Methods: We used self-reported data from
cross-sectional surveys of nationally representative samples of 8th-, 10th-,
and 12th-grade students and conducted multivariate analyses examining
associations between beverage and substance use, controlling for individual
and school characteristics. Results: Approximately 30% of students reported
consuming energy drinks or shots; more than 40% reported daily regular soft
drink use, and about 20% reported daily diet soft drink use. Beverage
consumption was strongly and positively associated with past 30-day alcohol,
cigarette, and illicit drug use. The observed associations between energy
drinks and substance use were significantly stronger than those between
regular or diet soft drinks and substance use. Conclusions: This
correlational study indicates that adolescent consumption of energy
drinks/shots is widespread and that energy drink users report heightened
risk for substance use. This study does not establish causation between the
behaviors. Education for parents and prevention efforts among adolescents
should include education on the masking effects of caffeine in energy drinks
on alcohol- and other substance-related impairments, and recognition that
some groups (such as high sensation-seeking youth) may be particularly
likely to consume energy drinks and to be substance users. © 2014 American
Society of Addiction Medicine.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
caffeine
cannabis
central stimulant agent
illicit drug
non prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
energy drink
soft drink
substance use
EMTREE MEDICAL INDEX TERMS
adolescent
alcohol consumption
article
controlled study
education
ethnicity
female
heredity
high school student
human
male
priority journal
psychological aspect
recognition
self report
social aspect
social status
substance abuse
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
caffeine (58-08-2)
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014245102
MEDLINE PMID
24481080 (http://www.ncbi.nlm.nih.gov/pubmed/24481080)
PUI
L372784415
DOI
10.1097/01.ADM.0000435322.07020.53
FULL TEXT LINK
http://dx.doi.org/10.1097/01.ADM.0000435322.07020.53
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 568
TITLE
Students for Health Innovation and Education (SHINE): Fostering leadership
among medical students and residents
AUTHOR NAMES
Ladak F.
Chan N.
Pedersen J.
AUTHOR ADDRESSES
(Ladak F.; Chan N.; Pedersen J.) Medicine, University of Calgary, Calgary,
Canada.
CORRESPONDENCE ADDRESS
F. Ladak, Medicine, University of Calgary, Calgary, Canada.
SOURCE
Annals of Global Health (2014) 80:3 (167-168). Date of Publication: May-June
2014
CONFERENCE NAME
5th Annual CUGH Conference: Universities 2.0: Advancing Global Health in the
Post-MDG Era
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2014-05-10 to 2014-05-12
ISSN
2214-9996
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Background: Students for Health Innovation and Education, abbreviated as
SHINE, provides a model for bridging the gap between public health and
medicine. It cultivates a greater commitment to service among Canadian
medical students and allied health professionals. Distinct from many student
clubs and organizations in medical school, SHINE strives to provide
continuity between medical school and residency. Moreover, SHINE places a
great emphasis on community development leadership, and collaboration,
particularly across disciplines. Structure/Method/Design: Our approach
involves immersing students in projects that will permit early exposure to
public health (coinciding with the beginning of medical training) and
provides experience collaborating with a community-based
organization/institution to plan, implement, and evaluate a project.
Furthermore, we recognize the importance of improving communication across
health care disciplines, which is why when possible/applicable, we encourage
opportunities that will enable student participation in interdisciplinary
teams. Each placement is intended to support student development of one or
more of the CanMED roles. This is not only a way of standardizing the value
obtained from student experiences but it also promotes the “core
competencies” that are integral to effective physicianship. In addition,
SHINE hosts monthly journal clubs, quarterly workshops (on leadership,
advocacy, preventative medicine, etc.), and annual events with
world-renowned leaders, to allow SHINE students to envision their own impact
in the greater context and receive feedback and insight from individuals who
have dedicated their lives to improving the human condition. Results
(Scientific Abstract)/Collaborative Partners (Programmatic Abstract): SHINE
partners with institutions and communitybased organizations (CBOs) serving
marginalized populations, both in Calgary and abroad. Partnerships entail a
reciprocal relationship that enable medical students to develop their CanMED
roles (“core competencies” integral to effective physicianship), while at
the same time assisting CBOs/institutions to achieve a desired program goal/
execute their mandate. Current partners include 1. the YMCA (to develop a
Youth Wellness Program targeting Youth Age 12-17), 2. Bo School of Community
Health Sciences and Bo Government Hospital (to create a sustainable Neonatal
Resuscitation Program that aims to reduce neonatal mortality attributable to
birthing asphyxia by increase the number of health professionals in Bo
trained in neonatal resuscitation), 3. WoodsHomes (to create of a framework
and curriculum for addiction cessation that uses a combination of
harm-reduction strategies, and targets youth 16-24), and 4. Remand Center
(to sensitize students to the unique challenges of working with prison
populations and develop a tailored health assessment questionnaire).
Summary/Conclusion: Sixteen students across a multitude of disciplines have
been enrolled for the 2013-2014 program. Each placement is supported by a
physician mentor. A sustainability plan has been created to ensure
placements remain available from year to year.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
health
human
leadership
medical student
student
university
EMTREE MEDICAL INDEX TERMS
addiction
asphyxia
Canadian
community
curriculum
exposure
feedback system
government
harm reduction
Health Assessment Questionnaire
health care
health practitioner
health science
hospital
interpersonal communication
juvenile
laryngeal mask
medical education
medical school
model
newborn mortality
organization
physician
population
prison
public health
resuscitation
school
teacher
wellbeing
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71820392
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 569
TITLE
"Alcohol and nicotine"--Concept and evaluation of an interdisciplinary
elective course with OSPE in preclinical medical education
AUTHOR NAMES
Bergelt C.
Lauke H.
Petersen-Ewert C.
Jücker M.
Bauer C.K.
AUTHOR ADDRESSES
(Bergelt C.) University Medical Center Hamburg-Eppendorf, Department of
Medical Psychology, Hamburg, Germany
(Lauke H.) University Medical Center Hamburg-Eppendorf, Department of
Anatomy and Experimental Morphology, Hamburg, Germany
(Petersen-Ewert C.) University Medical Center Hamburg-Eppendorf, Department
of Medical Psychology, Hamburg, Germany ; University of Applied Sciences,
Department of Nursing and Management, Hamburg, Germany
(Jücker M.) University Medical Center Hamburg-Eppendorf, Department of
Biochemistry and Signal Transduction, Hamburg, Germany
(Bauer C.K.) University Medical Center Hamburg-Eppendorf, Department of
Cellular and Integrative Physiology, Hamburg, Germany
SOURCE
GMS Zeitschrift für medizinische Ausbildung (2014) 31:1 (Doc9). Date of
Publication: 2014
ISSN
1860-3572 (electronic)
ABSTRACT
In the last decade, increasing interest has been paid to interdisciplinary
and practical courses in the medical education in Germany. This report
describes the implementation and outcome of a preclinical interdisciplinary
elective course with a team-teaching concept developed by lecturers in
medical psychology, anatomy, physiology and biochemistry. The practical
orientation of the course led to the implementation of a final
interdisciplinary OSPE to ensure fair consideration of the different
disciplines involved in grading. Individual OSPE results correlate well with
the fact that different skills are required in medical psychology compared
to those required in anatomy, physiology and biochemistry. Student course
evaluation and lecturers` experience indicate the success of this elective
course. Its concept can be well adapted to other interdisciplinary courses.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cooperation
interdisciplinary communication
medical school
organization and management
procedures
EMTREE MEDICAL INDEX TERMS
clinical competence
curriculum
education
Germany
health personnel attitude
human
legislation and jurisprudence
licensing
medical education
medical student
psychology
public health
CAS REGISTRY NUMBERS
alcohol (64-17-5)
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24575160 (http://www.ncbi.nlm.nih.gov/pubmed/24575160)
PUI
L605128109
DOI
10.3205/zma000901
FULL TEXT LINK
http://dx.doi.org/10.3205/zma000901
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 570
TITLE
Physician's practices and perspectives regarding tobacco cessation in a
teaching hospital in Mysore City, Karnataka
AUTHOR NAMES
Saud M.
Madhu B.
Srinath K.M.
Ashok N.C.
Renuka M.
AUTHOR ADDRESSES
(Madhu B.; Ashok N.C.; Renuka M.) Department of Community Medicine, JSS
Medical College, JSS University, Mysore, Karnataka, India.
(Srinath K.M.) Department of Medicine, JSS Medical College, JSS University,
Mysore, Karnataka, India.
(Saud M., mdsaud@outlook.com)
CORRESPONDENCE ADDRESS
M. Saud, #93, 'Al-Mohsina', Udayagiri, 2nd Stage, 2nd Cross, Mysore -.570
019, Karnataka, India. Email: mdsaud@outlook.com
SOURCE
Indian Journal of Psychiatry (2014) 56:1 (24-28). Date of Publication:
January-March 2014
ISSN
0019-5545
1998-3794 (electronic)
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd, B9, Kanara Business Centre, off
Link Road, Ghatkopar (E), Mumbai, India.
ABSTRACT
Context: Tobacco is a leading cause of disease and premature death. Most of
the smokers visit a doctor for various health related ailments and thus such
clinic visits provide many opportunities for interventions and professional
tobacco cessation advice. Aims: The primary aim of the following study is to
assess the physician practices, perspectives, resources, barriers and
education relating to tobacco cessation and their perceived need for
training for the same. The secondary aim is to compare the physician's
cessation practices from patient's perspective. Settings and Design: A
descriptive study was conducted in a hospital attached to Medical College in
Mysore city, Karnataka. Materials and Methods: Information about doctor's
practices, perspectives and their perceived need for training in tobacco
cessation were collected using pre-structured self-administered
Questionnaire, which were distributed in person. Patient's practices and
perspectives were assessed using a pre-structured Oral Questionnaire.
Results: Almost 95% of physicians said that they ask patients about their
smoking status and 94% advise them to quit smoking, but only 50% assist the
patient to quit smoking and only 28% arrange follow-up visits. Thus, they do
not regularly provide assistance to help patients quit, even though 98% of
the physicians believed that helping patients to quit was a part of their
role. Only 18% and 35% of the physicians said that Undergraduate Medical
Education and Post Graduate Medical Education respectively prepared them
very well to participate in smoking cessation activities. Conclusions:
Tobacco cessation requires repeated and regular assistance. Such assistance
is not being provided to patients by attending doctors. Our medical
education system is failing to impart the necessary skills to doctors,
needed to help patients quit smoking. Reforms in education are needed so as
to prepare the physician to effectively address this problem.
EMTREE DRUG INDEX TERMS
amfebutamone
nicotine gum
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
physician
smoking cessation
teaching hospital
EMTREE MEDICAL INDEX TERMS
article
clinical effectiveness
counseling
descriptive research
female
follow up
health hazard
human
male
postgraduate education
questionnaire
self concept
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
nicotine gum (96055-45-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014054806
PUI
L372164783
DOI
10.4103/0019-5545.124710
FULL TEXT LINK
http://dx.doi.org/10.4103/0019-5545.124710
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 571
TITLE
Training for perioperative smoking cessation interventions: A national
survey of anesthesiology program directors and residents
AUTHOR NAMES
Schultz C.R.
Benson J.J.
Cook D.A.
Warner D.O.
AUTHOR ADDRESSES
(Schultz C.R., caleb.r.schultz@gmail.com; Benson J.J.) University of
Minnesota, Department of Anesthesiology, B515 Mayo Memorial Bldg., 420
Delaware St., S.E. MMC294, Minneapolis, United States.
(Cook D.A.; Warner D.O.) Department of Internal Medicine, Mayo Clinic,
Rochester, United States.
CORRESPONDENCE ADDRESS
C.R. Schultz, University of Minnesota, Department of Anesthesiology, B515
Mayo Memorial Bldg., 420 Delaware St., S.E. MMC294, Minneapolis, United
States.
SOURCE
Journal of Clinical Anesthesia (2014) 26:7 (563-569). Date of Publication:
2014
ISSN
1873-4529 (electronic)
0952-8180
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
Study Objective: To ascertain current knowledge, attitudes, and practices of
anesthesiology residents regarding tobacco control, and to determine the
characteristics of current residency training offered in tobacco
control.Design: Electronically distributed survey instrument of
anesthesiology residency program directors and residents.Setting: University
medical center.Measurements and Main Results: The program director and
resident response rates were 75/131 (57.3%) and 490/1182 (41.4%),
respectively. Programs currently provide education regarding the
perioperative consequences of smoking and, with the exception of the effect
of smoking cessation shortly before surgery, resident knowledge reflected
this curricular emphasis. However, the strong majority of programs did not
offer education on how to ask about smoking status and advise cessation
(79.5%) or help tobacco users quit before surgery (89.0%), though both
program directors and residents felt these topics should be covered. A
strong majority of residents (87.8%) felt the perioperative period was an
effective time to assist in long-term smoking cessation, and desired
education on tobacco control. Barriers to helping patients quit
preoperatively included lack of time and low confidence in counseling
abilities.Conclusions: A need exists for expanded formal education on
perioperative tobacco cessation interventions for anesthesiology residents.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
perioperative period
smoking cessation
EMTREE MEDICAL INDEX TERMS
administrative personnel
anesthesiology
article
attitude
female
human
long term care
major clinical study
male
patient counseling
priority journal
professional knowledge
residency education
responsibility
tobacco
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015725623
MEDLINE PMID
25439420 (http://www.ncbi.nlm.nih.gov/pubmed/25439420)
PUI
L602104196
DOI
10.1016/j.jclinane.2014.04.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jclinane.2014.04.008
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 572
TITLE
Changes in success rates of smoking cessation treatment associated with of a
national evidence-based training programme
AUTHOR NAMES
Brose L.S.
West R.
Michie S.
McEwen A.
AUTHOR ADDRESSES
(Brose L.S., Leonie.brose@kcl.ac.uk) UK Centre for Tobacco and Alcohol
Studies, Addictions, Institute of Psychiatry, King's College London, United
Kingdom.
(West R.; McEwen A.) Cancer Research UK Health Behaviour Research Centre,
University College London, United Kingdom.
(Michie S.) Clinical, Educational and Health Psychology, University College
London, United Kingdom.
(West R.; Michie S.; McEwen A.) National Centre for Smoking Cessation and
Training (NCSCT), United Kingdom.
CORRESPONDENCE ADDRESS
L.S. Brose, Addictions, Institute of Psychiatry, King's College London, 4
Windsor Walk, London SE5 8BB, United Kingdom. Email: Leonie.brose@kcl.ac.uk
SOURCE
Preventive Medicine (2014) 69 (1-4). Date of Publication: December 2014
ISSN
1096-0260 (electronic)
0091-7435
BOOK PUBLISHER
Academic Press Inc., apjcs@harcourt.com
ABSTRACT
Objective: The English 'stop smoking services' provide behavioural support
to some 700,000 smokers annually. Success rates of the services varied
considerably before 2010 and had been in slight decline so, to improve
performance, a national programme of evidence-based practitioner training
was developed to improve knowledge and skills-based competences. This study
evaluated whether uptake of the training was associated with improvements in
success rates of services. Methods: Mean 4-week biochemically verified
abstinence rates were compared for 146 (of 151) stop smoking services
between 2008-10 (before roll-out of training) and 2011-13 (after roll-out),
and the change in success rates for each service was regressed on to the
number of practitioners per service trained in a) knowledge (online) and b)
skills (face-to-face). Results: Success rate across all services improved
between the two periods (34.1% to 36.5%, p=0.01 1-tailed; 95% CI for
difference 0.44-4.48). The magnitude of improvement for each service was
associated with the number of practitioners who completed the knowledge and
skills training (beta = 0.22, p= 0.005 1-tailed), and marginally with the
number who completed the knowledge training (beta= 0.14, p= 0.047 1-tailed).
Conclusion: English stop smoking services that have greater uptake of a
national evidence-based training programme showed greater improvements in
success rates. © 2014 Elsevier Inc.
EMTREE DRUG INDEX TERMS
carbon monoxide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
program effectiveness
smoking cessation program
EMTREE MEDICAL INDEX TERMS
article
controlled study
evidence based practice
health care policy
human
medical staff
priority journal
professional knowledge
skill
smoking
training
CAS REGISTRY NUMBERS
carbon monoxide (630-08-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014573574
PUI
L373855767
DOI
10.1016/j.ypmed.2014.08.021
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2014.08.021
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 573
TITLE
Tobacco Education in U.S. Respiratory Care Programs
AUTHOR NAMES
Hudmon K.S.
Mark M.
Livin A.L.
Corelli R.L.
Schroeder S.A.
AUTHOR ADDRESSES
(Hudmon K.S., khudmon@purdue.edu; Livin A.L.) Department of Pharmacy
Practice, Purdue University College of Pharmacy, Indianapolis, United
States.
(Hudmon K.S., khudmon@purdue.edu; Corelli R.L.) Department of Clinical
Pharmacy, University of California San Francisco School of Pharmacy, San
Francisco, United States.
(Mark M.) American Lung Association, Springfield, United States.
(Schroeder S.A.) Department of Medicine, University of California San
Francisco School of Medicine, San Francisco, United States.
CORRESPONDENCE ADDRESS
K.S. Hudmon, Department of Pharmacy Practice, Purdue University College of
Pharmacy, 640 Eskenazi Avenue, Fifth Third Bank Building, Indianapolis,
United States.
SOURCE
Nicotine and Tobacco Research (2014) 16:10 (1394-1398). Date of Publication:
1 Oct 2014
ISSN
1469-994X (electronic)
1462-2203
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
ABSTRACT
Introduction: Exposure to tobacco smoke impacts the onset or exacerbation of
most respiratory disorders, and respiratory therapists are well positioned
to identify tobacco use and provide cessation assistance. The purpose of
this study was to characterize the level of tobacco cessation education
provided to students in U.S. respiratory care training programs. Methods: A
national survey of 387 respiratory care programs assessed the extent to
which tobacco is addressed in required coursework, methods of instruction,
perceived importance, and adequacy of current levels of tobacco education in
curricula and perceived barriers to enhancing the tobacco-related education.
Results: A total of 244 surveys (63.0% response) revealed a median of 165
min (IQR, 88-283) of tobacco education throughout the degree program.
Pathophysiology of tobacco-related disease (median, 45 min) is the most
extensively covered content area followed by aids for cessation (median, 20
min), assisting patients with quitting (median, 15 min), and nicotine
pharmacology and principles of addiction (median, 15 min). More than 40% of
respondents believed that latter 3 content areas are inadequately covered in
the curriculum. Key barriers to enhancing tobacco training are lack of
available curriculum time, lack of faculty expertise, and lack of access to
comprehensive evidence-based resources. Nearly three-fourths of the
respondents expressed interest in participating in a nationwide effort to
enhance tobacco cessation training. Conclusions: Similar to other
disciplines, enhanced tobacco cessation education is needed in respiratory
care programs to equip graduates with the knowledge and the skills necessary
to treat tobacco use and dependence.
EMTREE DRUG INDEX TERMS
nicotine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
health education
medical education
tobacco education
EMTREE MEDICAL INDEX TERMS
article
curriculum development
evidence based practice
faculty practice
health survey
human
medical student
pathophysiology
respiratory care
smoking cessation
smoking cessation program
student attitude
tobacco dependence
tobacco use
United States
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014920176
PUI
L600544516
DOI
10.3978/j.issn.2078-6891.2014.066
FULL TEXT LINK
http://dx.doi.org/10.3978/j.issn.2078-6891.2014.066
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 574
TITLE
Implementing substance abuse group therapy clinical trials in real-world
settings: Challenges and strategies for participant recruitment and
therapist training in the Women's Recovery Group Study
AUTHOR NAMES
Greenfield S.F.
Crisafulli M.A.
Kaufman J.S.
Freid C.M.
Bailey G.L.
Connery H.S.
Rapoza M.
Rodolico J.
AUTHOR ADDRESSES
(Greenfield S.F., sgreenfield@mclean.harvard.edu; Kaufman J.S.; Freid C.M.;
Connery H.S.; Rodolico J.) Division of Alcohol and Drug Abuse, McLean
Hospital, 115 Mill St., Belmont, MA 02478, United States.
(Greenfield S.F., sgreenfield@mclean.harvard.edu; Freid C.M.; Connery H.S.;
Rodolico J.) Department of Psychiatry, Harvard Medical School, Boston, MA,
United States.
(Crisafulli M.A.) Department of Psychology, University of Maryland,
Baltimore County, Baltimore, MD, United States.
(Kaufman J.S.) Department of Psychology, Miami University, Oxford, OH,
United States.
(Bailey G.L.) Department of Psychiatry and Human Behavior, Brown University,
Providence, RI, United States.
(Bailey G.L.; Rapoza M.) Stanley Street Treatment and Resources, Fall River,
MA, United States.
CORRESPONDENCE ADDRESS
S.F. Greenfield, Division of Alcohol and Drug Abuse, McLean Hospital, 115
Mill St., Belmont, MA 02478, United States. Email:
sgreenfield@mclean.harvard.edu
SOURCE
American Journal on Addictions (2014) 23:3 (197-204). Date of Publication:
May-June 2014
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley-Blackwell Publishing Ltd, info@royensoc.co.uk
ABSTRACT
Background and Objectives Open-enrollment group therapy research is
challenged by the participant recruitment necessary to ensure continuous
group enrollment. We present successful strategies to overcome the following
barriers during the Women's Recovery Group (WRG) two-site clinical trial (N
= 158): maintenance of sample size and balanced gender randomization during
continuous enrollment, maintenance of group attendance, and training and
retention of therapists over the 24-month continuous group enrollment.
Methods To increase recruitment, we targeted referral sources yielding the
highest enrollment conversion at each site. Group sessions were consistently
held regardless of group size. Therapists were trained in two teams allowing
for coverage and uninterrupted treatment over 24 months. Results At both
sites recruitment and enrollment increased with each successive quarter.
Sample size and end date targets were met without disruptions in treatment.
Group therapists reported high satisfaction with their training and
treatment experiences. Discussion and Conclusions These strategies supported
targeted enrollment and study duration, stability of open-enrollment group
therapy frame, and therapist retention and satisfaction. Scientific
Significance Applying these strategies can aid in providing evidence-based
group therapy in both clinical and research settings. © American Academy of
Addiction Psychiatry.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
group therapy
health care planning
substance abuse
substance abuse group therapy
EMTREE MEDICAL INDEX TERMS
adult
article
clinical trial
female
human
major clinical study
male
medical education
patient referral
patient satisfaction
psychotherapist
randomization
sample size
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014267447
MEDLINE PMID
24724875 (http://www.ncbi.nlm.nih.gov/pubmed/24724875)
PUI
L372858137
DOI
10.1111/j.1521-0391.2014.12099.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2014.12099.x
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 575
TITLE
Addiction medicine: The birth of a new discipline
AUTHOR NAMES
O'Connor P.G.
Sokol R.J.
D'Onofrio G.
AUTHOR ADDRESSES
(O'Connor P.G., patrick.oconnor@yale.edu) Department of Internal Medicine,
Yale University School of Medicine, New Haven, United States.
(Sokol R.J.) Department of Obstetrics and Gynecology, Wayne State University
School of Medicine, Detroit, United States.
(D'Onofrio G.) Department of Emergency Medicine, Yale University School of
Medicine, New Haven, United States.
CORRESPONDENCE ADDRESS
P.G. O'Connor, Department of Internal Medicine, Yale University School of
Medicine, New Haven, United States.
SOURCE
JAMA Internal Medicine (2014) 174:11 (1717-1718). Date of Publication: 1 Nov
2014
ISSN
2168-6106
BOOK PUBLISHER
American Medical Association, smcleod@itsa.ucsf.edu
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
addiction medicine
medicine
EMTREE MEDICAL INDEX TERMS
clinical trial (topic)
drug abuse
health care system
human
medical education
medical specialist
patient care
priority journal
short survey
substance use
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2015022863
MEDLINE PMID
25201642 (http://www.ncbi.nlm.nih.gov/pubmed/25201642)
PUI
L604288671
DOI
10.1001/jamainternmed.2014.4211
FULL TEXT LINK
http://dx.doi.org/10.1001/jamainternmed.2014.4211
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 576
TITLE
Barriers to primary care physicians prescribing buprenorphine.
AUTHOR NAMES
Hutchinson E.
Catlin M.
Andrilla C.H.
Baldwin L.M.
Rosenblatt R.A.
AUTHOR ADDRESSES
(Hutchinson E.) University of Washington, Department of Family Medicine,
Research Section, Seattle, Washington.
(Catlin M.; Andrilla C.H.; Baldwin L.M.; Rosenblatt R.A.)
CORRESPONDENCE ADDRESS
E. Hutchinson,
SOURCE
Annals of family medicine (2014) 12:2 (128-133). Date of Publication: 2014
Mar-Apr
ISSN
1544-1717 (electronic)
ABSTRACT
Despite the efficacy of buprenorphine-naloxone for the treatment of opioid
use disorders, few physicians in Washington State use this clinical tool. To
address the acute need for this service, a Rural Opioid Addiction Management
Project trained 120 Washington physicians in 2010-2011 to use buprenorphine.
We conducted this study to determine what proportion of those trained
physicians began prescribing this treatment and identify barriers to
incorporating this approach into outpatient practice. We interviewed 92 of
120 physicians (77%), obtaining demographic information, current prescribing
status, clinic characteristics, and barriers to prescribing buprenorphine.
Residents and 7 physicians who were prescribing buprenorphine at the time of
the course were excluded from the study. We analyzed the responses of the 78
remaining respondents. Almost all respondents reported positive attitudes
toward buprenorphine, but only 22 (28%) reported prescribing buprenorphine.
Most (95%, n = 21) new prescribers were family physicians. Physicians who
prescribed buprenorphine were more likely to have partners who had received
a waiver to prescribe buprenorphine. A lack of institutional support was
associated with not prescribing the medication (P = .04). A lack of mental
health and psychosocial support was the most frequently cited barrier by
both those who prescribe and who do not prescribe buprenorphine.
Interventions before and after training are needed to increase the number of
physicians who offer buprenorphine for treatment of addiction. Targeting
physicians in clinics that agree in advance to institute services, coupled
with technical assistance after they have completed their training, their
clinical teams, and their administrations is likely to help more physicians
become active providers of this highly effective outpatient treatment.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy)
narcotic antagonist (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
opiate addiction (drug therapy)
primary health care
EMTREE MEDICAL INDEX TERMS
adult
aged
article
female
health
human
male
middle aged
opiate substitution treatment
statistics
United States
very elderly
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24615308 (http://www.ncbi.nlm.nih.gov/pubmed/24615308)
PUI
L373989781
DOI
10.1370/afm.1595
FULL TEXT LINK
http://dx.doi.org/10.1370/afm.1595
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 577
TITLE
One-hour training for general practitioners in reducing the implementation
gap of smoking cessation care: A cluster-randomized controlled trial
AUTHOR NAMES
Verbiest M.E.A.
Crone M.R.
Scharloo M.
Chavannes N.H.
Van der meer V.
Kaptein A.A.
Assendelft W.J.J.
AUTHOR ADDRESSES
(Verbiest M.E.A., m.e.a.verbiest@lumc.nl; Crone M.R.; Chavannes N.H.; Van
der meer V.; Assendelft W.J.J.) Department of Public Health and Primary
Care, Leiden University Medical Centre, Leiden, Netherlands.
(Scharloo M.; Kaptein A.A.) Department of Medical Psychology, Leiden
University Medical Centre, Leiden, Netherlands.
(Assendelft W.J.J.) Department of Primary and Community Care, Radboud
University Nijmegen Medical Centre, Nijmegen, Netherlands.
CORRESPONDENCE ADDRESS
M.E.A. Verbiest, Department of Public Health and Primary Care, Leiden
University Medical Centre, PO Box 9600, Leiden, Netherlands.
SOURCE
Nicotine and Tobacco Research (2014) 16:1 (1-10). Date of Publication: 1 Jan
2014
ISSN
1469-994X (electronic)
1462-2203
BOOK PUBLISHER
Oxford University Press, jnl.info@oup.co.uk
ABSTRACT
Introduction: This study examined the effectiveness of low-intensity,
practice-tailored training for general practitioners (GPs) aimed at personal
and organizational barriers that arise when routinely asking patients'
smoking status, advising to quit, and arranging follow-up. Methods: A
cluster-randomized controlled trial with 49 GPs and 3,401 patients (677
smokers). Two patient groups participated: 2,068 patients (433 smokers) at
baseline and 1,333 patients (244 smokers) postintervention. At follow-up,
225 smokers of both groups participated. The primary outcome was GP smoking
cessation counseling (asking about smoking status, advising to quit,
prescribing pharmacotherapy, and referring for behavioral support).
Secondary outcomes were GPs' attitudes toward smoking cessation care,
patients' intention to quit, and long-term quit rates. Outcomes were
measured with GP self-report and patient report. Results: Patients of
trained GPs reported more often being asked about smoking behavior compared
with patients of untrained GPs (OR = 1.94, 95% CI = 1.45-2.60). According to
GP self-report, the training increased the provision of quit-smoking advices
(difference 0.56 advice per day; 95% CI = 0.13-0.98) and the ability and
intention of providing smoking cessation care. We found no effect on GPs'
arrangement of follow-up, smokers' intention to quit, and long-term quit
rates. Conclusions: After 1 hour of training, we found significant
differences between trained and untrained GPs on the frequency in which they
asked about smoking (patient reported) and advised smokers to quit (GP
self-reported). The training did not increase prescriptions of
pharmacotherapy, referrals to behavioral support, or quit rates. Future
training methods should focus on the GPs' ability, tools, and skills to
arrange follow-up to ensure intensive smoking cessation support.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
female
follow up
human
intervention study
male
outcome assessment
patient counseling
physician attitude
priority journal
randomized controlled trial
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015003265
MEDLINE PMID
23873981 (http://www.ncbi.nlm.nih.gov/pubmed/23873981)
PUI
L604201990
DOI
10.1093/ntr/ntt100
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/ntt100
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 578
TITLE
Tobacco cessation training among dental and other health professions
students in eight low- and middle-income countries.
AUTHOR NAMES
Agaku I.T.
Ayo-Yusuf O.A.
Connolly G.N.
AUTHOR ADDRESSES
(Agaku I.T., iagaku@post.harvard.edu) Center for Global Tobacco Control,
Department of Social and Behavioral Sciences, Harvard School of Public
Health, 677 Huntington Ave., Boston, MA 02115;.
(Ayo-Yusuf O.A.; Connolly G.N.)
CORRESPONDENCE ADDRESS
I.T. Agaku, Center for Global Tobacco Control, Department of Social and
Behavioral Sciences, Harvard School of Public Health, 677 Huntington Ave.,
Boston, MA 02115;. Email: iagaku@post.harvard.edu
SOURCE
Journal of dental education (2014) 78:1 (75-84). Date of Publication: Jan
2014
ISSN
1930-7837 (electronic)
ABSTRACT
This study assessed differences among health professions students in
exposure to didactic tobacco cessation training in asking about patients'
tobacco use status ("ask") and assisting smoking patients to quit by
providing educational materials ("assist"). Data from the 2005-08 Global
Health Professions Student Survey were analyzed for 28,420 medical, dental,
nursing, and pharmacy students in eight low- and middle-income countries.
Country-specific prevalence of exposure to training in tobacco cessation was
calculated for each profession category; differences were assessed using
logistic regression analysis (p<0.05). The proportion of dental students
taught to implement the "ask" intervention ranged from 45.4 percent
(Armenia) to 95.2 percent (Chile). Only about one-third of these dental
students reported being taught to implement the "assist" intervention in
most countries. After adjusting for survey year, country, gender, and
tobacco use, the odds of dental students' being taught to implement the
"ask" intervention were lower than for medical students (adjusted odds ratio
[aOR]=0.63; 95% CI: 0.42-0.96). Similarly, the odds of being taught to
implement the "assist" intervention were significantly higher for medical
(aOR=1.65; 95% CI: 1.26-2.17), nursing (aOR=2.84; 95% CI: 2.37-3.40), and
pharmacy students (aOR=1.36; 95CI:1.05-1.76) than for dental students. These
findings underscore the need for enhanced measures to incorporate tobacco
cessation training as a formal component of dental education globally.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dental education
developing country
medical personnel
patient education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
dental student
dental students
female
health professions students
human
information processing
male
methodology
public health
statistical model
statistics
tobacco cessation counseling
tobacco cessation training
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24385527 (http://www.ncbi.nlm.nih.gov/pubmed/24385527)
PUI
L372447778
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 579
TITLE
Putting tobacco cessation and prevention into undergraduate medical
education
AUTHOR NAMES
Pati S.
AUTHOR ADDRESSES
(Pati S., sanghamitra.pati@iiphb.org) Indian Institute of Public Health,
Public Health Foundation of India, Bhubaneswar, Orissa, India.
CORRESPONDENCE ADDRESS
S. Pati, Indian Institute of Public Health, Bhubaneswar, Public Health
Foundation of India (PHFI), 2nd and 3rd Floor, JSS Soft. Tech. Park, E1/1,
Infocity Rd, Patia, Bhubaneswar - 751 024, Orissa, India. Email:
sanghamitra.pati@iiphb.org
SOURCE
International Journal of Preventive Medicine (2014) 5:1 (69-75). Date of
Publication: Janurary 2014
ISSN
2008-7802
2008-8213 (electronic)
BOOK PUBLISHER
Isfahan University of Medical Sciences, Hezar Jerib Avenue, P.O. Box
81745-319, Isfahan, Iran.
ABSTRACT
Background: Training medical students in tobacco prevention and cessation
skills is critical to have competent physicians who are prepared to address
the grave levels of morbidity and mortality associated with tobacco use.
However, in India, enough attention has not been given to elicit the active
participation of physicians in tobacco control. Keeping this in view, a
program was undertaken to develop the skills and competence of medical
students with the objective of improving medical student inquiry into
smoking and the delivery of advice accordingly for patients in their
clinical year's routine consultations. Methods: The targeted learners were
149 1(st)-year medical and dental students of SCB Medical College, Cuttack,
Orissa, India, who had appeared the second semester examination; 84 of the
participants were male. Students were allowed to appear a test before the
training session on knowledge of tobacco cessation and post test was done
after 1.5 months of training. The knowledge score was evaluated to evaluate
the learning outcome. Results: We observed that a curriculum on tobacco
intervention could improve relevant knowledge, attitudes and self-confidence
and be applied in students early clinical experiences. Conclusions: There is
need of joint action by practicing clinicians, the medical faculty and the
curriculum planners of the country to incorporate tobacco cessation into the
curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking cessation
tobacco
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
clinical competence
consultation
curriculum
dental student
education program
female
human
knowledge
male
medical student
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014078880
PUI
L372224999
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 580
TITLE
Improving the landscape of substance misuse teaching in undergraduate
medical education in english medical schools from concept to implementation
AUTHOR NAMES
Goodair C.
Crome I.
AUTHOR ADDRESSES
(Goodair C., cgoodair@sgul.ac.uk; Crome I.) International Centre for Drug
Policy - Population Health, Research Institute, University of London, 6th
Floor, Hunter Wing, St George's, Cranmer Terrace London, United Kingdom.
CORRESPONDENCE ADDRESS
C. Goodair, International Centre for Drug Policy - Population Health,
Research Institute, University of London, 6th Floor, Hunter Wing, St
George's, Cranmer Terrace London, United Kingdom.
SOURCE
CJAM Canadian Journal of Addiction Medicine (2014) 5:3 (5-10). Date of
Publication: 2014
ISSN
1923-1210
BOOK PUBLISHER
Canadian Society of Addiction Medicine, admin@csam.org
ABSTRACT
Briefly describes the work undertaken to develop guidance on the teaching of
substance misuse in undergraduate medical curricula and its implementation
in English medical schools and to comment upon its applicability in Europe
and elsewhere and to other allied health professionals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
continuing education
curriculum development
education program
Europe
human
medical school
medical student
professional development
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014843975
PUI
L600232961
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 581
TITLE
Is "really conscious" sedation with solely an opioid an alternative to every
day used sedation regimes for colonoscopies in a teaching hospital?
Midazolam/fentanyl, propofol/alfentanil, or alfentanil only for colonoscopy:
A randomized trial
AUTHOR NAMES
Eberl S.
Polderman J.A.W.
Preckel B.
Kalkman C.J.
Fockens P.
Hollmann M.W.
AUTHOR ADDRESSES
(Eberl S., S.Eberl@amc.uva.nl; Polderman J.A.W.; Preckel B.; Hollmann M.W.)
Department of Anesthesiology, Academic Medical Centre, University of
Amsterdam, Amsterdam, Netherlands.
(Kalkman C.J.) Division of Anesthesiology, Intensive Care and Emergency
Medicine, University Medical Centre, University of Utrecht, Utrecht,
Netherlands.
(Fockens P.) Department of Gastroenterology and Hepatology, Academic Medical
Centre, University of Amsterdam, Amsterdam, Netherlands.
CORRESPONDENCE ADDRESS
S. Eberl, Department of Anesthesiology, Academic Medical Centre, University
of Amsterdam, Amsterdam, Netherlands. Email: S.Eberl@amc.uva.nl
SOURCE
Techniques in Coloproctology (2014) 18:8 (745-752). Date of Publication:
August 2014
ISSN
1128-045X (electronic)
1123-6337
BOOK PUBLISHER
Springer-Verlag Italia s.r.l., springer@springer.it
ABSTRACT
Background: We investigated the satisfaction of patients and endoscopists
and concurrently safety aspects of an "alfentanil only" and two clinically
routinely used sedation regimes in patients undergoing colonoscopy in a
teaching hospital. Methods: One hundred and eighty patients were
prospectively randomized in three groups: M (midazolam/fentanyl), A
(alfentanil), and P (propofol/alfentanil); M and A were administered by an
endoscopy nurse, P by an anesthesia nurse. Interventions, heart rate,
saturation, electrocardiogram, noninvasive blood pressure, and expiratory
CO2 were monitored using video assistance. After endoscopy,
patients and gastroenterologists completed questionnaires about
satisfaction. Results: A high level of satisfaction was found in all groups,
with patients in group P being more satisfied with their sedation experience
(median 1.75, p < 0.001). Gastroenterologist satisfaction varied not
significantly between the three alternatives. Patients in group A felt less
drowsy, could communicate more rapidly than patients in both other groups,
and met discharge criteria immediately after the end of the procedure.
Respiratory events associated with sedation were observed in 43 % patients
in group M, 47 % in group P, but only 13 % in group A (p < 0.001).
Conclusions: These results suggest that alfentanil could be an alternative
for sedation in colonoscopy even in the setting of a teaching hospital. It
results in satisfied patients easily taking up information, and recovering
rapidly. Although one might expect to observe more respiratory depression
with an "opioid only" sedation technique without involvement of anesthesia
partners, respiratory events were less frequent than when other methods were
used. © 2014 Springer-Verlag Srl.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alfentanil (adverse drug reaction, clinical trial, drug combination, drug
comparison, intravenous drug administration)
fentanyl (adverse drug reaction, clinical trial, drug combination, drug
comparison)
midazolam (adverse drug reaction, clinical trial, drug combination, drug
comparison)
propofol (adverse drug reaction, clinical trial, drug combination, drug
comparison)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
colonoscopy
conscious sedation
EMTREE MEDICAL INDEX TERMS
abdominal discomfort (side effect)
adult
aged
article
controlled study
drowsiness (side effect)
drug efficacy
drug safety
drug utilization
endoscopist
female
gastroenterologist
hospital discharge
human
interpersonal communication
major clinical study
male
middle aged
nausea (side effect)
nurse
patient satisfaction
physician attitude
randomized controlled trial
respiratory tract disease (side effect)
somnolence (side effect)
teaching hospital
DRUG TRADE NAMES
propofol lipuro , GermanyBraun
rapifen , BelgiumJanssen Cilag
DRUG MANUFACTURERS
(Belgium)Janssen Cilag
(Germany)Braun
(Iceland)Actavis
CAS REGISTRY NUMBERS
alfentanil (69049-06-5, 71195-58-9)
fentanyl (437-38-7)
midazolam (59467-70-8)
propofol (2078-54-8)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Gastroenterology (48)
CLINICAL TRIAL NUMBERS
ISRCTN (ISRCTN83950185)
EudraCT (2010-020502-15)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014536145
MEDLINE PMID
24973875 (http://www.ncbi.nlm.nih.gov/pubmed/24973875)
PUI
L53216662
DOI
10.1007/s10151-014-1188-y
FULL TEXT LINK
http://dx.doi.org/10.1007/s10151-014-1188-y
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 582
TITLE
Multiple and substitute addictions involving prescription drugs misuse among
12th graders: Gateway theory revisited with market basket analysis
AUTHOR NAMES
Jayawardene W.P.
YoussefAgha A.H.
AUTHOR ADDRESSES
(Jayawardene W.P., wajayawa@indiana.edu) Department of Applied Health
Science, School of Public Health Bloomington, Indiana University,
Bloomington, IN, United States.
(YoussefAgha A.H.) Department of Epidemiology and Biostatistics, School of
Public Health Bloomington, Indiana University, Bloomington, IN, United
States.
CORRESPONDENCE ADDRESS
W.P. Jayawardene, Department of Applied Health Science, School of Public
Health Bloomington, Indiana University, Bloomington, IN, United States.
Email: wajayawa@indiana.edu
SOURCE
Journal of Addiction Medicine (2014) 8:2 (102-110). Date of Publication:
March-April 2014
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
Objectives: This study aimed to identify the sequential patterns of drug use
initiation, which included prescription drugs misuse (PDM), among 12th-grade
students in Indiana. The study also tested the suitability of the data
mining method Market Basket Analysis (MBA) to detect common drug use
initiation sequences in large-scale surveys. Methods: Data from 2007 to 2009
Annual Surveys of Alcohol, Tobacco, and Other Drug Use by Indiana Children
and Adolescents were used for this study. A close-ended, self-administered
questionnaire was used to ask adolescents about the use of 21 substance
categories and the age of first use. "Support%" and "confidence%" statistics
of Market Basket Analysis detected multiple and substitute addictions,
respectively. Results: The lifetime prevalence of using any addictive
substancewas 73.3%, and it has been decreasing during past few years.
Although the lifetime prevalence of PDM was 19.2%, it has been increasing.
Males and whites were more likely to use drugs and engage in multiple
addictions. Market Basket Analysis identified common drug use initiation
sequences that involved 11 drugs. High levels of support existed for
associations among alcohol, cigarettes, and marijuana, whereas associations
that included prescription drugs had medium levels of support. Conclusions:
Market Basket Analysis is useful for the detection of common substance use
initiation sequences in large-scale surveys. Before initiation of
prescription drugs, physicians should consider the adolescents' risk of
addiction. Prevention programs should address multiple addictions,
substitute addictions, common sequences in drug use initiation, sex and
racial differences in PDM, and normative beliefs of parents and adolescents
in relation to PDM. © 2014 American Society of Addiction Medicine.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
central stimulant agent
cocaine
diamorphine
prescription drug
steroid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
drug misuse
prescription
prescription drugs misuse
EMTREE MEDICAL INDEX TERMS
adolescent
article
Caucasian
data mining
female
health survey
human
male
Market Basket Analysis
prevalence
priority journal
questionnaire
reliability
smoking
student
United States
validity
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014245117
MEDLINE PMID
24440894 (http://www.ncbi.nlm.nih.gov/pubmed/24440894)
PUI
L372784430
DOI
10.1097/ADM.0000000000000012
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000012
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 583
TITLE
Language and stigmatization in addiction medicine.
AUTHOR NAMES
Hosea D.F.
AUTHOR ADDRESSES
(Hosea D.F.) Devin F. Hosea is with the Virtual Hospital for Addiction and
its parent company, the Virtual Hospital Corporation, Cambridge, MA.
CORRESPONDENCE ADDRESS
D.F. Hosea,
SOURCE
American journal of public health (2014) 104:8 (e1). Date of Publication:
Aug 2014
ISSN
1541-0048 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
attitude to health
medical education
public health
social work
EMTREE MEDICAL INDEX TERMS
education
female
human
male
note
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24922156 (http://www.ncbi.nlm.nih.gov/pubmed/24922156)
PUI
L373963605
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 584
TITLE
Training medical students about hazardous drinking using simple assessment
techniques
AUTHOR NAMES
Hidalgo J.L.-T.
Pretel F.A.
Bravo B.N.
Rabadan F.E.
Serrano Selva J.P.
Latorre Postigo J.M.
Martínez I.P.
AUTHOR ADDRESSES
(Hidalgo J.L.-T., jesusl@sescam.org; Bravo B.N.; Rabadan F.E.) Health Care
Service of Castilla-La Mancha (SESCAM), Faculty of Medicine, University of
Castilla-La Mancha, Spain.
(Pretel F.A.; Martínez I.P.) Health Care Service of Castilla-La Mancha
(SESCAM), Spain.
(Serrano Selva J.P.; Latorre Postigo J.M.) Facutly of Medicine, University
of Castilla-La Mancha, Spain.
CORRESPONDENCE ADDRESS
J.L.-T. Hidalgo, Health Center Zona IV, C/ Seminario n 4, 02006 - Albacete,
Spain. Email: jesusl@sescam.org
SOURCE
Health Education Journal (2014) 73:3 (295-302). Date of Publication: May
2014
ISSN
1748-8176 (electronic)
0017-8969
BOOK PUBLISHER
SAGE Publications Ltd, info@sagepub.co.uk
ABSTRACT
Objective: To examine the ability of medical students to identify hazardous
drinkersing using screening tools recommended in clinical practice. Design:
Observational cross-sectional study. Setting: Faculty of Medicine of
Castilla-La Mancha, Spain. Method: The medical students learnt to use
Alcohol Use Disorders Identification Test (AUDIT) and Systematic Interview
of Alcohol Consumption (SIAC) questionnaires. After training with these
instruments, the medical students anonymously assessed their own alcohol
consumption. Results: The medical students easily learnt to assess alcohol
consumption using both instruments, as alcohol consumption was quantified
correctly in 95.8% of cases. The questions asked by the students were
referred to the questionnaires scoring procedure, quantification of the
grams of alcohol consumed and conversion of grams of alcohol into standard
drink units (SDUs). In total, 50.9% of men and 48.1% of women fulfilled
criteria of excess alcohol consumption, and the global percentage of these
drinkers corresponded to 49.5% (95% confidence interval [CI]: 42.4%-56.6%).
Alcohol consumption of at least 28 SDUs/week in men and 17 SDUs/week in
women was detected in 16.8% of participants. Conclusion: Because of the
simplicity of the instruments used to detect hazardous drinking, these can
be learnt from the very first stages of medical training, thus encouraging
students to initiate clinical prevention tasks, and increase their awareness
of both their own and others' hazardous behaviour. © The Author(s) 2013.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Alcohol Use Disorders Identification Test
alcoholism (diagnosis)
drinking behavior
medical education
medical student
screening test
Systematic Interview of Alcohol Consumption Questionnaire
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
alcoholic beverage
alcoholism
article
beer
cross-sectional study
diagnostic test accuracy study
female
human
male
observational study
priority journal
questionnaire
scoring system
Spain
wine
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014278274
PUI
L372903592
DOI
10.1177/0017896912471050
FULL TEXT LINK
http://dx.doi.org/10.1177/0017896912471050
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 585
TITLE
Association between addiction treatment staff professional and educational
levels and perceptions of organizational climate and resources
AUTHOR NAMES
Krull I.
Lundgren L.
Beltrame C.
AUTHOR ADDRESSES
(Krull I.; Lundgren L.; Beltrame C.) a Center for Addictions Research and
Services , Boston University, School of Social Work , Boston , Massachusetts
, USA
SOURCE
Substance abuse (2014) 35:1 (3-6). Date of Publication: 2014
ISSN
1547-0164 (electronic)
ABSTRACT
CONCLUSION: It cannot be inferred that higher levels of education among
treatment staff is necessarily associated with high levels of organizational
readiness for change.BACKGROUND: Research studies have identified addiction
treatment staff who have higher levels of education as having more positive
attitudes about evidence-based treatment practices, science-based training,
and the usefulness of evidence-based practices. This study examined
associations between addiction treatment staff level of education and their
perceptions of 3 measures of organizational change: organizational stress,
training resources and staffing resources in their treatment unit.METHODS:
The sample included 588 clinical staff from community-based substance abuse
treatment organizations who received Substance Abuse and Mental Health
Services Administration (SAMHSA) funding (2003-2008) to implement
evidence-based practices (EBPs). Bivariate analysis and regression modeling
methods examined the relationship between staff education level (no high
school education, high school education, some college, associate's degree,
bachelor's degree, master's degree, doctoral degree, and other type of
degree such as medical assistant, registered nurse [RN], or postdoctoral)
and attitudes about organizational climate (stress), training resources, and
staffing resources while controlling for staff and treatment unit
characteristics.RESULTS: Multivariable models identified staff with lower
levels of education as having significantly more positive attitudes about
their unit's organizational capacity. These results contradict findings that
addiction treatment staff with higher levels of education work in units with
greater levels of organizational readiness for change.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
educational status
health personnel attitude
organization and management
EMTREE MEDICAL INDEX TERMS
adult
drug dependence treatment
evidence based practice
female
health care planning
human
male
organization
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24588286 (http://www.ncbi.nlm.nih.gov/pubmed/24588286)
PUI
L603707451
DOI
10.1080/08897077.2013.792313
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2013.792313
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 586
TITLE
Brief educational intervention to improve medical student competence in
managing patients exposed to secondhand smoke
AUTHOR NAMES
Merlo L.J.
Sutton J.A.
Gold M.S.
AUTHOR ADDRESSES
(Merlo L.J.; Sutton J.A.; Gold M.S.) a Department of Psychology , University
of Florida , Gainesville , Florida , USA
SOURCE
Substance abuse (2014) 35:2 (163-167). Date of Publication: 2014
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Secondhand smoke (SHS) exposure may lead to the development of
various diseases and conditions. One way to reduce SHS exposure is to screen
for it within each primary care examination so that appropriate counseling
can be directed to affected individuals. There has been little attention to
improving medical education about SHS exposure and screening. The goal of
this study was to develop an SHS-related educational intervention for
medical students, with the purpose of improving knowledge regarding
consequences of SHS exposure, and increasing intent to screen patients for
exposure.METHODS: Medical students (N = 405) were given a measure assessing
their knowledge of SHS exposure and intent to screen. Two groups of students
served as controls (i.e., a posttest-only group and a pre/posttest group),
and one group participated in the SHS education intervention. A factorial
analysis with repeated measures and chi-square analyses were used to assess
the differences between the groups to determine the impact of the SHS
education intervention (ie, online lectures and a standardized patient
interaction) on knowledge and intent to screen.RESULTS: Results of
pretesting demonstrated that medical students had little knowledge of SHS
exposure, averaging scores between 63% and 69% on the examination. One
control group was reassessed a year later with no educational intervention.
They did not demonstrate a significant change in their pre- to posttest
scores, although the vast majority (∼95%) reported intending to screen
future patients. Students who participated in the SHS educational
intervention significantly improved their scores from pre- to posttest (P
<.001), and 100% also reported intending to screen future
patients.CONCLUSIONS: This study suggests that brief education regarding the
consequences of SHS exposure may improve medical students' knowledge and
increase intent to screen. Future research should assess the long-term
impact of educational programs on improved clinical care.
EMTREE DRUG INDEX TERMS
passive smoking
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
clinical competence
medical education
passive smoking
psychology
EMTREE MEDICAL INDEX TERMS
human
medical student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24821353 (http://www.ncbi.nlm.nih.gov/pubmed/24821353)
PUI
L603709579
DOI
10.1080/08897077.2013.821438
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2013.821438
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 587
TITLE
Structured smoking cessation training for health professionals on cardiology
wards: A prospective study
AUTHOR NAMES
Raupach T.
Falk J.
Vangeli E.
Schiekirka S.
Rustler C.
Grassi M.C.
Pipe A.
West R.
AUTHOR ADDRESSES
(Raupach T., raupach@med.uni-goettingen.de; Falk J.; Schiekirka S.)
University Medical Centre Göttingen, Department of Cardiology and
Pneumology, D-37099 Göttingen, Germany.
(Raupach T., raupach@med.uni-goettingen.de; Vangeli E.; West R.) University
College London, London, United Kingdom.
(Rustler C.) Deutsches Netz Rauchfreier Krankenhäuser and
Gesundheitseinrichtungen E.V., Berlin, Germany.
(Grassi M.C.) Sapienza University of Rome, Rome, Italy.
(Pipe A.) University of Ottawa Heart Institute, Ottowa, Canada.
CORRESPONDENCE ADDRESS
T. Raupach, University Medical Centre Göttingen, Department of Cardiology
and Pneumology, D-37099 Göttingen, Germany. Email:
raupach@med.uni-goettingen.de
SOURCE
European Journal of Preventive Cardiology (2014) 21:7 (915-922). Date of
Publication: July 2014
ISSN
2047-4881 (electronic)
2047-4873
BOOK PUBLISHER
SAGE Publications Inc., claims@sagepub.com
ABSTRACT
Background: Smoking is a major cardiovascular risk factor, and smoking
cessation is imperative for patients hospitalized with a cardiovascular
event. This study aimed to evaluate a systems-based approach to helping
hospitalized smokers quit and to identify implementation barriers. Design:
Prospective intervention study followed by qualitative analysis of staff
interviews. Methods: The prospective intervention study assessed the effects
of implementing standard operating procedures (SOPs) for the provision of
counselling and pharmacotherapy to smokers admitted to cardiology wards on
counselling frequency. In addition, a qualitative analysis of staff
interviews was undertaken to examine determinants of physician and nurse
behaviour; this sought to understand barriers in terms of motivation,
capability, and/or opportunity. Results: A total of 150 smoking patients
were included in the study (75 before and 75 after SOP implementation).
Before the implementation of SOPs, the proportion of patients reporting to
have received cessation counselling from physicians and nurses was 6.7% and
1.3%, respectively. Following SOP implementation, these proportions
increased to 38.7% (p<0.001) and 2.7% (p=0.56), respectively. Qualitative
analysis revealed that lack of motivation, e.g. role incongruence, appeared
to be a major barrier. Conclusions: Introduction of a set of standard
operating procedures for smoking cessation advice was effective with
physicians but not nurses. Analysis of barriers to implementation
highlighted lack of motivation rather than capability or opportunity as a
major factor that would need to be addressed. © The European Society of
Cardiology 2012.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
cardiovascular risk
female
health practitioner
hospital discharge
human
major clinical study
male
motivational interviewing
nurse
patient counseling
physician
priority journal
qualitative analysis
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014414685
MEDLINE PMID
23008136 (http://www.ncbi.nlm.nih.gov/pubmed/23008136)
PUI
L373335397
DOI
10.1177/2047487312462803
FULL TEXT LINK
http://dx.doi.org/10.1177/2047487312462803
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 588
TITLE
Health care workers and ICU pain perceptions
AUTHOR NAMES
Tarigopula R.
Tyagi N.K.
Jackson J.
Gupte C.
Raju P.
Larosa J.
AUTHOR ADDRESSES
(Tarigopula R.; Jackson J.; Gupte C.; Raju P.; Larosa J.,
JLaRosa@barnabashealth.org) Department of Pulmonary and Critical Care
Medicine, Newark Beth Israel Medical Center, Newark, United States.
(Tyagi N.K.) Department of Internal Medicine, Newark Beth Israel Medical
Center, Newark, United States.
(Raju P.) Department of Neurology, Sleep Medicine, John F Kennedy Medical
Center, Edison, United States.
(Jackson J.) Palliative Care, Meridian Care Journey, Neptune, NJ, United
States.
CORRESPONDENCE ADDRESS
J. Larosa, Department Pulmonary and Critical Care Medicine, Newark Beth
Israel Medical Center, 440 Timber Drive, Berkeley Heights, NJ 07922, United
States. Email: JLaRosa@barnabashealth.org
SOURCE
Pain Medicine (United States) (2014) 15:6 (1027-1035). Date of Publication:
June 2014
ISSN
1526-4637 (electronic)
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc., subscrip@blackwellpub.com
ABSTRACT
Objective: Our study examined the effect of health care workers' personal
characteristics on how they perceive and intend to treat patients' pain in
the intensive care unit. Though pain perceptions have been well established
from the patient's perspective, less is known about how variations in health
care workers may affect their perceptions of pain. Design: This study
consisted of a 28-item questionnaire distributed to 122 medical staff
personnel over a 12-month period. The questionnaire included items regarding
respondent characteristics such as age, gender, race, ethnicity, and level
of training. Subjects and Setting: The questionnaire was distributed to
physicians and nurses working in the critical care setting. Methods:
Responses were provided using a Likert scale and scored on subscales of
hemodynamic instability, addiction and tolerance, pain expression, legal
issues, and education. Results: The results demonstrated that
characteristics such as age and race were significant predictors of
perceptions regarding addiction subscale scores (β=-0.256, P=0.006 and
β=0.183, P=0.053, respectively). Race proved to be a significant factor in
pain expression scores (β=0.183, P=0.053). Work-related variables, such as
being in or out of active medical training and being within the critical
care specialty itself, were significant predictors of addiction subscale
scores as well (β=-0.238, P=0.012 and β=0.191, P=0.050, respectively).
Conclusion: Health care providers' race, age, level of education, and
medical subspecialty were significant factors affecting their perceptions of
pain management and intended treatment. © 2014 American Academy of Pain
Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
intensive care unit
nociception
EMTREE MEDICAL INDEX TERMS
addiction
adult
aged
article
ethnicity
female
human
Likert scale
male
medical education
medical staff
nurse
physician
prospective study
race
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014430674
MEDLINE PMID
24738494 (http://www.ncbi.nlm.nih.gov/pubmed/24738494)
PUI
L53116257
DOI
10.1111/pme.12423
FULL TEXT LINK
http://dx.doi.org/10.1111/pme.12423
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 589
TITLE
Smoking cessation: a community-based approach to continuing medical
education
AUTHOR NAMES
Shershneva M.
Cohen A.
Larrison C.
Detzler K.
Ales M.
AUTHOR ADDRESSES
(Shershneva M., marianna_shershneva@cmeenterprise.com) University of
Wisconsin Office of Continuing Professional Development in Medicine and
Public Health, Madison, United States.
(Shershneva M., marianna_shershneva@cmeenterprise.com; Detzler K.) CME
Enterprise, Carmel, United States.
(Cohen A.) Physicians’ Institute for Excellence in Medicine, Atlanta, United
States.
(Larrison C.) Healthcare Performance Consulting, Inc., Zionsville, United
States.
(Ales M.) Interstate Postgraduate Medical Association, Madison, United
States.
CORRESPONDENCE ADDRESS
M. Shershneva, University of Wisconsin Office of Continuing Professional
Development in Medicine and Public Health, Madison, United States.
SOURCE
Translational Behavioral Medicine (2014) 4:4 (391-397). Date of Publication:
2014
ISSN
1613-9860 (electronic)
1869-6716
BOOK PUBLISHER
Springer New York LLC, journals@springer-sbm.com
ABSTRACT
Continuing medical education can help close the gaps between current and
desired tobacco cessation practices. This paper reports a case of an
innovative community-based continuing education approach implemented by a
multi-organizational initiative aimed at increasing smoking cessation rates
among adults in the USA. The approach involved collaborative partnerships
with healthcare professionals and other stakeholders in 14 communities where
smoking cessation was an established priority. The centralized
evidence-based educational curriculum was delivered locally to more than
15,600 clinicians. Evaluation provided evidence of positive impact on
clinicians, healthcare systems, and communities. A collaborative,
community-based approach to continuing medical education has potential to
increase tobacco cessation rates by leveraging efforts of multiple
stakeholders operating at the community level into more effective and
sustainable tobacco cessation projects. Future research is needed to study
effectiveness of and appropriate evaluation frameworks for this approach.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community
continuing education
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
evaluation study
evidence based practice
health care organization
health care personnel
health care system
high risk population
human
information processing
motivational interviewing
professional practice
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015657429
PUI
L601134607
DOI
10.1007/s13142-014-0288-6
FULL TEXT LINK
http://dx.doi.org/10.1007/s13142-014-0288-6
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 590
TITLE
Associations between problematic internet use and adolescents' physical and
psychological symptoms: Possible role of sleep quality
AUTHOR NAMES
An J.
Sun Y.
Wan Y.
Chen J.
Wang X.
Tao F.
AUTHOR ADDRESSES
(An J.; Sun Y.; Wan Y.; Chen J.; Wang X.; Tao F., taofangbiao@126.com)
Department of Maternal, Child and Adolescent Health, School of Public
Health, Anhui Medical University, 81thMeishanRd, 230032 Hefei, China.
CORRESPONDENCE ADDRESS
F. Tao, Department of Maternal, Child and Adolescent Health, School of
Public Health, Anhui Medical University, 81thMeishanRd, 230032 Hefei, China.
Email: taofangbiao@126.com
SOURCE
Journal of Addiction Medicine (2014) 8:4 (282-287). Date of Publication:
July-August 2014
ISSN
1935-3227 (electronic)
1932-0620
ABSTRACT
Objective: To evaluate the associations between problematic Internet use
(PIU) and physical and psychological symptoms among Chinese adolescents, and
to investigate the possible role of sleep quality in this association.
Methods: A cross-sectional school-based study was conducted in 4 cities in
China. The Multidimensional Sub-health Questionnaire of Adolescents, the
Pittsburgh Sleep Quality Index, and demographic variables were used to
measure adolescents' physical and psychological symptoms and sleep quality,
respectively, in 13,723 students (aged 12-20 years). Problematic Internet
use was assessed by the 20-item Young Internet Addiction Test. Logistic
regressions were used to evaluate the effects of sleep quality and PIU on
physical and psychological symptoms, and to identify the mediating effect of
sleep quality in adolescents. Results: Prevalence rates of PIU, physical
symptoms, psychological symptoms, and poor sleep quality were 11.7%, 24.9%,
19.8%, and 26.7%, respectively. Poor sleep quality was found to be an
independent risk factor for both physical and psychological symptoms. The
effects of PIU on the 2 health outcomes were partially mediated by sleep
quality. Conclusions: Problematic Internet use is becoming a significant
public health issue among Chinese adolescents that requires urgent
attention. Excessive Internet use may not only have direct adverse health
consequences but also have indirect negative effects through sleep
deprivation. Copyright © 2014 American Society of Addiction Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child psychiatry
internet addiction
internet addiction
sleep quality
EMTREE MEDICAL INDEX TERMS
20 item Young Internet Addiction Test
adolescent
adult
article
assessment of humans
Chinese
cross-sectional study
disease association
educational status
environmental exposure
female
human
male
Multidimensional Sub health Questionnaire of Adolescent
Pittsburgh Sleep Quality Index
prevalence
priority journal
risk factor
rural area
sleep deprivation
social status
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014537462
MEDLINE PMID
25026104 (http://www.ncbi.nlm.nih.gov/pubmed/25026104)
PUI
L373745566
DOI
10.1097/ADM.0000000000000026
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0000000000000026
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 591
TITLE
Integration of tobacco control in Masters of Public Health curricula of
India
AUTHOR NAMES
Yadav A.
Goel S.
Sharma V.L.
AUTHOR ADDRESSES
(Yadav A.; Goel S.; Sharma V.L.) Centre of Public Health, Panjab University,
Chandigarh, India E-mail : sonugoel007@yahoo.co.in
SOURCE
Asian Pacific journal of cancer prevention : APJCP (2014) 15:14 (5611-5615).
Date of Publication: 2014
ISSN
1513-7368
ABSTRACT
CONTEXT: Tobacco is the single largest cause of preventable death among
adults globally, as it is in India. Despite this alarming situation, there
is very minimal inclusion of tobacco in formal education systems, including
the medical discipline, in India.AIMS: The present study analyzed the extent
of integration of tobacco control related content in Masters of Public
Health (MPH) curricula of various institutes in India.MATERIALS AND METHODS:
This cross-sectional study was conducted during January 2011 to May 2011 in
all colleges of the country offering a MPH course. The colleges were
enlisted using various internet search engines (Google Scholar, Pubmed,
Medline), other published literature and snowball technique. A 50 items
semi-structured questionnaire was designed, posted and e-mailed (followed by
hard copy) to the Person-In-Charge of the MPH program.STATISTICAL ANALYSIS:
Descriptive statistics were used to profile the tobacco control content in
respective institutions. All data entry and analysis was conducted using
SPSS (version 16) for windows.RESULTS: The duration of the MPH course was
two years in all institutes and had accreditation with some affiliated body.
Tobacco related diseases were covered under 'non communicable diseases'
section by every institute. However, a mere 41.4% of institute's had faculty
who had received specialized training in tobacco control. More coverage was
given to health risks and effects of smoking as compared to cessation
interventions (5 A's), symptoms of withdrawal and pharmacological
treatments. Only 25% of institutes were in process of introducing tobacco
courses into their curricula. Lack of expertise and administrative barriers
were cited as perceived major problems in inclusion of tobacco control in
MPH curricula.CONCLUSIONS: It can be concluded that tobacco control is not
receiving adequate attention in public health curricula in India. There is a
need for coordinated efforts in the area of tobacco control so as to reduce
morbidity and mortality from tobacco induced diseases.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adverse event
education
medical education
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
cross-sectional study
female
human
India
male
public health
questionnaire
smoking
withdrawal syndrome (diagnosis, therapy)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25081674 (http://www.ncbi.nlm.nih.gov/pubmed/25081674)
PUI
L605040463
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 592
TITLE
Doubts about treating hypogonadism due to long-term opioid usewith
testosterone therapy: A teachable moment
AUTHOR NAMES
Murphy E.N.
Miranda R.
AUTHOR ADDRESSES
(Murphy E.N., edward.murphy@ucdenver.edu) Internal Medicine Training
Program, University of Colorado School of Medicine, Aurora, United States.
(Miranda R.) Department of Internal Medicine, University of Colorado School
of Medicine, Aurora, United States.
(Miranda R.) Colorado Health Foundation, Denver, United States.
(Murphy E.N., edward.murphy@ucdenver.edu) University of Colorado, Denver
Internal Medicine Training Program, 1109 Lafayette St, Denver, United
States.
CORRESPONDENCE ADDRESS
E.N. Murphy, University of Colorado, Denver Internal Medicine Training
Program, 1109 Lafayette St, Denver, United States.
SOURCE
JAMA Internal Medicine (2014) 174:12 (1892-1893). Date of Publication: 1 Dec
2014
ISSN
2168-6106
BOOK PUBLISHER
American Medical Association, smcleod@itsa.ucsf.edu
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (adverse drug reaction, drug therapy)
testosterone (drug therapy)
EMTREE DRUG INDEX TERMS
follitropin (endogenous compound)
luteinizing hormone (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
androgen therapy
hypogonadotropic hypogonadism (drug therapy, drug therapy)
long term care
EMTREE MEDICAL INDEX TERMS
adult
case report
depression
drug dose reduction
drug response
follitropin blood level
general practitioner
human
low back pain (drug therapy)
lower urinary tract symptom (side effect)
luteinizing hormone blood level
male
patient referral
risk benefit analysis
short survey
testosterone blood level
treatment duration
urine retention (side effect)
CAS REGISTRY NUMBERS
follitropin (9002-68-0)
luteinizing hormone (39341-83-8, 9002-67-9)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
testosterone (58-22-0)
EMBASE CLASSIFICATIONS
Urology and Nephrology (28)
Drug Literature Index (37)
Adverse Reactions Titles (38)
General Pathology and Pathological Anatomy (5)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2014618719
MEDLINE PMID
25317939 (http://www.ncbi.nlm.nih.gov/pubmed/25317939)
PUI
L601012094
DOI
10.1001/jamainternmed.2014.5299
FULL TEXT LINK
http://dx.doi.org/10.1001/jamainternmed.2014.5299
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 593
TITLE
Effect of life skills training on drug abuse preventive behaviors among
university students
AUTHOR NAMES
Moshki M.
Hassanzade T.
Taymoori P.
AUTHOR ADDRESSES
(Moshki M.) Department of Public Health, School of Health,Social Development
and Health Promotion Research Centre, Gonabad University of Medical
Sciences, Gonabad, Iran.
(Hassanzade T.) Department of Social Determinants of Health, Kurdistan
Research Center for Social Determinants of Health, Kurdistan University of
Medical Sciences, Kurdistan, Iran.
(Taymoori P., sdhprc@gmail.com) Department of Public Health, School of
Health,Research Center for Social Determinants of Health, Kurdistan
University of Medical Sciences, Kurdistan, Iran.
CORRESPONDENCE ADDRESS
P. Taymoori, Department of Public Health, School of Health, Research Center
for Social Determinants of Health, Kurdistan University of Medical Sciences,
Kurdistan, Iran. Email: sdhprc@gmail.com
SOURCE
International Journal of Preventive Medicine (2014) 5:5 (577-583). Date of
Publication: May 2014
ISSN
2008-8213 (electronic)
2008-7802
BOOK PUBLISHER
Isfahan University of Medical Sciences, PO Box 81745-319, Hezar Jarib St,
Isfahan, Iran.
ABSTRACT
Background: Drug abuse is now-a-days one of the gravest social harms. Recent
years have experienced a drastic rise in drug abuse among school and
university students. Thus, the need for special attention to the issue is
deemed important. The present study was conducted with the aim of assessing
the impact of life skills training on promotion of drug abuse preventive
behaviors. Methods: This field trial experimental study was conducted on 60
students of Gonabad Medical University selected through quota random
sampling and assigned randomly into two Intervention and control groups.
Data were collected through a questionnaire, including two sections of
demographic information and drug abuse preventive behaviors. The
questionnaire was first assessed as to its validity and reliability and then
administered both before and after educational intervention and also as a
follow-up 4 years after intervention - Data were then analyzed using t-tests
and Chi-square. Results: Comparison of post-test mean scores of drug abuse
preventive behaviors of both groups showed a significant difference (P <
0.01) which remained stable 4 years after intervention. There was a
significant relationship between father's educational level and drug abuse
preventive behaviors (P < 0.01). Conclusions: Life skills' training is
effective in the promotion of drug abuse preventive behaviors of university
students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
health program
health promotion
life skill training
student attitude
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
attitude to health
clinical effectiveness
controlled clinical trial
controlled study
educational status
female
human
male
medical student
questionnaire
risk reduction
university student
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014376583
PUI
L373211014
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 594
TITLE
A community engaged curriculum for public service psychiatry fellowship
training.
AUTHOR NAMES
Sowers W.
Marin R.
AUTHOR ADDRESSES
(Sowers W., sowerswe@upmc.edu) Department of Psychiatry, Western Psychiatric
Institute and Clinic, University of Pittsburgh Medical Center, 3811 O'Hara
St., Pittsburgh, PA, 15213, USA,
(Marin R.)
CORRESPONDENCE ADDRESS
W. Sowers, Email: sowerswe@upmc.edu
SOURCE
Community mental health journal (2014) 50:1 (17-24). Date of Publication:
Jan 2014
ISSN
1573-2789 (electronic)
ABSTRACT
Transforming the mental health system into a recovery oriented, integrated
system of care requires a psychiatric work force that understands the
relationship between recovery processes and community living. Fellowship
programs in public and community psychiatry contribute to this
transformation by educating psychiatrists about recovery, system dynamics,
leadership, effective administration and community involvement. This paper
describes a novel approach to fellowship programming that accomplishes these
aims through an organizational strategy that emphasizes community
engagement. After describing the administrative background for the program,
we describe how the content curriculum and teaching process focus on the
engagement of community members-both service users and service providers-as
participating faculty. The faculty includes over 100 consumers, family
members, advocacy group representatives, clinicians, and administrators. We
present evaluation data obtained from 45 of the 100 community and university
faculty who participated in the first 2 years' of the fellowship and
conclude with a critique and recommendations for further progress in
community engaged fellowship training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
community care
cooperation
interdisciplinary communication
medical education
mental disease (rehabilitation)
organization and management
social psychiatry
EMTREE MEDICAL INDEX TERMS
article
curriculum
decision making
education
human
integrated health care system
job satisfaction
leadership
medical school
United States
work
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23338834 (http://www.ncbi.nlm.nih.gov/pubmed/23338834)
PUI
L373947341
DOI
10.1007/s10597-012-9587-x
FULL TEXT LINK
http://dx.doi.org/10.1007/s10597-012-9587-x
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 595
TITLE
An examination of the situational factors associated with the misuse of
prescription analgesics among college students
AUTHOR NAMES
Gallucci A.R.
Wynveen C.
Hackman C.
Meyer A.
Usdan S.
AUTHOR ADDRESSES
(Gallucci A.R., Andrew_Gallucci@baylor.edu; Wynveen C.; Meyer A.) Department
of Health, Human Performance, and Recreation, Baylor University, One Bear
Place 7313, Waco, United States.
(Hackman C.; Usdan S.) University of Alabama, Tuscaloosa, United States.
CORRESPONDENCE ADDRESS
A.R. Gallucci, Department of Health, Human Performance, and Recreation,
Baylor University, One Bear Place 7313, Waco, United States.
SOURCE
Journal of Drug Education (2014) 44:3-4 (116-136). Date of Publication: 1
Sep 2014
ISSN
1541-4159 (electronic)
0047-2379
BOOK PUBLISHER
Taylor and Francis Ltd., baywood@baywood.com
ABSTRACT
The current study examined the effect that students' educational environment
has on the prevalence and motivations associated with the misuse of
prescription analgesics (MPA). A sample of 893 undergraduate students was
recruited from one religiously affiliated private university and one public
university in the Southern United States. Participants completed an in-class
survey assessing MPA-related behavior and their associated motivations.
Results indicated that students attending the religiously affiliated
university displayed lower rates of MPA. Multivariate analyses revealed that
a positive drug abuse screening, prescription status, and grade point
average are the strongest predictors of past-year MPA for both schools. Some
motivations for medical misuse differed significantly between campuses.
Implications as to how these differences can inform programs aimed at the
reduction of prescription analgesic abuse are discussed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent
EMTREE DRUG INDEX TERMS
cocodamol
hydrocodone bitartrate plus paracetamol
hydromorphone
oxycodone
oxycodone plus paracetamol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesic agent abuse
drug misuse
medical education
misuse of prescription analgesic
prescription
student attitude
EMTREE MEDICAL INDEX TERMS
academic achievement
adult
age distribution
analgesia
behavior assessment
binge drinking
Christianity
clinical assessment
college student
controlled study
drug abuse
ethnicity
female
health survey
human
male
medical examination
motivation
pain assessment
prevalence
review
screening test
substance abuse
undergraduate student
CAS REGISTRY NUMBERS
hydromorphone (466-99-9, 71-68-1)
oxycodone (124-90-3, 76-42-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015454240
MEDLINE PMID
26150110 (http://www.ncbi.nlm.nih.gov/pubmed/26150110)
PUI
L606496077
DOI
10.1177/0047237915585523
FULL TEXT LINK
http://dx.doi.org/10.1177/0047237915585523
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 596
TITLE
Addressing addiction across borders: an international perspective on
policies, scholarship, and collaboration
AUTHOR NAMES
Gordon A.J.
Galanter M.
Khalsa J.H.
AUTHOR ADDRESSES
(Gordon A.J.; Galanter M.; Khalsa J.H.) a University of Pittsburgh School of
Medicine , Pittsburgh , Pennsylvania , USA
SOURCE
Substance abuse (2014) 35:3 (290-291). Date of Publication: 2014
ISSN
1547-0164 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
cooperation
health care policy
international cooperation
medical education
EMTREE MEDICAL INDEX TERMS
health care organization
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24892635 (http://www.ncbi.nlm.nih.gov/pubmed/24892635)
PUI
L606237220
DOI
10.1080/08897077.2014.929906
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2014.929906
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 597
TITLE
National scale up of opioid substitution therapy for injecting drug users in
India: The journey so far and the road ahead
AUTHOR NAMES
Rao R.
Agrawal A.
Ambekar A.
AUTHOR ADDRESSES
(Rao R.; Agrawal A.; Ambekar A.) Department of Psychiatry, National Drug
Dependence Treatment Centre, All India Institute of Medical Sciences, New
Delhi, India.
CORRESPONDENCE ADDRESS
R. Rao, Department of Psychiatry, National Drug Dependence Treatment Centre,
All India Institute of Medical Sciences, New Delhi, India.
SOURCE
Indian Journal of Psychiatry (2014) 56 SUPPL. 1 (S7-S8). Date of
Publication: January 2014
CONFERENCE NAME
66th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2014
CONFERENCE LOCATION
Pune, India
CONFERENCE DATE
2014-01-16 to 2014-01-19
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd
ABSTRACT
India has a concentrated but growing human immunodeficiency virus
(HIV)-epidemic among injecting drug users (IDUs) with 7% IDUs being HIV
positive. The National AIDS Control Programme has adopted the strategy of
targeted interventions (TIs) for preventing HIV. These TIs provide various
harm reduction services such as peer-based education, needle syringe
exchange, condom promotion, abscess management, referral linkage, and opioid
substitution therapy (OST). In order to achieve adequate control of HIV, at
least 20% of the estimated 180,000 IDUs in the country must be covered with
OST services. Till 2010, about 51 OST centers, (nongovernmental organization
(NGO)- based) were providing OST services to about 4,800 IDUs, nationally.
Since 2011, a scale-up program of OST services is underway. Under the new
scheme, government hospitals provide the clinical services; while linked
NGOs provide the outreach and field-based services. An elaborate process of
selection and preparation of implementing institutions exists. So far, the
scale-up has resulted in about 125 OST centers nationally, providing OST to
about 12,500 IDUs, though the ambitious target of more than 300 new centers
is still far away. Most challenging aspects of this huge national level
scale-up are ensuring coordination between government hospitals and NGOs,
building capacities of human resources, and ensuring the minimum quality of
services. Owing to dearth of psychiatrists, general physicians are being
trained to provide services under the supervision of psychiatrists, through
systematically designed training systems and resource materials. A large
network of academic institutions provides trainings. Periodic visits by
psychiatrists ensure quality and provide hands-on experience. Members of the
psychiatric academic fraternity have played an important role in the entire
process bringing credibility, ensuring quality, and at the same time
enhancing the opportunities for training of postgraduate (PG) students in
addiction psychiatry. India still has a long way to go in terms of achieving
adequate coverage. Sustaining the momentum along with ensuring quality is a
major challenge in this scale-up process.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
India
Indian
medical society
opiate substitution treatment
scale up
vascular guide wire
EMTREE MEDICAL INDEX TERMS
abscess
acquired immune deficiency syndrome
addiction
condom
education
epidemic
general practitioner
government
harm reduction
hospital
human
Human immunodeficiency virus
needle
postgraduate student
psychiatrist
psychiatry
syringe
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71618683
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 598
TITLE
Relationship of coping styles with suicidal behavior in hospitalized asthma
and chronic obstructive pulmonary disease patients: Substance abusers versus
non- substance abusers
AUTHOR NAMES
Safa M.
Boroujerdi F.G.
Talischi F.
Masjedi M.R.
AUTHOR ADDRESSES
(Safa M.) Clinical Tuberculosis and Epidemiology Research Center, National
Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid
Beheshti University of Medical Sciences, Tehran, Iran.
(Boroujerdi F.G., anahita86@yahoo.com) Chronic Respiratory Diseases Research
Center, National Research Institute of Tuberculosis and Lung Diseases
(NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
(Talischi F.) Nursing and Respiratory Health Management Research Center,
National Research Institute of Tuberculosis and Lung Diseases (NRITLD),
Shahid Beheshti University of Medical Sciences, Tehran, Iran.
(Masjedi M.R.) Telemedicine Research Center, National Research Institute of
Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of
Medical Sciences, Tehran, Iran.
CORRESPONDENCE ADDRESS
F.G. Boroujerdi, Chronic Respiratory Diseases Research Center, National
Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid
Beheshti University of Medical Sciences, Tehran, Iran.
SOURCE
Tanaffos (2014) 13:3 (23-30). Date of Publication: 2014
ISSN
1735-0344
BOOK PUBLISHER
Shaheed Beheshti University of Medical Sciences and Health Services,
info@tanaffosjournal.ir
ABSTRACT
Background: Treatment of patients with chronic conditions requiring
hospitalization requires patient acceptance and cooperation and adoption of
coping strategies. Inappropriate coping strategies such as substance abuse
are concerning in the course of treatment. This study sought to explore the
association of coping strategies with suicidal behavior in substance abusers
and non substance abuser patients with chronic pulmonary diseases namely
asthma and chronic obstructive pulmonary disease (COPD). Materials and
Methods: This comparative study was performed on 100 patients with asthma
and COPD selected via convenience sampling. Subjects with and without
substance abuse were separated into two groups of 50 patients each. Ways of
Coping Questionnaire of Lazarus (WOCQ) and Suicide Behavior
Questionnaire-Revised (SBQ-R) were completed by them. Five Persian speaking
patients rated this questionnaire to be easily understandable in the
pre-test stage. Cronbach's alpha was calculated to measure the internal
consistency. Results: The mean (±standard deviation) age of participants was
40 (±14) years; 58% of individuals were men; 62% had chosen problem-focused
coping. The most abused substances were cigarettes (78%) and opium (42%); 6%
of substance abusers had thought about suicide five times or more in the
past year; 5% of substance abusers had seriously attempted suicide. Tendency
to commit suicide was greater in men, substance abusers and participants who
had chosen emotion-focused coping strategies, based on a regression model.
Average score of suicide tendency was significantly higher in substance
abusers (B=2.196, P =0.007). Conclusion: Chronic disease is a crisis and
patients need to acquire appropriate coping strategies to deal with it,
especially in substance abusers and suicidal patients. Precise recognition
of coping strategies in chronic pulmonary patients with substance abuse is
necessary via a team cooperation among psychiatrics, psychologists and an
internal physician in hospitals because medical treatment alone is not
sufficient in such cases.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
asthma
chronic obstructive lung disease
coping behavior
substance abuse
suicidal behavior
EMTREE MEDICAL INDEX TERMS
adult
article
chronic disease
clinical article
comparative study
controlled study
convenience sample
Cronbach alpha coefficient
emotion
female
hospital patient
human
internal consistency
internist
male
opiate addiction
psychiatrist
psychologist
questionnaire
smoking
suicidal ideation
suicide attempt
teamwork
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015725996
PUI
L602105610
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 599
TITLE
An inevitable wave of prescription drug monitoring programs in the context
of prescription opioids: Pros, cons and tensions
AUTHOR NAMES
Mofizul Islam M.
McRae I.S.
AUTHOR ADDRESSES
(Mofizul Islam M., mofizul.islam@anu.edu.au; McRae I.S.) Australian Primary
Health Care Research Institute, Australian National University, Building 63,
corner of Mills and Eggleston Roads, Canberra, ACTON, Australia.
CORRESPONDENCE ADDRESS
M. Mofizul Islam, Australian Primary Health Care Research Institute,
Australian National University, Building 63, corner of Mills and Eggleston
Roads, Canberra, ACTON, Australia. Email: mofizul.islam@anu.edu.au
SOURCE
BMC Pharmacology and Toxicology (2014) 15:1 Article Number: 46. Date of
Publication: 2014
ISSN
2050-6511 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., info@biomedcentral.com
ABSTRACT
Background: In an effort to control non-medical use and/or medical abuse of
prescription drugs, particularly prescription opioids, electronic
prescription drug monitoring programs (PDMP) have been introduced in
North-American countries, Australia and some parts of Europe. Paradoxically,
there are simultaneous pressures to increase opioid prescribing for the
benefit of individual patients and to reduce it for the sake of public
health, and this pressure warrants a delicate balance of appropriate
therapeutic uses of these drugs with the risk of developing dependence. This
article discusses pros and cons of PDMP in reducing diversion of
prescription opioids, without hampering access to those medications for
those with genuine needs, and highlights tensions around PDMP
implementation. Discussion: PDMPs may help alleviate diversion,
over-prescription and fraudulent prescribing/dispensing; prompt drug
treatment referrals; avoid awkward drug urine test; and inform spatial
changes in prescribing practices and help designing tailored interventions.
Fear of legal retribution, privacy and data security, potential confusion
about addiction and pseudo-addiction, and potential undue pressure of
detecting misuse/diversion - are the major problems. There are tensions
about unintended consequence of excessive regulatory enforcements,
corresponding collateral damages particularly about inadequate prescribing
for patients with genuine needs, and mandatory consultation requirements of
PDMP. Summary: In this era of information technology PDMP is likely to
flourish and remain with us for a long time. A clear standard of practice
against which physicians' care will be judged may expedite the utilisation
of PDMP. In addition, adequate training on addiction and pain management
along with public awareness, point-of-supply data entry from pharmacy,
point-of-care real-time access to data, increasing access to addiction
treatment and appropriate regulatory enforcement preferably through
healthcare administration, together, may help remove barriers to PDMP use.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug surveillance program
prescription
prescription drug monitoring program
EMTREE MEDICAL INDEX TERMS
awareness
computer security
consultation
drug misuse
health care management
health care quality
human
law
note
opiate addiction
pain (drug therapy)
patient referral
patient satisfaction
physician attitude
privacy
urinalysis
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160698719
MEDLINE PMID
25127880 (http://www.ncbi.nlm.nih.gov/pubmed/25127880)
PUI
L612294271
DOI
10.1186/2050-6511-15-46
FULL TEXT LINK
http://dx.doi.org/10.1186/2050-6511-15-46
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 600
TITLE
Prevalence of internet addiction and associated factors among medical
students from Mashhad, Iran in 2013
AUTHOR NAMES
Salehi M.
Khalili M.N.
Hojjat S.K.
Salehi M.
Danesh A.
AUTHOR ADDRESSES
(Salehi M.; Khalili M.N.) Department of Community Medicine, School of
Medicine, Mashhad University of Medical Sciences, Mashhad, IR, Iran.
(Salehi M.) Research Center for Patient Safety, School of Medicine, Mashhad
University of Medical Sciences, Mashhad, IR, Iran.
(Hojjat S.K., S.kavehhojjat1@gmail.com) Department of Psychiatry, North
Khorasan University of Medical Sciences, Bojnurd, IR, Iran.
(Hojjat S.K., S.kavehhojjat1@gmail.com) Addiction and Behavioral Sciences
Research Center, North Khorasan University of Medical Sciences, Bojnurd, IR,
Iran.
(Salehi M.; Danesh A.) School of Medicine, Mashhad University of Medical
Sciences, Mashhad, IR, Iran.
CORRESPONDENCE ADDRESS
S. K. Hojjat, Addiction and Behavioral Sciences Research Center, North
Khorasan University of Medical Sciences, Bojnurd, IR, Iran. Email:
S.kavehhojjat1@gmail.com
SOURCE
Iranian Red Crescent Medical Journal (2014) 16:5 Article Number: e17256.
Date of Publication: 2014
ISSN
2074-1812 (electronic)
2074-1804
BOOK PUBLISHER
Iranian Red Crescent Society, ircmj@irmj.ir
ABSTRACT
Background: Problematic internet use is on the increase and has caused
serious problems in many areas. This issue seems to be more important for
medical students. Objectives: This study was designed to explore the
prevalence of internet addiction and its related factors among the students
of Mashhad University of Medical Sciences. Materials and Methods: A cross
sectional study was conducted on 383 medical students of Mashhad in 2013.
Four hundred participants were selected through two-stage stratified
sampling method proportional to the number of students in each stage of
education. Data Collection was done through using the Chen Internet
Addiction Scale (CIAS) and a checklist of demographic details and
characteristics of internet usage behavior. Results: It was found that 2.1%
of the studied population were at risk and 5.2% were addicted users.
Chatting with new people, communicating with friends and families, and
playing games were the most popular activities in these groups. The factors
related to internet addiction included: male sex, stage of education, daily
time spent on using internet, most frequent time of internet use, monthly
cost of use, and tea consumption. Conclusions: Although our study showed the
prevalence of internet addiction was not more than other populations and
universities, since the prevalence of internet addiction is rapidly
increasing worldwide, this population might also be at risk of addiction.
Thus, focusing on related factors can help us in designing more effective
interventions and treatments for this susceptible group. © 2014, Iranian Red
Crescent Medical Journal; Published by Kowsar Corp.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction
medical student
EMTREE MEDICAL INDEX TERMS
adaptive behavior
Addiction Severity Index
adolescent
adult
article
cross-sectional study
female
human
Iran
Likert scale
male
prevalence
psychosocial withdrawal
questionnaire
risk assessment
social problem
socioeconomics
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014315176
PUI
L373025107
DOI
10.5812/ircmj.17256
FULL TEXT LINK
http://dx.doi.org/10.5812/ircmj.17256
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 601
TITLE
Epidemiology of gunshot bodies referred for forensic medicine in Tehran
AUTHOR NAMES
Ghorbani M.
Molanaei A.
Amini S.
Ameri M.
AUTHOR ADDRESSES
(Ghorbani M.; Amini S.) Department of Forensic Medicine, Tehran University
of Medical Sciences, Tehran, Iran.
(Molanaei A., kosar2004@yahoo.com; Ameri M.) Department of Forensic
Medicine, Iran University of Medical Sciences, Tehran, Iran.
CORRESPONDENCE ADDRESS
A. Molanaei, Rasoul Akram Hospital, Sattarkhan St. Niayesh St., Tehran,
Iran. Email: kosar2004@yahoo.com
SOURCE
Tehran University Medical Journal (2014) 72:3 (181-186). Date of
Publication: 2014
ISSN
1683-1764
ABSTRACT
Background: The rate of using firearm in criminal acts, even in countries
with strict legal controls on these weapons is increasing. The most common
methods of homicides and suicides are using firearm in United States. In
this study we aimed to evaluate the epidemiology of gunshot bodies referred
to Forensic Medicine. Methods: Information about firearm-related injuries in
autopsy hall of Forensic Medicine center in Tehran during 2011-2012 were
evaluated from patients' documents. Necessary information including age,
sex, education, employment, drug and alcohol addiction, as well as
information related to shot such as suicide or homicidal, shoot number
(incoming bullets), shot location, type of firearm, organ damage, shot
distance and location of the incident were extracted and analyzed using SPSS
version 16. Results: In this cross sectional study, 38 deaths were
identified. These were overwhelmingly males (100%) with mean age of 32.4
(SD= 6.57). The typical entrance wound sites in suicides were the head
(42.2%) and chest (24.3%) and abdomen (5.4%) and limb (2.7%) and others
(48.6%). place a bullet in the head, 16 (42.2 %), chest 9 (24.3%), the
abdomen, 2 cases (5.4%), an organ (2.7%) and hit a different place (9 cases
24.3 percent). Brain damaged in 18 cases (84.6%) and lung 5 (13.5%) and 12
(32.4%) and several organs were damaged. The typical entrance wound sites in
suicides were the head (42.2%) and chest (24.3%) and abdomen (5.4%) and limb
(2.7%) and others (48.6%). This total included 33% attempted or completed
suicides, and 47.5% assaults/homicides The scene of disaster were the 12
patients (50%) outdoors, 8 (33.3%) at home and in 4 cases (16.7%) at work.
Conclusion: Based on results of this study, age of victims is higher than
previously observed patterns, such as gender of victims, location of shots,
type of weapon used is different with international reports due to
differences in availability of Iranian weapons and cultural differences. The
results of this study can be a base for other investigations's changes in
trends of total firearm death rates, mass fatal shooting incidents, rates of
firearm homicide, suicide and unintentional firearm deaths, and of total
homicides and suicides.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
forensic medicine
gunshot injury (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
autopsy
bullet
clinical article
cross-sectional study
female
firearm
homicide
human
male
suicide
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Internal Medicine (6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Persian
EMBASE ACCESSION NUMBER
2014580505
PUI
L373871011
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 602
TITLE
The influence of medical student gender and drug use on the detection of
addiction in patients
AUTHOR NAMES
Roncero C.
Rodríguez-Cintas L.
Egido A.
Barral C.
Pérez-Pazos J.
Collazos F.
Grau-López L.
Casas M.
AUTHOR ADDRESSES
(Roncero C., croncero@vhebron.net; Rodríguez-Cintas L.; Egido A.; Barral C.;
Pérez-Pazos J.; Grau-López L.) Outpatient Drug Clinic (CAS) Vall Hebron,
Psychiatry Services Hospital, Universitario Vall Hebron-ASPB, Barcelona,
Spain.
(Roncero C., croncero@vhebron.net; Barral C.; Pérez-Pazos J.; Collazos F.;
Grau-López L.; Casas M.) Psychiatry Services, Hospital Universitario Vall
Hebron, CIBERSAM, Barcelona, Spain.
(Roncero C., croncero@vhebron.net; Collazos F.; Casas M.) Psychiatry
Department, Universidad Autónoma de Barcelona, Barcelona, Spain.
CORRESPONDENCE ADDRESS
C. Roncero, Outpatient Drug Clinic (CAS) Vall Hebron, Psychiatry Services
Hospital, Universitario Vall Hebron-ASPB, Barcelona, Spain.
SOURCE
Journal of Addictive Diseases (2014) 33:4 (277-288). Date of Publication: 2
Oct 2014
ISSN
1545-0848 (electronic)
1055-0887
BOOK PUBLISHER
Routledge, aabs@uw.edu
ABSTRACT
Little is known about medical students interest in their training on drug
addiction, their personal experience of consumption, and whether these
aspects influence the detection of addiction in patients. Eighty-eight and
one half percent considered that drug dependence issues are important to
their professional future. The students report consuming alcohol (69%),
cigarettes (19.5%), and illegal drugs (15.8%). Female students consumed
fewer illegal drugs than the men (p =.022). Male students consumed more
illegal drugs more frequently (p =.005), knew more consumers (p =.023), and
those who drink alcohol consumed more illegal drugs than women who drink
alcohol (p <.005). Drug and alcohol consumption among medical students may
serve to normalize consumption and thus, may prevent the detection of
addicts. It is important to educate and raise awareness about drugs and
alcohol use, as this may influence detection. The focus should be
particularly on the male group.
EMTREE DRUG INDEX TERMS
alcohol
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
drug use
sex difference
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
awareness
consumer
controlled study
female
human
learning
male
medical student
personal experience
smoking
tobacco
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015641173
MEDLINE PMID
25299484 (http://www.ncbi.nlm.nih.gov/pubmed/25299484)
PUI
L601096432
DOI
10.1080/10550887.2014.969600
FULL TEXT LINK
http://dx.doi.org/10.1080/10550887.2014.969600
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 603
TITLE
A study of 'pathway of care' in substance dependence disorder namita
AUTHOR NAMES
Trivedi J.K.
Dalal P.K.
Nischal A.
Agarwal M.
Sharma E.
AUTHOR ADDRESSES
(Trivedi J.K.; Dalal P.K.; Nischal A.; Agarwal M.; Sharma E.) Department of
Psychiatry, King George's Medical University, Chowk, Lucknow, Uttar Pradesh,
India.
CORRESPONDENCE ADDRESS
J.K. Trivedi, Department of Psychiatry, King George's Medical University,
Chowk, Lucknow, Uttar Pradesh, India.
SOURCE
Indian Journal of Psychiatry (2014) 56 SUPPL. 1 (S37). Date of Publication:
January 2014
CONFERENCE NAME
66th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2014
CONFERENCE LOCATION
Pune, India
CONFERENCE DATE
2014-01-16 to 2014-01-19
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd
ABSTRACT
Aim: To study the pathway of care in patients of substance dependence
disorder. Materials and Methods: Various sociodemographic factors and
clinical factors (diagnostic subtypes, awareness, preference of
careprovider, delay in seeking help, comorbidities, history in
family/acquaintances) were assessed in a cross-sectional study of 128
patients who consulted for treatment of substance dependence disorder. The
pathway from onset of dependence to our center was traced and studied.
Results: More than half of the patients had alcohol dependence (51.6%).
Fifty-five percent patients were aware of availability of medical treatment
for their problem. Most patients consulted general medical practitioners
(36.7%) as first careprovider followed by psychiatrists (32.8%). Delay in
seeking help was longest in alcohol dependence patients (11.33 ± 7.79 years)
and shortest in polysubstance dependence (4.92 ± 4.77 years). Comorbidities
were present in 20.3% patients and were more common in polysubstance
dependence (30.7%) followed by alcohol dependence (19.7%). Awareness was
higher in patients with positive history in family and acquaintances. Before
reaching us, most patients had consulted just one careprovider (45.7%).
Conclusion: First careprovider was general medical practitioner or
psychiatrist in most patients. Majority of the patients either consulted one
or two careproviders. Average delay in seeking help was around 7 years.
Higher education and positive history of substance use in family and
acquaintance were significantly associated with awareness.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diseases
Indian
medical society
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholism
cross-sectional study
diagnosis
education
human
patient
physician
psychiatrist
substance use
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71618810
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 604
TITLE
Underdiagnosis of attention-deficit/hyperactivity disorder in adult
patients: A review of the literature
AUTHOR NAMES
Ginsberg Y.
Quintero J.
Anand E.
Casillas M.
Upadhyaya H.P.
AUTHOR ADDRESSES
(Ginsberg Y., ylva.ginsberg@ki.se) Department of Medical Epidemiology and
Biostatistics, Karolinska Institutet, Stockholm, Sweden.
(Quintero J.) Hospital Universitario Infanta Leonor, PSIKIDS, Madrid, Spain.
(Anand E.) Eli Lilly, Windlesham, Surrey, United Kingdom.
(Casillas M.) Eli Lilly, Madrid, Spain.
(Upadhyaya H.P.) Eli Lilly, Indianapolis, IN, United States.
CORRESPONDENCE ADDRESS
Y. Ginsberg, Department of Medical Epidemiology and Biostatistics,
Karolinska Institutet, Nobels Väg 12A, S-171 77 Stockholm, Sweden. Email:
ylva.ginsberg@ki.se
SOURCE
Primary Care Companion to the Journal of Clinical Psychiatry (2014) 16:3.
Date of Publication: 2014
ISSN
1555-211X (electronic)
1523-5998
BOOK PUBLISHER
Physicians Postgraduate Press Inc.
ABSTRACT
Objective: To raise awareness of attention-deficit/hyperactivity disorder
(ADHD) as an underdiagnosed, undertreated, often comorbid, and debilitating
condition in adults. Data Sources: PubMed was searched using combinations of
keywords, including ADHD, adult, diagnosis, identify, prevalence, and
comorbid, to find articles published between 1976 and 2013. Study Selection:
In total, 99 articles were selected for inclusion on the basis of their
relevance to the objective and importance to and representation of ADHD
research, including international guidelines for adults with ADHD. Results:
In a large proportion of children with ADHD, symptoms persist into
adulthood. However, although adults with ADHD often experience chaotic
lifestyles, with impaired educational and vocational achievement and higher
risks of substance abuse and imprisonment, many remain undiagnosed and/or
untreated. ADHD is usually accompanied by other psychiatric comorbidities
(such as major depressive disorder, anxiety disorder, and alcohol abuse).
Indeed, adults with ADHD are more likely to present to a psychiatric clinic
for treatment of their comorbid disorders than for ADHD, and their ADHD
symptoms are often mistaken for those of their comorbidities. Untreated ADHD
in adults with psychiatric comorbidities leads to poor clinical and
functional outcomes for the patient even if comorbidities are treated.
Effective treatment of adults' ADHD improves symptoms, emotional lability,
and patient functioning, often leading to favorable outcomes (eg, safer
driving, reduced criminality). A few medications have now been approved for
use in adults with ADHD, while a multimodal approach involving psychotherapy
has also shown promising results. Conclusions: General psychiatrists should
familiarize themselves with the symptoms of ADHD in adults in order to
diagnose and manage ADHD and comorbidities appropriately in these patients.
© 2014 Physicians Postgraduate Press, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder (diagnosis)
EMTREE MEDICAL INDEX TERMS
academic achievement
alcohol abuse
anxiety disorder
article
awareness
comorbidity
criminal behavior
driving ability
DSM-IV-TR
human
hyperactivity
impulsiveness
lifestyle
major depression
mental instability
psychological well-being
quality of life
restlessness
substance abuse
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014472831
PUI
L373526204
DOI
10.4088/PCC.13r01600
FULL TEXT LINK
http://dx.doi.org/10.4088/PCC.13r01600
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 605
TITLE
What factors determine Belgian general practitioners' approaches to
detecting and managing substance abuse? A qualitative study based on the
I-Change Model
AUTHOR NAMES
Ketterer F.
Symons L.
Lambrechts M.-C.
Mairiaux P.
Godderis L.
Peremans L.
Remmen R.
Vanmeerbeek M.
AUTHOR ADDRESSES
(Ketterer F.; Symons L.; Lambrechts M.-C.; Mairiaux P.; Godderis L.;
Peremans L.; Remmen R.)
(Vanmeerbeek M., marc.vanmeerbeek@ulg.ac.be) Department of General
Practice/Family Medicine, University of Liege, Avenue de l'Hôpital 3, CHU
B23, Liege 4000, Belgium.
SOURCE
BMC family practice (2014) 15 (119). Date of Publication: 2014
ISSN
1471-2296 (electronic)
ABSTRACT
BACKGROUND: General practitioners (GPs) are considered to play a major role
in detecting and managing substance abuse. However, little is known about
how or why they decide to manage it. This study investigated the factors
that influence GP behaviours with regard to the abuse of alcohol, illegal
drugs, hypnotics, and tranquilisers among working Belgians.METHODS: Twenty
Belgian GPs were interviewed. De Vries' Integrated Change Model was used to
guide the interviews and qualitative data analyses.RESULTS: GPs perceived
higher levels of substance abuse in urban locations and among lower
socioeconomic groups. Guidelines, if they existed, were primarily used in
Flanders. Specific training was unevenly applied but considered useful. GPs
who accepted abuse management cited strong interpersonal skills and
available multidisciplinary networks as facilitators.GPs relied on their
clinical common sense to detect abuse or initiate management. Specific
patients' situations and their social, psychological, or professional
dysfunctions were cited as cues to action.GPs were strongly influenced by
their personal representations of abuse, which included the balance between
their professional responsibilities toward their patients and the patients'
responsibilities in managing their own health as well the GPs' abilities to
cope with unsatisfying patient outcomes without reaching professional
exhaustion. GPs perceived substance abuse along a continuum ranging from a
chronic disease (whose management was part of their responsibility) to a
moral failing of untrustworthy people. Alcohol and cannabis were more
socially acceptable than other drugs. Personal experiences of emotional
burdens (including those regarding substance abuse) increased feelings of
empathy or rejection toward patients.Multidisciplinary practices and
professional experiences were cited as important factors with regard to
engaging GPs in substance abuse management. Time constraints and personal
investments were cited as important barriers.Satisfaction with treatment was
rare.CONCLUSIONS: Motivational factors, including subjective beliefs not
supported by the literature, were central in deciding whether to manage
cases of substance abuse. A lack of theoretical knowledge and training were
secondary to personal attitudes and motivation. Personal development,
emotional health, self-awareness, and self-care should be taught to and
fostered among GPs to help them maintain a patient-centred focus. Health
authorities should support collaborative care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
psychology
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adult
Belgium
clinical practice
decision making
drug dependence (diagnosis, therapy)
female
general practitioner
human
interview
male
motivation
psychological model
qualitative research
risk factor
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24927958 (http://www.ncbi.nlm.nih.gov/pubmed/24927958)
PUI
L604682838
DOI
10.1186/1471-2296-15-119
FULL TEXT LINK
http://dx.doi.org/10.1186/1471-2296-15-119
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 606
TITLE
Cheating on examinations and its predictors among undergraduate students at
Hawassa University College of Medicine and Health Science, Hawassa, Ethiopia
AUTHOR NAMES
Desalegn A.A.
Berhan A.
AUTHOR ADDRESSES
(Desalegn A.A.; Berhan A.) Pharmacology Unit, School of Medicine, Hawassa
University, Hawassa, P,O Box-1560, Ethiopia. antepharma@yahoo.com
SOURCE
BMC medical education (2014) 14 (89). Date of Publication: 2014
ISSN
1472-6920 (electronic)
ABSTRACT
BACKGROUND: Cheating on examinations in academic institutions is a worldwide
issue. When cheating occurs in medical schools, it has serious consequences
for human life, social values, and the economy. This study was conducted to
determine the prevalence of cheating and identify factors that influence
cheating among students of Hawassa University College of medicine and health
science.METHODS: A cross sectional study was conducted from May through June
2013. A pre-tested self-administered, structured questionnaire was used to
collect self-reported data regarding cheating. Data were entered and
analyzed using SPSS version 20. Descriptive statistics were used for data
summarization and presentation. Degree of association was measured by Chi
Square test, with significance level set at p = 0.05. Bivariate and
multivariate logistic regression analyses were used to assess
associations.RESULTS: The prevalence of self-reported cheating was found to
be 19.8% (95% CI = 17.4-21.9). About 12.1% (95% CI = 10.2-13.9) of students
disclosed cheating on the entrance examination. The majority of students
(80.1% (95% CI = 77.9-82.3) disclosed that they would not report cheating to
invigilators even if they had witnessed cheating. Analysis by multiple
regression models showed that students who cheated in high school were more
likely to cheat (adjusted OR = 1. 80, 95% CI = 1. 01-3.19) and that cheating
was less likely among students who didn't cheat on entrance examinations
(adjusted OR = 0. 25, 95% CI = 0. 14-0.45). Dining outside the university
cafeteria and receiving pocket money of Birr 300 or more were strongly
associated with cheating (adjusted OR = 3.08, 95% CI = 1.54-6.16 and
adjusted OR = 1.69 (95% CI = 1.05-2.72), respectively. The odds of cheating
among students were significantly higher for those who went to private high
school, were substance users, and didn't attend lectures than for those who
attended government schools, were not substance abusers, and attended
lectures.CONCLUSION: Our findings have important implications for
development of an institution's policies on academic integrity. By
extension, they affect the policies of high schools. Increased levels of
supervision during entrance examination, mandated attendance at lectures,
and reduction of substance use are likely to reduce cheating. No significant
association was found with background, level of parental education, grade
point average, and interest in field of study.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
deception
education
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adolescent
adult
cross-sectional study
epidemiology
Ethiopia
female
human
male
medical education
medical school
medical student
prevalence
self report
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24885973 (http://www.ncbi.nlm.nih.gov/pubmed/24885973)
PUI
L601982133
DOI
10.1186/1472-6920-14-89
FULL TEXT LINK
http://dx.doi.org/10.1186/1472-6920-14-89
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 607
TITLE
Prescribing thiamine to inpatients with alcohol use disorders: How well are
we doing?
AUTHOR NAMES
Isenberg-Grzeda E.
Chabon B.
Nicolson S.E.
AUTHOR ADDRESSES
(Isenberg-Grzeda E., isenberg.grzeda@gmail.com) Memorial Sloan-Kettering
Cancer Center, Weill Cornell Medical Center, 641 Lexington Ave, 7th floor,
New York, NY 10022, United States.
(Chabon B.) Montefiore Medical Center, Albert Einstein College of Medicine,
Bronx, NY, United States.
(Nicolson S.E.) Vanderbilt University School of Medicine, Nashville, TN,
United States.
CORRESPONDENCE ADDRESS
E. Isenberg-Grzeda, Memorial Sloan-Kettering Cancer Center, Weill Cornell
Medical Center, 641 Lexington Ave, 7th floor, New York, NY 10022, United
States. Email: isenberg.grzeda@gmail.com
SOURCE
Journal of Addiction Medicine (2014) 8:1 (1-5). Date of Publication:
January-February 2014
ISSN
1935-3227 (electronic)
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
Objectives: Thiamine deficiency is a potentially dangerous sequela of
alcohol use disorders (AUDs). European andBritish guidelines recommend
administering high-dose parenteral thiamine 3 times daily to avoid
consequences of thiamine deficiency such as Wernicke-Korsakoff syndrome
(WKS), and suggest that traditional thiamine dosages are likely inadequate.
Research into thiamine and WKS has lagged in the United States, and to date,
no study has examined how thiamine is prescribed to inpatients with AUD in
an American hospital. Methods: Thiamine prescribing data (amount, route, and
frequency schedule) were collected for inpatients at a large, American,
teaching hospital, who were referred to the addiction psychiatry service for
AUD. Data were analyzed using Statistical Product and Service Solutions.
Results: A total of 217 inpatients with AUD were included. A substantial
percentage of them were not prescribed thiamine. Of those who were
prescribed thiamine, nearly all were prescribed oral thiamine at traditional
dosages, including high-risk patients. Conclusions: This is the first study
to report on the prescribing of thiamine to inpatients with AUD at an
American teaching hospital. It serves to confirm what many already
suspected: that more education is needed to improve the diagnostic
challenges ofWKS, the detection of risk factors for WKS, and the adequate
dosing of thiamine for prevention and treatment of WKS. © 2014 American
Society of Addiction Medicine.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
thiamine (drug therapy, intramuscular drug administration, intravenous drug
administration, oral drug administration, parenteral drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
alcoholism (drug therapy, drug therapy)
hospital patient
EMTREE MEDICAL INDEX TERMS
adult
aged
article
controlled study
drug megadose
female
high risk patient
human
Korsakoff psychosis (complication)
major clinical study
male
practice guideline
prescription
prevalence
priority journal
prophylaxis
risk factor
teaching hospital
United States
very elderly
Wernicke encephalopathy (complication)
Wernicke Korsakoff syndrome (complication, drug therapy)
CAS REGISTRY NUMBERS
thiamine (59-43-8, 67-03-8)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014245101
MEDLINE PMID
24343128 (http://www.ncbi.nlm.nih.gov/pubmed/24343128)
PUI
L372784414
DOI
10.1097/01.ADM.0000435320.72857.c8
FULL TEXT LINK
http://dx.doi.org/10.1097/01.ADM.0000435320.72857.c8
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 608
TITLE
Proposal for Sexual Medicine Specialty Symposia for ANCIPS 2014 to be held
at Pune between 16 - 19th January, Normal, impulsive, obsessive and
addictive sexuality - Sexaholism: A perspective
AUTHOR NAMES
Aravind V.K.
Prakash O.
AUTHOR ADDRESSES
(Aravind V.K., drmrugesh@rediffmail.com; Prakash O.) Speakers - Mrugesh
Vaishnav TSS Rao, India.
CORRESPONDENCE ADDRESS
V.K. Aravind, Speakers - Mrugesh Vaishnav TSS Rao, India. Email:
drmrugesh@rediffmail.com
SOURCE
Indian Journal of Psychiatry (2014) 56 SUPPL. 1 (S96). Date of Publication:
January 2014
CONFERENCE NAME
66th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2014
CONFERENCE LOCATION
Pune, India
CONFERENCE DATE
2014-01-16 to 2014-01-19
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd
ABSTRACT
Sex is a biological drive. Sexual thoughts, urges, and behaviors are part of
normal sexuality which at time becomes difficult to resist, hence results
into impulsive, obsessive, or addictive sexual behavior. Though there is no
clear-cut demarcation between normal and abnormal sexual behavior, some of
the researchers have defined total sexual outlet (TSO) to measure whether
the sexuality is normal or abnormal. The recent Diagnostic and Statistical
Manual of Mental Disorders (DSM) 5 classification have classified paraphilic
disorders, however highly prevalent paraphilia-related disorders like
compulsive masturbation, phone sex dependence, pornography dependence,
protracted promiscuity, severe sexual desire incompatibility, and sexual
chat room dependence are still not separately classified as mental
disorders. Based on the current research data available, sexual compulsion
can easily be fit either into obsessive compulsive spectrum or into an
addiction module, but hypersexuality or sexual addiction is still considered
as symptom of mental illness and not separate diagnostic entity. A clinician
may come across cases of partners complaining hyper sexuality, excessive
chat room dependence, or several extramarital affairs. The clinician's
dilemma is whether to label that individual into any psychiatric disorder
pattern as, for example, impulsive, compulsive, or addictive. It is also
difficult to decide up to which extent sexual behavior is to be considered
normal. This will be discussed with anecdotal case examples about what is
normal and what is abnormal sexual desire, urges, and behavior. Sex and the
drive of evolution and sex and the religious quest for divine reunion will
be discussed. Several examples of hypersexuality, paraphilia,
paraphilia-related disorders, sexual obsession, and sexaholism and public
health will also be discussed. The symposia will throw light on how these
cases can be managed in routine clinical practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Indian
medical society
sexuality
EMTREE MEDICAL INDEX TERMS
addiction
classification
clinical practice
compulsion
diagnosis
Diagnostic and Statistical Manual of Mental Disorders
diseases
human
hypersexuality
implantable cardioverter defibrillator
masturbation
mental disease
obsession
paraphilic disorder
pornography
public health
Reunion
scientist
sexual addiction
sexual behavior
sexual deviation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71619047
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 609
TITLE
Evaluation and treatment of sex addiction.
AUTHOR NAMES
Rosenberg K.P.
Carnes P.
O'Connor S.
AUTHOR ADDRESSES
(Rosenberg K.P.) a Department of Psychiatry , Weill Cornell Medical College
, New York , New York , USA.
(Carnes P.; O'Connor S.)
CORRESPONDENCE ADDRESS
K.P. Rosenberg,
SOURCE
Journal of sex & marital therapy (2014) 40:2 (77-91). Date of Publication:
2014
ISSN
1521-0715 (electronic)
ABSTRACT
There have been several diagnostic labels for persistent, excessive sexual
behaviors, often referred in the popular media as sex addiction. Two related
diagnoses, Internet addictive disorder and hypersexual disorder, were
considered for, but not included in the 5th edition of the Diagnostic and
Statistical Manual of Mental Disorders. However, most clinicians, even those
trained in sexual disorders or addiction medicine, have little to no
training in treating sexual compulsivity and cybersex addiction. The authors
present the historical context, proposed diagnostic criteria, evaluation
protocols, comorbid disorders, speculations about the neuroscience, and
treatment recommendations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
sexual behavior
EMTREE MEDICAL INDEX TERMS
adult
brain
comorbidity
differential diagnosis
human
impulse control disorder (diagnosis, therapy)
Internet
male
motivation
nerve cell network
object relation
obsessive compulsive disorder (diagnosis, therapy)
pathophysiology
physiology
psychological aspect
psychometry
questionnaire
reproducibility
review
statistics
treatment outcome
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23790248 (http://www.ncbi.nlm.nih.gov/pubmed/23790248)
PUI
L373968283
DOI
10.1080/0092623X.2012.701268
FULL TEXT LINK
http://dx.doi.org/10.1080/0092623X.2012.701268
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 610
TITLE
Rapid-onset opioids for the treatment of breakthrough cancer pain: Two cases
of drug abuse
AUTHOR NAMES
Granata R.
Bossi P.
Bertulli R.
Saita L.
AUTHOR ADDRESSES
(Granata R., roberta.granata@istitutotumori.mi.it; Bossi P.) Head and Neck
Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori,
Milan, Italy.
(Bertulli R.) Adult Sarcoma Medical Oncology Unit, Fondazione IRCCS Istituto
Nazionale dei Tumori, Milan, Italy.
(Saita L.) Palliative Care, Pain Therapy and Rehabilitation, Fondazione
IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
CORRESPONDENCE ADDRESS
R. Granata, Head and Neck Medical Oncology Unit, Fondazione IRCCS Istituto
Nazionale dei Tumori, Via Venezian 1, 20133, Milano, Italy. Email:
roberta.granata@istitutotumori.mi.it
SOURCE
Pain Medicine (United States) (2014) 15:5 (758-761). Date of Publication:
May 2014
ISSN
1526-4637 (electronic)
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc., subscrip@blackwellpub.com
ABSTRACT
Setting: In the last few years, the use of opioids for cancer pain has
rapidly increased and new molecules have been developed. Currently,
rapid-onset opioids are widely used in clinical practice for breakthrough
cancer pain (BTcP). However, the tolerability of these molecules is still a
matter of debate. Patients: We describe two cases of rapid-onset opioids
misuse that have been recently observed at our palliative care unit.
Discussion: The reported cases are explicative as they occurred in patients
suffering from different types of cancer and with different causes of BTcP.
Further investigations are needed to identify factors predicting addiction
to this new class of molecules. © 2014 American Academy of Pain Medicine.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE DRUG INDEX TERMS
cisplatin (adverse drug reaction, drug combination, drug therapy)
codeine
cyclophosphamide (drug combination, drug therapy)
docetaxel (adverse drug reaction, drug combination, drug therapy)
doxorubicin (drug combination, drug therapy)
fentanyl (transdermal drug administration)
fluorouracil (adverse drug reaction, drug combination, drug therapy)
gabapentin
ifosfamide (drug combination, drug therapy)
imatinib (drug therapy)
ketoprofen
morphine (oral drug administration)
oxycodone
paracetamol
sunitinib (drug therapy)
tramadol (oral drug administration)
vincristine (drug combination, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
breakthrough pain (drug therapy, drug therapy)
cancer pain (drug therapy, drug therapy)
drug abuse
EMTREE MEDICAL INDEX TERMS
abdominal pain
abnormal behavior
adult
aggression
analgesia
article
cancer chemotherapy
cancer growth
cancer palliative therapy
cancer radiotherapy
cancer staging
case report
chemoradiotherapy
coma
drug dose increase
Ewing sarcoma (drug therapy)
gastrointestinal stromal tumor (drug therapy)
hospital discharge
human
induction chemotherapy
liver metastasis
lung infection
male
mucosa inflammation (side effect)
multiple cycle treatment
nasopharynx carcinoma (drug therapy, radiotherapy)
odynophagia (side effect)
patient
peritoneum metastasis
restlessness
young adult
CAS REGISTRY NUMBERS
cisplatin (15663-27-1, 26035-31-4, 96081-74-2)
codeine (76-57-3)
cyclophosphamide (50-18-0)
docetaxel (114977-28-5)
doxorubicin (23214-92-8, 25316-40-9)
fentanyl (437-38-7)
fluorouracil (51-21-8)
gabapentin (60142-96-3)
ifosfamide (3778-73-2)
imatinib (152459-95-5, 220127-57-1)
ketoprofen (22071-15-4, 57495-14-4)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
paracetamol (103-90-2)
sunitinib (341031-54-7, 557795-19-4)
tramadol (27203-92-5, 36282-47-0)
vincristine (57-22-7)
EMBASE CLASSIFICATIONS
Otorhinolaryngology (11)
Cancer (16)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014342857
MEDLINE PMID
24967472 (http://www.ncbi.nlm.nih.gov/pubmed/24967472)
PUI
L53010760
DOI
10.1111/pme.12382
FULL TEXT LINK
http://dx.doi.org/10.1111/pme.12382
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 611
TITLE
A Canadian perspective on addiction treatment
AUTHOR NAMES
El-Guebaly N.
AUTHOR ADDRESSES
(El-Guebaly N.) a Addiction Division , University of Calgary , Calgary ,
Alberta , Canada
SOURCE
Substance abuse (2014) 35:3 (298-303). Date of Publication: 2014
ISSN
1547-0164 (electronic)
ABSTRACT
This paper presents a synopsis of addiction treatment in Canada, along with
some available comparative figures with other North American countries.
Within the framework of Canada's Medicare, a largely single-payer system,
addiction and psychiatric disorders are insured on par with other medical
disorders. Canada's strategy recognizes the four pillars of prevention,
treatment, harm reduction, and enforcement. The Canadian Alcohol and Drug
Use Monitoring Survey is the yearly main source of data on alcohol and
illicit drug use. The main features of the Canadian addiction treatment
network are identified as a "top 10" list, outlining early identification
and intervention, assessment, and referral; detoxification; ambulatory
care/day treatment programs; residential care; hospitals; concurrent
disorders networks and regionalization; drug specific strategies; mutual
help; behavioral addictions; and training, qualification, and research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care policy
public health
EMTREE MEDICAL INDEX TERMS
addiction (drug therapy)
Canada
drug dependence (therapy)
human
North America
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24857633 (http://www.ncbi.nlm.nih.gov/pubmed/24857633)
PUI
L606236406
DOI
10.1080/08897077.2014.923362
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2014.923362
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 612
TITLE
Clinical guidelines for the detection, prevention, and early intervention of
adolescent substance use
AUTHOR NAMES
Magid V.
Settles R.
AUTHOR ADDRESSES
(Magid V., magid@musc.edu; Settles R.) Medical University of South Carolina,
United States.
CORRESPONDENCE ADDRESS
V. Magid, Center for Drug and Alcohol Programs, Medical University of South
Carolina, 67 President Street, Charleston, SC 29425, United States. Email:
magid@musc.edu
SOURCE
Adolescent Psychiatry (Netherlands) (2013) 3:2 (200-207). Date of
Publication: 2013
ISSN
2210-6766
2210-6774 (electronic)
BOOK PUBLISHER
Bentham Science Publishers B.V., P.O. Box 294, Bussum, Netherlands.
ABSTRACT
Objective: Mental health care providers are in a unique position to detect,
prevent, and offer brief interventions for adolescents with substance use
problems. While substance use and mental health disorders commonly co-occur,
few pediatric mental health professionals possess the necessary training to
identify and treat substance use issues. The goal of this paper is to
provide guidance for mental health professionals working with adolescents on
how to detect, intervene, and refer adolescents for substance use treatment.
Method: A series of clinical case examples and vignettes provide scenarios
for helping educate providers in screening for substance use,
preventing/delaying substance use initiation, delivering brief early
interventions, and motivating adolescents for specialized substance use
treatment when necessary. Conclusions: The importance of discussing
substance use with each adolescent, being attuned to common warning signs of
substance use, taking caution in prescribing medications with abuse
potential, importance of family involvement, and use of motivational
interviewing techniques are discussed. © 2013 Bentham Science Publishers.
EMTREE DRUG INDEX TERMS
amphetamine
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
early intervention
mental health care
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
article
case report
drug screening
female
general practitioner
health care personnel
human
mental health
motivational interviewing
priority journal
vignette
CAS REGISTRY NUMBERS
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013746011
PUI
L370341140
DOI
10.2174/2210676611303020012
FULL TEXT LINK
http://dx.doi.org/10.2174/2210676611303020012
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 613
TITLE
Mitigating the risk of opioid abuse through a balanced undergraduate pain
medicine curriculum
AUTHOR NAMES
Morley-Forster P.K.
Pergolizzi J.V.
Taylor Jr. R.
Axford-Gatley R.A.
Sellers E.M.
AUTHOR ADDRESSES
(Morley-Forster P.K., pat.morley-forster@sjhc.london.on.ca) Department of
Anesthesia and Perioperative Medicine, University of Western Ontario,
London, ON, Canada.
(Morley-Forster P.K., pat.morley-forster@sjhc.london.on.ca) Outpatient Pain
Clinic, St Joseph's Hospital, London, ON, Canada.
(Pergolizzi J.V.) Department of Medicine, Johns Hopkins University School of
Medicine, Baltimore, MD, United States.
(Pergolizzi J.V.) Department of Pharmacology, Temple University School of
Medicine, Philadelphia, PA, United States.
(Pergolizzi J.V.; Taylor Jr. R.) NEMA Research Inc, Naples, FL, United
States.
(Axford-Gatley R.A.) Clinical Content and Editorial Services, Complete
Healthcare Communications, Inc, Chadds Ford, PA, United States.
(Sellers E.M.) DL Global Partners Inc, Toronto, ON, Canada.
CORRESPONDENCE ADDRESS
P. K. Morley-Forster, Outpatient Pain Clinic, St Joseph's Hospital, 268
Grosvenor Street, London, ON N6A 4V2, Canada. Email:
pat.morley-forster@sjhc.london.on.ca
SOURCE
Journal of Pain Research (2013) 6 (791-801). Date of Publication: 2013
ISSN
1178-7090
BOOK PUBLISHER
Dove Medical Press Ltd., PO Box 300-008, Albany, Auckland, New Zealand.
ABSTRACT
Chronic pain is highly prevalent in the United States and Canada, occurring
in an estimated 30% of the adult population. Despite its high prevalence, US
and Canadian medical schools provide very little training in pain
management, including training in the safe and effective use of potent
analgesics, most notably opioids. In 2005, the International Association for
the Study of Pain published recommendations for a core undergraduate pain
management curriculum, and several universities have implemented pilot
programs based on this curriculum. However, when outcomes have been formally
assessed, these initiatives have resulted in only modest improvements in
physician knowledge about chronic pain and its treatment. This article
discusses strategies to improve undergraduate pain management curricula and
proposes areas in which those efforts can be augmented. Emphasis is placed
on opioids, which have great potency as analgesics but also substantial
risks in terms of adverse events and the risk of abuse and addiction. The
authors conclude that the most important element of an undergraduate pain
curriculum is clinical experience under mentors who are capable of
reinforcing didactic learning by modeling best practices. © 2013
Morley-Forster et al.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
narcotic dependence (side effect, side effect)
EMTREE MEDICAL INDEX TERMS
chronic pain (drug therapy)
clinical protocol
drug dependence
drug formulation
drug potency
drug response
human
learning
licensing
pain (drug therapy, etiology)
patient care
physician attitude
review
risk benefit analysis
social psychology
treatment duration
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013769195
PUI
L370404422
DOI
10.2147/JPR.S47192
FULL TEXT LINK
http://dx.doi.org/10.2147/JPR.S47192
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 614
TITLE
Tobacco dependence treatment: Influence of training experiences on clinical
activities among otolaryngologists
AUTHOR NAMES
Sutton M.J.
Payne T.J.
Gaughf N.W.
Crews K.M.
Elci O.U.
Peck S.B.
Schweinfurth J.
AUTHOR ADDRESSES
(Sutton M.J.) Department of Pediatrics, University of Mississippi Medical
Center, Jackson, MS, United States.
(Payne T.J., TJPayne1@umc.edu; Crews K.M.; Schweinfurth J.) Department of
Otolaryngology and Communicative Sciences, University of Mississippi Medical
Center, 2500 North State Street, Jackson, MS 39216, United States.
(Gaughf N.W.) Department of Academic Counseling, University of Mississippi
Medical Center, Jackson, MS, United States.
(Elci O.U.) Center for Biostatistics, University of Mississippi Medical
Center, Jackson, MS, United States.
(Peck S.B.) Overton Brooks Veterans Affairs Medical Center, Shreveport, LA,
United States.
CORRESPONDENCE ADDRESS
T.J. Payne, Department of Otolaryngology and Communicative Sciences,
University of Mississippi Medical Center, 2500 North State Street, Jackson,
MS 39216, United States. Email: TJPayne1@umc.edu
SOURCE
Laryngoscope (2013) 123:12 (3005-3009). Date of Publication: December 2013
ISSN
0023-852X
1531-4995 (electronic)
BOOK PUBLISHER
John Wiley and Sons Inc., P.O.Box 18667, Newark, United States.
ABSTRACT
Objectives/Hypothesis: Although one in five U.S. adults continue to smoke,
healthcare providers often fail to provide basic, effective interventions.
This is particularly true for physician specialists. This study sought to
investigate perceived role, self-efficacy, practice behaviors, and attitudes
among otolaryngologists as they relate to the delivery of tobacco treatment
services. Study Design: This study involved a single administration of a
survey questionnaire to current members of the American Academy of
Otolaryngology Head and Neck Surgery (AAO-HNS). Methods: A questionnaire was
mailed up to three times to active members. Results: Survey response rate
was 39% (N = 2127). Based on an evaluation of treatment factors categorized
according to the National Cancer Institute's 5A's approach, trained
providers generally rated themselves consistently higher than untrained
providers across areas of clinical activity. Minimal differences were noted
for Ask and Advise, moderate for Assess, and the greatest for Assist and
Arrange. Trained providers also indicated more positive attitudes towards
treatment. Conclusions: While the level of performance was reasonable for
otolaryngologists relative to other specialists in the published literature,
overall tobacco treatment activity remains unacceptably low. This study
suggests the positive impact of training and the potential value of making
such experiences widely available. © 2013 The American Laryngological,
Rhinological and Otological Society, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
experience
medical education
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
clinical practice
female
follow up
human
major clinical study
male
medical society
medical specialist
otolaryngologist
outcome variable
performance
physician attitude
priority journal
questionnaire
self concept
EMBASE CLASSIFICATIONS
Otorhinolaryngology (11)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013752998
MEDLINE PMID
24122575 (http://www.ncbi.nlm.nih.gov/pubmed/24122575)
PUI
L52815549
DOI
10.1002/lary.23513
FULL TEXT LINK
http://dx.doi.org/10.1002/lary.23513
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 615
TITLE
Tobacco control education in pediatric anesthesiology fellowships
AUTHOR NAMES
Peters S.M.
Pabelick C.M.
Warner D.O.
AUTHOR ADDRESSES
(Peters S.M.; Pabelick C.M.; Warner D.O., warner.david@mayo.edu) Department
of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905,
United States.
CORRESPONDENCE ADDRESS
D.O. Warner, Department of Anesthesiology, Mayo Clinic, 200 First Street SW,
Rochester, MN 55905, United States. Email: warner.david@mayo.edu
SOURCE
Paediatric Anaesthesia (2013) 23:12 (1213-1218). Date of Publication:
December 2013
ISSN
1155-5645
1460-9592 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Background Cigarette smoking and secondhand smoke exposure (SHS) increase
the risk of perioperative complications. Traditionally, anesthesiologists
have limited involvement in tobacco control. Objective To develop and
disseminate an educational curriculum that educates pediatric anesthesia
fellows in tobacco control. Methods After IRB approval, an online survey was
disseminated to pediatric anesthesiology fellowship directors. Results
Thirty-one surveys were completed. Most report that they ask pediatric
patients about tobacco use. A majority advise their patients who smoke about
the health effects of smoking, but only 40% advise children to quit, and the
majority never provide educational materials to assist in smoking cessation.
Half reported that they sometimes or always ask about SHS. Approximately
one-third never advise about the ill effects of SHS, nearly half never
advise parents to stop smoking, and the majority never provide educational
material about quitting to parents. Two-thirds felt that it is their
responsibility to advise pediatric patients not to smoke, but less than half
felt the same sense of responsibility about advising parents not to smoke.
Approximately two-thirds believe that fellowship programs should provide
education about the effects of smoking in the perioperative period and the
effects of SHS exposure, but few programs do. Almost all would implement a
free teaching module about SHS exposure and tobacco control as part of
fellowship education. Conclusions Many pediatric anesthesiology fellowship
directors agree that exposure to cigarette smoke adversely impacts patients
in the perioperative period, but few participate in tobacco control, and
issues germane to tobacco control are not consistently addressed. © 2013
John Wiley & Sons Ltd.
EMTREE DRUG INDEX TERMS
cigarette smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
pediatric anesthesia
smoking cessation
EMTREE MEDICAL INDEX TERMS
anesthesist
article
caregiver
child parent relation
curriculum
environmental exposure
health survey
human
passive smoking
perioperative period
practice guideline
priority journal
responsibility
risk benefit analysis
smoking
tobacco
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013713495
MEDLINE PMID
24383603 (http://www.ncbi.nlm.nih.gov/pubmed/24383603)
PUI
L370247201
DOI
10.1111/pan.12277
FULL TEXT LINK
http://dx.doi.org/10.1111/pan.12277
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 616
TITLE
Adherence to treatment in patients with schizophrenia
AUTHOR NAMES
Dogan O.
AUTHOR ADDRESSES
(Dogan O., ordogan@gmail.com) Department of Psychiatry, Uskudar University,
Istanbul, Turkey.
CORRESPONDENCE ADDRESS
O. Dogan, Department of Psychiatry, Uskudar University, Istanbul, Turkey.
Email: ordogan@gmail.com
SOURCE
Klinik Psikofarmakoloji Bulteni (2013) 23 SUPPL. 1 (S30). Date of
Publication: 2013
CONFERENCE NAME
5th International Congress on Psychopharmacology
CONFERENCE LOCATION
Antalya, Turkey
CONFERENCE DATE
2013-10-30 to 2013-11-03
ISSN
1017-7833
BOOK PUBLISHER
Cukurova Univ Tip Fakultesi Psikiyatri Anabilim Dali
ABSTRACT
Non-adherence to treatment is one of the most important problems in
treatment of chronic illnesses. This condition is also valid for
schizophrenia. In general, non-adherence in chronic illnesses is
approximately 60%. The patients with schizophrenia and bipolar disorder do
not believe that they are ill. They have lack of insight; therefore they
reject to take medication. In treatment, perfect adherence to treatment is
rare; non-adherence to treatment is a common condition. If the patient
misses the drug dose small than 25%, he (she) is adherent. If the patient
misses the drug dose between 25% and 65%, he (she) is partially adherent. If
the patient misses the drug dose more than 65%, he (she) is non-adherent.
Partially adherence to treatment is 25% in the first 10 days after
discharge, 50% after one year, and 75% two years. If the adherence to
treatment is increased, the ratio of remission is increased. If the patients
do not use their medications regularly, some disadvantages are seen as
follows: a) relapse ratio increases, the period and the number of admitted
in hospital increases, suicide risk increases, the possibility of remission
decreases, all of social functionalities go bad, substance use, and
financial problems. Non-adherence to treatment can be dependent on
characteristics of patient, environment, clinician, and medication. The
causes of not taking medication can be those: lack of insight, lack of
efficacy of treatment, lack of social support, worries about side effects, a
poor doctor-patient relationship, cognitive losses, substance use, and
comorbid psychiatric disorders. How are formed adherence to treatment
between doctor and patient? The answers are as follows: a)
Non-pharmacological approaches, b) pharmacological approaches, c)
multidimensional approaches. Non-pharmacological approaches include
motivational interview techniques and similar approaches, cognitive behavior
therapy, and psycho-education approaches. The LEAP technique is a
motivational interview technique. The phases of LEAP are as follows: Listen,
Empathy, Agree, and Partnership. Cognitive behavior therapy has been
neglected for schizophrenia because of some causes. However, it has been
increased gradually that evidences about efficacy of cognitive behavior
therapy in schizophrenia treatment. Psycho-education can apply both patients
and their families. A psycho-education program must include those issues:
the symptoms and the causes of schizophrenia; medications used for
schizophrenia, their side effects, and their mechanisms; the manner of
family; lawful rights and responsibilities; emergency conditions and
follow-up. Pharmacotherapy is efficacy on schizophrenia treatment,
especially on positive symptoms. Depot or long action antipsychotics
increase the adherence to treatment, decrease suicide risk and the number of
admitting in hospital. To provide and continue the adherence to treatment is
suggested those strategies: to apply optimal antipsychotic treatment, to
encourage the patients and their families for psycho-education, to determine
the patients' motivations, to treat substance abuse, to include family
members in treatment process, to identify and remove the barriers to
treatment. There are common problems seen in the adherence to treatment.
These can be concerned with patients, patients' relatives, presenting
services. Multidimensional approach contains a good doctor-patient
relationship, accepting the adherence problem, favorable antipsychotic
treatment, forming a good atmosphere, applying motivational interview
techniques and psycho-education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognitive therapy
education
human
interview
patient
patient compliance
psychopharmacology
schizophrenia
EMTREE MEDICAL INDEX TERMS
atmosphere
bipolar disorder
chronic disease
doctor patient relation
drug dose
drug therapy
education program
emergency
empathy
environment
follow up
hospital
mental disease
motivation
patient worry
physician
positive syndrome
relapse
remission
responsibility
risk
side effect
social support
substance abuse
suicide
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71270167
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 617
TITLE
Lifetime prevalence of alcohol and substance use in Egypt: a community
survey.
AUTHOR NAMES
Hamdi E.
Gawad T.
Khoweiled A.
Sidrak A.E.
Amer D.
Mamdouh R.
Fathi H.
Loza N.
AUTHOR ADDRESSES
(Hamdi E., emadhamdi@doctors.net.uk) Department of Psychiatry, Faculty of
Medicine, Cairo University, Cairo, Egypt.
(Gawad T.; Khoweiled A.; Sidrak A.E.; Amer D.; Mamdouh R.; Fathi H.; Loza
N.)
CORRESPONDENCE ADDRESS
E. Hamdi, Department of Psychiatry, Faculty of Medicine, Cairo University,
Cairo, Egypt. Email: emadhamdi@doctors.net.uk
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:2 (97-104). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
The aim of this study was to determine the prevalence of substance use and
addiction in Egypt and study its sociodemographic correlates. A total of
44,000 subjects were interviewed from 8 governorates by stratified sampling.
A questionnaire derived from the Addiction Severity Index (ASI) was
individually administered. The lifetime prevalence of any substance use
varies between 7.25% and 14.5%. One-month prevalence varies between 5.4% and
11.5% when adjusted to different population parameters. A total of 4832
subjects were identified as using illicit substances at least once in their
life (9.6%), including 1329 experimental and social use (3.3%), 1860 regular
use (4.64%), and 629 substance dependence (1.6%). The prevalence of
substance use in males is 13.2% and 1.1% in females. Prevalence increases
significantly in males of Bedouin origin, in seaside governorates, with
lesser levels of education, and in certain occupations. The 15-19 age group
showed the highest onset of substance use. Cannabis is the drug mostly
misused in Egypt; alcohol is a distant second. The prevalence of substance
use is lower than Western countries and higher compared with a 1996 survey.
The true population prevalence is probably higher due to underreporting. The
demographic pattern reflects availability and accessibility to drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
drinking behavior (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Egypt (epidemiology)
female
human
information processing
male
middle aged
sexual development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23577901 (http://www.ncbi.nlm.nih.gov/pubmed/23577901)
PUI
L563022826
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 618
TITLE
The cost of alcohol in the workplace in Belgium
AUTHOR NAMES
Tecco J.
Jacques D.
Annemans L.
AUTHOR ADDRESSES
(Tecco J., JuanMartin.Tecco@hap.be) Department of Psychiatry, CHUP-MB, 2 Bd
Kennedy, 7000 Mons, Belgium.
(Jacques D.) Psychosomatic Medicine Department, Catholic University of
Louvain, University Hospital Center of Mont-Godinne, Yvoir, Belgium.
(Annemans L.) Ghent University and Brussels University (VUB), Brussels,
Belgium.
CORRESPONDENCE ADDRESS
J. Tecco, Department of Psychiatry, CHUP-MB, 2 Bd Kennedy, 7000 Mons,
Belgium. Email: JuanMartin.Tecco@hap.be
SOURCE
Psychiatria Danubina (2013) 25:SUPPL.2 (S118-S123). Date of Publication:
2013
ISSN
0353-5053
BOOK PUBLISHER
Medicinska Naklada Zagreb, Vlaska 69, Zagreb, Croatia.
ABSTRACT
Background: It has been suggested that alcohol problems have a major impact
in the workplace. It has long been recognized that misuse can have serious
consequences for the productivity of workers. The extent of the problem is
still an uncalculated cost. Few studies provide clear evidence of a cause,
effect or relationship between substance abuse and workplace costs and
valuable guidance to employers in evaluating the cost of substance abuse in
their workplaces is missing. Objective: To estimate the awareness, policies
and cost to employers of drinking in the workplace in Belgium and to
illustrate the potential gains from drinking cessation provision. Costs vary
with type of industry and policy in place; therefore, to estimate these
costs, results from a survey were combined with evidence drawn from a review
of literature. Study design: An Internet survey of 216 workplaces in
Belgium, based on a stratified random sample of workplaces with 50 or more
employees, was conducted in 2005. Further information was collected from 150
occupational physicians. Additional evidence was compiled from a review of
the literature of drinking-related costs. Results: 216 General Directors or
HR Directors completed a questionnaire related to awareness, policy and
costs. 150 occupational physicians completed a questionnaire related to
awareness and policy. Companies are unaware or underestimate alcohol misuse
among their employees. At least 84% of companies have no education or
information policy about substance abuse. Absenteeism, accidents and
turnover account for 0.87% of the wage bill. Reduced productivity/
(presenteeism accounts for 2.8%. The construction industry, postal services,
hospitality industry (hotel/restaurants and catering) and sanitation
industry (collection, street cleaning) are the most problematic sectors.
Conclusion: Awareness: many companies are totally unaware of the impact of
substance abuse and those that are aware underestimate the problem. Sectors
are heterogeneous; some are more problematic than others. Policy: although
there is a link between policy and consumption, few companies have a clear
substance abuse policy. Cost: reduced productivity is perceived as the most
important cost. © Medicinska naklada.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
Belgium
cost benefit analysis
workplace
EMTREE MEDICAL INDEX TERMS
absenteeism
alcohol abstinence
awareness
building industry
catering service
conference paper
employer
health care policy
health education
human
information processing
information retrieval
occupational physician
policy
postal mail
productivity
random sample
sanitation
substance abuse
turnover time
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014033695
MEDLINE PMID
23995159 (http://www.ncbi.nlm.nih.gov/pubmed/23995159)
PUI
L372111884
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 619
TITLE
Deliberate self-harm, substance use, and negative affect in nonclinical
samples: a systematic review.
AUTHOR NAMES
Moller C.I.
Tait R.J.
Byrne D.G.
AUTHOR ADDRESSES
(Moller C.I.) Department of Psychology and Centre for Mental Health
Research, Australian National University, Canberra, Australian Capital
Territory, Australia.
(Tait R.J.; Byrne D.G.)
CORRESPONDENCE ADDRESS
C.I. Moller, Department of Psychology and Centre for Mental Health Research,
Australian National University, Canberra, Australian Capital Territory,
Australia.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:2 (188-207). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
A systematic literature review was conducted to examine associations between
self-harm, substance use, and negative affect in nonclinical samples.
Forty-two articles describing 36 studies were identified that met the
inclusion criteria. Findings indicated that individuals who engage in
substance use are significantly more likely to engage in self-harm. It was
also found that negative affective states such as depression and anxiety are
consistently associated with self-harm. These findings provide some guidance
in identifying those who are at increased risk of self-harm. Reducing these
risk factors could be an important strategy in preventing self-harm behavior
in the general population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
affect
automutilation (complication, epidemiology)
EMTREE MEDICAL INDEX TERMS
human
prevalence
psychiatric diagnosis
psychological aspect
review
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23577914 (http://www.ncbi.nlm.nih.gov/pubmed/23577914)
PUI
L563022839
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 620
TITLE
Affective and anxiety disorders and drug addiction
ORIGINAL (NON-ENGLISH) TITLE
Affektive und Angststörungen und Substanzabhängigkeit
AUTHOR NAMES
Soyka M.
AUTHOR ADDRESSES
(Soyka M., michael.soyka@privatklinik-meiringen.de) Psychiatrische Klinik
der Universität München, Nussbaumstraße 7, 80336 München, Germany.
(Soyka M., michael.soyka@privatklinik-meiringen.de) Privatklinik Meiringen,
Willigen, 3860 Meiringen/BE, Switzerland.
CORRESPONDENCE ADDRESS
M. Soyka, Psychiatrische Klinik der Universität München, Nussbaumstraße 7,
80336 München, Germany. Email: michael.soyka@privatklinik-meiringen.de
SOURCE
Suchtmedizin in Forschung und Praxis (2013) 15:6 (341-348). Date of
Publication: 2013
ISSN
1437-5567
BOOK PUBLISHER
Ecomed Publishers, Justus-von-Liebig-Str. 1, Landsberg, Germany.
ABSTRACT
Substance-induced disorders have been shown to be common in patients with
bipolar disorders and to be clinically relevant, particularly as regards
prognosis. Pure depressive disorders are slightly more common among patients
with dependence disorders than among the general population, whereby
long-term studies have shown that the rate of non-substancerelated
depressive disorders is significantly higher than the rate of
substance-induced depressive disorders. In principle, the same essential
features apply in the treatment of affective disorders with dependence
disorders as elsewhere, although few treatment studies have been performed.
Pharmacological interactions, e.g., of antidepressants or socalled mood
stabilisers with drugs, must always be considered. From a clinical
perspective, physicians should wait a while before determining an indication
for psychopharmacological treatment, because of the difficulties in the
differential diagnosis between substance-induced and non-substance-induced
affective disorders. As far as the further psychotherapy and rehabilitation
of these patients is concerned, simultaneous treatment of both disorders is
principally possible and often makes sense. Behavioural therapy concepts in
particular are evidence based in so-called double-diagnosis patients. If
comorbid disorders are clearly manifest, treatment is preferable in
facilities more focussed on psychiatry, because such facilities are often
better equipped to treat socalled double-diagnosis patients than 'pure'
addiction facilities. In many cases additional indication-based treatment
modules can improve the prognosis. Anxiety disorders are more clearly
associated with substance-induced disorders, particularly substance
dependence, than are affective disorders (apart from bipolar disorder). The
anxiolytic effect of various drugs probably plays a role here.
Cognitive-behavioural therapies or other psychotherapeutic approaches are
useful. In general the evidence base for their use in comorbid affective
disorders with dependence disorders is very good, e.g., for cognitive
behavioural therapy, motivational interviewing or case management (Kelly et
al. 2012, Watkins et al. 2011), whereby highly structured therapies are
generally recommended. Depending on their severity, the two disorders can be
treated consecutively or simultaneously, although practical but also
clinical considerations often make a simultaneous approach seem preferable,
particularly for anxiety disorders. A possible reason for treating the
anxiety disorder first would be, for example, that false "self-treatment
explanations" can thus be ruled out. Some inpatient addiction therapies
offer special, indication-dependent treatment modules for comorbid disorders
in patients with dependence disorders (Aichmüller & Soyka 2013). © ecomed
Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg.
EMTREE DRUG INDEX TERMS
antidepressant agent
mood stabilizer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anxiety disorder
drug dependence
mood disorder
EMTREE MEDICAL INDEX TERMS
article
behavior therapy
bipolar disorder
clinical feature
cognitive therapy
comorbidity
depression
drug dependence treatment
drug indication
human
long term care
mental health center
physician
prognosis
psychotherapy
tranquilizing activity
treatment indication
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2014029688
PUI
L372102935
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 621
TITLE
Antipsychotic prescription filling in patients with schizophrenia or
schizoaffective disorder
AUTHOR NAMES
Reutfors J.
Brandt L.
Stephansson O.
Kieler H.
Andersen M.
Bodén R.
AUTHOR ADDRESSES
(Reutfors J., johan.reutfors@ki.se; Brandt L.; Stephansson O.; Kieler H.;
Andersen M.; Bodén R.) Centre for Pharmacoepidemiology, Department of
Medicine Solna, Karolinska University Hospital, SE-171 76 Stockholm, Sweden.
(Bodén R.) Department of Neuroscience, Psychiatry, Uppsala University,
Uppsala, Sweden.
CORRESPONDENCE ADDRESS
J. Reutfors, Centre for Pharmacoepidemiology, Department of Medicine Solna,
Karolinska University Hospital, SE-171 76 Stockholm, Sweden. Email:
johan.reutfors@ki.se
SOURCE
Journal of Clinical Psychopharmacology (2013) 33:6 (759-765). Date of
Publication: December 2013
ISSN
0271-0749
1533-712X (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
Assessment of factors influencing antipsychotic prescription fills in the
early phase of schizophrenia or schizoaffective disorder. METHODS: We used
the Swedish Patient Register to identify patients younger than 45 years with
a first hospitalization for schizophrenia or schizoaffective disorder
between 2006 and 2007 (904 patients). Data on medication were obtained from
the Prescribed Drug Register. Filling a prescription of an antipsychotic
drug after discharge was used to estimate medication adherence. In Cox
regression models, we studied sex, country of birth, metropolitan residence,
educational level, age, duration of hospitalization, history of substance
use disorder, and previous use of antipsychotic drugs as predictors for
antipsychotic fills. RESULTS: Among all patients, 53.1% (95% confidence
interval [CI] 49.9%-56.4%) had filled an antipsychotic prescription within 1
week from discharge. After 6 months, the proportion had increased to 80.2%
(95% CI, 77.4%-82.8%) with no further increase thereafter. Prescription
filling of an antipsychotic drug was primarily associated with antipsychotic
use before the hospitalization (hazard ratio, 1.64; 95% CI, 1.33-2.03; for
patients with access to antipsychotic drugs at admission compared with no
previous use) and with longer hospitalization (hazard ratio, 1.60; 95% CI,
1.27-2.02 for 15-28 days compared with shorter hospitalization).
CONCLUSIONS: Among patients who filled a prescription of an antipsychotic
drug after discharge, the majority did so within 1 week. Previous adherent
use of antipsychotic drugs and longer hospitalization may be predictors of
primary adherence to antipsychotic drug treatment in schizophrenia or
schizoaffective disorder. © 2013 by Lippincott Williams & Wilkins.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent (drug therapy)
EMTREE DRUG INDEX TERMS
aripiprazole (drug therapy, oral drug administration)
clozapine (drug therapy, oral drug administration)
flupentixol (drug therapy, oral drug administration)
fluphenazine (drug therapy)
haloperidol (drug therapy, oral drug administration)
lithium (drug therapy, oral drug administration)
olanzapine (drug therapy, oral drug administration)
perphenazine (drug therapy, oral drug administration)
quetiapine (drug therapy, oral drug administration)
risperidone (drug therapy, oral drug administration)
ziprasidone (drug therapy, oral drug administration)
zuclopenthixol (drug therapy)
zuclopenthixol acetate (drug therapy, oral drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
schizoaffective psychosis (drug therapy, drug therapy, therapy)
schizophrenia (drug therapy, drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
confidence interval
controlled study
data analysis
educational status
female
hazard ratio
hospital discharge
hospitalization
human
major clinical study
male
medication compliance
prescription
priority journal
proportional hazards model
psychotherapy
substance abuse
CAS REGISTRY NUMBERS
aripiprazole (129722-12-9)
clozapine (5786-21-0)
flupentixol (2413-38-9, 2709-56-0)
fluphenazine (146-56-5, 69-23-8)
haloperidol (52-86-8)
lithium (7439-93-2)
olanzapine (132539-06-1)
perphenazine (58-39-9)
quetiapine (111974-72-2)
risperidone (106266-06-2)
ziprasidone (118289-78-4, 122883-93-6, 138982-67-9, 199191-69-0)
zuclopenthixol (53772-83-1)
zuclopenthixol acetate (85721-05-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013736524
MEDLINE PMID
24126686 (http://www.ncbi.nlm.nih.gov/pubmed/24126686)
PUI
L52812522
DOI
10.1097/JCP.0b013e3182a1cd2e
FULL TEXT LINK
http://dx.doi.org/10.1097/JCP.0b013e3182a1cd2e
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 622
TITLE
Can antiviral treatment for hepatitis C be safely and effectively delivered
in primary care? A narrative systematic review of the evidence base
AUTHOR NAMES
Brew I.F.
Butt C.
Wright N.
AUTHOR ADDRESSES
(Brew I.F., iainbrew@nhs.net; Butt C.; Wright N.) Healthcare Department, HMP
Leeds, Leeds Community Healthcare NHS Trust, 2 Gloucester Terrace, Armley,
Leeds, LS12 2TJ, United Kingdom.
CORRESPONDENCE ADDRESS
I.F. Brew, Healthcare Department, HMP Leeds, Leeds Community Healthcare NHS
Trust, 2 Gloucester Terrace, Armley, Leeds, LS12 2TJ, United Kingdom. Email:
iainbrew@nhs.net
SOURCE
British Journal of General Practice (2013) 63:617 (e842-e851). Date of
Publication: December 2013
ISSN
0960-1643
BOOK PUBLISHER
Royal College of General Practitioners, 14 Princes Gate, London, United
Kingdom.
ABSTRACT
Background: The burden of hepatitis C (HCV) treatment is growing, as is the
political resolve to tackle the epidemic. Primary care will need to work
more closely with secondary care to succeed in reducing the prevalence of
chronic HCV. Aim: To identify research relating to the provision of
antiviral treatment for HCV in primary care. Design and setting: A narrative
systematic review of six databases. Method: Medline, Embase, Cinahl,
PsycINFO, Web of Science, and Cochrane were searched. Relevant journals were
searched by hand for articles to be included in the review. Reference lists
of relevant papers were reviewed and full-text papers were retrieved for
those deemed to potentially fulfil the inclusion criteria of the review.
Results: A total of 683 abstracts led to 77 full-text articles being
retrieved, of which 16 were finally included in the review. An evidence base
emerged, highlighting that community-based antiviral treatment provision is
feasible and can result in clinical outcomes comparable to those achieved in
hospital outpatient settings. Such provision can be in mainstream general
practice, at community addiction centres, or in prisons. GPs must be trained
before offering such a service and there is also a need for ongoing
specialist supervision of primary care practice. Such training and
supervision can be delivered by teleconference, although, even with such
ready availability of training and supervision, only a minority of GPs are
likely to want to provide antiviral treatment. Conclusion: There is emerging
evidence supporting the effectiveness of antiviral treatment provision for
patients with chronic hepatitis C in a wide variety of primary care and
wider community settings. Training and ongoing supervision of primary care
practitioners by specialists is a prerequisite. There is an opportunity
through future research activity to evaluate typologies of patients who
would be best served by primary care-based treatment and those for whom
hospital-based outpatient treatment would be most appropriate. ©British
Journal of General Practice.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antivirus agent (drug therapy)
EMTREE DRUG INDEX TERMS
interferon
opiate
peginterferon
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
antiviral therapy
hepatitis C (drug therapy, drug therapy)
primary medical care
EMTREE MEDICAL INDEX TERMS
general practice
general practitioner
human
intention to treat analysis
maintenance therapy
medical education
monotherapy
opiate substitution treatment
psychosocial care
review
systematic review
teleconference
treatment response
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013759627
MEDLINE PMID
24351500 (http://www.ncbi.nlm.nih.gov/pubmed/24351500)
PUI
L370377320
DOI
10.3399/bjgp13X675421
FULL TEXT LINK
http://dx.doi.org/10.3399/bjgp13X675421
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 623
TITLE
Epidemiology of cases of suicide due to hanging who referred to forensic
center of Shahriar in 2011
AUTHOR NAMES
Alimohammadi A.M.
Mehrpisheh S.
Memarian A.
AUTHOR ADDRESSES
(Alimohammadi A.M.) Legal Medicine Organization, Tehran, Iran.
(Mehrpisheh S.) Children's Medical Center, Tehran University of Medical
Sciences, Tehran, Iran.
(Memarian A., azade.memarian@yahoo.com) Department of Forensic Medicine,
Iran University of Medical Sciences, Tehran, Iran.
CORRESPONDENCE ADDRESS
A. Memarian, Department of Forensic Medicine, Iran University of Medical
Sciences, Tehran, Iran. Email: azade.memarian@yahoo.com
SOURCE
International Journal of Medical Toxicology and Forensic Medicine (2013) 3:4
(121-125). Date of Publication: 2013
ISSN
2251-8770
2251-8762 (electronic)
BOOK PUBLISHER
Shahid Beheshti University of Medical Sciences, Tehran, Iran.
ABSTRACT
Background: Around 800,000 to a million people die by suicide every year,
making it the 10th leading cause of death worldwide. According to high rates
of suicide and hanging and death due to these reasons in the world and also
in Iran, this study was conducted to evaluate cases of suicide by hanging.
Methods: This descriptive cross-sectional study was conducted on 79 cadavers
in forensic dissection center of Shahriar in 2011. Necessary information
including age, sex, laryngeal bone fracture, bleeding of soft tissue, number
of family members, educational level, marital status, history of depression,
addiction, smoking, history of any special disease, location of hanging,
leaving any note, ethnicity and suicide intensity was entered in the
checklist and were analyzed. Results: The mean age of cases was 33.4
(SD=13.62) years. 63 (79.7%) were male and 16 (20.3%) were female.10 (12.7%)
patients of the study population were illiterate and 56 (78.9%) were under
diploma and only 8 (11.3%) patients had diploma. 17 (23.9%) were unemployed,
5 (7%) were students, 20 (28.2%) were workers, 10 (14.1%) were employees and
15 (21.1%) were self-employment. 23 patients (32.4%) were drug addict. 13
patients (18.3%) had a history of depression. 38 patients (53.5%) were
smokers. 56 (78.9%) of hanging were in home and 15 (21.1%) were in outdoors.
Suicidal impulses in 33 patients (46.5%) was unspecified, in 10 cases
(14.1%) was substance abuse, in 11 (15.5%) was mental disorders, in 6
patients (8.5%) was family problems, and in 7 patients (9.9%) was
unemployment. Conclusion: Given the high rate of suicide, it is necessary to
identify the risk factors, to prevent to the extent possible. Treatment of
drug and alcohol addiction, depression, and those who have attempted suicide
in the past may also be effective. Economic development through its ability
to reduce poverty may be able to decrease suicide rates. Efforts to increase
social connection especially in elderly males may be effective © 2013
Forensic Medicine and Toxicology Department.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
forensic medicine
hanging
suicide (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
bleeding
cadaver
cross-sectional study
depression
descriptive research
drug dependence
educational status
employment
ethnicity
family functioning
female
human
hyoid bone
Iran
larynx cartilage
male
marriage
mental disease
middle aged
skull fracture
smoking
soft tissue
substance abuse
young adult
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014139845
PUI
L372464590
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 624
TITLE
Physician education in addiction medicine
AUTHOR NAMES
Wood E.
Samet J.H.
Volkow N.D.
AUTHOR ADDRESSES
(Wood E., uhri-ew@cfenet.ubc.ca) Department of Medicine, University of
British Columbia, Vancouver, BC, Canada.
(Samet J.H.) Section of General Internal Medicine, Boston University School
of Medicine, Boston, MA, United States.
(Volkow N.D.) US National Institute on Drug Abuse, Bethesda, MD, United
States.
CORRESPONDENCE ADDRESS
E. Wood, Division of AIDS, Department of Inner City Medicine, University of
British Columbia, 608-1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada.
Email: uhri-ew@cfenet.ubc.ca
SOURCE
JAMA - Journal of the American Medical Association (2013) 310:16
(1673-1674). Date of Publication: 2013
ISSN
0098-7484
1538-3598 (electronic)
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
drugs used in the treatment of addiction
EMTREE DRUG INDEX TERMS
alcohol
barbituric acid derivative (drug therapy)
benzodiazepine (drug therapy)
cocaine
diamorphine
methadone (drug therapy)
methamphetamine
neuropeptide (endogenous compound)
neurotransmitter (endogenous compound)
nicotine
opiate agonist (drug therapy)
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
physician
substance abuse
EMTREE MEDICAL INDEX TERMS
adaptive behavior
alcoholism
brain disease
Canada
cannabis addiction (drug therapy)
chronic obstructive lung disease
chronic pain
comorbidity
drug dependence
drug safety
drug use
environmental factor
evidence based medicine
family medicine
hepatitis
heroin dependence (drug therapy)
human
Human immunodeficiency virus
Human immunodeficiency virus infection (drug therapy)
internist
lung cancer
motivation
neuroadaptation
opiate addiction (drug therapy)
paramedical personnel
pediatrician
priority journal
self control
short survey
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
benzodiazepine (12794-10-4)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2013672419
MEDLINE PMID
24150462 (http://www.ncbi.nlm.nih.gov/pubmed/24150462)
PUI
L370093594
DOI
10.1001/jama.2013.280377
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.2013.280377
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 625
TITLE
The frequency and precipitating factors for breakthrough seizures among
patients with epilepsy in Uganda
AUTHOR NAMES
Kaddumukasa M.
Kaddumukasa M.
Matovu S.
Katabira E.
AUTHOR ADDRESSES
(Kaddumukasa M., kaddumart@yahoo.com; Kaddumukasa M., kaddumark@yahoo.co.uk;
Matovu S., matmuwonge@yahoo.com; Katabira E., katabira@imul.com) Department
of Medicine, College of Health Sciences, Makerere University, P. O. Box
7062, Kampala, Uganda.
CORRESPONDENCE ADDRESS
M. Kaddumukasa, Department of Medicine, College of Health Sciences, Makerere
University, P. O. Box 7062, Kampala, Uganda. Email: kaddumark@yahoo.co.uk
SOURCE
BMC Neurology (2013) 13 Article Number: 182. Date of Publication: 21 Nov
2013
ISSN
1471-2377 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom.
ABSTRACT
Background: Epilepsy is one of the major brain disorders worldwide.
Breakthrough seizures carry a heavy burden of epilepsy, with increased
morbidity and risk of premature mortality. Several factors have been
suggested to precipitate break through seizures but these have not been
studied in our setting. The study sought to determine the prevalence of
breakthrough seizures, as well as precipitating factors in adults with
epilepsy attending Mulago hospital.Methods: This study was conducted in
Mulago Hospital, using a cross sectional study design between August and
December 2009. Subjects with epilepsy and had been receiving anti-epileptics
treatment for at least 6 months prior to the study were consecutively
enrolled.Results: A total of 256 patients with epilepsy were recruited.
Prevalence of breakthrough seizures among epilepsy patients attending Mulago
hospital was 75.3%. Factors found to be significantly associated with
breakthrough seizures were non compliance to anti-epileptic therapy (p <
0.0001); duration of treatment (p < 0.0001); infections (p < 0.044) and
menses among female study participants (p < 0.0001). The level of education,
sleep deprivation, alcohol and substance abuse, and flickering lights were
not associated with breakthrough seizures.Conclusions: Breakthrough seizures
are high in Mulago National referral hospital, with drug non-compliance the
commonest cause. The attending physicians need to identify precipitating
factors among patients attending Mulago hospital and have them addressed
appropriately during patient care. © 2013 Kaddumukasa et al.; licensee
BioMed Central Ltd.
EMTREE DRUG INDEX TERMS
anticonvulsive agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
epilepsy (drug therapy, drug therapy)
seizure (drug therapy, drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
bacterial pneumonia
cross-sectional study
diarrhea
female
human
major clinical study
malaria
male
menstruation
patient care
treatment duration
Uganda
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Drug Literature Index (37)
Epilepsy Abstracts (50)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013762555
MEDLINE PMID
24261551 (http://www.ncbi.nlm.nih.gov/pubmed/24261551)
PUI
L52887207
DOI
10.1186/1471-2377-13-182
FULL TEXT LINK
http://dx.doi.org/10.1186/1471-2377-13-182
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 626
TITLE
A latent class analysis of age differences in choosing service providers to
treat mental and substance use disorders
AUTHOR NAMES
Woodward A.T.
AUTHOR ADDRESSES
(Woodward A.T., awoodwar@msu.edu) Michigan State University, 655 Auditorium
Rd., Room 222, East Lansing, MI 48824, United States.
CORRESPONDENCE ADDRESS
A.T. Woodward, Michigan State University, 655 Auditorium Rd., Room 222, East
Lansing, MI 48824, United States.
SOURCE
Psychiatric Services (2013) 64:11 (1087-1094). Date of Publication: 1 Nov
2013
ISSN
1075-2730
1557-9700 (electronic)
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
ABSTRACT
Objective: This study investigated choice of service provider for treatment
of a mental or substance use disorder and its association with consumers'
age. Methods: Data were from the Collaborative Psychiatric Epidemiology
Surveys. Service users born between 1946 and 1964 were compared with those
born in 1945 or earlier (N=4,082). Latent class analysis was used to
identify groups of service users according to nine dichotomous items
reflecting lifetime visits with different types of professionals.
Multinomial logistic regression was used to analyze factors predicting
latent class membership, with particular focus on both the direct and
moderating effects of age. Analyses controlled for sociodemographic
characteristics and disorder-related variables. Results: Five classes of
service user were identified. Class 1 (10.8%) included individuals who
visited six of the nine types of providers (multiple providers visited).
Class 2 (21.9%) had low probability of visiting most providers (limited
providers visited). Class 3 (24.1%) visited a psychiatrist (primarily
psychiatrist). Class 4 (28.1%) visited a family physician or other physician
(primarily family physician). Class 5 (15.1%) visited a psychologist
(primarily psychologist). A higher proportion of service users born before
1946 were in the primarily family physician class. Although 21% of ervice
users born later also fell into this class, overall they were more evenly
distributed across the five classes. Conclusions: Family physicians played a
significant role in behavioral health treatment for both age groups.
However, findings suggest that younger adults may rely on more complex
combinations of service providers that will require greater coordination
between the behavioral and general health care systems in the future.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
groups by age
mental health care personnel
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
anxiety disorder
article
ethnicity
female
general practitioner
health service
home mental health care
human
major clinical study
male
mood disorder
psychiatrist
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013725952
MEDLINE PMID
23904091 (http://www.ncbi.nlm.nih.gov/pubmed/23904091)
PUI
L370291053
DOI
10.1176/appi.ps.201200401
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ps.201200401
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 627
TITLE
Tobacco dependence curricula in US osteopathic medical schools: a follow-up
study.
AUTHOR NAMES
Griffith B.N.
Montalto N.J.
Ridpath L.
Sullivan K.
AUTHOR ADDRESSES
(Griffith B.N., bgriffith@osteo.wvsom.edu) Department of Biomedical
Sciences, West Virginia School of Osteopathic Medicine, 400 N Lee St,
Lewisburg, WV 24901-1128.
(Montalto N.J.; Ridpath L.; Sullivan K.)
CORRESPONDENCE ADDRESS
B.N. Griffith, Department of Biomedical Sciences, West Virginia School of
Osteopathic Medicine, 400 N Lee St, Lewisburg, WV 24901-1128. Email:
bgriffith@osteo.wvsom.edu
SOURCE
The Journal of the American Osteopathic Association (2013) 113:11 (838-848).
Date of Publication: Nov 2013
ISSN
1945-1997 (electronic)
ABSTRACT
Tobacco use is the leading preventable cause of illness and death in the
United States. A 1998 survey of US osteopathic medical schools identified
deficiencies in tobacco dependence curricula. To assess the current content
and extent of tobacco dependence education and intervention skills in US
osteopathic medical school curricula. An electronic survey. Osteopathic
medical schools with students enrolled for the 2009-2010 academic year.
Twenty-seven osteopathic medical school deans or their designated
administrators. Reported instruction in 7 basic science and 6 clinical
science content areas (elective or required) and hours of tobacco dependence
education were assessed and compared with the 1998 data. The mean (standard
deviation) number of content areas reported as covered in 2010 was 10.6
(2.3) (6.1 [1.2] basic science areas, 4.6 [1.3] clinical science areas).
Seventeen of 27 respondents (63%) reported that smokeless tobacco content
was covered at their school, and 9 of 27 (33%) reported that the stages of
change counseling technique was covered. Compared with 1998, a significant
increase was noted in the percentage of schools covering tobacco dependence
(92.6% in 2010 compared with 57.9% in 1998, P=.0002). Reported hours of
tobacco dependence instruction were also significantly higher in 2010
compared with those in 1998 (Fisher exact test, P<.05). No statistically
significant changes were found in the proportion of schools covering all 13
content areas (15.7% vs 22.2%), the proportion covering motivational
interviewing in detail (26.3% vs 33.3%), or the proportion requiring
curricula on smokeless tobacco (57.9% vs 59.3%). Osteopathic medical school
respondents reported more instruction on tobacco dependence in 2010 compared
with those in 1998. However, some important basic science and clinical
science content areas are not being adequately taught in US osteopathic
medical schools.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
osteopathic medicine
tobacco dependence (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
follow up
human
information processing
methodology
smoking cessation
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24174505 (http://www.ncbi.nlm.nih.gov/pubmed/24174505)
PUI
L563044631
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 628
TITLE
Tobacco dependence curricula in US osteopathic medical schools: a follow-up
study
AUTHOR NAMES
Griffith B.N.
Montalto N.J.
Ridpath L.
Sullivan K.
AUTHOR ADDRESSES
(Griffith B.N.; Montalto N.J.; Ridpath L.; Sullivan K.) Department of
Biomedical Sciences, West Virginia School of Osteopathic Medicine, 400 N Lee
St, Lewisburg, WV 24901-1128. bgriffith@osteo.wvsom.edu
SOURCE
The Journal of the American Osteopathic Association (2013) 113:11 (838-848).
Date of Publication: 1 Nov 2013
ISSN
1945-1997 (electronic)
ABSTRACT
CONTEXT: Tobacco use is the leading preventable cause of illness and death
in the United States. A 1998 survey of US osteopathic medical schools
identified deficiencies in tobacco dependence curricula.OBJECTIVE: To assess
the current content and extent of tobacco dependence education and
intervention skills in US osteopathic medical school curricula.DESIGN: An
electronic survey.SETTING: Osteopathic medical schools with students
enrolled for the 2009-2010 academic year.PARTICIPANTS: Twenty-seven
osteopathic medical school deans or their designated administrators.MAIN
OUTCOME MEASURES: Reported instruction in 7 basic science and 6 clinical
science content areas (elective or required) and hours of tobacco dependence
education were assessed and compared with the 1998 data.RESULTS: The mean
(standard deviation) number of content areas reported as covered in 2010 was
10.6 (2.3) (6.1 [1.2] basic science areas, 4.6 [1.3] clinical science
areas). Seventeen of 27 respondents (63%) reported that smokeless tobacco
content was covered at their school, and 9 of 27 (33%) reported that the
stages of change counseling technique was covered. Compared with 1998, a
significant increase was noted in the percentage of schools covering tobacco
dependence (92.6% in 2010 compared with 57.9% in 1998, P=.0002). Reported
hours of tobacco dependence instruction were also significantly higher in
2010 compared with those in 1998 (Fisher exact test, P<.05). No
statistically significant changes were found in the proportion of schools
covering all 13 content areas (15.7% vs 22.2%), the proportion covering
motivational interviewing in detail (26.3% vs 33.3%), or the proportion
requiring curricula on smokeless tobacco (57.9% vs 59.3%).CONCLUSION:
Osteopathic medical school respondents reported more instruction on tobacco
dependence in 2010 compared with those in 1998. However, some important
basic science and clinical science content areas are not being adequately
taught in US osteopathic medical schools.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
procedures
tobacco dependence (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
curriculum
follow up
human
information processing
medical education
osteopathic medicine
smoking cessation
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24174505 (http://www.ncbi.nlm.nih.gov/pubmed/24174505)
PUI
L603394801
DOI
10.7556/jaoa.2013.059
FULL TEXT LINK
http://dx.doi.org/10.7556/jaoa.2013.059
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 629
TITLE
Parent report and electronic medical record agreement on asthma education
provided and children's tobacco smoke exposure
AUTHOR NAMES
Harrington K.F.
Haven K.M.
Nuño V.L.
Magruder T.
Bailey W.C.
Gerald L.B.
AUTHOR ADDRESSES
(Harrington K.F., kharring@uab.edu; Bailey W.C.) Department of Medicine,
School of Medicine, University of Alabama, 619 19th Street South-OHB 143,
Birmingham, AL 35249-7337, United States.
(Haven K.M.; Nuño V.L.; Gerald L.B.) Department of Health Promotion
Sciences, Mel and Enid Zuckerman College of Public Health, University of
Arizona, Tucson, AZ, United States.
(Magruder T.) Department of Pediatrics, School of Medicine, University of
Alabama, Birmingham, AL, United States.
(Gerald L.B.) Arizona Respiratory Center, University of Arizona, Tucson, AZ,
United States.
CORRESPONDENCE ADDRESS
K.F. Harrington, Department of Medicine, School of Medicine, University of
Alabama, 619 19th Street South-OHB 143, Birmingham, AL 35249-7337, United
States. Email: kharring@uab.edu
SOURCE
Journal of Asthma (2013) 50:9 (968-974). Date of Publication: November 2013
ISSN
0277-0903
1532-4303 (electronic)
BOOK PUBLISHER
Informa Healthcare, 52 Vanderbilt Ave., New York, United States.
ABSTRACT
Objective: To examine the concordance between parent report and electronic
medical record documentation of asthma health education provided during a
single clinic visit and second-hand tobacco smoke exposure among children
with asthma. Methods: Parents of children with asthma were recruited from
two types of clinics using different electronic medical record systems:
asthma-specialty or general pediatric health department clinics. After their
child's outpatient visit, parents were interviewed by trained study staff.
Interview data were compared to electronic medical records for agreement in
five categories of asthma health education and for the child's environmental
tobacco smoke exposure. Kappa statistics were used to identify strength of
agreement. Chi square and t-tests were used to examine differences between
clinic types. Results: Of 255 parents participating in the study 90.6% were
African American and 96.1% were female. Agreement was poor across all
clinics but was higher within the asthma specialty clinics than the health
department clinics for smoke exposure (κ=0.410 versus 0.205), asthma
diagnosis/disease process (κ=0.213 versus -0.016) and devices reviewed
(κ=0.253 versus -0.089) with parents generally reporting more education
provided. For the 203 children with complete medical records, 40.5% did not
have any documentation regarding smoking exposure in the home and 85.2% did
not have any documentation regarding exposure elsewhere. Conclusions: We
found low concordance between the parent's report and the electronic medical
record for smoke exposure and asthma education provided. Un- or
under-documented smoke exposure and health education have the potential to
affect continuity of care for pediatric patients with asthma. © 2013 Informa
Healthcare USA, Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
asthma
electronic medical record
health education
passive smoking
EMTREE MEDICAL INDEX TERMS
adult
African American
article
child
controlled study
cross-sectional study
environmental exposure
female
general hospital
home
human
interview
major clinical study
male
medical documentation
outpatient care
parent
pediatric hospital
preschool child
public health service
school child
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
Environmental Health and Pollution Control (46)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013660970
MEDLINE PMID
23883356 (http://www.ncbi.nlm.nih.gov/pubmed/23883356)
PUI
L370058222
DOI
10.3109/02770903.2013.828303
FULL TEXT LINK
http://dx.doi.org/10.3109/02770903.2013.828303
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 630
TITLE
A motivational profile for smoking among adolescents
AUTHOR NAMES
Bonilha A.G.
Tosta De Souza E.S.
Sicchieri M.P.
Achcar J.A.
Crippa J.A.S.
Baddini-Martinez J.
AUTHOR ADDRESSES
(Bonilha A.G.; Tosta De Souza E.S.; Baddini-Martinez J.,
baddini@fmrp.usp.br) InternalMedicine Department, Medical School of Ribeirão
Preto, University of São Paulo, Avenida Bandeirantes 3900, CEP: 14048-900,
Ribeirão Preto, São Paulo, Brazil.
(Sicchieri M.P.; Achcar J.A.) Department of Neuroscience and Behavior,
United States.
(Crippa J.A.S.) Medical School of Ribeirão Preto, University of São Paulo,
Ribeirão Preto, São Paulo, Brazil.
CORRESPONDENCE ADDRESS
J. Baddini-Martinez, InternalMedicine Department, Medical School of Ribeirão
Preto, University of São Paulo, Avenida Bandeirantes 3900, CEP: 14048-900,
Ribeirão Preto, São Paulo, Brazil. Email: baddini@fmrp.usp.br
SOURCE
Journal of Addiction Medicine (2013) 7:6 (439-446). Date of Publication:
November-December 2013
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objectives: To characterize a motivational profile of reasons for smoking
among teenagers. To investigate the influence of clinical and social
elements on observed scores. Methods: High school students who smoked in the
past month (n = 226; age, 16.4 ± 10 years; 46.5% male) answered a
questionnaire during school time. The instrument included the University of
São Paulo Reasons for Smoking Scale (USP-RSS), the Fagerström Test for
Nicotine Dependence, and clinical and social information. The USP-RSS scores
from 307 healthy adult smokers (67.5% male; age, 37.9 ± 11.2 years) were
also used for comparisons. Results: Most of the adolescents (90.2%)
exhibited low or very low levels of nicotine addiction (median Fagerström
Test for Nicotine Dependence score 0, range 0 to 8). The mean scores of the
USPRSS subscales were as follows: Addiction, 1.9 ± 1.1; Pleasure From
Smoking, 3.0 ± 1.3; Tension Reduction, 2.4 ± 1.3; Stimulation, 1.9 ± 0.9;
Automatism, 1.3 ± 0.6; Handling, 2.3 ± 1.1; Social Smoking, 1.9 ± 1.0;Weight
Control, 1.4 ± 1.0; and Affiliative Attachment, 1.6 ±0.9. In comparisonwith
adults, teenagers exhibited lower scores for Addiction, Pleasure From
Smoking, Tension Reduction, Automatism, Weight Control, and Affiliative
Attachment and higher scores for Social Smoking (P < 0.05). Older age, past
school failure, illicit drugs use, alcohol abuse, high levels of perceived
stress, and the death of at least one parent were associated with high
scores for all subscales. Conclusions: The USP-RSS subscales Addiction,
Pleasure From Smoking, and Social Smoking were important factors for
adolescent smoking. Comparisons with adult smokers stressed the importance
of the component of Social Smoking. The identification of distinctive
factors that drive teenagers to smoke might help in making decisions dealing
with interventions aimed at smoking cessation and control. © 2013 American
Society of Addiction Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent smoking
motivation
EMTREE MEDICAL INDEX TERMS
academic achievement
adolescent
adult
age
alcohol abuse
article
automatism
body weight control
female
high school student
human
male
mental stress
parental deprivation
pleasure
priority journal
smoking habit
social aspect
tobacco dependence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013728219
MEDLINE PMID
24145162 (http://www.ncbi.nlm.nih.gov/pubmed/24145162)
PUI
L370296769
DOI
10.1097/01.ADM.0000434987.76599.c0
FULL TEXT LINK
http://dx.doi.org/10.1097/01.ADM.0000434987.76599.c0
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 631
TITLE
Affect regulation training (ART) for alcohol use disorders: Development of a
novel intervention for negative affect drinkers
AUTHOR NAMES
Stasiewicz P.R.
Bradizza C.M.
Schlauch R.C.
Coffey S.F.
Gulliver S.B.
Gudleski G.D.
Bole C.W.
AUTHOR ADDRESSES
(Stasiewicz P.R., stasiewi@ria.buffalo.edu; Bradizza C.M.; Schlauch R.C.;
Gudleski G.D.; Bole C.W.) Research Institute on Addictions, University at
Buffalo, 1021 Main St., Buffalo, NY 14203, United States.
(Coffey S.F.) Department of Psychiatry and Human Behavior, The University of
Mississippi Medical Center, 2500 North State St., Jackson, MS 39216, United
States.
(Gulliver S.B.) Dept. of Veteran's Affairs VISN 17 Center of Excellence,
Texas A and M College of Medicine, College Station, TX, United States.
CORRESPONDENCE ADDRESS
P.R. Stasiewicz, Research Institute on Addictions, University at Buffalo,
1021 Main St., Buffalo, NY 14203, United States. Email:
stasiewi@ria.buffalo.edu
SOURCE
Journal of Substance Abuse Treatment (2013) 45:5 (433-443). Date of
Publication: November 2013
ISSN
0740-5472
1873-6483 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Although negative affect is a common precipitant of alcohol relapse, there
are few interventions for alcohol dependence that specifically target
negative affect. In this stage 1a/1b treatment development study, several
affect regulation strategies (e.g., mindfulness, prolonged exposure,
distress tolerance) were combined to create a new treatment supplement
called affect regulation training (ART), which could be added to enhance
cognitive-behavioral therapy (CBT) for alcohol dependence. A draft therapy
manual was given to therapists and treatment experts before being
administered to several patients who also provided input. After two rounds
of manual development (stage 1a), a pilot randomized clinical trial (N= 77)
of alcohol-dependent outpatients who reported drinking often in negative
affect situations was conducted (stage 1b). Participants received 12-weekly,
90-minute sessions of either CBT for alcohol dependence plus ART (CBT. +.
ART) or CBT plus a healthy lifestyles control condition (CBT. +. HLS).
Baseline, end-of-treatment, and 3- and 6-month posttreatment interviews were
conducted. For both treatment conditions, participant ratings of treatment
satisfaction were high, with CBT. +. ART rated significantly higher.
Drinking outcome results indicated greater reductions in alcohol use for
CBT. +. ART when compared to CBT. +. HLS, with moderate effect sizes for
percent days abstinent, drinks per day, drinks per drinking day, and percent
heavy drinking days. Overall, findings support further research on affect
regulation interventions for negative affect drinkers. © 2013 Elsevier Inc.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
affect
affect regulation training
alcoholism (therapy)
behavior therapy
cognitive therapy
negative affect
EMTREE MEDICAL INDEX TERMS
adult
alcohol abstinence
alcohol abuse
article
controlled study
drinking behavior
female
human
lifestyle modification
major clinical study
male
outcomes research
outpatient care
patient satisfaction
pilot study
Positive and Negative Affect Schedule
priority journal
psychotherapist
psychotherapy
randomization
randomized controlled trial
training
treatment outcome
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013572767
MEDLINE PMID
23876455 (http://www.ncbi.nlm.nih.gov/pubmed/23876455)
PUI
L52690227
DOI
10.1016/j.jsat.2013.05.012
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2013.05.012
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 632
TITLE
Opioid prescribing: guidelines, laws, rules, regulations, policies, best
practices
AUTHOR NAMES
McDonald J.
AUTHOR ADDRESSES
(McDonald J.) Chief Administrative Officer of the Board of Medical Licensure
and Discipline for the State of Rhode Island
SOURCE
Rhode Island medical journal (2013) (2013) 96:11 (38-41). Date of
Publication: 1 Nov 2013
ISSN
2327-2228 (electronic)
ABSTRACT
Prescription drug abuse, misuse and unintentional overdose deaths are major
public health concerns and have captured the attention of regulators at
every level. There is no shortage of guidelines, laws, rules, regulations,
and policies regarding opioid prescribing. Physicians struggle with their
duty to treat pain, and yet balance this against the risk to patients as
well as the potential for diversion. There are gaps in policy and resources
such as lack of interdisciplinary pain clinics, addiction treatment, and
education for prescribers and patients.
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
standards
EMTREE MEDICAL INDEX TERMS
drug legislation
health care policy
human
practice guideline
prescription
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24187678 (http://www.ncbi.nlm.nih.gov/pubmed/24187678)
PUI
L605896444
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 633
TITLE
Opioid substitution treatment in pretrial prison detention: A case study
from Geneva, Switzerland
AUTHOR NAMES
Favrod-Coune T.
Baroudi M.
Casillas A.
Rieder J.-P.
Gétaz L.
Barro J.
Gaspoz J.-M.
Broers B.
Wolff H.
AUTHOR ADDRESSES
(Favrod-Coune T.; Baroudi M.; Casillas A., alejandra.casillas@hcuge.ch;
Rieder J.-P.; Gétaz L.; Barro J.; Gaspoz J.-M.; Broers B.; Wolff H.) Geneva
University Hospitals, Department of Community Medicine, Primary Care and
Emergency Medicine, University of Geneva, Switzerland.
CORRESPONDENCE ADDRESS
A. Casillas, Hopitaux Universitaires de Genève, Rue Gabrielle-Perret-Gentil
4, CH-1211 Geneva 14, Switzerland. Email: alejandra.casillas@hcuge.ch
SOURCE
Swiss Medical Weekly (2013) 143 Article Number: w13898. Date of Publication:
1 Nov 2013
ISSN
1424-7860
1424-3997 (electronic)
BOOK PUBLISHER
EMH Swiss Medical Publishers Ltd., Steinentorstrasse 13, Basel, Switzerland.
ABSTRACT
BACKGROUND: Opioid substitution treatment (OST) is not uniformly provided in
all prisons as recommended by international guidelines. The Swiss prison of
Champ-Dollon in Geneva is an exception, where OST has been available for the
last 20 years. The aims of this study were to describe the OST programme in
this pretrial prison setting, and the patients involved. METHODS: We
reviewed health records of 2566 detainees entering Switzerland's largest
pretrial prison in 2007. Sociodemographic characteristics, substance use
diagnosis and history, OST history and prison course, medical complications,
and evidence of OST side effects were assessed by questionnaire. RESULTS:
The mean age was 29.6 years (SD 7.1) and 95.4% of prisoners were male. Among
233 opioid users (9.1%) at baseline, 221 (94.8%) used other substances, and
39.9% had used drugs intravenously. Opioid dependence was confirmed in 71.2%
of opioid users. OST was offered to all dependent users, and all patients
accepted treatment. Methadone was the treatment of preference, with a
prescribed mean dose of 41.7 mg (standard deviation 29.1) upon departure. No
serious side effects or death by overdose occurred. There was postrelease
OST continuity-of-care for 49.7% of OST patients. CONCLUSIONS: Prescription
of OST for opioid dependent detainees by trained physicians is feasible and
safe in a pretrial setting. The methadone dose was lower when compared with
general OST treatment recommendations. Nevertheless, treatment was available
in accordance with national and international guidelines. In-prison OST
offers access to a much needed and safe healthcare service for this
vulnerable population.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
buprenorphine (adverse drug reaction, drug therapy)
codeine (adverse drug reaction, drug therapy)
methadone (adverse drug reaction, drug therapy)
tramadol (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate substitution treatment
prison
EMTREE MEDICAL INDEX TERMS
adult
article
case study
death
drug overdose (side effect)
female
human
major clinical study
male
medical record review
methadone treatment
opiate addiction (drug therapy)
prisoner
questionnaire
side effect (side effect)
Switzerland
unspecified side effect (side effect)
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
codeine (76-57-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
tramadol (27203-92-5, 36282-47-0)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013726399
MEDLINE PMID
24186493 (http://www.ncbi.nlm.nih.gov/pubmed/24186493)
PUI
L370292409
DOI
10.4414/smw.2013.13898
FULL TEXT LINK
http://dx.doi.org/10.4414/smw.2013.13898
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 634
TITLE
Prevalence of ADHD among students of zahedan university of medical science
in Iran
AUTHOR NAMES
Mosalanejad M.
Mosalanejad L.
Lashkarpour K.
AUTHOR ADDRESSES
(Mosalanejad M.) Zahedan University of Medical Sciences, Zahedan, Iran.
(Mosalanejad L., Mossla_1@yahoo.com) Department of Mental Health, School of
Nursing and Paramedical, Jahrom University of Medical Sciences, Jahrom,
Iran.
(Lashkarpour K.) Department of Psychiatry, Zahedan University of Medical
Sciences, Zahedan, Iran.
CORRESPONDENCE ADDRESS
L. Mosalanejad, Department of Mental Health, School of Nursing and
Paramedical, Jahrom University of Medical Sciences, Motahari Street, Jahrom,
Iran. Email: Mossla_1@yahoo.com
SOURCE
Iranian Journal of Psychiatry and Behavioral Sciences (2013) 7:2 (83-90).
Date of Publication: 2013
ISSN
1735-8639
1735-9287 (electronic)
BOOK PUBLISHER
Mazandaran University of Medical Sciences, No.2, Moallem Square, Sari,
Mazandaran, Iran.
ABSTRACT
Objective: Attention-deficit/hyperactivity disorder (ADHD) is a common
mental disorder in adults that was under-diagnosed until recently. Due to
probable consequences of ADHD such as occupational and educational
dysfunctions and substance use, this disorder is becoming more and more of a
concern. This study aimed to investigate ADHD symptoms among students of
Zahedan University of medical sciences, Iran.Methods: This cross-sectional
study was performed in Zahedan University of Medical Sciences from 2008 to
2009. Our sample included 1500 individuals who were chosen using simple
sampling method. Considering the goal of the investigation, two
questionnaires were distributed among students including demographic
information form and the Conners' Adult ADHD Rating Scales-Self Report
(Screening Version, CAARS-S:SV).Data analysis was done using descriptive and
analytical statistics in SPSS software.Results: Out of 1500 questionnaires
distributed among students, 913 were completed. 589 students (64.5%)were
female and 324 (35.5%) were male. The Mean age of participants was 21.7 ±
3.2 years. ADHD symptoms were defined based on the Conner's adult test.
Based on CAARS-S: SV, inattention/memory,hyperactivity/restlessness,
impulsiveness/emotional lability, and problems with self-concept subscale
symptoms were found in 107 (11.7%), 109 (12%), 121 (13.2%), and 30 (3.3%)
respondents, respectively. These findings were significantly higher than
average.Conclusions: According to our results, it seems that the prevalence
of ADHD is high among students. Thus, more screening is required in this
population in order to diagnose and treat the disorder earlier and prevent
its consequences, such as substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder (epidemiology)
medical student
EMTREE MEDICAL INDEX TERMS
adult
article
assessment of humans
Conners Adult ADHD Rating Scales Self Report
cross-sectional study
disease severity
female
human
hyperactivity
impulsiveness
Iran
major clinical study
male
memory
mental instability
paramedical student
prevalence
questionnaire
restlessness
self concept
sex difference
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013657402
PUI
L370047015
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 635
TITLE
Evaluation of pediatricians' adherence to tobacco prevention, control, and
treatment guidelines before and after an educational outreach program
AUTHOR NAMES
Beaty T.
Dornelles A.C.
Sahuque T.
Urrego F.
AUTHOR ADDRESSES
(Beaty T.) Department of Pediatric Pulmonology, Emory University, Atlanta,
GA, United States.
(Dornelles A.C.) Office of Biostatistics Support, Ochsner Clinic Foundation,
New Orleans, LA, United States.
(Sahuque T.; Urrego F., furrego@ochsner.org) Department of Pediatric
Pulmonology, Ochsner Clinic Foundation, New Orleans, LA, United States.
CORRESPONDENCE ADDRESS
F. Urrego, Department of Pediatric Pulmonology, Ochsner Clinic Foundation,
New Orleans, LA, United States. Email: furrego@ochsner.org
SOURCE
Ochsner Journal (2013) 13:3 (375-379). Date of Publication: 2013
ISSN
1524-5012
BOOK PUBLISHER
Ochsner Clinic, 1514 Jefferson Highway, New Orleans, United States.
ABSTRACT
Background: Tobacco use is the world's leading single preventable cause of
death. Because children exposed to second- and third-hand smoke are at risk
for smoke-related morbidity, pediatricians have an obligation to address
tobacco use in their practices. The purpose of this study was to measure
physician adherence to the American Academy of Pediatrics' guidelines on
tobacco prevention, control, and treatment before and after the
implementation of an educational outreach program. Methods: Charts were
randomly selected from pediatric clinics before and after the educational
outreach. The intervention consisted of a review of the guidelines and
available tools physicians could implement into their practices. We measured
the rates of adherence to the guidelines before and after the educational
outreach. Results: We analyzed 213 charts (116 pre- and 97 posteducation).
The proportion of families screened for tobacco smoke exposure was
comparable between the preand postintervention groups (67.2% vs 59.8%,
P1/40.317). The postintervention group had a higher proportion of counseling
compared to the preintervention group (51.5% vs 31.9%, P<0.05). We found no
statistically significant change in the rate of screening or referral to
smoking cessation services. Conclusion: Current guidelines to reduce tobacco
use are underutilized. Educational outreach may increase the rate of
counseling. Physician acceptance of guidelines is urgently needed to affect
the tobacco epidemic. © Academic Division of Ochsner Clinic Foundation.
EMTREE DRUG INDEX TERMS
tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
pediatrician
practice guideline
protocol compliance
smoking
EMTREE MEDICAL INDEX TERMS
article
child
controlled study
environmental exposure
human
major clinical study
medical record
patient counseling
patient referral
respiratory tract disease
school child
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013581354
PUI
L369821852
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 636
TITLE
Working together for primary prevention: Training medical students' to
provide smoking cessation counseling
AUTHOR NAMES
Henni A.
Lee S.
Kelly S.
Zimmer J.
Dehghani P.
Lavoie A.J.
AUTHOR ADDRESSES
(Henni A.; Lee S.; Kelly S.; Zimmer J.; Dehghani P.; Lavoie A.J.) Saskatoon,
Canada.
CORRESPONDENCE ADDRESS
A. Henni, Saskatoon, Canada.
SOURCE
Canadian Journal of Cardiology (2013) 29:10 SUPPL. 1 (S252). Date of
Publication: October 2013
CONFERENCE NAME
66th Annual Meeting of the Canadian Cardiovascular Society
CONFERENCE LOCATION
Montreal, QC, Canada
CONFERENCE DATE
2013-10-17 to 2013-10-20
ISSN
0828-282X
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
BACKGROUND: Tobacco use is a significant problem in community health. In
2011, Health Canada determined the national average smoking rate to be 19.9%
with higher rates in Saskatchewan at 23.8%. Many medical students do not
have sufficient training in tobacco cessation counseling in their curriculum
and lack the skills to provide appropriate intervention. PURPOSE: To create
and assess the effectiveness of the Prairie Vascular Research Network (PVRN)
smoking cessation training program for medical students at the University of
Saskatchewan. METHODS: The PVRN smoking cessation program has two
components. First, twenty volunteer medical students were given one week to
complete the Partnership to Assist with Cessation of Tobacco (PACT) online
training program. Topics included nicotine addiction, tobacco trends in
Saskatchewan, the importance of cessation, pharmacotherapy, and
implementation in a practice site. The second component was a role-playing
exercise where students took turns playing the clinician or the patient and
enacted scenarios from the program “Rx for Change” by the University of
California San Francisco. Students were given pre and post-training
questionnaires to assess their (1) confidence in interacting with patients
regarding smoking cessation counseling, (2) knowledge of the different
components of smoking cessation counseling, and (3) confidence in delivering
smoking cessation counseling. Questionnaires were designed for quantitative
analysis and used a seven point Likert scale. The Wilcoxon signed rank test
was used to determine if there were changes over time in the ratings given
to each question. Pre and posttraining interviews provided additional
descriptive data, and were analyzed for comparative results. RESULTS:
Students' knowledge about the different components of smoking cessation
showed statistically significant improvements after completing the program.
The most significant improvement was in knowledge of pharmacotherapies
available for smoking cessation, with a median pre-test value of 2.0 and a
post-test median value of 5.0. Students' confidence in delivering smoking
cessation counseling showed marked improvement after the training program.
In particular, students showed increased confidence in helping their
patients develop a cessation plan, with a pre-test median value of 3.0 and a
post-test median value of 6.0 Students reported positive experiences in
their interview and praised the roleplaying component of the PVRN training
program. Overall, after training, students felt they had the knowledge and
skills to broach the topic of smoking cessation with patients. CONCLUSION:
The PVRN program is successful in teaching medical students about smoking
cessation and providing them with the knowledge and confidence to deliver
smoking cessation counseling.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
human
medical student
primary prevention
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
Canada
curriculum
drug therapy
exercise
health
interview
Likert scale
patient
prairie
public health
quantitative analysis
questionnaire
role playing
skill
smoking
smoking cessation program
student
teaching
tobacco
tobacco dependence
training
United States
university
volunteer
Wilcoxon signed ranks test
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71204216
DOI
10.1016/j.cjca.2013.07.410
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cjca.2013.07.410
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 637
TITLE
Evaluation of the impact of a pharmacist provided nonmalignant chronic
opioid management education program to physicians in a primary care practice
setting
AUTHOR NAMES
Bragg R.
Drew A.M.
Pitlick J.M.
AUTHOR ADDRESSES
(Bragg R.; Drew A.M.; Pitlick J.M.) St. Louis College of Pharmacy, St.
Louis, United States.
CORRESPONDENCE ADDRESS
R. Bragg, St. Louis College of Pharmacy, St. Louis, United States.
SOURCE
Pharmacotherapy (2013) 33:10 (e224). Date of Publication: October 2013
CONFERENCE NAME
2013 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2013
CONFERENCE LOCATION
Albuquerque, NM, United States
CONFERENCE DATE
2013-10-13 to 2013-10-16
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: The objective of this study was to evaluate the impact of a
pharmacist provided chronic opioid management education program on physician
comfort levels at two independent primary care offices. METHODS: All
physicians practicing at the Mercy Clinic Family Medicine and John F.
Kennedy Internal Medicine Clinic were invited to participate in the study.
Physicians completed an electronic pre-education survey, in March 2013,
consisting of questions addressing background education and baseline comfort
with opioid prescribing. The intervention consisted of three informational
handouts covering opioid pharmacology, dosing in respects to equianalgesic
and formulation conversion, and use of opioid risk assessment tools. These
handouts were distributed, in April 2013, to all physicians via email along
with an audio recording reviewing key concepts. Physicians completed an
electronic posteducation survey consisting of the same comfort assessment
questions at the end of April 2013. RESULTS: The pre-education survey had a
26% response rate (n=14). Of the participants, 79% indicated “uncomfortable”
or “neutral” comfort rating for managing chronic opioid patients and 56%
indicated that they were “uncomfortable” or “very uncomfortable” using
opioid risk assessment tools. There was not a statistically significant
difference in the primary outcome of change in overall comfort score pre-
and post-education (n=2, p=0.655). The post-education survey had a 23%
response rate (n=12) and 81% indicated a “neutral”, “comfortable”, or “very
comfortable” rating for the various aspects of opioid prescribing, including
pharmacology, dosing and use of risk assessment tools. CONCLUSION: This
study did not find a significant improvement in self-reported comfort scores
for opioid prescribing. The low comfort scores reported on the baseline
survey indicates a need for opioid education for physicians in these
clinics. Future education programs could include live teaching sessions, a
longitudinal education series, and the incorporation of opioid risk
assessment tools in the patient electronic medical records.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
clinical pharmacy
college
education program
human
pharmacist
physician
primary medical care
EMTREE MEDICAL INDEX TERMS
audio recording
comfort
e-mail
education
electronic medical record
family medicine
hospital
internal medicine
patient
pharmacology
risk assessment
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71764211
DOI
10.1002/phar.1356
FULL TEXT LINK
http://dx.doi.org/10.1002/phar.1356
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 638
TITLE
Opioid education and nasal naloxone rescue kit distribution in the emergency
department
AUTHOR NAMES
Dwyer K.H.
Walley A.Y.
Sorensen-Alawad A.
Langlois B.K.
Mitchell P.M.
Lin S.C.
Cromwell J.H.
Strobel S.D.
Bernstein E.
AUTHOR ADDRESSES
(Dwyer K.H.; Walley A.Y.; Sorensen-Alawad A.; Langlois B.K.; Mitchell P.M.;
Lin S.C.; Cromwell J.H.; Strobel S.D.; Bernstein E.) Boston Medical Center,
Boston, United States.
CORRESPONDENCE ADDRESS
K.H. Dwyer, Boston Medical Center, Boston, United States.
SOURCE
Annals of Emergency Medicine (2013) 62:4 SUPPL. 1 (S123). Date of
Publication: October 2013
CONFERENCE NAME
American College of Emergency Physicians, ACEP Research Forum 2013
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2013-10-14 to 2013-10-15
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: Emergency departments (ED) offer a unique opportunity to
address the national opioid overdose epidemic. We describe the first ever
ED-based overdose education and nasal naloxone distribution (OEND) program.
We aimed to test the feasibility of OEND and determine whether OEND resulted
in higher rates of opioid use or overdose (OD), or lower rates of calling
911 during a witnessed OD than overdose education (OE) alone. Methods: This
was a retrospective cohort study of ED patients seen at an academic, urban,
Level I trauma center between 1/11-2/12 with opioid abuse who received OE or
OEND from designated staff. OE is an intervention to train opioid users and
those likely to be bystanders in an OD to prevent, recognize, and respond to
an OD (e.g. calling 911, rescue breathing, and administering naloxone). Some
patients who were given OE in the ED also received a nasal naloxone rescue
kit (OEND). Between 3/12 and 10/12, research assistants used phone numbers
from hospital billing data to call these ED patients and conduct a survey of
their current substance use, OD risk knowledge recollection, history of
witnessed and self-reported personal ODs since their ED index visit, and
actions taken during witnessed ODs. We calculated descriptive statistics and
chi-square statistics to assess differences between OE and OEND for any
30-day opioid use, self-reported OD, and calling 911. Results: Of 415
identified subjects, 69 could be reached and 51 completed the phone survey
(23 in OE group and 28 OEND group) with a mean follow-up time since ED index
visit of 11.8 months. The mean age was 43, 41% female, 57% white, 12%
African American, 19% Hispanic. There were no statistically significant
differences between the eligible and enrolled subjects demographically.
Without prompting, 51% recalled at least 2 key OD risk behaviors (danger of
mixing drugs (73%), danger of use after periods of abstinence (31%), and
using alone (22%)). Among the 27 who witnessed an OD, 89% performed at least
1 rescue measure: calling 911 (63%), rescue breathing (26%), and
successfully administered naloxone (22%). Among all respondents 22% reported
an OD since the intervention and 40% reported past 30 day opioid use. We
detected no significant differences in OE vs. OEND for 30-day opioid use
(35% vs 36%), self-reported overdose since ED visit (26% vs 18%) or calling
911 in a witnessed overdose (64% vs 62%). Some subjects surveyed received
nasal naloxone kits at other sites such as detoxification centers since
their ED index visit. We performed a separate analysis to compare OE and
OEND ALL (naloxone from ED or other location), we discovered that those with
nasal naloxone were significantly more likely to perform a life-saving
measure in a witnessed overdose (38% vs 84% p<0.05) and 38% vs 74% called
911. Conclusions: Participants demonstrated retention of risk knowledge and
appropriate use of rescue measures for witnessed overdose. Naloxone
distribution did not result in higher rates of opioid use or OD, or lower
rates of calling 911. In fact, access to nasal naloxone was associated with
acting in a witnessed overdose. While this was a pilot study using
retrospective methods, it is the first description of an ED-based OD
prevention program that includes naloxone distribution and supports the need
for further OEND study and implementation efforts in EDs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
education
emergency physician
emergency ward
human
EMTREE MEDICAL INDEX TERMS
abstinence
abuse
African American
breathing
cohort analysis
detoxification
emergency health service
epidemic
female
follow up
Hispanic
hospital billing
intoxication
patient
pilot study
prevention
risk
scientist
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71190414
DOI
10.1016/j.annemergmed.2013.07.171
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2013.07.171
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 639
TITLE
Assessment of cancer pain management knowledge in southwest China
AUTHOR NAMES
Zhongli L.
Hong G.
AUTHOR ADDRESSES
(Zhongli L.; Hong G.) Department of Gastroenterology, XinQiao Hospital,
China.
CORRESPONDENCE ADDRESS
G. Hong, Department of Gastroenterology, XinQiao Hospital, China.
SOURCE
Journal of Gastroenterology and Hepatology (2013) 28 SUPPL. 3 (856). Date of
Publication: October 2013
CONFERENCE NAME
Asian Pacific Digestive Week 2013, APDW 2013 - World Congress of
Gastroenterology, WCOG 2013
CONFERENCE LOCATION
Shanghai, China
CONFERENCE DATE
2013-09-21 to 2013-09-24
ISSN
0815-9319
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Objective: The management of pain is still a critical issue in the care of
patients with cancer in China, especially in small city and county hospitals
in southwest China. To estimate Chinese physicians' competence in cancer
pain management and their opinion on barrier to optimal pain management.
Methods: A survey was carried out in 259 physicians during their fellowship
training in a tertiary teaching hospital, using a questionnaire adapted from
an earlier study from Eastern Cooperative Oncology Group (ECOG) of America.
Results: The result showed the majority physicians felt that 70% of the
cancer patients suffer pain. Near ninety percent (224/ 259) of these
physicians thought they had poor trainings about cancer pain management.
Concern about addiction to morphine was reported as the main reason
physician's hesitation for prescribing opioids. Lack of enough assessment to
cancer pain was identified as the most significant barrier to optimal cancer
pain management. Conclusion: There is a need to develop continuing medical
education of palliative care and pain management for medical students and
physicians of southwest hospitals.
EMTREE DRUG INDEX TERMS
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
Asian
cancer pain
China
gastroenterology
EMTREE MEDICAL INDEX TERMS
addiction
cancer patient
city
competence
hospital
human
medical education
medical student
neoplasm
oncology
pain
palliative therapy
patient
physician
public hospital
questionnaire
teaching hospital
Western Hemisphere
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71214662
DOI
10.1111/jgh.12363_3
FULL TEXT LINK
http://dx.doi.org/10.1111/jgh.12363_3
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 640
TITLE
Educating providers for the epidemic: The role of AOAAM
AUTHOR NAMES
Kotz M.
AUTHOR ADDRESSES
(Kotz M.) American Osteopathic, Academy of Addiction Medicine, United
States.
CORRESPONDENCE ADDRESS
M. Kotz, American Osteopathic, Academy of Addiction Medicine, United States.
SOURCE
Journal of Addictive Diseases (2013) 32:4 (401-402). Date of Publication: 1
Oct 2013
ISSN
1055-0887
1545-0848 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (diagnosis, epidemiology)
health care personnel
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
continuing education
editorial
epidemic
evidence based practice
general practitioner
health behavior
health care organization
human
leadership
medical information
medical school
physician
professional knowledge
screening test
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2013799716
MEDLINE PMID
24325775 (http://www.ncbi.nlm.nih.gov/pubmed/24325775)
PUI
L370502830
DOI
10.1080/10550887.2013.859450
FULL TEXT LINK
http://dx.doi.org/10.1080/10550887.2013.859450
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 641
TITLE
Adherence to treatment in patients with schizophrenia
AUTHOR NAMES
Dogan O.
AUTHOR ADDRESSES
(Dogan O., ordogan@gmail.com) Professor of Psychiatry, Uskudar University,
Istanbul, Turkey.
SOURCE
Bulletin of Clinical Psychopharmacology (2013) 23 Supplement 1 (S30). Date
of Publication: 2013
CONFERENCE NAME
5th International Congress on Psychopharmacology and International Symposium
on Child and Adolescent Psychopharmacology
CONFERENCE LOCATION
Antalya, Turkey
CONFERENCE DATE
2013-10-30 to 2013-11-03
ISSN
1017-7833
1302-9657 (electronic)
ABSTRACT
Non-adherence to treatment is one of the most important problems in
treatment of chronic illnesses. This condition is also valid for
schizophrenia. In general, non-adherence in chronic illnesses is
approximately 60%. The patients with schizophrenia and bipolar disorder do
not believe that they are ill. They have lack of insight; therefore they
reject to take medication. In treatment, perfect adherence to treatment is
rare; non-adherence to treatment is a common condition. If the patient
misses the drug dose small than 25%, he (she) is adherent. If the patient
misses the drug dose between 25% and 65%, he (she) is partially adherent. If
the patient misses the drug dose more than 65%, he (she) is non-adherent.
Partially adherence to treatment is 25% in the first 10 days after
discharge, 50% after one year, and 75% two years. If the adherence to
treatment is increased, the ratio of remission is increased. If the patients
do not use their medications regularly, some disadvantages are seen as
follows: a) relapse ratio increases, the period and the number of admitted
in hospital increases, suicide risk increases, the possibility of remission
decreases, all of social functionalities go bad, substance use, and
financial problems. Non-adherence to treatment can be dependent on
characteristics of patient, environment, clinician, and medication. The
causes of not taking medication can be those: lack of insight, lack of
efficacy of treatment, lack of social support, worries about side effects, a
poor doctor-patient relationship, cognitive losses, substance use, and
comorbid psychiatric disorders. How are formed adherence to treatment
between doctor and patient? The answers are as follows: a)
Non-pharmacological approaches, b) pharmacological approaches, c)
multidimensional approaches. Non-pharmacological approaches include
motivational interview techniques and similar approaches, cognitive behavior
therapy, and psycho-education approaches. The LEAP technique is a
motivational interview technique. The phases of LEAP are as follows: Listen,
Empathy, Agree, and Partnership. Cognitive behavior therapy has been
neglected for schizophrenia because of some causes. However, it has been
increased gradually that evidences about efficacy of cognitive behavior
therapy in schizophrenia treatment. Psycho-education can apply both patients
and their families. A psycho-education program must include those issues:
the symptoms and the causes of schizophrenia; medications used for
schizophrenia, their side effects, and their mechanisms; the manner of
family; lawful rights and responsibilities; emergency conditions and
follow-up. Pharmacotherapy is efficacy on schizophrenia treatment,
especially on positive symptoms. Depot or long action antipsychotics
increase the adherence to treatment, decrease suicide risk and the number of
admitting in hospital. To provide and continue the adherence to treatment is
suggested those strategies: to apply optimal antipsychotic treatment, to
encourage the patients and their families for psycho-education, to determine
the patients’ motivations, to treat substance abuse, to include family
members in treatment process, to identify and remove the barriers to
treatment. There are common problems seen in the adherence to treatment.
These can be concerned with patients, patients’ relatives, presenting
services. Multidimensional approach contains a good doctor-patient
relationship, accepting the adherence problem, favorable antipsychotic
treatment, forming a good atmosphere, applying motivational interview
techniques and psycho-education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
child
human
patient
patient compliance
psychopharmacology
schizophrenia
EMTREE MEDICAL INDEX TERMS
atmosphere
bipolar disorder
chronic disease
cognitive therapy
doctor patient relation
drug dose
drug therapy
education
education program
emergency
empathy
environment
follow up
hospital
interview
mental disease
motivation
patient worry
physician
positive syndrome
relapse
remission
responsibility
risk
side effect
social support
substance abuse
substance use
suicide
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L75004574
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 642
TITLE
Fibromyalgia and parental medical histories of depression and alcoholism
AUTHOR NAMES
Katz R.S.
Small B.J.
Ferbert S.M.
Shott S.
AUTHOR ADDRESSES
(Katz R.S.) Rush Medical College, Chicago, United States.
(Small B.J.) Rush University Medical School, Chicago, United States.
(Ferbert S.M.) Advocates for Funding Fibromyalgia Treatment, Education and
Research(AFFTER), Libertyville, United States.
(Shott S.) Rush University Medical Center, Chicago, United States.
CORRESPONDENCE ADDRESS
R.S. Katz, Rush Medical College, Chicago, United States.
SOURCE
Arthritis and Rheumatism (2013) 65 SUPPL. 10 (S463-S464). Date of
Publication: October 2013
CONFERENCE NAME
American College of Rheumatology/Association of Rheumatology Health
Professionals Annual Scientific Meeting, ACR/ARHP 2013
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2013-10-25 to 2013-10-30
ISSN
0004-3591
BOOK PUBLISHER
John Wiley and Sons Inc.
ABSTRACT
Background/Purpose: We had found in a previous study suggestions of an
increased prevalence of depression in the mothers and alcohol abuse in the
fathers of fibromyalgia patients. We re-examined this finding in a group of
fibromyalgia patients. Methods: 115 FMS patients and 63 control patients
with other rheumatic diseases answered a rheumatology office questionnaire
that included questions about whether their mother or father had been
diagnosed with or had symptoms of depression, alcoholism, or FMS. The
chi-square test of association and Fisher's exact test were used to compare
FMS and control patients with respect to percentages. The Mann-Whitney test
was done to compare these groups with respect to age. A 0.05 significance
level was used and all tests were two-sided. Results: 81.7% of the FMS
patients and 61.9% of the control patients were women (p = 0.004). The mean
age was 48.1 ± 12.3 years for FMS patients and 50.7 13.6 for control
patients (p=0.092). 33.0% of FMS patients and 8.1% of control patients
reported a depression diagnosis or symptoms in their mothers (p < 0.001).
26.3% of FMS patients reported a depression diagnosis or symptoms in their
fathers, compared to 10.0% of control patients (p = 0.013). Although FMS
patients were more likely than control patients to report an alcoholism
diagnosis or symptoms in their mothers (9.6% vs. 4.8%. p = 0.38) and fathers
(19.2% vs. 10.0%, p = 0.18), the differences were not statistically
significant. FMS patients were significantly more likely than control
patients to report a FMS diagnosis or symptoms in their mothers (26.4% vs.
3.2%. p < 0.001), but not in their fathers (6.2% vs. 0%, p = 0.083).
Conclusion: FMS patients were significantly more likely than control
patients to report that their parents had a diagnosis or symptoms of
depression, and significantly more likely to report that their mothers had
the diagnosis or symptoms of FMS. No statistically significant differences
were found with respect to paternal FMS or maternal or paternal alcoholism.
(Table Presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
college
fibromyalgia
health practitioner
human
medical history
rheumatology
EMTREE MEDICAL INDEX TERMS
alcohol abuse
chi square test
diagnosis
father
female
Fisher exact test
male
mother
parent
patient
prevalence
questionnaire
rank sum test
rheumatic disease
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71318565
DOI
10.1002/art.38216
FULL TEXT LINK
http://dx.doi.org/10.1002/art.38216
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 643
TITLE
An historical review and perspective on the impact of acupuncture on U.S.
medicine and society
AUTHOR NAMES
Lu D.P.
Lu G.P.
AUTHOR ADDRESSES
(Lu D.P., dominicplu@gmail.com) Department of Oral Medicine, University
Pennsylvania, Philadelphia, PA, United States.
(Lu G.P.) Department of Clinical Anesthesiology, Albert Einstein College of
Medicine, Bronx, NY, United States.
CORRESPONDENCE ADDRESS
D.P. Lu, Department of Oral Medicine, University Pennsylvania, Philadelphia,
PA, United States. Email: dominicplu@gmail.com
SOURCE
Medical Acupuncture (2013) 25:5 (311-316). Date of Publication: 1 Oct 2013
ISSN
1933-6586
1933-6594 (electronic)
BOOK PUBLISHER
Mary Ann Liebert Inc., 140 Huguenot Street, New Rochelle, United States.
ABSTRACT
Background: It took almost 300 years for Europe and 400 years for the United
States to finally appreciate the therapeutic value of acupuncture. Findings
from basic medical research that acupuncture stimulation causes release of
endorphins, serotonin, enkephalins, and γ-amino-butyric acid (GABA; a major
inhibitory neurotransmitter of the brain), norepinephrine, and dopamine
helped to explain the acupuncture effect on a biomedical and pharmacological
basis that was acceptable to the Western medical establishment. Context: In
the United States, there is significantly increased familiarity with
acupuncture and U.S. patients have sought acupuncture treatment to relieve
stress-related syndromes, to enhance the immune system, to reduce insomnia,
to improve athletic performance, and to address Alzheimer's disease, as well
as for cardiac and poststroke therapy. This article briefly reviews the
history of acupuncture in the United States and discusses the potential of
this modality in the the future. Discussion: Acupuncture can be combined
with conventional Western medicine for pain management in patient with
cancer to reduce dosages of narcotic medications, side-effects, adverse
reactions, and the possibility of narcotic addiction. Because of
acupuncture's increased popularity, acupuncture training schools have been
set up in the United States, and some insurance companies cover acupuncture
therapy. Conclusions: By studying both Eastern and Western medicine and
using them in a complementary fashion, we open ourselves to many discoveries
for the benefit of humanity. © 2013 Mary Ann Liebert, Inc.
EMTREE DRUG INDEX TERMS
4 aminobutyric acid (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acupuncture
medical society
EMTREE MEDICAL INDEX TERMS
Alzheimer disease
analgesia
general anesthesia
health insurance
human
intermethod comparison
priority journal
review
United States
CAS REGISTRY NUMBERS
4 aminobutyric acid (28805-76-7, 56-12-2)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013679795
PUI
L370125678
DOI
10.1089/acu.2012.0921
FULL TEXT LINK
http://dx.doi.org/10.1089/acu.2012.0921
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 644
TITLE
[Experience of teaching the questions of alcoholism to medical students].
AUTHOR NAMES
Golenkov A.V.
AUTHOR ADDRESSES
(Golenkov A.V.)
CORRESPONDENCE ADDRESS
A.V. Golenkov,
SOURCE
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova / Ministerstvo
zdravookhraneniia i meditsinskoǐ promyshlennosti Rossiǐskoǐ Federatsii,
Vserossiǐskoe obshchestvo nevrologov [i] Vserossiǐskoe obshchestvo
psikhiatrov (2013) 113:6 Pt 2 (75-79). Date of Publication: 2013
ISSN
1997-7298
ABSTRACT
The experience of teaching alcoholism to undergraduate students of a medical
school at lectures and practical trainings on narcology (psychiatry), at the
organization of independent, educational and research work is described.
Aprioristic ideas of students of alcoholism and alcohol abuse are analyzed.
Possibilities of use movies for narcology teaching are discussed. It is
offered to strengthen intercathedral integration of teaching in higher
education institution the questions of alcoholic intoxication and
dependence, to direct educational process on development of bases of
preservation and correction of health of future doctors and patients, to
increase educational motivation of students by introduction of active
methods of training (clinical games), educational multimedia modules and
work intensification with patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
medical student
psychiatry
EMTREE MEDICAL INDEX TERMS
education
human
medical school
organization and management
review
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
23887474 (http://www.ncbi.nlm.nih.gov/pubmed/23887474)
PUI
L369875233
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 645
TITLE
Enhancing screening, brief intervention, and referral to treatment among
socioeconomically disadvantaged patients: study protocol for a knowledge
exchange intervention involving patients and physicians.
AUTHOR NAMES
Salvalaggio G.
Dong K.
Vandenberghe C.
Kirkland S.
Mramor K.
Brown T.
Taylor M.
McKim R.
Cummings G.G.
Wild T.C.
AUTHOR ADDRESSES
(Salvalaggio G.) Department of Family Medicine, University of Alberta, 1702
College Plaza, Edmonton, AB T6G 2C8, Canada.
(Dong K.; Vandenberghe C.; Kirkland S.; Mramor K.; Brown T.; Taylor M.;
McKim R.; Cummings G.G.; Wild T.C.)
CORRESPONDENCE ADDRESS
G. Salvalaggio, Department of Family Medicine, University of Alberta, 1702
College Plaza, Edmonton, AB T6G 2C8, Canada. Email: ginetta@ualberta.ca
SOURCE
BMC health services research (2013) 13 (108). Date of Publication: 2013
ISSN
1472-6963 (electronic)
ABSTRACT
Screening, Brief Intervention, and Referral for Treatment (SBIRT) is an
effective approach for managing alcohol and other drug misuse in primary
care; however, uptake into routine care has been limited. Uptake of SBIRT by
healthcare providers may be particularly problematic for disadvantaged
populations exhibiting alcohol and other drug problems, and requires
creative approaches to enhance patient engagement. This knowledge
translation project developed and evaluated a group of patient and health
care provider resources designed to enhance the capacity of health care
providers to use SBIRT and improve patient engagement with health care. A
nonrandomized, two-group, pre-post, quasi-experimental intervention design
was used, with baseline, 6-, and 12-month follow-ups. Low income patients
using alcohol and other drugs and who sought care in family medicine and
emergency medicine settings in Edmonton, Canada, along with physicians
providing care in these settings, were recruited. Patients and physicians
were allocated to the intervention or control condition by geographic
location of care. Intervention patients received a health care navigation
booklet developed by inner city community members and also had access to an
experienced community member for consultation on health service navigation.
Intervention physicians had access to online educational modules,
accompanying presentations, point of care resources, addiction medicine
champions, and orientations to the inner city. Resource development was
informed by a literature review, needs assessment, and iterative
consultation with an advisory board and other content experts. Participants
completed baseline and follow-up questionnaires (6 months for patients, 6
and 12 months for physicians) and administrative health service data were
also retrieved for consenting patients. Control participants were provided
access to all resources after follow-up data collection was completed. The
primary outcome measure was patient satisfaction with care; secondary
outcome measures included alcohol and drug use, health care and addiction
treatment use, uptake of SBIRT strategies, and physician attitudes about
addiction. Effective knowledge translation requires careful consideration of
the intended knowledge recipient's context and needs. Knowledge translation
in disadvantaged settings may be optimized by using a community-based
participatory approach to resource development that takes into account
relevant patient engagement issues. Northern Alberta Clinical Trials and
Research Centre #30094.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
doctor patient relation
mass screening
patient referral
poverty
EMTREE MEDICAL INDEX TERMS
alcoholism (diagnosis, therapy)
article
Canada
comparative study
human
self report
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23517813 (http://www.ncbi.nlm.nih.gov/pubmed/23517813)
PUI
L369837435
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 646
TITLE
Drug and alcohol abuse among individuals with acquired brain injury
AUTHOR NAMES
Kwok C.
McIntyre A.
Janzen S.
Sequeira K.
Teasell R.
AUTHOR ADDRESSES
(Kwok C.; McIntyre A., Amanda.mcintyre@sjhc.london.on.ca; Janzen S.;
Sequeira K.; Teasell R.) Aging, Rehabilitation and Geriatric Care, Lawson
Health Research Institute, St. Joseph's Parkwood Hospital, London, ON,
Canada.
(Sequeira K.; Teasell R.) St. Joseph's Health Care, St. Joseph's Parkwood
Hospital, London, ON, Canada.
(Sequeira K.; Teasell R.) Department of Physical Medicine and
Rehabilitation, Schulich School of Medicine and Dentistry, Western
University, London, ON, Canada.
CORRESPONDENCE ADDRESS
A. McIntyre, Aging, Rehabilitation and Geriatric Care, Lawson Health
Research Institute, Parkwood Hospital, 801 Commissioners Road E., London,
ON, N6C 5J1, Canada. Email: Amanda.mcintyre@sjhc.london.on.ca
SOURCE
CJAM Canadian Journal of Addiction Medicine (2013) 4:2 (14-19). Date of
Publication: 2013
ISSN
1923-1210
BOOK PUBLISHER
Canadian Society of Addiction Medicine, 47 Tuscany Ridge Terrace NW, Calgary
Alberta, Canada.
ABSTRACT
Objectives: To determine the prevalence of alcohol and drug abuse among
patients admitted to an acquired brain injury rehabilitation unit, examine
how these issues are addressed during inpatient neurorehabilitation, and
explore patient responses to substance abuse (SA) health teaching. Methods:
A retrospective chart audit was conducted of consecutive patients admitted
to a neurorehabilitation unit in Southwestern Ontario between March 2009 and
March 2011. Information extracted included: (1) presence of substance abuse;
(2) use of alcohol or illicit drugs at time of injury; (3) education and/or
referrals for counseling and support services; and (4) patient response.
Data was inputted and analyzed using Statistical Package for the Social
Sciences (Version 20.0). Results: 102 patients with traumatic (N=75) and
nontraumatic (N=27) brain injuries were included with a mean age of
43.3±17.9 years (range 14-80). 24.5% of patients had documented evidence of
alcohol (N=22) or drugs (N=3) in their body at the time of injury. 36.3% of
the total sample had SA; 56.8% abused alcohol, 13.5% abused drugs and 29.7%
abused both substances. The majority (N=96) of the sample received standard
education from the physician or the unit social worker with approximately
half indicating compliance. Of those with SA, 46% were offered a referral
for counseling or support services. Conclusions: Future research should
explore reasons for refusal and poor motivation to attend addiction
treatment. To optimize outcomes for patients, current rehabilitation
practice should be evaluated to identify areas for improvement for
concurrent conditions of ABI and SA.
EMTREE DRUG INDEX TERMS
alcohol
barbituric acid derivative
cannabis
cocaine
methamphetamine
narcotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired brain injury
alcohol abuse
drug abuse
rehabilitation care
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
brain injury
controlled study
drug use
female
health education
human
length of stay
major clinical study
male
non traumatic brain injury
patient counseling
prevalence
retrospective study
sex difference
traumatic brain injury
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013536660
PUI
L369660979
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 647
TITLE
A randomized trial of two e-learning strategies for teaching substance abuse
management skills to physicians
AUTHOR NAMES
Harris J.M.
Sun H.
AUTHOR ADDRESSES
(Harris J.M., jharris@medadmin.arizona.edu) Office of Continuing Medical
Education, University of Arizona College of Medicine, Tucson, AZ 85724-5121,
United States.
(Sun H.) American Board of Anesthesiology, Raleigh, NC, United States.
CORRESPONDENCE ADDRESS
J.M. Harris, Office of Continuing Medical Education, University of Arizona
College of Medicine, Tucson, AZ 85724-5121, United States. Email:
jharris@medadmin.arizona.edu
SOURCE
Academic Medicine (2013) 88:9 (1357-1362). Date of Publication: September
2013
ISSN
1040-2446
1938-808X (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
PURPOSE: To compare the educational effectiveness of two virtual patient
(VP)-based e-learning strategies, versus no training, in improving
physicians' substance abuse management knowledge, attitudes, self-reported
behaviors, and decision making. METHOD: The 2011-2012 study was a
posttest-only, three-arm, randomized controlled trial in 90 resident and 30
faculty physicians from five adult medicine primary care training programs.
The intervention was one of two 2-hour VP-based e-learning programs,
designed by national experts to teach structured screening, brief
interventions, referral, and treatment skills. One used traditional problem
solving with feedback (unworked example), and the other incorporated an
expert demonstration first, followed by problem solving with feedback
(worked example). The main outcome measure was performance on the
Physicians' Competence in Substance Abuse Test (P-CSAT, maximum score =
315), a self-administered, previously validated measure of physicians'
competence in managing substance abuse. The survey was completed at the
outset of the study and two months later. RESULTS: Overall P-CSAT scores
were virtually identical (202-211, P > .05) between both intervention groups
and the no-training control group at both times. Average faculty P-CSAT
scores (221.9, 224.6) were significantly higher (P < .01) than resident
scores (203.7, 202.5) at both times. CONCLUSIONS: This study did not provide
evidence that a brief, worked example, VP-based e-learning program or a
traditional, unworked, VP-based e-learning program was superior to no
training in improving physicians' substance abuse management skills. The
study did provide additional evidence that the P-CSAT distinguishes between
physicians who should possess different levels of substance abuse management
skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
clinical competence
general practitioner
medical education
teaching
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
computer simulation
controlled clinical trial
controlled study
decision making
education
female
health personnel attitude
human
male
methodology
questionnaire
randomized controlled trial
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23887001 (http://www.ncbi.nlm.nih.gov/pubmed/23887001)
PUI
L369767038
DOI
10.1097/ACM.0b013e31829e7ec6
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0b013e31829e7ec6
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 648
TITLE
Tobacco control and smoking pattern among medical students in Kathmandu
University Teaching Hospital
AUTHOR NAMES
Pant P.
Khatiwada P.
AUTHOR ADDRESSES
(Pant P., drpant77@hotmail.com; Khatiwada P., ppr@gmail.com) 1Internal
Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Bagmati, Nepal
and 2 Community Medicine, Kathmandu Uinversity School of Medical Scie,
Dhulikhel, Kavre, Nepal, 11008
CORRESPONDENCE ADDRESS
P. Pant, Email: drpant77@hotmail.com
SOURCE
European Respiratory Journal (2013) 42 SUPPL. 57. Date of Publication: 1 Sep
2013
CONFERENCE NAME
European Respiratory Society Annual Congress 2013
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2013-09-07 to 2013-09-11
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Background As of 2002, about 20% of young teens (13-15years) smoke
worldwide. Everyday 80-100 thousand children start smoking. Half of those
who begin smoking in their adolescence are predicted to continue it for 15
to 20 years. In this context, to have adequate knowledge of smoking related
diseases and skills in smoking cessation is very important for medical
students, the future medical practitioners. This study assessed the
knowledge about tobacco related diseases and their own behavior among 153
medical students of Kathmandu University Teaching Hospital. Methods
Qualitative and quantitative approaches were used for data collection from
153 medical students from December 2011 to May 2012. Questionnaires were
handed out to the participants, and discussions were carried out in five
groups of these students. Results The majority of the students had good
knowledge of tobacco/smoking and its consequences. About 24% of the total
students were current or ex-smokers. Only 10% had heard of Framework
Convention on Tobacco Control in Nepal. Eighty-nine students had over 80%
knowledge of the warning signs from tobacco use, among them 83% knew the
nine risk factors for lung cancer. Approximately 95% of all participants
confirmed passive exposure to smoking, where majority (75%) was in friends
circle. Forty percent of them knew someone who had ever suffered from
cancer. Conclusion All medical students who know about any cancers may not
necessarily have knowledge about lung cancers. Their perception about the
cause of lung cancer may be influenced by their smoking behavior. Awareness
about national policies needs to be increased.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
education
European
human
medical student
smoking
society
teaching hospital
tobacco
university
EMTREE MEDICAL INDEX TERMS
adolescence
child
diseases
exposure
friend
information processing
lung cancer
neoplasm
Nepal
physician
policy
questionnaire
risk factor
skill
smoke
smoking cessation
student
tobacco use
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71844317
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 649
TITLE
Aberrant behaviors in a primary care-based cohort of patients with chronic
pain identified as misusing prescription opioids
AUTHOR NAMES
Cheatle M.D.
O'Brien C.P.
Mathai K.
Hansen M.
Grasso M.
Yi P.
AUTHOR ADDRESSES
(Cheatle M.D.; O'Brien C.P.) Center for Studies of Addiction, Department of
Psychiatry, Perelman School of Medicine University of Pennsylvania,
Philadelphia, PA, United States.
(Cheatle M.D.) Behavioral Medicine Center, Reading Health System, West
Reading, PA, United States.
(Mathai K.) Comprehensive Pain Management, Baton Rouge, LA, United States.
(Hansen M.) Department of Pain Management, MedStar Franklin Square Medical
Center, Baltimore, MD, United States.
(Grasso M.) Morris Anesthesia Group, Phillipsburg, NJ, United States.
(Yi P.) Department of Anesthesia, Perelman School of Medicine University of
Pennsylvania, Philadelphia, PA, United States.
CORRESPONDENCE ADDRESS
Center for Studies of Addiction, Department of Psychiatry, Perelman School
of Medicine University of Pennsylvania, Philadelphia, PA, United States.
SOURCE
Journal of Opioid Management (2013) 9:5 (315-324). Date of Publication:
September-October 2013
ISSN
1551-7489
BOOK PUBLISHER
Weston Medical Publishing, 470 Boston Post Road, Weston, United States.
ABSTRACT
Objective: To assess aberrant drug-related behaviors (ADRBs) in patients
discharged from a community primary care practice for opioid misuse and
treating physician's ability to identify predictive aberrant behaviors.
Design: Retrospective chart review of patients with chronic noncancer pain
(CNCP) identified by their treating physician as misusing opioid analgesics,
and patients with similar characteristics who had not been identified as
misusing opioids. A survey of attending and resident physicians from these
clinics on their knowledge of ADRBs was also collected. Setting: Community
primary care clinic. Patients, participants: Thirty-three patients with CNCP
identified by their treating physician as misusing prescription opioid
analgesics, and 33 patients randomly selected from the same clinic setting,
with similar characteristics who had not been identified as misusing
opioids. Twenty-four attending physicians and 42 resident physicians were
surveyed on their training and knowledge of predictive aberrant behaviors.
Results: More identified misusers than nonmisusers reported positive history
of substance abuse (p = 0.001), tobacco use (p = 0.011), taking multiple
doses of prescribed opioids together (0.024), multiple complaints of pain
requiring opioid treatment (p = 0.006), and multiple phone calls to the
clinic requesting opioid medications (p = 0.027). Logistic regression on
continuous variables revealed that only the number of phone calls to the
clinic regarding opioids in the last 12 months achieved significance (p =
0.028). Conclusions: Previously postulated and novel ADRBs suggestive of
opioid misuse were identified in a community primary care setting.
Differences in resident and attending physician's ability to identify key
predictive ADRBs and lack of training in pain or addiction underscores the
need for changes in medical school and residency programs. © 2013 Journal of
Opioid Management, All Rights Reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent (drug therapy)
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior disorder
chronic pain (drug therapy, drug therapy)
drug misuse
opiate addiction (complication)
primary medical care
EMTREE MEDICAL INDEX TERMS
adult
article
chronic noncancer pain (drug therapy)
chronic noncancer pain (drug therapy)
clinical article
cohort analysis
community care
controlled study
family medicine
female
fibromyalgia
health survey
hospital
hospital discharge
human
internal medicine
logistic regression analysis
male
medical record review
myofascial pain
pain (drug therapy)
physician
prescription
randomized controlled trial
resident
substance abuse
telephone
tobacco use
young adult
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Anesthesiology (24)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014000378
MEDLINE PMID
24353044 (http://www.ncbi.nlm.nih.gov/pubmed/24353044)
PUI
L372004559
DOI
10.5055/jom.2013-0174
FULL TEXT LINK
http://dx.doi.org/10.5055/jom.2013-0174
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 650
TITLE
Introducing a fully integrated tobacco curriculum and tobacco cessation
skills in medical colleges
AUTHOR NAMES
Kumar T.Y.G.
Kavumpurath T.R.
Nichter M.
AUTHOR ADDRESSES
(Kumar T.Y.G.; Kavumpurath T.R.) Sree Chitra Tirunal Institute for Medical
Sciences and Technology, India.
(Nichter M.) Arizona University, United States.
CORRESPONDENCE ADDRESS
T.Y.G. Kumar, Sree Chitra Tirunal Institute for Medical Sciences and
Technology, India.
SOURCE
Respiratory Medicine (2013) 107 SUPPL. 1 (S18). Date of Publication:
September 2013
CONFERENCE NAME
International Conference on Public Health Priorities in the 21st Century:
The Endgame for Tobacco 2013
CONFERENCE LOCATION
New Delhi, India
CONFERENCE DATE
2013-09-10 to 2013-09-12
ISSN
0954-6111
BOOK PUBLISHER
W.B. Saunders Ltd
ABSTRACT
Background: Doctors need to play an active role in tobacco cessation to
reduce morbidity and mortality. Little attention is paid in medical schools
to the negative effect of tobacco on organ systems, disease processes or
medicine effectiveness. Baseline surveys in 5 Indian medical schools under
Project Quit Tobacco International (QTI) found that faculty and students
were interested in receiving more education on tobacco related illness and
cessation counseling as part of doctor' s professional role. A tobacco
curriculum developed by QTI has been introduced in 5 Medical schools in
Kerala and Karnataka. The curriculum is flexible and introduced across the
nine semesters of medical education. It also provides hands-on training on
tobacco cessation to faculty and students Objective: The main objectives of
the curriculum are to educate medical students on the impact of tobacco on
all organ system and disease processes, and to provide skills on brief
tobacco cessation interventions. Attendees for this paper will learn how to
access Project QTI educational modules and training videos on the web
Method: Curriculum mapping was conducted to identify where in the nine
semesters different tobacco related subjects could be introduced. Tobacco
modules were developed which provide information on tobacco epidemiology,
tobacco and particular diseases and brief cessation skills. Each module has
power point presentations with speaker notes, fact sheets for bedside
teaching, sample examination questions and case scenarios illustrating
cessation counseling of patients. Clinical videos to model cessation skills
have been developed as teaching aids. Modules were piloted tested and
revised. Faculty from all schools received training on module implementation
and cessation skills, and took a basic cessation skills competency exam.
Medical students underwent training in brief intervention skills for tobacco
cessation. After completing 5 BI logs, they were evaluated through an OSCE
examination Results: Most faculty and students found the contents of the
mini lectures to be very relevant. The speaker notes and references allow
the faculty to lecture with confidence. The clinical videos were very
informative and practical in giving guidance in how to help patients quit
with specific information and support. Conclusion: Inclusion of tobacco
topics in the medical curriculum and training in brief interventions for
tobacco cessation is necessary. Tobacco curriculum and cessation training
developed can be implemented in other medical schools.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
health care planning
medical school
public health
skill
tobacco
EMTREE MEDICAL INDEX TERMS
counseling
diseases
education
epidemiology
examination
human
Indian
medical education
medical student
model
morbidity
mortality
organ systems
patient
physician
professional standard
school
student
teaching
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71367713
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 651
TITLE
Cigarette smoking patterns of cardiology and respiratory inpatients at a
university teaching hospital
AUTHOR NAMES
Vali Y.
Sanjay A.
AUTHOR ADDRESSES
(Vali Y., vali.yusuf@gmail.com; Sanjay A., sanjay.agrawal@uhl-tr.nhs.uk)
Respiratory Medicine, Glenfield Hospital, Leicester, United Kingdom.
CORRESPONDENCE ADDRESS
Y. Vali, Respiratory Medicine, Glenfield Hospital, Leicester, United
Kingdom. Email: vali.yusuf@gmail.com
SOURCE
European Respiratory Journal (2013) 42 SUPPL. 57. Date of Publication: 1 Sep
2013
CONFERENCE NAME
European Respiratory Society Annual Congress 2013
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2013-09-07 to 2013-09-11
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Background: Smoking cessation is key in reducing cardio-respiratory disease
and is most effectively achieved via formal cessation services. Knowledge of
smoking prevalence, and referral patterns in inpatients would facilitate
cessation efforts in this population. Aims: To assess smoking prevalence by
examining documentation in acute admissions and elicit whether smokers are
referred for cessation. Methods: A snapshot of all cardio-respiratory
inpatients was taken on a single day looking at medical and nursing records
of smoking. Smokers were then asked to corroborate if they were advised or
referred. Results: 150 patients (83 respiratory, 67 cardiology) were
identified. In the medical notes, smoking status was unrecorded in 31
(20.7%) patients. Of the remaining 119, 17 (14.3%) were smokers, none had a
record of cessation advice or referral. Nursing records of smoking status
were incomplete in 16 (10.7%) cases and reported 18 (13.4%) smokers of whom
7 were advised to quit and 2 referred. Combining this data with direct
questioning, revealed 20 (14.0%) smokers in total. Of these only 5 (25.0%)
received cessation advice and 3 (15.0%) referred, all of whom by nurses. The
prevalence of smokers was higher on respiratory (18.4%) compared to
cardiology (9.0%) wards. Conclusion: The smoking prevalence of inpatients
was identical to that of age-matched individuals in England, however in
respiratory inpatients it was higher. Nursing documentation and smoking
cessation efforts were superior to those of doctors, however overall
referral rates were low. Staff require further training on effective smoking
cessation methods and how to seize the opportunity when smokers are
inpatients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiology
European
health care policy
hospital patient
human
public health
smoking
society
teaching hospital
university
EMTREE MEDICAL INDEX TERMS
documentation
medical record
nurse
nursing
patient
physician
population
prevalence
respiratory tract disease
smoking cessation
United Kingdom
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71844326
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 652
TITLE
Addiction among young moroccan students of a vocational training institute
AUTHOR NAMES
Jouahir I.
Azzaoui F.-Z.
Ahami A.
Elhessni A.
Faid M.
AUTHOR ADDRESSES
(Jouahir I.; Azzaoui F.-Z.; Ahami A.) Equip of Clinic and Cognitive
Neurosciences and Health, Department of Biology, Faculty of Science,
Kenitra, Morocco.
(Elhessni A.) Equip of Neuroendocrine Physiology, Department of Biology,
Faculty of Science, Kenitra, Morocco.
(Faid M.) Agronomic and Veterinary Hassan II Institute, Rabat, Morocco.
CORRESPONDENCE ADDRESS
I. Jouahir, Equip of Clinic and Cognitive Neurosciences and Health,
Department of Biology, Faculty of Science, Kenitra, Morocco.
SOURCE
European Psychiatry (2013) 28 SUPPL. 1. Date of Publication: 2013
CONFERENCE NAME
21st European Congress of Psychiatry, EPA 2013
CONFERENCE LOCATION
Nice, France
CONFERENCE DATE
2013-04-06 to 2013-04-09
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Introduction: The internship system of some institutes and adolescence
period could constitute a favorable medium to develop addiction behaviors
among students. Objectives: The objective of this study is to determine the
prevalence of addicted students of an Institute of the vocational training
in city of Mohammedia (North-West of Morocco) and the kind of substances
used in this addiction. Methods: An epidemiological study is conducted among
460 students of this institute. These students aged from 18 to 26 years, are
individually questioned about their consumption of different kinds of drugs.
Results: The obtained results show that only 100 boys speak freely of their
consumption of drugs and/or alcohol and only 6 girls confess to be smokers
(tobacco) including 2 consumers of drugs. Indeed, the drug most commonly
used is cannabis rolled into cigarettes (Hashish). These drugs are used
regularly at least once a day and especially at night before bed to
facilitate sleep. The kinds of substances used depend also on socio-economic
level of students; the students from rich families consume up to 12 joints a
day against some puffs of joint shared by many consumers for poor students.
In addition, the poor students consume some local preparation called
“maajoune” or “cala”. Alcohol consumption is casual during weekends or
ceremonies. Conclusion: This study is an preliminary investigation that
lighted the problem of addiction among students in this vocational training
institute. So, deeper researches must be done in order to determine the
factors causing and/or influencing this kind of pathologic behavior.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
human
psychiatry
student
vocational education
EMTREE MEDICAL INDEX TERMS
adolescence
alcohol consumption
boy
ceremony
city
consumer
female
girl
male
Morocco
night
prevalence
sleep
smoking
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71172600
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 653
TITLE
Internet addiction and related addictive behaviors in a sample of medical
school students
AUTHOR NAMES
Floros G.D.
Siomos K.E.
Antoniadis D.
Stogiannidou A.
Giouzepas I.
Garyfallos G.
AUTHOR ADDRESSES
(Floros G.D.; Antoniadis D.; Giouzepas I.; Garyfallos G.) 2nd Department of
Psychiatry, Aristotle University of Thessaloniki, Thessaloníki, Greece.
(Floros G.D.; Siomos K.E.) Hellenic Association for the Study of Internet
Addiction Disorder, Lárisa, Greece.
(Stogiannidou A.) Department of Psychology, Aristotle University of
Thessaloniki, Thessaloníki, Greece.
CORRESPONDENCE ADDRESS
G.D. Floros, 2nd Department of Psychiatry, Aristotle University of
Thessaloniki, Thessaloníki, Greece.
SOURCE
European Psychiatry (2013) 28 SUPPL. 1. Date of Publication: 2013
CONFERENCE NAME
21st European Congress of Psychiatry, EPA 2013
CONFERENCE LOCATION
Nice, France
CONFERENCE DATE
2013-04-06 to 2013-04-09
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Introduction: Internet addiction is a multi-faceted construct which is
currently under review for inclusion in the forthcoming fifth edition of the
Diagnostic and Statistical Manual of the American Psychiatric Association.
In Greece, a specialized outpatient counseling service has been setup by our
Psychiatric department in order to provide counseling for any students with
related problems. Objectives: This survey has been setup in order to
facilitate comparisons with those seeking help and validate the research
measures used for their assessment. Furthermore, it sheds some light into
Internet use from the future health professionals, an area of research that
has been neglected. Aims: To gather data on student Internet use, social
media use, online gaming and gambling, use of online sexual content and any
addictive phenomena related to those behaviors. Methods: We employed an
extensive battery of questionnaires identical to that employed by our
counseling service. The battery includes detailed measures of all online
behaviors, the SCL-90 psychopathology index, the Defense Styles
Questionnaire (DSQ) and the Zuckerman-Kuhlman Personality Questionnaire
(ZKPQ). Results: The presentation includes detailed results from the battery
of questionnaires including comparisons with the validation samples and
previous related research work carried out. Our sample demonstrated an
unexpectedly high incidence of psychiatric symptoms and several cases of
online addictive behaviors. Conclusions: Our results are demonstrating the
need for a broader reach out to the target populations since a large number
of students may be hesitant to seek help for their online addictions or
simply prefer to ignore them.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
human
internet addiction
medical school
psychiatry
student
EMTREE MEDICAL INDEX TERMS
book
counseling
diagnosis
gambling
Greece
health practitioner
Internet
mental disease
outpatient
personality
population
psychiatric department
questionnaire
social media
Symptom Checklist 90
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71171859
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 654
TITLE
Global Health Professions Student Survey--Turkey: second-hand smoke exposure
and opinions of medical students on anti-tobacco law.
AUTHOR NAMES
Inandi T.
Caman O.K.
Aydin N.
Onal A.E.
Kaypmaz A.
Turhan E.
Erguder T.
Warren W.C.
AUTHOR ADDRESSES
(Inandi T.; Turhan E.) Department of Public Health, Medical Faculty, Mustafa
Kemal University, Hatay, Turkey.
(Caman O.K.) Department of Public Health, Medical Faculty, Hacettepe
University, Ankara, Turkey.
(Aydin N.) Department of Public Health, Medical Faculty, Gaziantep
University, Gaziantep, Turkey.
(Onal A.E.) Department of Public Health, Istanbul Medical Faculty, Istanbul
University, Istanbul, Turkey.
(Kaypmaz A.) Department of Public Health, Cerrahpasa Medical Faculty,
Istanbul University, Istanbul, Turkey.
(Erguder T.) National Tobacco Control Programme Officer, Bloomberg
Initiative, WHO Country Office, Ankara, Turkey.
(Warren W.C.) Centers for Disease Control and Prevention, Atlanta, Georgia,
USA.
CORRESPONDENCE ADDRESS
T. Inandi, Department of Public Health, Medical Faculty, Mustafa Kemal
University, Hatay, Turkey.
SOURCE
Central European journal of public health (2013) 21:3 (134-139). Date of
Publication: Sep 2013
ISSN
1210-7778
ABSTRACT
This study, as a part of "the Global Health Professions Student Survey"
(GHPSS), aimed to assess medical students' tobacco use, exposure to
second-hand tobacco smoke (SHS), and opinions as well as smoking policies at
medical faculties in Turkey. The study was conducted in 2010 as a
school-based survey of third-year students in 12 medical schools. GHPSS uses
a standardised methodology for selecting schools (probability proportional
to student enrolment size) and data processing. In total, data from 1,217 of
third year medical students were analysed. Prevalence of current tobacco use
among participating students was 28.5%. Exposure to SHS in the last seven
days was 46.9% at home, and 42.2% in other places. Among smokers, over 7 in
10 students reported smoking on medical school premises during the past 30
days and the past year. Medical students' exposure to SHS is common and
smoking on medical school premises/buildings constitutes a problem. Turkey
passed an anti-tobacco law in 2008, yet enforcement of the law must be
stronger. In addition, medical schools must evaluate, and likely revise
their education curricula to better prepare medical students to advocate
tobacco control.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
medical school
medical student
passive smoking
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
article
female
human
legal aspect
male
prevalence
psychological aspect
statistics
Turkey (republic) (epidemiology)
young adult
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24344536 (http://www.ncbi.nlm.nih.gov/pubmed/24344536)
PUI
L563030432
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 655
TITLE
Tobacco use and smoking knowledge: Study among medical students of 3rd and
6th year at Medicine Faculty, University of São Paulo
AUTHOR NAMES
Paceli R.
Martins S.
Prado G.F.
Morais A.
Lombardi E.
Bussacos M.
Terra-Filho M.
De Paula Santos U.
AUTHOR ADDRESSES
(Paceli R., rpaceli@gmail.com; Martins S., stellamartins@uol.com.br; Prado
G.F., gustavoprado@ig.com.br; Morais A., anna.morais@uol.com.br; Lombardi
E., elisasjbv@gmail.com; Terra-Filho M., mario.terra@incor.usp.br; De Paula
Santos U., pnemario@incor.usp.br) Heart Institute (InCor), Hospital Das
Clínicas, Universidade De São Paulo, São Paulo, Brazil.
(Bussacos M., bussacos@fundacentro.gov.br) Statistical and Epidemiology
Service, Fundacentro-Ministry of Labor and Employment, São Paulo, Brazil.
CORRESPONDENCE ADDRESS
R. Paceli, Heart Institute (InCor), Hospital Das Clínicas, Universidade De
São Paulo, São Paulo, Brazil. Email: rpaceli@gmail.com
SOURCE
European Respiratory Journal (2013) 42 SUPPL. 57. Date of Publication: 1 Sep
2013
CONFERENCE NAME
European Respiratory Society Annual Congress 2013
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2013-09-07 to 2013-09-11
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Introduction: As tobacco use is a pandemic disease, behavior and training
are important for medical practitioners of the future. Objectives: To
estimate the prevalence of smokers, the knowledge on smoking cessation
techniques and the treatment among the medical students. Methods:
Cross-sectional survey sample of 361 medical students from 3rd year of 2008
and 6th year of 2011 n=201 (class1) vs 3rd year of 2009 and 6th year of 2012
n=160 (class2). The questionnaire used was self-administered Global Health
Professional Students Survey after translation. It was used the chi-square
test with p <0.05. Results: It was observed a low prevalence of smoking:
class1=8,25% vs class2=3,85%, not significant (NS). In this sample there is
an agreement about the necessity of receiving specific training in smoking
cessation: class1=97.03% vs 98.18% (NS), and class 2=97.14% vs. 98.36% (NS).
The students improved their knowledge about the reasons why people smoke:
class 1=3rd year (44.55%) and 6th year (73.64%) p<0.001 vs class 2=3rd year
(47.62%) and 6th year (73.77%) p<0.001. Treatment through nicotine
replacement therapy is well known by 3rd year of class1 (90.10%) and by 3rd
year of class2 (92.38%) and the entire population interviewed in both 6th
years, p< 0.001. Regarding the non-nicotine treatment (bupropion and
nortriptyline), the students said they knew this drug: class 1=46.53% vs
99.08% and class 2=49.04% vs 100%, p< 0.001. Conclusions: The low prevalence
of smokers was observed. There was a difference in the knowledge about the
curriculum, training and treatment in medical education. We conclude that
future physicians are prepared to give support to smokers.
EMTREE DRUG INDEX TERMS
amfebutamone
nicotine
nortriptyline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
European
human
medical student
public health
smoking
society
tobacco use
university
EMTREE MEDICAL INDEX TERMS
chi square test
curriculum
health
health practitioner
medical education
nicotine replacement therapy
pandemic
physician
population
prevalence
questionnaire
smoke
smoking cessation
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71844329
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 656
TITLE
Training workshops positively impact beliefs about contingency management in
a nationwide dissemination effort
AUTHOR NAMES
Rash C.J.
DePhilippis D.
McKay J.R.
Drapkin M.
Petry N.M.
AUTHOR ADDRESSES
(Rash C.J., carlarash@gmail.com) Calhoun Cardiology Center - Behavioral
Health, University of Connecticut Health Center, 263 Farmington Avenue,
Farmington, CT 06030-3944, United States.
(DePhilippis D.; McKay J.R.) University of Pennsylvania, Philadelphia
Veterans Administration Medical Center, United States.
(Drapkin M.) University of Pennsylvania, Mental Health Services, Veterans
Affairs Central Office, United States.
(Petry N.M.) University of Connecticut Health Center, CT, United States.
CORRESPONDENCE ADDRESS
C.J. Rash, Calhoun Cardiology Center - Behavioral Health, University of
Connecticut Health Center, 263 Farmington Avenue, Farmington, CT 06030-3944,
United States. Email: carlarash@gmail.com
SOURCE
Journal of Substance Abuse Treatment (2013) 45:3 (306-312). Date of
Publication: September 2013
ISSN
0740-5472
1873-6483 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
In 2011, the Veterans Administration called for nationwide implementation of
contingency management (CM) in its intensive outpatient substance use
disorders treatment programs, and this study evaluated the impact of the
initial 1 and 1/2 day training workshops on knowledge and perceptions about
CM among 159 clinical leaders from 113 clinics. Workshop attendance
significantly increased CM-related knowledge (d= 1.88) and changed
attendees' perceptions of CM (ds = 0.26-0.74). Endorsement of barriers to CM
adoption decreased and positive impressions of CM increased. These
perceptions about CM emerged as key correlates of post-training preparedness
to implement CM. Results suggest that training workshops can be an effective
avenue for increasing CM-related knowledge, as well as addressing persistent
misperceptions about CM that may impede adoption efforts. Continued efforts
to introduce educational materials and offer training and consultation
opportunities may increase understanding about this evidence-based
intervention among clinicians, thereby leading to improved patient outcomes.
© 2013 Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health belief
medical education
substance abuse
workshop
EMTREE MEDICAL INDEX TERMS
abstinence
addiction
article
behavior
comprehension
consultation
evidence based practice
female
human
knowledge
leadership
male
motivation
outpatient care
perception
priority journal
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013453396
MEDLINE PMID
23856601 (http://www.ncbi.nlm.nih.gov/pubmed/23856601)
PUI
L369358981
DOI
10.1016/j.jsat.2013.03.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2013.03.003
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 657
TITLE
Attention deficit hyperactivity disorder and dual disorders. Educational
needs for an underdiagnosed condition
AUTHOR NAMES
Martinez-Raga J.
Szerman N.
Knecht C.
De Alvaro R.
AUTHOR ADDRESSES
(Martinez-Raga J., martinez_josrag@gva.es) Servicio de Psiquiatría, Hospital
Universitario Dr Peset, Avda Gaspar Aguilar 90, 46017 Valencia, Spain.
(Martinez-Raga J., martinez_josrag@gva.es) Teaching Unit of Psychiatry and
Psychological Medicine, Hospital Universitario Doctor Peset, University of
Valencia, Valencia, Spain.
(Szerman N.) Hospital General Universitario Gregorio Marañón, Madrid, Spain.
(Knecht C.) Unidad de Salud Mental de Vila-Real, Departamento de Salud de La
Plana, AgenciaValenciana de Salut, Castellón, Spain.
(De Alvaro R.) RPMD Carlet, Departamento de Salud de Alzira, Conselleria de
Justicia y Bienestar Social, Valencia, Spain.
CORRESPONDENCE ADDRESS
J. Martinez-Raga, Servicio de Psiquiatría, Hospital Universitario Dr Peset,
Avda Gaspar Aguilar 90, 46017 Valencia, Spain. Email: martinez_josrag@gva.es
SOURCE
International Journal of Adolescent Medicine and Health (2013) 25:3
(231-243). Date of Publication: September 2013
ISSN
0334-0139
2191-0278 (electronic)
BOOK PUBLISHER
Walter de Gruyter GmbH, Genthiner Strasse 13, Berlin, Germany.
ABSTRACT
A wide range of comorbid psychiatric disorders overlap with
attention-deficit hyperactivity disorder (ADHD) across the life span. There
is a robust and complex link between ADHD and substance use disorders (SUD).
The aim of this report was to review the neurobiological and other
vulnerability factors explaining the comorbidity of ADHD and an addictive
disorder, as well as the key aspects of the assessment and diagnosis of
dually diagnosed ADHD patients. A comprehensive and systematic search of
relevant databases (PubMed, Embase, and PsychINFO) was conducted to identify
studies published in peer-reviewed journals until July 31, 2012, with the
aim of exploring the association of ADHD and SUD with postgraduate training
and residency education. Across the life span, ADHD is associated with
significant impairment and comorbidity. Data from epidemiological, clinical
and epidemiological studies show a very solid link between ADHD and SUD.
Therefore, it is very important to carefully and systematically assess for
any substance use in patients with suspected ADHD coming to initial
assessment, and vice versa. While there are various valid and reliable
rating and screening scales, diagnosis cannot solely rely on any of the
instruments available for both SUD and ADHD in adult patients with dual
pathology. The most important and effective tool in the assessment of dually
diagnosed patients with ADHD and SUD is a full and comprehensive clinical
and psychosocial assessment. Hence, it is essential to actively incorporate
training opportunities on the assessment, diagnosis, and management of adult
ADHD and dually diagnosed ADHD patients during postgraduate education
residency or specialist training.
EMTREE DRUG INDEX TERMS
caffeine
cannabis
cocaine
xanthine derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
Adult ADHD Clinical Diagnostic Scale
Adult ADHD Self Report Scale
alcoholism
Barkley Adult ADHD Rating Scale IV
Brown Attention Deficit Disorder Scale
cannabis addiction
cocaine dependence
comorbidity
Conners Adult ADHD Diagnostic Interview for DSM IV
Conners Adult ADHD Rating Scale
DSM-5
DSM-IV
DSM-IV-TR
human
lifespan
neuropsychological test
postgraduate education
residency education
review
self report
systematic review
tobacco dependence
Wender Utah Rating Scale
CAS REGISTRY NUMBERS
caffeine (58-08-2)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014041654
MEDLINE PMID
23846135 (http://www.ncbi.nlm.nih.gov/pubmed/23846135)
PUI
L372127241
DOI
10.1515/ijamh-2013-0057
FULL TEXT LINK
http://dx.doi.org/10.1515/ijamh-2013-0057
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 658
TITLE
Smoking habits among students of the Medical University of Tunisia
AUTHOR NAMES
Berraies M.
Ourari B.
Ben Amar J.
El Gharbi L.
Azzabi S.
Baccar M.A.
Aouina H.
Bouacha H.
AUTHOR ADDRESSES
(Berraies M., mouna.berraies2@yahoo.fr; Ourari B., mouna.berraies2@yahoo.fr;
Ben Amar J., mouna.berraies2@yahoo.fr; El Gharbi L.,
mouna.berraies2@yahoo.fr; Azzabi S., mouna.berraies2@yahoo.fr; Baccar M.A.,
mouna.berraies2@yahoo.fr; Aouina H., mouna.berraies2@yahoo.fr; Bouacha H.,
mouna.berraies2@yahoo.fr) Pulmonary, Charles Nicolle Hospital, Tunis,
Tunisia.
CORRESPONDENCE ADDRESS
M. Berraies, Pulmonary, Charles Nicolle Hospital, Tunis, Tunisia. Email:
mouna.berraies2@yahoo.fr
SOURCE
European Respiratory Journal (2013) 42 SUPPL. 57. Date of Publication: 1 Sep
2013
CONFERENCE NAME
European Respiratory Society Annual Congress 2013
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2013-09-07 to 2013-09-11
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
The addiction to tobacco remains a significant problem in the context of
healthcare staff. We conducted this study aiming to assess the smoking
habits among medical students and their knowledge about smoking. A
prospective study was undertaken between October and November 2012 in which
a standardised, anonymous, self-completion questionnaire in French was
administered to 100 medical students at the Charles Nicolle hospital. A
total number of 100 medical students were included in this study. Mean age
was 25 years. The majority was female (58%). The prevalence of smoking among
medical students was found to be 38%. Nicotine-dependency was low. All
medical students smoke in hospital. The knowledge about tabacco composition
and adverse effects was average. The smoking behaviour of patients was seen
to be an important concern for the doctor and this opinion, uninfluenced by
their own smoking behaviour, grew stronger as students progressed through
their course. There is a high prevalence of smoking and a mean knowledge
about its impact on health among medical students. More attention is needed
to focus on medical education in this regard.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
European
human
public health
smoking
smoking habit
society
student
Tunisia
university
EMTREE MEDICAL INDEX TERMS
addiction
adverse drug reaction
female
health
health care
hospital
medical education
medical student
patient
physician
prevalence
prospective study
questionnaire
smoke
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71844368
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 659
TITLE
Longitudinal study of pulmonary function tests in students of Shalamar
Medical and Dental College Lahore Pakistan
AUTHOR NAMES
Nawaz R.
Ahmed S.
Munawar F.
Uz Zaman S.
AUTHOR ADDRESSES
(Nawaz R., ahmedsaghir@rocketmail.com; Ahmed S., saghirahmedmalik@yahoo.com;
Munawar F., emailid67@gmail.com; Uz Zaman S., naghman@gmail.com) 1Department
of Physiology, Shalamar Medical and Dental College, Lahore, Punjab,
Pakistan, 54000 and 2 Department of Medicine, Shalamar Hospital, Lahore,
Punjab, Pakistan, 54000
CORRESPONDENCE ADDRESS
R. Nawaz, Email: ahmedsaghir@rocketmail.com
SOURCE
European Respiratory Journal (2013) 42 SUPPL. 57. Date of Publication: 1 Sep
2013
CONFERENCE NAME
European Respiratory Society Annual Congress 2013
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2013-09-07 to 2013-09-11
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Background: A research was conducted on students of 1st year, Shalamar
Medical and Dental college in 2010 using Students' Wet Spirometer, aimed at
observing the difference in predicted and recorded vital capacity in young
Pakistani adults. In December 2012, the study was done to identify some
factors that affect the growth and development of lung functions in young
medical students of same batch belonging to age group 19-25 years, using
Spirolab III version 3.4. Vital capacity and forced expiratory Spirograms
were obtained in a cohort of young males (n=30) and females (n=46) at
intervals of approximately 2 years. Factors that affected the normal pattern
of lung function development in this group were smoking, obesity and
exercise. FEV1/VC and FEV1/FVC ratios were calculated and found altered in
both groups, i.e those who were smoking and those who smoked and were
exercising. Results: There was significant difference in FEV1/VC and
FEV1/FVC ratio at (p<0.5) in students who had stopped smoking during this
period. The female and male students who did exercise regularly also showed
an improvement in their pulmonary functions like VC,FVC,FEV1.CONCLUSION: It
is concluded that in relatively healthy group of young adults most measures
of respiratory function reach optimum values at 19 or 20 years of age and
change little if healthy living habits are continuously adopted. It was
advised to students to quit smoking, do regular exercise and avoid obesity.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
European
human
longitudinal study
lung function
lung function test
Pakistan
smoking
society
student
EMTREE MEDICAL INDEX TERMS
adult
exercise
female
groups by age
growth, development and aging
habit
male
medical student
obesity
Pakistani
respiratory function
smoking cessation
spirometer
vital capacity
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71844313
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 660
TITLE
Smoking status and cessation intervention in acute medical admissions in a
busy city hospital and associated co-morbidities-Time for a change?
AUTHOR NAMES
Khalil T.
Walton H.
Ng W.
Chakravorty I.
AUTHOR ADDRESSES
(Khalil T., m0802179@sgul.ac.uk; Walton H., m0701046@sgul.ac.uk; Ng W.,
m0800629@sgul.ac.uk; Chakravorty I., indranil.chakravorty@stgeorges.nhs.uk)
Acute Medical Unit, St Georges University of London, London, United Kingdom.
CORRESPONDENCE ADDRESS
T. Khalil, Acute Medical Unit, St Georges University of London, London,
United Kingdom. Email: m0802179@sgul.ac.uk
SOURCE
European Respiratory Journal (2013) 42 SUPPL. 57. Date of Publication: 1 Sep
2013
CONFERENCE NAME
European Respiratory Society Annual Congress 2013
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2013-09-07 to 2013-09-11
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Concurrent smoking leads to poorer outcomes and patients are receptive for
advice on lifestyle changes including cessation during or immediately after
an acute event. This should be addressed at every consultation with a
healthcare professional. Documentation of status and implementation of is a
key national priority. Design A retrospective analysis of all patients
admitted to a busy acute medical unit in a London city hospital in January
2013, to ascertain smoking status, cessation advice or treatment. Results
Our cohort included 792 (348 women) patients; age 69 (SD 19) years; 41
inpatient deaths (SMR 52/1000 admissions). Co-morbidities - hypertension
(38%), cardiovascular (13%), cerebrovascular (9%), diabetes (22%), 9%
Dementia, 3% depression and 8% kidney disease. Amongst 23% with chronic lung
diseases, 38% had asthma, 52% COPD, 5% lung cancer and 5% other. 3.4% (n =
27; incl 10 women) were current smokers 1.8% ex-smokers, 0.9% non-smokers
and no documentation in the rest. Smoking cessation advice was given to 7/27
(25.9%), 3 patients expressed desire to quit and 1 patient was prescribed
nicotine replacement. Discussion Census estimates smoking prevalence at
25-27%, although likely to be higher amongst hospital admissions. We are
likely to be missing a vast majority of current smokers (87%) with
significant comorbidites. If approached during their stay, then the quit
rate may be around 50%. Therefore documentation of smoking status within
admission proformas and cessation advice as part of a brief intervention,
needs to be implemented as a matter of urgency followed by referral to
specialized smoking cessation services.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic disease
city
education
European
hospital
morbidity
smoking
society
EMTREE MEDICAL INDEX TERMS
asthma
chronic lung disease
consultation
death
dementia
diabetes mellitus
documentation
female
health care personnel
hospital admission
hospital patient
human
hypertension
kidney disease
lifestyle modification
lung cancer
patient
population research
prevalence
smoking cessation
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71844419
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 661
TITLE
A review of pharmacotherapy for chronic low back pain with considerations
for sports medicine
AUTHOR NAMES
Peniston J.H.
AUTHOR ADDRESSES
(Peniston J.H., jhpdo@aol.com) Feasterville Family Health Care Center,
Feasterville, PA, United States.
CORRESPONDENCE ADDRESS
J. H. Peniston, Feasterville Family Health Care Center, 1665 Bustleton Pike,
Feasterville, PA 19053, United States. Email: jhpdo@aol.com
SOURCE
Physician and Sportsmedicine (2013) 40:4 (21-32). Date of Publication: 2013
ISSN
0091-3847
BOOK PUBLISHER
JTE Multimedia, 1235 Westlakes Dr, Ste 220, Berwyn, United States.
ABSTRACT
Up to 30% of athletes experience low back pain (LBP) depending on sport
type, sex, training intensity and frequency, and technique. United States
clinical guidelines define back pain as chronic if it persists for ≥12
weeks, and subacute if it persists 4 to<12 weeks. Certain sports injuries
are likely to lead to chronic pain. Persistent or chronic symptoms are
frequently associated with degenerative lumbar disc disease or spondylolytic
stress lesions. Exercise therapy is widely used and is the most conservative
form of treatment for chronic LBP (cLBP). Pharmacotherapies for cLBP include
acetaminophen, nonsteroidal anti-inflammatory drugs, and opioids.
Acetaminophen is a well-tolerated first-line pharmacotherapy, but high-dose,
long-term use is associated with hepatic toxicity. Nonsteroidal
anti-inflammatory drugs can be an effective second-line option if
acetaminophen proves inadequate but they have well-known risks of
gastrointestinal, cardiovascular, and other systemic adverse effects that
increase with patient age, dose amount, and duration of use. The
serotonin-norepinephrine reuptake inhibitor, duloxetine, has demonstrated
modest efficacy and is associated with systematic adverse events, including
serotonin syndrome, which can be dose related or result from interaction
with other analgesics. Opioids may be an effective choice for moderate to
severe pain but also have significant risks of adverse events and carry a
substantial risk of addiction and abuse. Because the course of cLBP may be
protracted, patients may require treatment over years or decades, and it is
critical that the risk/benefit profiles of pharmacotherapies are closely
evaluated to ensure that short- and long-term treatments are optimized for
each patient. This article reviews the clinical evidence and the guideline
recommendations for pharmacotherapy of cLBP. © The Physician and
Sportsmedicine.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (drug therapy, oral drug administration, topical drug
administration)
baclofen (drug therapy)
benzodiazepine (drug therapy)
capsaicin (adverse drug reaction, clinical trial, drug therapy, topical drug
administration)
clopidogrel (drug therapy)
codeine (drug combination, drug interaction, drug therapy)
corticosteroid (drug combination, drug interaction, drug therapy, epidural
drug administration)
diclofenac diethylamine (drug therapy, topical drug administration)
dipeptidyl carboxypeptidase inhibitor (drug interaction, drug therapy)
diuretic agent (drug interaction, drug therapy)
duloxetine (clinical trial, drug combination, drug interaction, drug
therapy)
gabapentin (drug therapy)
hydrocodone (drug combination, drug therapy)
indometacin (drug therapy)
morphine (clinical trial, drug combination, drug comparison, drug therapy)
nonsteroid antiinflammatory agent (adverse drug reaction, drug combination,
drug interaction, drug therapy, oral drug administration, topical drug
administration)
opiate (adverse drug reaction, clinical trial, drug combination, drug
therapy, oral drug administration)
oxycodone (clinical trial, drug combination, drug comparison, drug
interaction, drug therapy)
oxymorphone (drug comparison, drug therapy)
paracetamol (adverse drug reaction, clinical trial, drug combination, drug
therapy, oral drug administration)
placebo
proton pump inhibitor (drug therapy)
salicylic acid (adverse drug reaction, drug therapy, topical drug
administration)
serotonin uptake inhibitor (drug combination, drug interaction, drug
therapy)
tapentadol (adverse drug reaction, clinical trial, drug comparison, drug
therapy, pharmacology)
tizanidine (drug therapy)
tramadol (clinical trial, drug comparison, drug interaction, drug therapy,
pharmacology)
tricyclic antidepressant agent (drug therapy)
unindexed drug
warfarin (drug combination, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
low back pain (drug therapy, drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
acute liver failure
adjuvant therapy
application site burning (side effect)
application site eczema (side effect)
article
blood pressure
bone density
cardiovascular disease (side effect)
confusion (side effect)
constipation (side effect)
dermatitis (side effect)
dizziness (side effect)
drowsiness (side effect)
drug dose increase
drug dose titration
drug overdose
fracture healing (side effect)
gastrointestinal disease (side effect)
gastrointestinal hemorrhage (side effect)
headache (side effect)
hearing impairment (side effect)
human
hyperventilation (side effect)
interstitial nephritis (side effect)
kidney disease (side effect)
low drug dose
meta analysis (topic)
metabolic acidosis (side effect)
muscle necrosis (side effect)
myalgia (drug therapy)
nausea (side effect)
nausea and vomiting (side effect)
practice guideline
pruritus (side effect)
randomized controlled trial (topic)
recommended drug dose
side effect (side effect)
skin disease (drug therapy)
somnolence (side effect)
sports medicine
tachycardia (side effect)
tachypnea (side effect)
thrombocyte aggregation
thromboembolism (side effect)
tinnitus (side effect)
urticaria (side effect)
vomiting (side effect)
xerostomia (side effect)
DRUG TRADE NAMES
nucynta Ortho McNeil Janssen
opana Endo
oxecta King Pharmaceutical
oxycontin Purdue
DRUG MANUFACTURERS
Endo
King Pharmaceutical
Ortho McNeil Janssen
Purdue
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
baclofen (1134-47-0)
benzodiazepine (12794-10-4)
capsaicin (404-86-4)
clopidogrel (113665-84-2, 120202-66-6, 90055-48-4, 94188-84-8)
codeine (76-57-3)
duloxetine (116539-59-4, 136434-34-9)
gabapentin (60142-96-3)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
indometacin (53-86-1, 74252-25-8, 7681-54-1)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
oxymorphone (357-07-3, 76-41-5)
paracetamol (103-90-2)
salicylic acid (63-36-5, 69-72-7)
tapentadol (175591-09-0, 175591-23-8)
tizanidine (51322-75-9, 64461-82-1)
tramadol (27203-92-5, 36282-47-0)
warfarin (129-06-6, 2610-86-8, 3324-63-8, 5543-58-8, 81-81-2)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Adverse Reactions Titles (38)
Drug Literature Index (37)
Clinical and Experimental Pharmacology (30)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013465305
MEDLINE PMID
23306412 (http://www.ncbi.nlm.nih.gov/pubmed/23306412)
PUI
L369400282
DOI
10.3810/psm.2012.11.1985
FULL TEXT LINK
http://dx.doi.org/10.3810/psm.2012.11.1985
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 662
TITLE
Tobacco dependence treatment teaching by medical school clerkship
preceptors: Survey responses from more than 1000 US medical students
AUTHOR NAMES
Geller A.C.
Hayes R.B.
Leone F.
Churchill L.C.
Leung K.
Reed G.
Jolicoeur D.
Okuliar C.
Adams M.
Murray D.M.
Liu Q.
Waugh J.
David S.
Ockene J.K.
AUTHOR ADDRESSES
(Geller A.C., ageller@hsph.harvard.edu) Department of Social and Behavioral
Sciences, Harvard School of Public Health, United States.
(Hayes R.B.; Churchill L.C.; Leung K.; Reed G.; Jolicoeur D.; Liu Q.; Ockene
J.K.) Division of Preventive and Behavioral Medicine, University of
Massachusetts Medical School, Worcester, MA, United States.
(Leone F.) Department of Medicine, University of Pennsylvania, United
States.
(Okuliar C.; Adams M.) Georgetown University, United States.
(Waugh J.) University of Alabama at Birmingham, United States.
(Murray D.M.) Division of Epidemiology, Statistics, and Prevention Research
Eunice, Kennedy Shriver National Institute of Child Health and Human
Development, National Institutes of Health, United States.
(David S.) Stanford University School of Medicine, United States.
CORRESPONDENCE ADDRESS
A.C. Geller, Harvard School of Public Health, Kresge Building Room 718, 677
Huntington Avenue, Boston, MA 02115, United States. Email:
ageller@hsph.harvard.edu
SOURCE
Preventive Medicine (2013) 57:2 (81-86). Date of Publication: August 2013
ISSN
0091-7435
1096-0260 (electronic)
BOOK PUBLISHER
Academic Press Inc., 1250 Sixth Avenue, San Diego, California, United
States.
ABSTRACT
Objective: To determine factors associated with tobacco cessation counseling
in medical school clerkships. Methods: Third-year medical students at 10
medical schools across the United States completed a 100-item survey,
measuring the frequency with which they experienced their preceptors
providing clinical teaching components: clear instruction, feedback,
modeling behavior, setting clear objectives, and responding to questions
about tobacco dependence counseling as well as frequency of use of tobacco
prompts and office systems. Our primary dependent measure was student
self-reported skill level for items of tobacco dependence treatment (e.g.
"5As"). Results: Surveys were completed by 1213 students. For both family
medicine and internal medicine clerkships, modeling and providing clear
instruction on ways to provide tobacco counseling were reported most
commonly. In contrast, providing feedback and clear objectives for tobacco
dependence treatment lagged behind. Overall, students who reported
preceptors' provision of optimal clinical teaching components and office
system prompts in both family medicine and internal medicine clerkships had
higher self-reported skill (P < 0.001) than students with no exposure or
exposure during only one of the clerkships. Conclusions: Future educational
interventions intended to help students adopt effective tobacco dependence
treatment techniques should be engineered to facilitate these critical
precepting components. © 2013 Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
counseling
family medicine
human
internal medicine
medical school
medical student
outcome variable
priority journal
resident
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013453376
MEDLINE PMID
23623894 (http://www.ncbi.nlm.nih.gov/pubmed/23623894)
PUI
L52586044
DOI
10.1016/j.ypmed.2013.04.006
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2013.04.006
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 663
TITLE
Relations between attitude and practice of smoking and the training program
regarding tobacco control among community medical staff members in Hangzhou,
Zhejiang province
AUTHOR NAMES
Liu Q.-M.
Ren Y.-J.
Cao C.-J.
Liu B.
Lv J.
Li L.-M.
AUTHOR ADDRESSES
(Liu Q.-M.) Hangzhou Center for Disease Control and Prevention, Hangzhou
310021, China
(Ren Y.-J.) Hangzhou Center for Disease Control and Prevention, Hangzhou
310021, China
(Cao C.-J.) Hangzhou Center for Disease Control and Prevention, Hangzhou
310021, China
(Liu B.) Hangzhou Center for Disease Control and Prevention, Hangzhou
310021, China
(Lv J.) Department of Epidemiology and Biostatistics, School of Public
Health, Peking University Health Science Center
(Li L.-M.) Department of Epidemiology and Biostatistics, School of Public
Health, Peking University Health Science Center
SOURCE
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi (2013)
34:8 (770-773). Date of Publication: 1 Aug 2013
ISSN
0254-6450
ABSTRACT
OBJECTIVE: To investigate the relations between training and both the
attitude and practice on smoking control among community medical staff
members in Hangzhou, Zhejiang province.METHODS: Three representative
districts including Xiacheng, Gongshu and Westlake were chosen from Hangzhou
city. Questionnaire survey was applied to collect information from the
related community medical staff members. The survey mainly contained three
aspects: knowledge, attitude and practice regarding smoking control involved
in the community medical activities. Availability and application of the
resources on smoking cessation were also studied. Logistic regression
analysis was applied to explore the factors associated with the smoking
control training programs. Differences of rates between groups were assessed
with chi-square statistics. Wilcoxon rank sum test was used to study the
relationships among knowledge, attitude and practice related to smoking
control programs, targeted to the community medical staff members.RESULTS:
Eight hundred forty-six community medical workers were involved. Sixty-five
percent of the community medical staff members had learned related knowledge
on smoking control. Proportion of the community medical staff who had taken
lessons on smoking control with 3-10 working years was 1.77 times more than
the ones with experience less than two years (OR = 1.77, 95% CI: 1.25-2.51).
Eighty-eight point seven percent of the medical staff who had received
smoking control training programs were identified with the consciousness
that they should advise the patients to quit smoking, comparing to the
proportion 81.60% (Z=-2.87, P=0.00) in the control group. In terms of the
practice regarding smoking control, data showed that 21.62% of the medical
staff who had received smoking control training programs would provide 'how
to quit smoking' to more than 90% of the smoking patients, while the
proportion in the control group was 10.65% (Z = -5.68, P = 0.00). The use of
drugs, traditional Chinese medicine therapy and the smoking cessation
hotline rate were all less than 30%.CONCLUSION: The training programs being
used on smoking control seemed useful in improving the consciousness and
practice towards the smoking control programs during their medical
activities among the community medical staff members.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
in service training
prevention and control
psychology
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adult
attitude to health
female
human
male
medical staff
paramedical personnel
questionnaire
smoking
smoking cessation
LANGUAGE OF ARTICLE
Chinese
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24423760 (http://www.ncbi.nlm.nih.gov/pubmed/24423760)
PUI
L604068839
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 664
TITLE
Do Saudi medical students know enough about tobacco dependence? Findings
from three medical schools
AUTHOR NAMES
Jradi H.
Alshehri A.
AUTHOR ADDRESSES
(Jradi H.; Alshehri A.) King Saud Bin ABdulaziz University, Saudi Arabia.
CORRESPONDENCE ADDRESS
H. Jradi, King Saud Bin ABdulaziz University, Saudi Arabia.
SOURCE
European Journal of Epidemiology (2013) 28:1 SUPPL. 1 (S228). Date of
Publication: August 2013
CONFERENCE NAME
EuroEpi 2013 and NordicEpi 2013: Non-Communicable Disease Epidemic:
Epidemiology in Action
CONFERENCE LOCATION
Aarhus, Denmark
CONFERENCE DATE
2013-08-11 to 2013-08-14
ISSN
0393-2990
BOOK PUBLISHER
Springer Netherlands
ABSTRACT
Background: Tobacco smoking is the leading cause of preventable death
worldwide. Educating and training medical students about tobacco dependence
prevention and treatment will prepare them as future physicians for the task
of helping smokers quit. To date, in Saudi Arabia, little is known about
medical students' knowledge on this topic. Methods: This study was conducted
among 237 medical students from three medical schools. Students were asked
to complete a 55-item questionnaire about the knowledge of smoking
epidemiology, practice of smoking cessation, knowledge of treatment of
nicotine addiction, and knowledge of the benefits of smoking cessation.
Results: The majority of the surveyed students do not have adequate
knowledge about the epidemiology of smoking (8.6 % estimated within the
acceptable range the prevalence of smoking among adults in Saudi Arabia).
Students demonstrated a below average knowledge of the health risks
associated with tobacco use (average score 53 %; SD = 11.6), a fair
understanding of the benefits of smoking cessation (76.3 % knew that
stopping smoking reduced risk of premature death), and insufficient
information about treatment of nicotine addiction (only 52.8 % knew that a
provider should ask about smoking status at every visit and 81.6 % falsely
thought that NRT is contraindicated for cardiovascular disease). No more
than 20.9 % of the respondents thought they were adequately prepared to
counsel/ advise their patients to quit smoking Conclusions: These findings
suggest that medical students in Saudi Arabia are not well informed and
trained in tobacco dependence and treatment. It is necessary to address this
deficit by prioritizing these topics in medical education curricula.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
epidemic
epidemiology
human
medical school
medical student
non communicable disease
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
cardiovascular disease
curriculum
death
health hazard
medical education
patient
physician
prevalence
prevention
questionnaire
risk
Saudi Arabia
smoking
smoking cessation
student
tobacco use
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71301271
DOI
10.1007/s10654-013-9820-0
FULL TEXT LINK
http://dx.doi.org/10.1007/s10654-013-9820-0
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 665
TITLE
Training in addiction medicine
ORIGINAL (NON-ENGLISH) TITLE
Verslavingsartsen opleiden
AUTHOR NAMES
De Jong C.A.J.
Luycks L.
Delicat J.-W.
AUTHOR ADDRESSES
(De Jong C.A.J., nispa.dejong@gmail.com; Luycks L.; Delicat J.-W.) Radboud
Universiteit Nijmegen, Afd. SPON Postdoctorale Opleidingen, Nijmegen,
Netherlands.
(De Jong C.A.J., nispa.dejong@gmail.com) Nijmegen Institute for Scientist
Practitioners in Addiction, Netherlands.
CORRESPONDENCE ADDRESS
C.A.J. De Jong, Radboud Universiteit Nijmegen, Afd. SPON Postdoctorale
Opleidingen, Nijmegen, Netherlands. Email: nispa.dejong@gmail.com
SOURCE
Nederlands Tijdschrift voor Geneeskunde (2013) 157:24. Date of Publication:
2013
ISSN
0028-2162
BOOK PUBLISHER
Bohn Stafleu van Loghum, P.O. Box 75971, Amsterdam, Netherlands.
ABSTRACT
The treatment of addiction is a skill. It not only requires the necessary
specialist medical knowledge but a wide range of communication skills as
well. Both facets are explicitly covered in the two-year postgraduate
program on addiction medicine at Radboud University Nijmegen, the
Netherlands. In September 2013, this competency-based full-time training
will be offered for the fifth time.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
article
human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Dutch
LANGUAGE OF SUMMARY
English, Dutch
EMBASE ACCESSION NUMBER
2013444583
MEDLINE PMID
23714292 (http://www.ncbi.nlm.nih.gov/pubmed/23714292)
PUI
L369331473
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 666
TITLE
Case-based online training to improve knowledge and attitudes about safe
opioid prescribing
AUTHOR NAMES
Tanner B.
AUTHOR ADDRESSES
(Tanner B., tanner@clinicaltools.com) Clinical Tools, Inc, United States.
CORRESPONDENCE ADDRESS
B. Tanner, Clinical Tools, Inc, United States. Email:
tanner@clinicaltools.com
SOURCE
Journal of Addiction Medicine (2013) 7:4 (E3). Date of Publication:
July-August 2013
CONFERENCE NAME
Med-Sci 2013
CONFERENCE LOCATION
Queenstown, New Zealand
CONFERENCE DATE
2013-08-26 to 2013-08-28
ISSN
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Summary: Improving knowledge about opioid medications and attitudes towards
patients with addiction is essential to ensuring proper prescribing of
prescription opioids. With funding from NIDA we created and evaluated a
web-based training program for primary care providers on the proper way to
safely and appropriately prescribe opioidmedications for pain. The
interactive case-based learning experience alters practice behavior and
improves clinical decision making via patient case scenarios. Methods:
Learners complete a pre/post test of clinical skill measures, as well as
attitude and intended behavior surveys. The experience meets the requirement
of AMA PRA Category 1 Credit (tm). Data from 47 professionals has been
analyzed. For professionals, there was significant improvement in the
knowledge from pre- to post-core training program (p < 0.01). Positive
behavior changes indicated a willingness to use urine drug screens and
treatment agreements, although only 80% of participants report intent to
use. After the program, 98% of providers recognized that addiction is not
inevitable if appropriate safeguards are taken, a 30% increase. Results: We
are now evaluating a sister program targeted towards medical students.
Preliminary results suggest that training may be able to similarly influence
attitude and improve knowledge for providers in training as well. Data
collection from residents and students will conclude in Spring 2013 and
results will be presented. Conclusion: A web-based skills training
curriculum can improve necessary knowledge and skills related to safe
prescribing of opioids for chronic pain. Our ongoing studies will compare
the impact of a prescription opioid curriculum at different points in
physician training.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
primary medical care
EMTREE MEDICAL INDEX TERMS
addiction
behavior change
chronic pain
clinical decision making
curriculum
drug therapy
funding
human
information processing
learning
medical student
pain
patient
physician
prescription
skill
student
training
urine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71280677
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 667
TITLE
Lifestyle and depressive risk factors associated with problematic internet
use in adolescents in an Arabian Gulf culture
AUTHOR NAMES
Bener A.
Bhugra D.
AUTHOR ADDRESSES
(Bener A., abener@hmc.org.qa) Department of Medical Statistics and
Epidemiology, Hamad Medical Corporation, Weill Cornell Medical College, PO
Box 3050, Doha, Qatar.
(Bener A., abener@hmc.org.qa) Evidence for Population Health Unit, School of
Epidemiology and Health Sciences, University of Manchester, Manchester,
United Kingdom.
(Bhugra D.) Section of Cultural Psychiatry, Institute of Psychiatry, King's
College London, London, United Kingdom.
CORRESPONDENCE ADDRESS
A. Bener, Department of Medical Statistics and Epidemiology, Hamad Medical
Corporation, Weill Cornell Medical College, PO Box 3050, Doha, Qatar. Email:
abener@hmc.org.qa
SOURCE
Journal of Addiction Medicine (2013) 7:4 (236-242). Date of Publication:
July-August 2013
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Background: The use of the Internet has increased around the world but more
so in the Middle Eastern countries, particularly in the Arabian Gulf region.
This has also produced problematic Internet use (PIU) with potential
detrimental effects on physical, mental, and psychosocial health. Aim: To
determine the prevalence of PIU and its association with Beck Depression
Inventory (BDI), comorbid, and lifestyle factors among adolescent and young
adult (12- to 25-year-old) Qatari population. Design: A cross-sectional
survey. Setting: All public and private schools and university under the
Supreme Council of Education and Higher Education in Doha, Qatar. Subjects
and Methods: A total of 3000 students (12-25 years of age) were selected
through multistage stratified random sampling from public and private
schools and university under the overall administration of Qatar Supreme
Council of Education. Among them, 2298 students (76.6%) consented to
participate in the study during September 2009 to October 2010. Data were
collected using a structured questionnaire including sociodemographic
details, lifestyle, and dietary habits. Problematic Internet use and
depressive tendencies were measured through validated Internet Addiction
Test (IAT) and BDI. Results: Of 2298, 71.6% were males and 28.4% were
females. The overall prevalence of PIU was 17.6%. This study revealed that a
significantly larger proportion of males (64.4%; P = 0.001) and Qatari
students (62.9%; P < 0.001) had PIU. Students with PIU slept significantly
less number of hours (6.43 ± 1.70) than non-PIU group (6.6 ± 1.80; P =
0.027). The proportion of students participating in moderate physical
activity was significantly lower among those with PIU than in other group
(47.8% vs 55.7%; P = 0.005). Qatari nationality (odds ratio [OR] = 1.82; P <
0.001), male sex (OR = 1.40; P < 0.001), having nonworking mother
(housewife) (OR = 1.34; P = 0.009), eating fast foods (OR = 1.57; P <
0.001), and BDI score (OR = 1.14; P = 0.003) were positively associated with
PIU, whereas moderate and mild physical activity were negatively associated
with PIU (OR = 0.73, P = 0.002; OR, 0.77, P = 0.003, respectively).
Conclusions: This study adds to the growing body of evidence linking PIU
with negative lifestyle and depressive risk factors, among vulnerable
adolescent and young adult. Problematic Internet use is becoming a
significant public health issue that requires urgent attention. Copyright ©
2013 American Society of Addiction Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression
internet addiction
lifestyle
risk factor
EMTREE MEDICAL INDEX TERMS
adolescent
adult
Arabian
article
comorbidity
controlled study
disease association
eating habit
ethnic group
female
human
Internet
male
outcome assessment
physical activity
prevalence
priority journal
risk assessment
scoring system
sex ratio
social aspect
student recruitment
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013728187
MEDLINE PMID
23666321 (http://www.ncbi.nlm.nih.gov/pubmed/23666321)
PUI
L370296737
DOI
10.1097/ADM.0b013e3182926b1f
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e3182926b1f
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 668
TITLE
Education and training in psychiatry in the U.K
AUTHOR NAMES
Carney S.
Bhugra D.K.
AUTHOR ADDRESSES
(Carney S.; Bhugra D.K.) Institute of Psychiatry, HSRD, London, U.K
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2013) 37:4 (243-247). Date of Publication: 1 Jul 2013
ISSN
1545-7230 (electronic)
ABSTRACT
BACKGROUND/OBJECTIVE: Recent training and education changes have raised
important issues in delivery of psychiatric education at all levels. In this
article, the authors describe the current status of mental health education
in the training of all doctors and postgraduate training and education in
psychiatry in the U.K.METHOD: The authors explore and describe some of the
initiatives that are being used in order to increase exposure to mental
health placements in the Foundation Program, and they then describe the
existing specific mental health opportunities within general practice and
other specialist training programs.DESCRIPTION: After graduation from
medical school, a two-year Foundation training program is a must, and, at
the end of the first year, trainees become eligible for full registration
with the "regulator," the General Medical Council; after finishing the
second year, they become eligible to undertake specialist training.
Psychiatry training takes up to 6 years, and six specialties are recognized
as leading to certificates for completion of training before independent
practice. These six specialties are 1) general and community; 2) child and
adolescent; 3) medical psychotherapy; 4) forensic psychiatry; 5) psychiatry
of old age; and 6) psychiatry of learning disability. Also, three
subspecialties-liaison psychiatry, addictions, and rehabilitation-form a
part of the training in general and community psychiatry.CONCLUSIONS: The
authors discuss advantages and disadvantages of such an approach and raise
key issues related to ongoing work to improve recruitment, progression, and
retention of trainee psychiatrists.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
procedures
EMTREE MEDICAL INDEX TERMS
education
general practice
human
medical education
psychiatry
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23820908 (http://www.ncbi.nlm.nih.gov/pubmed/23820908)
PUI
L602278719
DOI
10.1176/appi.ap.12060109
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.12060109
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 669
TITLE
Education and training in psychiatry in the U.K.
AUTHOR NAMES
Carney S.
Bhugra D.K.
AUTHOR ADDRESSES
(Carney S.) Institute of Psychiatry, HSRD, London, U.K.
(Bhugra D.K.)
CORRESPONDENCE ADDRESS
S. Carney, Institute of Psychiatry, HSRD, London, U.K.
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2013) 37:4 (243-247). Date of Publication: 1 Jul 2013
ISSN
1545-7230 (electronic)
ABSTRACT
Recent training and education changes have raised important issues in
delivery of psychiatric education at all levels. In this article, the
authors describe the current status of mental health education in the
training of all doctors and postgraduate training and education in
psychiatry in the U.K. The authors explore and describe some of the
initiatives that are being used in order to increase exposure to mental
health placements in the Foundation Program, and they then describe the
existing specific mental health opportunities within general practice and
other specialist training programs. After graduation from medical school, a
two-year Foundation training program is a must, and, at the end of the first
year, trainees become eligible for full registration with the "regulator,"
the General Medical Council; after finishing the second year, they become
eligible to undertake specialist training. Psychiatry training takes up to 6
years, and six specialties are recognized as leading to certificates for
completion of training before independent practice. These six specialties
are 1) general and community; 2) child and adolescent; 3) medical
psychotherapy; 4) forensic psychiatry; 5) psychiatry of old age; and 6)
psychiatry of learning disability. Also, three subspecialties-liaison
psychiatry, addictions, and rehabilitation-form a part of the training in
general and community psychiatry. The authors discuss advantages and
disadvantages of such an approach and raise key issues related to ongoing
work to improve recruitment, progression, and retention of trainee
psychiatrists.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
psychiatry
EMTREE MEDICAL INDEX TERMS
article
education
general practice
human
methodology
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23820908 (http://www.ncbi.nlm.nih.gov/pubmed/23820908)
PUI
L563041411
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 670
TITLE
[Comorbidity in organic depressive disorders in patients Specialist Hospital
Dr. J. Babinski in Cracow in the years 2008-2010].
ORIGINAL (NON-ENGLISH) TITLE
Współchorobowość w organicznych zaburzeniach depresyjnych u pacjentów
Szpitala Specjalistycznego im. Dr. J. Babińskiego w Krakowie w latach
2008-2010.
AUTHOR NAMES
Noga M.
Gruszczyński W.
AUTHOR ADDRESSES
(Noga M.) Szpital Specjalistyczny im. dr. J. Babińskiego w Krakowie, Oddzial
Leczenia Alkoholowych Zespołów Abstynencyjnych.
(Gruszczyński W.)
CORRESPONDENCE ADDRESS
M. Noga, Szpital Specjalistyczny im. dr. J. Babińskiego w Krakowie, Oddzial
Leczenia Alkoholowych Zespołów Abstynencyjnych. Email: monika0510@wp.pl
SOURCE
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego (2013)
35:205 (43-46). Date of Publication: Jul 2013
ISSN
1426-9686
ABSTRACT
With age occurs the aging central nervous system, and therefore increases
the risk of mental disorders in this medium, including depressive disorders.
In particular, a large proportion of depressive disorders in the organic
substrate is observed in people over 65 years of age. Literature says that
in this age group as 15-30% of people receiving assistance from family
doctors have diagnosed depression. THE AIM OF THE STUDY was to investigate
the comorbidity in patients with a diagnosis of organic depression. We
analyzed 227 medical records of diagnosed depressive disorders coexisting
with other organic mental disorders in patients hospitalized in 2008-2010 in
the Specialist Hospital Dr. J. Babiński in Cracow. We analyzed the medical
records of outpatient treatment of the above. Analyses were made medical
history by questionnaire of our own design. It has been shown that in the
organic comorbidity depressive disorders related in most men, between 60 and
70 years of age. Most were people about the origin of the workers and
peasants, mainly in vocational education. Every second person was unmarried.
The subjects usually receive disability benefits and retirement. The organic
depressive disorders frequently co-exist: the teams dementia, anxiety,
personality disorders, delusional teams. The subjects were mainly dependent
on alcohol and sedative drugs from the group of benzodiazepines. In every
other test persons experienced cardiovascular disease. Among patients
diagnosed with alcohol dependence disorder typical of taking psychoactive
substances such as liver, pancreas, gastrointestinal tract. The treatment
was particularly detrimental in people addicted to drugs. In the study
population were two main groups of comorbid namely to psychoactive drugs and
mental disorders not related with dependence on psychoactive substances.
Comparative analysis of the dynamics of the disease has a significant
adverse course and prognosis in children with addiction. In both groups,
somatic concern comorbidity cardiovascular disease and in the control group
significantly frequent somatic disorders typical of alcoholics (liver,
pancreas).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (diagnosis, epidemiology)
mental disease (diagnosis, epidemiology)
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
aged
alcoholism (epidemiology)
anamnesis
article
cardiovascular disease (epidemiology)
comorbidity
female
human
male
marriage
mental hospital
middle aged
Poland
questionnaire
retirement
sex difference
sex ratio
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
23984605 (http://www.ncbi.nlm.nih.gov/pubmed/23984605)
PUI
L370194363
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 671
TITLE
Factors that affect the effectiveness of teachers in implementing prevention
programs
AUTHOR NAMES
Iliopoulou L.
Koutras V.
Fidi E.
Komninou K.
Gonta S.
Basogianni V.
AUTHOR ADDRESSES
(Iliopoulou L.; Fidi E.; Komninou K.; Gonta S.; Basogianni V.) Center of
Addiction Prevention and Promotion of Psychosocial Health Schedia, Ioannina,
Greece.
(Koutras V.) University of Ioannina, Department of Preschool Education,
Ioannina, Greece.
CORRESPONDENCE ADDRESS
L. Iliopoulou, Center of Addiction Prevention and Promotion of Psychosocial
Health Schedia, Ioannina, Greece.
SOURCE
European Child and Adolescent Psychiatry (2013) 22:2 SUPPL. 1 (S292-S293).
Date of Publication: July 2013
CONFERENCE NAME
15th International Congress of European Society for Child and Adolescent
Psychiatry, ESCAP 2013
CONFERENCE LOCATION
Dublin, Ireland
CONFERENCE DATE
2013-07-06 to 2013-07-10
ISSN
1018-8827
BOOK PUBLISHER
D. Steinkopff-Verlag
ABSTRACT
Introduction: The center of addiction prevention and promotion of
psychosocial health “Schedia” applies programs for the prevention of
addictions to students of all educational levels. The main object of the
programs is to enable students to develop, or reinforce basic individual and
social skills, which will help them cope with difficult situations, and will
change their attitudes against drug use. Objectives: The present study
investigates factors that reinforce the effectiveness of programs which are
implemented by teachers. Method: Prevention programs are carried out by
teachers who have already been educated to apply prevention programs in
groups. Their training contains seminars on health education, drug-use
prevention, issues concerning drug psychopharmacology and epidemiology, and
practice on experiential techniques. Teachers who finally apply prevention
programs are supervised by a specialist from the Center, and they work out
together both the progress, and the difficulties, or questions which arise
as the program goes on. The data of the present study were collected by
individual interviews taken from headmasters, teachers, and the Center's
specialists. For the qualitative analysis of the interviews the approach of
“ground theory” was used. Results: Analysis showed that although teachers
are often considered as the most suitable to implement such programs because
of their close relationship and constant contact with the students, in some
cases they cannot meet the requirements of the program because: (1) they
have rigid convictions about the educational techniques and their
relationship with the students, (2) they usually have difficulties in
applying experiential techniques, (3) there are difficulties in committing
themselves to carry out a program as a whole, (4) prevention programs are
not often incorporated within the school program. These problems can be
minimized by: (1) Careful selection of teachers, examination of motivation,
flexibility in the adoption of practices of experiential and group-centered
education, personal consistency and commitment, previous training and
expertise, review of participation through evaluation, (2) consistent and
continuous supervision by the scientific staff of the Center, (3)
integration of programs in the educational program and the school life, with
parallel interventions for parents. Conclusion: Scientifically evaluated
programs should include continuous training and supervision of teachers in
order to be effective and to have high quality in their implementation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child
child psychiatry
health education
human
prevention
society
student
teacher
EMTREE MEDICAL INDEX TERMS
addiction
drug use
education
epidemiology
examination
health
interview
medical specialist
motivation
parent
psychopharmacology
qualitative analysis
school
social adaptation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71240518
DOI
10.1007/s00787-013-0423-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s00787-013-0423-9
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 672
TITLE
[Long-term prescription of benzodiazepines and non-benzodiazepines].
ORIGINAL (NON-ENGLISH) TITLE
Langzeitverschreibung von Benzodiazepinen und Non-Benzodiazepinen.
AUTHOR NAMES
Verthein U.
Martens M.S.
Raschke P.
Holzbach R.
AUTHOR ADDRESSES
(Verthein U., u.verthein@uke.uni-hamburg.de) Zentrum für Interdisziplinäre
Suchtforschung der Universität Hamburg, Universitätsklinikum
Hamburg-Eppendorf, Hamburg.
(Martens M.S.; Raschke P.; Holzbach R.)
CORRESPONDENCE ADDRESS
U. Verthein, Zentrum für Interdisziplinäre Suchtforschung der Universität
Hamburg, Universitätsklinikum Hamburg-Eppendorf, Hamburg. Email:
u.verthein@uke.uni-hamburg.de
SOURCE
Gesundheitswesen (Bundesverband der Ärzte des Öffentlichen
Gesundheitsdienstes (Germany)) (2013) 75:7 (430-437). Date of Publication:
Jul 2013
ISSN
1439-4421 (electronic)
ABSTRACT
The number of persons with a dependence on prescription drugs such as
sedatives or tranquilizers in Germany is estimated at between 1.4 and 1.9
million. According to national addiction treatment documentations only very
few of them seek help in specialised treatment services. The majority of
prescription drug-dependent people use benzodiazepines. This medication is
usually prescribed by physicians and according to German guidelines it
should be prescribed only for limited, short periods and in low doses. This
study aims to determine the extent of the problematic prescription of
benzodiazepines and non-benzodiazepines. We used prescription data from the
Northern Germany Computing Centre for Pharmacies registered between 2005 and
2007. For the German regions of Hamburg, Bremen and Schleswig-Holstein,
benzodiazepine prescriptions during an individual prospective period of 12
months were analysed. From July 2005 to June 2006, 294 143 prescriptions of
benzodiazepines and non-benzodiazepines were recorded for 78 456 citizens of
Hamburg and billed at the expenses of the governmental health insurance
funds. In the course of one observed patient year, 51.1% of benzodiazepine
prescriptions were in accordance with the German guidelines. 15.6% of the
patients were supplied on a long-term basis (0.5-1 DDD during at least 2
months). Prescriptions for women and persons older than 70 years were
disproportionately high. Compared with the Federal states of Bremen and
Schleswig-Holstein, Hamburg does not show an exceptional position. The
prescription of benzodiazepines which is not in accordance with the relevant
national guidelines is widespread and calls for discussion and education
among physicians and pharmacists. Furthermore, professional addiction
services should reconsider ways to help and attract prescription
drug-dependent people to cover their needs, as their numbers will grow in an
aging society. © Georg Thieme Verlag KG Stuttgart · New York.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine derivative
tranquilizer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
inappropriate prescribing
prescription
register
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
female
Germany (epidemiology)
human
male
middle aged
practice guideline
standard
statistics
very elderly
young adult
LANGUAGE OF ARTICLE
German
MEDLINE PMID
22864843 (http://www.ncbi.nlm.nih.gov/pubmed/22864843)
PUI
L563041536
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 673
TITLE
Do reductions in drinking wear off? Examining alcohol use patterns in an
sbirt control group over 30 months
AUTHOR NAMES
Johnson A.
Dhabliwala J.
Seale P.
AUTHOR ADDRESSES
(Johnson A., johnson.aaron@mccg.org; Dhabliwala J.; Seale P.) Medical Center
of Central Georgia, United States.
CORRESPONDENCE ADDRESS
A. Johnson, Medical Center of Central Georgia, United States. Email:
johnson.aaron@mccg.org
SOURCE
Journal of Addiction Medicine (2013) 7:4 (E5). Date of Publication:
July-August 2013
CONFERENCE NAME
Med-Sci 2013
CONFERENCE LOCATION
Queenstown, New Zealand
CONFERENCE DATE
2013-08-26 to 2013-08-28
ISSN
1932-0620
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Summary: Screening, brief intervention and referral to treatment (SBIRT) for
risky drinking has been shown to be effective in reducing patients alcohol
use. SBIRT studies often report significant alcohol use reductions in
control groups that may result from the assessment, the event that led to
the healthcare visit, a Hawthorne effect/social desirability, or regression
to the mean. This study examines whether decreases in alcohol use found in
control groups represent short-term changes in drinking or are sustained
over an extended period of time. Methods: Patients presenting to an
emergency department in Georgia between February andApril 2009were enrolled
as control group participants (n=893). Participants received a 15 minute
assessment by a health education specialist, and a list of local addiction
treatment resources. Telephone follow-up interviews were completed with
participants at 6, 18, and 30 months to identify changes in substance use.
Data were analyzed using Linear Mixed Models. Results: Results show the
expected decrease between baseline and 6 months on both major alcohol use
measures, past 30 day drinking days (8.69 days to 5.75 days) and past 30 day
binge drinking days (6.03 days to 3.91 days). Past 30 day drinking days
declined further at 18 and 30 months (5.12 days and 5.12 days), while past
30 day binge drinking days showed ongoing decline across this period (2.93
days at 18 months, 2.17 days at 30 months). Conclusion: These findings
suggest that the reductions in alcohol use patterns commonly seen among
control group participants in SBIRT studies may represent long-term changes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
control group
drinking
emergency ward
EMTREE MEDICAL INDEX TERMS
addiction
binge drinking
follow up
health care
health education
human
interview
medical specialist
model
patient
screening
substance use
telephone
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71280682
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 674
TITLE
Meeting report of the European histamine research society
AUTHOR NAMES
Sturman G.
AUTHOR ADDRESSES
(Sturman G., gill.sturman@virgin.net) Department of Pharmacology and
Therapeutics, School of Biomedical and Health Sciences, Kings College
London, London, United Kingdom.
CORRESPONDENCE ADDRESS
G. Sturman, Department of Pharmacology and Therapeutics, School of
Biomedical and Health Sciences, Kings College London, London, United
Kingdom. Email: gill.sturman@virgin.net
SOURCE
Inflammation Research (2013) 62 SUPPL. 1 (S2-S3). Date of Publication: July
2013
CONFERENCE NAME
42nd Annual Meeting of the European Histamine Research Society
CONFERENCE LOCATION
Lodz, Poland
CONFERENCE DATE
2013-05-08 to 2013-05-11
ISSN
1023-3830
BOOK PUBLISHER
Birkhauser Verlag Basel
ABSTRACT
This year's meeting was in Lodz, Poland at the kind invitation of Agnieszka
Fogel. This is the fourth time that histaminologists have meet in Lodz; the
previous meetings were in 1978 and 1998 as well as hosting the very first
informal meeting of the 'Histamine Club' in 1971. This year's meeting was
held in the Ambasador Centrum Hotel which is situated in the centre of the
city of Lodz, close to shopping malls and leisure centres. The world famous
Piotrkowska Street with its numerous pubs and restaurants was only 5 mins
walking distance away but there was virtually no time to explore these
places as the meeting was packed full of interesting communications. This
year there were 88 people registered and they represented 23 countries
(mostly from Europe but also from the USA, South America, Japan as well as
some other Eastern countries). Some regular attendees could not attend and
they were missed but a big welcome was made to all the new visitors, who we
hope will return to future meetings. Most of the delegates arrived on the
Wednesday. The Council met as usual late afternoon. During this meeting we
heard that the luggage of one of the delegates had been left by mistake at
Warsaw airport and the airport was about to be evacuated thinking it may be
a bomb. Fortunately the case was collected by its owner and the panic was
over! Then there was the Welcome Reception which was different in that it
was a set meal with everyone seated. However, it did not stop old friends
being greeted and new ones made. Thursday started with the Opening Ceremony
for the 42nd meeting of our society and we were welcomed by our hostess,
Agnieszka Fogel and the Dean of the Medical Faculty on behalf of the Medical
University of Lodz. To the delight of everyone and with the aid of
technology, we were able to be 'joined up' by Skype with our president, Paul
Chazot who thanked Anita Sydbom for stepping into 'his shoes' but he also
told us that his recovery would take several months. After Anita had given
us her welcoming talk the student bursaries were given out; certificates and
cheques (€500 for each) to seven student members. The El-Sayed Assem family
very kindly sponsored one student while the rest were from our society. Then
there was the presentation of Honorary Membership to our hostess, Professor
W. Agnieszka Fogel. Wilfred Lozenz, himself an Honorary Member, gave the
laudation to Agnieszka who was then presented with a certificate beautifully
written in Latin and sporting the society's official seal. Then there was
the first of the invited lectures given by Pertti Panula (Finland) and
introduced by Beatrice Passani (Italy). The lecture was entitled 'Histamine
and Addiction: From behaviour to neurotransmitter interactions'. After this
very interesting lecture, there was coffee break which gave us time to start
looking at the posters which were displayed around the lecture room. When we
commenced again, we had more communications on the role of histamine in the
CNS. Some of these were very short oral presentations highlighting key
aspects of the various posters displayed. Then this session ended with us
listening to some piano music composed by the famous female Lodz composer,
Grazyna Bacewicz. After lunch, we then left Lodz on two coaches who drove us
south. We were driven through the flat arable countryside to Jasna Gora
where there is the famous Pauline Monastery containing the Shrine of Our
Lady of Czestochowa. Every year, millions of pilgrims visit this shrine to
the Virgin Mary to see the famous Black Madonna painting. We were taken
round the monastery by excellent guides who told us the history of the area,
pointed out various important features and treasures of the monastery. We
were able to see the 'Black Madonna' icon which is a unique example of a
combination of Byzantine art of the East with the Latin culture of the West.
Then back on the coaches to the Gold Inn at Kruszow where we were given a
typical Polish dinner. The following day started with the second session on
'Histamine in the CNS' and the first lecture was given by Bill Wisden of
Imperial College London on the pivotal role histamine plays in the
sleep-wake cycle. This was followed by oral and then poster presentations.
'Histamine receptors' session then started with an invited lecture from
Armin Buschauer, (Germany) on the various approaches undertaken to produce
compounds with selective activity for the histamine H(2) and H(4) receptors.
This was followed by a number of communications all related to the
development of compounds with various activities at the different histamine
receptors. The final presentation before lunch was given by Rob Leurs, (The
Netherlands) who talked about their discovery process for histamine H(4)
receptor compounds emphasising that a better understanding can be achieved
by using good models and small fragments of compounds. After lunch, this
'Histamine and receptors' session continued with ten presentations but the
emphasis this time was on pharmacological and biochemical effects. A session
entitled Histamine and Cancer was given after the mid-afternoon break where
we listened to eight presentations on the involvement of histamine in cancer
and how the histamine H(4) receptor has been shown to suppress a number of
cancer cell lines and modified various gene expressions. In the evening we
were taken by coach to the Grand Theatre in Lodz to see the ballet 'Promised
Land'. This was a story of three ambitious men searching for their dreams of
prosperity by starting a modern textile factory together and it was full of
emotional extremes-a Dickensian tale of greed, exploitation, and betrayal.
In 1973 it was made into a film, directed by Andrzej Wajda, which was
nominated for an Oscar for Best Foreign Film. The music was composed by Gray
Veredon, Franz von Suppe and Michael Nyman. Saturday started with the
G.B.West lecture which was given by Satoshi Tanaka from Okayama University,
Japan and he was introduced by Agnieszka Fogel. He spoke about histamine
synthesis and its functions in murine mast cells. After this very
interesting lecture, Satoshi was presented with a copy of G.B. West's
autobiography. This was followed by a session entitled 'Histamine and Cells'
which centred on allergic conditions, mast cells and basophils. During this
session, the final invited lecture was given by Marek Jutel of Wroclaw,
Poland on 'the role of histamine signalling in pathomechanism on
non-specific IBD' and he was introduced by Madeleine Ennis who reminded us
that that Marek besides being a very good scientist was also a good singer
and dancer as we found out at the Sochi meeting in 2011. Then there were
nine more presentations including one where zebra fish were used as a model
and when asked why they were used, the answer was that they are cheaper than
zebras! Immediately after our lunch we listened to a couple of presentations
about two internet databases for the histamine H(4) receptor initiated from
the COST Action BM0806 which have been set up. These are invaluable to
anyone researching the histamine H(4) receptor field. Throughout the meeting
the poster committee had been working very hard and as usual had a difficult
task in identifying winning posters for the poster competition. Eventually
first prize was given to L. Kay et al. from Sheffield, UK with her poster
entitled 'Preliminary characterization of histamine receptor expression in
human lung mast cells', second to Y.Zhao et al. from Lyon, France with her
poster entitled 'Histaminergic tuberomamillary nucleus constitutes one of
the most important targets for the wake-promoting effect of orexin neurons
but not the exclusive one' and third prize went to M.Grosicki et al. from
Cracow, Poland with his poster entitled 'Eosinophil purification from
peripheral blood-study of different immunomagnetic cell sorting methods
efficiency'. The final oral session of our meeting was to listen to our
younger members (PhD students or not more than 3 year's post-doctoral
research) give their presentations for the EHRS Young Investigator Award. It
was another very difficult task for the judges in differentiating between
these six excellent presentations. This year it was decided that there would
be two joint winners: Maria Sundvik (Helsinki, Finland) and Ling Shan
(Amsterdam, The Netherlands). The other four young investigators-Anna
Gianlorenco from Sao Carlos, Brazil, Przemysław Rzodkiewicz of Warsaw,
Poland, Maki Michioki and Tomohiro Nakano both from Tokushima, Japan were
all highly commended. Then we held our General Assembly. Many thanks were
given to Anita for all her hard work in taking over Paul Chazot's
Presidential role whilst he is ill and everyone wished Paul a speedy
recovery. Our meeting ended with a traditional Polish Farewell Dinner
followed by our award ceremony. The certificates and prizes were given out.
Then as usual we had our singing session where we sung our EHRS Anthem
before saying 'au revoir' to our many 'histaminergic' friends. Our thanks
are given to all of the Polish histaminologists for the excellent meeting.
The next meeting will be held in Lyon, France (7-11 May, 2014) at the kind
invitation of Jian-Sheng Lin.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
histamine
EMTREE DRUG INDEX TERMS
armin
gold
histamine receptor
levonorgestrel
neurotransmitter
orexin
receptor
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
society
EMTREE MEDICAL INDEX TERMS
addiction
airport
allergy
awards and prizes
basophil
blood
bomb
Brazil
cancer cell culture
catering service
cell selection
central nervous system
ceremony
city
coffee
college
competition
dancing
data base
dream
eosinophil
error
Europe
female
Finland
France
friend
gene expression
Germany
histamine metabolism
hope
human
Internet
interpersonal communication
Italy
Japan
leisure
literature
lung
male
mast cell
meal
medical school
model
music
neoplasm
nerve cell
Netherlands
painting
PhD student
Poland
purification
receptive field
scientist
shoe
shopping
singing
sleep waking cycle
South America
student
technology
textile industry
United Kingdom
university
walking
zebra fish
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71335889
DOI
10.1007/s00011-013-0644-x
FULL TEXT LINK
http://dx.doi.org/10.1007/s00011-013-0644-x
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 675
TITLE
Nigerian medical students' opinions about individuals who use and abuse
psychoactive substances
AUTHOR NAMES
James B.O.
Omoaregba J.O.
AUTHOR ADDRESSES
(James B.O., bawojames@yahoo.com; Omoaregba J.O.) Department of Clinical
Services, Federal Neuro-Psychiatric Hospital, Benin City, Edo State,
Nigeria.
CORRESPONDENCE ADDRESS
B. O. James, Department of Clinical Services, Federal Neuro-Psychiatric
Hospital, Benin City, Edo State, Nigeria. Email: bawojames@yahoo.com
SOURCE
Substance Abuse: Research and Treatment (2013) 7 (109-116). Date of
Publication: 2013
ISSN
1178-2218
BOOK PUBLISHER
Libertas Academica Ltd., PO Box 300-874, Albany 0751, Mairangi Bay,
Auckland, New Zealand.
ABSTRACT
Substance use disorders are prevalent in Nigeria. The number of available
specialist health providers is inadequate to fill the treatment gap.
Interventions can be provided by nonspecialist health providers and have
been found to be beneficial. However, attitudes toward substance misuse and
misusers can impede the provision of this service. We aimed to determine
attitudes of medical trainees toward substance use by utilizing a modified
form of the Substance Abuse Attitude Scale (SAAS). Medical students (n =
200) had positive attitudes toward individuals who misuse psychoactive
substances. The medial students, however, preferred treatment to be offered
by trained specialists and held restrictive views regarding cannabis and
alcohol use. More positive attitudes were expressed by participants who were
male or had a lifetime history of psychoactive substance use. The role of
personal and family-related psychoactive substance use factors are probably
associated with attitudinal responses and would require further exploration.
© the author(s), publisher and licensee Libertas Academica Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
student attitude
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
age distribution
alcohol abuse
alcoholism (therapy)
article
assessment of humans
cannabis addiction
drug abuse pattern
drug dependence (therapy)
drug misuse
family history
family therapy
female
government regulation
group therapy
human
male
medical history
medical specialist
Nigeria
sex difference
Substance Abuse Attitude Scale
tobacco dependence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013345092
PUI
L369024709
DOI
10.4137/SART.S12129
FULL TEXT LINK
http://dx.doi.org/10.4137/SART.S12129
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 676
TITLE
A randomized control trial: training program of university students as
health promoters.
AUTHOR NAMES
Mendoza-Núñez V.M.
Mecalco-Herrera C.
Ortega-Ávila C.
Mecalco-Herrera L.
Soto-Espinosa J.L.
Rodríguez-León M.A.
AUTHOR ADDRESSES
(Mendoza-Núñez V.M.) Facultad de Estudios Superiores Zaragoza, Universidad
Nacional Autónoma de México (UNAM), Guelatao # 66, Col, Ejército de Oriente,
México, DF 09230, Mexico.
(Mecalco-Herrera C.; Ortega-Ávila C.; Mecalco-Herrera L.; Soto-Espinosa
J.L.; Rodríguez-León M.A.)
CORRESPONDENCE ADDRESS
V.M. Mendoza-Núñez, Facultad de Estudios Superiores Zaragoza, Universidad
Nacional Autónoma de México (UNAM), Guelatao # 66, Col, Ejército de Oriente,
México, DF 09230, Mexico. Email: mendovic@unam.mx
SOURCE
BMC public health (2013) 13 (162). Date of Publication: 2013
ISSN
1471-2458 (electronic)
ABSTRACT
Several studies have reported the following as determining factors for the
adoption of healthy lifestyles among undergraduate students: gender,
socioeconomic level, prior lifestyles, environment, parental lifestyles and
health status, career choice, and healthy support networks. However, these
factors are influenced by students' knowledge about healthy lifestyles. We
will carry out a randomized trial in a sample of 280 new undergraduate
students at the National Autonomous University of Mexico's Faculty of Higher
Studies-Zaragoza (FES-Zaragoza, UNAM). There will be an experimental group
(n = 140), comprising 20 students from each of the seven university
departments (careers); these students will receive training as university
student health promoters through an e-learning course. This course will
allow the topics necessary for such promoters to be reviewed. There will be
a control group (n = 140), comprising 20 students from each of the seven
departments (careers); these students will not undergo the training. Later,
the students who comply satisfactorily with the e-learning course will
replicate the course to 10 of their classmates. A healthy-lifestyle
questionnaire will be given to all the participants, and the parameters
established in the self-care card will be recorded before and after the
training. The study variables are as follows: (i) independent
variable-compliance with the e-learning course; (ii) dependent
variables-lifestyles changes prior to the educative intervention (including
healthy eating, physical activity, and addiction prevention) and parameters
related to health status established in self-care (including weight, body
mass index, waist circumference, and hip circumference). Data will be
analyzed using Student's t test and logistic regression analysis odds ratios
with 95% confidence intervals. The analysis of the open answers will be
carried out with ATLAS. ti 5.5 software. Health promotion among university
students should incorporate options that are feasible for and attractive to
students. Thus, as proposed in the present protocol, e-learning courses
offer excellent possibilities because they allow students to program their
learning in their available time without affecting their academic studies.
http://ISRCTN77787889.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
health behavior
health promotion
medical personnel
medical profession
EMTREE MEDICAL INDEX TERMS
article
controlled clinical trial
controlled study
health care quality
human
lifestyle
methodology
Mexico
psychological aspect
questionnaire
randomized controlled trial
university
CLINICAL TRIAL NUMBERS
ISRCTN (ISRCTN77787889)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23433061 (http://www.ncbi.nlm.nih.gov/pubmed/23433061)
PUI
L369034928
DOI
10.1186/1471-2458-13-162
FULL TEXT LINK
http://dx.doi.org/10.1186/1471-2458-13-162
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 677
TITLE
Internal medicine residents' training in substance use disorders
AUTHOR NAMES
Wakeman S.
Baggett M.
Campbell E.
Pham-Kanter G.
AUTHOR ADDRESSES
(Wakeman S.; Baggett M.) Massachusetts General Hospital, Boston, United
States.
(Wakeman S.; Campbell E.) Harvard Medical School, Boston, United States.
(Campbell E.; Pham-Kanter G.) Mongan Institute for Health Policy, Boston,
United States.
(Pham-Kanter G.) University of Colorado Anschutz Medical Campus, Denver,
United States.
CORRESPONDENCE ADDRESS
S. Wakeman, Massachusetts General Hospital, Boston, United States.
SOURCE
Journal of General Internal Medicine (2013) 28 SUPPL. 1 (S109-S110). Date of
Publication: June 2013
CONFERENCE NAME
36th Annual Meeting of the Society of General Internal Medicine, SGIM 2013
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2013-04-24 to 2013-04-27
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Resident physicians are the direct care providers for many
patients with Substance use disorders (SUD). Physicians have reported not
feeling competent to manage addiction. Lack of post-graduate training and
limited attending physician role modeling has been highlighted as reasons
for this lack of preparedness. METHODS: A survey was e-mailed to 184
internal medicine residents. The survey was designed to assess residents'
self-reported preparedness to diagnose and treat addiction, their evaluation
of the quality of instruction in addictions, and their knowledge of
addiction. RESULTS: Responses were obtained from 101 (55 %) of the
residents. Residents estimated that 22 % of inpatients were admitted for a
condition directly related to addiction and 26 % met criteria for substance
use disorder. 25 % of residents felt unprepared to diagnose addiction and 62
% felt unprepared to treat addiction. Only 13 % felt very prepared to
diagnose addiction. No residents felt very prepared to treat addiction.
Preparedness to diagnose or treat addiction did not differ significantly
across PGY level. 55 % rated the overall instruction in addictions as poor
or fair. In the outpatient clinical setting, 72 % of residents rated the
quality of addictions training as poor or fair. In the inpatient setting, 56
% rated the quality of instruction as poor or fair. No resident answered all
six knowledge questions correctly. Slightly more than half correctly
identified the mechanism of buprenorphine and 19 % correctly answered a
question regarding the use of naltrexone. 9 % of residents responded that
someone had expressed concern about their drinking or drug use. CONCLUSIONS:
Internal medicine residents provide care for a substantial population with
active substance use disorders, yet a quarter of residents feel unprepared
to diagnose addiction and 62 % feel unprepared to treat it. More than half
of residents rate the quality of instruction they receive related to
addiction as fair or poor. Structured and comprehensive addictions
curriculum and faculty development are needed to address the deficiencies of
the current training system. Characteristics of Survey Respondents Post
Graduate Year 1 Post Graduate Year 2 Post Graduate Year 3 All Post Graduate
Years Personal and Professional Characteristics % (N) Personal and
Professional Characteristics % (N) Personal and Professional Characteristics
% (N) Personal and Professional Characteristics % (N) Personal and
Professional Characteristics % (N) Gender Male 60 % (21) 44 % (16) 67 % (20)
56 % (57) Female 37 % (13) 53 % (19) 33 % (10) 42 % (42) Location of medical
school US 97 % (34) 89 % (32) 100 % (30) 95 % (96) Outside US 3 % (1) 11 %
(4) 0 % (0) 5 % (5) Plan career in general medicine Yes 11 % (4) 22 % (8) 30
% (9) 21 % (21) No 63 % (22) 67 % (24) 67 % (20) 65 % (66) Undecided 23 %
(8) 11 % (4) 3 % (1) 13 % (13) Practice Characteristics Mean (sd) Number of
inpatient admissions per day 4.7 (1.0) 4.8 (1.5) 4.7 (0.9) 4.8 (1.2)
Percentage of inpatients admitted for conditions related to addiction 19.6 %
(9.0) 23.9 % (13.0) 21.8 % (15.2) 21.8 % (12.6) Percentage of inpatients
admitted meeting criteria for substance abuse 24.3 % (10.4) 29.8 % (12.9)
23.2 % (12.5) 25.9 % (12.2) Number of clinic patients in panel b 61.9 (39.2)
76.3 (25.7) 79.6 (28.2) 72.3 (32.3) Percentage of clinic patients meeting
criteria for substance abuse c 13.7 % (9.3) 12.2 % (8.7) 11.2 % (7.4) 12.3 %
(8.5) Sample Size 35 36 30 101 a Number of respondents may not add up to
total sample size because of missing item responses. Percentages in each
category may not add up to 100 % because of missing item responses.
bIncludes six respondents who reported having zero clinic patients.
cIncludes only those respondents who reported having one or more clinic
patients.
EMTREE DRUG INDEX TERMS
buprenorphine
naltrexone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internal medicine
society
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
curriculum
drinking
drug use
female
gender
general practice
graduate
hospital
hospital patient
human
male
medical school
model
outpatient
patient
physician
population
resident
sample size
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71292849
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 678
TITLE
Implementation of a novel curriculum in social medicine and health advocacy
in internal medicine residency training
AUTHOR NAMES
McCormick D.
Stark R.
Jain P.
Bor D.
Pels R.
AUTHOR ADDRESSES
(McCormick D.; Stark R.; Jain P.; Bor D.; Pels R.) Cambridge Health
Alliance, Cambridge, United States.
(McCormick D.; Stark R.; Jain P.; Bor D.; Pels R.) Harvard Medical School,
Boston, United States.
CORRESPONDENCE ADDRESS
D. McCormick, Cambridge Health Alliance, Cambridge, United States.
SOURCE
Journal of General Internal Medicine (2013) 28 SUPPL. 1 (S466-S467). Date of
Publication: June 2013
CONFERENCE NAME
36th Annual Meeting of the Society of General Internal Medicine, SGIM 2013
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2013-04-24 to 2013-04-27
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
NEEDS AND OBJECTIVES: Physicians often identify social, political and health
care system level forces that produce inequalities in access to and quality
of care for socially disadvantaged patients; they can be highly effective
advocates in shaping health policy, health care delivery and the health of
the public. Yet most physicians are inadequately trained to take advantage
of their unique position to engage in advocacy to improve health care
systems. To address this training gap, we created an experiential required
curriculum in social medicine and health advocacy for primary care
residents. SETTING AND PARTICIPANTS: Each year, one third of the intern,
second and third year resident groups (n=8) in the internal medicine
residency training program participate together in a year-long didactic and
project-based curriculum at the Cambridge Health Alliance, a public
integrated health care system in Cambridge, Massachusetts. DESCRIPTION:
Participation in the social medicine and health advocacy curriculum is now a
program requirement, modeled after a highly successful one-month elective
offered for the past decade. It is delivered in 27 half day group sessions
over the course of a year; twenty different faculty members participate. The
sessions are equally divided between didactic and projectbased learning.
Didactic sessions are conducted as interactive lectures and workshops. They
cover topics such as health policy and financing, social determinants of
health, health challenges of specific vulnerable populations (such as the
poor, uninsured, immigrants, homeless persons, racial and ethnic minorities,
prisoners and people in resource-poor settings globally), theoretical
foundations of physician advocacy and principals of organizing for social
change. Two groups of four residents participate in a project-based learning
experience in which they identify a clinical or health care system barrier
to equitable health/medical care, conduct a literature review on these
barriers, formulate a solution to the problem identified and conduct an
advocacy campaign to realize the proposed solution. Projects selected by the
2012-2013 cohort focus on access to outpatient suboxone treatment for opiate
addiction and on residency training in the use of suboxone nationally.
EVALUATION: We measure the educational impact of the year-long curriculum,
with a 15-item survey designed to assess changes in residents' self-reported
knowledge and skills on aspects of social medicine and research-based
advocacy. We also assess changes in the likelihood of residents' intention
to incorporate advocacy in to their medical careers. The survey is
administered prior to and following completion of the curriculum and mean
changes in ratings for each item will be calculated. DISCUSSION / REFLECTION
/ LESSONS LEARNED: Increasingly, society recognizes physicians' professional
duty to advocate on behalf of patients, communities and the broader society.
The American Medical Association (AMA) has stated that physicians must
“advocate for the social, economic, educational, and political changes that
ameliorate suffering and contribute to human well-being”. Working
collaboratively with, and in large part motivated by the expressed
educational needs of residents in our program, we designed and implemented
this novel curriculum. Preliminary data suggest residents' feel that the
course helps then reconnect with the idealism that drew them to careers in
medicine and value this.
EMTREE DRUG INDEX TERMS
buprenorphine plus naloxone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
health
internal medicine
residency education
social medicine
society
EMTREE MEDICAL INDEX TERMS
community
ethnic group
financial management
health care delivery
health care policy
health care system
homelessness
human
immigrant
integrated health care system
learning
medical society
medically uninsured
non profit organization
opiate addiction
outpatient
patient
physician
primary medical care
prisoner
skill
social change
social determinants of health
training
United States
vulnerable population
wellbeing
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71293720
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 679
TITLE
An inter clerkship intensive on addiction among clerkship-year medical
students
AUTHOR NAMES
Tofighi B.
Lee J.D.
Szyld D.
McNeely J.
Rotrosen J.
Kim P.
Jay M.
AUTHOR ADDRESSES
(Tofighi B.; Lee J.D.; Szyld D.; McNeely J.; Rotrosen J.; Kim P.; Jay M.)
New York University, School of Medicine, New York, United States.
CORRESPONDENCE ADDRESS
B. Tofighi, New York University, School of Medicine, New York, United
States.
SOURCE
Journal of General Internal Medicine (2013) 28 SUPPL. 1 (S453-S454). Date of
Publication: June 2013
CONFERENCE NAME
36th Annual Meeting of the Society of General Internal Medicine, SGIM 2013
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2013-04-24 to 2013-04-27
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
NEEDS AND OBJECTIVES: Despite the high prevalence of substance use
disorders, medical students (MS) often lack adequate training in dealing
with addiction and its comorbidities. New York University School of
Medicine's (NYU SOM) curriculum reform committee developed a four-week
Addiction Interclerkship Intensive (ICI). The ICI aimed to integrate basic
and clinical addiction science, develop clinical reasoning and practical
skills, and expose MS to an interdisciplinary body of medical faculty.
Objectives were improved knowledge of addiction neurobiology, treatment
principles, and health systems, and improved self-efficacy and skills as
addiction treatment providers through practice-based learning. SETTING AND
PARTICIPANTS: NYU SOM MS in their 9th month of clinical clerkships
DESCRIPTION: The NYU SOM Office of Medical Education led an
interdisciplinary panel of faculty andMS clerkship directors to provide 29 h
of ICI training. Nationally, MS are exposed to less than 15 h of SU
training. Teaching modalities included plenary lectures, small group
workshops, objective structured clinical exams (OSCE), ultrasound (US)
guided vascular access workshop, clinical simulators, and at-home web-based
modules. Session topics included: an addiction basic science overview,
workshops in epidemiology, screening, treatment, and tobacco control, an
interactive session with Alcoholics Anonymous (AA) participants, a
prescription opioid pain and addiction OSCE, and simulations of pathologies
(upper gastrointestinal bleed (GIB), pneumonia, respiratory distress)
associated with addiction. Online surveys were completed after each
component using a 4-point Likert scale and queried open-ended suggestions
for improvement. EVALUATION: 34 faculty, 13 staff, and 17 actors conducted
the ICI involving 162 MS across 4 days. Assigned survey response rates were
100 %. Using a 4-point Likert scale, MS agreed or strongly agreed they were
more knowledgeable of: screening, diagnosing, counseling, and treating SU
patients (80 %); the behavioral effects of substance misuse (72 %); the
risks/benefits of chronic opioid pain management (77 %); selfefficacy of
referring patients to AA (86 %); developing a differential and plan for
upper GIB, pneumonia, and respiratory distress (63 %, 65 %, and 62 %); and
were more skilled at US guided vascular access (68 %). MS ratings (1-4) of
ICI components ranked their favorability from high to low: clinical
simulations (mean score, 3.5), US guided vascular access (3.49), OSCE case
(3.0), addiction treatment workshop (2.9), SU epidemiology (2.9), opioid
addiction (2.9), overview lecture of addiction (2.8), tobacco control (2.8),
and basic science review of SU (2.7). Thematic analysis of open-ended
responses suggested: MS participation in ICI planning, clinical case
presentations, and immediate OSCE feedback. DISCUSSION/REFLECTION/LESSONS
LEARNED: This curriculum was innovative for its interdisciplinary approach
in integrating several interactive teaching modalities. Strengths of the ICI
included skills-based OSCE and simulations, small group workshops, and
interdisciplinary faculty. Evaluation of this 4-day ICI MS intervention
appeared to demonstrate the acceptability of an addiction curriculum in
undergraduate medical education. Basic science and addiction research
lectures were rated less favorably. Our outcomes highlight prior addiction
education research findings suggesting the integration of experiential
learning in order to better develop students' skills for assessment and
intervention.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
human
internal medicine
medical student
society
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
analgesia
clinical education
counseling
curriculum
education
epidemiology
experiential learning
feedback system
health care
learning
Likert scale
medical education
medical school
neurobiology
pain
pathology
patient
planning
pneumonia
prescription
prevalence
respiratory distress
school
screening
self concept
simulation
simulator
skill
student
substance abuse
teaching
thematic analysis
tobacco
ultrasound
United States
university
vascular access
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71293690
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 680
TITLE
Effectiveness of an intervention to teach physicians in a middle-income
country how to help their patients quit smoking
AUTHOR NAMES
Mejia R.
Kaplan C.P.
Alderete M.
Peña L.
Gregorich S.
Schoj V.
Alderete E.
Perez-Stable E.J.
AUTHOR ADDRESSES
(Kaplan C.P.; Gregorich S.; Perez-Stable E.J.) Division of General Internal
Medicine, Department of Medicine, Medical Effectiveness Research Center for
Diverse PopulationsUCSF, San Francisco, United States.
(Mejia R.; Alderete M.; Peña L.; Schoj V.; Alderete E.) Universidad de
Buenos Aires, Centro de Estudios de Estado y Sociedad, Buenos Aires,
Argentina.
CORRESPONDENCE ADDRESS
R. Mejia, Universidad de Buenos Aires, Centro de Estudios de Estado y
Sociedad, Buenos Aires, Argentina.
SOURCE
Journal of General Internal Medicine (2013) 28 SUPPL. 1 (S69). Date of
Publication: June 2013
CONFERENCE NAME
36th Annual Meeting of the Society of General Internal Medicine, SGIM 2013
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2013-04-24 to 2013-04-27
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Physicians who routinely identify smokers and provide cessation
advice with or without pharmacological treatment, can increase the quit rate
of their patients. In Argentina, where 30 % of the adult population smokes,
fewer than 30 % of primary care physicians have received any training in
counseling patients on tobacco cessation. We tested whether a short
evidence-based intervention to teach physicians how to help their patients
who smoke quit, would result in higher cessation rates compared to usual
care in Argentina, a middle-income country. METHODS: General internists,
family physicians and gynecologists were recruited from five clinical
systems in the cities of Buenos Aires, La Plata and Olavarria (private
practices, HMOs, and public clinics) and randomized to intervention or usual
care. The physician intervention consisted of two three-hour sessions
including a standard didactic curriculum and referral resources designed to
teach them how to help patients quit smoking. Next, smoking patients who saw
participating physicians within 30 days of physician training (index visit)
were randomly sampled and interviewed by telephone at 1, 6 and 12 months
after their visit to the physician. No single physician had more than 6
patients sampled. The main outcome was tobacco abstinence at 6 and 12
months; secondary outcomes were number of quit attempts, cigarettes per day,
and use of pharmacological aides. Repeated measures on the same participants
were accommodated via Generalized Estimating Equations. RESULTS: 254
physicians (124 internists, 57 family physicians, 73 gynecologists) were
randomized; average age was 44.6 years, 52 % women and 12 % smoked. While 24
% reported no previous training on tobacco cessation, 41 % reported good or
excellent previous training. A total of 1,378 smoking patients were
surveyed; 81 % were women, 46 % had >12 years of education, 81 % had rated
their health status as good or excellent, and 63.1 % had access to Internet.
At 1 month, most (76 %) reported daily smoking, 21 % smoked some days and 3
% had already quit smoking. Mean number of cigarettes per day was 12.9
(SD=8.8) and 63 % thought they would quit within the next 6 months. Outcomes
at 6 months: Cessation Had Quit Attempt Used Meds Mean Cigs Intervention
13.8 % 12.2 % 9.9 % 12.4 Control 12.1 % 11 % 9.1 % 12.8 Quit rates at 12
months increased to 16 % in both groups; there was no intervention by month
effect at 6 months (χ(2) (df=2)=2.89, p=0.24. Pooling across intervention
groups, patients seen by internists or family physicians were more likely to
quit among daily and non-daily smokers (χ(2) (df=1)=13.6, p=0.0002 and (χ(2)
(df=1)=10.03, p=0.002, respectively). CONCLUSIONS: Providing standardized
training in tobacco cessation to physicians did not improved the cessation
rates among their patients at 6- 12 months. It is necessary to explore other
interventions to increase cessation rates of patients in primary care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
income
internal medicine
patient
physician
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
abstinence
adult
Argentina
city
counseling
curriculum
drug therapy
education
evidence based practice
female
general practitioner
gynecologist
health status
hospital
Internet
internist
population
primary medical care
private practice
smoke
smoking
telephone
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71292751
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 681
TITLE
Pharmacist-led clinician tobacco cessation education and the effects on
adherance to joint commission standards
AUTHOR NAMES
Willner M.A.
Cohen V.
Lum D.
Cassera F.
Caruso P.
AUTHOR ADDRESSES
(Willner M.A.; Cohen V.; Lum D.; Cassera F.; Caruso P.) Maimonides Medical
Center, 4802 Tenth Ave, Brooklyn, United States.
CORRESPONDENCE ADDRESS
M.A. Willner, Maimonides Medical Center, 4802 Tenth Ave, Brooklyn, United
States.
SOURCE
Journal of Pharmacy Practice (2013) 26:3 (301). Date of Publication: June
2013
CONFERENCE NAME
52nd Annual Assembly of the New York State Council of Health-system
Pharmacists, NYSCHP 2013
CONFERENCE LOCATION
Verona, NY, United States
CONFERENCE DATE
2013-05-02 to 2013-05-05
ISSN
0897-1900
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Tobacco addiction is a chronic disease that requires multiple interventions
and attempts for patients to quit. According to the Public Health Service's
Smoking Cessation Guidelines, tobacco use causes 435,000 deaths each year in
the United States and is a preventable chronic disease. 1 A recent
assessment by the Department of Health evaluating the current tobacco
cessation practices at our institution, a 700-bed tertiary care teaching
hospital, revealed a gap in care. To close this practice gap, we plan to
implement a two-phase pharmacist-led tobacco cessation program. The purpose
of this study is to evaluate the effectiveness of the pharmacist-led tobacco
cessation program in improving compliance with the current Joint Commission
Tobacco Use Standards. The first phase will involve the education of
clinicians (i.e. medical residents and attending physicians, nurse
practitioners, physician assistants, clinical pharmacists, and respiratory
therapists) on the topics of smoking cessation pharmacotherapy, Joint
Commission tobacco performance measures, and methods of patient counseling
to facilitate quitting attempts. The second phase of the implementation will
involve a computerized intervention document and computerized physician
order entry screens. The metrics collected regarding use of the intervention
document and smoking cessation therapy prescription will be used to assess
effectiveness in complying with the following Joint Commission standards:
screening for tobacco use, recommendations to quit by a care provider,
offering assistance with quitting using smoking cessation therapies,
counseling on smoking cessation and pharmacotherapy, and arranging follow-up
to assess smoking status 30-days after discharge. This project will address
the first phase of the aforementioned tobacco cessation program. The primary
study aim is to evaluate the effectiveness of pharmacist-led tobacco
cessation education to train clinicians to effectively screen, counsel, and
initiate evidence-based tobacco cessation therapy and meet the requirements
of the Joint Commission Tobacco Measure Set. To achieve these outcomes, a
clinical pharmacist will educate clinician groups and use a
pre-test/post-test model to assess their baseline knowledge and knowledge
after educational sessions. The projected number of clinicians to be
educated is 140. The projected number of patients to be affected by this
program through their care providers is 360. The mean pre-test score will be
compared to the mean post-test score by independent sample t-test. A P-Value
of <0.05 will denote statistical significant difference between the groups.
Descriptive statistics will be used to assess the pre-test and post-test
responses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
health care
human
pharmacist
tobacco
United States
EMTREE MEDICAL INDEX TERMS
chronic disease
computerized provider order entry
counseling
death
drug therapy
evidence based practice
follow up
health
model
nurse practitioner
patient
patient counseling
physician
physician assistant
prescription
public health service
respiratory therapist
screening
smoking
smoking cessation
statistical significance
statistics
Student t test
teaching hospital
tertiary health care
therapy
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71103197
DOI
10.1177/0897190013486091
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190013486091
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 682
TITLE
A randomized trial of two approaches to training veterans affairs (VA)
medical home healthcare providers on motivational interviewing for tobacco
cessation
AUTHOR NAMES
Fu S.
Roth C.
Battaglia C.
Nelson D.
Farmer M.
Do T.
Goldstein M.
Kavathekar R.
Widome R.
Hagedorne H.
Zillich A.
AUTHOR ADDRESSES
(Fu S.; Roth C.; Nelson D.; Do T.; Kavathekar R.; Widome R.; Hagedorne H.)
Minneapolis VA Health Care System, Minneapolis, United States.
(Zillich A.) Roudebush VA Medical Center, Indianapolis, United States.
(Battaglia C.) VA Eastern Colorado Health Care System, Denver, United
States.
(Farmer M.) VA Greater Los Angeles Health Care System, Los Angeles, United
States.
(Goldstein M.) VHA National Center for Health Promotion and Disease
Prevention, Durham, United States.
CORRESPONDENCE ADDRESS
S. Fu, Minneapolis VA Health Care System, Minneapolis, United States.
SOURCE
Journal of General Internal Medicine (2013) 28 SUPPL. 1 (S7-S8). Date of
Publication: June 2013
CONFERENCE NAME
36th Annual Meeting of the Society of General Internal Medicine, SGIM 2013
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2013-04-24 to 2013-04-27
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Tobacco cessation counseling from a clinician doubles a
patient's odds of quitting. Motivational interviewing (MI) is an effective
communication skill in tobacco cessation counseling, but strategies to train
providers on MI are needed. This study evaluated a high-intensity versus
moderate-intensity MI training program to improve delivery of tobacco
cessation care. METHODS: VA Patient Aligned Care Team (PACT) members at 2 VA
facilities were randomized to moderate- or high-intensity MI training. Both
training models included the following 3 components: 1) 3-day intensive MI
training for site-based MI clinical champions and a site-based MI expert
consultant, 2) Half day on-site training workshop for PACT members, and 3)
self-study materials. The high-intensity model added 6 booster sessions
coached by champions. Three booster sessions used telephone interactions
with simulated patients and occurred at 4, 8, and 12 weeks after the initial
training. Three additional booster sessions (at 2, 6, and 10 weeks) used
small group coaching facilitated by the champions. Each 1-h booster session
focused on specific MI skills. To evaluate the 2 training models, a
structured clinical evaluation (OSCE) was conducted with providers in each
group before and 12 weeks after the onsite training. The OSCEs assessed
provider competence with and acquisition of MI and tobacco cessation skills
through interaction with a simulated patient. A trained, blinded rater
assessed the provision of MI skills by listening to the audiorecorded OSCEs.
The primary outcome was the Motivational Interviewing Treatment Integrity
(MITI) scale scores, a validated assessment of MI skills. Hierarchical
models compared the average changes in MITI scale scores from the
pre-training OSCE to the 12 week post-training OSCE for the moderate
intensity and the high intensity groups. The models incorporated random
effects for study site and participant and fixed effects for simulated
patient and pre-training OSCE MITI scores. RESULTS: Thirty-five PACT members
were enrolled in the study and 18 members were randomly assigned to the high
intensity group. Compared to the moderate intensity group, the high
intensity group scored significantly higher for 5 of the 10 MITI scales
(Table 1). For 3 of the other 5 MITI scales, a non-significant improvement
was seen in the high intensity versus the moderate intensity group.
CONCLUSIONS: A training model using several booster sessions incorporating
telephone interactions with simulated patients, in addition to MI champions,
expert consultant, 1/2day training and study materials,was effective for
sustaining and enhancing providers' MI skills in the delivery of tobacco
cessation care. (Table Presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
human
internal medicine
motivational interviewing
society
tobacco
veteran
EMTREE MEDICAL INDEX TERMS
clinical evaluation
communication skill
competence
consultation
counseling
model
patient
skill
telephone
training
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71292605
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 683
TITLE
Adapting the simulated patientmedical model to socialwork: Do simulated
clients improve socialwork students' sbirt attitudes, knowledge and skills?
AUTHOR NAMES
Osborne V.A.
Benner K.
Sprague D.
Horwitz B.
Vinson D.
AUTHOR ADDRESSES
(Osborne V.A.; Benner K.; Sprague D.; Horwitz B.; Vinson D.) University of
Missouri, Columbia, United States.
CORRESPONDENCE ADDRESS
V.A. Osborne, University of Missouri, Columbia, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2013) 37 SUPPL. 2 (193A).
Date of Publication: June 2013
CONFERENCE NAME
36th Annual Scientific Meeting of the Research Society on Alcoholism, RSA
2013
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2013-06-22 to 2013-06-26
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Background: Social work students typically practice clinical intervention
skills via role plays with fellow students. Schools of SocialWork do not
utilize the simulated patient model used extensively in Schools ofMedicine.
Practicing these skills on actors rather than on classmatesmay aid in
solidifying learned SBIRT techniques. Purpose: Use of simulated clients
(SCs) in social work schools is rare; this is the first known study to
employ the SC model to addictions education. The goal was to assess social
work students' knowledge and attitudes of substance misuse before and after
basic online didactic SBIRT training modules paired with clinical skills
practice with SCs. Methods: Students were given a 13 question Likert scaled
questionnaire assessing attitudes, knowledge and perceived skills. After a
five-module online SBIRT training, students practiced with SCs from the
School of Medicine's Simulation Center. A series of four client vignettes
were developed for students to use in practicing substance abuse
assessments. T-tests compared changes pre- to post-test. Repeated measures
ANOVA analyzed differences between this sample and a similar cohort from the
previous spring semester who had not utilized SCs. Results: 79 students
completed training modules, SC sessions, and questionnaires. This group was
compared to the 74 students who had only completed the training modules and
questionnaires. Examining the 79 students in the current sample, significant
differences were found for 8 questions. Students reported more confidence in
their ability to assess and to successfully intervene with clients'
substance use. Likewise, they felt more strongly that routine screening was
critical to clinical practice. Students who worked with SCs agreed
significantly more than students who had not completed SC sessions that
routine screening was a critical part of clinical practice. Conclusions:
Incorporating SBIRT into social work practice is an important aspect of
effective treatment. Teaching SBIRT didactically as well as incorporating
SCs appears effective in increasing students' perceptions of their ability
to change client behaviors and to reduce clients' substancemisuse.
Incorporating use of Simulated Clients into the social work curriculumwas an
innovative way to allow students the opportunity to practice skills.
Students responded positively to the experience and suggested that the SC
interviews be continued in the social work curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
human
model
skill
society
student
EMTREE MEDICAL INDEX TERMS
addiction
analysis of variance
clinical practice
curriculum
education
interview
patient
questionnaire
role playing
school
screening
simulation
social work
social work practice
social work student
Student t test
substance abuse
teaching
vignette
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71068573
DOI
10.1111/acer.12162
FULL TEXT LINK
http://dx.doi.org/10.1111/acer.12162
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 684
TITLE
Jordanian nurses' views on adequacy of cancer pain management: A qualitative
study
AUTHOR NAMES
Al Qadire M.
AUTHOR ADDRESSES
(Al Qadire M.) Faculty of Nursing, Al Albyat University, Mafraq, Jordan.
CORRESPONDENCE ADDRESS
M. Al Qadire, Faculty of Nursing, Al Albyat University, Mafraq, Jordan.
SOURCE
Supportive Care in Cancer (2013) 21 SUPPL. 1 (S35). Date of Publication:
June 2013
CONFERENCE NAME
2013 International MASCC/ISOO Symposium: Supportive Care in Cancer
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2013-06-27 to 2013-06-29
ISSN
0941-4355
BOOK PUBLISHER
Springer Verlag
ABSTRACT
Introduction: Cancer patients currently live longer than previously because
of earlier diagnosis and developments in treatment medications and
techniques. Although guidelines and pharmacological interventions exist to
manage cancer pain, poor assessment and undermedication is well-documented.
Cancer pain is a cultural-sensitive phenomenon and many barriers may hinder
patients from receiving adequate pain management. No previous study explored
barriers to optimal cancer pain management within the Islamic-Arabic culture
communities such as Jordan. Objectives: This study aims to exploring nurses'
views on the factors contributing to the inadequacy of pain management in
Jordan. Methods: Qualitative research method and semi-structured interviews
were used to interview 20 oncology nurses who working in two referral
hospitals in Jordan Results: Nurses' mean age was 29 years (SD 1.9) and 12
were males. They had on average 4.8 (SD 2.0) years of working experience.
Thematic analysis of nurses' interviews identified many factors that may
result in ineffective cancer pain management, including the following:
belief in God's Will, doctor verses nurse tension, institutional
characteristics (e.g. difficult access to pain medication, low priority to
cancer pain management, absence of pain policy, healthcare providers
characteristics (e.g. negative attitudes toward cancer pain, lack of
knowledge and training), fear of addiction and misconceptions complex, and
devaluing patients pain report. Conclusions: Barriers to cancer pain
management and misconceptions were abundant. These barriers, in general,
were similar to barriers within the other cultures with some of them are
related to country culture. Education, training, more financial resources,
and public awareness might be possible interventions to reduce patients
suffering.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
cancer pain
human
neoplasm
nurse
qualitative research
EMTREE MEDICAL INDEX TERMS
addiction
cancer patient
community
diagnosis
drug therapy
education
fear
health care personnel
hospital
interview
Jordan
male
oncology
pain
patient
physician
policy
semi structured interview
thematic analysis
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71309590
DOI
10.1007/s00520-013-1798-3
FULL TEXT LINK
http://dx.doi.org/10.1007/s00520-013-1798-3
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 685
TITLE
Medical and legal consequences of ongoing drug use among young injection
drug users infected with hepatitis C virus
AUTHOR NAMES
Barocas J.A.
Hull S.J.
Sosman J.M.
Sethi A.
Fangman J.J.
Westergaard R.
AUTHOR ADDRESSES
(Barocas J.A.; Hull S.J.; Sosman J.M.; Westergaard R.) University of
Wisconsin-Madison, Madison, United States.
(Sethi A.) University of Wisconsin, School of Medicine and Public Health,
Madison, United States.
(Fangman J.J.) Medical College of Wisconsin, Milwaukee, United States.
CORRESPONDENCE ADDRESS
J.A. Barocas, University of Wisconsin-Madison, Madison, United States.
SOURCE
Journal of General Internal Medicine (2013) 28 SUPPL. 1 (S120). Date of
Publication: June 2013
CONFERENCE NAME
36th Annual Meeting of the Society of General Internal Medicine, SGIM 2013
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2013-04-24 to 2013-04-27
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Non-sterile injection practices and unprotected sexual contact
place injection drug users (IDUs) at high risk for contracting and
transmitting Hepatitis C virus (HCV). Injecting drugs has numerous other
infectious and non-infectious medical consequences, which may be preventable
with education about safer injection practices and/or addiction treatment.
We hypothesized that IDUs who are tested for and receive a diagnosis of HCV
may adopt safer behaviors and lower their risk of further negative health
consequences. METHODS: We invited clients at a multisite, free
needle-exchange program in Southeastern Wisconsin to complete an anonymous,
88- question, computerized, interviewer-administered survey. The survey
assessed frequency of injection, self-reported HCV status, recent
hospitalization, incarceration, overdose, and other major injections (e.g.
skin abscess, endocarditis). Participants were included if they were over
18, reported active injection drug use in the past week, and could provide
informed consent. Respondents were asked to report consequences of their
drug use that occurred during the preceding 6 months. Multiple logistic
regression was used to assess the association between HCV status and the
occurrence of consequences of drug use among HCV positive participants while
controlling for potential confounders such as age, gender, and drug use
frequency. RESULTS: The survey was completed by 553 IDUs, of whom 69 % were
male, 83 % white, 11 % black and 6 % Hispanic. The median age was 28, and 54
% resided in the Milwaukee metropolitan area. Active HCV infection was
reported by 74 participants (13.4 %). Controlling for age, gender, and high
frequency drug use, during the preceding 6 months, HCVpositive respondents
were more likely to have overdosed on drugs (adjusted odds ratio (OR) 2.67,
confidence interval (CI) 1.59-4.47), been put in jail for less than 30 days
(OR 1.99, CI 1.19-3.32) or incarcerated for more than 30 days (OR 3.50, CI
1.91-6.33) than their HCV-negative counterparts. The HCV positive and
negative groups did not differ significantly with respect to the incidence
of passing out while driving (18.9 % and 16.7 %, respectively), infective
endocarditis (2.7 % and 0.97 %, respectively), contracting a skin or soft
tissue infection (41.9 % vs 27.6 %, respectively), or being hospitalized for
another severe infection (12.2 % and 6.8 %, respectively). CONCLUSIONS:
Among this cross-sectional sample of mostly-young, urban IDUs, we found that
those known to be infected with HCV were more likely to report recent
overdose and becoming incarcerated. Our data do not support the hypothesis
that IDUs adopt safer behaviors after receiving an HCV diagnosis. Rather,
HCV appears to be a marker of ongoing high-risk drug use. It is not known
whether previous or ongoing treatment for HCV correlates with safer
practices. Medical providers and prevention specialists should recognize
that HCV-infected IDUs remain at high risk for negative consequences of drug
use. Prevention strategies should emphasize strategies to reduce overdose
and incarceration in addition to avoiding transmission of bloodborne
pathogens through the sharing of injection equipment.
EMTREE DRUG INDEX TERMS
marker
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
Hepatitis C virus
injection
internal medicine
society
EMTREE MEDICAL INDEX TERMS
addiction
bacterial endocarditis
bloodborne bacterium
confidence interval
diagnosis
education
endocarditis
gender
health
Hispanic
hospitalization
human
hypothesis
infection
informed consent
intoxication
male
medical specialist
multivariate logistic regression analysis
prevention
preventive health service
prison
risk
skin
skin abscess
soft tissue infection
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71292874
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 686
TITLE
Future physicians and tobacco: An online survey of the habits, beliefs and
knowledge base of medical students at a Canadian University
AUTHOR NAMES
Vanderhoek A.J.
Hammal F.
Chappell A.
Wild T.C.
Raupach T.
Finegan B.A.
AUTHOR ADDRESSES
(Vanderhoek A.J., va6@ualberta.ca; Hammal F., hammal@ualberta.ca; Chappell
A., amc12@ualberta.ca; Finegan B.A., bfinegan@ualberta.ca) Department of
Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada.
(Wild T.C., cwild@ualberta.ca) School of Public Health, University of
Alberta, Edmonton, Canada.
(Raupach T., raupach@med.uni-goettingen.de) Department of Cardiology and
Pneumology, University Hospital Göttingen, Göttingen, Germany.
CORRESPONDENCE ADDRESS
B.A. Finegan, Department of Anesthesiology and Pain Medicine, University of
Alberta, Edmonton, Canada. Email: bfinegan@ualberta.ca
SOURCE
Tobacco Induced Diseases (2013) 11:1 Article Number: 9. Date of Publication:
2013
ISSN
1617-9625 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom.
ABSTRACT
Background: Little is known about the knowledge and attitudes towards
tobacco use among medical students in Canada. Our objectives were to
estimate the prevalence of tobacco use among medical students, assess their
perceived level of education about tobacco addiction management and their
preparedness to address tobacco use with their future patients. Methods. A
cross-sectional online survey was administered to University of Alberta
undergraduate medical school trainees. The 32-question survey addressed
student demographics, tobacco use, knowledge and attitudes around tobacco
and waterpipe smoking, tobacco education received in medical school, as well
as knowledge and competency regarding tobacco cessation interventions.
Results: Of 681 polled students, 301 completed the survey. Current (defined
as "use within the last 30 days") cigarette, cigar/cigarillo and waterpipe
smoking prevalence was 3.3%, 6% and 6%, respectively. One third of the
respondents had ever smoked a cigarette, but 41% had tried cigars/cigarillos
and 40% had smoked a waterpipe at some time in the past. Students reported
moderate levels of education on a variety of tobacco-related subjects but
were well-informed on the role of tobacco in disease causation. The majority
of students in their final two years of training felt competent to provide
tobacco cessation interventions, but only 10% definitively agreed that they
had received enough training in this area. Conclusions: Waterpipe
exposure/current use was surprisingly high among this sample of medical
students, a population well educated about the role of tobacco in disease
causation. The majority of respondents appeared to be adequately prepared to
manage tobacco addiction but education could be improved, particularly
training in behavioral modification techniques used in tobacco use
cessation. © 2013 Vanderhoek et al.; licensee BioMed Central Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health belief
medical student
professional knowledge
student attitude
tobacco
EMTREE MEDICAL INDEX TERMS
adult
article
cross-sectional study
demography
educational status
female
human
male
medical school
normal human
online analysis
priority journal
smoking
smoking cessation
undergraduate student
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013276251
PUI
L52527703
DOI
10.1186/1617-9625-11-9
FULL TEXT LINK
http://dx.doi.org/10.1186/1617-9625-11-9
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 687
TITLE
Web-streamed didactic instruction on substance use disorders compares
favorably with live-lecture format.
AUTHOR NAMES
Maher K.H.
Brower K.J.
Mullan P.B.
Gay T.
Gruppen L.D.
AUTHOR ADDRESSES
(Maher K.H.) University of Texas, M.D. Anderson Cancer Center, Dept of
Psychiatry and Behavioral Science, Houston, TX, USA.
(Brower K.J.; Mullan P.B.; Gay T.; Gruppen L.D.)
CORRESPONDENCE ADDRESS
K.H. Maher, University of Texas, M.D. Anderson Cancer Center, Dept of
Psychiatry and Behavioral Science, Houston, TX, USA. Email:
maherkaram@mdanderson.org
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2013) 37:3 (165-170). Date of Publication: 1 May 2013
ISSN
1545-7230 (electronic)
ABSTRACT
Education about substance use disorders in medical schools and,
subsequently, physicians' identification of and intervention in these
diagnoses lag behind that of most other disabling disorders. To reduce
barriers and improve access to education about this major public health
concern, medical schools are increasingly adopting web-based instruction on
substance use and other psychiatric disorders as part of their curricula;
however, it is not well known how a web-streamed lecture compares with a
traditional one. The authors hypothesized that both these formats would be
equally efficacious in terms of knowledge acquisition and student
satisfaction. Authors conducted a prospective study to test this hypothesis
among third-year medical students who received web-streamed lecture on
substance use/addiction versus those who received a traditional live
lecture. Of the 243 students, significantly more students completed the
on-line lecture series. Of the 216 students in the final study sample, 130
(60%) were assigned to the web-streamed lecture and 86 (40%) to the live
lecture. Within-subject comparisons of pre- and post-lecture scores for the
entire cohort indicated a significant improvement in the percentage of
correct answers (21.0% difference). Although no differences in improved
scores between the two groups were found, students in the live-lecture group
reported small, but significantly higher levels of satisfaction. This
preliminary work supports the hypothesis that a web-streamed lecture can be
at least equally efficacious as a traditional lecture in terms of knowledge
acquisition. However, attention needs to be paid to the lower satisfaction
levels associated with using the web-streamed format.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
education
Internet
medical education
teaching
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
methodology
prospective study
questionnaire
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23632924 (http://www.ncbi.nlm.nih.gov/pubmed/23632924)
PUI
L370109755
DOI
10.1176/appi.ap.12010001
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.12010001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 688
TITLE
Educating medical practitioners about safe opioid prescribing: training from
the Governor's Institute on Substance Abuse.
AUTHOR NAMES
Finch J.W.
McEwen S.
AUTHOR ADDRESSES
(Finch J.W.) Governor's Institute on Substance Abuse, Raleigh, North
Carolina, USA.
(McEwen S.)
CORRESPONDENCE ADDRESS
J.W. Finch, Governor's Institute on Substance Abuse, Raleigh, North
Carolina, USA. Email: jwfinch@nc.rr.com
SOURCE
North Carolina medical journal (2013) 74:3 (233-234). Date of Publication:
2013 May-Jun
ISSN
0029-2559
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
EMTREE MEDICAL INDEX TERMS
article
clinical practice
human
public-private partnership
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23940896 (http://www.ncbi.nlm.nih.gov/pubmed/23940896)
PUI
L370194275
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 689
TITLE
Addiction medicine online modules
AUTHOR NAMES
Hardy M.A.
AUTHOR ADDRESSES
(Hardy M.A.) Northern Sydney Local Health District, St Leonard's, Australia.
CORRESPONDENCE ADDRESS
M.A. Hardy, Northern Sydney Local Health District, St Leonard's, Australia.
SOURCE
Internal Medicine Journal (2013) 43 SUPPL. 3 (19). Date of Publication: May
2013
CONFERENCE NAME
RACP Future Directions in Health Congress 2013
CONFERENCE LOCATION
Perth, WA, Australia
CONFERENCE DATE
2013-05-26 to 2013-05-29
ISSN
1444-0903
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
During the course of the last decade, The RACP's Chapter of Addiction
Medicine has been created and developed to offer a route to specialist
training for those wishing to engage in care, research and governance of
patients with addiction and their associated medical and psychosocial
problems. In order to skill a workforce and to maintain continuing
professional development, modular training suites were developed to cover a
broad range of common issues encountered in addiction medicine. These
modules were never published in paper but went directly to online
publication. They include the Advanced Prescribers' Course for
Pharmacotherapy of Opioid Dependence, Prescription Drug Misuse, Alcohol Use
Disorders, Mood and Anxiety Disorders, Adolescent Addiction Medicine and
Opportunistic/Brief Interventions. Newer modules reaching completion include
Cannabis Use Disorders, Drug and Alcohol Use in Pregnancy and Opioid Risk
Management in Chronic Pain. These have been produced using expertise both
within the Chapter and other experts from other specialties and
organisations. This presentation will explore the production and delivery of
these modules, their application as well as feedback obtained by those who
have completed them. In addition, future plans for online education will be
examined.
EMTREE DRUG INDEX TERMS
cannabis
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health
EMTREE MEDICAL INDEX TERMS
adolescent
alcohol consumption
alcoholism
anxiety disorder
chronic pain
diseases
drug misuse
drug therapy
education
feedback system
female
human
medical specialist
mood
opiate addiction
patient
pregnancy
professional development
psychosocial disorder
risk management
skill
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71166771
DOI
10.1111/imj.12149
FULL TEXT LINK
http://dx.doi.org/10.1111/imj.12149
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 690
TITLE
Effect of a course-based intervention and effect of medical regulation on
physicians' opioid prescribing
AUTHOR NAMES
Kahan M.
Gomes T.
Juurlink D.N.
Manno M.
Wilson L.
Mailis-Gagnon A.
Srivastava A.
Reardon R.
Dhalla I.A.
Mamdani M.M.
AUTHOR ADDRESSES
(Kahan M., meldon.kahan@wchospital.ca) Department of Family and Community
Medicine, Women's College Hospital, University of Toronto (U of T), 6th
Floor, Toronto, ON, Canada.
(Gomes T.; Manno M.) Institute for Clinical Evaluative Sciences in Toronto,
Canada.
(Juurlink D.N.) Department of Health Policy, Management and Evaluation at U
of T, Canada.
(Wilson L.; Srivastava A.) Department of Family and Community Medicine at U
of T, Canada.
(Mailis-Gagnon A.) Toronto Western Hospital, Canada.
(Reardon R.) College of Ontario, Toronto, Canada.
(Dhalla I.A.; Mamdani M.M.) Keenan Research Centre, Li Ka Shing Knowledge
Institute, St Michael's Hospital, Toronto, Canada.
CORRESPONDENCE ADDRESS
M. Kahan, Department of Family and Community Medicine, Women's College
Hospital, University of Toronto (U of T), 6th Floor, Toronto, ON, Canada.
Email: meldon.kahan@wchospital.ca
SOURCE
Canadian Family Physician (2013) 59:5 (e231-e239). Date of Publication: May
2013
ISSN
0008-350X
BOOK PUBLISHER
College of Family Physicians of Canada, 2630 Skymark Avenue, Mississauga
Ont., Canada.
ABSTRACT
Objective To examine the effects of an intensive 2-day course on physicians
prescribing of opioids. Design Population-based retrospective observational
study. Setting College of Physicians and Surgeons of Ontario (CPSO) in
Toronto. Participants Ontario physicians who took the course between April
1, 2000, and May 30, 2008. Intervention A 2-day opioid-prescribing course
with a maximum of 12 physician participants. Educational methods included
didactic presentations, case discussions, and standardized patients. A
detailed syllabus and office materials were provided. Main outcome measures
Participants were matched with control physicians using specific variables.
The primary outcome was the rate of opioid prescribing, expressed as
milligrams of morphine equivalent per quarter.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
Canada
female
general practitioner
human
major clinical study
male
medical specialist
physician
population research
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2013320909
MEDLINE PMID
23673603 (http://www.ncbi.nlm.nih.gov/pubmed/23673603)
PUI
L368954386
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 691
TITLE
Elevation: developing a mentorship model to raise the next generation of
plastic surgery professionals.
AUTHOR NAMES
Wagner I.J.
Hultman C.S.
AUTHOR ADDRESSES
(Wagner I.J.) Division of Plastic Surgery, University of North Carolina
School of Medicine, Chapel Hill, NC 27599, USA.
(Hultman C.S.)
CORRESPONDENCE ADDRESS
I.J. Wagner, Division of Plastic Surgery, University of North Carolina
School of Medicine, Chapel Hill, NC 27599, USA.
SOURCE
Annals of plastic surgery (2013) 70:5 (606-612). Date of Publication: May
2013
ISSN
1536-3708 (electronic)
ABSTRACT
To elucidate the components of professionalism specific to plastic surgery,
we surveyed surgeons, anesthesiologists, and fourth-year medical students at
a public university. We sought to define the central components of
professionalism in plastic surgery, to determine the difference in
perception of professionalism by plastic surgeons (PSs), compared to other
practitioners (OPs), and to improve education in professionalism by
obtaining data on attitudes of professionalism among practitioners. Using
SurveyMonkey, we distributed a questionnaire to members of the Departments
of Surgery and Anesthesia and fourth-year medical students. The responses of
PSs (n = 22) were compared to non-plastic surgeons (OPs, n = 294). Of the
594 participants, 316 completed the survey (response rate, 53%).
Participants consisted of 211 (66.8%) medical students, 60 (19%) residents,
5 (1.6%) fellows, 28 (8.9%) attending physicians, 6 (1.9%) nonphysician
providers, and 6 (1.9%) administrators. Both PS and OP listed "the
development and conformance to a body of ethics" the most important
component of professionalism. Most participants thought that professionalism
could be taught, and assessed. Plastic surgeons listed "not enough mentors"
(63.2%) as the main obstacle to teaching professionalism, whereas OP listed
"not a priority in medical school curriculum" (48.2%). Both PS and OP cited
substance abuse, fraud, and sexual misconduct as egregious displays of
unprofessional behavior. Opinions differed between the groups, regarding
aspects of professionalism pertaining to plastic surgery. When asked about
"charity raffles" for cosmetic surgery, 72.2% of PS ranked this as a 4 or 5
(with 5 representing the most unprofessional behavior), compared to only
46.7% of OP who assigned this a 4 or 5. For the scenario of a PS deceiving
patients, by showing them another surgeon's before and after photographs,
84.2% of PS assigned this a 4 or 5, whereas 71.0% of OP ranked this a 4 or
5. Both groups cited working while impaired with alcohol as the most
egregious example of unprofessional behavior. The opinions of PSs mirror
those of their colleagues, regarding general components of professionalism.
However, PSs are more conservative and cautious than their peers, perhaps
due to successful educational efforts in mentoring, training, and
maintenance of certification.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
health personnel attitude
medical ethics
physician attitude
plastic surgery
teacher
EMTREE MEDICAL INDEX TERMS
adult
aged
anesthesiology
article
education
ethics
female
human
male
middle aged
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23542854 (http://www.ncbi.nlm.nih.gov/pubmed/23542854)
PUI
L370092875
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 692
TITLE
Cytokine profiles in long-term smokers of opium (Taryak)
AUTHOR NAMES
Ghazavi A.
Solhi H.
Moazzeni S.M.
Rafiei M.
Mosayebi G.
AUTHOR ADDRESSES
(Ghazavi A.) Tuberculosis and Pediatric Infectious Research Center,
Department of Immunology, Arak University of Medical Sciences, Arak, Iran.
(Solhi H.) Department of Forensic Medicine and Toxicology, Arak University
of Medical Sciences, Arak, Iran.
(Moazzeni S.M.) Department of Immunology, School of Medical Science, Tarbiat
Modares University, Tehran, Iran.
(Rafiei M.) Department of Biostatistics and Epidemiology, Arak University of
Medical Sciences, Arak, Iran.
(Mosayebi G., ghasemmosayebi@arakmu.ac.ir) Molecular and Medicine Research
Center, Department of Immunology, Arak University of Medical Sciences, PO
Box 3848176941, Arak, Iran.
CORRESPONDENCE ADDRESS
G. Mosayebi, Molecular and Medicine Research Center, Department of
Immunology, Arak University of Medical Sciences, PO Box 3848176941, Arak,
Iran. Email: ghasemmosayebi@arakmu.ac.ir
SOURCE
Journal of Addiction Medicine (2013) 7:3 (200-203). Date of Publication:
May-June 2013
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objectives: There are few studies with conflicting results on the effects of
in vivo administration of opioids on immune function. The aim of this study
was to evaluate the serum levels of interferon (IFN)-γ, interleukin (IL)-4,
IL-10, IL-17, and hs-C-reactive protein (hs-CRP) in opium smokers. Methods:
The study was conducted between 44 male opium addicts and 44 controls aged
20 to 40 years. The control group was healthy individuals with no lifetime
history of substance abuse. All the opium abusers were selected from those
who had a history of use of opium, as a regular habit, at least for 1 year,
with a daily opium dosage of not less than 2 g. Addicts known to abuse
alcohol or other drugs were excluded. Serum samples were collected from all
participants and tested for the cytokine and hs-CRP levels by ELISA
(enzyme-linked immunosorbent assay) method. Statistical analysis was
performed using the Student t test. Results: The mean serum levels of IFN-γ,
IL-10, and IL-17 in the opium addicts were significantly higher than those
observed in the control group. The mean concentration of serum IL-4 in opium
addicts did not differ from that in the control group. Systemic IL-10 levels
correlated positively and significantly with CRP in opium addicts.
Conclusions: Long-term, daily use ofopiumis associated with higher Th1
(IFN-γ), Tr1 (IL-10), and Th17 (IL-17) cytokines concentration in serum.
Interferon-γ and IL-17 are involved in inducing and mediating
proinflammatory responses. Our data suggest that an immunoregulatory
response is occurring with the upregulation of IL-10. Copyright © 2013
American Society of Addiction Medicine.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cytokine (endogenous compound)
opiate
EMTREE DRUG INDEX TERMS
C reactive protein (endogenous compound)
gamma interferon (endogenous compound)
interleukin 10 (endogenous compound)
interleukin 17 (endogenous compound)
interleukin 4 (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking habit
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
clinical evaluation
controlled study
disease association
enzyme linked immunosorbent assay
human
immune response
male
opiate addiction
priority journal
protein analysis
protein blood level
upregulation
CAS REGISTRY NUMBERS
C reactive protein (9007-41-4)
gamma interferon (82115-62-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Clinical and Experimental Biochemistry (29)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013728180
MEDLINE PMID
23519052 (http://www.ncbi.nlm.nih.gov/pubmed/23519052)
PUI
L370296730
DOI
10.1097/ADM.0b013e31828baede
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e31828baede
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 693
TITLE
Training mental health professionals to treat tobacco dependence
AUTHOR NAMES
Mandel-Ricci J.
Bresnahan M.
Sacks R.
Farley S.M.
AUTHOR ADDRESSES
(Mandel-Ricci J.; Bresnahan M.; Sacks R.; Farley S.M.) New York City
Department of Health and Mental Hygiene, United States.
(Mandel-Ricci J.; Bresnahan M.; Farley S.M.) Bureau of Chronic Disease
Prevention and Tobacco Control, New York, NY, United States.
CORRESPONDENCE ADDRESS
New York City Department of Health and Mental Hygiene, United States.
SOURCE
Psychiatric Services (2013) 64:5 (497). Date of Publication: 1 May 2013
ISSN
1075-2730
1557-9700 (electronic)
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
mental health care personnel
tobacco dependence
EMTREE MEDICAL INDEX TERMS
human
letter
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2013537962
MEDLINE PMID
23632583 (http://www.ncbi.nlm.nih.gov/pubmed/23632583)
PUI
L369667174
DOI
10.1176/appi.ps.004362012
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ps.004362012
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 694
TITLE
Cultivating the next generation of tobacco endgame advocates.
AUTHOR NAMES
Tam J.
AUTHOR ADDRESSES
(Tam J.) Department of Health Management and Policy, School of Public
Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI
48109-2029, USA.
CORRESPONDENCE ADDRESS
J. Tam, Department of Health Management and Policy, School of Public Health,
University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109-2029,
USA. Email: jamietam@umich.edu
SOURCE
Tobacco control (2013) 22 Suppl 1 (i47-48). Date of Publication: May 2013
ISSN
1468-3318 (electronic)
ABSTRACT
Long-term success for any tobacco endgame is contingent not only on
acquiring political will, but also on sustaining it over a long period of
time, perhaps even for decades. Future cohorts of public health
professionals with knowledge of tobacco issues are therefore needed to carry
on with the endgame strategy (should early attempts fail) and to keep
tobacco control salient after an endgame strategy has initially been
implemented. The endgame itself offers a unique pedagogical opportunity that
could revive interest in tobacco control at schools of public health--an
important first step in cultivating the future advocacy base for a tobacco
endgame.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
consumer advocacy
medical education
public health
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
education
health promotion
human
methodology
smoking cessation
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23591510 (http://www.ncbi.nlm.nih.gov/pubmed/23591510)
PUI
L370221779
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 695
TITLE
Towards a harm minimisation approach: How borrowing from the world of
addiction medicine may help to mitigate risks during antipsychotic
discontinuation
AUTHOR NAMES
Salomon C.
Hamilton B.
AUTHOR ADDRESSES
(Salomon C.; Hamilton B.) University of Melbourne, Melbourne, Australia.
CORRESPONDENCE ADDRESS
C. Salomon, University of Melbourne, Melbourne, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2013) 47 SUPPL. 1 (67).
Date of Publication: May 2013
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2013
CONFERENCE LOCATION
Sydney, Australia
CONFERENCE DATE
2013-05-26 to 2013-05-30
ISSN
0004-8674
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
High antipsychotics discontinuation rates have been consistently reported in
the literature. Strategies focused on improving adherence through compliance
therapy and use of depot formulations have not significantly improved this
picture. Antipsychotic discontinuation attempts are rarely collaborative.
Instead, they are often poorly planned or occur in secret and may contribute
to relapse, poorly managed discontinuation symptoms and breakdown in
therapeutic relationships. Evidence suggests that in some cases, strong
emphasis on antipsychotic adherence may function as an implicit form of zero
tolerance to discontinuation. This paper considers the links between
consumer experience of zero tolerance policy to discontinuation and consumer
secrecy during discontinuation attempts. The harm minimisation paradigm of
addiction medicine is then proposed as a plausible alternative in
antipsychotic discontinuation negotiations. The clinical approach is focused
on maintaining non-judgemental contact with the consumer regardless of their
current medication status. It uses tools such as decisional matrices to
explore consumer patterns and priorities in medication use and focuses on
increasing consumer knowledge and safety (Cheung, 2000). Collaborative
practices include transparent information sharing and supportive care,
regardless of clinician assessment of readiness for discontinuation. The
potentially positive impacts on the post-discontinuation clinical picture
are considered. Data and analysis from a recent survey of Australian
consumers' experiences of stopping antipsychotic medication are included to
illustrate key arguments (Salomon and Hamilton; in review).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
college
human
New Zealand
psychiatrist
risk
EMTREE MEDICAL INDEX TERMS
consumer
drug therapy
implantable cardioverter defibrillator
medical decision making
policy
relapse
safety
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71520395
DOI
10.1177/0004867412486854
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867412486854
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 696
TITLE
Therapeutic mechanisms underlying the effects of alcoholics anonymous:
Results of a systematic literature review
AUTHOR NAMES
Lynch M.-J.
George T.P.
AUTHOR ADDRESSES
(Lynch M.-J.; George T.P.) University of Toronto, Canada.
CORRESPONDENCE ADDRESS
M.-J. Lynch, University of Toronto, Canada.
SOURCE
American Journal on Addictions (2013) 22:3 (306). Date of Publication:
May-June 2013
CONFERENCE NAME
23rd Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2012
CONFERENCE LOCATION
Aventura, FL, United States
CONFERENCE DATE
2012-12-06 to 2012-12-09
ISSN
1055-0496
BOOK PUBLISHER
Wiley-Blackwell Publishing Ltd
ABSTRACT
Background: There has been growing evidence to support the efficacy of
Alcoholics Anonymous (AA) in assisting individuals with alcohol dependence
achieve abstinence. The present study reviewed our understanding of
psychological mechanisms underlying the therapeutic effects of AA. Methods:
A MEDLINE and PsycINFO search (1996-May, 2012) was conducted for articles
examining links between AA and various psychotherapy theories and
modalities, including psychodynamic theory, attachment theory, interpersonal
group therapy and cognitive behavioral therapy. This systematic review was
conducted by the first author, who identified 17 peer-reviewed studies.
Results: Psychodynamic factors which may underlie AA's effectiveness include
assistance with addressing and correcting affective deficits, narcissistic
defenses and self-care deficits. Studies have also demonstrated that AA
participation is negatively correlated with insecure attachment ratings, and
that having a sponsor was associated with increased rates of abstinence.
Group therapy and AA were found to share important features such as
self-disclosure, interpersonal repair and self-discovery. AA cognitions that
correlated with increased abstinence included commitment to abstinence and
AA, the intention to avoid high-risk situations, increases in self-efficacy
and decreases in positive alcohol expectancies. Conclusions: There appear to
be multiple common mechanisms of action shared by AA and various
psychotherapies. This conceptualization can be used as a framework to assist
in adapting standard psychotherapy practices for patients with alcohol use
disorders, and used in the teaching of psychotherapy for addictions to
psychiatric residents.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholics anonymous
psychiatry
EMTREE MEDICAL INDEX TERMS
abstinence
alcoholism
alcoholism
cognition
cognitive therapy
group therapy
human
patient
psychotherapy
PsycINFO
risk
self care
self concept
self disclosure
systematic review
teaching
therapy effect
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71061671
DOI
10.1111/j.1521-0391.2013.12069.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2013.12069.x
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 697
TITLE
Relationships between using other substances and Socio-demographic
characteristics in opiate dependents
ORIGINAL (NON-ENGLISH) TITLE
Opiyat baǧimlilarinda diǧer maddelerin kullanimi ve Sosyodemografik
özellikler ile ilişkisi
AUTHOR NAMES
Nebioǧlu M.
Yalniz H.
Güven F.M.
Geçici Ö.
AUTHOR ADDRESSES
(Nebioǧlu M.; Güven F.M.; Geçici Ö., drogecici@yahoo.com) Akdeniz
Üniversitesi, Alkol ve Madde Baǧimliliǧi Araştirma Uygulama Merkezi,
Antalya, Turkey.
(Yalniz H.) Haydarpasa Numune Egitim Ve Arastirma, Hastanesi Ruh Sag. ve
Hast. Klinigi, Istanbul, Turkey.
CORRESPONDENCE ADDRESS
Ö. Geçici, Akdeniz Üniversitesi, Alkol ve Madde Baǧimliliǧi Araştirma
Uygulama Merkezi, Antalya, Turkey. Email: drogecici@yahoo.com
SOURCE
TAF Preventive Medicine Bulletin (2013) 12:1 (35-42). Date of Publication:
2013
ISSN
1303-734X
BOOK PUBLISHER
Gulhane Military Medical Academy, Halk Sagligi AD Bsk.ligi, Etlik - Ankara,
Turkey.
ABSTRACT
AIM: We aimed to determine the variables that can be a risk factor for
addiction like age, gender, education level, school cession, first using
age, substance use period, frequency and using other addictive substances
among people who have a diagnosis of opiate addiction. METHOD This is a
descriptive and cross-sectional study in AMBAUM (Akdeniz University Alcohol
and Substance Dependence Research and Practice Center) between February
1,2010- April30, 2010. 84 inpatient and outpatient patients (60 men, 24
women) between age 14-37, who have a diagnosis of opiate addiction according
to DSM IV-TR diagnostic criteria recruited in this study. All participating
patients completed a standard questionaire and sociodemographic data form
face to face. The results were analyzed with chisquared test by using SPSS
16 statistics program. RESULTS: In our patients nicotin addiction prevalance
is 100%, alcohol using prevalance is 91.7%, cannabis using prevalance 86.9%,
ecstasy using prevalance 54.8%, cocain using prevalance 48.8%, polysubstance
using prevalance 47.6%, hallucinogen using prevalance 27.4%, addictive
medical drug using prevalance 17.9%. CONCLUSION: This epidemiological study
guide us in the monitoring and evalution of the opiate use and prevalance of
other substance use with opiate addiction.
EMTREE DRUG INDEX TERMS
alcohol
cocaine
midomafetamine
nicotine
psychedelic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
demography
opiate addiction (diagnosis, epidemiology)
social aspect
EMTREE MEDICAL INDEX TERMS
adolescent
adult
age distribution
alcoholism (diagnosis, epidemiology)
article
cannabis addiction (diagnosis, epidemiology)
cocaine dependence (diagnosis, epidemiology)
controlled study
cross-sectional study
descriptive research
DSM-IV-TR
female
hospital patient
human
interview
major clinical study
male
outpatient
prevalence
questionnaire
sex difference
tobacco dependence (diagnosis)
CAS REGISTRY NUMBERS
3,4 methylenedioxymethamphetamine (42542-10-9)
alcohol (64-17-5)
cocaine (50-36-2, 53-21-4, 5937-29-1)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English, Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
2013238121
PUI
L368725594
DOI
10.5455/pmb.1353349703
FULL TEXT LINK
http://dx.doi.org/10.5455/pmb.1353349703
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 698
TITLE
Phenibut dependence
AUTHOR NAMES
Samokhvalov A.V.
Paton-Gay C.L.
Balchand K.
Rehm J.
AUTHOR ADDRESSES
(Samokhvalov A.V., avsamokhvalov@yahoo.ca; Paton-Gay C.L.; Balchand K.; Rehm
J.) Centre for Addiction and Mental Health, Toronto, ON, Canada.
(Samokhvalov A.V., avsamokhvalov@yahoo.ca; Paton-Gay C.L.; Balchand K.; Rehm
J.) Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
(Rehm J.) Dalla Lana School of Public Health, Toronto, ON, Canada.
(Rehm J.) Klinische Psychologie and Psychotherapie, Technische Universität
Dresden, Dresden, Germany.
CORRESPONDENCE ADDRESS
A.V. Samokhvalov, Department of Psychiatry, University of Toronto, Toronto,
ON, Canada. Email: avsamokhvalov@yahoo.ca
SOURCE
BMJ Case Reports (2013) Article Number: 008381. Date of Publication: 2013
ISSN
1757-790X (electronic)
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
ABSTRACT
Phenibut is a γ-aminobutyric acid (GABA) agonist designed and used as an
anxiolytic in Russia. In Western countries, phenibut is not a registered
medication but is available through online stores as a supplement. We
present a case of a patient who used phenibut to selfmedicate anxiety,
insomnia and cravings for alcohol. While phenibut was helpful initially, the
patient developed dependence including tolerance, significant withdrawal
symptoms within 3-4 h of last use and failure to fulfil his roles at work
and at home. He finally sought medical assistance in our addictions clinic.
We have gradually, over the course of 9 weeks, substituted phenibut with
baclofen, which has similar pharmacological properties, and then
successfully tapered the patient off baclofen. This required approximately
10 mg of baclofen for each gram of phenibut. Copyright 2013 BMJ Publishing
Group. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
4 amino 3 phenylbutyric acid (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
alcohol
baclofen (drug therapy)
buprenorphine plus naloxone (drug therapy)
citalopram (drug therapy)
clonidine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (drug therapy, diagnosis, drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
alcoholism (drug therapy)
anxiety disorder (drug therapy)
article
case report
consultation
depression (drug therapy)
drug dependence treatment
drug tolerance
family life
human
insomnia (drug therapy)
job performance
male
priority journal
self medication
withdrawal syndrome (drug therapy, side effect)
CAS REGISTRY NUMBERS
4 amino 3 phenylbutyric acid (1078-21-3)
alcohol (64-17-5)
baclofen (1134-47-0)
citalopram (59729-33-8)
clonidine (4205-90-7, 4205-91-8, 57066-25-8)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013227228
MEDLINE PMID
23391959 (http://www.ncbi.nlm.nih.gov/pubmed/23391959)
PUI
L368689539
DOI
10.1136/bcr-2012-008381
FULL TEXT LINK
http://dx.doi.org/10.1136/bcr-2012-008381
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 699
TITLE
Health outcomes, education, healthcare delivery and quality-3041. Smoking
habit behaviour in adolescents
AUTHOR NAMES
González B.L.
AUTHOR ADDRESSES
(González B.L.) Allergy Deparment, Clinic: Robert Manuel Zulueta, Cuba.
CORRESPONDENCE ADDRESS
B.L. González, Allergy Deparment, Clinic: Robert Manuel Zulueta, Cuba.
SOURCE
World Allergy Organization Journal (2013) 6 SUPPL. 1. Date of Publication:
23 Apr 2013
CONFERENCE NAME
2nd WAO International Scientific Conference, WISC 2012
CONFERENCE LOCATION
Hyderabad, India
CONFERENCE DATE
2012-12-06 to 2012-12-09
CONFERENCE EDITORS
Pawanker R.
Rosenwasser L.J.
Holgate S.T.
ISSN
1939-4551
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Background: The main objective of this paper was to identify the percentage
of smoking adolescents as well as the tobacco consumption and present asthma
symptoms according to sex and age. Smoking habit play an important role in
respiratory infections due it is a prenatal conditioning factor for the
posterior appearance of asthma in the child and for the worsening of
pre-established symptoms in active smokers as well as passive ones.
Information related to this health problem is short as well as descriptions
regarding asthma in smokers. There are uncountless descriptions about the
dangerous effects of smoking cigarettes causing disorders to different organ
systems although this paper has focused mainly the respiratory system where
tobacco has been involved as the risk factor causing inflammatory infections
as well as carcinomas. Methods: A cross section study was done using a
questionary in which the students answered according to their
interpretation. The sample was taken to two hundred and ten participants.
The data were collected through a doctor-patient interview and triangulated
with information from a questionnaire and the study of individual and family
clinical histories. This was organized according to age, sex, tobacco
consumption habit, and asthma or related symptoms for the analysis. The
students were eighth and ninth graders and were selected according to sex
and age. Results: Sex distribution showed that 57.61% were male adolescents
and 42.38% were females of whom 4.76% presented with smoking habits and none
were asthmatic. Sixteen point six, six (16.66)% of their fathers smoked,
while the figure for mothers was 12.85%. The analysis also revealed that
15.23% of these lived with someone who also smoked. The most commonly
asthma-related symptoms found were wheezing, chest tightness and coughing in
order of apearence. Conclusions: There were no significant differences
regarding sex. The occurrence of adolescent smokers is high as well as the
population suffering asthma symptoms; therefore, prevention is a key point
for the health professionals who are in charge of developing this task in
the health care community.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
education
health
health care delivery
human
smoking habit
Wechsler intelligence scale
EMTREE MEDICAL INDEX TERMS
adolescent smoking
asthma
carcinoma
chest tightness
child
community
conditioning
coughing
diseases
father
female
habit
health care
health practitioner
infection
interview
male
mother
organ systems
patient
physician
population
prevention
questionnaire
respiratory system
respiratory tract infection
risk factor
sex ratio
smoking
student
tobacco
wheezing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71252430
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 700
TITLE
Functional drug sensitivity and resistance profiling of AML patient cells
defines a disease-specific combination of druggable signal addictions
AUTHOR NAMES
Pemovska T.
Yadav B.
Karjalainen R.
Kulesskiy E.
Kontro M.
Majumder M.M.
Turunen L.
Lindenschmidt I.
Lehto A.
Knowles J.
Heckman C.
Porkka K.
Aittokallio T.
Kallioniemi O.
Wennerberg K.
AUTHOR ADDRESSES
(Pemovska T.; Yadav B.; Karjalainen R.; Kulesskiy E.; Majumder M.M.; Turunen
L.; Lindenschmidt I.; Lehto A.; Knowles J.; Heckman C.; Aittokallio T.;
Kallioniemi O.; Wennerberg K.) Institute for Molecular Medicine Finland
(FIMM), Helsinki, Finland.
(Kontro M.; Porkka K.) Hematology Research Unit, Helsinki University Central
Hospital, Helsinki, Finland.
CORRESPONDENCE ADDRESS
T. Pemovska, Institute for Molecular Medicine Finland (FIMM), Helsinki,
Finland.
SOURCE
Cancer Research (2013) 73:8 SUPPL. 1. Date of Publication: 15 Apr 2013
CONFERENCE NAME
104th Annual Meeting of the American Association for Cancer Research, AACR
2013
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2013-04-06 to 2013-04-10
ISSN
0008-5472
BOOK PUBLISHER
American Association for Cancer Research Inc.
ABSTRACT
Numerous underlying molecular events have been described in acute myeloid
leukemia (AML), but still, the fundamental disease mechanisms are poorly
understood. Several targeted therapies have been investigated for improved
AML therapy but have not succeeded to date, likely due to the inability to
identify the patient subgroups that are most likely to benefit. Here, we
describe functional profiling of AML patient cells ex vivo with a drug
sensitivity and resistance (DSRT) platform in order to distinguish disease-
and patient-specific molecular vulnerabilities and individualized
therapeutic strategies. The oncology drug collection covers 306 anti-cancer
agents including 131 approved, 107 investigational and 68 experimental
compounds. Each compound is tested in a dose response series allowing for
calculation of drug sensitivity scores. The functional exploration of AML
patient samples was accompanied with comprehensive molecular profiling and
clinical background data to link drug sensitivities to molecular aberrations
and predictive biomarkers. Comparison of the drug sensitivity profiles of 24
AML patient and 5 control samples revealed that targeted inhibitors often
exhibit no to little effect in the controls and the majority of AML patient
samples with only a subset of patients showing very selective responses,
indicating that cancer specific vulnerabilities can be detected with the
DSRT platform. Clustering of the drug responses among patient and control
samples identified distinct subgroups of patients and drugs. Each of these
groups could be defined by a separate drug class, implying that the linked
samples were addicted to the corresponding signaling networks. Specifically,
we saw select addictions to drug classes such as dasatinib/VEGFR TKIs, MEK
inhibitors, rapalogs, JAK inhibitors, mTOR inhibitors in 6 (25 %), 5 (21%),
5 (21%), 5 (21%), and 6 (25%) of the patients, respectively. Together, these
sensitivities highlight a set of disease-specific and individualized
signaling nodes that can serve as starting points for personalized
combination therapy strategies in AML. Further, integration of DSRT results
with molecular and clinical profiling link some of the selective drug
responses to clinically actionable markers. For example, dasatinib
sensitivity was found to be predominant in AML M5 patients, suggesting that
this drug is a promising therapeutic candidate for relapsed and refractory
AML M5 patients. In conclusion, the DSRT platform can be used as a
functional interrogation of patient cells leading to the identification of
druggable vulnerabilities that can be used for personalized medicine
strategies. Furthermore, insight into disease-specific signal addictions and
establishment of how these are linked can aid in deconvoluting the complex
molecular disease mechanisms of cancers and generate strategies for novel
drug development.
EMTREE DRUG INDEX TERMS
biological marker
carcinogen
dasatinib
Janus kinase inhibitor
mammalian target of rapamycin inhibitor
marker
mitogen activated protein kinase inhibitor
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
cancer research
drug sensitivity
human
patient
EMTREE MEDICAL INDEX TERMS
acute myeloid leukemia
dose response
drug development
drug response
ex vivo study
neoplasm
oncology
personalized medicine
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71343037
DOI
10.1158/1538-7445.AM2013-5588
FULL TEXT LINK
http://dx.doi.org/10.1158/1538-7445.AM2013-5588
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 701
TITLE
Student seminar on smoking: A novel way to introduce different perspectives
on smoking to medical students
AUTHOR NAMES
Iqbal S.P.
Rafi S.
Rahman M.
AUTHOR ADDRESSES
(Iqbal S.P., saimapi@yahoo.com) Department of Community Health Sciences,
Shifa College of Medicine, Islamabad, Pakistan.
(Rafi S.) Department of Pathology, Shifa College of Medicine, Islamabad,
Pakistan.
(Rahman M.) Department of Medicine, Shifa College of Medicine, Islamabad,
Pakistan.
CORRESPONDENCE ADDRESS
S. P. Iqbal, Shifa College of Medicine, Pitras Bukhari Road, Sector H-8/4,
Islamabad, Pakistan. Email: saimapi@yahoo.com
SOURCE
Journal of Research in Medical Sciences (2013) 18:3 (245-251). Date of
Publication: 2013
ISSN
1735-1995
1735-7136 (electronic)
BOOK PUBLISHER
Isfahan University of Medical Sciences, Hezar Jerib Avenue, P.O. Box
81745-319, Isfahan, Iran.
ABSTRACT
Background: The respiratory module at Shifa College of Medicine (SCM) is
delivered in third year with emphasis on respiratory pathophysiology and
respiratory medicine. Smoking as a topic was introduced to emphasize the
preventive aspects of respiratory illnesses. An innovative approach to
involve students in their learning was developed. To determine whether this
innovation would be well received and effective for students' learning about
smoking, we carried out this study. Materials and Methods: This is a one
group post-test quasi-experiment. Two days were assigned for a smoking
seminar. The class of 106 students was divided into 10 batches, and each
batch was assigned a theme related to smoking. These themes were developed
by the faculty, and each theme was related to a different perspective on
smoking. A post-test questionnaire was distributed at the end of the seminar
for feedback to see what aspects of students' learning were highlighted and
what needed to be improved upon. Questions related to the usefulness of the
activity were incorporated into the questionnaire and the students were
asked to agree or disagree on a five-point Likert scale. Results: Most
(68.3%) students agreed that this activity improved their knowledge
regarding smoking, and 54.8% agreed that it also helped in application of
this knowledge. Improvement in presentation and counseling skills (59.8%),
evidence-based medicine (47.6%), and softer skills, such as teamwork (72%)
and creativity (63.4%), were also reported to be enhanced. Conclusion:
Seminars led by the students have shown to be effective in breaking the
monotony and generating an interest of the topic. Such an activity serves as
a small step to make our graduates more empathic, humane, competent, and
skilful.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
medical student
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
counseling
creativity
evidence based medicine
female
health
human
learning
male
quasi experimental study
questionnaire
teamwork
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013181618
PUI
L368561969
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 702
TITLE
Alcohol-related disorders among medical and surgical in-patients in a
Nigerian teaching hospital
AUTHOR NAMES
Abiodun O.A.
Ajiboye P.O.
Buhari O.N.
Ayanda K.A.
Adefalu O.M.
Adegboye L.O.
AUTHOR ADDRESSES
(Abiodun O.A.; Ajiboye P.O., poboye203@yahoo.com; Buhari O.N.) Department of
Behavioural Sciences, University of Ilorin, Ilorin, Kwara State, P.O. Box
825 GPO, Ilorin, Nigeria.
(Ayanda K.A.; Adefalu O.M.; Adegboye L.O.) University of Ilorin Teaching
Hospital, Ilorin, Nigeria.
CORRESPONDENCE ADDRESS
P.O. Ajiboye, Department of Behavioural Sciences, University of Ilorin,
Ilorin, Kwara State, P.O. Box 825 GPO, Ilorin, Nigeria. Email:
poboye203@yahoo.com
SOURCE
Annals of African Medicine (2013) 12:2 (120-126). Date of Publication:
April-June 2013
ISSN
1596-3519
0975-5764 (electronic)
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd, B9, Kanara Business Centre, off
Link Road, Ghatkopar (E), Mumbai, India.
ABSTRACT
Background/Objectives: Alcohol use disorders exist in a high proportion of
hospitalized patients and this often complicates patient management, but a
large proportion of them still go unrecognized by the managing clinicians.
The objective was to provide data on the proportion of inpatients 18 years
and above with alcohol-related disorders, and ability of the managing
clinicians to detect these disorders. Materials and Methods: Alcohol use
disorders were assessed in 339 consecutive patients admitted into medical
and surgical wards of University of Ilorin Teaching Hospital (UITH), Ilorin,
using the Structured Clinical Interview for DSM-IV Disorders (SCID) -
Alcohol module, for a period of 5 months. They were also assessed for the
presence or absence of alcohol-related problems (physical, psychological,
and social) by direct questioning. In addition, patients′ case notes were
scrutinized for additional information on alcohol-related problems and
ability of managing clinicians to detect alcohol-related problems in their
patients. Results: All patients with alcohol use disorders were males. The
point prevalence for alcohol abuse and alcohol dependence using DSM-IV
criteria were 16.4% and 8.5%, respectively among males while another 1.2%
who did not meet DSM-IV criteria for abuse and dependence, had
alcohol-related problems. Marital disharmony, financial problems, and
deteriorating work performance were the most common psychosocial problems
among the drinkers. Gastritis occurred in 18.5% of cases with alcohol abuse
and 21.4% of cases with alcohol dependence. Other physical problems among
drinkers included liver cirrhosis, malnutrition, and various injuries.
Significantly more patients aged (45-64 years) and patients of low
educational status compared to abstainers had alcohol use disorders and
alcohol-related problems. In addition, significantly more patients with
alcohol use disorders/alcohol-related problems compared to abstainers were
observed to have physical and psychosocial health problems. Alcohol-related
problems were detected in only 10.9% of the alcohol users by the managing
clinicians. Conclusion: There is a considerable case load of patients with
alcohol-related disorders in the hospital. There is therefore the need to
improve ability of the managing clinicians to detect and manage cases of
alcohol-related disorders, with referrals where appropriate.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
EMTREE MEDICAL INDEX TERMS
adult
alcohol abstinence
alcohol abuse
alcoholism
article
DSM-IV
educational status
female
gastritis
human
job performance
liver cirrhosis
major clinical study
male
malnutrition
marriage
Nigeria
prevalence
psychosocial disorder
teaching hospital
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2013415019
MEDLINE PMID
23713020 (http://www.ncbi.nlm.nih.gov/pubmed/23713020)
PUI
L369226119
DOI
10.4103/1596-3519.112407
FULL TEXT LINK
http://dx.doi.org/10.4103/1596-3519.112407
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 703
TITLE
Language and addiction: choosing words wisely.
AUTHOR NAMES
Wakeman S.E.
AUTHOR ADDRESSES
(Wakeman S.E.)
CORRESPONDENCE ADDRESS
S.E. Wakeman,
SOURCE
American journal of public health (2013) 103:4 (e1-2). Date of Publication:
Apr 2013
ISSN
1541-0048 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
attitude to health
medical education
public health
social work
EMTREE MEDICAL INDEX TERMS
education
female
human
male
note
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23409913 (http://www.ncbi.nlm.nih.gov/pubmed/23409913)
PUI
L368945872
DOI
10.2105/AJPH.2012.301191
FULL TEXT LINK
http://dx.doi.org/10.2105/AJPH.2012.301191
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 704
TITLE
Prescription medication misuse among adolescents with severe mental health
problems in Ontario, Canada
AUTHOR NAMES
Stewart S.L.
Baiden P.
den Dunnen W.
AUTHOR ADDRESSES
(Stewart S.L.; Baiden P.; den Dunnen W.) Applied Research and Education,
Child and Parent Resource Institute, London, Ontario, Canada.
shannon.stewart@ontario.ca
SOURCE
Substance use & misuse (2013) 48:5 (404-414). Date of Publication: 1 Apr
2013
ISSN
1532-2491 (electronic)
ABSTRACT
The purpose of this study was to examine the prevalence of prescription
medication misuse among adolescents with severe mental health problems in
Ontario, Canada, and to explore some of the factors that influence the
misuse of prescription medication. Data were obtained from the Resident
Assessment Instrument for Mental Health. A total of 2,677 adolescents
between the ages of 12 and 18 years who were admitted into adult mental
health beds were analyzed. Logistic regression was used in estimating the
likelihood of misusing prescription medication. Overall, 17% of adolescent
inpatients misused prescription medication. In the multivariate model, the
following were found to be associated with misuse: being female, having
multiple psychiatric admissions, education, threat or danger to self,
problem with addiction, history of emotional abuse, use of alcohol, past
year use of opiates and cannabis, as well as symptoms of depression. Misuse
of prescription medication was less likely to occur among adolescents with a
diagnosis of schizophrenia and adolescents who were admitted as a result of
posing a threat or danger to others. Implications of the findings are
discussed with suggestions for future research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
psychology
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adolescent
adolescent behavior
Canada
child
drug dependence (epidemiology)
drug misuse
female
human
male
mental disease (epidemiology)
prevalence
risk factor
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23461668 (http://www.ncbi.nlm.nih.gov/pubmed/23461668)
PUI
L604079983
DOI
10.3109/10826084.2013.765482
FULL TEXT LINK
http://dx.doi.org/10.3109/10826084.2013.765482
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 705
TITLE
The 19th annual scientific conference of the society on neuroimmune
pharmacology
AUTHOR NAMES
Roy S.
AUTHOR ADDRESSES
(Roy S.) Department of Surgery and Pharmacology, University of Minnesota, ,
United States.
CORRESPONDENCE ADDRESS
S. Roy, Department of Surgery and Pharmacology, University of Minnesota, ,
United States.
SOURCE
Journal of Neuroimmune Pharmacology (2013) 8:2 (378-380). Date of
Publication: April 2013
CONFERENCE NAME
19th Annual Scientific Conference of the Society on NeuroImmune
Pharmacology, SNIP 2013
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2013-04-03 to 2013-04-06
ISSN
1557-1890
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
This issue is a compilation of abstracts from the 19th Annual Conference of
the Society on NeuroImmune Pharmacology (SNIP) in the Journal of Neuroimmune
Pharmacology. This is the fourth year that the SNIP conference abstracts are
being published in their entirety and thanks to Springer there is open
access to these abstracts. The Society would like to give special thanks to
our Journal Editors and Ann Avouris, Springer US for their continued support
and assistance. The goal of the 2013 SNIP Conference to be held on April
3-6, 2013, at the Hotel Conrad San Juan Condado Plaza, San Juan, Puerto
Rico, highlights the mission and focus of the society in bridging the fields
of Immunology, Pharmacology, and the Neurosciences, with a special emphasis
on how drugs of abuse and infectious diseases interact with the neuroimmune
axis. This focus will include basic and clinical neuroscience, neuroAIDS,
and other neurodegenerative processes, as well addiction research. Each
symposium will begin with a symposium lecture by a distinguished scientist
who will provide an overview of the symposium topic and set the stage for
the individual lectures that follows. Each symposium includes the
participation of young or junior investigators in addition to more
established researchers. The 19th SNIP Conference will open on Wednesday
evening (April 3) with the Young Investigator Poster Session, which
highlights recent research accomplishments by young researchers. The next
event dedicated to young investigators is a special “Meet the Mentors”
luncheon, to be held on Thursday afternoon (April 4). This luncheon will be
attended by young investigators who are presenting their work at the
Conference as well as by mentors from academia, industry, and the National
Institutes of Health (NIH), who have influenced the field of neuroimmune
pharmacology. In addition to the Young Investigator Poster session, a
General Poster Session will be held on Thursday, April 4. The third event
will be the Young Investigators' Symposium, which will take place on
Saturday, April 6. The aim of this Symposium will be to highlight the work
of three postdoctoral and three pre-doctoral researchers, selected by the
Early Career Investigator Travel Award (ECITA) Committee from a pool of over
65 abstracts submitted, based on their quality and research accomplishments.
In addition this year we have a dedicated poster session for alcohol
research funded by NIAAA. The Bill Narayan Memorial Lecture will be the
fourth event dedicated to young investigators. We are very fortunate to have
as this year's Bill Narayan lecture speaker, Dr. Avi Nath, from NIH an
internationally recognized neuroAIDS leader. This year's conference will
host five plenary lectures. On Thursday, April 4, Dr. Benjamin Chen, 2009
Avant-Garde Award for Innovative HIV-AIDS Research, will present his
findings in a lecture entitled “ Visualizing HIV dissemination through
virological synapses”. The second plenary lecture will be presented by Dr.
Thirumala-Devi Kanneganti from St. Jude Children's Research Hospital with
the title of her talk being: 'Mediators of Inflammatory Responses'. The
third plenary speaker, Dr. Jon M Lindstorm from the University of
Pennsylvania will highlight the targets of Nicotine and Autoantibodies. The
fourth plenary speaker, Dr. Bert t' Hart from the Biomedical Primate
Research Center, The Netherlands will discuss the “Mysterious Role of B
cells in Neuroinflammation” Our fifth plenary speaker, Dr. Tariq Rana will
highlight in his talk the “Meeting Places for RNAi and Antiviral Defense
Machine”. We look forward to these very exciting yet diverse talks from
these distinguished speakers. There will be a total of eight symposia
presented at the Conference. The theme of the first symposium will be,
'Neuroimmune Activation Contributes to Addiction Neurobiology'. This
symposium will be sponsored by NIAAA and organized by Drs. Fulton Crews, and
Changhai Cui. The symposium will be opened by introductory Remarks from Dr.
Changhai Cui followed by four lectures. The first speaker, Dr. Paul Kenny
from Scripps Research Inst. will open the symposium with a talk entitled;
'miRNA132 promotes cocaine addiction through NFkB signaling'. This will be
followed by Dr. Fulton T. Crews from UNC Medical School with his talk
entitled; Ethanol activates HMGB1/TLRRAGE Signaling inducing innate immune
genes in brain. Lecture 3 will be given by Dr. Dipak Sarkar- Rutgers
University, New Brunswick, NJ with the title: 'Microglial mediation of
alcohol programming of the neuroendocrinestress axis influencing
alcohol-drinking behavior'. This will be followed by Lecture 4: Dr. Mark
Hutchinson- School of Medical Sciences, University of Adelaide, the title of
his talk being 'The proinflammatory hypothesis of addiction: clinical and
preclinical evidence' and Lecture 5: Dr. R. Adron Harris from Waggoner
Center, University of Texas, title: 'Neuroimmune regulation of alcohol
consumption, opportunities for therapeutics?' Symposium II, organized by
Sabita Roy, will focus on Emerging trends in Substance Abuse, HIV Infection
and Neuropathogenesis. Dr. Jag khalsa (NIAAA/NIH) will start off the
symposium by highlighting on the Clinical implications of Neuro-Immune
Pharmacology providing introductory remarks. Dr. Lena Al-Harthi from Rush
University, Chicago, will elaborate on 'Astrocytes and NeuroAIDS: The
Wnt/beta-catenin connection in virus/host interaction and
neuropathogenesis'. Dr. Shilpa Buch from University of Nebraska will talk on
'HIV and Morphine mediated regulation of neuronal dysfunction: blaming the
Messenger.' Next talk will be given by Dr. Joan Berman, from Albert Einstein
College of Medicine, with the title 'Dopamine mediated neuroinflammation and
CNS damage in the context of HIV infection: A common mechanism of drugs of
abuse' followed by a talk by Dr. Santanu Banerjee entitled: Morphine
attenuation of LPS tolerance-Role of miRNA. Symposium III, organized by Drs.
Madhavan Nair and Mohan Sopori will feature Dr. Eliot R Spindel, Oregon
Health and Science University as the first speaker with his talk entitled
'Lynx1 and other ly-6 proteins are a family of endogenous regulators of
nicotinic signaling: implications for lung disease and lung cancer'. Dr.
Mohan Sopori from Lovelace Respiratory Research Institute, Albuquerque will
talk next on 'Nicotinic Receptors in Airway mucus formation in Health and
Disease'. Dr. Santosh Kumar from UMKC will focus on the 'Role of cytochrome
P450 enzymes in tobacco/nicotine-mediated effects on and HIV- 1 model
systems'. Dr. Venkata Subba Rao Atluri, a young invesitagator from Florida
International University will discuss 'The effect of nicotine on synaptic
plasticity gene expression in HIV-1 infection: implication in HAND'.
Symposium IV, organized by Drs. Shilpa Buch and Marcus Kaul, will highlight
the Animal Models of HIV infection and Drug Abuse. Speakers in this
symposium include Howard Fox who will discuss the systematic approach in
'The interaction of Methamphetamine and HIV'. This will be followed by a
talk by Dr. Ken Williams, from Boston College, with his talk entitled,
'Monocyte and Macrophage Activation in SIV Pathogenesis'. The third and
fourth speakers in this symposium are Dr. Fatah Kashanchi, from George Mason
University, Manassas, VA with talk entitled 'Exosomes and their function in
vitro and in vivo' and Dr. Marco Salemi, from University of Florida,
Gainsville, with his talk title; 'Phylodynamic analysis of brain infection
in the SIV infected macaque model of NeuroAIDS'. As in years past, an NIH
grant writing Workshop and Luncheon will be held immediately following
symposium IV. The workshop, organized by Drs. Albert Avila (NIDA) and
Eduardo Montalvo (CSR) will provide insight on Grant Writing and the Grant
Review Process. The workshop will be followed by Dr. Bill Narayan lecture
mentioned above followed by symposium V. Symposium V, organized by Drs.
Vishnudutt Purohit, - National Institute on Drug Abuse, and Guy A. Cabral
from Virginia Commonwealth University is entitled 'Cannabinoids, HIV
Pathogenicity, and Other Infectious Disease Processes'. The symposium will
be co-chaired by Drs. Rao Rapaka (NIH) and Guy Cabral. The speakers are in
the following order. Dr. Melissa Jamerson, from Virginia Commonwealth
University School of Medicine, with her talk entitled 'Cannabinoids mediate
macrophage-like cell responsiveness to HIV-specified gene products'; Dr.
Mitzi Nagarkatti, University of South Carolina School of Medicine, with talk
title 'THC-induced dysregulation in microRNA triggers myeloid-derived
suppressor cells and consequent suppression of T cell responses to gp120 of
HIV'; Dr. Nicole LeCapitaine, University Health Sciences Center, talk title
'Unraveling the impact of cannabinoids on HIV disease: a system-wide
approach'; Dr. Norbert Kaminski, Director for Integrative Toxicology,
Michigan State University, talk title 'Role of antigen presenting cells and
the cannabinoid receptors 1 and 2 in Δ9-Tetrahydrocannabinol impairment of
the inflammatory response to influenza infection.' Summary and Conclusion
will be delivered by Dr. Vishnudutt Purohit, from National Institute on Drug
Abuse, National Institutes of Health. The deliberations on Saturday, April
6, will open with plenary lecture V followed by the final three symposia.
Symposium VI, organized by Dr. Jeymohan Joseph. - National Institute of
Mental Health, Bethesda and Dr. Michal Toborek, University of Miami School
of Medicine focusses on a very timely topic: 'Neuropathology of HIV-1 in an
Aging Population.
EMTREE DRUG INDEX TERMS
alcohol
antivirus agent
autoantibody
cannabinoid
cannabinoid receptor
catenin
cytochrome
cytochrome P450
dopamine
enzyme
methamphetamine
microRNA
morphine
nicotine
nicotinic receptor
protein
tetrahydrocannabinol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pharmacology
society
EMTREE MEDICAL INDEX TERMS
abuse
acquired immune deficiency syndrome
addiction
aging
airway
alcohol consumption
animal model
antigen presenting cell
astrocyte
attenuation
awards and prizes
B lymphocyte
brain
brain infection
Canada
central nervous system
child
cocaine dependence
college
drinking behavior
drug abuse
editor
exosome
fox
gene
gene expression
gene product
health
health science
hospital
human
Human immunodeficiency virus
Human immunodeficiency virus 1 infection
Human immunodeficiency virus infection
hypothesis
immunology
in vitro study
industry
infection
inflammation
influenza
lung cancer
lung disease
macaque model
machine
macrophage
macrophage activation
medical school
medicine
Melissa officinalis
model
monocyte
mucus
national health organization
nerve cell plasticity
nervous system inflammation
Netherlands
neurobiology
neuropathology
pathogenesis
pathogenicity
population
primate
Puerto Rico
Rana
school
scientist
Simian immunodeficiency virus
substance abuse
suppressor cell
synapse
T lymphocyte
teacher
therapy
toxicology
travel
United States
university
workshop
writing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71992676
DOI
10.1007/s11481-013-9441-0
FULL TEXT LINK
http://dx.doi.org/10.1007/s11481-013-9441-0
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 706
TITLE
Knowledge of addiction medicine among internal medicine residents and
medical students.
AUTHOR NAMES
Brown A.T.
Kolade V.O.
Staton L.J.
Patel N.K.
AUTHOR ADDRESSES
(Brown A.T.) Division of Pulmonary, Allergy and Critical Care Medicine,
University of Alabama at Birmingham, AL, USA.
(Kolade V.O.; Staton L.J.; Patel N.K.)
CORRESPONDENCE ADDRESS
A.T. Brown, Division of Pulmonary, Allergy and Critical Care Medicine,
University of Alabama at Birmingham, AL, USA.
SOURCE
Tennessee medicine : journal of the Tennessee Medical Association (2013)
106:3 (31-33). Date of Publication: Mar 2013
ISSN
1088-6222
ABSTRACT
More than 22 million Americans are living with addiction, including nearly
seven million who misuse prescription medications. However, most medical
schools and residency programs provide little to no education addressing
alcohol and drug addiction. Implementation of a new addiction medicine
curriculum at a single internal medicine program provided an opportunity for
knowledge assessment in a select population of health professionals. We
hypothesized that knowledge of addiction medicine would not differ by
training level or geographical location of medical school, but that
knowledge would improve following a structured curriculum. Study
participants included internal medicine and transitional year residents, as
well as a group of medical students who were enrolled in a single internal
medicine program at the time of the didactic series. A pre-test was
administered prior to a four-week structured curriculum. The topics
addressed included but were not limited to: 1) an overview of addiction, 2)
opioids and chronic pain, 3) benzodiazepines and illicit stimulants, and 4)
alcohol. A panel discussion was convened at the end of the fourth session.
Following participation in the symposium, participants completed an online
post-test. ANOVA was used to compare means. Paired t-tests were used to
compare pre-test and post-test scores. 36 of 44 eligible medical students
and residents completed the pre-test. Mean pre-test percentage scores were
64 percent for fourth year medical students and 62.5 percent for all
residents. For residents, U.S. medical school trainees answered 65 percent
of the pre-test questions correctly, versus 58.6 percent correct responses
among their international medical graduate peers. No inter-group differences
were statistically significant. Of the 36 participants, 20 completed both
pre-tests and post-tests. The mean post-test score of 68.75 percent was
higher than the mean pre-test score of 61.75 percent, p = 0.009. Knowledge
of addiction medicine can be improved for medical students and residents in
an academic medicine department. Significant improvements were observed
following completion of eight hours of interactive didactics.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
clinical competence
internal medicine
medical education
medical student
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
education
female
foreign worker
human
male
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23544288 (http://www.ncbi.nlm.nih.gov/pubmed/23544288)
PUI
L368853261
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 707
TITLE
Physician detection of unhealthy substance use on inpatient teaching and
hospitalist medical services
AUTHOR NAMES
Holt S.R.
Ramos J.
Harma M.
Cabrera F.
Louis-Ashby C.
Dinh A.
Fiellin D.A.
Tetrault J.M.
AUTHOR ADDRESSES
(Holt S.R., stephen.holt@yale.edu; Ramos J.; Harma M.; Cabrera F.;
Louis-Ashby C.; Dinh A.; Fiellin D.A.; Tetrault J.M.) Department of Internal
Medicine, Yale University, School of Medicine, P.O. Box 208025, New Haven,
CT 06520-8025, United States.
(Holt S.R., stephen.holt@yale.edu; Ramos J.; Harma M.; Cabrera F.;
Louis-Ashby C.; Dinh A.; Fiellin D.A.; Tetrault J.M.) Department of
Investigative Medicine, Yale University School of Medicine, New Haven, CT,
United States.
CORRESPONDENCE ADDRESS
S.R. Holt, Department of Internal Medicine, Yale University, School of
Medicine, P.O. Box 208025, New Haven, CT 06520-8025, United States. Email:
stephen.holt@yale.edu
SOURCE
American Journal of Drug and Alcohol Abuse (2013) 39:2 (121-129). Date of
Publication: March 2013
ISSN
0095-2990
1097-9891 (electronic)
BOOK PUBLISHER
Informa Healthcare, 52 Vanderbilt Ave., New York, United States.
ABSTRACT
Background: Screening, brief intervention, and referral to treatment for
substance use depends on reliable identification. The goal of this study was
to determine the rate of detection of unhealthy substance use by physicians
on teaching and nonteaching medical services at a community teaching
hospital. Methods: This cross-sectional study was conducted from February to
June 2009. All new medicine admissions to the Teaching Service or the
nonteaching Hospitalist Service were assessed for unhealthy substance use
using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C)
and Drug Abuse Screening Test (DAST). All patients identified with substance
use completed the Alcohol, Smoking, and Substance Involvement Screening Test
(ASSIST). Medical record review was also performed to assess physician
documentation. Results: Of 442 eligible patients, 414 consented to
participate. Patients on the Teaching Service were more likely to be male,
younger, unmarried, non-white, uninsured or receiving publicly funded
insurance, and current smokers (p < .01 for all comparisons). Overall, the
detection rate for unhealthy substance use was 64.3% (63 of 98 confirmed
cases), with service-specific rates of 73.4% for the Teaching Service,
compared with 47.1% for the Hospitalist Service (p = .011). ICD-9 coding
accounted for 53.1% of identified cases on the Teaching Service and 14.7% of
identified cases on the Hospitalist Service (p < .001). Assignment to the
Hospitalist Service, being married, and isolated unhealthy drug use were
independently associated with decreased physician detection rates.
Conclusions: Our study suggests that unhealthy substance use is more likely
to be detected on a Teaching Service than on a Hospitalist Service. Copyrigh
© 2013 Informa Healthcare USA, Inc.
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
aged
alcohol abuse
alcohol consumption
alcohol withdrawal syndrome
article
drug abuse
drug dependence
drug misuse
drug use
employment
female
hospital patient
human
ICD-9
major clinical study
male
medicaid
medical documentation
medical record review
medical service
patient referral
physician
prescription
smoking
teaching hospital
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013122021
MEDLINE PMID
22992028 (http://www.ncbi.nlm.nih.gov/pubmed/22992028)
PUI
L368377401
DOI
10.3109/00952990.2012.715703
FULL TEXT LINK
http://dx.doi.org/10.3109/00952990.2012.715703
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 708
TITLE
Effect of direct physician involvement on tobacco abstinence rates and other
variables affecting participants of a freedom from tobacco class
AUTHOR NAMES
Ismail M.H.
Ho N.J.
Lara N.I.
AUTHOR ADDRESSES
(Ismail M.H.; Ho N.J.; Lara N.I.) Physician in the Preventive Medicine
Department, Kaiser Permanente Riverside Medical Center, CA, USA.
mohamed.h.ismail@kp.org
SOURCE
The Permanente journal (2013) 17:2 (4-11). Date of Publication: 1 Mar 2013
ISSN
1552-5775 (electronic)
ABSTRACT
CONTEXT: Kaiser Permanente measures how often tobacco users are offered
strategies to quit but not the success of such strategies.OBJECTIVE: To
compare tobacco abstinence rates for participants of the Kaiser Permanente
Riverside (California) Medical Center's Freedom from Tobacco Class in 2008,
before direct physician involvement, and in 2009, after direct physician
involvement, and to compare other variables affecting these rates.DESIGN: In
a retrospective study, participants were divided into two groups based on
year of participation. Data were collected using electronic medical records
and phone interviews.MAIN OUTCOME MEASURES: Tobacco use status between both
groups at 1, 3, 6, and 12 months after the classes started and within groups
by sex, number of classes attended, medication received, and class
teacher.RESULTS: The 12-month abstinence rates were 27% in 2008 and 33% in
2009 (p = 0.3). The abstinence rate for men improved from 23% to 38% (2008
vs 2009; p = 0.05), whereas for women it was 30% vs 27% (p = 0.7).
Abstinence rates decreased over time for the group as a whole (p < 0.001).
Attendance of 6 or more classes was associated with higher abstinence rates.
There was no significant impact on abstinence rates due to age, body mass
index, class teacher, or medications used.CONCLUSION: Direct physician
involvement improved men's but not women's abstinence rates among class
participants. The relapse rate was significant over the first year after the
class. Further research is needed to study the difference between sexes and
the factors affecting relapse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
physician attitude
prevention and control
procedures
EMTREE MEDICAL INDEX TERMS
adult
counseling
female
health maintenance organization
human
male
middle aged
patient education
retrospective study
sex difference
smoking cessation
tobacco use
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23704836 (http://www.ncbi.nlm.nih.gov/pubmed/23704836)
PUI
L603061401
DOI
10.7812/TPP/12-063
FULL TEXT LINK
http://dx.doi.org/10.7812/TPP/12-063
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 709
TITLE
Effect of direct physician involvement on tobacco abstinence rates and other
variables affecting participants of a freedom from tobacco class.
AUTHOR NAMES
Ismail M.H.
Ho N.J.
Lara N.I.
AUTHOR ADDRESSES
(Ismail M.H., mohamed.h.ismail@kp.org) Physician in the Preventive Medicine
Department, Kaiser Permanente Riverside Medical Center, CA, USA.
(Ho N.J.; Lara N.I.)
CORRESPONDENCE ADDRESS
M.H. Ismail, Physician in the Preventive Medicine Department, Kaiser
Permanente Riverside Medical Center, CA, USA. Email: mohamed.h.ismail@kp.org
SOURCE
The Permanente journal (2013) 17:2 (4-11). Date of Publication: 2013 Spring
ISSN
1552-5775 (electronic)
ABSTRACT
Kaiser Permanente measures how often tobacco users are offered strategies to
quit but not the success of such strategies. To compare tobacco abstinence
rates for participants of the Kaiser Permanente Riverside (California)
Medical Center's Freedom from Tobacco Class in 2008, before direct physician
involvement, and in 2009, after direct physician involvement, and to compare
other variables affecting these rates. In a retrospective study,
participants were divided into two groups based on year of participation.
Data were collected using electronic medical records and phone interviews.
Tobacco use status between both groups at 1, 3, 6, and 12 months after the
classes started and within groups by sex, number of classes attended,
medication received, and class teacher. The 12-month abstinence rates were
27% in 2008 and 33% in 2009 (p = 0.3). The abstinence rate for men improved
from 23% to 38% (2008 vs 2009; p = 0.05), whereas for women it was 30% vs
27% (p = 0.7). Abstinence rates decreased over time for the group as a whole
(p < 0.001). Attendance of 6 or more classes was associated with higher
abstinence rates. There was no significant impact on abstinence rates due to
age, body mass index, class teacher, or medications used. Direct physician
involvement improved men's but not women's abstinence rates among class
participants. The relapse rate was significant over the first year after the
class. Further research is needed to study the difference between sexes and
the factors affecting relapse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
physician attitude
smoking cessation
tobacco use (prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
female
health maintenance organization
human
male
methodology
middle aged
patient education
retrospective study
sex difference
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23704836 (http://www.ncbi.nlm.nih.gov/pubmed/23704836)
PUI
L563008809
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 710
TITLE
Pubertal status, sensation-seeking, impulsivity, and substance use in high
school-aged boys and girls
AUTHOR NAMES
Kong G.
Smith A.E.
McMahon T.J.
Cavallo D.A.
Schepis T.S.
Desai R.A.
Potenza M.N.
Krishnan-Sarin S.
AUTHOR ADDRESSES
(Kong G., grace.kong@yale.edu; McMahon T.J.; Cavallo D.A.; Potenza M.N.;
Krishnan-Sarin S.) Department of Psychiatry, Yale University School of
Medicine, 34 Park Street, New Haven, CT 06519, United States.
(Smith A.E.) Child Study Center, Yale University School of Medicine, New
Haven, CT, United States.
(McMahon T.J.; Potenza M.N.) Department of Psychology, Texas State
University, San Marcos, TX, United States.
(Desai R.A.) Department of Psychiatry, Yale University School of Medicine,
VA Connecticut Healthcare System, West Haven, United States.
(Potenza M.N.) Department of Neurobiology, Yale University School of
Medicine, New Haven, CT, United States.
(Schepis T.S.)
CORRESPONDENCE ADDRESS
G. Kong, Department of Psychiatry, Yale University School of Medicine, 34
Park Street, New Haven, CT 06519, United States. Email: grace.kong@yale.edu
SOURCE
Journal of Addiction Medicine (2013) 7:2 (116-121). Date of Publication:
March-April 2013
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objective: To examine howfactors such as pubertal status, sensationseeking,
and impulsivity are related to substance use (cigarettes, alcohol, and
marijuana) in high school students and examine these associations by gender.
Methods: Ten public high schools in Connecticut participated in a survey of
high-risk behaviors. Adolescents from grades 9 to 12 (N = 3068) completed
measures of physical development (Pubertal Development Scale), perceived
pubertal timing, impulsivity and sensationseeking (Zuckerman-Kuhlman
Personality Questionnaire - Form III), and cigarette, marijuana, and alcohol
use in the past 30 days. Results: Logistic regression analyses modeling each
substance use (cigarettes, marijuana, and alcohol) and gender separately
showed that (1) early perceived pubertal timing was associated with
cigarette use but Pubertal Development Scale was not associated with any
substance use, (2) sensation-seeking was associated with use of all 3
substances, and (3) gender differences were detected: impulsivity was
associated with use of all 3 substances among girls, but this was not found
among boys. Conclusion: Future studies should examine the relationship among
pubertal status, sensation-seeking, and impulsivity from preadolescence
through late adolescence to better understand how these relationships to
substance use may change with time and growth. Copyright © 2013 American
Society of Addiction Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
cannabis smoking
impulsiveness
puberty
sensation seeking
smoking
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
health survey
high risk behavior
high school
human
male
physical development
priority journal
Pubertal Development Scale
questionnaire
rating scale
United States
Zuckerman Kuhlman Personality Questionnaire Form III
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013319534
MEDLINE PMID
23370933 (http://www.ncbi.nlm.nih.gov/pubmed/23370933)
PUI
L368950564
DOI
10.1097/ADM.0b013e31828230ca
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e31828230ca
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 711
TITLE
Work-ability assessment in young adults with disabilities applying for
disability benefits.
AUTHOR NAMES
Holwerda A.
Groothoff J.W.
de Boer M.R.
van der Klink J.J.
Brouwer S.
AUTHOR ADDRESSES
(Holwerda A.) Department of Health Sciences, Community & Occupational
Medicine, University Medical Center Groningen, University of Groningen, The
Netherlands.
(Groothoff J.W.; de Boer M.R.; van der Klink J.J.; Brouwer S.)
CORRESPONDENCE ADDRESS
A. Holwerda, Department of Health Sciences, Community & Occupational
Medicine, University Medical Center Groningen, University of Groningen, The
Netherlands. Email: a.holwerda01@umcg.nl
SOURCE
Disability and rehabilitation (2013) 35:6 (498-505). Date of Publication:
Mar 2013
ISSN
1464-5165 (electronic)
ABSTRACT
To investigate the impact of diagnosis, co-morbidity, secondary conditions
(e.g. learning problems, subclinical mental and somatic complaints,
addictions, and socio-emotional and behavioral problems) and problems in
social context on work ability as assessed by Insurance Physicians (IPs) in
young adults applying for a disability benefit. IPs of the Social Security
Institute assessed young adults with disabilities (aged 15-27) applying for
a disability benefit (n = 1755). Data were analyzed with multilevel ordinal
regression techniques. Primary diagnosis, co-morbidity and subclinical
mental complaints were associated with IP-assessed work ability. Persons
with mental health conditions as primary diagnosis were less likely to reach
a higher work ability than persons with somatic diseases. Young adults with
two or more co-morbid conditions and those with psychiatric or developmental
co-morbidity were less likely to reach a higher work ability level than
persons without co-morbidity. Young adults with subclinical mental
complaints were half as likely to reach a higher IP-assessed work ability
than young adults without this condition. Primary diagnosis, type and number
of co-morbid conditions and subclinical mental complaints are associated
with IP-assessed work ability. Work-ability assessments among adolescents
with disabilities applying for disability benefits still focus mainly on
medical factors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
disability
social security
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cross-sectional study
employment
human
Netherlands
social support
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22823955 (http://www.ncbi.nlm.nih.gov/pubmed/22823955)
PUI
L369518284
DOI
10.3109/09638288.2012.702846
FULL TEXT LINK
http://dx.doi.org/10.3109/09638288.2012.702846
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 712
TITLE
Early detection and early intervention in first episode psychosis
ORIGINAL (NON-ENGLISH) TITLE
Dépistage précoce de la schizophrénie et prise en charge des premiers
épisodes psychotiques
AUTHOR NAMES
Bourgin J.
Krebs M.-O.
AUTHOR ADDRESSES
(Bourgin J., j.bourgin@ch-sainte-anne.fr; Krebs M.-O.,
mo.krebs@ch-sainte-anne.fr) Service Hospitalo-universitaire de Psychiatrie,
Centre Hospitalier Sainte-Anne, UMR 894 Université Paris-Descartes, 75014
Paris, France.
CORRESPONDENCE ADDRESS
J. Bourgin, Service Hospitalo-universitaire de Psychiatrie, Centre
Hospitalier Sainte-Anne, UMR 894 Université Paris-Descartes, 75014 Paris,
France. Email: j.bourgin@ch-sainte-anne.fr
SOURCE
Revue du Praticien (2013) 63:3 (336-342). Date of Publication: March 2013
ISSN
0035-2640
BOOK PUBLISHER
Huveaux France, 114 Avenue Charles de Gaulle, Neuilly sur Seine, France.
ABSTRACT
The onset of schizophrenic disorders generally occurs in late
adolescence/early adulthood. However, in 75% of the cases, the onset is
preceded by a prodromal stage. Subjects concerned by these prodromal
symptoms are defined at "high risk" for psychosis (30% of conversion to
psychosis in the next year). Early detection programs aim at improving the
recognition of the prodromal symptoms in order to develop appropriate early
interventions that will delay or prevent conversion to psychosis or reduce
the duration of untreated psychosis (DUP). Atypical antipsychotics are not
recommended when psychotic symptoms are only attenuated, while they must be
rapidly prescribed when a franc psychotic episode is present. Early
identification of patients with schizophrenia is a general practitioners'
task provided that they can rely on a supportive specialized psychiatric
team. Early intervention should be based on a comprehensive assessment of
the subject, in order to propose personalized care that include cognitive
therapy, psycho-education, and treatment of associated disorders
(depression, substance abuse). The reduction of duration of untreated
psychosis will also require sensibilization campaigns in the community with
the hope to improve access to care and service delivery.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
early diagnosis
psychosis
EMTREE MEDICAL INDEX TERMS
cognitive therapy
depression
general practitioner
health care access
health care delivery
health program
human
personalized medicine
psychoeducation
schizophrenia
short survey
substance abuse
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2013227114
MEDLINE PMID
23687756 (http://www.ncbi.nlm.nih.gov/pubmed/23687756)
PUI
L368689415
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 713
TITLE
Can cigarette smoking worsen the clinical course of cluster headache?
AUTHOR NAMES
Tiraferri I.
Righi F.
Zappaterra M.
Ciccarese M.
Pini L.A.
Ferrari A.
Cainazzo M.M.
AUTHOR ADDRESSES
(Tiraferri I.; Righi F.; Zappaterra M.; Ciccarese M.; Pini L.A.; Ferrari A.;
Cainazzo M.M.) Headache and Drug Abuse Inter Departmental, Research Centre,
University of Modena, Reggio Emilia, Italy.
CORRESPONDENCE ADDRESS
I. Tiraferri, Headache and Drug Abuse Inter Departmental, Research Centre,
University of Modena, Reggio Emilia, Italy.
SOURCE
Journal of Headache and Pain (2013) 14:1 SUPPL. 1. Date of Publication: 21
Feb 2013
CONFERENCE NAME
European Headache and Migraine Trust International Congress 2012
CONFERENCE LOCATION
London, United Kingdom
CONFERENCE DATE
2012-09-20 to 2012-09-23
ISSN
1129-2369
BOOK PUBLISHER
Springer Milan
ABSTRACT
Introduction: Up to 90% of cluster headache (CH) patients have a prolonged
history of cigarette smoking prior to the headache onset. It has been
suggested a genetic link between CH and nicotine addiction and, also, that
toxic agents found in cigarette smoke have a direct effect on the
hypothalamus, a pivotal area for the pathogenesis of CH [1-3]. Purpose: To
explore the relationship between cigarette smoking and the clinical course
of cluster headache. Methods: All outpatients with cluster headache,
diagnosed according to the criteria of ICHD-II, who were, consecutively,
seen from October 2010 to April 2012 at the Headache Centre, were subjected
to a phone interview by means a specific standardized questionnaire (29
items), administered, always, by the same trained post-graduate medical
doctor. Results: A total of 200 patients were surveyed (172 male, 28 female;
mean age ± SD: 48.4 ± 12.7; male/female ratio: 6.1:1). One hundred and
twenty patients were current smokers, 42 former smokers and 38 nonsmokers.
The age of onset of CH was 29.8 ±13.6 years. Among all smokers and former
smokers those who started smoking before age of 18 years had an onset of
cluster headache earlier than those who started smoking after age of 18
years (P < .01, Student's t test). All patients with chronic cluster
headache were currently smokers. The episodic form (89%) was more frequent
than the chronic one (11%). Chronic CH patients smoked more cigarettes per
day (P < .01, Student's t test) and started smoking before (P < .01,
Student's t test) than patients with episodic CH (P = .001, Student's t
test). The length of the active phase of CH was tripled compared to
non-smokers (weeks ± SD: 15.1 ± 17.6 vs. 5.7 ± 4.7; P < .001, Student's t
test). Conclusion: Our data showed that cigarette smoking is an aggravating
factor for cluster headache, in particular for the lasting of the active
phase.
EMTREE DRUG INDEX TERMS
cigarette smoke
toxic substance
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cluster headache
disease course
headache
migraine
smoking
EMTREE MEDICAL INDEX TERMS
chronic cluster headache
female
graduate
human
hypothalamus
interview
male
onset age
outpatient
pathogenesis
patient
physician
questionnaire
Student t test
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71304848
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 714
TITLE
The stress of residency: Recognizing the signs of depression and suicide in
you and your fellow residents
AUTHOR NAMES
Hochberg M.S.
Berman R.S.
Kalet A.L.
Zabar S.R.
Gillespie C.
Pachter H.L.
AUTHOR ADDRESSES
(Hochberg M.S., mark.hochberg@nyumc.org; Berman R.S.; Kalet A.L.; Zabar
S.R.; Gillespie C.; Pachter H.L.) Department of Surgery, New York University
Medical Center, 550 First Avenue, NBV 15 N1, New York, NY 10016, United
States.
CORRESPONDENCE ADDRESS
M.S. Hochberg, Department of Surgery, New York University Medical Center,
550 First Avenue, NBV 15 N1, New York, NY 10016, United States. Email:
mark.hochberg@nyumc.org
SOURCE
American Journal of Surgery (2013) 205:2 (141-146). Date of Publication:
February 2013
ISSN
0002-9610
1879-1883 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Background: Stress, depression, and suicide are universal but frequently
unrecognized issues for women and men in residency training. Stress affects
cognitive and psychomotor performance both inside and outside of the
operating room. Stress impairs the 2 key components of a surgeon's
responsibilities: intellectual judgment and technical skill. We hypothesized
that the recognition of depression, substance abuse, failing personal
relationships, and potential suicide is poor among surgeons. If residents
can recognize the signs of stress, depression, and suicide among colleagues,
we believe it will not only improve their quality of life but also may
preserve it. Methods: We first determined baseline resident knowledge of the
signs of surgical stress including fatigue; burn out; depression; physician
suicide; drug and alcohol abuse; and their effects on family, friends, and
relationships. We then developed a curriculum to identify these signs in
first, second, third, and fourth year surgical residents were identified as
the target learners. The major topics discussed were depression; physician
suicide; drug and alcohol abuse; and the effects of stress on family,
friends, and our goals. Secondary objectives included identifying major
sources of stress, general self-awareness, understanding professional
choices, and creating a framework to manage stress. Residents participated
in an interactive seminar with a surgical facilitator. Before and after the
seminar, a multiple-choice test was administered with questions to assess
knowledge of the signs of stress (eg, fatigue, burn out, and depression).
Results: Twenty-one residents participated in this study. Seventeen
completed the pretest, and 21 participated in the interactive seminar and
completed the post-test. The pretest revealed that surgical residents were
correct in 46.8% (standard deviation [SD] = 25.4%) of their responses. The
postseminar test showed an improvement to 89.7% (SD = 6.1%, P <.001, paired
Student t test = 5.37). The same test administered 4 months later to 17 of
the 21 learners revealed 76.9% (SD = 18.7%) correct answers, suggesting that
the information had been internalized. Cronbach α was calculated to be.67
for the pretest and.76 for the post-test, suggesting a moderate to high
degree of internal consistency. Conclusions: Stress is a significant and
regularly overlooked component of a surgeon's life. Because its effects
often go unrecognized, stress frequently remains unresolved. To prevent its
associated consequences such as depression, substance abuse, divorce, and
suicide, educating house staff about stress is crucial. This study suggests
that the symptoms, causes, and treatment of stress among surgeons can be
taught effectively to surgical resident learners. © 2013 Elsevier Inc. All
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (epidemiology, etiology, prevention)
job stress
resident
suicidal ideation (epidemiology, etiology, prevention)
surgical training
EMTREE MEDICAL INDEX TERMS
alcohol abuse
article
burnout
controlled study
Cronbach alpha coefficient
curriculum development
decision making
drug abuse
family
fatigue
female
friend
goal attainment
human
internal consistency
male
medical education
medical profession
multiple choice test
normal human
pretest posttest design
priority journal
quality of life
questionnaire
residency education
self concept
Student t test
surgical stress
EMBASE CLASSIFICATIONS
General Pathology and Pathological Anatomy (5)
Surgery (9)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013050192
MEDLINE PMID
23246287 (http://www.ncbi.nlm.nih.gov/pubmed/23246287)
PUI
L52351588
DOI
10.1016/j.amjsurg.2012.08.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.amjsurg.2012.08.003
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 715
TITLE
Effectiveness of antismoking media messages and education among adolescents
in Malaysia and Thailand: Findings from the international tobacco control
southeast asia project
AUTHOR NAMES
Zawahir S.
Omar M.
Awang R.
Yong H.-H.
Borland R.
Sirirassamee B.
Fong G.T.
Hammond D.
AUTHOR ADDRESSES
(Zawahir S., shukry2010@gmail.com; Omar M.; Awang R.) Clearinghouse for
Tobacco Control, National Poison Center, Universiti Sains Malaysia, Pulau
Pinang, Malaysia.
(Zawahir S., shukry2010@gmail.com) School of Pharmacy, Management and
Science University, Shah Alam, Malaysia.
(Yong H.-H.; Borland R.) Cancer Council Victoria, Melbourne, Australia.
(Sirirassamee B.) Institute for Population and Social Research, Mahidol
University, Salaya, Thailand.
(Fong G.T.) Department of Psychology, University of Waterloo, ON, Canada.
(Fong G.T.) Ontario Institute for Cancer Research, Toronto, ON, Canada.
(Hammond D.) Department of Health Studies and Gerontology, University of
Waterloo, ON, Canada.
CORRESPONDENCE ADDRESS
S. Zawahir, National Poison Center, Universiti Sains Malaysia (USM), Pulau
Pinang, Malaysia. Email: shukry2010@gmail.com
SOURCE
Nicotine and Tobacco Research (2013) 15:2 (482-491). Date of Publication:
February 2013
ISSN
1462-2203
1469-994X (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Introduction: Finding ways to discourage adolescents from taking up smoking
is important because those who begin smoking at an earlier age are more
likely to become addicted and have greater difficulty in quitting. This
article examined whether anti smoking messages and education could help to
reduce smoking susceptibility among adolescents in two Southeast Asian
countries and to explore the possible moderating effect of country and
gender. Methods: Data came from Wave 1 of the International Tobacco Control
Southeast Asia Project (ITC-SEA) survey conducted in Malaysia (n = 1,008)
and Thailand (n = 1,000) where adolescents were asked about receiving
antismoking advice from nurses or doctors, being taught at schools about the
danger of smoking, noticing antismoking messages, knowledge of health
effects of smoking, beliefs about the health risks of smoking, smoking
susceptibility, and demographic information. Data were analyzed using
chi-square tests and logistic regression models. Results: Overall,
significantly more Thai adolescents reported receiving advice from their
nurses or doctors about the danger of smoking (p < .001), but no country
difference was observed for reported antismoking education in schools and
exposure to antismoking messages. Multivariate analyses revealed that only
provision of antismoking education at schools was significantly associated
with reduced susceptibility to smoking among female Malaysian adolescents
(OR = 0.26). Higher knowledge of smoking harm and higher perceived health
risk of smoking were associated with reduced smoking susceptibility among
Thai female (OR = 0.52) and Malaysian male adolescents (OR = 0.63),
respectively. Conclusions: Educating adolescents about the dangers of
smoking in schools appears to be the most effective means of reducing
adolescents' smoking susceptibility in both countries, although different
prevention strategies may be necessary to ensure effectiveness for male and
female adolescents. © The Author 2012. Published by Oxford University Press
on behalf of the Society for Research on Nicotine and Tobacco. All rights
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent smoking
health education
mass medium
smoking ban
EMTREE MEDICAL INDEX TERMS
adolescent
article
comparative effectiveness
controlled study
female
health belief
health hazard
health survey
human
international cooperation
Malaysia
male
nurse
physician
priority journal
school health service
sex difference
Thailand
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013064619
MEDLINE PMID
22949569 (http://www.ncbi.nlm.nih.gov/pubmed/22949569)
PUI
L368188709
DOI
10.1093/ntr/nts161
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/nts161
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 716
TITLE
The challenging oncology patient: The substance abuser and treatment issues
AUTHOR NAMES
Savage B.
Barrat-Gordon R.
Bauer A.
Grams J.
Grey C.
Fireman K.
Poole C.
Schuermeyer I.
Dimitrov J.
AUTHOR ADDRESSES
(Savage B.; Barrat-Gordon R.; Bauer A.; Grams J.; Grey C.; Fireman K.; Poole
C.; Schuermeyer I.; Dimitrov J.) Cleveland Clinic, Taussig Cancer Institute,
Cleveland, United States.
CORRESPONDENCE ADDRESS
B. Savage, Cleveland Clinic, Taussig Cancer Institute, Cleveland, United
States.
SOURCE
Psycho-Oncology (2013) 22 SUPPL. 2 (49). Date of Publication: February 2013
CONFERENCE NAME
10th Annual Conference of the American Psychosocial Oncology Society, APOS
2013
CONFERENCE LOCATION
Huntington Beach, CA, United States
CONFERENCE DATE
2013-02-14 to 2013-02-16
ISSN
1057-9249
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
PURPOSE: About 6-15 percent of the general US population has a diagnosis of
substance abuse with either or both alcohol and illicit drugs. In cancer
patients about five percent are felt to be diagnosed with substance abuse.
Their care is complicated by medical non-compliance, dangerous drug
interactions with alcohol and/or illicit drugs and chemotherapy drugs and a
generally shorter life expectancy. Staff has a difficult time engaging them
due to trust issues, manipulative behaviors and a fragile support system of
family and friends as care givers. The literature is limited on best
practice programs with treating this population in the cancer center
setting. METHODS: A questionnaire survey will be sent to the top 30 2012 US
Cancer Centers as listed in the US News and World Report, to capture the
following areas:center's estimated percentage of substance abuse patients,
what cancers tend to display more substance abusers, assessment tool for
substance abuse used, clinical paths or protocols for cancer patients with
substance abuse, access to substance abuse specialists, education offered to
staff on substance abuse issues, use of contracting, case coordination with
electronic records and pain management issues. RESULTS: The results of this
survey will be descriptive in nature and percentages of frequencies will
also be used. CONCLUSIONS: The difficulties in treating oncology patients
with substance abuse issues are great. Many oncology staff view substance
abuse as a social problem and not as a medical illness like cancer. Oncology
centers must address substance abuse issues at the time of the cancer
diagnosis to ensure efficacy with their treatment plans. CLINICAL/ RESEARCH
IMPLICATIONS: It is hoped that this survey will broaden the knowledge base
of working with oncology patients with substance abuse issues. Such shared
approaches may improve clinical practice.
EMTREE DRUG INDEX TERMS
alcohol
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
oncology
patient
society
substance abuse
EMTREE MEDICAL INDEX TERMS
analgesia
cancer center
cancer diagnosis
cancer patient
caregiver
chemotherapy
clinical practice
diagnosis
diseases
drug interaction
education
friend
knowledge base
life expectancy
machiavellianism
medical specialist
neoplasm
population
questionnaire
social problem
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71176006
DOI
10.10002/pon.3245
FULL TEXT LINK
http://dx.doi.org/10.10002/pon.3245
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 717
TITLE
Stress: Pregnancy considerations
AUTHOR NAMES
Cardwell M.S.
AUTHOR ADDRESSES
(Cardwell M.S., Michael.cardwell@ttuhsc.edu) Department of Obstetrics and
Gynecology, Texas Tech University Health Sciences Center, Paul L. Foster
School of Medicine, 4801 Alberta Ave, El Paso, TX 79905, United States.
CORRESPONDENCE ADDRESS
M.S. Cardwell, Department of Obstetrics and Gynecology, Texas Tech
University Health Sciences Center, Paul L. Foster School of Medicine, 4801
Alberta Ave, El Paso, TX 79905, United States. Email:
Michael.cardwell@ttuhsc.edu
SOURCE
Obstetrical and Gynecological Survey (2013) 68:2 (119-129). Date of
Publication: February 2013
ISSN
0029-7828
1533-9866 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
Stress-induced pregnancy complications represent a significant cause of
maternal and perinatal morbidity and mortality due to preterm labor,
low-birth-weight babies, pregnancy-induced hypertension, and
neuropsychological developmental delays of affected offspring. Psychosocial
factors such as socioeconomic status, work status, marital status, level of
education, access to prenatal care, substance abuse, ethnicity, cultural
background, and quality of relationships with partners and parents have been
identified as determinants of stress during pregnancy. The biopsychosocial
model of health and disease aptly explains the interactions of these
psychosocial factors in the genesis of stress-induced pregnancy
complications. Prenatal screening and intervention for relevant
biopsychosocial risk factors may be useful in preventing stress-related
perinatal complications.Target Audience: Obstetricians and gynecologists,
family physiciansLearning Objectives: After completing this CME activity,
physicians should be better able to describe how stress is manifested
biologically, discuss stress and its impact from the biopsychosocial model
of health and disease, recognize how stress may lead to pregnancy
complications such as preterm labor, preeclampsia, and low-birth-weight
infants, explain how stress may impact the neuropsychological development of
children whose mothers experienced perinatal stress, and demonstrate how
prenatal screening and appropriate interventions may reduce perinatal stress
and associated pregnancy complications. © 2013 Lippincott Williams &
Wilkins.
EMTREE DRUG INDEX TERMS
hydrocortisone
oxytocin
stress hormone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
maternal stress
perinatal stress
pregnancy complication (etiology)
EMTREE MEDICAL INDEX TERMS
African American
alcohol consumption
anxiety
cardiovascular response
chronic stress
cytokine release
depression
developmental disorder
diet supplementation
disease predisposition
domestic violence
educational status
employment status
environmental stress
ethnic difference
ethnicity
evolutionary adaptation
fetus heart rate
fetus movement
health behavior
health care access
heart rate variability
human
hypothalamus hypophysis adrenal system
low birth weight
marriage
maternal hypertension
maternal smoking
nerve cell differentiation
newborn disease
oxytocin release
partner violence
perinatal morbidity
perinatal mortality
placenta insufficiency
posttraumatic stress disorder
pregnancy outcome
pregnant woman
premature labor
prenatal care
prenatal screening
prenatal stress
puerperium
review
self esteem
smooth muscle contractility
social interaction
social psychology
social status
social support
substance abuse
third trimester pregnancy
unplanned pregnancy
uterus contraction
vasoconstriction
vulnerable population
CAS REGISTRY NUMBERS
hydrocortisone (50-23-7)
oxytocin (50-56-6, 54577-94-5)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013129610
MEDLINE PMID
23417218 (http://www.ncbi.nlm.nih.gov/pubmed/23417218)
PUI
L368414212
DOI
10.1097/OGX.0b013e31827f2481
FULL TEXT LINK
http://dx.doi.org/10.1097/OGX.0b013e31827f2481
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 718
TITLE
[The "Tobacco endgame" strategy, an ethical challenge for the medical
profession].
ORIGINAL (NON-ENGLISH) TITLE
"Tobacco endgame"--strategin--etisk utmaning för läkarkåren.
AUTHOR NAMES
Boëthius G.
Gilljam H.
AUTHOR ADDRESSES
(Boëthius G.; Gilljam H.)
CORRESPONDENCE ADDRESS
G. Boëthius, Email: boethius@tobaksfakta.se
SOURCE
Läkartidningen (2013) 110:4 (128-129). Date of Publication: 2013 Jan 23-29
ISSN
0023-7205
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
ethics
health care policy
human
methodology
organization and management
physician
smoking cessation
Sweden
tobacco industry
LANGUAGE OF ARTICLE
Swedish
MEDLINE PMID
23427720 (http://www.ncbi.nlm.nih.gov/pubmed/23427720)
PUI
L368650099
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 719
TITLE
Internal medicine residents' training in substance use disorders: a survey
of the quality of instruction and residents' self-perceived preparedness to
diagnose and treat addiction.
AUTHOR NAMES
Wakeman S.E.
Baggett M.V.
Pham-Kanter G.
Campbell E.G.
AUTHOR ADDRESSES
(Wakeman S.E.) a Department of Medicine , Massachusetts General Hospital ,
Boston , Massachusetts , USA.
(Baggett M.V.; Pham-Kanter G.; Campbell E.G.)
CORRESPONDENCE ADDRESS
S.E. Wakeman,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:4 (363-370). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
Resident physicians are the direct care providers for many patients with
addiction. This study assesses residents' self-perceived preparedness to
diagnose and treat addiction, measures residents' perceptions of the quality
of addictions instruction, and evaluates basic knowledge of addictions. A
survey was e-mailed to 184 internal medicine residents at Massachusetts
General Hospital in May 2012. Responses were obtained from 55% of residents.
Residents estimated that 26% of inpatients they cared for met criteria for a
substance use disorder (SUD). Twenty-five percent of residents felt
unprepared to diagnose and 62% felt unprepared to treat addiction. Only 13%
felt very prepared to diagnose addiction. No residents felt very prepared to
treat addiction. Preparedness to diagnose or treat addiction did not differ
significantly across postgraduate year (PGY) level. Fifty-five percent rated
the overall instruction in addictions as poor or fair. Seventy-two percent
of residents rated the quality of addictions training as poor or fair in the
outpatient clinical setting, and 56% in the inpatient setting. No resident
answered all 6 knowledge questions correctly. Slightly more than half
correctly identified the mechanism of buprenorphine and 19% correctly
answered a question about naltrexone. Nine percent of residents responded
that someone had expressed concern about the respondent's substance use.
Despite providing care for a substantial population with addiction, the
majority of internal medicine residents in this study feel unprepared to
treat SUDs. More than half rate the quality of addictions instruction as
fair or poor. Structured and comprehensive addictions curriculum and faculty
development are needed to address the deficiencies of the current training
system.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
clinical competence
health personnel attitude
internal medicine
medical education
self concept
EMTREE MEDICAL INDEX TERMS
article
education
evaluation study
female
human
male
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24159907 (http://www.ncbi.nlm.nih.gov/pubmed/24159907)
PUI
L563084714
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 720
TITLE
Stigmatization of substance use disorders among internal medicine residents.
AUTHOR NAMES
Meltzer E.C.
Suppes A.
Burns S.
Shuman A.
Orfanos A.
Sturiano C.V.
Charney P.
Fins J.J.
AUTHOR ADDRESSES
(Meltzer E.C.) a Division of Medical Ethics, Department of Public Health ,
Weill Cornell Medical College , New York , New York , USA.
(Suppes A.; Burns S.; Shuman A.; Orfanos A.; Sturiano C.V.; Charney P.; Fins
J.J.)
CORRESPONDENCE ADDRESS
E.C. Meltzer,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:4 (356-362). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
Evidence suggests that some physicians harbor negative attitudes towards
patients with substance use disorders (SUDs). The study sought to (1)
measure internal medicine residents' attitudes towards patients with SUDs
and other conditions; (2) determine whether demographic factors influence
regard for patients with SUDs; and (3) assess the efficacy of a 10-hour
addiction medicine course for improving attitudes among a subset of
residents. A prospective cohort study of 128 internal medicine residents at
an academic medical center in New York City. Scores from the validated
Medical Condition Regard Scale (MCRS) were used to assess attitude towards
patients with alcoholism, dependence on narcotic pain medication, heartburn,
and pneumonia. Demographic variables included gender, postgraduate training
year, and prior addiction education. Mean baseline MCRS scores were lower
(less regard) for patients with alcoholism (41.4) and dependence on narcotic
pain medication (35.3) than for patients with pneumonia (54.5) and heartburn
(48.9) (P < .0001). Scores did not differ based upon gender, prior hours of
addiction education, or year of training. After the course, MCRS scores
marginally increased for patients with alcoholism (mean increased by 0.16, P
= .04 [95% confidence interval, CI: 0.004-0.324]) and dependence on narcotic
pain medication (mean increased by 0.09, P = .10 [95% CI: 0.02-0.22]).
Internal medicine residents demonstrate less regard for patients with SUDs.
Participation in a course in addiction medicine was associated with modest
attitude improvement; however, other efforts may be necessary to ensure that
patients with potentially stigmatized conditions receive optimal care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health personnel attitude
internal medicine
medical education
stereotyping
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
female
heartburn
human
male
pneumonia
prospective study
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24159906 (http://www.ncbi.nlm.nih.gov/pubmed/24159906)
PUI
L563084713
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 721
TITLE
Teaching and assessing residents' skills in managing heroin addiction with
objective structured clinical examinations (OSCEs).
AUTHOR NAMES
Parish S.J.
Stein M.R.
Hahn S.R.
Goldberg U.
Arnsten J.H.
AUTHOR ADDRESSES
(Parish S.J.) a Division of General Internal Medicine, Department of
Medicine , Albert Einstein College of Medicine and Montefiore Medical Center
, Bronx , New York , USA.
(Stein M.R.; Hahn S.R.; Goldberg U.; Arnsten J.H.)
CORRESPONDENCE ADDRESS
S.J. Parish,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:4 (350-355). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
Heroin-abusing patients present a significant challenge. Objective
Structured Clinical Examinations (OSCEs) allow evaluation of residents'
clinical skills. The objective of this study was to examine residents' OSCE
performance assessing and managing heroin abuse. Evaluation and comparison
of heroin-specific communication, assessment, and management skills in a
5-station postgraduate year 3 (PGY3) substance abuse OSCE. Faculty used a
4-point Likert scale to assess residents' skills; standardized patients
provided written comments. Two hundred sixty-five internal and family
medicine residents in an urban university hospital participated over 5
years. In the heroin station, residents' skills were better (P < .001 for
both comparisons) in communication (mean overall score: 316 ± 0.51) than in
either assessment (mean overall score: 2.66 ± 0.60) or management (mean
overall score: 2.50 ± 0.73). The mean score for assessing specific high-risk
behaviors was lower than the mean overall assessment score (222 ± 1.01 vs.
2.74 ± .59; P < .0001), and the mean score for recommending appropriate harm
reduction management strategies was lower than the mean overall management
score (2.39 ± .89 vs. 2.54 ± .74; P < .005). Standardized patients' comments
reflected similar weaknessess in residents' skills. Assessment and
management of heroin abuse were more challenging for residents than general
communication. Additional training is required for residents to assess and
counsel patients about high-risk behaviors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
general practice
heroin dependence (therapy)
internal medicine
medical education
EMTREE MEDICAL INDEX TERMS
article
education
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24159905 (http://www.ncbi.nlm.nih.gov/pubmed/24159905)
PUI
L563084712
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 722
TITLE
Tobacco dependence curricula in Middle Eastern and North African medical
education
AUTHOR NAMES
Jradi H.
Wewers M.E.
Pirie P.L.
Binkley P.F.
Ferketich A.K.
AUTHOR ADDRESSES
(Jradi H., jradiho@ngha.med.sa) College of Public Health and Health
Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh,
Saudi Arabia.
(Wewers M.E.; Pirie P.L.; Binkley P.F.; Ferketich A.K.) The Ohio State
University, College of Public Health, Columbus, OH, United States.
CORRESPONDENCE ADDRESS
H. Jradi, Email: jradiho@ngha.med.sa
SOURCE
Tobacco Control (2013) 22:6 (427-428). Date of Publication: November 2013
ISSN
1468-3318 (electronic)
0964-4563
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
smoking
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
Africa
appalachian smokers
Cessation
global health
human
letter
low/middle income country
medical schools
Middle East
physician training
surveillance and monitoring
Tobacco education
underserved smokers
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22923480 (http://www.ncbi.nlm.nih.gov/pubmed/22923480)
PUI
L1052187212
DOI
10.1136/tobaccocontrol-2012-050500
FULL TEXT LINK
http://dx.doi.org/10.1136/tobaccocontrol-2012-050500
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 723
TITLE
Effectiveness of psycho-education on depression, hopelessness, suicidality,
anxiety and substance use among basic diploma students at Kenya Medical
Training College
AUTHOR NAMES
Muriungi S.K.
Ndetei D.M.
AUTHOR ADDRESSES
(Muriungi S.K., skagwi2004@yahoo.com) Kenya Medical Training College,
Daystar University, Nairobi, Kenya.
(Ndetei D.M.) Department of Psychiatry, University of Nairobi, Kenya.
(Ndetei D.M.) Africa Mental Health Foundation, Nairobi, Kenya.
CORRESPONDENCE ADDRESS
S. K. Muriungi, Kenya Medical Training College, Daystar University, Nairobi,
Kenya. Email: skagwi2004@yahoo.com
SOURCE
South African Journal of Psychiatry (2013) 19:2 (41-50). Date of
Publication: 2013
ISSN
1608-9685
BOOK PUBLISHER
AOSIS (pty) Ltd
ABSTRACT
Objective. To determine the effectiveness of psycho-education on symptom
severity in depression, hopelessness, suicidality, anxiety and risk of
substance abuse among para-medical students at Kenya Medical Training
College (KMTC). Methodology. A clinical trial drew experimental (N=1 181)
and control (N=1 926) groups from different KMTC campuses. Self-administered
questionnaires were used to collect data: the researcher-designed social
demographic questionnaire was used at baseline only, while Beck's Depression
Inventory, Beck's Hopelessness Scale, Beck's Suicide Ideation Scale, Beck's
Anxiety Inventory and World Health Organization alcohol, smoking and
substance involvement screening test (ASSIST) (for drug abuse) were used for
baseline, mid-point and end-point assessments at 3-month intervals. The
experimental group received a total of 16 hours of structured
psycho-education. All study participants gave informed consent. Results.
Overall, there was no significant reduction in symptom severity between the
experimental and control groups at 3 months (p>0.05) but there was a
significant difference at 6 months (p<0.05). Conclusion. Psycho-education
was effective in reducing the severity of symptoms of depression,
hopelessness, suicidality, anxiety and risk of substance abuse at 6 months.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anxiety disorder (therapy)
depression (therapy)
hopelessness
psychoeducation
substance abuse
suicidal ideation (therapy)
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
clinical effectiveness
controlled study
disease severity
drug abuse
female
human
Kenya
male
paramedical student
prevalence
psychologic assessment
psychological rating scale
questionnaire
risk factor
risk reduction
treatment response
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013437690
PUI
L369303456
DOI
10.7196/SAJP.401
FULL TEXT LINK
http://dx.doi.org/10.7196/SAJP.401
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 724
TITLE
Smoking behavior of Arabian Gulf University medical students: Impact of
tobacco control policies and curriculum
AUTHOR NAMES
Hamadeh R.R.
AUTHOR ADDRESSES
(Hamadeh R.R., randah@agu.edu.bh) Department of Family and Community
Medicine, College of Medicine and Medical Sciences, Arabian Gulf University,
Manama, Bahrain.
CORRESPONDENCE ADDRESS
R.R. Hamadeh, Department of Family and Community Medicine, College of
Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.
Email: randah@agu.edu.bh
SOURCE
Journal of the Bahrain Medical Society (2013) 24:2 (56-61). Date of
Publication: May-August 2013
ISSN
1015-6321
BOOK PUBLISHER
Bahrain Medical Society
ABSTRACT
Background: A survey conducted in the early 1990s among medical students in
the College of Medicine and Medical Sciences (CMMS), Arabian Gulf University
(AGU), showed that 27.5% of the male students were smokers compared to 2.3%
of their female counterparts. Several tobacco control actions have taken
place since the time of that study as well as increased emphasis on
tobacco-related issues in the curriculum. Objectives: The objectives of this
study were to determine if changes had occurred in the smoking behavior of
CMMS students following the increased tobacco control measures and the
concerted efforts in the dissemination of tobacco related education in the
curriculum. Methods: Enrolled CMMS students during the academic year
2004-2005 were included in this study. The Global Health Professionals
Survey self-administered questionnaire was used. Smokers were those who
smoked any type of tobacco at the time of the study including daily and
occasional use. Ex-smokers were students who did not smoke any type of
tobacco during the study period and had quitted for a period of at least six
months. Mixed smokers were those who smoked both cigarettes and sheesha.
Results from an earlier study were used for comparison as baseline data.
Results: The prevalence of smoking among male students had increased from
27.5% to 35.2% (p=0.096). A sharper rise had occurred among the females as
the prevalence rate increased from 2.3% to 7.0% (p=0.028). The percentage of
sheesha smoking was 31.3% among male students and 6.1% among female students
compared to 8.8% and nil in the previous study (p<0.0001). There was no
significant change in the prevalence of cigarette smoking in both sexes.
Smoking was more prevalent among final year students (47.7%) in males and
first year students (12.3%) in females. Conclusion: The rise in smoking
among CMMS medical students is alarming and necessitates urgent
intervention. Revision of the smoking curriculum to address the deficiencies
in smoking cessation techniques and in promoting the exemplary role of
medical students in society is required.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
medical student
smoking
smoking regulation
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
major clinical study
male
parental smoking
prevalence
sex difference
smoking habit
student attitude
young adult
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014222592
PUI
L372723034
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 725
TITLE
GHPSS multicenter Italian survey: Smoking prevalence, knowledge and
attitudes, and tobacco cessation training among third-year medical students
AUTHOR NAMES
Saulle R.
Bontempi C.
Baldo V.
Boccia G.
Bonaccorsi G.
Brusaferro S.
Donato F.
Firenze A.
Gregorio P.
Pelissero G.
Sella A.
Siliquini R.
Boccia A.
La Torre G.
AUTHOR ADDRESSES
(Saulle R.; Bontempi C.; Boccia A.; La Torre G.,
giuseppe.latorre@uniroma1.it) Department of Public Health and Infectious
Diseases, Sapienza University, Piazzale Aldo Moro 5, 00185 Rome, Italy.
(Baldo V.) Department of Environmental and Public Health, University of
Padua, Padua, Italy.
(Boccia G.) Department of Hygiene, University of Salerno, Fisciano, Italy.
(Bonaccorsi G.) Department of Public Health, University of Florence,
Florence, Italy.
(Brusaferro S.) Department of Pathology and Experimental and Clinical
Medicine, University of Udine, Udine, Italy.
(Donato F.) Department of Experimental and Applied Medicine, Epidemiology
and Public Health, University of Brescia, Brescia, Italy.
(Firenze A.) Department of Health Promotion Science G d'Alessandro,
University of Palermo, Palermo, Italy.
(Gregorio P.) Department of Experimental and Applied Medicine, University of
Ferrara, Ferrara, Italy.
(Pelissero G.) Department of Hygiene, University of Pavia, Pavia, Italy.
(Sella A.) Institute of Forensic Medicine, University of Insubria, Varese,
Italy.
(Siliquini R.) Department of Public Health and Microbiology, Turin, Italy.
(La Torre G., giuseppe.latorre@uniroma1.it) Eleonora Lorillard Spencer-Cenci
Foundation, Rome, Italy.
CORRESPONDENCE ADDRESS
G. La Torre, Department of Public Health and Infectious Diseases, Sapienza
University, Piazzale Aldo Moro 5, 00185 Rome, Italy. Email:
giuseppe.latorre@uniroma1.it
SOURCE
Tumori (2013) 99:1 (17-22). Date of Publication: January-February 2013
ISSN
0300-8916
2038-2529 (electronic)
BOOK PUBLISHER
Il Pensiero Scientifico Editore s.r.l., Via Giovanni Valdarno 8, Roma,
Italy.
ABSTRACT
Aims and background. Healthcare professionals have an important role to play
both as advisers - influencing smoking cessation - and as role models. The
aims of this study were to examine smoking prevalence, knowledge and
attitudes among Italian university students attending medical schools using
the Global Health Professions Student Survey (GHPSS) approach. Methods and
study design. A multicenter cross-sectional study was conducted among
University students of 9 Italian medical schools (age ranging between 19 and
29 years). The GHPSS questionnaire was self-administered. A logistic
regression model was used to identify possible factors associated with
tobacco smoking status. Data were analyzed with the software SPSS 19.0 for
Windows. Results. Seven hundred thirty medical students (response rate 100%)
were enrolled. The prevalence of current smokers was 20.4% (males 22.4%,
females 19.1%). Of the total sample, 87.7% believed that health
professionals should receive specific training in techniques to quit
smoking, and 65% believed that health professionals had a role in giving
advice or information about smoking cessation. However, 89.4% answered that
they had not received specific training on smoking cessation techniques.
Multivariate analysis showed that students belonging to universities in
southern Italy were more likely to be smokers (OR = 2.00; 95% CI:
1.03-3.97). Conclusions. This Italian multicenter survey found that one
fifth of future medical doctors are smokers. There is a need to adopt a
standard undergraduate curriculum containing comprehensive tobacco
prevention and cessation training to improve their effectiveness as role
models.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical student
smoking
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
controlled study
cross-sectional study
female
health practitioner
human
Italy
male
medical information
prevalence
questionnaire
review
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013567247
PUI
L369781284
DOI
10.1700/1248.13782
FULL TEXT LINK
http://dx.doi.org/10.1700/1248.13782
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 726
TITLE
Depressive symptomatology and alcohol-related problems during the academic
training of medical students
ORIGINAL (NON-ENGLISH) TITLE
Sintomatología depresiva y problemas relacionados al consumo de alcohol
durante la formación académica de estudiantes de medicina
AUTHOR NAMES
Valle R.
Sánchez E.
Perales A.
AUTHOR ADDRESSES
(Valle R., ruben_vr12@hotmail.com) Universidad Nacional Mayor de San Marcos,
Lima, Peru.
(Sánchez E.; Perales A.) Instituto de Ética en Salud, Universidad Nacional
Mayor de San Marcos, Lima, Peru.
CORRESPONDENCE ADDRESS
R. Valle, Jr. Filadelfia 2365, Lima 21, Peru. Email: ruben_vr12@hotmail.com
SOURCE
Revista Peruana de Medicina Experimental y Salud Publica (2013) 30:1
(54-57). Date of Publication: 2013
ISSN
1726-4642 (electronic)
1726-4634
BOOK PUBLISHER
Instituto Nacional de Salud, biomedica@ins.gov.co
ABSTRACT
In order to evaluate the frequency of depressive symptomatology (DS) and
alcohol-related problems (ARP) during the academic training of medical
students from Universidad National Mayor de San Marcos, a cross-sectional
study was conducted among students from first to sixth year of career. The
Zung Self-Rating depression scale was used to evaluate DS and the CAGE
questionnaire to evaluate ARP. 23.3% of participants had DS, and 7.3% had
ARP. We found that the frequency of DS and ARP was higher among students in
the first years of career. We recommend it is necessary to take action in
the prevention and detection of these disorders from the first years of
training of medical students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
depression
medical education
medical student
symptomatology
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
career
cross-sectional study
human
primary prevention
questionnaire
Zung Self Rating Depression Scale
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English, Spanish
LANGUAGE OF SUMMARY
English, Spanish
EMBASE ACCESSION NUMBER
2013525935
MEDLINE PMID
23612813 (http://www.ncbi.nlm.nih.gov/pubmed/23612813)
PUI
L369620012
DOI
10.1590/S1726-46342013000100011
FULL TEXT LINK
http://dx.doi.org/10.1590/S1726-46342013000100011
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 727
TITLE
GHPSS multicenter Italian survey: smoking prevalence, knowledge and
attitudes, and tobacco cessation training among third-year medical students.
AUTHOR NAMES
Saulle R.
Bontempi C.
Baldo V.
Boccia G.
Bonaccorsi G.
Brusaferro S.
Donato F.
Firenze A.
Gregorio P.
Pelissero G.
Sella A.
Siliquini R.
Boccia A.
La Torre G.
AUTHOR ADDRESSES
(Saulle R.) Department of Public Health and Infectious Diseases, Sapienza
University, Rome, Italy.
(Bontempi C.; Baldo V.; Boccia G.; Bonaccorsi G.; Brusaferro S.; Donato F.;
Firenze A.; Gregorio P.; Pelissero G.; Sella A.; Siliquini R.; Boccia A.; La
Torre G.)
CORRESPONDENCE ADDRESS
R. Saulle, Department of Public Health and Infectious Diseases, Sapienza
University, Rome, Italy.
SOURCE
Tumori (2013) 99:1 (17-22). Date of Publication: 2013 Jan-Feb
ISSN
2038-2529 (electronic)
ABSTRACT
Healthcare professionals have an important role to play both as advisers -
influencing smoking cessation - and as role models. The aims of this study
were to examine smoking prevalence, knowledge and attitudes among Italian
university students attending medical schools using the Global Health
Professions Student Survey (GHPSS) approach. A multicenter cross-sectional
study was conducted among University students of 9 Italian medical schools
(age ranging between 19 and 29 years). The GHPSS questionnaire was
self-administered. A logistic regression model was used to identify possible
factors associated with tobacco smoking status. Data were analyzed with the
software SPSS 19.0 for Windows. Seven hundred thirty medical students
(response rate 100%) were enrolled. The prevalence of current smokers was
20.4% (males 22.4%, females 19.1%). Of the total sample, 87.7% believed that
health professionals should receive specific training in techniques to quit
smoking, and 65% believed that health professionals had a role in giving
advice or information about smoking cessation. However, 89.4% answered that
they had not received specific training on smoking cessation techniques.
Multivariate analysis showed that students belonging to universities in
southern Italy were more likely to be smokers (OR = 2.00; 95% CI:
1.03-3.97). This Italian multicenter survey found that one fifth of future
medical doctors are smokers. There is a need to adopt a standard
undergraduate curriculum containing comprehensive tobacco prevention and
cessation training to improve their effectiveness as role models.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
health personnel attitude
medical student
physician attitude
smoking (epidemiology, prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
female
human
Italy (epidemiology)
male
medical education
methodology
multicenter study
multivariate analysis
prevalence
questionnaire
risk
statistical model
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23548994 (http://www.ncbi.nlm.nih.gov/pubmed/23548994)
PUI
L368976096
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 728
TITLE
Understanding and overcoming barriers to office-based physicians' treatment
of opioid addiction
AUTHOR NAMES
Hutchinson E.
Rosenblatt R.
AUTHOR ADDRESSES
(Hutchinson E.; Rosenblatt R.) University of Washington, School of Medicine,
Seattle, United States.
CORRESPONDENCE ADDRESS
E. Hutchinson, University of Washington, School of Medicine, Seattle, United
States.
SOURCE
Journal of Investigative Medicine (2013) 61:1 (115). Date of Publication:
January 2013
CONFERENCE NAME
American Federation for Medical Research Western Regional Meeting, AFMR 2013
CONFERENCE LOCATION
Carmel, CA, United States
CONFERENCE DATE
2013-01-23 to 2013-01-26
ISSN
1081-5589
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Purpose of Study: Opioid addiction is a major problem in Washington State,
however office-based treatment is in short supply. The Rural Opioid
Addiction Management Program (Project ROAM) trains office-based physicians
to prescribe buprenorphine, a medication-assisted opioid addiction treatment
that requires a physician to obtain a Drug Enforcement Administration
waiver. Project ROAM has trained 120 physicians in the last two years, yet
not all have incorporated buprenorphine treatment into their practices. This
study aimed to determine what proportion of trained physicians has
implemented this treatment modality and to identify barriers that prevent
physicians from adopting this clinical approach. Methods Used: We completed
interviews with 92 Project ROAM-trained physicians (response rate = 77%) to
determine demographic information, clinic characteristics, attitudes, and
barriers to prescribing buprenorphine. Respondents were classified into
three groups: non-waivered physicians, nonprescribing waivered physicians,
and prescribing waivered physicians. Summary of Results: Most respondents
reported positive attitudes toward buprenorphine, yet only 29 (31.5%) have
prescribed the medication to treat opioid addiction. The majority were
family physicians practicing in small safety net or private practice
clinics. Prescribing was significantly associated with institutional support
(p=.021) and physician confidence in the management of opioid addiction
(p=.038). Time constraints, lack of patient need, resistance from practice
partners, lack of specialty backup for complex problems, and lack of
psychosocial support services were other major barriers cited by
non-prescribing physicians. Conclusions: Less than half of Project
ROAM-trained physicians have prescribed buprenorphine to treat opioid
addiction. The low rate of treatment adoption is not associated with
physician attitudes about the medication but may be related to barriers such
as a lack of support from clinic management or a physician's lack of
confidence in his/her ability to manage opioid addiction. Future efforts to
increase the availability of buprenorphine treatment should continue to
include physician education but also emphasize advocacy and education at the
level of clinic management.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
buprenorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
human
medical research
physician
EMTREE MEDICAL INDEX TERMS
drug therapy
education
general practitioner
government
hospital
interview
medical decision making
patient
physician attitude
private practice
psychosocial care
safety
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70993475
DOI
10.231/JIM.0b013e31827d3ac9
FULL TEXT LINK
http://dx.doi.org/10.231/JIM.0b013e31827d3ac9
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 729
TITLE
A survey of attitudes towards patient substance abuse and addiction in the
Emergency Centre
AUTHOR NAMES
Kalebka R.R.
Bruijns S.R.
Van Hoving D.J.
AUTHOR ADDRESSES
(Kalebka R.R.; Bruijns S.R.) Division of Emergency Medicine, University of
Cape Town, South Africa.
(Van Hoving D.J., nvhoving@sun.ac.za) Division of Emergency Medicine,
University of Stellenbosch, P.O. Box 19063, Tygerberg 7505, South Africa.
CORRESPONDENCE ADDRESS
D.J. Van Hoving, Division of Emergency Medicine, University of Stellenbosch,
P.O. Box 19063, Tygerberg 7505, South Africa. Email: nvhoving@sun.ac.za
SOURCE
African Journal of Emergency Medicine (2013) 3:1 (10-17). Date of
Publication: March 2013
ISSN
2211-419X
BOOK PUBLISHER
African Federation for Emergency Medicine, admin@afem.info
ABSTRACT
Introduction: Hospitals across South Africa are inundated with patients
suffering from conditions associated with substance abuse. It is inevitable
that contact with health services be made through an emergency centre at
some point. This study aims to assess the exposure and attitudes of
emergency physicians to substance abuse and addiction in major South African
academic emergency centres. Methods: A prospective survey based on the
Substance Abuse Attitude Survey was conducted in a convenience sample of 85
emergency physician registrars and junior consultants in the Western Cape,
Gauteng, Limpopo and KwaZulu-Natal. Respondents were targeted during
academic meetings and by post. The survey consisted of a brief demographic
questionnaire and tested agreement of 50 statements using a Likert scale.
Five pre-defined attitude subgroups were evaluated: permissiveness,
non-stereotypes, treatment intervention, treatment optimism and
non-moralism. Results: There was an 81% (n = 69) response rate with the bulk
of the response from the Western Cape. Despite receiving very little formal
instruction in addiction and substance abuse, a majority of emergency
physicians were in daily contact with substance abuse related cases. The
respondents scored high in the treatment optimism and intervention criteria
showing a positive and constructive approach to addiction and substance
abuse. There was a homogenous response to the non-moralism, non-stereotype
and permissive criteria questions. The vast majority of emergency physicians
were in favour of brief interventions in the emergency centre assuming the
existence of adequate resources. Conclusions: South African emergency
physicians consider addiction and substance abuse as a treatable illness and
recognize the importance of a holistic approach in its management. Although
the willingness to initiate therapeutic measures in the emergency centre
exists, more training in this field may be beneficial. © 2012 African
Federation for Emergency Medicine. Production and hosting by Elsevier B.V.
All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
emergency health service
physician attitude
substance abuse
EMTREE MEDICAL INDEX TERMS
article
convenience sample
emergency medicine
emergency physician
health survey
holistic care
human
Likert scale
optimism
outcome assessment
stereotypy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2013176987
PUI
L368552114
DOI
10.1016/j.afjem.2012.09.004
FULL TEXT LINK
http://dx.doi.org/10.1016/j.afjem.2012.09.004
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 730
TITLE
Team-based learning exercise efficiently teaches brief intervention skills
to medicine residents.
AUTHOR NAMES
Wamsley M.A.
Julian K.A.
O'Sullivan P.
McCance-Katz E.F.
Batki S.L.
Satre D.D.
Satterfield J.
AUTHOR ADDRESSES
(Wamsley M.A.) a Division of General Internal Medicine , University of
California, San Francisco , San Francisco , California , USA.
(Julian K.A.; O'Sullivan P.; McCance-Katz E.F.; Batki S.L.; Satre D.D.;
Satterfield J.)
CORRESPONDENCE ADDRESS
M.A. Wamsley,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:4 (344-349). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
Evaluations of substance use screening and brief intervention (SBI)
curricula typically focus on learner attitudes and knowledge, although
effects on clinical skills are of greater interest and utility. Moreover,
these curricula often require large amounts of training time and teaching
resources. This study examined whether a 3-hour SBI curriculum for internal
medicine residents utilizing a team-based learning (TBL) format is effective
for SBI skills as measured by a standardized patient (SP) assessment. A
waitlist-controlled design was employed. Twenty-four postgraduate year 2
(PGY-2) and PGY-3 residents participated in a SP assessment prior to the TBL
session (waitlist control group) and 32 participated in a SP assessment
after the TBL session (intervention group). The intervention residents
demonstrated better brief intervention skills than waitlist control
residents, but there were no differences between the groups in screening and
assessment skills. Residents receiving the TBL curriculum prior to the SP
assessment reported increased confidence in all SBI skills. Findings
indicate that a brief educational intervention can improve brief
intervention skills. However, more intensive education may be needed to
improve substance use screening and assessment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
group process
internal medicine
medical education
EMTREE MEDICAL INDEX TERMS
addiction
article
clinical competence
education
evaluation study
human
program evaluation
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24159904 (http://www.ncbi.nlm.nih.gov/pubmed/24159904)
PUI
L563084711
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 731
TITLE
Assessing the readiness to integrate tobacco control in medical curriculum:
Experiences from five medical colleges in southern india
AUTHOR NAMES
Thankappan K.R.
Yamini T.R.
Mini G.K.
Arthur C.
Sairu P.
Leelamoni K.
Sani M.
Unnikrishnan B.
Basha S.R.
Nichter M.
AUTHOR ADDRESSES
(Thankappan K.R., kavumpurathu@yahoo.com; Yamini T.R.; Mini G.K.; Arthur C.)
Achutha Menon Centre for Health Science Studies (AMCHSS), Sree Chitra
Tirunal Institute for Medical Science and Technology (SCTIMST),
Thiruvananthapuram 695011, Kerala, India.
(Sairu P.) Department of Community Medicine, T.D. Medical College Alappuzha,
Kerala, India.
(Leelamoni K.) Department of Community Medicine, Amritaviswavidyapeetham
Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala
682041, India.
(Sani M.) Department of Community Medicine, Academy of Medical Sciences,
Pariyaram, Kannur, Kerala 670503, India.
(Unnikrishnan B.) Department of Community Medicine, Kasturba Medical
College, Manipal University, Manipal, Karnataka 576104, India.
(Basha S.R.) Bangalore Medical College and Research Institute, Bangalore
560002, Karnataka, India.
(Nichter M.) Department of Anthropology, Family Medicine, and Public Health,
University of Arizona, Tucson, AZ, United States.
CORRESPONDENCE ADDRESS
K. R. Thankappan, Achutha Menon Centre for Health Science Studies (AMCHSS),
Sree Chitra Tirunal Institute for Medical Science and Technology (SCTIMST),
Thiruvananthapuram 695011, Kerala, India. Email: kavumpurathu@yahoo.com
SOURCE
National Medical Journal of India (2013) 26:1 (18-23). Date of Publication:
January - February 2013
ISSN
0970-258X
BOOK PUBLISHER
All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
ABSTRACT
Background. Making tobacco cessation a normative part of all clinical
practice is the only way to substantially reduce tobacco-related deaths and
the burden of tobacco-related morbidity in the short term. This study was
undertaken because information on receptivity to integrate tobacco control
education in the medical curriculum is extremely limited in low-and
middle-income countries. Methods. From five medical colleges (two
government) in southern India, 713 (men 59%) faculty and 2585 (men 48%)
students participated in our cross-sectional survey. Information on
self-reported tobacco use and readiness to integrate tobacco control
education in the medical curriculum was collected from both the faculty and
students using a pretested structured questionnaire. Multiple logistic
regression analysis was done to find the associated factors. Results.
Current smoking was reported by 9.0% (95% CI 6.6-12.1) of men faculty and
13.7% (CI 11.8-15.9) by men students. Faculty who were teaching
tobacco-related topics [odds ratio (OR) 2.29; 95% CI 1.65-3.20] compared to
those who were not, faculty in government colleges (OR 1.69; CI 1.22-2.35)
compared to those in private colleges and medical specialists (OR 1.79; CI
1.23-2.59) compared to surgical and non-clinical specialists were more
likely to be ready to integrate tobacco control education in the medical
curriculum. Non-smoking students (OR 2.58; CI 2.01-3.33) compared to
smokers, and women students (OR 1.80; CI 1.50-2.17) compared to men were
more likely to be ready to integrate a tobacco control education in the
curriculum. Conclusion. Faculty and students are receptive to introduce
tobacco control in the medical curriculum. Government faculty, medical
specialists and faculty who already teach tobacco-related topics are likely
to be early introducers of this new curriculum. © The National Medical
Journal of India 2013.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum development
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
cross-sectional study
female
health survey
human
India
integration
male
medical school
medical specialist
self report
sex difference
smoking
social class
structured questionnaire
student attitude
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013394590
MEDLINE PMID
24066988 (http://www.ncbi.nlm.nih.gov/pubmed/24066988)
PUI
L369167017
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 732
TITLE
Team-based learning for psychiatry residents: a mixed methods study
AUTHOR NAMES
McMullen I.
Cartledge J.
Levine R.
Iversen A.
AUTHOR ADDRESSES
(McMullen I., isabel.mcmullen@kcl.ac.uk; Cartledge J.; Levine R.; Iversen
A.) Liaison Psychiatry, South London and Maudsley NHS Foundation Trust, Guys
Hospital, Weston Street, London SE1 9RT, UK.
SOURCE
BMC medical education (2013) 13 (124). Date of Publication: 2013
ISSN
1472-6920 (electronic)
ABSTRACT
BACKGROUND: Team-based learning (TBL) is an effective teaching method for
medical students. It improves knowledge acquisition and has benefits
regarding learner engagement and teamwork skills. In medical education it is
predominately used with undergraduates but has potential benefits for
training clinicians. The aims of this study were to examine the impact of
TBL in a sample of psychiatrists in terms of classroom engagement, attitudes
towards teamwork, learner views and experiences of TBL.METHODS: Forty-four
psychiatry residents participated in an Addictions Psychiatry TBL module.
Mixed-methods were used for evaluation. Self-rated measures of classroom
engagement (Classroom Engagement Survey, CES) were compared with
conventional lectures, and attitudes regarding the value of teams (Value of
Teams Scale, VTS) were compared before and after the module. Independent
t-tests were used to compare 'lecture' CES scores with TBL CES scores and
pre and post scores for the VTS. Feedback questionnaires were completed.
Interviews were conducted with a subset of residents and transcripts
analysed using thematic analysis.RESULTS: Twenty-eight residents completed
post-course measures (response rate 63.6%). Seven participants volunteered
for qualitative interviews-one from each team. There was a significant
difference in the mean CES score lectures compared to TBL (p < 0.001) but no
difference was found in mean VTS score pre and post for either subscale (p =
0.519; p = 0.809). All items on the feedback questionnaire were positively
rated except two regarding session preparation. The qualitative analysis
generated seven themes under four domains: 'Learning in teams', 'Impact on
the individual learner', 'Relationship with the teacher' and 'Efficiency and
effectiveness of the learning process'.CONCLUSIONS: In this group of
residents, TBL significantly improved learner-rated classroom engagement and
seemed to promote interactivity between learners. TBL was generally
well-received, although required learners to prepare for class which was
difficult for some. TBL did not change these clinicians' views about
teamwork.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
procedures
EMTREE MEDICAL INDEX TERMS
cooperation
female
human
interview
male
medical education
problem based learning
program evaluation
psychiatry
questionnaire
teaching
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24025540 (http://www.ncbi.nlm.nih.gov/pubmed/24025540)
PUI
L603392465
DOI
10.1186/1472-6920-13-124
FULL TEXT LINK
http://dx.doi.org/10.1186/1472-6920-13-124
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 733
TITLE
Evaluation of a clinician training on referring chemically addicted clients
to mutual aid groups
AUTHOR NAMES
Fenster J.
AUTHOR ADDRESSES
(Fenster J., fenster@adelphi.edu) Adelphi University, School of Social Work,
One South Avenue, Garden City, NY 11530, United States.
CORRESPONDENCE ADDRESS
J. Fenster, Adelphi University, School of Social Work, One South Avenue,
Garden City, NY 11530, United States. Email: fenster@adelphi.edu
SOURCE
Alcoholism Treatment Quarterly (2013) 31:1 (38-49). Date of Publication: 1
Jan 2013
ISSN
0734-7324
1544-4538 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
An in-service training was provided to 19 clinicians employed by one
chemical dependency treatment facility. The goal of the training was to help
substance abuse clinicians gain knowledge of several options for mutual aid
fellowships, and strategies for referring clients to fellowships that
correspond to clients' values and preferences. After participating in the
training, clinicians were more familiar with, more knowledgeable about, and
more likely to refer to a range of self-help options for ameliorating
substance abuse issues. From pre- to posttest, clinicians also increased
their scores on six out of nine self-efficacy items related to their ability
to refer clients to mutual aid groups. © 2013 Copyright Taylor and Francis
Group, LLC.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
patient referral
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
clinical evaluation
female
human
male
medical society
professional knowledge
self concept
self help
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013065528
PUI
L368193720
DOI
10.1080/07347324.2013.746607
FULL TEXT LINK
http://dx.doi.org/10.1080/07347324.2013.746607
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 734
TITLE
Test anxiety among German medical students and its impact on lifestyle and
substance abuse.
AUTHOR NAMES
Tektaş O.Y.
Paulsen F.
Sel S.
AUTHOR ADDRESSES
(Tektaş O.Y.) Department of Anatomy II, Friedrich-Alexander-University of
Erlangen-Nuremberg , Erlangen , Germany.
(Paulsen F.; Sel S.)
CORRESPONDENCE ADDRESS
O.Y. Tektaş,
SOURCE
Medical teacher (2013) 35:11 (969). Date of Publication: Nov 2013
ISSN
1466-187X (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
anxiety (epidemiology)
education
lifestyle
medical student
EMTREE MEDICAL INDEX TERMS
cross-sectional study
Germany (epidemiology)
human
letter
personality test
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23607520 (http://www.ncbi.nlm.nih.gov/pubmed/23607520)
PUI
L563071697
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 735
TITLE
Attitudes towards nicotine, alcohol and drug dependence among physicians in
Israel
AUTHOR NAMES
Lev-Ran S.
Adler L.
Nitzan U.
Fennig S.
AUTHOR ADDRESSES
(Lev-Ran S., shauli.levran@gmail.com; Nitzan U.; Fennig S.) Shalvata Mental
Health Center, Hod-Hasharon, 45100, Israel.
(Lev-Ran S., shauli.levran@gmail.com; Adler L.; Nitzan U.; Fennig S.)
Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, 69978, Israel.
(Lev-Ran S., shauli.levran@gmail.com) Social Aetiology of Mental Illness
(SAMI) CIHR Fellow and Addiction Psychiatry Fellow, Centre for Addiction and
Mental Health, University of Toronto, Toronto, ON, M5S 2S1, Canada.
CORRESPONDENCE ADDRESS
S. Lev-Ran, Shalvata Mental Health Center, POB 94 Hod Hasharon, Israel.
Email: shauli.levran@gmail.com
SOURCE
Journal of Substance Abuse Treatment (2013) 44:1 (84-89). Date of
Publication: January 2013
ISSN
0740-5472
1873-6483 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Prevalence of substance use and substance use disorders in Israel is similar
to those in other developed countries. The aim of this study was to examine
attitudes of physicians in Israel towards nicotine, alcohol and drug use and
dependence. A national sample of physicians from different fields of medical
specialty (n=208, response rate 26%) responded to a 50-item questionnaire.
Questions included general questions regarding substance use and addictions,
as well as specific questions focusing on nicotine, alcohol, cannabis and
heroin use. The poor response rate in this survey dictates caution in
interpretation the results. However, they suggest that among medical
specialties, psychiatrists had higher levels of self-reported competency in
treating addictions and lower rates of moralism towards addictions. Across
substances, the highest rates of moralism and lowest ratings of treatment
efficacy were directed towards individuals with alcohol dependence.
Physicians generally reported experiencing lower levels of satisfaction and
higher levels of aggression when treating individuals with alcohol or drug
dependence compared with other patients. Physicians' attitudes towards
addictions have a significant role in the care that clients with addictions
receive. Medical education programs in Israel should devote provisions
towards educating physicians about addictions. © 2013 Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
physician attitude
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
aggression
article
clinical competence
female
human
Israel
male
priority journal
psychiatrist
questionnaire
self report
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012699300
MEDLINE PMID
22579033 (http://www.ncbi.nlm.nih.gov/pubmed/22579033)
PUI
L52001558
DOI
10.1016/j.jsat.2012.04.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2012.04.001
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 736
TITLE
Interdisciplinary education in the addictions: a commentary on the current
status
AUTHOR NAMES
Murphy S.A.
AUTHOR ADDRESSES
(Murphy S.A.) University of Washington, Seattle
SOURCE
Journal of addictions nursing (2013) 24:1 (4-7). Date of Publication: 2013
Jan-Mar
ISSN
1548-7148 (electronic)
ABSTRACT
Educating doctors, nurses, pharmacists, dentists, and social workers in a
shared, patient-centered curriculum, let alone in the same classrooms and
clinics, would appear impractical at best and as an insurmountable task at
worst. Nonetheless, this novel idea is being implemented. This article
traces the concept's development. The proceedings of three national
conferences held in 2010 and 2011 are briefly summarized. Several model
programs are described. Interdisciplinary education in the addictions is in
the early phases. Alternative and complementary forms of health care show
less progress in interprofessional education. Two concerns are noted. These
pertain to the timing of implementation and budget considerations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
interdisciplinary education
procedures
EMTREE MEDICAL INDEX TERMS
drug dependence (therapy)
human
patient care
public relations
vocational education
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24622524 (http://www.ncbi.nlm.nih.gov/pubmed/24622524)
PUI
L601508381
DOI
10.1097/JAN.0b013e31828767b7
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0b013e31828767b7
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 737
TITLE
Study of intravenous lorazepam in the management of delirium tremens at
Gandaki Medical College, Pokhara, Nepal
AUTHOR NAMES
Lamichhane N.
Pandey A.K.
Thapa D.K.
Hirachan G.P.
Gurung N.S.
AUTHOR ADDRESSES
(Lamichhane N.; Pandey A.K.; Thapa D.K.; Hirachan G.P.; Gurung N.S.) Gandaki
Medical College, Teaching Hospital and Research Centre (P) Ltd, Nayabazaar,
Pokhara, Nepal.
CORRESPONDENCE ADDRESS
N. Lamichhane, Gandaki Medical College, Teaching Hospital and Research
Centre (P) Ltd, Nayabazaar, Pokhara, Nepal.
SOURCE
Indian Journal of Psychiatry (2013) 55 SUPPL.1 (S72). Date of Publication:
January 2013
CONFERENCE NAME
65th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2013
CONFERENCE LOCATION
Bangalore, India
CONFERENCE DATE
2013-01-10 to 2013-01-13
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd
ABSTRACT
Aims and Objectives: The aim of the study was to analyze the outcomes of
treatment of alcohol withdrawal state with intravenous lorazepam and to
treat the initial symptoms and prevent the occurrence of severe withdrawal.
Methodology: This was a perspective; hospital-based study, consisting of 34
subjects, conducted in Gandaki Medical College Teaching Hospital and
Research Centre (P) Ltd, Nayabazaar, Pokhara, Nepal. The study was
collaboration between the department of Neuropsychiatry and Internal
medicine. The study period was of 6 months (2010/6/1 to 2010/11/30). The
diagnosis of alcohol withdrawal state with or without complication was
approved by the consultant neuropsychiatrist, based on ICD-10 criteria. The
physical co-morbidities were evaluated by the consultant physician and
managed likewise. After all ethical considerations, data were collected and
analyzed by using Microsoft Excel and SPSS 12.0 software. Results: The total
number of subjects were 34 (N=34). Nineteen subjects (55.89%)were admitted
from the emergency department while 15 (44.11%) were from outpatient
departments. All 34 subjects were male. The maximum age at presentation was
63 years and minimum age was 27 years. The mean age of the subjects was
42.97 (SD 10.01) years. Almost half of the subjects (52.94%, n=18) were
below 40 years of age and remaining percent was above 40 years of age.
Conclusions: Symptoms triggered regimen is an effective method because
patients present with differences in the duration and amount of alcohol use,
differences in the severity of presenting symptoms and the amount of
benzodiazepine needed to control the symptoms can vary from person to
person.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
lorazepam
EMTREE DRUG INDEX TERMS
benzodiazepine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
delirium tremens
Indian
medical school
medical society
Nepal
EMTREE MEDICAL INDEX TERMS
alcohol consumption
alcohol withdrawal syndrome
consultation
diagnosis
emergency ward
hospital
human
ICD-10
internal medicine
male
methodology
morbidity
neuropsychiatry
outpatient department
patient
physician
software
teaching hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70991236
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 738
TITLE
Integration of parenting skills education and interventions in addiction
treatment
AUTHOR NAMES
Arria A.M.
Mericle A.A.
Rallo D.
Moe J.
White W.L.
Winters K.C.
O'Connor G.
AUTHOR ADDRESSES
(Arria A.M., aarria@umd.edu; Mericle A.A.; Winters K.C.) Treatment Research
Institute, 600 Public Ledger Building, 150 S. Independence Mall West,
Philadelphia PA 19106, United States.
(Arria A.M., aarria@umd.edu; Rallo D.; Moe J.; O'Connor G.) Betty Ford
Institute, Rancho Mirage, CA, United States.
(Arria A.M., aarria@umd.edu) Center on Young Adult Health and Development,
University of Maryland School of Public Health, Department of Family
Science, College Park, MD, United States.
(White W.L.) Chestnut Health Systems, Bloomington, IL, United States.
(Winters K.C.) Department of Psychiatry, University of Minnesota,
Minneapolis, MN, United States.
CORRESPONDENCE ADDRESS
A.M. Arria, Treatment Research Institute, 600 Public Ledger Building, 150 S.
Independence Mall West, Philadelphia PA 19106, United States. Email:
aarria@umd.edu
SOURCE
Journal of Addiction Medicine (2013) 7:1 (1-7). Date of Publication:
January-February 2013
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objectives: Children of parents with substance use disorders are at risk for
various adverse outcomes, and maladaptive parenting behaviors seem to be an
important mediator of this risk.Although numerous research studies have
highlighted the promise of parenting interventions in modifying parenting
behavior, very little is known about the integration of parenting skills
education and interventions into addiction treatment programs. Methods: In
this study, a convenience sample of 125 addiction treatment programs in the
United States was drawn. A key staff member was interviewed to gather basic
information about the extent and nature of parenting skills education and
interventions offered at their program. In addition, respondents were asked
to rate the importance of parenting skills relative to other addiction
treatment priorities. Results: Descriptive analyses revealed that 43%
reported some form of parenting classes, but few used a structured
curriculum. Conclusions: Given the known beneficial influence of effective
parenting practices on reducing adverse childhood outcomes, it is surprising
that relatively few substance abuse treatment programs have adopted
structured parenting skills interventions as part of their standard service
offerings. More research is warranted on the extent to which parenting
skills interventions are integrated into the continuum of services available
to parents with a substance use disorder. Copyright © 2013 American Society
of Addiction Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
parenting education
EMTREE MEDICAL INDEX TERMS
adult
adverse outcome
article
child parent relation
childhood
convenience sample
descriptive research
education program
female
health care availability
high risk population
human
major clinical study
male
parental behavior
priority journal
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013319516
MEDLINE PMID
23079483 (http://www.ncbi.nlm.nih.gov/pubmed/23079483)
PUI
L368950546
DOI
10.1097/ADM.0b013e318270f7b0
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e318270f7b0
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 739
TITLE
Comparison of youth, caregiver, therapist, trained, and treatment expert
raters of therapist adherence to a substance abuse treatment protocol
AUTHOR NAMES
Chapman J.E.
Mccart M.R.
Letourneau E.J.
Sheidow A.J.
AUTHOR ADDRESSES
(Chapman J.E., chapmaja@musc.edu; Mccart M.R.; Sheidow A.J.) Medical
University of South Carolina, Family Services Research Center, 67 President
Street, STE MC406, PO Box 2508861, Charleston, SC 29425, United States.
(Letourneau E.J.) Department of Mental Health, Bloomberg School of Public
Health, Johns Hopkins University, Bloomberg, MD, United States.
CORRESPONDENCE ADDRESS
J.E. Chapman, Medical University of South Carolina, Family Services Research
Center, 67 President Street, STE MC406, PO Box 2508861, Charleston, SC
29425, United States. Email: chapmaja@musc.edu
SOURCE
Journal of Consulting and Clinical Psychology (2013) 81:4 (674-680). Date of
Publication: August 2013
ISSN
1939-2117 (electronic)
0022-006X
BOOK PUBLISHER
American Psychological Association Inc., journals@apa.org
ABSTRACT
Objective: This study evaluated the accuracy of youth, caregiver, therapist,
and trained raters relative to treatment experts on ratings of therapist
adherence to a substance abuse treatment protocol for adolescents. Method:
Adherence ratings were provided by youth and caregivers in an ongoing trial
evaluating a Contingency Management (CM) intervention for youth in juvenile
drug court. These ratings were compared to those provided by therapists and
trained raters, and each rater type was compared to ratings provided by CM
treatment experts. Data were analyzed using item-response-theory-based
Many-Facet Rasch Models. Results: Relative to treatment experts, youth and
caregivers were significantly more likely to endorse the occurrence of CM
components. In contrast, therapists and trained raters were much more
consistent with treatment experts. In terms of practical significance, youth
and caregivers each had a 97% estimated probability of indicating that a
typical treatment component had occurred. By comparison, the probability was
31%, 19%, and 26% for therapists, trained raters, and treatment experts,
respectively. Conclusions: Youth and caregivers were highly inaccurate
relative to treatment experts, whereas, therapists and trained raters were
generally consistent with treatment experts. The implications of these
findings for therapist adherence measurement are considered. © 2013 American
Psychological Association.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
caregiver
drug dependence treatment
juvenile
medical expert
occupational therapist
practice guideline
EMTREE MEDICAL INDEX TERMS
adolescent
article
clinical article
clinical protocol
comparative study
female
human
male
probability
protocol compliance
Rasch analysis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013487615
MEDLINE PMID
23668668 (http://www.ncbi.nlm.nih.gov/pubmed/23668668)
PUI
L369483009
DOI
10.1037/a0033021
FULL TEXT LINK
http://dx.doi.org/10.1037/a0033021
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 740
TITLE
To assess the prevalence and correlates of internet addiction and the level
of stress in MBBS students in a medical college
AUTHOR NAMES
Moirgangthem S.
Rudhran V.
Mathangi D.C.
Varman A.
Usha S.
AUTHOR ADDRESSES
(Moirgangthem S.; Rudhran V.; Mathangi D.C.; Varman A.; Usha S.)
CORRESPONDENCE ADDRESS
S. Moirgangthem,
SOURCE
Indian Journal of Psychiatry (2013) 55 SUPPL.1 (S66). Date of Publication:
January 2013
CONFERENCE NAME
65th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2013
CONFERENCE LOCATION
Bangalore, India
CONFERENCE DATE
2013-01-10 to 2013-01-13
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd
ABSTRACT
Aims and Objectives: To assess the prevalence of internet addiction and the
level of stress perceived by MBBS students. To assess the correlates of the
extent of internet usage and with the level of perceived stress.
Methodology: Cross-sectional study. N =400; 100 MBBS students from each year
will be taken. The following instruments will be used: The general health
questionarrie-12 (GHQ -12), The internet addiction test (IAT), The perceived
stress scale - 14 (PSS-14) and the brief symptom inventory (BSI). Results:
The results will be analyzed using appropriate statistical tool.
Conclusions: The implications of the study results shall be described and
discussed in the paper.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
Indian
internet addiction
medical school
medical society
prevalence
student
EMTREE MEDICAL INDEX TERMS
Brief Symptom Inventory
cross-sectional study
health
Internet
methodology
Perceived Stress Scale
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70991212
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 741
TITLE
Analysis of mental health substance abuse-related emergency department
visits from 2002 to 2008.
AUTHOR NAMES
Chakravarthy B.
Tenny M.
Anderson C.L.
Rajeev S.
Istanbouli T.
Lotfipour S.
AUTHOR ADDRESSES
(Chakravarthy B., bchakrav@uci.edu) Department of Emergency Medicine, Center
for Trauma and Injury Prevention Research, School of Medicine, University of
California-Irvine, Orange, CA 92868, USA.
(Tenny M.; Anderson C.L.; Rajeev S.; Istanbouli T.; Lotfipour S.)
CORRESPONDENCE ADDRESS
B. Chakravarthy, Email: bchakrav@uci.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:3 (292-297). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
Mental health substance abuse (MHSA)-related visits in the emergency
department (ED) are a growing concern. This study analyzed MHSA ED visits by
age, gender, ethnicity, region, season, and duration of stay between 2002
and 2008 using the National Hospital Ambulatory Care Survey (NHAMCS). The
authors used descriptive statistics and examined ED length of stay using a
generalized linear model with a log link, and compared length of stay for
these visits. Mental health-related visits increased from 6.4% of visits in
2002 to 7.0% in 2008 (P = .002). Substance abuse-related visits increased
from 1.8% to 2.1% (P = .004). Substance abuse-related visits accounted for a
49% increase (CI = 0.051-0.23%) in the total mental health visits to the ED.
Male visits increased whereas female visits remained unchanged, with
non-Latino white males showing the highest increase. The southern United
States had the highest increase in MHSA visits. MHSA visits (5.6 hours) were
on average 1.2 hours longer than other non-MHSA-related visits (4.4 hours).
MHSA-related visits had a higher percentage of all visits on weekends (2.3%)
than on weekdays (2.0%; P < .00005). Concentrated programmatic efforts to
decrease the burden of MHSA visits to the ED may reduce the burden of
disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, epidemiology)
emergency health service
mental disease (complication, epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
age
aged
ambulatory care
article
ethnic group
female
health survey
human
length of stay
male
middle aged
psychological aspect
season
sex difference
sex ratio
statistics
United States (epidemiology)
utilization review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23844961 (http://www.ncbi.nlm.nih.gov/pubmed/23844961)
PUI
L563065725
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 742
TITLE
Substance abuse journal: new beginnings.
AUTHOR NAMES
Gordon A.J.
AUTHOR ADDRESSES
(Gordon A.J.) a University of Pittsburgh School of Medicine , Pittsburgh ,
PA.
CORRESPONDENCE ADDRESS
A.J. Gordon,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:4 (339-341). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
publication
EMTREE MEDICAL INDEX TERMS
editorial
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24159902 (http://www.ncbi.nlm.nih.gov/pubmed/24159902)
PUI
L563084709
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 743
TITLE
Lifetime prevalence of alcohol and substance use in Egypt: a community
survey
AUTHOR NAMES
Hamdi E.
Gawad T.
Khoweiled A.
Sidrak A.E.
Amer D.
Mamdouh R.
Fathi H.
Loza N.
AUTHOR ADDRESSES
(Hamdi E., emadhamdi@doctors.net.uk; Gawad T.; Khoweiled A.; Sidrak A.E.;
Amer D.; Mamdouh R.; Fathi H.; Loza N.) Department of Psychiatry, Faculty of
Medicine, Cairo University, Cairo, Egypt
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:2 (97-104). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
RESULTS: The lifetime prevalence of any substance use varies between 7.25%
and 14.5%. One-month prevalence varies between 5.4% and 11.5% when adjusted
to different population parameters. A total of 4832 subjects were identified
as using illicit substances at least once in their life (9.6%), including
1329 experimental and social use (3.3%), 1860 regular use (4.64%), and 629
substance dependence (1.6%). The prevalence of substance use in males is
13.2% and 1.1% in females. Prevalence increases significantly in males of
Bedouin origin, in seaside governorates, with lesser levels of education,
and in certain occupations. The 15-19 age group showed the highest onset of
substance use. Cannabis is the drug mostly misused in Egypt; alcohol is a
distant second.CONCLUSIONS: The prevalence of substance use is lower than
Western countries and higher compared with a 1996 survey. The true
population prevalence is probably higher due to underreporting. The
demographic pattern reflects availability and accessibility to
drugs.OBJECTIVE: The aim of this study was to determine the prevalence of
substance use and addiction in Egypt and study its sociodemographic
correlates.METHOD: A total of 44,000 subjects were interviewed from 8
governorates by stratified sampling. A questionnaire derived from the
Addiction Severity Index (ASI) was individually administered.
EMTREE MEDICAL INDEX TERMS
adolescent
adult
drinking behavior
drug dependence (epidemiology)
Egypt
female
human
information processing
male
middle aged
sexual development
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23577901 (http://www.ncbi.nlm.nih.gov/pubmed/23577901)
PUI
L603064335
DOI
10.1080/08897077.2012.677752
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2012.677752
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 744
TITLE
A buprenorphine education and training program for primary care residents:
implementation and evaluation.
AUTHOR NAMES
Kunins H.V.
Sohler N.L.
Giovanniello A.
Thompson D.
Cunningham C.O.
AUTHOR ADDRESSES
(Kunins H.V.) Albert Einstein College of Medicine/Montefiore Medical Center,
111 East 210th Street, Bronx, NY 10467, USA.
(Sohler N.L.; Giovanniello A.; Thompson D.; Cunningham C.O.)
CORRESPONDENCE ADDRESS
H.V. Kunins,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:3 (242-247). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
Although substance use disorders are highly prevalent, resident preparation
to care for patients with these disorders is frequently insufficient. With
increasing rates of opioid abuse and dependence, and the availability of
medication-assisted treatment, one strategy to improve resident skills is to
incorporate buprenorphine treatment into training settings. In this study,
esidency faculty delivered the BupEd education and training program to 71
primary care residents. BupEd included (1) a didactic session on
buprenorphine, (2) an interactive motivational interviewing session, (3)
monthly case conferences, and (4) supervised clinical experience providing
buprenorphine treatment. To evaluate BupEd, the authors assessed (1)
residents' provision of buprenorphine treatment during residency, (2)
residents' provision of buprenorphine treatment after residency, and (3)
treatment retention among patients treated by resident versus attending
physicians. Of 71 residents, most served as a covering or primary provider
to at least 1 buprenorphine-treated patient (84.5 and 66.2%, respectively).
Of 40 graduates, 27.5% obtained a buprenorphine waiver and 17.5% prescribed
buprenorphine. Treatment retention was similar between patients cared for by
resident PCPs versus attending PCPs (90-day retention: 63.6% [n = 35] vs.
67.9% [n = 152]; P = .55). These results show that BupEd is feasible,
provides residents with supervised clinical experience in treating
opioid-dependent patients, and can serve as a model to prepare primary care
physicians to care for patients with opioid dependence.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy)
EMTREE DRUG INDEX TERMS
narcotic antagonist (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
opiate addiction (drug therapy)
primary health care
program evaluation
EMTREE MEDICAL INDEX TERMS
adult
article
clinical practice
feasibility study
female
human
male
medication compliance
methodology
middle aged
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23844954 (http://www.ncbi.nlm.nih.gov/pubmed/23844954)
PUI
L563065718
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 745
TITLE
Characterizing and improving HIV/AIDS knowledge among cocaine-dependent
outpatients using modified materials
AUTHOR NAMES
Herrmann E.S.
Heil S.H.
Sigmon S.C.
Dunn K.E.
Washio Y.
Higgins S.T.
AUTHOR ADDRESSES
(Herrmann E.S.; Heil S.H., Sarah.heil@uvm.edu; Sigmon S.C.; Dunn K.E.;
Higgins S.T.) Department of Psychology, University of Vermont, 1 So.
Prospect Street, Burlington, VT 05401, United States.
(Heil S.H., Sarah.heil@uvm.edu; Sigmon S.C.; Washio Y.; Higgins S.T.)
Department of Psychiatry, University of Vermont, 1 So. Prospect Street,
Burlington, VT 05401, United States.
CORRESPONDENCE ADDRESS
S.H. Heil, Deparment of Psychiatry, University of Vermont, 1 So. Prospect
Street, Burlington, VT 05401, United States. Email: Sarah.heil@uvm.edu
SOURCE
Drug and Alcohol Dependence (2013) 127:1-3 (220-225). Date of Publication: 1
Jan 2013
ISSN
0376-8716
1879-0046 (electronic)
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Background: Only 56% of outpatient substance abuse treatment programs in the
U.S. provide HIV/AIDS education, likely due to the time required to complete
existing educational interventions. This report describes results of a third
study in a series to develop a brief educational intervention to increase
HIV/AIDS knowledge among cocaine-dependent outpatients. Methods:
Participants (N= 90) were randomized to experimental or control conditions
and completed two HIV/AIDS knowledge pre-tests with response formats
modified to "true-false-don't know." Pre-test results were later compared to
historical controls that completed pre-tests in their original "true-false"
format. Next, participants in the experimental condition completed an
HIV/AIDS educational intervention while participants in the control
condition completed a sham intervention. Participants in both conditions
then completed knowledge tests a second time. Participants in both
conditions were subsequently crossed over, and then completed knowledge
tests a third time. Post-intervention analyses were conducted using test
data from all participants who completed the educational intervention (N=
56). A subset of these participants (N= 40) completed follow-up tests
approximately 9. weeks after completing the educational intervention.
Results: Scores on both pre-tests were lower than those observed in
historical controls (p< .001). Scores on knowledge tests increased from
baseline after participants completed the educational intervention (p<
.001), but not after the sham intervention (p> .05). Scores at follow-up
remained higher than baseline scores (p< .001). Conclusions: Modifying
response formats to include a "don't know" option likely increases
identification of baseline knowledge deficits. This brief intervention is
effective at increasing HIV/AIDS knowledge among cocaine-dependent
outpatients. © 2012 Elsevier Ireland Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome (prevention)
cocaine dependence (diagnosis)
Human immunodeficiency virus infection (prevention)
medical education
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
comparative study
controlled clinical trial
controlled study
crossover procedure
disease transmission
female
follow up
high risk behavior
human
learning
male
outcome assessment
priority journal
randomized controlled trial
reliability
risk assessment
sham procedure
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012729742
MEDLINE PMID
22889696 (http://www.ncbi.nlm.nih.gov/pubmed/22889696)
PUI
L52157144
DOI
10.1016/j.drugalcdep.2012.07.006
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2012.07.006
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 746
TITLE
[Drugs consumption among Intern Specialists in Jaén (Spain) and their
relationship to clinical counseling].
ORIGINAL (NON-ENGLISH) TITLE
Consumo de drogas entre los Especialistas Internos Residentes de Jaén
(España) y su relación con el consejo clínico.
AUTHOR NAMES
Valverde Bolivar F.J.
Pérez Milena A.
Moreno Corredor A.
AUTHOR ADDRESSES
(Valverde Bolivar F.J., franciscoj.valverde.sspa@juntadeandalucia.es) Unidad
Docente de Medicina Familiar y Comunitaria de Jaén, Complejo Hospitalario de
Jaén, Jaén.
(Pérez Milena A.; Moreno Corredor A.)
CORRESPONDENCE ADDRESS
F.J. Valverde Bolivar, Email: franciscoj.valverde.sspa@juntadeandalucia.es
SOURCE
Adicciones (2013) 25:3 (243-252). Date of Publication: 2013
ISSN
0214-4840
ABSTRACT
There are few studies on the prevalence of alcohol, tobacco and illegal
drugs consumption among Specialist Interns (EIR) and their counseling to the
patients. A multicenter cross-sectional study is carried out, consisting in
a self-administered validated questionnaire to describe the consumption of
the EIR of 17 health centers in Jaen (Andalusia) (4 hospitals, 13 primary
care) and their relationship with their counseling. 215 EIR participate with
81% of valid questionnaires: mean age 31.2 years (± 0.7), 70% women, 13%
foreigners, only 6% nursing. Of them 78% consumed alcohol (onset age 16.8
years ± 0.3), 81% occasionally and 17% weekend. The alcohol average weekly
intake was 5.9 (± 5.8) UBE, especially beer and cocktails; 17% show a
binge-drinking pattern (more frequent in men, p = .001 x 2). 19% smoke. A
total of 71% smoke on a daily bases (mean of 8.9 ± 1.6 cigarettes/day); the
nicotine dependence is low (68%) and two thirds have tried to quit. Only 3%
use cannabis. A fifth part of EIR does not usually advise against smoking
use (21%), a third part does not advise against alcohol (34%) and almost
half of them neither advises against drugs (44%) (p = .001 x 2). Logistic
regression shows greater clinical advice from older EIR. Advice against
drinking alcohol provided by EIR women is more frequent (OR 2.93) and,
probably, even more in EIR that binge drink (OR 2.32). Late smoking onset is
related to less clinical advice against illegal drugs (OR 0.76).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
counseling
medical education
EMTREE MEDICAL INDEX TERMS
adult
article
cross-sectional study
female
human
male
multicenter study
Spain
statistics
LANGUAGE OF ARTICLE
Spanish
MEDLINE PMID
23880837 (http://www.ncbi.nlm.nih.gov/pubmed/23880837)
PUI
L563078582
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 747
TITLE
An Evaluation of the Prescription of Opioids for Chronic Nonmalignant Pain
by Australian General Practitioners
AUTHOR NAMES
Holliday S.
Magin P.
Dunbabin J.
Oldmeadow C.
Henry J.-M.
Lintzeris N.
Attia J.
Goode S.
Dunlop A.
AUTHOR ADDRESSES
(Holliday S., simon.holliday@albertstmc.com; Henry J.-M.; Dunlop A.) Albert
St Medical Centre, Taree, Australia.
(Holliday S., simon.holliday@albertstmc.com) Drug and Alcohol Clinical
Services, Hunter New England Health, Taree, Australia.
(Magin P.; Dunbabin J.; Goode S.) Discipline of General Practice, University
of Newcastle, Newcastle, Australia.
(Oldmeadow C.) Centre for Clinical Epidemiology and Biostatistics,
University of Newcastle, Newcastle, Australia.
(Lintzeris N.) Drug and Alcohol Services, South Eastern Sydney Local Health
District, Sydney, Australia.
(Lintzeris N.) Department Psychological Medicine, Sydney University, Sydney,
Australia.
(Attia J.) General Medicine and Clinical Epidemiology, Centre for Clinical
Epidemiology and Biostatistics, University of Newcastle, Newcastle,
Australia.
(Attia J.) General Medicine, John Hunter Hospital, Newcastle, Australia.
(Dunlop A.) School of Medicine and Public Health, Faculty of Health,
University of Newcastle, Newcastle, NSW, Australia.
CORRESPONDENCE ADDRESS
S. Holliday, Albert St Medical Centre, 78 Albert St, Taree, NSW 2430,
Australia. Email: simon.holliday@albertstmc.com
SOURCE
Pain Medicine (United States) (2013) 14:1 (62-74). Date of Publication:
January 2013
ISSN
1526-2375
1526-4637 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
Objective.: Our objective was to evaluate the quality of opioid analgesia
prescribing in chronic nonmalignant pain (CNMP) by general practitioners
(GPs, family physicians). Design.: An anonymous, cross-sectional
questionnaire-based survey. Setting.: The setting was five Australian
divisions of general practice (geographically based associations of GPs).
Methods.: A questionnaire was mailed to all division members. Outcome
measures were adherence to individual recommendations of locally derived
CNMP practice guidelines. Results.: We received 404 responses (response rate
23.3%). In the previous fortnight, GPs prescribed long-term continuous
opioids for CNMP for a median of 4 and a mean of 7.1 (±8.7) patients with
CNMP. Guideline concordance (GLC) was poor, with no GP always compliant with
all guideline items, and only 31% GPs usually employing most items. GLC was
highest for the avoidance of high dosages or fast-acting formulations. It
was lowest for strategies minimizing individual and public health harms,
such as the initiation of opioids on a time-limited trial basis, use of
contracts, and the preclusion or management of aberrant behaviors. GLC was
positively associated with relevant training or qualifications, registration
with the Australian Prescription Drug Monitoring Programme, being an opioid
substitution therapy prescriber, and female gender. Conclusions.: In this
study, long-term opioids were frequently initiated for CNMP without a
quality use-of-medicine approach. Potential sequelae are inadequate
treatment of pain and escalating opioid-related harms. These data suggest a
need for improved resourcing and training in opioid management across pain
and addictions. © 2013 Wiley Periodicals, Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
chronic nonmalignant pain (drug therapy, drug therapy)
chronic pain (drug therapy, drug therapy)
prescription
EMTREE MEDICAL INDEX TERMS
adult
article
Australia
correlation analysis
cross-sectional study
female
general practitioner
health survey
human
male
medical education
opiate substitution treatment
outcome assessment
patient compliance
practice guideline
questionnaire
registration
sex difference
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Anesthesiology (24)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013046800
MEDLINE PMID
23279722 (http://www.ncbi.nlm.nih.gov/pubmed/23279722)
PUI
L52375729
DOI
10.1111/j.1526-4637.2012.01527.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1526-4637.2012.01527.x
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 748
TITLE
The link between substance use and reproductive health service utilization
among young U.S. women.
AUTHOR NAMES
Stidham Hall K.
Moreau C.
Trussell J.
AUTHOR ADDRESSES
(Stidham Hall K., hkelli@umich.edu) Department of Obstetrics and Gynecology,
and Institute for Social Research, University of Michigan, Ann Arbor, MI
48109, USA.
(Moreau C.; Trussell J.)
CORRESPONDENCE ADDRESS
K. Stidham Hall, Email: hkelli@umich.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:3 (283-291). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
The authors sought to investigate associations between young women's use of
alcohol and other substances and their sexual and reproductive health (SRH)
service utilization. The authors used data from 4421 young women aged 15-24
years in the nationally representative study, National Survey of Family
Growth, 2002-2008. The authors examined associations between frequency of
tobacco, alcohol, marijuana, and illicit drug use and SRH service use in the
past year using logistic regression. Over half (59%) of the young women used
SRH services, including contraception (48%), gynecological examination
(47%), and sexually transmitted infection (STI) testing/treatment (17%)
services. Proportions of SRH service use increased with higher frequencies
of substance use (all P values <.001); service use was particularly common
among daily substance users (range: 72% of daily marijuana users to 83% of
daily binge drinkers). In multivariable analyses, associations between
substance and SRH service use varied by substance and service type: weekly
marijuana (odds ratio [OR] = 2.5, 95% confidence interval [95% CI] = 1.4,
4.3, P = .002) and alcohol (OR = 1.7, 95% CI = 1.1, 2.4, P = .01) use were
positively associated with gynecological service use. All substances were
positively associated with STI service use. However, daily smoking was
negatively associated with contraceptive service use (OR = 0.6, 95% CI =
0.4, 0.8, P = .001). SRH service use was common among women reporting
frequent substance use. SRH settings provide an opportunity to deliver
substance use screening and preventive care to young women.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, epidemiology)
health service
EMTREE MEDICAL INDEX TERMS
adolescent
article
female
health survey
human
United States (epidemiology)
utilization review
young adult
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23844960 (http://www.ncbi.nlm.nih.gov/pubmed/23844960)
PUI
L563065724
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 749
TITLE
Prevalence and sociodemographic correlates of lifetime substance use among a
rural and diverse sample of adolescents.
AUTHOR NAMES
McDermott M.J.
Drescher C.F.
Smitherman T.A.
Tull M.T.
Heiden L.
Damon J.D.
Hight T.L.
Young J.
AUTHOR ADDRESSES
(McDermott M.J.) a Department of Psychology , University of Mississippi ,
University , Mississippi , USA.
(Drescher C.F.; Smitherman T.A.; Tull M.T.; Heiden L.; Damon J.D.; Hight
T.L.; Young J.)
CORRESPONDENCE ADDRESS
M.J. McDermott,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:4 (371-380). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
Data are limited regarding the prevalence of substance use among adolescents
in rural and ethnically diverse communities. This study examined rates and
sociodemographic correlates of lifetime substance use among adolescents in
Mississippi, a rural state that is the poorest in the country (21.3% poverty
rate) and has the largest proportion of African Americans per capita
(36.3%). Participants in this cross-sectional study were 6349 adolescents
(6th through 12th grade) who reported on lifetime tobacco, alcohol,
marijuana, cocaine, inhalant, hallucinogen, and methamphetamine use.
Lifetime smoking (10.2% to 44.5%), alcohol (23.2% to 72.0%), and marijuana
use (7.9% to 39.2%) increased steadily when comparing students in 6th to
12th grade. Substances with more serious abuse potential (cocaine [6.7% to
11.1%], inhalants [12.2% to 17.9%], hallucinogens [4.4% to 12.1%], and
methamphetamine [3.0% to 6.7%]) displayed more modest increases across
grade. Adolescents who classified their race/ethnicity as "Other" (i.e., not
white, black/African American, Asian, or Hispanic/Latino/Latina)
demonstrated more than 2-fold increased likelihood of methamphetamine use
(odds ratio [OR] = 2.42), and increased risk for use of any illicit
substance (OR = 1.49). In general, males demonstrated an increased risk for
use across substances (OR = 1.15-1.94), and higher income was associated
with a decreased likelihood of illicit substance use (OR = 0.51-0.67).
Living in a more populated area was associated with an increased likelihood
of alcohol (OR = 1.43), marijuana (OR = 2.11), and cocaine use (OR = 2.06),
and use of any illicit substance (OR = 1.54). Mississippi adolescents
reported higher rates of lifetime cocaine, inhalant, hallucinogen, and
methamphetamine use across all grade levels compared with national surveys.
Male gender, low income, and residence in more populated areas were
associated with increased use of several substances. Findings demonstrate
the need for prevention and intervention programs targeting impoverished
rural and ethnically diverse communities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
adolescent behavior
demography
ethnic group
rural population
EMTREE MEDICAL INDEX TERMS
adolescent
article
cross-sectional study
female
human
male
prevalence
psychological aspect
socioeconomics
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24159908 (http://www.ncbi.nlm.nih.gov/pubmed/24159908)
PUI
L563084715
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 750
TITLE
Deliberate self-harm, substance use, and negative affect in nonclinical
samples: a systematic review
AUTHOR NAMES
Moller C.I.
Tait R.J.
Byrne D.G.
AUTHOR ADDRESSES
(Moller C.I.; Tait R.J.; Byrne D.G.) Department of Psychology and Centre for
Mental Health Research, Australian National University, Canberra, Australian
Capital Territory, Australia
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:2 (188-207). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND AND METHOD: A systematic literature review was conducted to
examine associations between self-harm, substance use, and negative affect
in nonclinical samples.RESULTS: Forty-two articles describing 36 studies
were identified that met the inclusion criteria. Findings indicated that
individuals who engage in substance use are significantly more likely to
engage in self-harm. It was also found that negative affective states such
as depression and anxiety are consistently associated with
self-harm.CONCLUSIONS: These findings provide some guidance in identifying
those who are at increased risk of self-harm. Reducing these risk factors
could be an important strategy in preventing self-harm behavior in the
general population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
affect
EMTREE MEDICAL INDEX TERMS
addiction
automutilation (epidemiology)
complication
human
prevalence
psychiatric diagnosis
psychology
risk factor
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23577914 (http://www.ncbi.nlm.nih.gov/pubmed/23577914)
PUI
L603064635
DOI
10.1080/08897077.2012.693462
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2012.693462
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 751
TITLE
Sex, age, and progression of drug use in adolescents admitted for substance
use disorder treatment in the northeastern United States: comparison with a
national survey.
AUTHOR NAMES
Bracken B.K.
Rodolico J.
Hill K.P.
AUTHOR ADDRESSES
(Bracken B.K., bbracken@cra.com) Behavioral Psychopharmacology Research
Laboratory, McLean Hospital, Belmont, MA, USA.
(Rodolico J.; Hill K.P.)
CORRESPONDENCE ADDRESS
B.K. Bracken, Email: bbracken@cra.com
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:3 (263-272). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
National adolescent drug use surveys are distributed in United States
schools. Survey results determine trends in drug use and inform research and
prevention efforts; however, students who have dropped out of school or were
truant the day of the survey are excluded. Examining drug trends in a
high-risk population (adolescents admitted for drug treatment) may better
characterize drug users and their use patterns. The current study examined
questionnaires completed by 939 adolescents admitted for substance abuse
treatment between 1995 and 2010. Age of first use (ranging from 13.2 years
for alcohol to 15.1 years for cocaine) was significantly younger for
cigarettes, alcohol, and cannabis than for "harder" drugs such as cocaine
and heroin, and adolescents increased their use of almost every substance
(except inhalants) with increasing age. This was not true of national data.
Additionally, in the national data, less than 1.5% of participants reported
using any of the harder drugs more than 5 times, but in the McLean data,
even for harder drugs, >10% of adolescents used >50 times. In the high-risk
sample examined here, progression to harder drugs is accelerated and
increases with age regardless of sex. These data underscore the importance
of prevention and immediate treatment when adolescent substance use is
identified.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, therapy)
adolescent behavior
disease course
health survey
EMTREE MEDICAL INDEX TERMS
adolescent
age
article
comparative study
female
human
male
onset age
psychological aspect
sex difference
sex ratio
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23844957 (http://www.ncbi.nlm.nih.gov/pubmed/23844957)
PUI
L563065721
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 752
TITLE
Physical factors, personal characteristics, and substance use: associations
with obesity.
AUTHOR NAMES
Brook J.S.
Lee J.Y.
Finch S.J.
Balka E.B.
Brook D.W.
AUTHOR ADDRESSES
(Brook J.S., judith.brook@nyumc.org) Department of Psychiatry, New York
University School of Medicine, New York, NY 10016, USA.
(Lee J.Y.; Finch S.J.; Balka E.B.; Brook D.W.)
CORRESPONDENCE ADDRESS
J.S. Brook, Email: judith.brook@nyumc.org
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:3 (273-276). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
Because obesity has become a major public health problem, attention to a
range of its predictors is needed. This study examined the association of
physical factors, personal characteristics, and substance use with obesity
in a sample (N = 815) of African American and Puerto Rican young adults with
a mean age of 32. Body mass index (BMI) was calculated to assess obesity.
Bivariate and multivariate logistic regression analyses were conducted.
Bivariate analyses showed that protective factors such as physical activity
(adjusted odds ratio [AOR] = .82, 95% confidence interval [CI] = .74-.91),
healthy diet (AOR = .96, 95% CI = .93-.99), self-control (AOR = .93, 95% CI
= .87-.98), and life satisfaction (AOR = .97, 95% CI = .95-.99) were
associated with a reduced probability of being obese. Marijuana use was also
associated with a decreased probability of obesity (AOR = .89, 95% CI =
.80-.99), but was not considered a protective factor. Risk factors such as
short sleep duration (AOR = 1.70, 95% CI = 1.24-2.33) and depressive mood
(AOR = 1.05, 95% CI = 1.01-1.09) were associated with an increased
probability of being obese. For African Americans and Puerto Ricans,
programs to treat obesity should focus on increasing sleep, physical
activity, and life satisfaction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
obesity (etiology, therapy)
EMTREE MEDICAL INDEX TERMS
adult
African American
article
body mass
female
health behavior
Hispanic
human
male
motor activity
pathophysiology
psychological aspect
risk factor
satisfaction
sleep
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23844958 (http://www.ncbi.nlm.nih.gov/pubmed/23844958)
PUI
L563065722
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 753
TITLE
Experience of teaching the questions of alcoholism to medical students
AUTHOR NAMES
Golenkov A.V.
AUTHOR ADDRESSES
(Golenkov A.V., golenkovav@inbox.ru) Ulyanov Chuvash State University,
Cheboksary, Russian Federation.
CORRESPONDENCE ADDRESS
A. V. Golenkov, Ulyanov Chuvash State University, Cheboksary, Russian
Federation. Email: golenkovav@inbox.ru
SOURCE
Zhurnal Nevrologii i Psihiatrii imeni S.S. Korsakova (2013) 113:6. Date of
Publication: 2013
ISSN
1997-7298
ABSTRACT
The experience of teaching alcoholism to undergraduate students of a medical
school at lectures and practical trainings on narcology (psychiatry), at the
organization of independent, educational and research work is described.
Aprioristic ideas of students of alcoholism and alcohol abuse are analyzed.
Possibilities of use movies for narcology teaching are discussed. It is
offered to strengthen intercathedral integration of teaching in higher
education institution the questions of alcoholic intoxication and
dependence, to direct educational process on development of bases of
preservation and correction of health of future doctors and patients, to
increase educational motivation of students by introduction of active
methods of training (clinical games), educational multimedia modules and
work intensification with patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
teaching
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcohol intoxication
article
health education
human
medical student
training
work experience
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Russian
LANGUAGE OF SUMMARY
English, Russian
EMBASE ACCESSION NUMBER
2014589677
PUI
L373910918
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 754
TITLE
Days out-of-role due to common physical and mental health problems: Results
from the São Paulo Megacity Mental Health Survey, Brazil
AUTHOR NAMES
Andrade L.H.
Baptista M.C.
Alonso J.
Petukhova M.
Bruffaerts R.
Kessler R.C.
Silveira C.M.
Siu E.R.
Wang Y.-P.
Viana M.C.
AUTHOR ADDRESSES
(Andrade L.H., lhsgandr@usp.br; Baptista M.C.; Silveira C.M.; Siu E.R.; Wang
Y.-P.; Viana M.C.) Department and Institute of Psychiatry, Section of
Psychiatric Epidemiology - LIM 23, Universidade de São Paulo, São Paulo/SP,
Brazil.
(Alonso J.) IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Health
Services Research Unit, Barcelona, Spain.
(Alonso J.) CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona,
Spain.
(Alonso J.) Universitat Pompeu Fabra (UPF) de Barcelona, Department of
Experimental and Life Sciences, Barcelona, Spain.
(Petukhova M.; Kessler R.C.) Harvard Medical School, Department of Health
Care Policy, Boston, MA, United States.
(Bruffaerts R.) Universitair Psychiatrisch Centrum, Katholieke Universiteit
Leuven (UPC-KUL), University Hospitals Gasthuisberg, Leuven, Belgium.
(Viana M.C.) Universidade Federal do Espírito Santo, Health Sicences Center,
Vitoria/ES, Brazil.
SOURCE
Clinics (2013) 68:11 (1392-1399). Date of Publication: November 2013
ISSN
1807-5932
ABSTRACT
OBJECTIVES: To investigate the relative importance of common physical and
mental disorders with regard to the number of days out-of-role (DOR; number
of days for which a person is completely unable to work or carry out normal
activities because of health problems) in a population-based sample of
adults in the São Paulo Metropolitan Area, Brazil. METHODS: The São Paulo
Megacity Mental Health Survey was administered during face-to-face
interviews with 2,942 adult household residents. The presence of 8 chronic
physical disorders and 3 classes of mental disorders (mood, anxiety, and
substance use disorders) was assessed for the previous year along with the
number of days in the previous month for which each respondent was
completely unable to work or carry out normal daily activities due to health
problems. Using multiple regression analysis, we examined the associations
of the disorders and their comorbidities with the number of days out-of-role
while controlling for socio-demographic variables. Both individual-level and
population-level associations were assessed. RESULTS: A total of 13.1% of
the respondents reported 1 or more days out-of-role in the previous month,
with an annual median of 41.4 days out-of-role. The disorders considered in
this study accounted for 71.7% of all DOR; the disorders that caused the
greatest number of DOR at the individual-level were digestive (22.6), mood
(19.9), substance use (15.0), chronic pain (16.5), and anxiety (14.0)
disorders. The disorders associated with the highest population-attributable
DOR were chronic pain (35.2%), mood (16.5%), and anxiety (15.0%) disorders.
CONCLUSIONS: Because pain, anxiety, and mood disorders have high effects at
both the individual and societal levels, targeted interventions to reduce
the impairments associated with these disorders have the highest potential
to reduce the societal burdens of chronic illness in the São Paulo
Metropolitan Area. © 2013 CLINICS.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
absenteeism
daily life activity
health survey
mental disease (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Brazil (epidemiology)
chronic pain (epidemiology)
comorbidity
female
human
male
mental health
prevalence
socioeconomics
statistics
time
urban population
world health organization
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24270949 (http://www.ncbi.nlm.nih.gov/pubmed/24270949)
PUI
L1370261650
DOI
10.6061/clinics/2013(11)02
FULL TEXT LINK
http://dx.doi.org/10.6061/clinics/2013(11)02
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 755
TITLE
Current state of psychiatry in Saudi Arabia
AUTHOR NAMES
Koenig H.
Al Zaben F.
Sehlo M.
Khalifa D.
Al Ahwal M.
AUTHOR ADDRESSES
(Koenig H., Harold.Koenig@duke.edu) Duke University Medical Center, Box
3400, Durham, NC 27710, United States.
(Koenig H., Harold.Koenig@duke.edu; Al Zaben F.; Sehlo M.; Khalifa D.; Al
Ahwal M.) King Abdulaziz University, Saudi Arabia.
(Sehlo M.) Zagazig University, Egypt.
(Khalifa D.) Ain Shams University, Egypt.
CORRESPONDENCE ADDRESS
H. Koenig, Duke University Medical Center, Box 3400, Durham, NC 27710,
United States. Email: Harold.Koenig@duke.edu
SOURCE
International Journal of Psychiatry in Medicine (2013) 46:3 (223-242). Date
of Publication: 1 Jan 2013
ISSN
0091-2174
1541-3527 (electronic)
BOOK PUBLISHER
Baywood Publishing Co. Inc., 26 Austin Avenue, P.O. Box 337, Amityville,
United States.
ABSTRACT
Background: In 1983, an article and accompanying editorial was published on
the state of psychiatry in the Kingdom of Saudi Arabia (KSA), which was
described as "a mental health system in statu nascendi." Methods: We provide
a 30-year update on advances in mental health care in KSA. Data are reported
from a wide range of sources, including the 2007 Saudi Arabian Mental and
Social Health Atlas, which compares services in KSA with the rest of the
world. Results: We examine how the current mental health system operates in
KSA, including recent changes in mental healthcare policy and development of
a national mental healthcare plan. Discussed are current needs based on the
prevalence and recognition of mental disorders; availability of services and
providers (psychiatrists, psychiatric nurses, psychologists, and social
workers); education and training in psychiatry; developments in
consultation-liaison, addictions, child-adolescent, and geriatric
psychiatry; and progress in mental health research. Conclusions: Mental
healthcare in Saudi Arabia has come a long way in a very short time, despite
cultural, religious, social, and political challenges, although there still
remain areas where improvement is needed. The development of psychiatry in
KSA serves as a model for countries in the Middle East and around the world.
© 2013, Baywood Publishing Co., Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
psychiatry
Saudi Arabia
EMTREE MEDICAL INDEX TERMS
addiction
article
consultation
development
education
gerontopsychiatry
health care policy
human
liaison psychiatry
mental disease
mental health
mental health care
mental health research
Middle East
nonhuman
nurse
prevalence
psychiatrist
recognition
religion
social aspect
social work
training
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014120652
MEDLINE PMID
24741832 (http://www.ncbi.nlm.nih.gov/pubmed/24741832)
PUI
L372391418
DOI
10.2190/PM.46.3.a
FULL TEXT LINK
http://dx.doi.org/10.2190/PM.46.3.a
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 756
TITLE
A study of internet addiction disorder among under graduate medical and
dental students
AUTHOR NAMES
Arora R.
Kataria L.
Shan S.
Patel V.
Sharma D.
AUTHOR ADDRESSES
(Arora R., drraghav_arora@yahoo.com; Kataria L.; Shan S.; Patel V.; Sharma
D.) Department of Psychiatry, Smt. B.K Shah Medical Institute and Research
Centre, Vadodaram, Gujarat, India.
CORRESPONDENCE ADDRESS
R. Arora, Department of Psychiatry, Smt. B.K Shah Medical Institute and
Research Centre, Vadodaram, Gujarat, India. Email: drraghav_arora@yahoo.com
SOURCE
Indian Journal of Psychiatry (2013) 55 SUPPL.1 (S65-S66). Date of
Publication: January 2013
CONFERENCE NAME
65th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2013
CONFERENCE LOCATION
Bangalore, India
CONFERENCE DATE
2013-01-10 to 2013-01-13
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd
ABSTRACT
Aims and Objectives: To find out (i) prevalence of internet addiction
disorder among undergraduate medical and dental students (ii) association
between internet addiction disorder and co-morbid depression. Methodology: A
cross-sectional study was conducted among 350 undergraduate medical and
dental students. CRF (containing demographic details and questions related
to internet use), young's internet addiction and beck depression inventory
scales were given. Results: The overall prevalence of internet addiction
were 32.28% moderately addicted and 5.71% severely addicted. It was found
that association between internet addiction and depression is positive
(19.5% had mild mood disturbance, 13.3% borderline clinical depression,
12.4% moderate depression, 7.1% severe depression, 0% extreme depression
while in severely addicted showed 30% mild mood disturbance, 5% borderline
clinical depression, 15% moderate depression, 10% severe depression, 20%
extreme depression). Demographic correlation depicted more males than
females and more medical than dental students were severely addicted to
internet. Conclusion: Similar to substance abuse prevention, programs aimed
at addicted individuals and specialized training can educate students about
the warning signs of online addiction, in order to assist the early
detection of this disorder.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dental student
diseases
graduate
human
Indian
internet addiction
medical society
EMTREE MEDICAL INDEX TERMS
addiction
Beck Depression Inventory
cross-sectional study
depression
female
Internet
male
methodology
mood disorder
prevalence
prevention
student
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70991209
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 757
TITLE
Toxicology Fellow's Perspective: Filling a Void in Medical Education
Regarding Opioids
AUTHOR NAMES
Lank P.M.
AUTHOR ADDRESSES
(Lank P.M., patrick.lank@gmail.com) Medical Toxicology, Toxikon Consortium,
Cook County Hospital, 1900 W. Polk, 10th Floor, Chicago, IL, 60612, United
States.
CORRESPONDENCE ADDRESS
P. M. Lank, Medical Toxicology, Toxikon Consortium, Cook County Hospital,
1900 W. Polk, 10th Floor, Chicago, IL, 60612, United States. Email:
patrick.lank@gmail.com
SOURCE
Journal of Medical Toxicology (2012) 8:4 (333-334). Date of Publication:
2012
ISSN
1556-9039
1937-6995 (electronic)
BOOK PUBLISHER
Springer New York, 233 Spring Street, New York, United States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
prescription
EMTREE MEDICAL INDEX TERMS
drug information
drug monitoring
drug use
editorial
patient identification
professional competence
professional knowledge
public health
responsibility
risk benefit analysis
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012719032
MEDLINE PMID
22986801 (http://www.ncbi.nlm.nih.gov/pubmed/22986801)
PUI
L52214442
DOI
10.1007/s13181-012-0271-x
FULL TEXT LINK
http://dx.doi.org/10.1007/s13181-012-0271-x
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 758
TITLE
Prescriber education on opioids
AUTHOR NAMES
Webster J.
AUTHOR ADDRESSES
(Webster J.) Feinberg School of Medicine, Northwestern University, Chicago,
IL 60611, United States.
CORRESPONDENCE ADDRESS
J. Webster, Feinberg School of Medicine, Northwestern University, Chicago,
IL 60611, United States.
SOURCE
Annals of Internal Medicine (2012) 157:12 (917). Date of Publication: 18 Dec
2012
ISSN
0003-4819
1539-3704 (electronic)
BOOK PUBLISHER
American College of Physicians, 190 N. Indenpence Mall West, Philadelphia,
United States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
EMTREE MEDICAL INDEX TERMS
drug overdose
general practitioner
human
intoxication
law enforcement
letter
medical ethics
mortality
patient monitoring
prescription
priority journal
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Toxicology (52)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012743151
MEDLINE PMID
23247946 (http://www.ncbi.nlm.nih.gov/pubmed/23247946)
PUI
L366301726
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 759
TITLE
Using selected scenes from Brazilian films to teach about substance use
disorders, within medical education
ORIGINAL (NON-ENGLISH) TITLE
Usando cenas selecionadas de filmes brasileiros para ensino a respeito dos
transtornos relacionados ao uso de substâncias, na educaçãomédica
AUTHOR NAMES
Castaldelli-Maia J.M.
Oliveira H.P.
Andrade A.G.
Lotufo-Neto F.
Bhugra D.
AUTHOR ADDRESSES
(Castaldelli-Maia J.M., jmcmaia2@gmail.com) Discipline of Psychiatry,
Faculdade de Medicina do ABC (FMABC), Santo André, São Paulo, Brazil.
(Castaldelli-Maia J.M., jmcmaia2@gmail.com) Grupo Interdisciplinar de
Estudos em Álcool e Drogas (GREA), Instituto de Psiquiatria, Faculdade de
Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
(Oliveira H.P.; Andrade A.G.; Lotufo-Neto F.; Bhugra D.) Department of
Psychiatry, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São
Paulo, Brazil.
(Andrade A.G.) Department of Psychiatry, Faculdade de Medicina do ABC
(FMABC), Santo André, São Paulo, Brazil.
(Bhugra D.) Mental Health and Cultural Diversity, Institute of Psychiatry,
King's College, London, United Kingdom.
CORRESPONDENCE ADDRESS
J. M. Castaldelli-Maia, Disciplinas de Psiquiatria e Psicologia Médica da,
Faculdade de Medicina do ABC (FMABC), Av. Lauro Gomes, 2.000, Vila Sacadura
Cabral, Santo Andre (SP), CEP 09060-870, Brazil. Email: jmcmaia2@gmail.com
SOURCE
Sao Paulo Medical Journal (2012) 130:6 (380-391). Date of Publication: 2012
ISSN
1516-3180
BOOK PUBLISHER
Associacao Paulista de Medicina, Av. Brig. Luiz Antonio 278 - 7o andar, Sao
Paulo, Brazil.
ABSTRACT
CONTEXT AND OBJECTIVES: Themes like alcohol and drug abuse, relationship
difficulties, psychoses, autism and personality dissociation disorders have
been widely used in films. Psychiatry and psychiatric conditions in various
cultural settings are increasingly taught using films. Many articles on
cinema and psychiatry have been published but none have presented any
methodology on how to select material. Here, the authors look at the
portrayal of abusive use of alcohol and drugs during the Brazilian cinema
revival period (1994 to 2008). DESIGN AND SETTING: Qualitative study at two
universities in the state of São Paulo. METHODS: Scenes were selected from
films available at rental stores and were analyzed using a specifically
designed protocol. We assessed how realistic these scenes were and their
applicability for teaching. One author selected 70 scenes from 50 films
(graded for realism and teaching applicability ≥ 8). These were then rated
by another two judges. Rating differences among the three judges were
assessed using nonparametric tests (P < 0.001). Scenes with high scores (≥
8) were defined as "quality scenes". RESULTS: Thirty-nine scenes from 27
films were identified as "quality scenes". Alcohol, cannabis, cocaine,
hallucinogens and inhalants were included in these. Signs and symptoms of
intoxication, abusive/harmful use and dependence were shown. CONCLUSIONS: We
have produced rich teaching material for discussing psychopathology relating
to alcohol and drug use that can be used both at undergraduate and at
postgraduate level. Moreover, it could be seen that certain drug use
behavioral patterns are deeply rooted in some Brazilian films and groups.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cocaine
psychedelic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
videorecording
EMTREE MEDICAL INDEX TERMS
alcoholism
article
behavior disorder
Brazil
disease association
drug dependence
human
inhalant abuse
intoxication
mental disease
nonparametric test
postgraduate education
qualitative research
rating scale
symptomatology
teaching
undergraduate student
university
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English, Portuguese
LANGUAGE OF SUMMARY
English, Portuguese
EMBASE ACCESSION NUMBER
2013070360
MEDLINE PMID
23338735 (http://www.ncbi.nlm.nih.gov/pubmed/23338735)
PUI
L368209563
DOI
10.1590/S1516-31802012000600005
FULL TEXT LINK
http://dx.doi.org/10.1590/S1516-31802012000600005
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 760
TITLE
Addiction training in general psychiatry residency: a national survey.
AUTHOR NAMES
Shorter D.
Dermatis H.
AUTHOR ADDRESSES
(Shorter D.; Dermatis H.)
CORRESPONDENCE ADDRESS
D. Shorter,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:4 (392-394). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
information processing
medical education
psychiatry
EMTREE MEDICAL INDEX TERMS
education
human
letter
methodology
standard
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22989284 (http://www.ncbi.nlm.nih.gov/pubmed/22989284)
PUI
L366387590
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 761
TITLE
The impact of tobacco cessation training of medical students on their
attitude towards smoking.
AUTHOR NAMES
Yentz S.
Klein R.J.
Oliverio A.L.
Andrijasevic L.
Likic R.
Kelava I.
Kokic M.
AUTHOR ADDRESSES
(Yentz S.; Klein R.J.; Oliverio A.L.; Andrijasevic L.; Likic R.; Kelava I.;
Kokic M.)
CORRESPONDENCE ADDRESS
S. Yentz,
SOURCE
Medical teacher (2012) 34:11 (1000). Date of Publication: 2012
ISSN
1466-187X (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
medical student
physician attitude
smoking cessation
EMTREE MEDICAL INDEX TERMS
Croatia
human
letter
passive smoking
psychological aspect
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22931146 (http://www.ncbi.nlm.nih.gov/pubmed/22931146)
PUI
L366401423
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 762
TITLE
Use of alcoholics anonymous as part of medical school education: students'
and educators' perspectives.
AUTHOR NAMES
Stack K.M.
Fore Arcand L.G.
Briscoe G.
AUTHOR ADDRESSES
(Stack K.M.) Veterans Affairs Medical Center, Hampton, Virginia 23667, USA.
(Fore Arcand L.G.; Briscoe G.)
CORRESPONDENCE ADDRESS
K.M. Stack, Veterans Affairs Medical Center, Hampton, Virginia 23667, USA.
Email: kathleen.stack@va.gov
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:4 (387-391). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
The objective of this study was to discover the utility, barriers, and
experiences with the use of Alcoholics Anonymous (AA) as a learning resource
in the medical school curriculum. A third-year medical student cohort and a
psychiatric educator group were queried about learned experiential lessons,
attendance requirements, attitudes, and obstacles encountered. Forty-three
educators, whose familiarity with AA varied widely, responded to the survey.
Forty-seven percent required AA attendance and reported it was a positive
experience for their students. Eighty-four percent felt students should
attend AA and identified obstacles to its implementation. Separately,
descriptive impressions of students (N = 95) who attended AA meetings were
collected. Their responses were positive 46%, neutral 43%, or negative 11%.
Respondents found AA meeting experiences generally positive, and although
impediments to implementation of this experience still exist, they may be
overcome with concerted efforts of psychiatric educators.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholics anonymous
medical student
psychiatry
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
female
health personnel attitude
human
male
medical education
medical school
methodology
psychological aspect
questionnaire
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22989283 (http://www.ncbi.nlm.nih.gov/pubmed/22989283)
PUI
L366387589
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 763
TITLE
A Teachable Moment Communication Process for smoking cessation talk:
description of a group randomized clinician-focused intervention.
AUTHOR NAMES
Flocke S.A.
Antognoli E.
Step M.M.
Marsh S.
Parran T.
Mason M.J.
AUTHOR ADDRESSES
(Flocke S.A.) Department of Family Medicine, Case Western Reserve
University, Cleveland, OH, USA.
(Antognoli E.; Step M.M.; Marsh S.; Parran T.; Mason M.J.)
CORRESPONDENCE ADDRESS
S.A. Flocke, Department of Family Medicine, Case Western Reserve University,
Cleveland, OH, USA. Email: susan.flocke@case.edu
SOURCE
BMC health services research (2012) 12 (109). Date of Publication: 2012
ISSN
1472-6963 (electronic)
ABSTRACT
Effective clinician-patient communication about health behavior change is
one of the most important and most overlooked strategies to promote health
and prevent disease. Existing guidelines for specific health behavior
counseling have been created and promulgated, but not successfully adopted
in primary care practice. Building on work focused on creating effective
clinician strategies for prompting health behavior change in the primary
care setting, we developed an intervention intended to enhance clinician
communication skills to create and act on teachable moments for smoking
cessation. In this manuscript, we describe the development and
implementation of the Teachable Moment Communication Process (TMCP)
intervention and the baseline characteristics of a group randomized trial
designed to evaluate its effectiveness. This group randomized trial includes
thirty-one community-based primary care clinicians practicing in Northeast
Ohio and 840 of their adult patients. Clinicians were randomly assigned to
receive either the Teachable Moments Communication Process (TMCP)
intervention for smoking cessation, or the delayed intervention. The TMCP
intervention consisted of two, 3-hour educational training sessions
including didactic presentation, skill demonstration through video examples,
skills practices with standardized patients, and feedback from peers and the
trainers. For each clinician enrolled, 12 patients were recruited for two
time points. Pre- and post-intervention data from the clinicians, patients
and audio-recorded clinician-patient interactions were collected. At
baseline, the two groups of clinicians and their patients were similar with
regard to all demographic and practice characteristics examined. Both
physician and patient recruitment goals were met, and retention was 96% and
94% respectively. Findings support the feasibility of training clinicians to
use the Teachable Moments Communication Process. The next steps are to
assess how well clinicians employ these skills within their practices and to
assess the effect on patient outcomes. ClinicalTrials.gov Identifier:
NCT01575886.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
general practitioner
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
controlled clinical trial
controlled study
education
female
human
interpersonal communication
male
methodology
middle aged
patient education
randomized controlled trial
teaching
treatment outcome
videorecording
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT01575886)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22554310 (http://www.ncbi.nlm.nih.gov/pubmed/22554310)
PUI
L366406384
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 764
TITLE
Results of a statewide survey of adolescent substance use screening rates
and practices in primary care.
AUTHOR NAMES
Harris S.K.
Herr-Zaya K.
Weinstein Z.
Whelton K.
Perfas Jr. F.
Castro-Donlan C.
Straus J.
Schoneman K.
Botticelli M.
Levy S.
AUTHOR ADDRESSES
(Harris S.K.) Department of Pediatrics , Harvard Medical School, Boston,
Massachusetts, USA.
(Herr-Zaya K.; Weinstein Z.; Whelton K.; Perfas Jr. F.; Castro-Donlan C.;
Straus J.; Schoneman K.; Botticelli M.; Levy S.)
CORRESPONDENCE ADDRESS
S.K. Harris, Department of Pediatrics , Harvard Medical School, Boston,
Massachusetts, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:4 (321-326). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
Professional guidelines recommend annual screening, brief intervention, and
referral to treatment (SBIRT) as part of health maintenance for all
adolescents, but reported screening rates have been low and no report has
documented the techniques being used. The objective of this study was to
describe the results of a statewide questionnaire regarding adolescent
substance use screening rates and techniques used by primary care physicians
practicing in Massachusetts. A questionnaire was mailed to every licensed
physician registered as practicing pediatrics (N = 2176), family medicine (N
= 1335), or both (N = 8) in the Massachusetts Board of Medicine database.
After eliminating physicians who did not provide care for adolescents, the
survey response rate was 28% and the final analyzable sample consisted of
743 surveys. Less than half of respondents reported using a validated
adolescent screening tool. The majority of respondents used ineffective
screening practices for adolescent substance use. Further physician training
is recommended to encourage the use of developmentally appropriate screening
tools and interventions for adolescents.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child health care
clinical practice
information processing
primary health care
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
female
health personnel attitude
human
male
methodology
middle aged
practice guideline
questionnaire
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22989275 (http://www.ncbi.nlm.nih.gov/pubmed/22989275)
PUI
L366387581
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 765
TITLE
Is baclofen a revolutionary medication in alcohol addiction management?
Review and recent updates.
AUTHOR NAMES
Gorsane M.A.
Kebir O.
Hache G.
Blecha L.
Aubin H.J.
Reynaud M.
Benyamina A.
AUTHOR ADDRESSES
(Gorsane M.A.) INSERM, U669, Paris, France.
(Kebir O.; Hache G.; Blecha L.; Aubin H.J.; Reynaud M.; Benyamina A.)
CORRESPONDENCE ADDRESS
M.A. Gorsane, INSERM, U669, Paris, France.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:4 (336-349). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
Baclofen, a γ-aminobutyric acid (GABA)-B receptor agonist, represents a
promising drug in alcohol addiction management. Animal models have shown its
action at various stages of the process of alcohol addiction. Moreover,
initial open and randomized controlled trials have shown the efficacy of 30
mg/day baclofen on alcohol craving, intake, and relapse prevention. It may
also decrease alcohol withdrawal symptoms. However, these initial studies
were conducted by the same Italian team; 2 American studies, using a
different methodology, did not confirm these effects. Following recent
reports by an alcohol-dependent French physician who treated himself with
high doses (120-270 mg/day), claiming prolonged suppression of alcohol
craving and absence of dependence symptoms, baclofen has since received wide
media exposure in France where it has been called "the treatment for
alcoholism." An open-label French study supports these findings. In
addition, baclofen seems to be particularly interesting because of its
safety and tolerance, even in patients with cirrhosis. Thus, baclofen should
benefit from further studies of its biobehavioral mechanisms, dose-response
effect, and indications in various alcoholic patient profiles.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
4 aminobutyric acid B receptor stimulating agent (adverse drug reaction,
drug therapy)
baclofen (adverse drug reaction, drug therapy, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (drug therapy, prevention)
disease management
EMTREE MEDICAL INDEX TERMS
addiction (drug therapy)
animal
clinical trial (topic)
disease model
human
recurrent disease (prevention)
review
withdrawal syndrome (drug therapy)
CAS REGISTRY NUMBERS
baclofen (1134-47-0)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22989277 (http://www.ncbi.nlm.nih.gov/pubmed/22989277)
PUI
L366387583
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 766
TITLE
Prescription opioid abuse, chronic pain, and primary care: A Co-Occurring
Disorders Clinic in the chronic disease model
AUTHOR NAMES
Pade P.A.
Cardon K.E.
Hoffman R.M.
Geppert C.M.A.
AUTHOR ADDRESSES
(Pade P.A., patricia.pade@va.gov; Cardon K.E.; Hoffman R.M.; Geppert C.M.A.)
Raymond G. Murphy New Mexico Veterans' Affairs Health Care System, 1501 San
Pedro Drive Southeast, Albuquerque, NM 87108, United States.
(Pade P.A., patricia.pade@va.gov; Cardon K.E.; Hoffman R.M.) University of
New Mexico School of Medicine, Department of Internal Medicine, MSC10 5550,
1 University of New Mexico, Albuquerque, NM 87131, United States.
(Geppert C.M.A.) University of New Mexico School of Medicine, Department of
Psychiatry, MSC095030, 1 University of New Mexico, Albuquerque, NM 87131,
United States.
CORRESPONDENCE ADDRESS
P.A. Pade, Raymond G. Murphy New Mexico Veterans' Affairs Health Care
System, 1501 San Pedro Drive Southeast, Albuquerque, NM 87108, United
States. Email: patricia.pade@va.gov
SOURCE
Journal of Substance Abuse Treatment (2012) 43:4 (446-450). Date of
Publication: December 2012
ISSN
0740-5472
1873-6483 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Abuse of opioids has become a public health crisis. The historic separation
between the addiction and pain communities and a lack of training in medical
education have made treatment difficult to provide, especially in primary
care. The Co-occurring Disorders Clinic (COD) was established to treat
patients with co-morbid chronic pain and addiction. This retrospective chart
review reports results of a quality improvement project using
buprenorphine/naloxone to treat co-occurring chronic non-cancer pain (CNCP)
and opioid dependence in a primary care setting. Data were collected for 143
patients who were induced with buprenorphine/naloxone (BUP/NLX) between June
2009 and November 2011. Ninety-three patients (65%) continued to be
maintained on the medication and seven completed treatment and were no
longer taking any opioid (5%). Pain scores showed a modest, but
statistically significant improvement on BUP/NLX, which was contrary to our
expectations and may be an important factor in treatment retention for this
challenging population. © 2012.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug combination, drug therapy)
naloxone (drug combination, drug therapy)
opiate
EMTREE DRUG INDEX TERMS
amitriptyline (drug combination, drug therapy)
baclofen (drug combination, drug therapy)
capsaicin (drug combination, drug therapy, topical drug administration)
celecoxib (drug therapy)
cyclobenzaprine (drug combination, drug therapy)
duloxetine (drug combination, drug therapy)
gabapentin (drug combination, drug therapy)
ibuprofen (drug combination, drug therapy)
ketorolac (drug therapy)
lidocaine (drug combination, drug therapy, topical drug administration)
meloxicam (drug combination, drug therapy)
methadone
methocarbamol (drug combination, drug therapy)
naproxen (drug combination, drug therapy)
nortriptyline (drug combination, drug therapy)
oxycodone
paracetamol (drug combination, drug therapy)
paroxetine (drug combination, drug therapy)
pregabalin (drug combination, drug therapy)
salsalate (drug therapy)
steroid (drug combination, drug therapy, epidural drug administration)
tizanidine (drug combination, drug therapy)
venlafaxine (drug combination, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy, drug therapy)
opiate addiction (drug therapy, drug therapy)
primary medical care
EMTREE MEDICAL INDEX TERMS
adjuvant therapy
adult
aged
article
comorbidity
female
human
major clinical study
male
medical record review
pain assessment
priority journal
CAS REGISTRY NUMBERS
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EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012633560
MEDLINE PMID
22980449 (http://www.ncbi.nlm.nih.gov/pubmed/22980449)
PUI
L52204196
DOI
10.1016/j.jsat.2012.08.010
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2012.08.010
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 767
TITLE
Why is it important a European federation of addiction societies?
ORIGINAL (NON-ENGLISH) TITLE
Perché è importante una federazione europea delle società delle
tossicodipendenze?
AUTHOR NAMES
Carrà G.
Bartoli F.
Carretta D.
Scafato E.
Clerici M.
Mann K.F.
AUTHOR ADDRESSES
(Carrà G.) Department of Mental Health Sciences, University College London,
United Kingdom.
(Bartoli F., f.bartoli@campus.unimib.it; Carretta D.; Clerici M.)
Dipartimento di Neuroscienze e Tecnologie Biomediche, Sezione di
Psichiatria, Università Degli Studi di Milano-Bicocca, via Cadore 48, 20900
Monza (MB), Italy.
(Scafato E.) Osservatorio Nazionale Alcol, Centro Nazionale di
Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di
Sanità, Roma, Italy.
(Mann K.F.) Central Institute of Mental Health, University of Heidelberg,
Mannheim, Germany.
CORRESPONDENCE ADDRESS
F. Bartoli, Dipartimento di Neuroscienze e Tecnologie Biomediche, Sezione di
Psichiatria, Università Degli Studi di Milano-Bicocca, via Cadore 48, 20900
Monza (MB), Italy. Email: f.bartoli@campus.unimib.it
SOURCE
Quaderni Italiani di Psichiatria (2012) 31:4 (201-204). Date of Publication:
December 2012
ISSN
0393-0645
2039-6376 (electronic)
BOOK PUBLISHER
Masson SpA, Via F.lli Bressan 2, Milan, Italy.
ABSTRACT
Introduction: In the European Union, alcohol use and substance use disorders
are among the top five causes of morbidity and mortality due to neurological
disease, with an impact on general population comparable to that of
cardiovascular diseases and cancer. However, despite this situation research
in the field of Addiction Medicine is hampered, first of all because of a
lack of funds and the influence of the European Commission in steering them.
In addition, the lack of stable links between research groups working in
this field limits the possibility to share related knowledge and experience
and the development of training networks. In the summer of 2010, 23
scientific societies from 16 European countries established the European
Federation of Addiction Societies (EUFAS), with the aim to deal with these
issues and to facilitate the development of prevention, treatment, research
and health policy programs in relation to substance use disorders.
Conclusions: EUFAS' efforts should contribute to the development of
research, training and clinical practice in the field of Addiction Medicine,
thanks to the collaboration between professionals working in the field, not
only within the European Union but also in collaboration with organizations
and institutions outside Europe. © 2012 Elsevier Srl. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
European Union
health care policy
medical society
neurologic disease
substance abuse
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
Italian
LANGUAGE OF SUMMARY
English, Italian
EMBASE ACCESSION NUMBER
2012709027
PUI
L52294039
DOI
10.1016/j.quip.2012.10.002
FULL TEXT LINK
http://dx.doi.org/10.1016/j.quip.2012.10.002
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 768
TITLE
Searching for answers: Proper prescribing of controlled prescription drugs
AUTHOR NAMES
Brown M.E.
Swiggart W.H.
Dewey C.M.
Ghulyan M.V.
AUTHOR ADDRESSES
(Brown M.E., marthabrown@ufl.edu) University of Florida College of Medicine,
Department of Psychiatry, Addiction Medicine Division, 8491 NW 39th Avenue,
Gainesville, FL 32606, United States.
(Swiggart W.H.; Dewey C.M.; Ghulyan M.V.) Center for Professional Health,
Vanderbilt University Medical Center, Nashville, TN, United States.
CORRESPONDENCE ADDRESS
M. E. Brown, University of Florida College of Medicine, Department of
Psychiatry, Addiction Medicine Division, 8491 NW 39th Avenue, Gainesville,
FL 32606, United States. Email: marthabrown@ufl.edu
SOURCE
Journal of Psychoactive Drugs (2012) 44:1 (79-85). Date of Publication: 2012
ISSN
0279-1072
2159-9777 (electronic)
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia, United
States.
ABSTRACT
Prescription drug abuse is increasing at alarming rates in this country.
Most often drugs are obtained through relatives or friends. An important
step in addressing this problem is educating healthcare providers in the
proper prescribing of scheduled drugs. Physicians and other healthcare
workers receive little training in proper screening for substance abuse,
proper prescribing of scheduled drugs, and referral for those needing
treatment. Continuing medical education is one venue for addressing this
problem. However, screening, brief intervention and referral for treatment
(SBIRT) should be taught in medical school and residency. © Taylor & Francis
Group, LLC.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription
EMTREE MEDICAL INDEX TERMS
article
clinical practice
drug dependence (diagnosis)
drug misuse
drug seeking behavior
human
inappropriate prescribing
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012637613
MEDLINE PMID
22641969 (http://www.ncbi.nlm.nih.gov/pubmed/22641969)
PUI
L365950904
DOI
10.1080/02791072.2012.662081
FULL TEXT LINK
http://dx.doi.org/10.1080/02791072.2012.662081
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 769
TITLE
A collaborative approach to teaching medical students how to screen,
intervene, and treat substance use disorders.
AUTHOR NAMES
Neufeld K.J.
Alvanzo A.
King V.L.
Feldman L.
Hsu J.H.
Rastegar D.A.
Colbert J.M.
MacKinnon D.F.
AUTHOR ADDRESSES
(Neufeld K.J.) Department of Psychiatry and Behavioral Sciences, The Johns
Hopkins University School of Medicine, Baltimore, Maryland, USA.
(Alvanzo A.; King V.L.; Feldman L.; Hsu J.H.; Rastegar D.A.; Colbert J.M.;
MacKinnon D.F.)
CORRESPONDENCE ADDRESS
K.J. Neufeld, Department of Psychiatry and Behavioral Sciences, The Johns
Hopkins University School of Medicine, Baltimore, Maryland, USA. Email:
kneufel2@jhmi.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (286-291). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
Few medical schools require a stand-alone course to develop knowledge and
skills relevant to substance use disorders (SUDs). The authors successfully
initiated a new course for second-year medical students that used screening,
brief intervention, and referral to treatment (SBIRT) as the course
foundation. The 15-hour course (39 faculty teaching hours) arose from
collaboration between faculty in Departments of Medicine and Psychiatry and
included 5 hours of direct patient interaction during clinical
demonstrations and in small-group skills development. Pre- and post-exam
results suggest that the course had a significant impact on knowledge about
SUDs. The authors' experience demonstrates that collaboration between 2
clinical departments can produce a successful second-year medical student
course based in SBIRT principles.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
cooperation
medical education
patient referral
psychiatry
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
education
evaluation study
human
methodology
program development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738007 (http://www.ncbi.nlm.nih.gov/pubmed/22738007)
PUI
L365966170
DOI
10.1080/08897077.2011.640090
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640090
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 770
TITLE
Tilling the soil while sowing the seeds: combining resident education with
medical home transformation.
AUTHOR NAMES
Muench J.
Jarvis K.
Boverman J.
Hardman J.
Hayes M.
Winkle J.
AUTHOR ADDRESSES
(Muench J.) Department of Family Medicine, Oregon Health and Science
University, Portland, Oregon 97239, USA.
(Jarvis K.; Boverman J.; Hardman J.; Hayes M.; Winkle J.)
CORRESPONDENCE ADDRESS
J. Muench, Department of Family Medicine, Oregon Health and Science
University, Portland, Oregon 97239, USA. Email: muenchj@ohsu.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (282-285). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
In order to successfully integrate screening, brief intervention, and
referral to treatment (SBIRT) into primary care, education of clinicians
must be paired with sustainable transformation of the clinical settings in
which they practice. The SBIRT Oregon project adopted this strategy in an
effort to fully integrate SBIRT into 7 primary care residency clinics.
Residents were trained to assess and intervene in their patients' unhealthy
substance use, whereas clinic staff personnel were trained to carry out a
multistep screening process. Electronic medical record tools were created to
further integrate and track SBIRT processes. This article describes how a
resident training curriculum complemented and was informed by the
transformation of workflow processes within the residents' home clinics.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
general practice
medical education
patient care
patient referral
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
electronic medical record
human
methodology
primary health care
program development
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738006 (http://www.ncbi.nlm.nih.gov/pubmed/22738006)
PUI
L365966169
DOI
10.1080/08897077.2011.640088
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640088
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 771
TITLE
Institutional incorporation of screening, brief intervention, and referral
to treatment (SBIRT) in residency training: achieving a sustainable
curriculum.
AUTHOR NAMES
Scott D.M.
McLaurin-Jones T.
Brown F.D.
Newton R.
Marshall V.J.
Kalu N.
Cain G.E.
Taylor R.E.
AUTHOR ADDRESSES
(Scott D.M.) Department of Pediatrics, Howard University, Washington, DC
20059, USA.
(McLaurin-Jones T.; Brown F.D.; Newton R.; Marshall V.J.; Kalu N.; Cain
G.E.; Taylor R.E.)
CORRESPONDENCE ADDRESS
D.M. Scott, Department of Pediatrics, Howard University, Washington, DC
20059, USA. Email: d_m_scott2@howard.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (308-311). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
The success of implementing a screening, brief intervention and referral to
treatment (SBIRT) program within a medical residency program for
sustainability is contingent upon a well-crafted training curriculum that
incorporates substance abuse education and clinical practice skills. The
goal of the Howard University (HU) SBIRT program is to train residents in
providing culturally competent evidence-based screening, brief intervention
and referral to treatment for patients who have a substance use disorder or
who are at risk for developing the disorder. Utilizing the Office of
Graduate Medical Education (GME) allows all residents to be trained in SBIRT
techniques and receive continuing education in SBIRT and SBIRT-related
topics through new resident orientation and the core lecture series. The
utilization of Graduate Medical Education office has allowed a robust SBIRT
training program to be implemented into medical residency education,
contributing to the sustainability of SBIRT as a component of patient care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
curriculum
internal medicine
medical education
patient referral
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
cultural competence
education
evidence based medicine
human
methodology
program development
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738011 (http://www.ncbi.nlm.nih.gov/pubmed/22738011)
PUI
L365966174
DOI
10.1080/08897077.2011.640135
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640135
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 772
TITLE
Using standardized patients to evaluate screening, brief intervention, and
referral to treatment (SBIRT) knowledge and skill acquisition for internal
medicine residents.
AUTHOR NAMES
Satterfield J.M.
O'Sullivan P.
Satre D.D.
Tsoh J.Y.
Batki S.L.
Julian K.
McCance-Katz E.F.
Wamsley M.
AUTHOR ADDRESSES
(Satterfield J.M.) Division of General Internal Medicine, University of
California-San Francisco, San Francisco, California 94143, USA.
(O'Sullivan P.; Satre D.D.; Tsoh J.Y.; Batki S.L.; Julian K.; McCance-Katz
E.F.; Wamsley M.)
CORRESPONDENCE ADDRESS
J.M. Satterfield, Division of General Internal Medicine, University of
California-San Francisco, San Francisco, California 94143, USA. Email:
Jsatter@medicine.ucsf.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (303-307). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
Comprehensive clinical competency curricula for hazardous drinking and
substance use disorders (SUDs) exists for medical students, residents, and
practicing health care providers. Evaluations of these curricula typically
focus on learner attitudes and knowledge, although changes in clinical
skills are of greater interest and utility. The authors present a pre-post
clinical skill evaluation of a 10-hour screening, brief intervention, and
referral to treatment (SBIRT) curriculum for hazardous drinking and SUDs for
primary care internal medicine residents using standardized patient
examinations to better determine the impact of SBIRT training on clinical
practice. Residents had large improvements in history taking, substance use
screening skills, SUD assessment and diagnostic skills, and in SBIRT
knowledge, including documentation, systems, and diversity issues. Residents
made moderate improvements in brief intervention skills. Future SBIRT
curricular evaluations would ideally include a controlled comparison with
larger samples from multiple institutions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
diagnostic test
internal medicine
medical education
patient referral
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
education
evaluation study
female
human
male
methodology
pilot study
primary health care
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738010 (http://www.ncbi.nlm.nih.gov/pubmed/22738010)
PUI
L365966173
DOI
10.1080/08897077.2011.640103
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640103
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 773
TITLE
Baylor SBIRT Medical Residency Training Program: model description and
initial evaluation.
AUTHOR NAMES
Bray J.H.
Kowalchuk A.
Waters V.
Laufman L.
Shilling E.H.
AUTHOR ADDRESSES
(Bray J.H.) Department of Family and Community Medicine, Baylor College of
Medicine, Houston, Texas 77098, USA.
(Kowalchuk A.; Waters V.; Laufman L.; Shilling E.H.)
CORRESPONDENCE ADDRESS
J.H. Bray, Department of Family and Community Medicine, Baylor College of
Medicine, Houston, Texas 77098, USA. Email: jbray@bcm.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (231-240). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
The Baylor College of Medicine SBIRT Medical Residency Training Program is a
multilevel project that trains residents and faculty in evidenced-based
screening, brief intervention, and referral to treatment (SBIRT) methods for
alcohol and substance use problems. This paper describes the training
program and provides initial evaluation after the first year of the project.
The program was successfully incorporated into the residency curricula in
family medicine, internal medicine, and psychiatry. Initial evaluations
indicate a high degree of satisfaction with the program and, despite a
slight decrease in satisfaction scores, participants remained satisfied with
the program after 30 days. Implementation barriers, solutions, and future
directions of the program are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
patient referral
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
education
evaluation study
female
general practice
human
internal medicine
male
methodology
program development
psychiatry
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738000 (http://www.ncbi.nlm.nih.gov/pubmed/22738000)
PUI
L365966163
DOI
10.1080/08897077.2011.640160
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640160
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 774
TITLE
Pennsylvania SBIRT Medical and Residency Training: developing, implementing,
and evaluating an evidenced-based program.
AUTHOR NAMES
Pringle J.L.
Melczak M.
Johnjulio W.
Campopiano M.
Gordon A.J.
Costlow M.
AUTHOR ADDRESSES
(Pringle J.L.) PERU, School of Pharmacy, University of Pittsburgh,
Pittsburgh, Pennsylvania 15213, USA.
(Melczak M.; Johnjulio W.; Campopiano M.; Gordon A.J.; Costlow M.)
CORRESPONDENCE ADDRESS
J.L. Pringle, PERU, School of Pharmacy, University of Pittsburgh,
Pittsburgh, Pennsylvania 15213, USA. Email: jlp127@pitt.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (292-297). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
Medical residents do not receive adequate training in screening, brief
intervention, and referral to treatment (SBIRT) for alcohol and other drug
use disorders. The federally funded Pennsylvania SBIRT Medical and Residency
Training program (SMaRT) is an evidence-based curriculum with goals of
training residents in SBIRT knowledge and skills and disseminating the
curriculum throughout the medical residency programs. The SMaRT program
collaborates with 4 hospital systems and 7 residency sites, with a target of
1147 residents to be trained. This brief report describes the design of the
SMaRT program curriculum, implementation across settings and programs, and
its evaluation methods.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
evidence based medicine
medical education
patient referral
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
cooperation
curriculum
education
evaluation study
human
methodology
program development
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738008 (http://www.ncbi.nlm.nih.gov/pubmed/22738008)
PUI
L365966171
DOI
10.1080/08897077.2011.640091
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640091
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 775
TITLE
Teaching the teachers: faculty preparedness and evaluation of a retreat in
screening, brief intervention, and referral to treatment.
AUTHOR NAMES
Childers J.W.
Broyles L.M.
Hanusa B.H.
Kraemer K.L.
Conigliaro J.
Spagnoletti C.
McNeil M.
Gordon A.J.
AUTHOR ADDRESSES
(Childers J.W.) Division of General Internal Medicine, Department of
Medicine, University of Pittsburgh School of Medicine, Pittsburgh,
Pennsylvania, USA.
(Broyles L.M.; Hanusa B.H.; Kraemer K.L.; Conigliaro J.; Spagnoletti C.;
McNeil M.; Gordon A.J.)
CORRESPONDENCE ADDRESS
J.W. Childers, Division of General Internal Medicine, Department of
Medicine, University of Pittsburgh School of Medicine, Pittsburgh,
Pennsylvania, USA. Email: childersjw2@upmc.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (272-277). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
Effective clinical faculty are essential for disseminating substance abuse
screening, brief intervention, and referral to treatment (SBIRT). The
authors developed an 8-hour SBIRT training for internal medicine faculty
preceptors. Trainers conducted SBIRT lectures and small-group communication
practice sessions. The authors assessed participants' (n = 27) knowledge,
skills, and attitudes using an enhanced Alcohol and Alcohol Problems
Perceptions Questionnaire (AAPPQ). Participants self-assessed their changes
in SBIRT competence and comfort. Faculty trainees did not feel competent in
SBIRT, particularly in intervention and referral to treatment. AAPPQ
subscale scores were highest in Role Legitimacy and Motivation and lowest in
Role Adequacy and Satisfaction. After training, faculty members reported
greater likelihood of performing and teaching SBIRT. In some topic areas,
faculty attending an SBIRT training reported limited knowledge and
competence for treating drinkers; however, their interest and motivation for
doing so was high. Ongoing faculty and organizational development efforts
may help close these gaps.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
clinical competence
internal medicine
medical school
patient referral
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
education
evaluation study
female
health personnel attitude
human
male
program development
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738004 (http://www.ncbi.nlm.nih.gov/pubmed/22738004)
PUI
L365966167
DOI
10.1080/08897077.2011.639686
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.639686
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 776
TITLE
A SBIRT curriculum for medical residents: development of a performance
feedback tool to build learner confidence.
AUTHOR NAMES
Hettema J.E.
Ratanawongsa N.
Manuel J.K.
Ciccarone D.
Coffa D.
Jain S.
Lum P.J.
AUTHOR ADDRESSES
(Hettema J.E.) Department of Psychiatry and Neurobehavioral Sciences,
University of Virginia, Charlottesville, Virginia, USA.
(Ratanawongsa N.; Manuel J.K.; Ciccarone D.; Coffa D.; Jain S.; Lum P.J.)
CORRESPONDENCE ADDRESS
J.E. Hettema, Department of Psychiatry and Neurobehavioral Sciences,
University of Virginia, Charlottesville, Virginia, USA. Email:
jhettema@virginia.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (241-250). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
A major barrier to actualizing the public health impact potential of
screening, brief intervention, and referral to treatment (SBIRT) is the
suboptimal development and implementation of evidence-based training
curricula for healthcare providers. As part of a federal grant to develop
and implement SBIRT training in medical residency programs, the authors
assessed 95 internal medicine residents before they received SBIRT training
to identify self-reported characteristics and behaviors that would inform
curriculum development. Residents' confidence in their SBIRT skills
significantly predicted SBIRT practice. Lack of experience dealing with
alcohol or drug problems and discomfort in dealing with these issues were
significantly associated with low confidence. To target these barriers, the
authors revised their SBIRT curriculum to increase residents' confidence in
their skills and developed an innovative SBIRT Proficiency Checklist and
Feedback Protocol for skills practice observations. Qualitative feedback
suggests that, despite the discomfort residents experience in being
observed, a proficiency checklist and feedback protocol appear to boost
learner confidence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
curriculum
medical education
patient referral
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
education
evaluation study
evidence based medicine
feedback system
female
human
internal medicine
learning
male
methodology
program development
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738001 (http://www.ncbi.nlm.nih.gov/pubmed/22738001)
PUI
L365966164
DOI
10.1080/08897077.2011.640172
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640172
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 777
TITLE
Reinventing the reel: an innovative approach to resident skill-building in
motivational interviewing for brief intervention.
AUTHOR NAMES
Cole B.
Clark D.C.
Seale J.P.
Shellenberger S.
Lyme A.
Johnson J.A.
Chhabria A.
AUTHOR ADDRESSES
(Cole B.) Department of Family Medicine, Medical Center of Central Georgia
and Mercer University School of Medicine, Macon, Georgia, USA.
(Clark D.C.; Seale J.P.; Shellenberger S.; Lyme A.; Johnson J.A.; Chhabria
A.)
CORRESPONDENCE ADDRESS
B. Cole, Department of Family Medicine, Medical Center of Central Georgia
and Mercer University School of Medicine, Macon, Georgia, USA. Email:
cole.bonnie@mccg.org
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (278-281). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
To enhance the skills of primary care residents in addressing substance
misuse, residency screening, brief intervention, and referral to treatment
(SBIRT) programs increasingly offer motivational interviewing (MI) training,
but seldom include feedback and coaching. This innovative 2-round "Virginia
Reel" approach, supplementing 3 hours of basic MI instruction, was designed
to teach and coach residents to use MI while providing ongoing medical care.
SBIRT/MI-competent facilitators served as both trainers and actors at 8
carefully sequenced Objective Structured Clinical Examination (OSCE)
stations, providing instruction, role-play practice, and feedback on 17
microskills in 2 successive clinical "visits"/rounds addressing alcohol
misuse and diabetes management. Evaluation included OSCE checklists, overall
competency assessments, and responses to open-ended questions. Three
residents showed improvement between rounds. Resident evaluations were
strongly positive, identifying practice of MI skills and receipt of coaching
and feedback from MI experts as particularly valuable. Further study is
needed to confirm effectiveness of the approach and explore the impact of
fewer OSCE stations of longer duration.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
clinical competence
general practice
interview
medical education
motivation
patient referral
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
adaptive behavior
article
disease management
education
evaluation study
human
methodology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738005 (http://www.ncbi.nlm.nih.gov/pubmed/22738005)
PUI
L365966168
DOI
10.1080/08897077.2011.639696
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.639696
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 778
TITLE
Using needs assessment to develop curricula for screening, brief
intervention, and referral to treatment (SBIRT) in academic and community
health settings.
AUTHOR NAMES
Satre D.D.
McCance-Katz E.F.
Moreno-John G.
Julian K.A.
O'Sullivan P.S.
Satterfield J.M.
AUTHOR ADDRESSES
(Satre D.D.) Department of Psychiatry, University of California-San
Francisco, San Francisco, California 94143, USA.
(McCance-Katz E.F.; Moreno-John G.; Julian K.A.; O'Sullivan P.S.;
Satterfield J.M.)
CORRESPONDENCE ADDRESS
D.D. Satre, Department of Psychiatry, University of California-San
Francisco, San Francisco, California 94143, USA. Email: dereks@lppi.ucsf.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (298-302). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
This article describes the use of a brief needs assessment survey in the
development of alcohol and drug screening, brief intervention, and referral
to treatment (SBIRT) curricula in 2 health care settings in the San
Francisco Bay Area. The samples included university medical center faculty
(n = 27) and nonphysician community health and social service providers in a
nearby suburban county (n = 21). Informed by curriculum development theory
and motivational interviewing strategies, questions regarding clinical and
educational priorities, perceived importance and confidence with screening
and intervention techniques, and referral resource availability were
included. Medical center faculty expressed greater concern about limited
appointment time (P = .003), adequacy of training (P = .025), and provider
confidence (P = .038) as implementation obstacles and had lower confidence
in delivering SBIRT (P = .046) and providing treatment referrals (P = .054)
than community providers. The authors describe their approach to integrating
needs assessment results into subsequent curriculum development. Findings
highlight potential differences between physician and nonphysician training
needs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
health auxiliary
medical education
needs assessment
patient referral
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
human
interview
medical school
methodology
motivation
standard
statistics
United States
university hospital
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738009 (http://www.ncbi.nlm.nih.gov/pubmed/22738009)
PUI
L365966172
DOI
10.1080/08897077.2011.640100
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640100
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 779
TITLE
Skills-based residency training in alcohol screening and brief intervention:
results from the Georgia-Texas "Improving Brief Intervention" Project.
AUTHOR NAMES
Seale J.P.
Velasquez M.M.
Johnson J.A.
Shellenberger S.
von Sternberg K.
Dodrill C.
Boltri J.M.
Takei R.
Clark D.
Grace D.
AUTHOR ADDRESSES
(Seale J.P.) Department of Family Medicine, Medical Center of Central
Georgia and Mercer University School of Medicine, Macon, Georgia, USA.
(Velasquez M.M.; Johnson J.A.; Shellenberger S.; von Sternberg K.; Dodrill
C.; Boltri J.M.; Takei R.; Clark D.; Grace D.)
CORRESPONDENCE ADDRESS
J.P. Seale, Department of Family Medicine, Medical Center of Central Georgia
and Mercer University School of Medicine, Macon, Georgia, USA. Email:
seale.paul@mccg.org
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (261-271). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
Alcohol screening and brief intervention (SBI) is recommended for all
primary care patients but is underutilized. This project trained 111
residents and faculty in 8 family medicine residencies to conduct SBI and
implement SBI protocols in residency clinics, then assessed changes in
self-reported importance and confidence in performing SBI and brief
intervention (BI) rates. Clinicians reported significant increases in role
security, confidence, and ability to help drinkers reduce drinking and
decreased importance of factors that might dissuade them from performing
SBI. Stage of change measures indicated 37% of clinicians progressed toward
action or maintenance in performing SBI; however, numbers of reported BIs
did not increase. At all time points, 33% to 36% of clinicians reported BIs
with ≥10% of the last 50 patients. Future studies should focus on increasing
intervention rates using more patient-centered BI approaches, quality
improvement approaches, and systems changes that could increase
opportunities for performing BIs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
clinical competence
curriculum
education
evaluation study
female
general practice
human
male
middle aged
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738003 (http://www.ncbi.nlm.nih.gov/pubmed/22738003)
PUI
L365966166
DOI
10.1080/08897077.2011.640187
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640187
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 780
TITLE
Screening, brief intervention, and referral to treatment (SBIRT) for alcohol
and other drug use among adolescents: evaluation of a pediatric residency
curriculum.
AUTHOR NAMES
Ryan S.A.
Martel S.
Pantalon M.
Martino S.
Tetrault J.
Thung S.F.
Bernstein S.L.
Auinger P.
Green M.L.
Fiellin D.A.
O'Connor P.G.
D'Onofrio G.
AUTHOR ADDRESSES
(Ryan S.A.) Department of Pediatrics, Yale University School of Medicine,
New Haven, Connecticut, USA.
(Martel S.; Pantalon M.; Martino S.; Tetrault J.; Thung S.F.; Bernstein
S.L.; Auinger P.; Green M.L.; Fiellin D.A.; O'Connor P.G.; D'Onofrio G.)
CORRESPONDENCE ADDRESS
S.A. Ryan, Department of Pediatrics, Yale University School of Medicine, New
Haven, Connecticut, USA. Email: sheryl.ryan@yale.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (251-260). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
The objective of this study was to evaluate the integration of a screening,
brief intervention, and referral to treatment (SBIRT) curriculum for alcohol
and other drug use into a pediatric residency program. Pediatric and
medicine/pediatric residents in an adolescent medicine rotation located in
an urban teaching hospital participated in the study. Main outcome measures
were pre- and post-training knowledge scores, performance of the Brief
Negotiation Interview (BNI), training satisfaction, and adoption of the BNI
into clinical practice. Thirty-four residents were trained. Significant pre-
to post-training improvements were seen in knowledge scores (P < .001) and
performance as measured by the BNI Adherence Scale (P < .001). Residents
reported high satisfaction immediately post-training and at 30 days on a 1-5
Likert scale: mean 1.41 to 1.59 (1 = very satisfied) (P = 0.23). Over a
9-month period, 53% of residents documented performing at least 1 BNI, of
which 2/3 reported ≥2 BNIs in a subsequent clinical setting. The results
show that integrating a SBIRT curriculum into a pediatric residency program
increases residents' knowledge and skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child behavior
curriculum
medical education
patient referral
pediatrics
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
clinical competence
education
evaluation study
female
human
male
methodology
program development
psychological aspect
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738002 (http://www.ncbi.nlm.nih.gov/pubmed/22738002)
PUI
L365966165
DOI
10.1080/08897077.2011.640182
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640182
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 781
TITLE
Web-based SBIRT skills training for health professional students and primary
care providers.
AUTHOR NAMES
Tanner T.B.
Wilhelm S.E.
Rossie K.M.
Metcalf M.P.
AUTHOR ADDRESSES
(Tanner T.B.) Clinical Tools, Inc., Chapel Hill, North Carolina 27514, USA.
(Wilhelm S.E.; Rossie K.M.; Metcalf M.P.)
CORRESPONDENCE ADDRESS
T.B. Tanner, Clinical Tools, Inc., Chapel Hill, North Carolina 27514, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (316-320). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
The authors have developed and assessed 2 innovative, case-based,
interactive training programs on substance abuse, one for health
professional students on alcohol and one for primary care providers on
screening, brief intervention, and referral to treatment (SBIRT). Both
programs build skills in substance abuse SBIRT. Real-world effectiveness
trials involving medical students (n = 10) and nursing students (n = 60)
were completed; trials involving primary care providers (n = 65) are in
progress during 2011. Medical students and nursing students had similarly
low baseline scores on assessments that benefited from training: knowledge,
confidence, and clinical performance measured via an online standardized
patient case and encounter note all improved post-training. Preliminary
results indicate that practicing providers improved on knowledge, attitude,
and brief intervention skill performance after a similar training. Results
suggest that SBIRT skills can be improved with this model for case-based
interactive training programs, and thus, that this training has the
potential to impact patient outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
health care personnel
Internet
patient referral
primary health care
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
education
evaluation study
human
medical education
methodology
nursing education
program development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738013 (http://www.ncbi.nlm.nih.gov/pubmed/22738013)
PUI
L365966176
DOI
10.1080/08897077.2011.640151
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640151
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 782
TITLE
Medical students' comfort with pregnant women with substance-use disorders:
a randomized educational study.
AUTHOR NAMES
Albright B.
Skipper B.
Riley S.
Wilhelm P.
Rayburn W.F.
AUTHOR ADDRESSES
(Albright B.) Dept. of Family & Community Medicine, University of New Mexico
School of Medicine, Albuquerque, NM, USA.
(Skipper B.; Riley S.; Wilhelm P.; Rayburn W.F.)
CORRESPONDENCE ADDRESS
B. Albright, Dept. of Family & Community Medicine, University of New Mexico
School of Medicine, Albuquerque, NM, USA.
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2012) 36:6 (457-460). Date of Publication: 1 Nov 2012
ISSN
1545-7230 (electronic)
ABSTRACT
The study objective was to determine whether medical students' attendance at
a rehabilitation residence for pregnant women with substance-use disorders
yielded changes in their attitudes and comfort levels in providing care to
this population. This randomized educational trial involved 96 consecutive
medical students during their obstetrics and gynecology clerkship. In
addition to attending a half-day prenatal clinic designed for women with
substance-use disorders, every student was randomly assigned either to
attend (Study group) or not to attend (Control group) a rehabilitation
residence for pregnant women with substance-use disorders. The primary
objective was to measure differences in responses to a confidential
12-question survey addressing comfort levels and attitudes, at the beginning
and end of the clerkship. Survey responses revealed improvements in
students' comfort levels and attitudes toward pregnant women with
substance-use disorders by attending the clinic alone or the clinic and
residence. Those who attended the residence reported becoming more
comfortable in talking with patients about adverse effects from substance
abuse, more understanding of "street" terms, and stronger belief that
patients will disclose their substance use to providers. Residents expressed
more openly their hardships and barriers while trying to set therapeutic
goals. Medical students became more comfortable and insightful about
pregnant women with substance-use disorders after attending a rehabilitation
residence in addition to a prenatal clinic dedicated to this population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, rehabilitation)
medical student
obstetrics
pregnancy complication (rehabilitation)
EMTREE MEDICAL INDEX TERMS
animal
article
controlled clinical trial
controlled study
education
female
health personnel attitude
pregnancy
psychological aspect
questionnaire
randomized controlled trial
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23154692 (http://www.ncbi.nlm.nih.gov/pubmed/23154692)
PUI
L366402420
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 783
TITLE
How do we remediate the problem resident?
AUTHOR NAMES
Santen S.A.
Taira T.
Roberts N.
AUTHOR ADDRESSES
(Santen S.A.; Taira T.; Roberts N.) University of Michigan, Ann Arbor, MI,
USA; SUNY at Stony Brook, Stony Brook, NY, USA; Southern Illinois University
School of Medicine, Springfield, IL, USA
CORRESPONDENCE ADDRESS
S.A. Santen,
SOURCE
Annals of Emergency Medicine (2012) 60:5 (S167). Date of Publication:
November 2012
CONFERENCE NAME
CORD Academic Assembly 2012
CONFERENCE LOCATION
Atlanta, GA, United States
CONFERENCE DATE
2012-04-01 to 2012-04-14
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Background: Program directors (PDs) struggle with the “problem resident.” It
is unclear what specifically constitutes a problem resident and what is
optimal remediation. Study Objective: To describe PDs' strategies for
diagnosing the areas of concern and remediation processes. Methods: This was
a qualitative study using semistructured interviews of a convenience sample
of 11 EM PDs. PDs were asked to describe specific residents whom they
defined as a “problem resident.” Grounded theory analysis determined themes.
There is a companion study examining the variations of PDs' definition of
problem resident. Results: Two themes were identified. The first theme was
that it is difficult to find an effective diagnostic strategy for the cause
of the “problem resident,” which is to say that is was difficult to
determine where the problem lay. The second theme was the variety of
remediation strategies attempted. For many residents, there was overlap
between the process of diagnosis and remediation, with the resident
receiving special attention to both identify and “fix” the problem. There
were 2 main strategies for both diagnosis and remediation. The first was
one-on-one meetings with residency leadership. The second was working with
the resident clinically by direct observation (SDOTs), daily shift
evaluations, simulation laboratory, or simulated oral board cases.
Additional strategies uniquely for remediation utilized the following:
administrative warnings (letters of concern, probation) and setting specific
behavioral plans (ie, reading assignments, structured learning plans,
substance abuse monitoring, and setting interpersonal communication goals).
Strategies met with varying success, and there did not appear to be any one
strategy guaranteed to address resident problems. Conclusion: Residency
leaders have difficulty recognizing when a resident becomes a problem,
diagnosing the problem, and using effective remediation. They employ a
variety of strategies that meet with varying success.
EMTREE MEDICAL INDEX TERMS
convenience sample
diagnosis
grounded theory
interpersonal communication
laboratory
leadership
learning
monitoring
probation
qualitative research
reading
semi structured interview
simulation
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70915250
DOI
10.1016/j.annemergmed.2012.07.033
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2012.07.033
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 784
TITLE
Knowledge, attitudes and beliefs about tobacco use after an educative
intervention in health sciences' students
AUTHOR NAMES
Molina A.J.
Fernández T.
Fernández D.
Delgado M.
de Abajo S.
Martín V.
AUTHOR ADDRESSES
(Molina A.J., ajmolt@unileon.es; Fernández T., tferv@unileon.es; de Abajo
S., sabao@unileon.es; Martín V., vmars@unileon.es) Area of Preventive
Medicine and Public Health, Institute of Biomedicine (IBIOMED), University
of León, León, Spain.
(Fernández D., danifega@gmail.com) Nursing service, Complejo Asistencial
Universitario de Léon (CAULE), León, Spain.
(Delgado M., mdelgado@ujaen.es) Area of Preventive Medicine, Department of
Health Sciences, University of Jaén, Jaén, Spain.
CORRESPONDENCE ADDRESS
A.J. Molina, Area of Preventive Medicine and Public Health, Department of
Biomedical Sciences, University of León, Altos de la Nava s/n, Postal code
24071, León, Spain. Email: ajmolt@unileon.es
SOURCE
Nurse Education Today (2012) 32:8 (862-867). Date of Publication: November
2012
ISSN
0260-6917
1532-2793 (electronic)
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
Purpose: To examine the effectiveness of a tobacco control course on the
improvement of knowledge, attitudes and beliefs about smoking among health
sciences' students. Methods: This was a quasi-experimental study of
community intervention carried out during the years 2005-2008, at 2
university health science centres in northwest Spain. A total of 290
students on the intervention and 256 on the control campus took part in the
study. The intervention consisted of a course on the prevention and control
of tobacco use offered only on the intervention campus. Data were collected
before the intervention and 6. months afterwards. Results: After the course,
significant differences between groups were observed in the improvement of
knowledge, attitudes and perceived ability to act in tobacco control.
Conclusions: The introduction of training concerning smoking through active
methodologies had a positive impact on the knowledge, attitudes and beliefs
about tobacco of students. © 2011 Elsevier Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical personnel
medical profession
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
controlled clinical trial
controlled study
education
female
follow up
human
male
psychological aspect
Spain
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22153056 (http://www.ncbi.nlm.nih.gov/pubmed/22153056)
PUI
L51751004
DOI
10.1016/j.nedt.2011.11.007
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2011.11.007
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 785
TITLE
Exercise dependence and injuries in the " Centre national d'entraînement
commando"
ORIGINAL (NON-ENGLISH) TITLE
Addiction au sport et blessures au Centre national d'entraînement commando
AUTHOR NAMES
Tello G.
Jouvion A.
Boulard J.-F.
Marimoutou C.
Cazenave N.
Théfenne L.
AUTHOR ADDRESSES
(Tello G., calypso_0177@hotmail.com) Antenne médicale de Maisons-Alfort,
Service de médecine physique et réadaptation, 4, avenue Busteau, 94706
Maisons-Alfort cedex, France.
(Jouvion A.; Théfenne L.) Service de médecine physique et réadaptation,
Hôpital d'instruction des armées Laveran, 4, boulevard Alphonse-Laveran, BP
60149, 13384 Marseille cedex 13, France.
(Boulard J.-F.) Service médical CNEC, La Citadelle, 66210 Mont-Louis,
France.
(Marimoutou C.) Département d'épidémiologie et de santé publique sud,
Service de santé des armées, Allée du Médecin-Colonel-Eugène-Jamot, parc du
Pharo, BP 60109, 13262 Marseille cedex 07, France.
(Cazenave N.) Centre de recherche en psychopathologie (CERPP), OCTOGONE,
pavillon de la recherche, Université de Toulouse-II Le Mirail, 5, allées
Antonio-Machado, 31058 Toulouse cedex 9, France.
CORRESPONDENCE ADDRESS
G. Tello, Antenne médicale de Maisons-Alfort, Service de médecine physique
et réadaptation, 4, avenue Busteau, 94706 Maisons-Alfort cedex, France.
Email: calypso_0177@hotmail.com
SOURCE
Science and Sports (2012) 27:5 (274-282). Date of Publication: November 2012
ISSN
0765-1597
1778-4131 (electronic)
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France.
ABSTRACT
Objectives: Some sportsmen present a sport addiction with an irrepressible
need to exercise. Is sport addiction protective or predisposing of injury
risk during sustained exercises? Equipment and methods: It is a prospective
cohort study. It took place at the " Centre national d'entraînement
commando" (CNEC) from May 2009 to April 2010. All the trainees taking part
in the 15 selected commando courses were included. The sport addiction
diagnosis was based on the test EDS-R. Onset of injury was noticed by the
CNEC doctors and by the trainees at the end of their course. Results: Six
hundred and one people were included. Forty-seven (7.8%) presented a sport
addiction. " Sport addicts" had 1.53 times more risk of injuring themselves
during a commando course (P=0.004). On the other hand, no injuries " addict"
stopped the course as against 25% of the injured " non-addicts" (P=0.003).
Discussion: Sport addiction is a significant risk factor for injury. However
this addiction is unfrequent, and the pathologies found in the sport "
addicts" don't prevent the continuation of intensive exercise. This
addiction could be found in the sportsmen regularly injuried in order to
suggest an adapted treatment. © 2011 Elsevier Masson SAS.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
exercise
sport
sport injury
sports addiction (diagnosis)
EMTREE MEDICAL INDEX TERMS
article
cohort analysis
high risk population
human
priority journal
prospective study
risk assessment
sports psychology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Orthopedic Surgery (33)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
French, English
EMBASE ACCESSION NUMBER
2012645643
PUI
L51753387
DOI
10.1016/j.scispo.2011.10.006
FULL TEXT LINK
http://dx.doi.org/10.1016/j.scispo.2011.10.006
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 786
TITLE
The negative impact of attention-deficit/hyperactivity disorder on
occupational health in adults and adolescents
AUTHOR NAMES
Küpper T.
Haavik J.
Drexler H.
Ramos-Quiroga J.A.
Wermelskirchen D.
Prutz C.
Schauble B.
AUTHOR ADDRESSES
(Küpper T., tkuepper@ukaachen.de) Institute of Occupational and Social
Medicine, RWTH Aachen University, Pauwelstr. 30, 52074 Aachen, Germany.
(Küpper T., tkuepper@ukaachen.de) Institute of Occupational and Social
Medicine, RWTH Aachen University, Kullenhofstr. 30, 52074 Aachen, Germany.
(Haavik J.) Department of Biomedicine, University of Bergen, 5009 Bergen,
Norway.
(Drexler H.) Institut und Poliklinik fü r Arbeits, Sozial- und
Umweltmedizin, Schillerstrasse 25/29, 91054 Erlangen, Germany.
(Ramos-Quiroga J.A.) Department of Psychiatry, Hospital Universitari Vall
d'Hebron, Pg. Vall d'Hebron, 119-129, 08035 Barcelona, Spain.
(Ramos-Quiroga J.A.) Department of Psychiatry and Legal Medicine,
Universitat Autònoma de Barcelona, Pg. Vall d'Hebron, 119-129, 08035
Barcelona, Spain.
(Wermelskirchen D.) Janssen Cilag, Raiffaisenstrasse 8, 41470 Neuss,
Germany.
(Prutz C.) Janssen Cilag, Staffans Väg 2, 19207 Solletuna, Sweden.
(Schauble B.) Janssen Cilag Medical Affairs Europe, Middle East and Africa,
Johnson and Johnson Platz 5a, 41470 Neuss, Germany.
CORRESPONDENCE ADDRESS
T. Küpper, Institute of Occupational and Social Medicine, RWTH Aachen
University, Kullenhofstr. 30, 52074 Aachen, Germany. Email:
tkuepper@ukaachen.de
SOURCE
International Archives of Occupational and Environmental Health (2012) 85:8
(837-847). Date of Publication: November 2012
ISSN
0340-0131
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
ABSTRACT
Purpose To review the negative effects of attentiondeficit/ hyperactivity
disorder (ADHD) in adolescence and adulthood on work productivity and
occupational health. Methods A review of the MEDLINE database was carried
out to identify direct and indirect effects of ADHD on work, employment and
occupational health. Results ADHD is associated with higher levels of
unemployment versus controls. Adults with ADHD who are employed experience
workplace impairment and reduced productivity, as well as behavioural issues
such as irritability and low frustration tolerance. Adults with ADHD are
also at increased risk of accidents, trauma and workplace injuries,
particularly traffic accidents. Indirect effects of ADHD on occupational
health include reduced educational achievement and increased rates of
substance abuse and criminality. Overall, ADHD in adults has a substantial
economic impact as a result of absenteeism and lost productivity.
Psychoeducation, combined with stimulant medications if necessary, is
recommended as first-line treatment for adults with ADHD. Limited data
available suggest that stimulant treatment can improve work productivity and
efficacy, and reduce the risks associated with driving, although further
studies are necessary. Conclusions ADHD can affect the ability to gain and
maintain employment and to work safely and productively. As ADHD is a
treatable condition, patients, employers and physicians have a role to play
in ensuring optimal occupational health. © Springer-Verlag 2012.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder (complication, drug therapy)
occupational accident (etiology)
occupational health
productivity
EMTREE MEDICAL INDEX TERMS
addiction (complication)
adolescent
adult
crime
educational status
human
irritability
psychological aspect
review
traffic accident
unemployment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22752312 (http://www.ncbi.nlm.nih.gov/pubmed/22752312)
PUI
L52092769
DOI
10.1007/s00420-012-0794-0
FULL TEXT LINK
http://dx.doi.org/10.1007/s00420-012-0794-0
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 787
TITLE
Pediatric residency training director tobacco survey II
AUTHOR NAMES
Hymowitz N.
Schwab J.V.
AUTHOR ADDRESSES
(Hymowitz N., hymowitz@umdnj.edu) Department of Psychiatry, University of
Medicine and Dentistry of New Jersey-New Jersey Medical School, Behavioral
Health Science Building, 183 South Orange Ave, Newark, NJ 07103, United
States.
(Schwab J.V.) Department of Pediatrics, University of Medicine and Dentistry
of New Jersey-New Jersey Medical School, Newark, NJ, United States.
CORRESPONDENCE ADDRESS
N. Hymowitz, Department of Psychiatry, University of Medicine and Dentistry
of New Jersey-New Jersey Medical School, Behavioral Health Science Building,
183 South Orange Ave, Newark, NJ 07103, United States. Email:
hymowitz@umdnj.edu
SOURCE
Pediatrics (2012) 130:4 (712-716). Date of Publication: October 2012
ISSN
0031-4005
1098-4275 (electronic)
BOOK PUBLISHER
American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk
Grove Village, United States.
ABSTRACT
OBJECTIVE: To assess the current status of pediatric residency training on
tobacco use and smoke exposure. METHODS: A nationwide survey of all
pediatric residency training directors in the United States was conducted
from November 2010 to May 2011 via use of surveymonkey.com. The survey
assessed training director characteristics, attitudes and beliefs about
pediatricians' role in addressing tobacco control in patients and parents,
past training in tobacco use and smoke exposure, inclusion of tobacco
control in their training curriculum, and barriers to inclusion. Data are
presented as percentages, with χ(2) tests of significance. RESULTS:
Sixty-five percent of programs included tobacco control in the curriculum,
and training directors who received past training in tobacco prevention and
control were significantly more likely to include tobacco use and smoke
exposure than those without training. The vast majority of training programs
focused on health effects as opposed to intervention, failed to employ
active learning to teach tobacco intervention skills, did not evaluate
resident tobacco knowledge and skills, and did not encourage use of
medications to help parents quit smoking. CONCLUSIONS: Pediatric residency
training programs must do more to prepare residents to address tobacco use
and smoke exposure. Given the many competing priorities of residency
training, there is a need to explore new ways of integrating tobacco control
into the 3-year curriculum. Copyright © 2012 by the American Academy of
Pediatrics.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pediatrics
residency education
smoking
tobacco
EMTREE MEDICAL INDEX TERMS
article
curriculum
education program
health survey
human
parent
patient
physician attitude
priority journal
smoking cessation
United States
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012589309
MEDLINE PMID
22966026 (http://www.ncbi.nlm.nih.gov/pubmed/22966026)
PUI
L365792252
DOI
10.1542/peds.2011-3570
FULL TEXT LINK
http://dx.doi.org/10.1542/peds.2011-3570
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 788
TITLE
Earlier exposure to the exchanged advanced research trainings and
transcultural interactions will establish fundamental basis for the future
development in psychiatry in Pacific Rim area
AUTHOR NAMES
Su T.-P.
AUTHOR ADDRESSES
(Su T.-P.) Department of Psychiatry, National Yang-Ming University, Veterans
General Hospital, Taiwan.
CORRESPONDENCE ADDRESS
T.-P. Su, Department of Psychiatry, National Yang-Ming University, Veterans
General Hospital, Taiwan.
SOURCE
Asia-Pacific Psychiatry (2012) 4 SUPPL. 1 (47). Date of Publication: October
2012
CONFERENCE NAME
15th Pacific Rim College of Psychiatrists Scientific Meeting, PRCP 2012
CONFERENCE LOCATION
Seoul, South Korea
CONFERENCE DATE
2012-10-25 to 2012-10-27
ISSN
1758-5864
BOOK PUBLISHER
Wiley-Blackwell
ABSTRACT
In Taiwan, most of the psychiatric institutes sent their young attending
doctors to study in advanced countries. However, only the Department of
Psychiatry at Taipei Veterans General Hospital actively sent residents to
study abroad. The philosophy of VGH Psychiatry is 'Research is the key
promotion for clinical practice and development in psychiatry'. We thought
earlier exposure to research may be beneficial for the subsequent
development in their career. Thus, VGH Psychiatry sent senior residents to
the advanced research training program in USA. Over the past 6 years, 7
fellows received one year training in the special areas such as substance
abuse, schizophrenia, autism, sleep disorders, dementia and PET imaging in
mood disorders and MRI in schizophrenia in the programs at the universities
of Harvard, Yale, John-Hopkins, USC and NIMH. This program is equivalent to
the fellowship training post-residency in the United States. The outcome has
been rated well, since there have several advantages as follows; 1) To
establish their subspecialty earlier in their career and to constitute team
work for research; 2) To build solid foundation for the future development
of the Department; 3) To learn the updated new technology in clinical
psychiatric medicine; 4) To set up channels for collaboration with the
experts in foreign countries. Few Psychiatric institutes in Taiwan received
international residents or fellows. The Department of Psychiatry at Chang
Gung Medical Center is one of the exceptions. CGMH Psychiatry offers
international fellowship programs for psychosomatic medicine, sleep
medicine, women's mental health, men's mental health and child psychiatry.
Over the past 5 years, it received 5 international clinical or research
fellows from Vietnam, United States, Korea, Fiji and Hong Kong. Their stay
ranged from 1 to 6 months. International fellows interacted with the
Taiwanese colleagues very well and brought new ideas and transcultural
stimulations to the organization. International interaction is important for
professional growth of an individual, and also, of an institute. We are
looking forward to seeing the well-developed exchanged residency training
program between countries.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
exposure
human
psychiatrist
psychiatry
EMTREE MEDICAL INDEX TERMS
autism
child psychiatry
clinical practice
dementia
female
Fiji
general hospital
Hong Kong
imaging
Korea
male
mental health
mood disorder
non profit organization
nuclear magnetic resonance imaging
philosophy
physician
psychosomatics
residency education
schizophrenia
sleep disorder
sleep medicine
solid
stimulation
substance abuse
Taiwan
teamwork
technology
training
United States
university
veteran
Viet Nam
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70911393
DOI
10.1111/appy.12002
FULL TEXT LINK
http://dx.doi.org/10.1111/appy.12002
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 789
TITLE
Postgraduate training on general, addiction and child psychiatry in Ukraine
AUTHOR NAMES
Zhabenko O.
Zhabenko N.
AUTHOR ADDRESSES
(Zhabenko O.) Department of Psychiatry, Ukrainian Research, Institute of
Social Forensic Psychiatry and Drug Abuse, Ukraine.
(Zhabenko N.) Department of Psychiatry, Lugansk State Medical University,
Ukraine.
CORRESPONDENCE ADDRESS
O. Zhabenko, Department of Psychiatry, Ukrainian Research, Institute of
Social Forensic Psychiatry and Drug Abuse, Ukraine.
SOURCE
Asia-Pacific Psychiatry (2012) 4 SUPPL. 1 (89-90). Date of Publication:
October 2012
CONFERENCE NAME
15th Pacific Rim College of Psychiatrists Scientific Meeting, PRCP 2012
CONFERENCE LOCATION
Seoul, South Korea
CONFERENCE DATE
2012-10-25 to 2012-10-27
ISSN
1758-5864
BOOK PUBLISHER
Wiley-Blackwell
ABSTRACT
Purpose: According to the World Health Organization (WHO) national mental
health survey Ukraine has the highest rates of alcohol abuse (20%) among men
and major depression (20%) among women. In the WHO study in 2004, 80% of
Ukrainian respondents with serious problems reported to have not received
any therapy. It is very important to motivate medical students to become a
physician for mentally ill persons. Material and method: The materials of
this work will present general, addiction and child psychiatry training in
Ukraine. Results: Ukrainian Ministry of Health is responsible national body
that develops and provides postgraduate training programs in psychiatry for
Medical Universities. The duration of the general psychiatry program is one
year and a half. Psychiatry training consists of rotation in inpatient and
outpatient psychiatric units, theoretical and practical classes. After
general psychiatry postgraduate training six-month specialization is needed
to obtain qualification in addiction and/or child psychiatry. Each five
years a psychiatrist needs to participate in a 1-month postgraduate course
and then recertification process is needed to support or increase the
appropriate level of degree. Totally there are three degrees for all
specialties: the highest, the first and the second. Conclusion:
Martsenkovsky and colleagues in 2009 reported that Ukraine had 5000
psychiatrists and substance misuse specialists and over 500 child
psychiatrists for 48 million populations. The basis of Ukrainian general,
addiction and child psychiatry service is a network of responsible
physicians for a given area. A network of acute psychiatric hospitals and
outpatients units provide mental health service.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
child psychiatry
college
human
postgraduate education
psychiatrist
Ukraine
EMTREE MEDICAL INDEX TERMS
alcohol abuse
female
health
health survey
hospital patient
major depression
male
medical specialist
medical student
mental health
mental health service
mental hospital
mental patient
outpatient
physician
population
postgraduate student
psychiatric department
psychiatry
recertification
specialization
therapy
training
university
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70911480
DOI
10.1111/appy.12004
FULL TEXT LINK
http://dx.doi.org/10.1111/appy.12004
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 790
TITLE
There is no rock bottom: Emergency physicians' approach and adaptations to
alcohol intoxicated patients
AUTHOR NAMES
Rindal K.E.
Chin N.
Shah M.N.
Sellers C.
AUTHOR ADDRESSES
(Rindal K.E.; Chin N.; Shah M.N.; Sellers C.) University of Rochester,
Rochester, United States.
CORRESPONDENCE ADDRESS
K.E. Rindal, University of Rochester, Rochester, United States.
SOURCE
Annals of Emergency Medicine (2012) 60:4 SUPPL. 1 (S146). Date of
Publication: October 2012
CONFERENCE NAME
American College of Emergency Physicians, ACEP Research Forum 2012
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2012-10-08 to 2012-10-09
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: Patients with alcohol problems are more likely to present
to the emergency department (ED) than to a primary care setting, rendering
ED physicians the gatekeepers of addiction health care for many.
Understanding ED physicians' perspectives is crucial in implementing
programs to screen, intervene upon, and refer these patients. The goal of
this study is to identify the attitudes and beliefs of ED physicians towards
alcohol intoxication patients. Methods: We performed a qualitative study
using the Theory of Planned Behavior to create an interview guide and
thematic categories of analysis. Emergency physicians (residents and
faculty) were interviewed at a university tertiary referral center. Sampling
was purposive capturing years practicing and sex. Data were collected via 15
semi-structured individual interviews. Results: Four themes were
characterized: Behavioral beliefs: Emergency physicians believe they can
help young binge drinkers but not »chronic« alcohol intoxication/addicted
patients who are felt to have no »rock bottom,« and thus have no teachable
moment. Experience with substance addiction/abuse in friends or family is a
very strong influence on emergency physicians' approach to these patients.
Control Beliefs: Barriers to care are the patient's intoxicated state and
associated behaviors, inadequate resources and referral infrastructure,
patient choice/»being ready,« competing priorities, and inadequate
counseling skill. Over time, emergency physicians tend to transform their
maladaptive reactions (psychological barriers), reframing them into
functional enablers to optimize their ability to care for the alcohol
intoxication patient. Normative beliefs: The behavioral expectations are
»sober and go,« patient/ staff safety, and avoidance of »short cuts«.
Alcohol acute care, such as diagnosing occult trauma, is valued. Underling
alcohol abuse or addiction is considered a chronic or social issue and is
not highly valued and is considered less »fixable«. The social norm seems to
be comprised of competing humanizing and dehumanizing culture towards these
patients, which emergency physicians recognize as disparate. Alcohol
abuse/addiction: The chances of recovery were thought to be poor, with a
median estimate of 10%. The degree to which emergency physicians believe
these patients have choice in the development and persistence of their
addiction is important. This affects emergency physicians' attribution of
responsibility, tendency to empathize, and degree of judgment. Conclusion:
Emergency physicians have developed reframing mechanisms as a way of
transforming barriers into enablers in the care of the alcohol intoxication
patients. These adaptations may improve chances of emergency physicians'
development of cultural competence in caring for alcohol intoxication
patients. Further, personal experience with substance abuse/addiction and
one's attribution of choice/fault to the substance addiction/abuse process
are areas that strongly influence behavior in emergency physician. Future
addiction education or SBIRT implementation efforts can be informed by this
knowledge.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptation
college
emergency physician
human
patient
rock
EMTREE MEDICAL INDEX TERMS
addiction
alcohol abuse
alcohol intoxication
counseling
cultural competence
decision making
education
emergency care
emergency ward
friend
health care
injury
interview
personal experience
physician
primary medical care
qualitative research
responsibility
safety
sampling
skill
Theory of Planned Behavior
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70897496
DOI
10.1016/j.annemergmed.2012.06.446
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2012.06.446
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 791
TITLE
German medical students lack knowledge of how to treat smoking and problem
drinking.
AUTHOR NAMES
Strobel L.
Schneider N.K.
Krampe H.
Beißbarth T.
Pukrop T.
Anders S.
West R.
Aveyard P.
Raupach T.
AUTHOR ADDRESSES
(Strobel L.) Department of Cardiology and Pneumology, University Hospital
Göttingen, Göttingen, Germany, German.
(Schneider N.K.; Krampe H.; Beißbarth T.; Pukrop T.; Anders S.; West R.;
Aveyard P.; Raupach T.)
CORRESPONDENCE ADDRESS
L. Strobel, Department of Cardiology and Pneumology, University Hospital
Göttingen, Göttingen, Germany, German.
SOURCE
Addiction (Abingdon, England) (2012) 107:10 (1878-1882). Date of
Publication: Oct 2012
ISSN
1360-0443 (electronic)
ABSTRACT
To assess the extent of undergraduate medical training on alcohol use
disorders (AUD) and smoking, and medical students' perceived knowledge
regarding consequences of, and treatment options for, these disorders
compared with other chronic conditions. Cross-sectional survey assessing
teaching and perceived knowledge of health consequences and treatment
options for AUD and smoking compared with diabetes and hypertension. Medical
schools in Germany. Participants: Twenty-five of 36 medical school offices
(response rate 69.4%) and 19 526 of 39 358 students from 27 medical schools
(response rate 49.6%). Medical schools were asked to provide information on
curricular coverage of the four conditions. Students reported their year of
study and perceived knowledge about the consequences of all four disorders
and perceived knowledge of treatment options. Courses time-tabled
approximately half as many teaching hours on AUD and tobacco as on diabetes
or hypertension. Final-year students reported high levels of knowledge of
consequences of all four conditions and how to treat diabetes and
hypertension, but only 20% believed they knew how to treat alcohol use
disorders or smoking. Curriculum coverage in German medical schools of
alcohol use disorders and smoking is half that of diabetes and hypertension,
and in the final year of their undergraduate training most students reported
inadequate knowledge of how to intervene to address them. © 2012 The
Authors. Addiction © 2012 Society for the Study of Addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
clinical competence
medical education
medical student
psychiatry
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
curriculum
education
Germany
human
psychological aspect
standard
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22551065 (http://www.ncbi.nlm.nih.gov/pubmed/22551065)
PUI
L366372968
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 792
TITLE
Tobacco use, exposure to second-hand smoke, and cessation training among the
third-year medical and dental students in selected Member States of
South-East Asia region: A trend analysis on data from the Global Health
Professions Student Survey, 2005-2011
AUTHOR NAMES
Sinha D.N.
Rinchen S.
Palipudi K.M.
Shein N.N.N.
De Silva P.
Khadka B.B.
Pednekar M.
Singh G.
Pitayarangsarit S.
Bhattad V.B.
Lee K.A.
Asma S.
Singh P.K.
AUTHOR ADDRESSES
(Sinha D.N., sinhad@who.int; Rinchen S.; Bhattad V.B.; Singh P.K.) World
Health Organization, Regional Office for South-East Asia, New Delhi, India.
(Palipudi K.M.; Lee K.A.; Asma S.) Office on Smoking and Health, US Centers
for Disease Control and Prevention, Atlanta, GA, United States.
(Shein N.N.N.) Department of Health, Ministry of Health, Nay Pyi Taw, India.
(De Silva P.) Ministry of Healthcare and Nutrition, Colombo, Sri Lanka.
(Khadka B.B.) National Health Education, Information and Communication
Center, Kathmandu, Nepal.
(Pednekar M.) Healis-Sekhsaria Institute for Public Health, Mumbai, India.
(Singh G.) School of Preventive Oncology, Patna, India.
(Pitayarangsarit S.) Tobacco Control Research and Knowledge Management
Center, Bangkok, Thailand.
CORRESPONDENCE ADDRESS
D.N. Sinha, World Health Organization, Regional Office for South-East Asia,
New Delhi, India. Email: sinhad@who.int
SOURCE
Indian Journal of Cancer (2012) 49:4 (379-386). Date of Publication:
October-December 2012
ISSN
0019-509X
1998-4774 (electronic)
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd, B9, Kanara Business Centre, off
Link Road, Ghatkopar (E), Mumbai, India.
ABSTRACT
Background: The Medical and Dental Global Health Professions Student Surveys
(GHPSS) are surveys based in schools that collect self-administered data
from students on the prevalence of tobacco use, exposure to second-hand
smoke, and tobacco cessation training, among the third-year medical and
dental students. Materials and Methods: Two rounds of medical and dental
GHPSS have been conducted in Bangladesh, India, Myanmar, Nepal, Sri Lanka,
and Thailand, among the third-year medical and dental students, between 2005
and 2006 and 2009 and 2011. Results: The prevalence of any tobacco use among
third-year male and female medical students did not change in Bangladesh,
India, and Nepal between 2005 and 2006 and 2009 and 2011; however, it
reduced significantly among females in Myanmar (3.3% in 2006 to 1.8% in
2009) and in Sri Lanka (2.5% in 2006 to 0.6% in 2011). The prevalence of any
tobacco use among third-year male dental students did not change in
Bangladesh, India, Nepal, and Thailand between 2005 and 2006 and 2009 and
2011; however, in Myanmar, the prevalence increased significantly (35.6% in
2006 to 49.5% in 2009). Among the third-year female students, a significant
increase in prevalence was noticed in Bangladesh (4.0% in 2005 to 22.2% in
2009) and Thailand (0.7% in 2006 to 2.1% in 2011). It remained unchanged in
the other three countries. Prevalence of exposure to second-hand smoke (SHS)
both at home and in public places, among medical students, decreased
significantly in Myanmar and Sri Lanka between 2006 and 2009 and in 2011.
Among dental students, the prevalence of SHS exposure at home reduced
significantly in Bangladesh, India, and Myanmar, and in public places in
India. However, there was an increase of SHS exposure among dental students
in Nepal, both at home and in public places, between 2005 and 2011. Medical
students in Myanmar, Nepal, and Sri Lanka reported a declining trend in
schools, with a smoking ban policy in place, between 2005 and 2006 and 2009
and 2011, while proportions of dental students reported that schools with a
smoking ban policy have increased significantly in Bangladesh and Myanmar.
Ever receiving cessation training increased significantly among medical
students in Sri Lanka only, whereas, among dental students, it increased in
India, Nepal, and Thailand. Conclusion: Trends of tobacco use and exposure
to SHS among medical and dental students in most countries of the South-East
Asia Region had changed only relatively between the two rounds of GHPSS
(2005-2006 and 2009-2011). No significant improvement was observed in the
trend in schools with a policy banning smoking in school buildings and
clinics. Almost all countries in the SEA Region that participated in GHPSS
showed no significant change in ever having received formal training on
tobacco cessation among medical and dental students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
environmental exposure
passive smoking
smoking
smoking cessation program
EMTREE MEDICAL INDEX TERMS
article
Bangladesh
dental student
female
geographic distribution
health care policy
health survey
home
human
India
male
medical student
Myanmar
Nepal
prevalence
sex difference
Southeast Asia
Sri Lanka
Thailand
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Environmental Health and Pollution Control (46)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013226807
MEDLINE PMID
23442402 (http://www.ncbi.nlm.nih.gov/pubmed/23442402)
PUI
L368688331
DOI
10.4103/0019-509X.107743
FULL TEXT LINK
http://dx.doi.org/10.4103/0019-509X.107743
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 793
TITLE
Talking about smoking in primary care medical practice-Results of
experimental studies from the US, UK and Germany
AUTHOR NAMES
von dem Knesebeck O.
Hoehne A.
Link C.
Marceau L.
Adams A.
Roland M.
Campbell S.
Siegrist J.
McKinlay J.
AUTHOR ADDRESSES
(von dem Knesebeck O., o.knesebeck@uke.de; Hoehne A.) Department of Medical
Sociology and Health Economics, University Medical Center Hamburg-Eppendorf,
Germany.
(Link C.; Marceau L.; McKinlay J.) New England Research Institutes, Boston,
United States.
(Adams A.) Health Sciences Research Institute, Warwick Medical School,
United Kingdom.
(Roland M.) Institute of Public Health, University of Cambridge, United
Kingdom.
(Campbell S.) Health Sciences - Primary Care Research Group, University of
Manchester, United Kingdom.
(Siegrist J.) Department of Medical Sociology, Heinrich-Heine-University,
Duesseldorf, Germany.
CORRESPONDENCE ADDRESS
O. von dem Knesebeck, Department of Medical Sociology and Health Economics,
University Medical Center Hamburg-Eppendorf, Martinistr. 52, D-20246
Hamburg, Germany. Email: o.knesebeck@uke.de
SOURCE
Patient Education and Counseling (2012) 89:1 (51-56). Date of Publication:
October 2012
ISSN
0738-3991
1873-5134 (electronic)
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Objective: To analyse effects of patient and physician characteristics on
questions and advice about smoking in primary care practice and to examine
country differences. Methods: We conducted a factorial experiment, employing
filmed scenarios in which actors played the role of patients with symptoms
of coronary heart disease (CHD) or type 2 diabetes. Versions were filmed
with patient-actors of different gender, age, race, and socioeconomic
status. The videotapes were presented to primary care physicians in the US,
UK and Germany. Physicians were asked whether they would ask questions about
smoking or give cessation advice. Results: Female and older CHD patients are
less likely to be asked or get advice about smoking in all three countries.
Effects of physician attributes are weak and inconsistent. Compared to
physicians in the US and the UK, German doctors are least likely to ask
questions or give advice. Conclusions: Although all physicians viewed the
same cases their questioning and advice giving differed according to patient
attributes and country. Due to the experimental design external validity of
the study may be limited. Practice implications: Findings have implications
for medical education and professional training of physicians as well as for
the organization and financing of health care. © 2012 Elsevier Ireland Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
primary medical care
professional practice
smoking
EMTREE MEDICAL INDEX TERMS
age distribution
article
doctor patient relation
experimental study
female
geographic distribution
Germany
health care financing
health promotion
human
human experiment
ischemic heart disease
male
non insulin dependent diabetes mellitus
priority journal
race difference
sex difference
social status
United Kingdom
United States
videotape
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012565605
MEDLINE PMID
22595655 (http://www.ncbi.nlm.nih.gov/pubmed/22595655)
PUI
L52011655
DOI
10.1016/j.pec.2012.04.011
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pec.2012.04.011
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 794
TITLE
Smoking, nicotine dependence and anxiety in medical students
AUTHOR NAMES
Vasylyeva A.
Tabachnikov S.
Ritkis I.
Gurkova A.
AUTHOR ADDRESSES
(Vasylyeva A.) Ukrainian Research Institute of Social and Forensic
Psychiatry Drug Abuse, Donetsk National Medical University, Department
Psychiatry Addictology and Medical Psychology, Kyiv Donetsk, Ukraine.
(Tabachnikov S.; Ritkis I.; Gurkova A.) Ukrainian Research Institute of
Social and Forensic Psychiatry and Drug Abuse, Department addictology, Kiev,
Ukraine.
CORRESPONDENCE ADDRESS
A. Vasylyeva, Ukrainian Research Institute of Social and Forensic Psychiatry
Drug Abuse, Donetsk National Medical University, Department Psychiatry
Addictology and Medical Psychology, Kyiv Donetsk, Ukraine.
SOURCE
European Neuropsychopharmacology (2012) 22 SUPPL. 2 (S411-S412). Date of
Publication: October 2012
CONFERENCE NAME
25th European College of Neuropsychopharmacology, ECNP Congress
CONFERENCE LOCATION
Vienna, Australia
CONFERENCE DATE
2012-10-13 to 2012-10-17
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Medical students represent a highly educated population under significant
pressures because of academic and professional stress and use nicotine for
temporary relief from anxiety. Cigarette smoking among medical students is
one of the most actual medico-social problems of a modern society [1]. A
research purpose was to investigate the prevalence and intensity smoking
among medical student's youth and correlations between smoking status, level
of nicotine dependence and anxiety symptoms, as well as to identify
potential implications for the prevention of nicotine dependence. Material
and Methods used: The research was conducted on the base of Donetsk National
Medical University (Ukraine). By a random selection 1000 medical students
who gave the informed consent to participating in the research were
included. All participants were screened using the smoking questionnaire and
Hospital Anxiety and Depression Scale. We assessed nicotine dependence with
Fagerstrom Tolerance Questionnaire. Results: 428 medical students
(42.8±1.6%) were smokers. There were significant differences in smoking
habit related to sex (66.6±2.3% men and 33.3±2.3% women, p = 0.002). Age of
the medical students was 20.5±1.7 years. Analysis of variance disclosed
statistically significant differences among both sexes in the degree of
nicotine dependence: males had a mean Fagerstrom test score of 3.45 and 1.57
in females. The low dependence was found in 58.4±2.3%, moderate - in
35.0±2.3% and strong - in 6.6±2.3% of the students. 68.9±2.3% of smoking
medical students showed anxiety. Smoking students showed significantly more
anxiety symptoms compared to their non-smoking peers (p = 0.032). The
majority of students with high scores of anxiety were smokers. While
observing different factors contributing to anxiety - exams (irrational
thoughts about exams and result, negative thinking, self criticism and
feeling of no control over exam situation), extensive course loads, lack of
physical activity, long duration of exams and improper nutrition were the
most frequently reported factors by medical students. Lack of preparation,
memorizing text books, studying all night before exams, not revising and
reviewing (all indicating lack of strategic studying and time management),
feeling no control over exam situation were reported by more than half of
medical students as factors contributing to their anxiety during studying.
'Fear of worst happening' was the most common anxiety manifestation in
medical students. Smoking helped medical students relax and transition from
the stressful events of the day to the serious concentration and focus he
needed for his studies. Conclusions: Studies show that smoking by medical
students is associated with anxiety. The strong association found between
anxiety symptoms and smoking, particularly in young men, suggests that
reducing these symptoms (especially high school-related anxiety) may be
preventive against the onset of addictive smoking. This, together with the
high level of anxiety found in girls, makes it essential for all
professionals dealing with adolescents and education to recognise these
symptoms and their significance, and to be aware of the ways of reducing
them by changes in the educational system.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anxiety
college
human
medical student
psychopharmacology
smoking
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adolescent
analysis of variance
education
fear
female
girl
high school
Hospital Anxiety and Depression Scale
informed consent
job stress
juvenile
male
night
nutrition
physical activity
population
prevalence
prevention
questionnaire
smoking habit
social problem
society
student
time management
Ukraine
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70909674
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 795
TITLE
Smoking cessation for pregnancy and beyond: A virtual clinic, an innovative
web-based training for healthcare professionals
AUTHOR NAMES
Tong V.T.
Dietz P.M.
England L.J.
AUTHOR ADDRESSES
(Tong V.T., vtong@cdc.gov; Dietz P.M.) Division of Reproductive Health,
National Center for Chronic Disease Prevention and Health Promotion, Centers
for Disease Control and Prevention, 4770 Buford Highway, NE, Atlanta, GA
30341, United States.
(England L.J.) Office on Smoking and Health, National Center for Chronic
Disease Prevention and Health Promotion, Centers for Disease Control and
Prevention, Atlanta, GA, United States.
CORRESPONDENCE ADDRESS
V.T. Tong, Division of Reproductive Health, National Center for Chronic
Disease Prevention and Health Promotion, Centers for Disease Control and
Prevention, 4770 Buford Highway, NE, Atlanta, GA 30341, United States.
Email: vtong@cdc.gov
SOURCE
Journal of Women's Health (2012) 21:10 (1014-1017). Date of Publication: 1
Oct 2012
ISSN
1540-9996
1931-843X (electronic)
BOOK PUBLISHER
Mary Ann Liebert Inc., 140 Huguenot Street, New Rochelle, United States.
ABSTRACT
This article provides an overview of an interactive online training designed
for healthcare professionals to hone their skills in assisting pregnant
women to quit smoking and to remain quit postpartum. The curriculum teaches
a best practice approach for smoking cessation, the 5A's, and is based on
current clinical recommendations. The program offers five interactive case
simulations and comprehensive discussions of patient visits, short lectures
on relevant topics from leading experts, interviews with real patients who
have quit, and a dedicated website of pertinent links and office resources.
The training is accredited for up to 4.5 hours of continuing education
credits. To access the training, please visit
www.smokingcessationandpregnancy.org. © 2012 Mary Ann Liebert, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
maternal smoking
medical education
pregnancy
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
health care personnel
human
priority journal
puerperium
virtual reality
web browser
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012592032
MEDLINE PMID
22934934 (http://www.ncbi.nlm.nih.gov/pubmed/22934934)
PUI
L365801176
DOI
10.1089/jwh.2012.3871
FULL TEXT LINK
http://dx.doi.org/10.1089/jwh.2012.3871
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 796
TITLE
Low body mass index, medication use and social factors such as smoking but
not secondary medical disorders or older age may be more prevalent in males
with low bone mineral density
AUTHOR NAMES
Vedanarayanan V.J.
Jones A.V.
Majithia V.
AUTHOR ADDRESSES
(Vedanarayanan V.J.; Jones A.V.; Majithia V.) University of Mississippi
Medical Center, Jackson, United States.
CORRESPONDENCE ADDRESS
V.J. Vedanarayanan, University of Mississippi Medical Center, Jackson,
United States.
SOURCE
Arthritis and Rheumatism (2012) 64 SUPPL. 10 (S840). Date of Publication:
October 2012
CONFERENCE NAME
Annual Scientific Meeting of the American College of Rheumatology and
Association of Rheumatology Health Professionals 2012
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2012-11-09 to 2012-11-14
ISSN
0004-3591
BOOK PUBLISHER
John Wiley and Sons Inc.
ABSTRACT
Background/Purpose: Osteoporosis (OP) in Males is prevalent and frequently
under-recognized. There are a number of known demographic factors such as
age, race and BMI as well as secondary causes of low bone mineral density
(BMD) i.e. osteopenia and OP. The effect of these on the prevalence of low
BMD has not been well quantified. This study aims to describe the prevalence
of the demographic factors and SC in men with low BMD and also assess their
impact on the prevalence. Methods: Retrospective chart review of men who
underwent DEXA scan performed at UMC from 2005- 2009 was done. Data
regarding BMD, demographics i.e. age, race, height, weight, BMI, secondary
medical causes, medications, social factors such as smoking and alcohol use
was abstracted, tabulated and analyzed using STATA software. Statistical
significance was assessed using T-test and Odds ratio as appropriate.
Results: A total of 237 charts were analyzed. There were 158 whites (W), 79
African-Americans (AA) 66 patients had normal BMD. Low bone density was
prevalent and seen in 171 patients (75.9%). Amongst these 61 had T-score <
-2.5 (osteoporosis) and 110 had T-score > -2.5 and <-1.0 (osteopenia) BMD.
There were no racial differences in prevalence of low BMD and was seen in
77.21 % of AA and 69.62 % of W males tested. The prevalence results are
presented in the table with significant differences highlighted. In this
cohort of patients undergoing DEXA scan, a number of underlying factors are
present with low BMD. Amongst these, low BMI, overall medication use,
smoking and respiratory disorders were found to be significantly more
prevalent than others. No difference was found with older age or race but
there was significantly higher prevalence of low BMI with low BMD. Secondary
medical disorders were prevalent in the cohort (>70%). But, there was no
difference in their prevalence except for asthma/COPD among those with low
versus normal BMD. Similarly, medication use was common and was
significantly more prevalent with low BMD. Steroid use (>5 mg) was more
frequent with low BMD but not statistically significantly. Smoking was
significantly more prevalent with low BMD and alcohol use could not be
quantified due to small numbers. The results suggest that low BMI, smoking
and overall medication use may be better associated with low BMD and
potentially better predictors than race, older age and secondary medical
disorders. Limitations of this study include its retrospective design and
small sample size. Nonetheless these results highlight that the effect of
these underlying factors needs to be better quantified in population
studies, so that males at risk of OP may be better identified and screened
earlier. Conclusion: Low BMI, asthma/COPD, smoking and overall medication
use were found to be more prevalent in the male patients with low BMD as
compared to those with normal BMD in patients undergoing bone mass
measurement. This may have significant implications on decision to consider
screening for OP in males. (Table presented).
EMTREE DRUG INDEX TERMS
steroid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
body mass
bone density
college
diseases
drug therapy
health practitioner
human
male
rheumatology
smoking
social aspect
EMTREE MEDICAL INDEX TERMS
African American
alcohol consumption
bone mass
height
medical record review
osteopenia
osteoporosis
patient
population research
prevalence
race difference
respiratory tract disease
retrospective study
risk
sample size
screening
software
statistical significance
Student t test
weight
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70999977
DOI
10.1002/art.37735
FULL TEXT LINK
http://dx.doi.org/10.1002/art.37735
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 797
TITLE
Lifetime prevalence, age and gender distribution and age-of-onset of
psychiatric disorders in the São Paulo metropolitan area, Brazil: Results
from the São Paulo megacity mental health survey
ORIGINAL (NON-ENGLISH) TITLE
Prevalência em toda a vida, distribuição por idade e sexo e idade de início
de transtornos psiquiátricos na área metropolitana de são paulo, Srasil:
Resultados do estudo epidemiológico de transtornos mentais São Paulo
megacity
AUTHOR NAMES
Viana M.C.
Andrade L.H.
AUTHOR ADDRESSES
(Viana M.C., mcviana@uol.com.br) Department of Social Medicine and
Post-Graduate Program in Public Health, Health Sciences Center, Universidade
Federal do Espírito Santo, Vitória, Brazil.
(Viana M.C., mcviana@uol.com.br; Andrade L.H.) Section of Psychiatric
Epidemiology - LIM-23, Department and Institute of Psychiatry, Faculdade de
Medicina, Universidade de São Paulo, São Paulo, Brazil.
CORRESPONDENCE ADDRESS
M. C. Viana, Departamento de Medicina Social, Centro de Ciências da Saúde,
Universidade Federal do Espírito Santo, Av. Marechal Campos 1468,
Vitória/ES, CEP 29043-900, Brazil. Email: mcviana@uol.com.br
SOURCE
Revista Brasileira de Psiquiatria (2012) 34:3 (249-260). Date of
Publication: October 2012
ISSN
1516-4446
BOOK PUBLISHER
Associacao Brasileira de Psiquiatria, Rua Pedro de Toledo 967 - casa 01, Sao
Paulo - SP, Brazil.
ABSTRACT
Objectives: To estimate prevalence, age-of-onset, gender distribution and
identify correlates of lifetime psychiatric disorders in the São Paulo
Metropolitan Area (SPMA). Methods: The São Paulo Megacity Mental Health
Survey assessed psychiatric disorders on a probabilistic sample of 5,037
adult residents in the SPMA, using the World Mental Health Survey Version of
the Composite International Diagnostic Interview. Response rate was 81.3%.
Results: Lifetime prevalence for any disorder was 44.8%; estimated risk at
age 75 was 57.7%; comorbidity was frequent. Major depression, specific
phobias and alcohol abuse were the most prevalent across disorders; anxiety
disorders were the most frequent class. Early age-of-onset for phobic and
impulse-control disorders and later age-of-onset for mood disorders were
observed. Women were more likely to have anxiety and mood disorders, whereas
men, substance use disorders. Apart from conduct disorders, more frequent in
men, there were no gender differences in impulse-control disorders. There
was a consistent trend of higher prevalence in the youngest cohorts. Low
education level was associated to substance use disorders. Conclusions:
Psychiatric disorders are highly prevalent among the general adult
population in the SPMA, with frequent comorbidity, early age-of-onset for
most disorders, and younger cohorts presenting higher rates of morbidity.
Such scenario calls for vigorous public health action. ©2012 Elsevier
Editora Ltda. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
gender
mental disease
onset age
EMTREE MEDICAL INDEX TERMS
adult
age
aged
alcohol abuse
anxiety
article
Brazil
comorbidity
cross-sectional study
education
female
human
impulse control disorder
major clinical study
major depression
male
mood disorder
phobia
prevalence
risk factor
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English, Portuguese
LANGUAGE OF SUMMARY
English, Portuguese
EMBASE ACCESSION NUMBER
2012747937
MEDLINE PMID
23429770 (http://www.ncbi.nlm.nih.gov/pubmed/23429770)
PUI
L366318278
DOI
10.1016/j.rbp.2012.03.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.rbp.2012.03.001
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 798
TITLE
Injury patterns and safety practices of deer hunters in the united states
AUTHOR NAMES
Hauter J.
Hafner J.W.
AUTHOR ADDRESSES
(Hauter J.; Hafner J.W.) University of Illinois College of Medicine at
Peoria, OSF Saint Francis Medical Center, Peoria, United States.
CORRESPONDENCE ADDRESS
J. Hauter, University of Illinois College of Medicine at Peoria, OSF Saint
Francis Medical Center, Peoria, United States.
SOURCE
Annals of Emergency Medicine (2012) 60:4 SUPPL. 1 (S66-S67). Date of
Publication: October 2012
CONFERENCE NAME
American College of Emergency Physicians, ACEP Research Forum 2012
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2012-10-08 to 2012-10-09
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objective: Deer hunting is a popular recreational activity in the
United States (US), with an estimated 10.6 million US adults participating
in 2006. Deer hunting is the most common form of hunting in the US, but has
distinctive characteristics to the sport. Deer hunters routinely utilize
firearms and station themselves in deer stands, lending to unique
hunting-related injuries. However, estimates of general hunting-related
injuries and safety practices amongst deer hunters have not been well
described. This study seeks to identify the general injury patterns
associated with deer hunting, and to investigate the safety practices used
by hunters. Methods: A structured anonymous survey was posted as a link on
several hunting sites and forums on the World Wide Web. Data was collected
over the 2011 fall deer season from September 6, 2011 to December 21, 2011.
Multiple choice, Likert scales (with 1 being most negative and 5 being most
positive), and free text answers were employed. Demographic data, hunting
history were obtained, and subjects were asked to identify their 3 most
significant injuries and the outcomes. Injury data collected included body
part, type of injury, medical care sought, and recovery time. Finally, the
participants were surveyed regarding safety practices including ATV use,
deer stand practices, hunter safety education and substance use while
hunting. All data was automatically entered from the survey site into an
Excel spreadsheet. SPSS 19.0 (SPSS Inc, 2012) was used for descriptive and
statistical analysis between variables. Results: A total of 1,121 subjects
48 different states participated, with 1039 completing the survey (92.7%).
Respondents were mostly male (97.5%), with a mean age of 38.7 years (range
12-77; SD 12.2) a mean hunting experience of 21.1 years (range 0-58; SD
12.6), and self-classified themselves as intermediate level hunters (55.5%).
Hunters reported using bows (92.8%), rifles (56.8%), and shotguns (45.7%),
and 55.9% reported hunting 80-100% of their time in a deer stand. Most
hunters had participated in a hunter safety class (88.8%) or a gun safety
class (74%), and most (71.2%) considered hunting safety as »very important.«
Few hunters had participated while under the influence of drugs or alcohol
(9%), most commonly alcohol (85.7%). Of the respondents, 33.4% reported
sustaining some type of injury and 23.9% reported a deer stand related
injury. Of the reported injuries, most were secondary to falls (39%),
represented sprains (37.1%), lacerations (20.5%) and contusions (11.8%);
most injuries included the lower back (42%), lower leg/ankle/ foot (16.9%)
and the hand/fingers (45%). Most injured hunters did not require medical
attention (63.7%), but for those that did, most utilized the emergency
department (ED) (50.7%). Most injuries did not require missed work (79.2%)
and most hunters made a full recovery from the injury (82.6%). Conclusion:
In a national convenience sampling of US deer hunters, one third reported
sustaining an injury. Most reported injuries were related to falls and few
required medical treatment. Surveyed hunters often participated in safety
classes and considered hunting safety important.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
deer
emergency physician
human
injury
safety
United States
EMTREE MEDICAL INDEX TERMS
adult
body regions
contusion
convenience sample
education
emergency ward
firearm
Internet
laceration
male
medical care
multiple choice test
season
sport
sprain
statistical analysis
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70897270
DOI
10.1016/j.annemergmed.2012.06.161
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2012.06.161
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 799
TITLE
Engaging health professional students in substance abuse research
development and early evaluation of the SARET program
AUTHOR NAMES
Truncali A.
Kalet A.L.
Gillespie C.
More F.
Naegle M.
Lee J.D.
Huben L.
Kerr D.
Gourevitch M.N.
AUTHOR ADDRESSES
(Kalet A.L.; Gillespie C.; Lee J.D.; Huben L.; Gourevitch M.N.) New York
University School of Medicine, United States.
(More F.) NYU College of Dentistry, United States.
(Naegle M.) NYU College of Nursing, United States.
(Truncali A., andreatruncali@yahoo.com; Kerr D.)
CORRESPONDENCE ADDRESS
A. Truncali, New York, United States. Email: andreatruncali@yahoo.com
SOURCE
Journal of Addiction Medicine (2012) 6:3 (196-204). Date of Publication:
September 2012
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objective: There is a need to build the ranks of health care professionals
engaged in substance abuse (SA)-focused clinical research. The authors
simultaneously developed and evaluated SARET, the Substance Abuse Research
Education and Training program. The fundamental goal of this
interprofessional program is to stimulate medical, dental, and nursing
student interest and experience in SA research. Evaluation aims to
understand program feasibility and acceptability and to assess short-term
impact. Methods: SARET comprises 2 main components: stipend-supported
research mentorships and a Web-based module series, consisting of 6,
interactive, multimedia modules addressing core SA research topics,
delivered via course curricula and in the research mentorships. Authors
assessed program feasibility and impact on student interestin conducting SA
research by tracking participation and conducting participant focus groups
and online surveys. Results: Thirty early health care professional students
completed mentorships (25 summer, 5 yearlong) and 1324 completed at least 1
Web-module. SARET was considered attractive for the opportunity to conduct
clinically oriented research and to work with health care professionals
across disciplines. Mentorship students reported positive impact on their
vision of SA-related clinical care, more positive attitudes about research,
and, in some cases, change in career plans. Web-based modules were
associated with enhanced interest in SA (35% increase, P = 0.005, in those
somewhat/very interested for neurobiology module) and SA research (+38%, P <
0.001 for activation, +45%, P < 0.001 for personal impact, +7%, P = 0.089
for neurobiology). Conclusions: The SARET program stimulates SA clinical and
research interest among students of nursing, medicine, and dentistry and may
lend itself to dissemination. Copyright © 2012 American Society of Addiction
Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical research
education program
substance abuse
Substance Abuse Research Education and Training program
EMTREE MEDICAL INDEX TERMS
article
career
controlled study
dentistry
feasibility study
health care personnel
health personnel attitude
human
human experiment
medical student
normal human
nursing
online system
priority journal
strength
summer
teacher
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012738857
MEDLINE PMID
22864401 (http://www.ncbi.nlm.nih.gov/pubmed/22864401)
PUI
L366290821
DOI
10.1097/ADM.0b013e31825f77db
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e31825f77db
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 800
TITLE
Influence of smoking among residents doctors in a tertiary teaching hospital
and their attitude of giving smoking cessation advice
AUTHOR NAMES
Zakaria W.
Khoury A.
AUTHOR ADDRESSES
(Zakaria W.; Khoury A.)
CORRESPONDENCE ADDRESS
W. Zakaria,
SOURCE
European Respiratory Journal (2012) 40 SUPPL. 56. Date of Publication: 1 Sep
2012
CONFERENCE NAME
European Respiratory Society Annual Congress 2012
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2012-09-01 to 2012-09-05
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Introduction: Smoking among resident doctors would be an obstacle to
effective Smoking prevention, in particular the practice of minimal advice.
Objectives: To assess the Smoking habits of resident doctors in a tertiary
teaching Hospital and to study the link between their Smoking status and
their practice of minimal Smoking cessation advice in 2011 in a legislative
context unfavorable to smokers. Methods: From a total 477 resident doctors
in Aleppo University Hospital, 466 doctors l answered a survey (response
rate:97.6%) investigating their own Smoking habits and how they approach
patients who smoke. Results: The Prevalence of active Smoking among
responders was(24%)[35% were Male, and 4% Female], 4% were former smokers
and 72% never smoked. Regular smokers (58%)smoked an average 15 cigarettes a
day and [43%were nicotine dependant (5%) strongly]. 66% of smokers doctors
wish to stop Smoking an more than 50% of them wish to consult Anti-Smoking
clinic. When consulting doctors systematically addressed smoking habits(62%)
said that they gave minimal smoking cessation advice, in contrast with (87%)
of non smokers doctors. The incidence of Smoking in the family's smoker
resident doctors was(64%)in contrast with non smokers (41%). Conclusions:
Resident doctors who smoked were less prone to ask their patients if they
smoke (38% versus 13% of non-smokers: P=0.003) and they believed that their
smoking does not influence their practice of giving minimal smoking advice.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
physician
smoking
smoking cessation
society
teaching hospital
EMTREE MEDICAL INDEX TERMS
female
hospital
male
patient
prevalence
prevention
resident
smoke
smoking habit
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71925200
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 801
TITLE
Professional training in the Netherlands: From medical doctor to addiction
medicine specialist
AUTHOR NAMES
De Jong C.A.J.
AUTHOR ADDRESSES
(De Jong C.A.J.) Nijmegen Institute for Scientist-, Practitioners in
Addiction, Netherlands.
CORRESPONDENCE ADDRESS
C.A.J. De Jong, Nijmegen Institute for Scientist-, Practitioners in
Addiction, Netherlands.
SOURCE
Sucht (2012) 58 SUPPL. 1 (92-93). Date of Publication: 2012
CONFERENCE NAME
Deutscher Suchtkongress 2012
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2012-10-03 to 2012-10-06
ISSN
0939-5911
BOOK PUBLISHER
Hogrefe Publishing
ABSTRACT
Since 2007 there is a fulltime, two-years professional training in Addiction
Medicine in the Netherlands. In 2012 Addiction Medicine is approved as a
medical specialism by the Royal Dutch Society of Medicine, meaning that the
quality of the theoretical course and the clinical training meet the
standards for medical training of the Royal Dutch Society of Medicine
(RDSM). The aim of this presentation is to describe the development and
present status of the Dutch Master in Addiction Medicine (MiAM). The MiAM is
organized by the Foundation of Organizations of Post Academic Education in
Health Care in Eastern Holland (www.spon-opleidingen.nl) and is embedded in
the Faculty of Medical Sciences of the Radboud University. At this moment
the fourth group of 20 trainees in the MiAM is running. In the
competency-based professional training, theoretical courses are integrated
with learning in clinical practice under guidance of an experienced clinical
teacher and personal psychotherapeutic supervision by an experienced
psychiatristpsychotherapist. Parallel to the course for the trainees an
intensive training program for clinical teachers has been developed and
implemented. The theoretical courses consist of evidence-based medicine,
scientific communication and basic psychotherapeutic skills, neurobiology of
addiction, addiction medicine, addiction and psychiatry, clinical leadership
and public health. Most of the theoretical courses are given in a standard
face-to-face learning environment, but online applications are more and more
integrated in the courses. The seven main competencies are made ready for
operation in the Personal Education Plan and are evaluated by different ways
of examining. The MiAM is evaluated in a very positive way by the trainees,
the Dutch Society on Addiction Medicine and the boards of directors of the
Addiction Treatment facilities. In our opinion the Dutch MiAM can become a
starting point for a European training course in Addiction Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
human
medical specialist
Netherlands
physician
EMTREE MEDICAL INDEX TERMS
clinical practice
education
evidence based medicine
health care
interpersonal communication
leadership
learning
learning environment
medical education
medicine
neurobiology
non profit organization
organization
psychiatry
public health
skill
society
specialization
student
teacher
training
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71162324
DOI
10.1024/0939-5911.a000202
FULL TEXT LINK
http://dx.doi.org/10.1024/0939-5911.a000202
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 802
TITLE
Physicians' smoking habit, training and attitude toward cancer patient
smoking cessation: The Istituto Nazionale dei Tumori experience
AUTHOR NAMES
Lina M.
Pozzi P.
Brunelli C.
Pierotti M.A.
Boffi R.
AUTHOR ADDRESSES
(Lina M.; Pozzi P.; Brunelli C.; Pierotti M.A.; Boffi R.)
CORRESPONDENCE ADDRESS
M. Lina,
SOURCE
European Respiratory Journal (2012) 40 SUPPL. 56. Date of Publication: 1 Sep
2012
CONFERENCE NAME
European Respiratory Society Annual Congress 2012
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2012-09-01 to 2012-09-05
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Backgrounds and aim: Guidelines recommend all physicians to ask patients
(Pts) about their smoking status and to offer cessation advice (SC). Aim of
the study was to examine the smoking habit of medical doctors (MDs) at the
Milan Istituto Nazionale dei Tumori (INT), to relate this to their level of
training and to their attitudes in suggesting patients to quit smoking.
Materials and methods: All MDs of the INT (n=285) were mailed a web-based
survey. Results: Fourteen percent of MDs were current smokers; only 23% of
all clinicians received a training proposal in SC, 6% attended a SC course,
even if 43% declared their willingness to do it. 86% of them asked Pts about
smoking status, but only 50% advised Pts to quit and 32% assessed their
motivation to do it. Guidelines were disregarded because of lack of time,
fear to increase patients' stress or lack of skills in SC. Smoking habits
didn't influence training attendance, willingness to be trained in SC or Pts
referral to Tobacco Control Unit. Conclusion: Smoking prevalence among INT
MDs was still too high for healthcare practitioners and a low proportion of
them was ever involved in a SC traing session; however, smoking status
doesn't appear to influence MDs' choice of training rather than the eventual
referral of cancer smoker Pts to the dedicated Unit. Surveys like this
should encourage cancer centers to make SC as part of their core mission and
to implement SC training in their institutional policies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer patient
European
human
physician
smoking cessation
smoking habit
society
EMTREE MEDICAL INDEX TERMS
cancer center
fear
health care personnel
motivation
neoplasm
patient
policy
prevalence
skill
smoking
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71925229
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 803
TITLE
Effectiveness of smoking cessation skills building workshops in educating
smoking cessation techniques to Pakistani physicians
AUTHOR NAMES
Haque A.S.
Irfan M.
Waheed Z.
Khan J.
AUTHOR ADDRESSES
(Haque A.S.; Irfan M.; Waheed Z.; Khan J.)
CORRESPONDENCE ADDRESS
A.S. Haque,
SOURCE
European Respiratory Journal (2012) 40 SUPPL. 56. Date of Publication: 1 Sep
2012
CONFERENCE NAME
European Respiratory Society Annual Congress 2012
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2012-09-01 to 2012-09-05
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Introduction: Physician advice to quit smoking is an effective component of
a smoking cessation strategy. Published data indicates that
teaching/training smoking cessation skills to physicians improves their
smoking cessation practices and increases quit rates among their patients.
Objective: To determine the effectiveness of smoking cessation skills
building workshops (SCW) among local physicians. Methods: Five one-day SCW
were arranged across Pakistani cities. A validated questionnaire assessing
attitude and knowledge related to smoking was administered pre-workshops
(PRW) and immediately post-workshops (POW) attendance. Results: 113
physicians completed the SCW. 90 were men. Age range was 22-61 years (mean
age ±SD 37±11 yrs). 72 were GPs, 11 chest physicians, 11 cardiologists, 8
consultant internist and 11 trainee physicians. Post workshop the physicians
felt 'very confident' about their knowledge to treat nicotine dependence-
15.9% (PRW) vs. 64.6% (POW); they felt 'very confident' in discussing the
smoking cessation issues with their patients- 52.2% (PRW) vs. 80.9% (POW);
their knowledge regarding pharmacotherapy improved- 9.7% (PRW) vs. 49.1%
(POW). The 5As approach was answered correctly by 17.7% (PRW) vs. 69.9%
(POW). Appropriate prescribing of Nicotine Replacement Therapy improved -
39.8% (PRW) vs. 61.1% (POW). Awareness of possible adverse effects of
medications enhanced - 46.9% (PRW) vs. 71.1% (POW). Conclusion: After
attending a one-full day smoking cessation skills building workshop,
physician's felt more confident in discussing anti-smoking issues with their
patients and their smoking cessation knowledge improved significantly.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
Pakistani
physician
skill
smoking cessation
society
workshop
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
cardiologist
city
consultation
drug therapy
internist
male
nicotine replacement therapy
patient
questionnaire
smoking
student
thorax
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71925269
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 804
TITLE
Analysis of cases from an interstitial lung disease (ILD) MDT in a teaching
hospital in the West Midlands: Patients with smoking-related disease
comprise 11% of cases and have a median age of 50 years
AUTHOR NAMES
Ejiofor S.
Woodhead F.
Helm E.
AUTHOR ADDRESSES
(Ejiofor S.; Woodhead F.; Helm E.)
CORRESPONDENCE ADDRESS
S. Ejiofor,
SOURCE
European Respiratory Journal (2012) 40 SUPPL. 56. Date of Publication: 1 Sep
2012
CONFERENCE NAME
European Respiratory Society Annual Congress 2012
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2012-09-01 to 2012-09-05
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Introduction University Hospitals Coventry and Warwickshire is a large acute
teaching NHS trust which serves a population of over 1 million. There has
been an ILD MDT since 2006. In July 2010 a consultant with an interest in
ILD was appointed. The MDT constitutes a thoracic surgeon, pathologist and
radiologist with expressed interest in ILD. Aim To describe the spectrum of
ILD presenting in secondary care. Method It is departmental policy to
discuss all incident cases of ILD in the MDT. Diagnoses were made according
to BTS guidelines, and by consensus. Numbers were compared by χ(2), and ages
by Mann-Whitney U-test. Results From September 2010 to July 2011, 89
suspected cases were discussed in the ILD MDT, 10 of whom proved not to have
significant ILD. The diagnoses of the remaining 79 are given in table below.
Definite IPF made up 15% of the cohort, with a median age of 77. Smoking
related ILD - Respiratory Bronchiolitis associated ILD and Desquamative
Interstitial Pneumonia - account for (11%) of cases. The median age of
diagnosis is 27 years younger than those with IPF (p<0.001). Conclusion
Smoking related ILD makes a significant proportion of cases discussed at the
ILD MDT. Patients are significantly younger than those with IPF. This may
reflect an increasing awareness of the radiological and pathological
appearance of these diseases. (Table Presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
interstitial lung disease
patient
smoking
society
teaching hospital
EMTREE MEDICAL INDEX TERMS
bronchiolitis
consensus
consultation
diagnosis
diseases
interstitial pneumonia
pathologist
policy
population
radiologist
rank sum test
secondary health care
teaching
thorax surgery
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71922840
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 805
TITLE
Learning platform for smoking cessation project: From begining to date
AUTHOR NAMES
Dilektasli A.G.
Kilinc O.
Akcay S.
Uzaslan E.K.
Bostan P.P.
Elbek O.
Aytemur Z.
Ozge C.
Oztuna F.
Saglam L.
Uysal A.
Orsel O.
AUTHOR ADDRESSES
(Dilektasli A.G.; Kilinc O.; Akcay S.; Uzaslan E.K.; Bostan P.P.; Elbek O.;
Aytemur Z.; Ozge C.; Oztuna F.; Saglam L.; Uysal A.; Orsel O.)
CORRESPONDENCE ADDRESS
A.G. Dilektasli,
SOURCE
European Respiratory Journal (2012) 40 SUPPL. 56. Date of Publication: 1 Sep
2012
CONFERENCE NAME
European Respiratory Society Annual Congress 2012
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2012-09-01 to 2012-09-05
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Background: Although 35% of the adults in Turkey are current smokers, the
number of trained physicians and smoking cessation (SC) clinics are not
enough to meet the demand. Aim: This national project aimed to create the
necessary infrastructure for providing SC therapy all-around the country and
to train physicians in this topic. This project was run by Turkish Thoracic
Society Tobacco Working Group and supported by a grant from Pfizer
Foundation. Methods: For this purpose, an organization network including
field training teams was planned. The training materials were prepared and
standardized. A website of the project including a wide e-learning platform
was created (www.sigarabirakmadaogrenmezemini.org). Results: Firstly, a
central training program was planned. Forty volunteers from all regions of
Turkey were participated to this program. Afterwards, field training
programs were started to perform by these trainers. From the beginning field
training sessions were performed in 11 cities with more than 300
participants. The project website was visited by 10.369 visitors and 518
participants completed e-training module since April 2011. Conclusion: The
SÖZ project enabled a training ground that will last for years; a
professional website and a trainer staff to generalize the program. Through
this project, the integration of SC intervention in all health service steps
will be provided, the number of SC clinics in Turkey will increase, and in
future smoking rate will reduce in our country.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
learning
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
adult
city
health service
hospital
human
non profit organization
physician
smoking
therapy
tobacco
training
volunteer
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71925241
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 806
TITLE
" I'm not afraid of those ones just 'cause they've been prescribed":
Perceptions of risk among illicit users of pharmaceutical opioids
AUTHOR NAMES
Daniulaityte R.
Falck R.
Carlson R.G.
AUTHOR ADDRESSES
(Daniulaityte R., raminta.daniulaityte@wright.edu; Falck R.; Carlson R.G.)
Center for Interventions, Treatment and Addiction Research, Department of
Community Health, Boonshoft School of Medicine, Wright State University,
3640 Colonel Glenn Hwy., Dayton, OH 45435, United States.
CORRESPONDENCE ADDRESS
R. Daniulaityte, Center for Interventions, Treatment and Addictions
Research, Boonshoft School of Medicine, Wright State University, 110 Med
Science, 3640 Colonel Glenn Hwy., Dayton, OH 45435, United States. Email:
raminta.daniulaityte@wright.edu
SOURCE
International Journal of Drug Policy (2012) 23:5 (374-384). Date of
Publication: September 2012
ISSN
0955-3959
1873-4758 (electronic)
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Background: There has been a rise in the illicit use of pharmaceutical
opioids (" pain pills" ) in the United States. Conducted with young adult
non-medical users of pharmaceutical opioids, this study uses qualitative
methods and cultural consensus analysis to describe risk perceptions
associated with pharmaceutical opioids and to determine patterns of cultural
sharing and intra-cultural variation of these views. Methods: The
qualitative sub-sample (n= 47) was selected from a larger sample of 396
young adults (18-23 years old), who were participating in a natural history
study of illicit pharmaceutical opioid use. Qualitative life history
interviews, drug ranking task, and cultural consensus analysis were used to
elicit participant views about risks and harms associated with pain pills
and other drugs, as well as alcohol and tobacco. Results: Cultural consensus
analysis revealed that the participants shared a single cultural model of
drug risks, but the level of agreement decreased with the increasing range
of drugs ever used. Further, those with more extensive drug use histories
differed from less " experienced" users in their views about OxyContin and
some other drugs. Overall, pain pills were viewed as addicting and
potentially deadly substances, but these properties were linked to the
patterns and methods of use, as well as characteristics of an individual
user. Further, risks associated with pharmaceutical opioids were further
curtailed because they " came from the doctor," and thus had a legitimate
aspect to their use. Conclusions: This study highlights potential problems
with universal approaches to substance use prevention and intervention among
young people since such approaches ignore the fact that substance use
education messages may be experienced differently depending on an
individual's drug use history and his/her perceptions of drug risks.
Findings reported here may be useful in the development of prevention and
intervention programs aimed at reducing the harm associated with illicit use
of pain pills. © 2012 Elsevier B.V..
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
illicit drug
opiate
EMTREE DRUG INDEX TERMS
hydrocodone bitartrate plus paracetamol
methadone
oxycodone
oxycodone plus paracetamol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction
patient attitude
prescription
EMTREE MEDICAL INDEX TERMS
adult
article
consensus development
cultural factor
drug overdose
ethnic difference
female
health education
human
interview
major clinical study
male
mortality
organ injury
priority journal
qualitative research
risk assessment
substance abuse
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012540796
MEDLINE PMID
22417823 (http://www.ncbi.nlm.nih.gov/pubmed/22417823)
PUI
L51905653
DOI
10.1016/j.drugpo.2012.01.012
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugpo.2012.01.012
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 807
TITLE
The California Integration Learning Collaborative: A Forum to Address
Challenges of SUD-Primary Care Service Integration
AUTHOR NAMES
Antonini V.P.
Oeser B.T.
Urada D.
AUTHOR ADDRESSES
(Antonini V.P., vpearce@mednet.ucla.edu; Oeser B.T.; Urada D.) UCLA
Integrated Substance Abuse Programs, Los Angeles, CA, United States.
CORRESPONDENCE ADDRESS
V. P. Antonini, UCLA Integrated Substance Abuse Programs, 11075 Santa Monica
Blvd., Suite 200, Los Angeles, CA 90025, United States. Email:
vpearce@mednet.ucla.edu
SOURCE
Journal of Psychoactive Drugs (2012) 44:4 (285-291). Date of Publication:
September 2012
ISSN
0279-1072
2159-9777 (electronic)
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia, United
States.
ABSTRACT
The California Substance Use Disorder (SUD)/Health Care Integration Learning
Collaborative (CILC) aims to provide an interactive forum where county
administrators, SUD provider organization representatives, and other key
stakeholders can collaborate to identify successful models and processes for
SUD integration into primary health care, as well as common barriers and
solutions. We present the topics discussed within the CILC that have focused
on common barriers to SUD and health care integration (documentation/data
privacy, financing, and partnering with primary care providers). This
article describes the discussions, presentations, and lessons learned from
the CILC addressing each of these three barriers. © 2012 Copyright Taylor
and Francis Group, LLC.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
integrated health care system
substance abuse
EMTREE MEDICAL INDEX TERMS
article
financial management
general practitioner
health care
health care organization
health program
human
medical documentation
medical record
privacy
professional practice
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012655082
MEDLINE PMID
23210376 (http://www.ncbi.nlm.nih.gov/pubmed/23210376)
PUI
L366003524
DOI
10.1080/02791072.2012.718637
FULL TEXT LINK
http://dx.doi.org/10.1080/02791072.2012.718637
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 808
TITLE
Operation TBI freedom: RE-shaping the transition of servicemembers/veterans
with traumatic brain injury
AUTHOR NAMES
Johnson A.
Fogelberg B.
AUTHOR ADDRESSES
(Johnson A.; Fogelberg B.) Rocky Mountain Human Services, Denver, United
States.
CORRESPONDENCE ADDRESS
A. Johnson, Rocky Mountain Human Services, Denver, United States.
SOURCE
Journal of Head Trauma Rehabilitation (2012) 27:5 (E7). Date of Publication:
September-October 2012
CONFERENCE NAME
10th Annual Conference on Brain Injury of the North American Brain Injury
Society's, NABIS 2012
CONFERENCE LOCATION
Miami, FL, United States
CONFERENCE DATE
2012-09-12 to 2012-09-15
ISSN
0885-9701
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Introduction/Rationale With the high numbers of service members returning to
contiguous United States (CONUS), after multiple deployments, there is a
need for communities to assist with the transition of these service
members/veterans. Injured service members/veterans are continuing to
struggle with issues of substance abuse, financial stability, employment,
relationships, social skills, suicide, and a plethora of other problems.
These men and women are having difficulty re-shaping their new purpose after
leaving their military careers and the struggles they are facing can affect
their families, workplaces, and, ultimately, the communities of which they
are a part. Method/Approach Operation TBI Freedom, a privately-funded
program of RockyMountain Human Services, is a community-based, nonprofit
program that uses military peer case management to provide these much-needed
supports and services to transitioning service members in the state of
Colorado with traumatic brain injury (TBI). The program pairs the service
member/ veteran with a Military Support Specialist,(former military
personnel themselves) and Certified Brain Injury Specialists (CBIS), to
provide peer resource support, linking the service member/veteran to their
benefits and other services including homelessness prevention, cognitive
strengthening, assistive technology, wrap around family services, and
educational and employment support. Results/Effects As of May 2012,
Operation TBI Freedom has had 143 graduates from the two year program.
Military Support Specialists have assisted clients in the following ways:
homeless prevention assistance = 21% of clients; employment support = 27% of
clients; mental health issues, including suicidal ideation = 52%; substance
abuse issues = 13%; marital issues = 41%; education = 51%. In surveys
conducted at the time of program completion, 81% of clients expressed that
they strongly agree/agree that their lives had improved due to the services
received from Operation TBI Freedom. Conclusions/Limitations More brain
injury programs and resources are needed throughout the United States. The
ratio of graduates to total program participants is due in large part to the
relocation of service members/veterans. More peer support groups are needed
to assist with the issues of TBI and suicides. With more knowledge of these
issues, communities will be better equipped to assist these service
members/veterans with their transition. Rocky Mountain Human Services will
be expanding into the surrounding 10 states in the future with the hope of
continuing to generate awareness of the issues facing service
members/veterans.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain injury
society
traumatic brain injury
EMTREE MEDICAL INDEX TERMS
army
assistive technology
case management
community
education
employment
family service
female
graduate
homelessness
hope
human
male
medical specialist
mental health
peer group
prevention
social adaptation
soldier
substance abuse
suicidal ideation
suicide
support group
United States
veteran
workplace
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71132020
DOI
10.1097/HTR.0b013e3182690d04
FULL TEXT LINK
http://dx.doi.org/10.1097/HTR.0b013e3182690d04
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 809
TITLE
Game addiction: Current situation and comprehensive management at division
of child and adolescent psychiatry, Siriraj Hospital
AUTHOR NAMES
Ratta-Apha W.
Pornnoppadol C.
Sitdhiraksa N.
Atsariyasing W.
AUTHOR ADDRESSES
(Ratta-Apha W.; Pornnoppadol C.; Sitdhiraksa N.; Atsariyasing W.) Department
of Psychiatry, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
CORRESPONDENCE ADDRESS
W. Ratta-Apha, Department of Psychiatry, Siriraj Hospital, Mahidol
University, Bangkok, Thailand.
SOURCE
Alcoholism: Clinical and Experimental Research (2012) 36 SUPPL.2 (27A). Date
of Publication: September 2012
CONFERENCE NAME
2012 International Society for Biomedical Research on Alcoholism World
Congress, ISBRA 2012
CONFERENCE LOCATION
Sapporo, Japan
CONFERENCE DATE
2012-09-09 to 2012-09-12
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Recently, Game and internet overuse is one of the leading behavioral
problems around in Thailand. The characteristics of these behavior problems
are similar to psychological addiction, pathological gambling and impulse
control disorder. Game and internet addiction significantly causes and be
associated factor with psychological and social problems. In adolescents
group, they are often related to physical symptoms and behavioral problems
in a clinical setting significantly such as increasing the risk of
aggressive behavior, poor academic performance etc. Furthermore, according
to the previous literatures, the information showed the relationship between
game addiction and alcohol and substance use problems in adolescent and
adult group. Using Game Addiction Screening test (GAST), prevalence of game
addiction in 4th - 9th grade students reported by Pornnoppadol C. and
colleagues in 2010 is 13.3%. According to the behavioral surveys by the
National Statistical Office of Thailand 2011, percentage of children and
adolescents who can use information and communication technologies increased
year by year especially in age group15 - 24 years. The survey found that
20.4% admitted that at least one of a family member play online game, and
34.6% of this group faced a problem associated with internet use and
academic problem. Pornnoppadol C. and colleagues developed the Game
Addiction Protection Scale (GAPS) and found the good internal consistency.
They also reported potentially able factors, which prevent computer game
addiction in children and adolescents i.e. 1) Individual factors: obedient,
responsible, and good self-discipline child, participated in many
extracurricular activities, 2) Family and parenting practice factors: more
quality time the parents provided to their children, attempt to teach
responsibility, strengthen good self-discipline, and 3) Environmental and
peer group factor: peer group participated in many extracurricular
activities. Moreover, to decrease the children's accessibility to play
computer games can be the protective factors for game addiction. Division of
Child and Adolescent Psychiatry, Department of Psychiatry, Faculty of
Medicine Siriraj Hospital also focused on these problems. Not only
evaluated, diagnosed and treated the patients, the division's
multidisciplinary team staff also initiated the parent management training
program for game addiction, and collaborated with Thai health promotion
foundation developed website for being the source of psycho-education and
prevention for these problems (www.healthygamer.net). In conclusion, we hope
that in the near future Thailand, as well as our department will emphasize
on this issue in all levels; the policy, knowledge of researches as well as
development of the effective management in these behavioral addiction
problems.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
child
child psychiatry
hospital
human
medical research
society
EMTREE MEDICAL INDEX TERMS
academic achievement
adolescent
adult
aggression
behavior disorder
child parent relation
computer
education
health promotion
hope
impulse control disorder
internal consistency
Internet
internet addiction
interpersonal communication
non profit organization
parent
pathological gambling
patient
peer group
policy
prevalence
prevention
protection
psychiatry
responsibility
risk
screening test
social problem
student
technology
Thailand
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70966290
DOI
10.1111/j.1530-0277.2012.01917.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2012.01917.x
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 810
TITLE
Rehabilitation program at a hospital for substance addiction in Japan
AUTHOR NAMES
Aoyama K.U.
Nakagawa M.
Kurosawa F.
Ishii T.
Takahashi Y.
Horiuchi E.
Hayasaka T.
Kawasoe Y.
AUTHOR ADDRESSES
(Aoyama K.U.; Nakagawa M.; Kurosawa F.; Ishii T.; Takahashi Y.; Horiuchi E.;
Hayasaka T.; Kawasoe Y.) Kanagawa Psychiatric Center Serigaya Hospital,
2-3-1, Seriygaya, Konan-ku, Yokohama, Kanagawa, Japan.
CORRESPONDENCE ADDRESS
K.U. Aoyama, Kanagawa Psychiatric Center Serigaya Hospital, 2-3-1,
Seriygaya, Konan-ku, Yokohama, Kanagawa, Japan.
SOURCE
Alcoholism: Clinical and Experimental Research (2012) 36 SUPPL.2 (32A). Date
of Publication: September 2012
CONFERENCE NAME
2012 International Society for Biomedical Research on Alcoholism World
Congress, ISBRA 2012
CONFERENCE LOCATION
Sapporo, Japan
CONFERENCE DATE
2012-09-09 to 2012-09-12
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Serigaya Hospital is a prefectural hospital that specializes in treating
substance addiction. There are various programs available, such as lectures,
group psychotherapy, occupational therapy, social skill training, physical
exercising and family therapy. This hospital is also closely connected to
self-help groups. Since the number of psychiatric care programs for drug
addiction is limited in Japan, long-term rehabilitation is highly dependent
on self-help groups such as Drug Addiction Rehabilitation Center (DARC) and
Narcotics Anonymous (NA). For their long-term recovery, patients are advised
to join self-help groups during their treatment. However, there are patients
who have difficulty adjusting to self-help groups. The objective of this
study is to overview the inpatient demographic of Serigaya Hospital in order
to implement an effective program for those who have not yet adjusted to a
self-help group. Seventy-one patients with drug addiction (51 male, 20
female) were hospitalized during August 2010 to July 2011. Among them, 46.5%
were addicted to methamphetamine, 31.0% were addicted to prescriptive drugs
followed by antitussive drugs, cannabis or organic solvents. The average
years of education of patients on prescriptive drugs was 12.6 while that of
patients on methamphetamine was 10.9. Only 18.2 % of patients on
prescriptive drug had criminal records while 60.7% of patients on
methamphetamine addiction had criminal records. It is suggested that the
difference in backgrounds may contribute the patient's difficulty with
joining traditional self-help groups. The Serigaya Methamphetamine Relapse
Prevention Program (SMARPP) was developed in 2006 based on the Matrix Model,
which was started in the United States. The program consists of 16 sessions,
held once a week and an informative workbook is used in the group cognitive
behavioral therapy. Inpatients with both legal and illegal drug addiction
participate in the SMARPP when they are admitted to the hospital. The
workbook used in the program describes all drugs as “drug” and can deal with
any kind of substance. 22.7% of Patients with prescriptive drug addiction
finished the entire program while those who have a methamphetamine addiction
was only 9.1%. Upon interviewing the patients several commented that a drug,
whether legal or illegal, is still a drug and misuse is misuse. Some
considered joining traditional self-help group during SMARPP. Some are still
not familiar with those groups, but participated in SMARPP till the
completion of the program. The study shows that SMARPP, in the medical
setting, can be effective both for legal and illegal drugs addiction.
EMTREE DRUG INDEX TERMS
antitussive agent
cannabis
illicit drug
methamphetamine
narcotic agent
organic solvent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
hospital
Japan
medical research
rehabilitation
society
EMTREE MEDICAL INDEX TERMS
cognitive therapy
drug dependence
education
family therapy
female
group therapy
hospital patient
human
male
mental health care
model
occupational therapy
offender
patient
prevention
rehabilitation center
relapse
self help
social adaptation
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70966310
DOI
10.1111/j.1530-0277.2012.01917.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2012.01917.x
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 811
TITLE
The relationship between substance abuse treatment completion,
sociodemographics, substance use characteristics, and criminal history.
AUTHOR NAMES
Turan R.
Yargic I.
AUTHOR ADDRESSES
(Turan R.) Department of English Language and Literature, Faculty of Arts
and Sciences, Yeditepe University, Istanbul, Turkey.
(Yargic I.)
CORRESPONDENCE ADDRESS
R. Turan, Department of English Language and Literature, Faculty of Arts and
Sciences, Yeditepe University, Istanbul, Turkey.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:2 (92-98). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
The purpose of this study is to determine if a significant relationship
exists between the sociodemographics, substance use characteristics,
criminal history, and completion of substance abuse treatment. In this
study, 115 individuals being monitored for substance abuse treatment on
probation at the Probation and Help Center under the Republic of Turkey's
Ministry of Justice's Chief Public Prosecutor's Office of Istanbul were
included successively between the dates of April 2008 and April 2009. During
a 24-week follow-up, individuals whose urine analyses were clean 6 times
consecutively were considered to have completed the treatment successfully.
To determine the effect of sociodemographic factors and substance use
characteristics on treatment completion, a semistructured sociodemographic
data survey was used. Also, the participants' criminal records were
examined. A total of 115 people participated in the study. One hundred ten
(95.7%) of them were male. Sixty-eight (59.1%) of the participants had
completed treatment. Age group, education level, age of onset for substance
use, number of substances used, employment status, and criminal records
showed a significant difference between treatment completers and
noncompleters. When a logistic regression analysis was done, only number of
substances used and criminal record (other than drug possession) were
significantly different for the 2 groups. The current treatment program for
polysubstance users and individuals with a criminal record is insufficient.
It is necessary that treatment systems be developed so they can be
beneficial for these types of patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation, therapy)
offender
EMTREE MEDICAL INDEX TERMS
adult
article
female
follow up
human
male
psychological aspect
socioeconomics
statistical model
substance abuse
treatment outcome
Turkey (republic)
urinalysis
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22489580 (http://www.ncbi.nlm.nih.gov/pubmed/22489580)
PUI
L365456808
DOI
10.1080/08897077.2011.630948
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.630948
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 812
TITLE
Developing and implementing a multispecialty graduate medical education
curriculum on Screening, Brief Intervention, and Referral to Treatment
(SBIRT).
AUTHOR NAMES
Tetrault J.M.
Green M.L.
Martino S.
Thung S.F.
Degutis L.C.
Ryan S.A.
Martel S.
Pantalon M.V.
Bernstein S.L.
O'Connor P.G.
Fiellin D.A.
D'Onofrio G.
AUTHOR ADDRESSES
(Tetrault J.M.) Department of Internal Medicine, Yale University School of
Medicine, New Haven, Connecticut 06510, USA.
(Green M.L.; Martino S.; Thung S.F.; Degutis L.C.; Ryan S.A.; Martel S.;
Pantalon M.V.; Bernstein S.L.; O'Connor P.G.; Fiellin D.A.; D'Onofrio G.)
CORRESPONDENCE ADDRESS
J.M. Tetrault, Department of Internal Medicine, Yale University School of
Medicine, New Haven, Connecticut 06510, USA. Email:
jeanette.tetrault@yale.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:2 (168-181). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
The authors sought to evaluate the feasibility and acceptability of
initiating a Screening, Brief Intervention, and Referral to Treatment
(SBIRT) for alcohol and other drug use curriculum across multiple residency
programs. SBIRT project faculty in the internal medicine (traditional,
primary care internal medicine, medicine/pediatrics), psychiatry, obstetrics
and gynecology, emergency medicine, and pediatrics programs were trained in
performing and teaching SBIRT. The SBIRT project faculty trained the
residents in their respective disciplines, accommodating discipline-specific
implementation issues and developed a SBIRT training Web site.
Post-training, residents were observed performing SBIRT with a standardized
patient. Measurements included number of residents trained, performance of
SBIRT in clinical practice, and training satisfaction. One hundred and
ninety-nine residents were trained in SBIRT: 98 internal medicine, 35
psychiatry, 18 obstetrics and gynecology, 21 emergency medicine, and 27
pediatrics residents. To date, 338 self-reported SBIRT clinical encounters
have occurred. Of the 196 satisfaction surveys completed, the mean
satisfaction score for the training was 1.60 (1 = very satisfied to 5 = very
dissatisfied). Standardized patient sessions with SBIRT project faculty
supervision were the most positive aspect of the training and length of
training was a noted weakness. Implementation of a graduate medical
education SBIRT curriculum in a multispecialty format is feasible and
acceptable. Future efforts focusing on evaluation of resident SBIRT
performance and sustainability of SBIRT are needed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, prevention)
alcoholism (diagnosis, therapy)
curriculum
mass screening
medical education
EMTREE MEDICAL INDEX TERMS
article
evaluation study
feasibility study
government
health care quality
human
methodology
organization and management
patient referral
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22489589 (http://www.ncbi.nlm.nih.gov/pubmed/22489589)
PUI
L365456817
DOI
10.1080/08897077.2011.640220
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640220
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 813
TITLE
Using standardized patients in continuing medical education courses on
proper prescribing of controlled substances.
AUTHOR NAMES
Swiggart W.H.
Ghulyan M.V.
Dewey C.M.
AUTHOR ADDRESSES
(Swiggart W.H.) Department of Medicine, Center for Professional Health,
Vanderbilt University School of Medicine, Nashville, Tennessee 37232-4300,
USA.
(Ghulyan M.V.; Dewey C.M.)
CORRESPONDENCE ADDRESS
W.H. Swiggart, Department of Medicine, Center for Professional Health,
Vanderbilt University School of Medicine, Nashville, Tennessee 37232-4300,
USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:2 (182-185). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
Controlled prescription drug (CPD) abuse is an increasing threat to patient
safety and health care providers (HCPs) are not adequately prepared nor do
they routinely employ proper screening techniques. Using standardized
patients (SPs) as an instructional strategy, the trained physicians on
proper prescribing practices and SBIRT (Screening, Brief Intervention, and
Referral to Treatment) in a continuing medical education (CME) course. The
authors compared two physician cohorts receiving standard CME course
(control) versus CME plus SP practice. They measured knowledge and attitudes
in all participants and skills and perceived competence in the SP group
only. Knowledge and attitudes improved significantly for both groups.
Screening behaviors for CPD use also improved. Participants overestimated
their performance but increased their use of SBIRT with practice. The SP
comfort levels with physician's competence improved after 2 practice
sessions. Standardized patients can be an effective teaching tool in CME
courses. Impact on knowledge or attitudes did not increase significantly
over controls.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
clinical practice
medical education
substance abuse
teaching
EMTREE MEDICAL INDEX TERMS
article
comparative study
female
human
male
methodology
middle aged
patient referral
patient safety
prospective study
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22489590 (http://www.ncbi.nlm.nih.gov/pubmed/22489590)
PUI
L365456818
DOI
10.1080/08897077.2011.640217
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640217
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 814
TITLE
Naphthalene addiction.
AUTHOR NAMES
Praharaj S.K.
Kongasseri S.
AUTHOR ADDRESSES
(Praharaj S.K.) Department of Psychiatry, Kasturba Medical College, Manipal,
Karnataka, India.
(Kongasseri S.)
CORRESPONDENCE ADDRESS
S.K. Praharaj, Department of Psychiatry, Kasturba Medical College, Manipal,
Karnataka, India. Email: samirpsyche@yahoo.co.in
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:2 (189-190). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
Inhalant abuse such as kerosene, petrol, gasoline, and typewriter correction
fluid has been reported from India. Naphthalene or mothballs, a commonly
used substance in households and freely available in the market is an
uncommon form of inhalant abuse which may lead to severe medical
complications. We report an adolescent with addiction to naphthalene balls
who developed severe anemia.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naphthalene derivative (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
anemia
inhalant abuse (complication)
EMTREE MEDICAL INDEX TERMS
adult
article
case report
chemically induced disorder
female
human
India
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22489592 (http://www.ncbi.nlm.nih.gov/pubmed/22489592)
PUI
L365456820
DOI
10.1080/08897077.2011.634966
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.634966
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 815
TITLE
Federal plan for prescriber education on opioids misses opportunities
AUTHOR NAMES
Becker W.C.
Fiellin D.A.
AUTHOR ADDRESSES
(Becker W.C., william.becker@yale.edu) Yale University School of Medicine,
367 Cedar Street, PO Box 208056, New Haven, CT 06520-8056, United States.
(Fiellin D.A.)
CORRESPONDENCE ADDRESS
W. C. Becker, Yale University School of Medicine, 367 Cedar Street, PO Box
208056, New Haven, CT 06520-8056, United States. Email:
william.becker@yale.edu
SOURCE
Annals of Internal Medicine (2012) 157:3 (205-206). Date of Publication:
20120807
ISSN
0003-4819
1539-3704 (electronic)
BOOK PUBLISHER
American College of Physicians, 190 N. Indenpence Mall West, Philadelphia,
United States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
prescription
EMTREE MEDICAL INDEX TERMS
article
drug control
drug industry
food and drug administration
funding
government
health care policy
human
opiate addiction
pain (drug therapy)
physician
priority journal
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012469808
MEDLINE PMID
22868838 (http://www.ncbi.nlm.nih.gov/pubmed/22868838)
PUI
L365403736
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 816
TITLE
The impact of training within a comprehensive dual diagnosis strategy: The
Combined Psychosis and Substance Use (COMPASS) experience
AUTHOR NAMES
Copello A.
Walsh K.
Graham H.
Tobin D.
Fellows S.
Griffith E.
Day E.
Birchwood M.
AUTHOR ADDRESSES
(Copello A., a.g.copello@bham.ac.uk; Walsh K.; Graham H.; Tobin D.; Fellows
S.; Griffith E.; Day E.; Birchwood M.) COMPASS Programme, Orsborn House, 55
Terrace Road, Handsworth, Birmingham, B19 1BP, United Kingdom.
(Copello A., a.g.copello@bham.ac.uk; Graham H.; Griffith E.; Birchwood M.)
School of Psychology, University of Birmingham, Edgbaston, B15 2TT, United
Kingdom.
(Day E.) Department of Psychiatry, University of Birmingham, The Barberry,
Vincent Drive, Birmingham B15 2FG, United Kingdom.
CORRESPONDENCE ADDRESS
A. Copello, COMPASS Programme, Orsborn House, 55 Terrace Road, Handsworth,
Birmingham, B19 1BP, United Kingdom. Email: a.g.copello@bham.ac.uk
SOURCE
Mental Health and Substance Use: Dual Diagnosis (2012) 5:3 (206-216). Date
of Publication: 1 Aug 2012
ISSN
1752-3281
1752-3273 (electronic)
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
This article is a service report based on the experience of the Combined
Psychosis and Substance Use Programme (COMPASS), which aims to provide
integrated treatment for people who experience coexisting mental health and
substance use problems. A fundamental role of the service is to deliver a
structured training package based on a Cognitive-Behavioural Integrated
Treatment approach to staff within mental health services. We aimed to
establish whether the needs of staff prior to training were consistent
across various service areas and whether our training package can enhance
staff confidence and skills to work with this client group. The final aim
was to consider if confidence and skills can be maintained over an extended
period of time. This article is based on service evaluation data collected
between the late 1990s and 2011. Data that had been collected from staff
across diverse service areas within a large Mental Health Trust in the UK
were analysed. There was a high degree of consistency across the service
areas. Prior to training staff expressed interest in combined psychosis and
substance use problems and felt that it was part of their role to work with
this client group. However they also reported that their knowledge of and
competence in the area could be improved. Following the receipt of training
staff confidence significantly increased and remained high at our most
recent follow up 10 years later. The different strands of evidence provide
robust support for the aims of our work. Specifically the significant role
of training and continued support and supervision in increasing the
confidence and skills of mental health staff responding to combined mental
health and substance use problems. © 2012 Copyright Taylor and Francis
Group, LLC.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diagnosis
dual diagnosis
medical education
mental disease
substance abuse
EMTREE MEDICAL INDEX TERMS
article
comorbidity
human
medical staff
mental health service
priority journal
professional competence
professional development
professional knowledge
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012426528
PUI
L365281531
DOI
10.1080/17523281.2012.660191
FULL TEXT LINK
http://dx.doi.org/10.1080/17523281.2012.660191
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 817
TITLE
Evidence that smoking bans affect smoking culture in a large Irish teaching
hospital, St. Vincent's University Hospital 1998-2011
AUTHOR NAMES
Gilroy I.
Doherty K.
Comerford D.
Clarke A.
Daly L.
Fitzpatrick P.
Kelleher C.C.
AUTHOR ADDRESSES
(Gilroy I.; Doherty K.; Comerford D.; Clarke A.; Daly L.; Fitzpatrick P.;
Kelleher C.C.) Department of Preventive Medicine and Health Promotion, St.
Vincent's University Hospital, Elm Park, Dublin, Ireland.
(Clarke A.; Daly L.; Fitzpatrick P.; Kelleher C.C.) UCD School of Public
Health, Physiotherapy and Population Science, University College Dublin,
Dublin, Ireland.
CORRESPONDENCE ADDRESS
I. Gilroy, Department of Preventive Medicine and Health Promotion, St.
Vincent's University Hospital, Elm Park, Dublin, Ireland.
SOURCE
Irish Journal of Medical Science (2012) 181 SUPPL. 4 (S110). Date of
Publication: August 2012
CONFERENCE NAME
Faculty of Public Health Medicine, Royal College of Physicians of Ireland -
Winter Scientific Meeting Abstracts 2011
CONFERENCE LOCATION
Dublin, Ireland
CONFERENCE DATE
2011-12-14 to 2011-12-14
ISSN
0021-1265
BOOK PUBLISHER
Springer London
ABSTRACT
There is limited evidence about the effect of passive smoking bans on active
smoking [1]. This paper describes how the national 2004 workplace smoking
ban and a 2009 smoke-free campus initiative both positively affected smoking
attitudes and behaviours among patients and staff in St. Vincent's
University Hospital. Surveys of patients (1998, 2002, 2004, 2006, 2010),
staff (2001, 2006, 2010), visitors and outpatients (2011) were combined. Of
3,622 participants (combined total), 61 % were female, 52 % were <50 years
old, with an average smoking rate of 21 %. Acceptability to participants of
both the 2004 and 2009 bans shifted significantly post introduction
(p<0.000). Since 1998, patient intention to quit has increased, with
patients showing greater intent now than staff (2010, 55 vs. 38 %
respectively). Both bans had a positive impact on patients' smoking habits
during hospital admission; 61 % (n = 38) in 2004 and 60 % (n = 19) in 2010
of current smokers said the bans had helped them to stop or reduce. In 2002,
before the indoors ban, 9.98 % of the patient population smoked, rising to
13.96 % in 2004 when allowed to smoke outdoors and reducing again to 9.36 %
after the outright ban in 2010 (p = 0.076). Universal awareness that passive
smoking damages health has risen steadily, across all demographic groups
from 82 % in 2004 to 95 % in 2011 (p<0.000). In 2011 21 % of respondents
reported that they were exposed to passive smoke in their homes and 11 % in
their car/truck. These findings show passive smoking bans do impact on
respondents' attitudes and on some active smoking behaviours.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
human
Ireland
physician
public health
smoking
smoking ban
teaching hospital
university hospital
winter
EMTREE MEDICAL INDEX TERMS
female
health
hospital admission
outpatient
passive smoking
patient
population
smoke
smoking habit
workplace
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71331536
DOI
10.1007/s11845-012-0838-1
FULL TEXT LINK
http://dx.doi.org/10.1007/s11845-012-0838-1
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 818
TITLE
Screening, brief intervention, and referral to treatment: public health
training for primary care.
AUTHOR NAMES
Marshall V.J.
McLaurin-Jones T.L.
Kalu N.
Kwagyan J.
Scott D.M.
Cain G.
Greene W.
Adenuga B.
Taylor R.E.
AUTHOR ADDRESSES
(Marshall V.J.) Howard University College of Medicine, Department of
Pharmacology, Washington, DC 20059, USA.
(McLaurin-Jones T.L.; Kalu N.; Kwagyan J.; Scott D.M.; Cain G.; Greene W.;
Adenuga B.; Taylor R.E.)
CORRESPONDENCE ADDRESS
V.J. Marshall, Howard University College of Medicine, Department of
Pharmacology, Washington, DC 20059, USA. Email: vjmarshall@howard.edu
SOURCE
American journal of public health (2012) 102:8 (e30-36). Date of
Publication: Aug 2012
ISSN
1541-0048 (electronic)
ABSTRACT
The purpose of this study was to elucidate changes in attitudes,
experiences, readiness, and confidence levels of medical residents to
perform screening, brief intervention, and referral to treatment (SBIRT) and
factors that moderate these changes. A cohort of 121 medical residents
received an educational intervention. Self-reported experience, readiness,
attitude, and confidence toward SBIRT-related skills were measured at
baseline and at follow-up. Analyses were conducted to evaluate the effects
of medical specialization. The intervention significantly increased
experience (P<.001), attitude (P<.05), readiness (P<.001), and confidence
(P<.001). Residents were more likely to report that their involvement
influenced patients' substance use. However, experience applying SBIRT
skills varied by country of birth, specialty, and baseline scores. This
study suggested that SBIRT training was an effective educational tool that
increased residents' sense of responsibility. However, application of skills
might differ by specialization and other variables. Future studies are
needed to explore and evaluate SBIRT knowledge obtained, within the context
of cultural awareness and clinical skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
attitude to health
medical education
public health
EMTREE MEDICAL INDEX TERMS
adult
article
cohort analysis
education
female
follow up
health promotion
human
male
patient referral
primary health care
questionnaire
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22698040 (http://www.ncbi.nlm.nih.gov/pubmed/22698040)
PUI
L365814416
DOI
10.2105/AJPH.2012.300802
FULL TEXT LINK
http://dx.doi.org/10.2105/AJPH.2012.300802
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 819
TITLE
New generation red and infrared therapeutic lasers in antiage treatments of
face and neck
AUTHOR NAMES
Efimova L.
Nikiforova E.
Kozhevnikov P.
AUTHOR ADDRESSES
(Efimova L.; Nikiforova E.; Kozhevnikov P.) Vitalaser GmbH, Hannover,
Germany.
CORRESPONDENCE ADDRESS
L. Efimova, Vitalaser GmbH, Hannover, Germany.
SOURCE
Photodiagnosis and Photodynamic Therapy (2012) 9 SUPPL. 1 (S18-S19). Date of
Publication: August 2012
CONFERENCE NAME
Laser Helsinki 2012 International Congress
CONFERENCE LOCATION
Helsinki, Finland
CONFERENCE DATE
2012-08-24 to 2012-08-29
ISSN
1572-1000
BOOK PUBLISHER
Elsevier
ABSTRACT
Introduction: Modern aesthetic medicine requires comprehensive technologies
to treat face and neck age-related changes. Therapeutic laser systems of new
generation are based on group of high power laser diodes sources and are
able to provide as high fluence as 300 mW/cm(2) which enable successfully
treat a wide range of cosmetic problems with immediate visible results
stored for a long period. The highest level of safety of so-called “cold
lasers” in combination with outstanding clinical results caused fast
integration of modern laser therapy in aesthetic medicine. Few clinical
trials performed in Russia with infrared and red therapeutic lasers
confirmed multilevel effects on face and neck structures - dermis,
hypodermis, lymphatic system and face muscles. Methods and Results:
Following effects of laser anti-age therapy got clinical confirmation with
high level of patient' s satisfaction and no side effects observed: Laser
lipolysis (650 nm, 35 mW/cm(2), 5 min per spot, 23 patients): reduction of
fat deposits under the chin and in lower face which change the natural face
form and cause excessive gravity effect on the skin Laser lymphatic drainage
(785 nm, 85-280 mW/cm(2), dynamic treatment, 19 patients): long term
elimination of oedemas, reduction of eye bags and dark circles under eyes,
efficient rehabilitation after cosmetic surgery with pain syndrome reduction
and prevention of hypertrophic scars and keloids. Laserophoresis of
hyaluronic acid based products with long lasting effects of deep skin
moisturizing fine wrinkles removal.and skin turgor improvement (85 mW/cm(2),
dynamic mode, 41 patients) Laser facelift (280 mW/sq. cm, dynamic mode, 17
patients): improvement of face and neckmuscles tone with no risk of
contracture and overstimulation Laser acupuncture: laser reflexotherapy
prolongs the effect of noninvasive face rejuvenation and provides a wide
range of efficient treatments - blood pressure and migraine pain reduction,
blocks tobacco and alcohol addiction and reduce hunger during he dietic
courses (280 mW/cm(2), 1 min per point, 22 patients). Conclusion: High power
of multidiode laser sources make treatment faster and more efficient
comparing to traditional cold lasers. The report provides a review of
clinical trials performed in Russia by National Alliance of Dermatologists
and Cosmetologists (Moscow) and Medical Clinic “EsteticClub” (St.
Petersburg) with double frequency laser system Vitalaser Plus, Germany.
EMTREE DRUG INDEX TERMS
cosmetic
hyaluronic acid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
infrared radiation
laser
neck
EMTREE MEDICAL INDEX TERMS
acupuncture
alcoholism
alternative medicine
blood pressure
chin
clinical trial (topic)
contracture
dermatologist
dermis
diode
edema
esthetic surgery
eye
face
face muscle
Germany
gravity
hospital
human
hunger
hypertrophic scar
keloid
lipid storage
lipolysis
low level laser therapy
lymphatic drainage
lymphatic system
migraine
pain
patient
prevention
rehabilitation
rejuvenation
risk
Russian Federation
safety
satisfaction
side effect
skin
skin turgor
subcutaneous tissue
technology
therapy
tobacco
wrinkle
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70933176
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 820
TITLE
Old dogs and new skills: How clinician characteristics relate to
motivational interviewing skills before, during, and after training
AUTHOR NAMES
Carpenter K.M.
Cheng W.Y.
Smith J.L.
Brooks A.C.
Amrhein P.C.
Wain R.M.
Nunes E.V.
AUTHOR ADDRESSES
(Carpenter K.M., carpent@nyspi.columbia.edu; Cheng W.Y.; Smith J.L.; Nunes
E.V.) Columbia University, College of Physicians and Surgeons, New York
State Psychiatric Institute, New York, NY, United States.
(Brooks A.C.) Treatment Research Institute, Philadelphia, PA, United States.
(Amrhein P.C.; Wain R.M.) Department of Psychology, Montclair State
University, Columbia University, United States.
CORRESPONDENCE ADDRESS
K.M. Carpenter, New York State Psychiatric Institute, 1051 Riverside Drive,
New York, NY 10032, United States. Email: carpent@nyspi.columbia.edu
SOURCE
Journal of Consulting and Clinical Psychology (2012) 80:4 (560-573). Date of
Publication: August 2012
ISSN
0022-006X
1939-2117 (electronic)
BOOK PUBLISHER
American Psychological Association Inc., 750 First Street, NE Washington,
United States.
ABSTRACT
Objective: The relationships between the occupational, educational, and
verbal-cognitive characteristics of health care professionals and their
motivational interviewing (MI) skills before, during, and after training
were investigated. Method: Fifty-eight community-based addiction clinicians
(M = 42.1 years, SD = 10.0; 66% Female) were assessed prior to enrolling in
a 2-day MI training workshop and being randomized to one of three
post-workshop supervision programs: live supervision via tele-conferencing
(TCS), standard tape-based supervision (Tape), or workshop training alone.
Audiotaped sessions with clients were rated for MI skillfulness with the
Motivational Interviewing Treatment Integrity (MITI) coding system v 2.0 at
pre-workshop and 1, 8, and 20 weeks post-workshop. Correlation coefficients
and generalized linear models were used to test the relationships between
clinician characteristics and MI skill at each assessment point. Results:
Baseline MI skill levels were the most robust predictors of pre-and
post-supervision performances. Clinician characteristics were associated
with MI Spirit and reflective listening skill throughout training and
moderated the effect of post-workshop supervision method on MI skill. TCS,
which provided immediate feedback during practice sessions, was most
effective for increasing MI Spirit and reflective listening among clinicians
with no graduate degree and stronger vocabulary performances. Tape
supervision was more effective for increasing these skills among clinicians
with a graduate degree. Further, TCS and Tape were most likely to enhance MI
Spirit among clinicians with low average to average verbal and abstract
reasoning performances. Conclusions: Clinician attributes influence the
effectiveness of methods used to promote the acquisition of evidence-based
practices among community-based practitioners. © 2012 American Psychological
Association.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
motivational interviewing
psychiatrist
EMTREE MEDICAL INDEX TERMS
article
audiovisual equipment
correlation coefficient
human
workshop
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013115938
MEDLINE PMID
22563640 (http://www.ncbi.nlm.nih.gov/pubmed/22563640)
PUI
L368358395
DOI
10.1037/a0028362
FULL TEXT LINK
http://dx.doi.org/10.1037/a0028362
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 821
TITLE
Alcohol and drug use disorders among adults in emergency department settings
in the United States
AUTHOR NAMES
Wu L.-T.
Swartz M.S.
Wu Z.
Mannelli P.
Yang C.
Blazer D.G.
AUTHOR ADDRESSES
(Wu L.-T., litzy.wu@duke.edu; Swartz M.S.; Mannelli P.; Blazer D.G.)
Department of Psychiatry and Behavioral Sciences, Duke University Medical
Center, Durham, NC, United States.
(Wu Z.) National Center for AIDS/STD Control and Prevention, Chinese Center
for Disease Control and Prevention, Beijing, China.
(Yang C.) Social Science Research Institute, Duke University, Durham, NC,
United States.
CORRESPONDENCE ADDRESS
L.-T. Wu, Department of Psychiatry and Behavioral Sciences, Duke University
Medical Center, Durham, NC, United States. Email: litzy.wu@duke.edu
SOURCE
Annals of Emergency Medicine (2012) 60:2 (172-180.e5). Date of Publication:
August 2012
ISSN
0196-0644
1097-6760 (electronic)
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
Study objective: Improving identification and treatment for substance use
disorders is a national priority, but data about various drug use disorders
encountered in emergency departments (EDs) are lacking. We examine past-year
substance use and substance use disorders (alcohol, 9 drug classes) among
adult ED users. Prevalences of substance use and substance use disorders
among ED nonusers are calculated for reference purposes. Methods: Using data
from the 2007 to 2009 National Surveys on Drug Use and Health, we assessed
substance use disorders among noninstitutionalized adults aged 18 years or
older who responded to standardized survey questions administered by audio
computer-assisted self-interviewing methods. Results: Of all adults
(N=113,672), 27.8% used the ED in the past year. ED users had higher
prevalences than ED nonusers of coexisting alcohol and drug use (15.2%
versus 12.1%), drug use (any drug, 16.9% versus 13.0%; marijuana, 12.1%
versus 9.7%; opioids, 6.6% versus 4.1%), and alcohol or drug disorders
(11.0% versus 8.5%). Among substance users, the ED group on average spent
more days using drugs than the non-ED group; ED users manifested higher
conditional rates of substance use disorders than ED nonusers (alcohol or
drugs, 15.9% versus 11.7%; marijuana, 16.6% versus 13.2%; cocaine, 33.2%
versus 22.3%; opioids, 20.6% versus 10.0%; stimulants, 18.6% versus 9.2%;
sedatives, 35.0% versus 4.4%; tranquilizers, 12.4% versus 5.2%). Regardless
of ED use status, substance-using young adults, men, and less-educated
adults showed increased odds of having a substance use disorder. Conclusion:
Drug use is prevalent and combined with high rates of drug use disorders
among drug users treated in the ED. © 2011 American College of Emergency
Physicians.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
central stimulant agent
cocaine
diamorphine
psychedelic agent
sedative agent
tranquilizer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
aged
article
cannabis addiction
clinical practice
computer aided design
cross-sectional study
emergency ward
female
human
major clinical study
male
opiate addiction
prevalence
priority journal
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012437678
MEDLINE PMID
22424657 (http://www.ncbi.nlm.nih.gov/pubmed/22424657)
PUI
L51912458
DOI
10.1016/j.annemergmed.2012.02.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2012.02.003
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 822
TITLE
An assessment of internal medicine resident and medical student knowledge of
addiction medicine
AUTHOR NAMES
Brown A.
Kolade V.
Patel N.
Staton L.
AUTHOR ADDRESSES
(Brown A.; Kolade V.; Patel N.; Staton L.) University of Tennessee, College
of Medicine Chattanooga, Chattanooga, United States.
CORRESPONDENCE ADDRESS
A. Brown, University of Tennessee, College of Medicine Chattanooga,
Chattanooga, United States.
SOURCE
Journal of General Internal Medicine (2012) 27 SUPPL. 2 (S119). Date of
Publication: July 2012
CONFERENCE NAME
35th Annual Meeting of the Society of General Internal Medicine, SGIM 2012
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2012-05-09 to 2012-05-12
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Approximately 30 million Americans suffer with addiction, and
nearly 7 million people misuse prescription medications. Further, addiction
complicates the management of co-morbid conditions. There are too few
addiction specialists in the United States and generalists are not well
versed in addiction disorders; as a result, many patients are not treated
adequately. In many medical schools and residency programs, lectures
regarding alcohol and drug addiction are limited. The objective of our study
was to assess and compare baseline knowledge among medical students and
residents in a community-based internal medicine residency program and
evaluate the impact of an addiction medicine curriculum on knowledge of
substance abuse disorders. We also compared knowledge of medical students
and residents from US medical schools to knowledge of international medical
school graduates (IMGs). METHODS: A pretest was administered via the
internet and in person to determine baseline knowledge of the subject. Study
subjects included internal medicine and transitional year residents, as well
as medical students who were enrolled in an internal medicine program at the
time of the lecture series. Participants were given four structured
sessions, one each week, on the topics of addiction, opioids, alcohol,
benzodiazepines and illicit stimulants. An expert panel discussion was also
convened. After the completion of the symposium the participants were
instructed to complete a posttest online to assess if learning had occurred.
ANOVA was used to compare means. Paired t-test was used to compare before
and after scores. RESULTS: Thirty-six (36) of 44 (81.8%) medical students
and medicine residents completed the pretest: internal medicine residents
fared the best with an average of 65.4%, while third year internal medicine
residents scored an average of 59.2%. Fourth year medical students scored
64%. Second year medicine residents averaged 62.3% and third year medical
students averaged 62.5%. For all medical students, the average score was
63.3%; for residents, the average score was 62.5%. United States graduates
averaged 65.0% correct while the average for international graduates was
58.6%. The differences between groups were not statistically significant. Of
the 36 participants, 20 (55.6%) completed both surveys. Posttest scores,
average 68.75%, were higher than pretest scores, which averaged 61.75%;
p=0.003. Among IMGs, the average score rose from 57.5% (pretest: range
35-75%) to 72.5% after the seminars (range 50-85%); all 6 participants had
higher posttest scores than pretest scores. Among the US trainees, the
average score rose was 63.6% on the pretest (range 55-70%) and 67.1% on the
posttest (range 45-85%); 8 of 14 (57.1%) participants had higher posttest
than pretest scores. CONCLUSIONS: There is room for improvement in the
knowledge base of medical students and residents concerning addiction
medicine. Knowledge gains can be demonstrated after structured sessions.
Similar studies in larger resident populations may elucidate specific
components of the curriculum that are most valuable.
EMTREE DRUG INDEX TERMS
alcohol
benzodiazepine derivative
central stimulant agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
human
internal medicine
medical student
society
EMTREE MEDICAL INDEX TERMS
analysis of variance
community
curriculum
diseases
drug dependence
drug therapy
graduate
Internet
knowledge base
learning
medical school
medical specialist
patient
population
prescription
student
Student t test
substance abuse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71296481
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 823
TITLE
A brief curricular intervention to improve screening and brief interventions
for substance abuse in the primary care setting does not improve performance
on a standardized patient assessment
AUTHOR NAMES
Wamsley M.A.
Batki S.L.
Dunlop M.
Julian K.
McCance-Katz E.
O'Sullivan P.S.
Satterfield J.
AUTHOR ADDRESSES
(Wamsley M.A.; Batki S.L.; Dunlop M.; Julian K.; McCance-Katz E.; O'Sullivan
P.S.; Satterfield J.) University of California, San Francisco, United
States.
(Batki S.L.) San Francisco Veterans Administration Medical Center, San
Francisco, United States.
CORRESPONDENCE ADDRESS
M.A. Wamsley, University of California, San Francisco, United States.
SOURCE
Journal of General Internal Medicine (2012) 27 SUPPL. 2 (S100). Date of
Publication: July 2012
CONFERENCE NAME
35th Annual Meeting of the Society of General Internal Medicine, SGIM 2012
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2012-05-09 to 2012-05-12
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: The need for screening and brief intervention for substance use
disorders (SUDs) in primary care settings is widely recognized. Barriers
include inadequate provider skills and lack of confidence. The optimal
format for curricular interventions to address barriers remains unclear. We
implemented a 3 hour Screening, Brief Intervention and Referral to Treatment
(SBIRT) curriculum for internal medicine (IM) residents using a Team-based
Learning (TBL) format. The TBL format was selected for its adherence to
educational principles and active learning. The objective of our study was
to evaluate the impact of the curriculum on resident SBIRT skills, knowledge
and confidence using a standardized patient (SP) assessment. METHODS: This
study took place at an academic residency training program. 54 PGY2 and PGY3
IM residents participated. 26 residents participated in the SP assessment
prior to the curriculum (control group) and 29 participated in the SP
assessment after the curriculum (experimental group). The SP assessment
consisted of 3 twenty-minute encounters with a patient with at-risk alcohol
use, alcohol dependence or prescription opioid misuse. SPs evaluated
residents on history(HX), information sharing(IS), and patient-physician
interaction(PPI) and a single-item to assess overall satisfaction(OS) with
the resident. Individual and mean scores for each case were calculated for
each of the domains(HX,IS,PPI,OS) and a mean summary score for each domain
was calculated for all cases. After the SP assessment, residents completed
surveys about their satisfaction with the SP assessment and confidence in
performing SBIRT. Residents were surveyed about their satisfaction with the
TBL curriculum. T-tests were performed to detect differences between
experimental and control groups. RESULTS: Therewere no statistically
significant differences between control and experimental groups on the mean
scores for each case in the four domains (HX,IS, PPI,OS) or in the mean
summary scores (HX,IS,PPI,OS) for all cases combined. For HX items,
residents received 54% of the total points possible (experimental) vs 61%
(control; p=.05) and for IS, residents received overall scores of 72%
(experimental) vs 67% (control; p=.78). PPI and OS for both groups were
rated as good to very good. HX and IS scores were lowest for the
prescription opioid misuse case. Resident confidence in screening for drugs
[mean=3.93 vs 3.45 (1=strongly disagree, 5=strongly agree), p=.013] and
alcohol (mean=4.24 vs 3.66, p=.002), assessing stage of behavioral change
(mean=4.21 vs 3.34, p<.001) and making treatment plans for patients with
SUDs (mean=3.90 vs. 2.90, p<.001) was significantly higher in the
experimental group. Residents in the experimental group were more likely to
say they would recommend the SP assessment to a colleague (mean=3.41 vs
2.83, p=.04). Both groups were close to neutral on whether they would
recommend the TBL training to a colleague. CONCLUSIONS: A 3 hour TBL session
improved resident confidence in their SBIRT skills, but did not improve
SBIRT skills as measured by a SP assessment. Resident SBIRT skills in both
the experimental and control groups showed room for improvement in all areas
(HX,IS,PPI, OS) with a particular need for improvement in handling
prescription opioid misuse. Overall satisfaction with SP assessment and the
TBL curriculum was positive. A more intensive curriculum with opportunities
to practice skills and receive feedback over time may be required to improve
behavioral skills.
EMTREE DRUG INDEX TERMS
alcohol
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
internal medicine
patient assessment
primary medical care
screening
society
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol consumption
alcoholism
behavior change
control group
curriculum
feedback system
learning
patient
physician
prescription
residency education
risk
satisfaction
skill
Student t test
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71296438
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 824
TITLE
The crimson care collaborative chelsea clinic: Integrating medical, mental,
and social healthcare for post-incarceration and urgent care patients in a
student-faculty clinic
AUTHOR NAMES
Mallampati D.
Knudsen J.
Cohen M.J.
Cunningham J.
Lee C.-M.
Ticona L.
Ignacio R.B.
Bollman B.
AUTHOR ADDRESSES
(Mallampati D.; Knudsen J.; Cohen M.J.; Cunningham J.; Lee C.-M.; Ticona L.;
Bollman B.) Harvard Medical School, Cambridge, United States.
(Mallampati D.; Knudsen J.; Cohen M.J.; Cunningham J.; Lee C.-M.; Ticona L.;
Ignacio R.B.; Bollman B.) Massachusetts General Hospital, Boston, United
States.
CORRESPONDENCE ADDRESS
D. Mallampati, Harvard Medical School, Cambridge, United States.
SOURCE
Journal of General Internal Medicine (2012) 27 SUPPL. 2 (S568-S569). Date of
Publication: July 2012
CONFERENCE NAME
35th Annual Meeting of the Society of General Internal Medicine, SGIM 2012
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2012-05-09 to 2012-05-12
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
NEEDS AND OBJECTIVES: Social determinants of health influence outcomes both
in exam rooms and in the community, yet medical students receive little
exposure to social medicine in practice. In addition, students are rarely
able to explore innovative models of primary care. A new
student-resident-faculty collaborative clinic at Massachusetts General
Hospital's Chelsea Community Health Center (MGH-Chelsea) and Harvard Medical
School (HMS) therefore seeks to educate medical students by enabling them to
design comprehensive primary care strategies that deliver effective care to
two underserved populations: people returning to Chelsea post-incarceration
and frequent urgent care users without a usual provider. SETTING AND
PARTICIPANTS: In October 2011 HMS expanded its student-faculty clinic model,
the Crimson Care Collaborative (CCC), to a new site at an MGH-Chelsea. This
new clinic provides students with a valuable opportunity to care for
vulnerable populations, explore social medicine in practice, and understand
how medical teams implement new strategies to enhance patient-centered care.
Our integrative model trains students to address the socioeconomic barriers
to their patients' health and the unique health care needs of two
underserved populations. DESCRIPTION: We have developed a unique clinic
structure to address the strong need for coordinated primary care, mental
health care, and social services in our populations. Patients first meet
with a social services navigator, a student who screens the patient for
non-clinical issues that might impact their overall health, such as food
security, employment, and legal issues. The patient next meets with student
and faculty clinicians to establish a longitudinal primary care
relationship. Finally, the social navigator returns to provide referrals to
relevant social services organizations and establish a follow-up plan.
Patients requiring additional mental health care are referred to our
co-located mental health team of two students and a psychiatry resident for
further assessment and management. In the future, our team will also
implement a patient education program for topics including substance abuse
and chronic disease. EVALUATION: The clinic team works together closely to
ensure that our socially complex patient populations have access to
appropriate, highquality services that meet both provider- and
patient-identified needs. To achieve this goal, our student roles extend
beyond the medical clinic. Students actively follow up with their patients
for medical and social services and are encouraged to develop strong
relationships with them. In addition, a student outreach contingent has
conducted structured interviews with non-profits in Chelsea and compiled an
online database of more than 20 local social service assistance programs for
use in our clinic. DISCUSSION / REFLECTION / LESSONS LEARNED: Since the
clinic's establishment in October 2011 we have provided care to more than 50
patients, one quarter of whom are transitioning into the community from
incarceration. Around 90% of our patients have received at least 1 social
services referral to a local organization, and 40% have been referred to and
seen by our mental health teams. Finally, more than 40 medical students and
5 residents have participated in the clinic's design and operations, and our
volunteer numbers continue to rise. Through our innovative, comprehensive
clinic model, we will continue to educate a new generation of
socially-minded, creative physicians familiar with new models of care while
providing care to two underserved populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care
hospital
human
internal medicine
patient
society
student
EMTREE MEDICAL INDEX TERMS
chronic disease
community
data base
education program
employment
exposure
follow up
food security
general hospital
health
health care need
health center
medical school
medical student
mental health
mental health care
model
organization
patient care
patient education
physician
population
primary medical care
profit
psychiatry
social determinants of health
social medicine
social work
structured interview
substance abuse
teamwork
United States
volunteer
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71297592
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 825
TITLE
An educational intervention to improve opiate prescribing practices in
resident clinic
AUTHOR NAMES
Snyder E.
Castiglioni A.
Estrada C.
You Z.
Kertesz S.
Schumacher J.E.
AUTHOR ADDRESSES
(Snyder E.; Castiglioni A.; Estrada C.; You Z.; Kertesz S.; Schumacher J.E.)
University of Alabama at Birmingham, Birmingham, United States.
(Snyder E.; Castiglioni A.; Estrada C.; Kertesz S.) Birmingham VA Medical
Center, Birmingham, United States.
CORRESPONDENCE ADDRESS
E. Snyder, University of Alabama at Birmingham, Birmingham, United States.
SOURCE
Journal of General Internal Medicine (2012) 27 SUPPL. 2 (S119-S120). Date of
Publication: July 2012
CONFERENCE NAME
35th Annual Meeting of the Society of General Internal Medicine, SGIM 2012
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2012-05-09 to 2012-05-12
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Prescription of chronic opiates is common in resident continuity
clinics. Based on prior research data documenting low comfort and lack of
key knowledge among internal medicine residents and faculty, we implemented
a multi-pronged educational intervention intended to improve comfort, self
efficacy, and knowledge of chronic opiate prescribing. METHODS: Our
intervention consisted of development and delivery of 1) educational posters
to each resident clinic site including standard recom- mendations and a
guide to urine drug test interpretation, 2) pocket cards to all residents
with similar information and 2) two large group lectures. Internal medicine
residents and teaching faculty at a single academic medical center were
surveyed pre- and post-intervention at intervals 18 months apart (each a
convenience sample of persons attending a required educational activity).
Using identical questions each time, the survey assessed: a) experience with
opiate management (5 items, 4-point Likert), b) comfort with both opiate
management (11 items) and tobacco/alcohol counseling (4 items, Likert
scale), c) self-efficacy (comparing current practice to ideal practice) and
d) knowledge related to typical opiate prescription management (anticipation
of correct drug screen results (10 items), and 15 true/false (T/F)
questions). Mean scores for the pre-intervention and post-intervention
samples were compared, adjusting for gender and training level. RESULTS: The
pre-intervention sample consisted of 48 participants (76% residents, 24%
faculty) while the post-intervention consisted of 39 (64% residents, 36%
faculty). Pre- to post, overall comfort with opiate management decreased
slightly from 32.2 (out of a possible 45, higher scores corresponding to
higher comfort) to 29.9 (p=0.09). There was no significant change in
selfefficacy (Pre: 27.4 (out of possible 40) vs Post: 28.8 (p=0.13). Prior
to our intervention, correct anticipation of standard urine drug screen
results was poor, scoring 5.8 (out of 10). Incorrect responses were
especially prevalent for fentanyl, demerol, and oxycodone (on this last
item, only 10% responded correctly). Post-intervention, knowledge increased
to 6.8 (p<0.01 unadjusted, and p=0.09 adjusting for gender and training
level). Correct anticipation of oxycodone results increased to 41%
(p<0.001). Knowledge rating on T/F questions increased from 12.1 (out of 15)
to 13.3 post-intervention (p=.002, adjusting for gender and training level).
CONCLUSIONS: A relatively modest intervention consisting of lectures,
posters, and pocket cards helped to close key knowledge gaps, but did not
improve comfort. This discomfort may be appropriate, however, as our
intervention may have alerted learners to previously unrecognized levels of
complexity in chronic opiate prescribing.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
fentanyl
oxycodone
pethidine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital
internal medicine
society
EMTREE MEDICAL INDEX TERMS
comfort
convenience sample
counseling
gender
human
Likert scale
prescription
self concept
teaching
university hospital
urine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71296485
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 826
TITLE
Recovering substance-impaired pharmacists' views regarding occupational
risks for addiction
AUTHOR NAMES
Merlo L.J.
Cummings S.M.
Cottler L.B.
AUTHOR ADDRESSES
(Merlo L.J., lmerlo@ufl.edu; Cummings S.M.; Cottler L.B.) School of
Medicine, Washington University, St. Louis, MO, United States.
(Merlo L.J., lmerlo@ufl.edu) College of Medicine, University of Florida, Box
100183, Gainesville, FL 32610, United States.
(Cummings S.M.) Numeroff and Associates, St. Louis, MO, United States.
(Cottler L.B.) College of Public Health and Health Professions, College of
Medicine, University of Florida, Gainesville, FL, United States.
CORRESPONDENCE ADDRESS
L.J. Merlo, College of Medicine, University of Florida, Box 100183,
Gainesville, FL 32610, United States. Email: lmerlo@ufl.edu
SOURCE
Journal of the American Pharmacists Association (2012) 52:4 (480-491). Date
of Publication: July-August 2012
ISSN
1544-3191
1544-3450 (electronic)
BOOK PUBLISHER
American Pharmacists Association, 2215 Constitution Avenue NW, Washington,
United States.
ABSTRACT
Objective: To better understand the occupational risks for substance use
disorders among pharmacists and possibilities for improved prevention.
Design: Descriptive, nonexperimental, cross-sectional study. Setting: A
southeastern state from December 2008 to April 2009. Participants: 32
participants (72.7% men) from the impaired professionals monitoring groups
in the geographic regions within the state that had the greatest number of
physicians, pharmacists, and allied health professionals currently under
monitoring contracts for substance use disorders. Intervention: Guided group
discussions regarding substance use among health care providers. Main
outcome measures: Persistent occupational risks for development of a
substance use disorder among pharmacists. Results: Several occupational
hazards unique to the pharmacy profession might contribute to the problem of
substance use disorders among some members of this population, including
increased access to potent drugs of abuse, a stressful/unpleasant working
environment, a culture that unofficially condones medication diversion, lack
of education related to addiction, and lack of support for individuals
seeking treatment. Conclusion: These results have important implications for
the education of student pharmacists, the continuing education of licensed
pharmacists, and the management of pharmacies in which these individuals
work. Given the potential occupational risks for substance abuse associated
with the pharmacy profession, additional training, monitoring, changes to
the work environment, and increased confidential access to treatment may be
needed to safeguard pharmacy professionals and the communities they serve.
EMTREE DRUG INDEX TERMS
anxiolytic agent
opiate
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
occupational hazard
pharmacist
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
continuing education
cross-sectional study
female
health care personnel
human
major clinical study
male
medical education
occupational therapist
physician
respiratory therapist
work environment
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013810262
MEDLINE PMID
22825228 (http://www.ncbi.nlm.nih.gov/pubmed/22825228)
PUI
L370537114
DOI
10.1331/JAPhA.2012.10214
FULL TEXT LINK
http://dx.doi.org/10.1331/JAPhA.2012.10214
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 827
TITLE
The association of criminal history and psychiatric diseases in juvenile
delinquents with substance use history in rectification education
AUTHOR NAMES
Li K.
Chen C.
AUTHOR ADDRESSES
(Li K.; Chen C.) Department of Child and Adolescent Psychiatry, Taoyuan
Mental Hospital, Taoyuan County, Taiwan.
CORRESPONDENCE ADDRESS
K. Li, Department of Child and Adolescent Psychiatry, Taoyuan Mental
Hospital, Taoyuan County, Taiwan.
SOURCE
Neuropsychiatrie de l'Enfance et de l'Adolescence (2012) 60:5 SUPPL. 1
(S244-S245). Date of Publication: July 2012
CONFERENCE NAME
20th World Congress of the International Association for Child and
Adolescent Psychiatry and Allied Professions, IACAPAP 2012
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2012-07-21 to 2012-07-25
ISSN
0222-9617
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Objective.- The role of mental health in the prevention of juvenile
delinquency is an important issue of concern but lack of data and evidence.
In Taiwan, there were 550∼650 new juveniles sent to reform school every
year. Some of them had experiences of substance use in the past. However,
few data was known about the correlation between criminal history, substance
use, and psychiatric comorbidity. Our research targeted at the field to have
thorough understanding for future intervention. Methods.- Subjects in this
study included all sixty male juveniles claimed with illicit substance abuse
history, who entered reform school in northern Taiwan in 2007. The
participants were asked to complete a questionnaire including demographic
features, history of schooling, substance use, crime, work, friends, and sex
experiences etc and a K-SADS-E Chinese version assessment. The K-SADS-E
Chinese version was a semi-structure interview carried out by a trained and
certified child and adolescent psychiatrist to use as a diagnostic tool for
mental health disorder. Six participants with missing data on the variables
of major interest, i.e., K-SADS-E interview data, criminal or substance use
experiences were excluded. The final samplewas 54, which resulted in an
overall completion rate of 90%. We divided the participants into two groups,
younger than 15 year-old and 15 year-old, according to their ages of first
criminal record. Besides, we also divided the participants into another two
group, younger than 15 year-old and 15 year-old, according to their ages of
first illicit substance use. Chi-square tests using SPSS 16.0 were used to
test for an association between each independent variable and dependent
variable. A P value of less than 0.05 was considered to be statistically
significant. Results.- All the juveniles recruited were male. Among the 54
participants, the mean age is 17.51±1.66 year-old while mean education
9.06±1.17 years. Over half of them had ever drop-out during the schooling
period. In the categories of criminal record, the first 3 major ones were
aggravated assault (46.3%), larceny (44.4%), and offending narcotic control
law (33.3%). The participants having first criminal record below 15 years
old tend to offend larceny and aggravated assault in younger age. In the
categories of substance, there were three-fifths ever using soft substance
such as tobacco (96.3%), alcohol (83.3%), and betel nut (66.7%). They were
also the first coming in time sequence. If the soft substance was not taken
into account, the first 3 major illicit substances were ketamine (77.8%),
MDMA (59.3%), and amphetamine (48.1%). The participants having first
criminal record below15 years old tend to use tobacco, alcohol, MDMA,
ketamine, marijuana, and amphetamine. According to K-SADS, over 60%
(three-fifths) of the participants met the criteria of substance use
disorders, including tobacco, alcohol, drug, and betel nut. If the substance
use disorders were not taken into account, the first three major psychiatric
diagnoses were CD/ODD (74.1%), depressive disorder (55.6%), and anxiety
disorder (38.9%). Conclusions.- Most of the juveniles delinquent having
substance use were poor academic performance and achievement during their
educational period. They tend to use substance and have criminal record
before 15 years old. However, the temporal sequence and correlation still
need further study to find adequate intervention in the period to prevent
the negative consequence.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
cannabis
ketamine
midomafetamine
narcotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child
child psychiatry
education
human
juvenile delinquency
mental disease
occupation
offender
substance use
EMTREE MEDICAL INDEX TERMS
academic achievement
achievement
adolescent
anxiety disorder
areca nut
assault
chi square test
comorbidity
crime
data analysis software
dependent variable
depression
diagnosis
diseases
friend
independent variable
interview
juvenile
male
mental health
prevention
psychiatric diagnosis
psychiatrist
questionnaire
Schedule for Affective Disorders and Schizophrenia
school
statistical significance
substance abuse
Taiwan
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71880762
DOI
10.1016/j.neurenf.2012.04.608
FULL TEXT LINK
http://dx.doi.org/10.1016/j.neurenf.2012.04.608
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 828
TITLE
Pilot analysis of incorporating resume training into addiction treatment
AUTHOR NAMES
Douglas J.
Drexler K.
AUTHOR ADDRESSES
(Douglas J.) Department of Psychiatry, Emory University School of Medicine,
United States.
(Drexler K.) Atlanta VA Medical Center, United States.
CORRESPONDENCE ADDRESS
J. Douglas, Department of Psychiatry, Emory University School of Medicine,
United States.
SOURCE
American Journal on Addictions (2012) 21:4 (397). Date of Publication:
July-August 2012
CONFERENCE NAME
22nd Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2011
CONFERENCE LOCATION
Scottsdale, AZ, United States
CONFERENCE DATE
2011-12-08 to 2011-12-11
ISSN
1055-0496
BOOK PUBLISHER
Wiley-Blackwell Publishing Ltd
ABSTRACT
Background: Gaining employment is recognized as an important protective
factor from relapsing on drugs and alcohol. However, few rehabilitation
programs train patients in resume writing, a crucial initial step to
securing employment. This pilot analysis examines the effects of
incorporating resume training into addiction treatment groups. Methods:
Seven male patients participating in an addiction treatment group through
the Atlanta VA Medical Center received a two hour resume training
presentation. Results from three standardized questions related to
employment on the Brief Assessment Monitor (BAM), a national survey used by
VA Medical Centers to measure addiction treatment outcomes, were collected
for each patient at intake and exit from the group. All BAMquestions were
multiple choice and scored on a scale of 0 to 4. The average score at intake
and exit for each question was calculated. These results were compared to a
control group of five patients who completed an addiction treatment group
with the same protocol but did not receive resume training. Results: Group
members who received resume instruction on average maintained their same
level of involvement in work, school, or volunteer activities for the
duration of their treatment group, while those that did not receive resume
instruction showed a decrease in these activities by 25.0%.Overall
satisfaction toward achieving recovery goals showed similar increases of
66.7% and 60.2% for the group that received resume instruction and the one
that did not, respectively. Conclusions: Patients who received resume
instruction, on average, maintained a higher level of involvement in
constructive vocation related activities and showed a similar increase in
overall satisfaction toward achieving their recovery goals, compared to
those that did not receive resume instruction. While this study was limited
by its small sample size, these results suggest that providing resume
instruction is associated with improvements in measurable factors that help
patients maintain their sobriety.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
psychiatry
EMTREE MEDICAL INDEX TERMS
control group
employment
human
male
multiple choice test
patient
rehabilitation
sample size
satisfaction
school
treatment outcome
vocation
volunteer
writing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70815324
DOI
10.1111/j.1521-0391.2012.00241.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2012.00241.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 829
TITLE
The association of substance use and sexual behaviors among juvenile
delinquents under rectification education in northern Taiwan
AUTHOR NAMES
Li K.
Chen C.
AUTHOR ADDRESSES
(Li K.; Chen C.) Department of Child and Adolescent Psychiatry, Taoyuan
Mental Hospital, Taoyuan County, Taiwan.
CORRESPONDENCE ADDRESS
K. Li, Department of Child and Adolescent Psychiatry, Taoyuan Mental
Hospital, Taoyuan County, Taiwan.
SOURCE
Neuropsychiatrie de l'Enfance et de l'Adolescence (2012) 60:5 SUPPL. 1
(S245). Date of Publication: July 2012
CONFERENCE NAME
20th World Congress of the International Association for Child and
Adolescent Psychiatry and Allied Professions, IACAPAP 2012
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2012-07-21 to 2012-07-25
ISSN
0222-9617
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Objective.- Substance use and sexual behavior in juveniles, both are illicit
in Taiwan. This study was to investigate different substance use among
juvenile delinquents and the association of different substance use with
specific sexual behaviors. Methods.- The study samples included 60 juveniles
from a certain reform school under rectification education. We enrolled them
in 2007 year-round. These entire participants had to fill in a
self-administered questionnaire and were interviewed individually by a
certified child&adolescent psychiatrist. Chi-square tests using SPSS 16.0
were performed to test for an association between each independent variable
and dependent variable. A P value of less than 0.05 was considered to be
statistically significant. Results.- All of the juveniles were male. Their
age was from 11.9 to 20.4 yearold, mean 17.5 year-old (SD: 1.65). The
average of education was 9 grades (SD: 1.2). Sixty-eight percent of the
juveniles had ever dropped out from school. Near half of them dropped out
for less than 6 months while 26.2% for more than 18 months. The parent
education stood as high school in majority. However, the marital status of
parents was married 25% only. The substance they used included tobacco,
alcohol, MDMA, glue, betel nut, ketamine, marijuana, amphetamine, cocaine
and heroin. Alcohol and ketamine users experience more romantic events. As a
result, higher frequency of sexual experience and also younger age in first
sexual experience were found in MDMA and ketamine users. More betel nut and
ketamine non-users are married. All above were found statistically
significant. All of the juveniles were male and heterosexuality.
Thirty-eight percent of them had 1-3 romantic events. Only 3.3% of them were
married, 8.3% cohabited with their girlfriends, and the rest were single.
Only 18.3% of them didn't have sexual experience, and the majority did. Up
to 43.3% had had sexual experience more than 10 times in the past. Thirty
percent of them had first sexual experience in their age of 14-16. Few of
them had contraception measures, including 16.7% used coitus interrupts,
43.3% used condom, and 11.7% used morning-after pill. 3.3% of them have
offspring. Conclusion.- Different substance users were found associated with
sexual behaviors differently. Whether the accessibility of different
substances at the site of sexual experiences or the property of different
substances such as those would enhance sexuality, influence the association
need further investigation. However, it is interest to view that different
drugs are associated with different sexual experiences.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
cannabis
cocaine
diamorphine
glue
ketamine
midomafetamine
postcoitus contraceptive agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child
child psychiatry
education
human
juvenile delinquency
occupation
sexual behavior
substance use
Taiwan
EMTREE MEDICAL INDEX TERMS
adolescent
areca nut
chi square test
coitus
condom
contraception
data analysis software
dependent variable
heterosexuality
high school
independent variable
juvenile
male
marriage
married person
parent
progeny
psychiatrist
questionnaire
school
sexuality
single (marital status)
statistical significance
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71880763
DOI
10.1016/j.neurenf.2012.04.609
FULL TEXT LINK
http://dx.doi.org/10.1016/j.neurenf.2012.04.609
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 830
TITLE
Editor's choice
AUTHOR NAMES
Martin-Hirsch P.
AUTHOR ADDRESSES
(Martin-Hirsch P.)
CORRESPONDENCE ADDRESS
P. Martin-Hirsch,
SOURCE
BJOG: An International Journal of Obstetrics and Gynaecology (2012) 119:8
(1-2). Date of Publication: July 2012
ISSN
1470-0328
1471-0528 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
misoprostol (drug comparison, drug therapy, sublingual drug administration)
oxytocin (drug comparison, drug therapy, intramuscular drug administration)
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
academic achievement
alcohol consumption
health practitioner
medical education
morbidity
parent
posthumous care
postpartum hemorrhage (drug therapy, drug therapy, prevention)
registration
stillbirth
surgical drainage
systematic review (topic)
twin pregnancy
uterine cervix cytology
vaginal hysterectomy
EMTREE MEDICAL INDEX TERMS
communication skill
developing country
disease severity
drug efficacy
editorial
environmental exposure
evidence based medicine
fetus death
gestational age
human
law
low drug dose
maternal welfare
mental disease
methodology
nervousness
parent counseling
patient care
patient counseling
perception
phase 3 clinical trial (topic)
postmenopause
pregnancy
premenopause
priority journal
professional knowledge
psychological aspect
randomized controlled trial (topic)
screening test
Wart virus
CAS REGISTRY NUMBERS
misoprostol (59122-46-2, 59122-48-4)
oxytocin (50-56-6, 54577-94-5)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012350257
PUI
L365044630
DOI
10.1111/j.1471-0528.2012.03415.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1471-0528.2012.03415.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 831
TITLE
Teaching methadone management strategies to medical students in a case-based
learning paradigm
AUTHOR NAMES
Jouney E.A.
Brower K.
AUTHOR ADDRESSES
(Jouney E.A.; Brower K.) University of Michigan, Department of Psychiatry,
United States.
CORRESPONDENCE ADDRESS
E.A. Jouney, University of Michigan, Department of Psychiatry, United
States.
SOURCE
American Journal on Addictions (2012) 21:4 (385). Date of Publication:
July-August 2012
CONFERENCE NAME
22nd Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2011
CONFERENCE LOCATION
Scottsdale, AZ, United States
CONFERENCE DATE
2011-12-08 to 2011-12-11
ISSN
1055-0496
BOOK PUBLISHER
Wiley-Blackwell Publishing Ltd
ABSTRACT
Background: The purpose of this project is to measure the effectiveness of a
case-based small group discussion format in teaching third-year medical
students the basics of methadone management in the medically hospitalized
opioid-dependent patient. Methadone is a drug that is often misunderstood,
and misrepresented, partly due to the negative stigmatization that plagues
the culture of methadone maintenance therapy. Most third-year medical
students do not possess the fundamental understandings ofmethadone
maintenance treatment, and also fail to recognize some of the legal and
often life-threatening pharmacological characteristics of this drug. These
misunderstandings can often lead to a multitude of adverse outcomes,
including iatrogenic drug overdose, the mismanagement of acute pain
syndromes in the methadone maintenance patient, and a failure to abide by
the basic legalities governing methadone maintenance treatment. Our
hypothesis is that a small group teaching session based on a case discussion
can facilitate the learning of these critical medical concepts in the target
population. Methods: 21 third-year medical students at the University of
Michigan were randomly divided into five cohorts, consisting of 3-6 students
each. Each group was provided with a case summary of a female patient with
opioid dependence who was inappropriately managed with methadone during an
inpatient medical admission. A 60-minute discussion followed, which was led
by an addiction psychiatry fellow. The discussion aimed to highlight the key
points of the case, and to give instruction on the clinically relevant
concepts in opioid dependence and methadone pharmacology. Students were
given a pre-test before the discussion, which consisted of 10 multiple
choice questions regarding some of the legal and pharmacological
characteristics of methadone pertinent to patient care. For each question
one of the choices read: “I don't know, I would be guessing.” This was to
eliminate the possibility of correct answers based on guessing alone.
Additionally, students were asked not to guess, and to choose an answer only
if they were reasonably sure that their choice was correct. After the case
discussion, the students were given a post-test, which was exactly the same
as the pre-test. They were not informed of the post-test until the very end
of the discussion. This was to eliminate the possibility of note taking or
selective retention during the discussion. The difference between the pre-
and post-test scores was compared to access the effectiveness of this
teaching model. Results:Apaired samples t testwas conducted to test the
effectiveness of this small group discussion model. On average, the post
test scores were 52.3 (SD = 14.8) percentage points higher compared to
pre-test scores- (t (20) = 16.2, p < 0.0005). The mean pre-test score was
37.1% (SD = 15.5) and the mean post-test score was 89.5% (SD = 12.0). There
was no statistically significant difference found in the pre- and post-test
scores between the individual cohorts. Conclusions: The use of a small group
case-based discussion teaching paradigm was effective in the shortterm at
educating third-year medical students on the key concepts of methadone
prescribing in the medically hospitalized opioid-dependent patient.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
human
learning
medical student
psychiatry
teaching
EMTREE MEDICAL INDEX TERMS
adverse outcome
drug induced disease
drug overdose
female
hospital patient
hypothesis
maintenance therapy
methadone treatment
model
multiple choice test
pain
patient
patient care
pharmacology
plague
population
student
United States
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70815294
DOI
10.1111/j.1521-0391.2012.00241.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2012.00241.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 832
TITLE
Evaluation of an experiential curriculum for addiction education among
medical students
AUTHOR NAMES
Barron R.
Frank E.
Gitlow S.
AUTHOR ADDRESSES
(Barron R., rebecca_barron_1@brown.edu) Department of Emergency Medicine,
Warren Alpert Medical School, Brown University, 593 Eddy St., Claverick 274,
Providence, RI 02903, United States.
(Frank E.) Faculty of Medicine, University of British Columbia, School of
Population and Public Health, Vancouver, BC, Canada.
(Gitlow S.) Mount Sinai School of Medicine, New York, United States.
CORRESPONDENCE ADDRESS
R. Barron, Department of Emergency Medicine, Warren Alpert Medical School,
Brown University, 593 Eddy St., Claverick 274, Providence, RI 02903, United
States. Email: rebecca_barron_1@brown.edu
SOURCE
Journal of Addiction Medicine (2012) 6:2 (131-136). Date of Publication:
June 2012
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objectives: Undergraduate medical education about addictive disease can take
many forms, but it is unclear which educational methods are most effective
at shaping medical students into physicians who are interested in and
competent at addressing addiction. The purpose of this study was to evaluate
the efficacy of the Betty Ford Institute's Summer Institute for Medical
Students (SIMS), a week-long program aimed at educating medical students
about addiction through a combination of traditional didactic and novel
experiential sessions. Methods: A written survey assessing beliefs,
attitudes, and practices related to addictive disease was administered to
physicians who previously participated in SIMS (n = 140) and to physicians
matched for year of graduation from medical school who did not participate
in SIMS (n = 105). Results: Compared with their peers, and controlling for
sex, age, year of graduation from medical school, specialty, personal
experience with addiction, and training in talking to patients about
substance use, physicians who participated in SIMS were more likely to
believe that they could help addicted patients, find working with addicted
patients satisfying, be confident in knowing available resources for
addicted patients, believe that addiction is a disease, and be confident in
speaking to patients about substance use. Physicians who participated in
SIMS were not more likely to practice addiction medicine or to view talking
to patients about substance use as clinically relevant. Conclusions:
Undergraduate medical educational interventions combining traditional and
experiential programming may render participants better equipped than peers
receiving only traditional education to address addiction as physicians.
Copyright © 2012 American Society of Addiction Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
continuing education
controlled study
curriculum
doctor patient relation
female
health belief
health care practice
human
male
medical practice
medical school
medical student
observational study
outcome assessment
personal experience
physician attitude
priority journal
professional knowledge
specialization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012398293
MEDLINE PMID
22534417 (http://www.ncbi.nlm.nih.gov/pubmed/22534417)
PUI
L365208811
DOI
10.1097/ADM.0b013e3182548abd
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e3182548abd
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 833
TITLE
Training the Next Generation of Providers in Addiction Medicine
AUTHOR NAMES
Rasyidi E.
Wilkins J.N.
Danovitch I.
AUTHOR ADDRESSES
(Rasyidi E., Ernest.Rasyidi@cshs.org) Department of Psychiatry and
Behavioral Neurosciences, Cedars-Sinai Medical Center, 6214 Drexel Avenue,
Los Angeles, CA 90048, United States.
(Wilkins J.N.; Danovitch I.) Department of Psychiatry and Behavioral
Neurosciences, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los
Angeles, CA 90048, United States.
CORRESPONDENCE ADDRESS
E. Rasyidi, Department of Psychiatry and Behavioral Neurosciences,
Cedars-Sinai Medical Center, 6214 Drexel Avenue, Los Angeles, CA 90048,
United States. Email: Ernest.Rasyidi@cshs.org
SOURCE
Psychiatric Clinics of North America (2012) 35:2 (461-480). Date of
Publication: June 2012
ISSN
0193-953X
1558-3147 (electronic)
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction medicine
clinical medicine
medical education
EMTREE MEDICAL INDEX TERMS
alcoholism
caregiver
clinical competence
drug dependence
health care access
health care delivery
health care personnel
human
medical school
medical specialist
primary medical care
priority journal
professional knowledge
psychiatrist
psychiatry
psychoeducation
residency education
review
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012303729
MEDLINE PMID
22640766 (http://www.ncbi.nlm.nih.gov/pubmed/22640766)
PUI
L364884062
DOI
10.1016/j.psc.2012.04.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.psc.2012.04.001
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 834
TITLE
Use of cognitive enhancement medication among Northern Italian university
students
AUTHOR NAMES
Castaldi S.
Gelatti U.
Orizio G.
Hartung U.
Moreno-Londono A.M.
Nobile M.
Schulz P.J.
AUTHOR ADDRESSES
(Castaldi S., silvana.castaldi@unimi.it; Nobile M.) Section of Public
Health, Department of Public Health, Microbiology and Virology, University
of Milan, via Pascal, 36, 20133, Milano, Italy.
(Gelatti U.; Orizio G.) Section of Hygiene, Epidemiology and Public Health,
Department of Experimental and Applied Medicine, University of Brescia,
Brescia, Italy.
(Hartung U.; Moreno-Londono A.M.; Schulz P.J.) Institute of Communication
and Health, University of Lugano, Lugano, Switzerland.
CORRESPONDENCE ADDRESS
S. Castaldi, Section of Public Health, Department of Public Health,
Microbiology and Virology, University of Milan, via Pascal, 36, 20133,
Milano, Italy. Email: silvana.castaldi@unimi.it
SOURCE
Journal of Addiction Medicine (2012) 6:2 (112-117). Date of Publication:
June 2012
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
This study assesses the use of cognitive enhancement medication among
university students in Northern Italy. It was conducted as a cross-sectional
analysis on the basis of a paper-and-pencil survey of 77 undergraduate
students attending courses in the Faculty of Medicine of the University of
Milan, Milano, Italy. Although the share of students who have taken
cognitive enhancement medication themselves in the past is still small
(16%), the use of these drugs is rather common and freely communicated in
some social circles. Enhancing the ability to study outside of the class was
students' primary motive for use. Students who think that there is no or an
acceptable risk involved in cognitive enhancement medication are more likely
to take drugs and dietary supplements than those who perceive the risk as
high. Copyright © 2012 American Society of Addiction Medicine.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
central stimulant agent
cognitive enhancer
EMTREE DRUG INDEX TERMS
unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
student attitude
EMTREE MEDICAL INDEX TERMS
academic achievement
adult
article
cross-sectional study
diet supplementation
drug safety
drug use
ethnic group
female
health belief
high risk behavior
human
inappropriate prescribing
intellect
Italian
male
medicolegal aspect
personal experience
priority journal
risk benefit analysis
undergraduate student
university student
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012398290
MEDLINE PMID
22456492 (http://www.ncbi.nlm.nih.gov/pubmed/22456492)
PUI
L365208808
DOI
10.1097/ADM.0b013e3182479584
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e3182479584
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 835
TITLE
Human immunodeficiency virus testing practices among buprenorphine-
prescribing physicians
AUTHOR NAMES
Edelman E.J.
Dinh A.T.
Moore B.A.
Schottenfeld R.S.
Fiellin D.A.
Sullivan L.E.
AUTHOR ADDRESSES
(Edelman E.J., ejennifer.edelman@yale.edu) Robert Wood Johnson Foundation,
Clinical Scholars Program, PO Box 208088, New Haven, CT 06520, United
States.
(Edelman E.J., ejennifer.edelman@yale.edu; Dinh A.T.; Moore B.A.;
Schottenfeld R.S.; Fiellin D.A.; Sullivan L.E.) Yale University, School of
Medicine, New Haven, CT, United States.
(Edelman E.J., ejennifer.edelman@yale.edu; Schottenfeld R.S.; Fiellin D.A.;
Sullivan L.E.) Center for Interdisciplinary Research on AIDS, Yale School of
Public Health, New Haven, CT, United States.
(Edelman E.J., ejennifer.edelman@yale.edu) VA Connecticut Healthcare System,
West Haven, CT, United States.
CORRESPONDENCE ADDRESS
E.J. Edelman, Robert Wood Johnson Foundation, Clinical Scholars Program, PO
Box 208088, New Haven, CT 06520, United States. Email:
ejennifer.edelman@yale.edu
SOURCE
Journal of Addiction Medicine (2012) 6:2 (159-165). Date of Publication:
June 2012
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Background: Despite the Centers for Disease Control and Prevention
recommendations for annual HIV testing of at-risk populations, including
those with substance use disorders, there are no data on the human
immunodeficiency virus (HIV) testing practices of buprenorphine-prescribing
physicians. Objective: To describe HIV testing practices among
buprenorphine-prescribing physicians. Methods: We conducted a
cross-sectional survey of physicians enrolled in a national system to
support buprenorphine prescribing between July and August 2008. The
electronic survey included questions on demographics; clinical training and
experience; clinical practice; patient characteristics; and physician
screening practices, including HIV testing. Results: Only 46% of 382
respondent physicians conducted HIV testing. On univariate analysis,
physicians who conducted HIV testing were more likely to report addiction
specialty training (33% vs 19%, P = 0.001), practicing in addiction settings
(28% vs 16%, P = 0.006), and having treated more than 50 patients with
buprenorphine (50% vs 31%, P < 0.0001) than those who did not. Compared with
physicians who did not conduct HIV testing, physicians who conducted HIV
testing had a lower proportion of buprenorphine patients who were white (75%
vs 82%, P = 0.01) or dependent upon prescription opioids (57% vs 70%, P <
0.0001). In multivariate analysis, physicians who conducted HIV testing were
more likely to have treated more than 50 patients with buprenorphine (odds
ratio = 1.777, 95% CI 1.011-3.124) and had fewer patients dependent upon
prescription opioids (odds ratio = 0.986 95% CI 0.975-0.998) than physicians
who did not. Conclusions: Interventions to increase HIV testing among
physicians prescribing buprenorphine are needed. Copyright © 2012 American
Society of Addiction Medicine.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
HIV test
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
cigarette smoking
comorbidity
controlled study
cross-sectional study
doctor patient relation
drug dependence
female
high risk population
human
male
medical examination
physician attitude
prescription
priority journal
race difference
risk assessment
screening
sexual behavior
specialization
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012398297
MEDLINE PMID
22367499 (http://www.ncbi.nlm.nih.gov/pubmed/22367499)
PUI
L365208815
DOI
10.1097/ADM.0b013e31824339fc
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e31824339fc
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 836
TITLE
The effects of counselor characteristics on within-session processes and
outcomes in a brief motivational intervention for heavy drinking
AUTHOR NAMES
Gaume J.
Magill M.
Longabaugh R.
Bertholet N.
Gmel G.
Daeppen J.B.
AUTHOR ADDRESSES
(Gaume J.; Magill M.; Longabaugh R.; Bertholet N.; Gmel G.; Daeppen J.B.)
Center for Alcohol and Addiction Studies, Brown University, Box G-S121,
Providence, United States.
CORRESPONDENCE ADDRESS
J. Gaume, Center for Alcohol and Addiction Studies, Brown University, Box
G-S121, Providence, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2012) 36 SUPPL. 1 (71A).
Date of Publication: June 2012
CONFERENCE NAME
35th Annual Scientific Meeting of the Research Society on Alcoholism, RSA
2012
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2012-06-23 to 2012-06-27
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
This study aims at better understanding the mechanisms of alcohol brief
motivational interventions (BMI) by investigating the influence of
counselors' individual characteristics and within-session behaviors. The
sample included 216 young men screened as heavy drinkers and randomly
selected to receive a single BMI conducted by one of 18 counselors
performing 12 BMIs each. Counselors were selected to maximize differences in
several of their characteristics (e.g. background and training, clinical and
MI experience). We tested the links between counselors' individual
characteristics, counselors within-session behaviors (measured as the
frequency of MI-consistent [MICO] and MI-inconsistent [MIIN] behaviors), and
alcohol use outcomes at 3- month follow-up using regression analyses. In
relation to alcohol outcomes, experience in the field of addiction was
significantly associated with less frequent binge drinking episodes. The
extent to which the counselors viewed themselves as trained to conduct BMI
and effective in doing so was significantly related to less drinking days at
follow-up. No counselor personal characteristics predicted change in drinks
per drinking days or in number of alcohol related negative consequences.
Counselors' personal characteristics were strongly related to within-session
MI behaviors. More MICO skill was related to counselors being women,
psychologists (vs. physicians), trained in MI, having more clinical and
addiction experience, viewing themselves as more trained and more effective
in BMI, and believing in BMI effectiveness. More MIIN behavior was related
to counselors being older, physicians (vs. psychologists), and having more
clinical experience, whereas less MIIN was related to counselors having more
experience in the addiction field, being trained in MI, and believing more
in BMI effectiveness. Counselors' within-sessions behaviors did not
significantly predict alcohol or consequence outcomes. Counselor addiction
experience and attitudes toward BMI were associated with change in alcohol
use at 3 month follow-up. This influence, however, does not appear to be
transmitted through within-session MI-behaviors, even if counselor
characteristics were strongly related to counselor within-session behaviors.
More research is needed to understand counselor influence on BMI outcomes,
using more complex analyses, and integrating client personal characteristics
and within-session behaviors as potential mediators and/or moderators.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drinking
society
EMTREE MEDICAL INDEX TERMS
addiction
alcohol consumption
female
follow up
human
male
physician
psychologist
regression analysis
skill
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70790025
DOI
10.1111/j.1530-0277.2012.01803.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2012.01803.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 837
TITLE
Impact of a systems intervention on engagement in addiction treatment
AUTHOR NAMES
Johnson J.A.
Dhabliwala J.
Seale J.P.
AUTHOR ADDRESSES
(Johnson J.A.; Dhabliwala J.; Seale J.P.) Mercer University, School of
Medicine, Macon, United States.
CORRESPONDENCE ADDRESS
J.A. Johnson, Mercer University, School of Medicine, Macon, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2012) 36 SUPPL. 1 (167A).
Date of Publication: June 2012
CONFERENCE NAME
35th Annual Scientific Meeting of the Research Society on Alcoholism, RSA
2012
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2012-06-23 to 2012-06-27
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Patients seeking treatment in Emergency Departments (ED) often suffer from
underlying but undetected health problems including addiction. Clinicians in
busy EDs face many barriers to detecting substance abuse or dependence and
making successful treatment referrals. Specialists trained to conduct
screening, brief intervention and referral to treatment (SBIRT) can improve
detection of alcohol problems including alcohol dependence, but getting
patients needed services is challenging. Accessing the treatment system can
be difficult, as needed services are often unavailable. Patient-level
barriers also exist including transportation problems and patient denial. As
a result, only a small percentage of ED patients needing treatment ever
successfully engage in treatment. The purpose of this study was to test the
impact of systems interventions designed to increase ED patients' engagement
in addiction treatment. Health education specialists (HES) in the ED
conducted assessments using the Alcohol, Smoking, and Substance Involvement
Screening Test (ASSIST) to identify patients with alcohol and other drug
disorders. Based on ASSIST scores, patients received a brief intervention
(BI), BI plus referral to brief treatment (BT), or BI plus referral to
addiction treatment (RT). Patients with ASSIST scores >26 were referred to
the local state-funded treatment provider. To monitor treatment engagement,
quarterly reports were generated by working with the local treatment
provider to identify RT patients receiving treatment within one week of
their ED visit. Beginning in July 2010, systems changes were made to improve
treatment engagement including regular meetings between SBIRT and treatment
provider administrators, signing release forms to permit sharing of patient
information between HES and treatment provider, and implementing a weekly
meeting in the ED between HES and a treatment representative to collect
information on referred patients. The number of referrals per quarter ranged
from 51 to 99. Results from quarterly reports show an increase in treatment
engagement from 19.3% in the 3rd quarter of 2010 to 32.8% in the 3rd quarter
of 2011 with a high of 34.4% in the first quarter of 2011. Bus passes
purchased in September 2011 for RT patients reporting problems accessing
transportation may show further improvements in treatment engagement in
future reports. This study demonstrates that ongoing efforts to increase
treatment engagement can be successful.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
society
EMTREE MEDICAL INDEX TERMS
administrative personnel
diseases
emergency ward
health
health education
human
local therapy
medical specialist
patient
patient information
screening
screening test
smoking
substance abuse
traffic and transport
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70790405
DOI
10.1111/j.1530-0277.2012.01803.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2012.01803.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 838
TITLE
Behavioral addiction-quo vadis?
AUTHOR NAMES
Mihordin R.
AUTHOR ADDRESSES
(Mihordin R., mihordin@earthlink.net) Department of Mental Health, Forensic
Evaluation Services, 1600 Ninth Street, Sacramento, CA 95814, United States.
CORRESPONDENCE ADDRESS
R. Mihordin, Department of Mental Health, Forensic Evaluation Services, 1600
Ninth Street, Sacramento, CA 95814, United States. Email:
mihordin@earthlink.net
SOURCE
Journal of Nervous and Mental Disease (2012) 200:6 (489-491). Date of
Publication: June 2012
ISSN
0022-3018
1539-736X (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 351 West Camden Street, Baltimore, United
States.
ABSTRACT
Behavioral addiction is a new class of psychiatric disorders being
considered for inclusion in the next edition of the American Psychiatric
Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
In this article, pathological model railroading disorder is introduced as a
vehicle for highlighting and discussing the foreseeable risks and benefits
of legitimizing behavioral addiction as a diagnostic class in DSM-5.
Copyright © 2012 by Lippincott Williams & Wilkins.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior disorder
behavioral addiction
pathological model railroading disorder
EMTREE MEDICAL INDEX TERMS
adolescence
anxiety
article
childhood
clinical feature
daily life activity
depression
disease model
DSM-5
environmental exposure
experimental model
human
locomotion
memory
personal experience
physician
practice guideline
psychiatric diagnosis
race difference
risk benefit analysis
self concept
sex difference
stress
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012335081
MEDLINE PMID
22652612 (http://www.ncbi.nlm.nih.gov/pubmed/22652612)
PUI
L364989845
DOI
10.1097/NMD.0b013e318257c503
FULL TEXT LINK
http://dx.doi.org/10.1097/NMD.0b013e318257c503
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 839
TITLE
Socio-demographic characteristics of the addicted inmates of Qom and Tabriz
prisons in Iran
AUTHOR NAMES
Mohammadreza S.
Mina I.
Mohsen T.
Mashayekhi S.
AUTHOR ADDRESSES
(Mohammadreza S.) Neurosciences Research Centre, Tabriz University of
Medical Sciences, Tabriz, Iran.
(Mina I.) Infectious and Tropical Diseases Research Centre, Tabriz, Iran.
(Mohsen T.) Students Research Committee, Tabriz University of Medical
Sciences, Tabriz 51664-14766, Iran.
(Mashayekhi S., mashayekhis@yahoo.co.uk) NPMC, Tabriz University of Medical
Sciences, Tabriz 51664-14766, Iran.
(Mohammadreza S.; Mina I.; Mashayekhi S., mashayekhis@yahoo.co.uk) Faculty
of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.
CORRESPONDENCE ADDRESS
S. Mashayekhi, Faculty of Pharmacy, Tabriz University of Medical Sciences,
Tabriz, Iran. Email: mashayekhis@yahoo.co.uk
SOURCE
Advanced Pharmaceutical Bulletin (2012) 2:1 (61-69). Date of Publication:
June 2012
ISSN
2228-5881
2251-7308 (electronic)
BOOK PUBLISHER
Tabriz University of Medical Sciences, Daneshgah St, Tabriz, Iran.
ABSTRACT
Purpose: The aim of this investigation was to study the factors responsible
for drug addiction amongst the inmates of Tabriz and Qom prisons, to further
understand the reasons for drug abuse particularly in the young and find
improved methods for combating these widespread problems. Methods: A
multi-choice questionnaire was provided to inmates to potentially assess the
reasons for their drug addiction psychiatric, personal, social, economical,
and political factors were thought to be implicated. Two hundred drug
addicted prisoners were individually interviewed randomly in both Tabriz and
Qom prisons. A questionnaire including questions about the inmates'
demographic characteristics and 49 multiple answers questions, was provided
to identify the effects of different reasons for drug addiction for
instance: psychiatric, personal, social, economical, and political factors.
The collected data were analyzed by Student t-test and chi-squared test
using SPSS software. Results: The results showed that the following factors
could lead to drug addiction e.g. company with addicted friends and
offenders, curiosity, imitation, illiteracy, family problems, crowded
family, poverty, unemployment, and lack of self confidence. There were
significant differences between Tabriz and Qom prisoners in relation to age,
starting age of addiction, job, income, education, class of addiction,
marital status, and hobbies. Mean age, mean starting age of addiction,
poverty, alcohol drinking before addiction, marital status, heroin
addiction, codeine and benzodiazepines abuse were significantly greater for
Tabriz prisoners than those of Qom. Conclusion: It is clear that the
governmental programs for reducing unemployment, creation of safe hobbies,
proper control on drug dispensing in the pharmacies, proper birth control
programs, and encouragement to higher education could alleviate addiction
problem in Iran. © 2012 by Tabriz University of Medical Sciences.
EMTREE DRUG INDEX TERMS
benzodiazepine derivative
codeine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
demography
drug dependence
prisoner
EMTREE MEDICAL INDEX TERMS
adolescent
adult
age distribution
aged
article
awareness
controlled study
drinking behavior
economic aspect
education
female
friendship
heroin dependence
human
Iran
leisure
major clinical study
male
marriage
onset age
personality
politics
poverty
prison
questionnaire
randomized controlled trial
sex difference
social behavior
socioeconomics
CAS REGISTRY NUMBERS
codeine (76-57-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013149920
PUI
L368481118
DOI
10.5681/apb.2012.009
FULL TEXT LINK
http://dx.doi.org/10.5681/apb.2012.009
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 840
TITLE
Cannabis and analgesia
ORIGINAL (NON-ENGLISH) TITLE
Cannabis et analgésie
AUTHOR NAMES
Benyamina A.
Blecha L.
AUTHOR ADDRESSES
(Benyamina A., amine.benyamina@pbr.aphp.fr; Blecha L.) Centre
d'Enseignement, Recherche et Traitement des Addictions, Hôpitaux
Universitaires Paris Sud Paul Brousse, F-94804 Villejuif France, France.
CORRESPONDENCE ADDRESS
A. Benyamina, Centre d'Enseignement, Recherche et Traitement des Addictions,
Hôpitaux Universitaires Paris Sud Paul Brousse, F-94804 Villejuif France,
France. Email: amine.benyamina@pbr.aphp.fr
SOURCE
Douleur et Analgesie (2012) 25:2 (78-82). Date of Publication: June 2012
ISSN
1011-288X
1951-6398 (electronic)
BOOK PUBLISHER
Springer Paris, 1 rue Paul Cezanne, Paris, France.
ABSTRACT
For several decades, there is a renewed interest in medical cannabis. The
scientific advances from the late 20th century have made possible the
scientific study of cannabis and its mechanisms of action. On the political
level, some countries, such as the Canada and the United States, have
changed their laws to make possible medical treatment with cannabinoids.
Cannabinoids, such as dronabinol, Sativex and Nabilone were tested in the
treatment of acute and chronic pain. It is especially in the chronic pain
associated with cancer, HIV and multiple sclerosis where cannabinoid
treatment seems the most promising. Larger and longer studies are needed to
determine the adverse effects to the long course, and the risk of misuse and
addiction. © Springer-Verlag France 2012.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
EMTREE DRUG INDEX TERMS
cannabinoid (drug therapy)
dronabinol (drug therapy)
nabilone (drug therapy)
nabiximols (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
EMTREE MEDICAL INDEX TERMS
article
Canada
cancer pain (drug therapy)
chronic pain (drug therapy)
Human immunodeficiency virus infection
multiple sclerosis
United States
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
dronabinol (7663-50-5)
nabilone (51022-71-0)
nabiximols (56575-23-6)
EMBASE CLASSIFICATIONS
Anesthesiology (24)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2012471719
PUI
L52053408
DOI
10.1007/s11724-012-0294-8
FULL TEXT LINK
http://dx.doi.org/10.1007/s11724-012-0294-8
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 841
TITLE
Evolution of concept, but not action, in addiction treatment.
AUTHOR NAMES
Arria A.M.
McLellan A.T.
AUTHOR ADDRESSES
(Arria A.M.) Center on Young Adult Health and Development, Department of
Family Science, University of Maryland School of Public Health, College
Park, MD 20742, USA.
(McLellan A.T.)
CORRESPONDENCE ADDRESS
A.M. Arria, Center on Young Adult Health and Development, Department of
Family Science, University of Maryland School of Public Health, College
Park, MD 20742, USA. Email: aarria@umd.edu
SOURCE
Substance use & misuse (2012) 47:8-9 (1041-1048). Date of Publication: 2012
Jun-Jul
ISSN
1532-2491 (electronic)
ABSTRACT
The Western approach to addiction treatment involves a medical or disease
orientation to understanding the onset, course, and management of addiction,
and a clinical goal of abstinence or very significant reductions in drug
use, usually with a combination of behavioral and pharmacological
interventions. Even within this Western approach, and despite several
consensually accepted features of addiction, a significant mismatch remains
between what this culture has come to accept as the nature of the disease
and how that same culture continues to treat the disease. This paper
discusses the evolution of these Western concepts over the past decade
without a corresponding evolution in the nature, duration, or evaluation
standards for addiction treatment. (1) Here, we take the position that
continuing care and adaptive treatment protocols, combining behavioral
therapies, family and social supports, and, where needed, medications show
much promise to address the typically chronic, relapsing, and heterogeneous
nature of most cases of serious addiction. By extension, methods to evaluate
effectiveness of addiction treatment should focus upon the functional status
of patients during the course of their treatment instead of post-treatment,
as is the evaluation practice used with most other chronic illnesses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
total quality management
EMTREE MEDICAL INDEX TERMS
article
clinical protocol
cultural anthropology
education
health care personnel
health care quality
human
methodology
patient care
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22676571 (http://www.ncbi.nlm.nih.gov/pubmed/22676571)
PUI
L365823981
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 842
TITLE
Federal policy on criminal offenders who have substance use disorders: how
can we maximize public health and public safety?
AUTHOR NAMES
Humphreys K.
AUTHOR ADDRESSES
(Humphreys K.) White House Office of National Drug Control Policy,
Washington, DC, USA.
CORRESPONDENCE ADDRESS
K. Humphreys, White House Office of National Drug Control Policy,
Washington, DC, USA. Email: knh@stanford.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:1 (5-8). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
The Obama Administration is striving to promote both public health and
public safety by improving the public policy response to criminal offenders
who have substance use disorders. This includes supporting drug courts,
evidence-based probation and parole programs, addiction treatment and
re-entry programs. Scientists and clinicians in the addiction field have a
critical role to play in this much-needed effort to break the cycle of
addiction, crime and incarceration.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation, therapy)
criminal law
offender
policy
EMTREE MEDICAL INDEX TERMS
article
human
legal aspect
organization and management
public health
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22263708 (http://www.ncbi.nlm.nih.gov/pubmed/22263708)
PUI
L364819853
DOI
10.1080/08897077.2011.616805
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.616805
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 843
TITLE
Building tobacco control capacity in india through short-term and long-term
E-learning distance education programmes
AUTHOR NAMES
Mathur N.
Basu A.
Arora M.
Reddy K.S.
AUTHOR ADDRESSES
(Mathur N.; Basu A.; Arora M.; Reddy K.S.) Public Health Foundation of
India, New Delhi, India.
CORRESPONDENCE ADDRESS
N. Mathur, Public Health Foundation of India, New Delhi, India.
SOURCE
Circulation (2012) 125:19 (e899). Date of Publication: 15 May 2012
CONFERENCE NAME
World Congress of Cardiology Scientific Sessions 2012, WCC 2012
CONFERENCE LOCATION
Dubai, United Arab Emirates
CONFERENCE DATE
2012-04-18 to 2012-04-21
ISSN
0009-7322
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Introduction: Tobacco use poses imminent burden of cardiovascular diseases
among current tobacco users. To combat this, unprecedented large scale
capacity building pertaining to tobacco control (TC) is needed. Health
professionals, including cardiologists play important role in curbing rise
of tobacco use by counseling patients, being role models & by promoting
policy changes. Online distance learning programmes by Public Health
Foundation of India (PHFI) intend to train health professionals in TC.
Objectives: 1) Utilize short & long term programmes on TC for capacity
building of health professionals working with government & other sectors. 2)
To train health professionals on tobacco cessation. 3) Evaluate
effectiveness & ease of use of an online learning platform across multiple
stakeholders related to TC initiatives in India. Methods: TC course
curriculum of short-term (3 months) & long-term (12 months) online
programmes includes information adapted from material provided by Johns
Hopkins Bloomberg School of Public Health & University of Southern
California Keck School of Medicine, USA with funding support from Bloomberg
Initiative to Reduce Tobacco Use. PHFI has launched short-term courses on TC
(STC 2011) focused at building capacity of health professionals (SCHP), law
enforcers (SCLE), administrators (SCAD), legal professionals (SCLP) &
journalists (SCJR). Learning management system (LMS) was developed for
online delivery of courses including lectures, quizzes, assignments etc.
Lectures covering different TC issues along with roles of stakeholders in TC
were peer reviewed & recorded by international & national experts. This
paper aims to evaluate profile and performance of participants accessing
first ever online capacity building courses launched in a developing country
context. Results: Total of 71 students are enrolled in first batch of STC
2011. Of them, 75% are Government nominated & 25% are self-sponsored. About
62%, 30% & 8% of total students have joined SCHP, SCLE & SCAD respectively.
Curriculum was well received by students. Online discussion forum & Q & A
board were used to clarify doubts. Some faced difficulty in downloading
files. Conclusion: Online courses on TC provide opportunity for
professionals to learn TC from national & international experts. LMS was
used for sharing ideas, opinions & clearing doubts on TC issues.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiology
education
India
learning
tobacco
EMTREE MEDICAL INDEX TERMS
administrative personnel
capacity building
cardiologist
cardiovascular disease
counseling
curriculum
developing country
funding
government
health practitioner
human
model
non profit organization
patient
policy
public health
publishing
school
student
United States
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71052029
DOI
10.1161/CIR.0b013e31824fcdb3
FULL TEXT LINK
http://dx.doi.org/10.1161/CIR.0b013e31824fcdb3
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 844
TITLE
Evaluation of 3-day smoking cessation training course for doctors from 38
cities in China
AUTHOR NAMES
Zhang C.-M.
Xiao D.
West R.
Michie S.
Troughton R.
Hajek P.
Wang C.
AUTHOR ADDRESSES
(Zhang C.-M.; Xiao D., xiaodan7299@hotmail.com) Department of Respiratory
Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing
100020, China.
(Zhang C.-M.; Xiao D., xiaodan7299@hotmail.com; Wang C.) World Health
Organization Collaborating Center for Tobacco or Health in China, Beijing
Institute of Respiratory Medicine, Beijing 100020, China.
(West R.) Health Behaviour Research Centre, Department of Epidemiology and
Public Health, University College London, London, United Kingdom.
(Michie S.) Department of Clinical, Educational and Health Psychology,
University College London, London, United Kingdom.
(Troughton R.; Hajek P.) Tobacco Dependence Research Unit, Barts and The
London School of Medicine and Dentistry, Queen Mary University of London,
London, United Kingdom.
(Wang C.) Beijing Hospital, Ministry of Health, Beijing 100730, China.
CORRESPONDENCE ADDRESS
D. Xiao, World Health Organization Collaborating Center for Tobacco or
Health in China, Beijing Institute of Respiratory Medicine, Beijing 100020,
China. Email: xiaodan7299@hotmail.com
SOURCE
Chinese Medical Journal (2012) 125:7 (1338-1340). Date of Publication: 2012
ISSN
0366-6999
BOOK PUBLISHER
Chinese Medical Association, 42 Dongsi Xidajie, Beijing, China.
ABSTRACT
Background The World Health Organization's "Framework Convention on Tobacco
Control" came into effect in China in 2006. Since then, a series of tobacco
control measures has been undertaken, including the first step to establish
a coordinated network of stop-smoking clinics in Chinese hospitals. Training
for stop-smoking specialists has been traditionally provided via printed
materials. This study evaluated the outcomes of the first two intensive
3-day courses in smoking cessation in China run in collaboration with
experts who provide training to UK Specialist Stop Smoking Service. Methods
Eighty-four doctors from 38 cities in China responsible for stop-smoking
treatment in 20 provinces and four autonomous regions participated in the
training courses. Participants' knowledge competencies and self-efficacy
were assessed before and after the authentication training. Results The
training significantly improved participants' knowledge, skills and
self-efficacy across different domains. Forty-eight participants were
finally certified as "smoking cessation specialist". Conclusions The UK
model of face-to-face training was acceptable and effective in China. A
relatively brief intensive training program can generate significant
improvements in skills, knowledge, and readiness to engage in smoking
cessation activities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation program
EMTREE MEDICAL INDEX TERMS
adult
article
China
female
human
male
medical education
physician
professional knowledge
self concept
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012229915
MEDLINE PMID
22613611 (http://www.ncbi.nlm.nih.gov/pubmed/22613611)
PUI
L364662069
DOI
10.3760/cma.j.issn.0366-6999.2012.07.026
FULL TEXT LINK
http://dx.doi.org/10.3760/cma.j.issn.0366-6999.2012.07.026
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 845
TITLE
The Physicians' Competence in Substance Abuse Test (P-CSAT): A
multidimensional educational measurement tool for substance abuse training
programs
AUTHOR NAMES
Harris J.M.
Sun H.
AUTHOR ADDRESSES
(Harris J.M., sharris@md-inc.com) Medical Directions, Inc., Tucson, AZ
85712, United States.
(Harris J.M., sharris@md-inc.com) Office of Continuing Medical Education,
University of Arizona, College of Medicine, Tucson, AZ 85724, United States.
(Sun H.) Department of Counseling Educational Psychology and Research,
University of Memphis, Memphis, TN 38152, United States.
CORRESPONDENCE ADDRESS
J.M. Harris, Medical Directions, Inc., 6101 E Grant Rd., Tucson, AZ 85712,
United States. Email: sharris@md-inc.com
SOURCE
Drug and Alcohol Dependence (2012) 122:3 (236-240). Date of Publication: 1
May 2012
ISSN
0376-8716
1879-0046 (electronic)
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Background: Efforts to enhance physician substance abuse (SA) management
skills lack tools to assess skills and training effectiveness. We sought to
develop an easily administered survey to assess SA fact-based skills and
clinical decision-making. Methods: We prepared 60 fact-based items dealing
with SA knowledge, attitudes, and behaviors (KAB) and 53 script concordance
test (SCT) items assessing SA decision-making. We used expert review and
standard psychometric criteria to eliminate discordant or non-contributory
survey items. We tested 92 draft items in 117 physicians, including 13 with
additional SA training (trained), and 17 recognized SA experts. We assessed
final survey internal consistency with Cronbach's alpha and differences in
scores between experts, trained physicians, and physicians without SA
training (novices) with the Kruskal-Wallis test. Results: Following
refinement, the draft survey was reduced to 30 KAB and 33 SCT items. Alpha
was 0.901 for the final 63-item survey and 0.887 and 0.797 for the KAB and
SCT subscales, respectively. Novices, trained physicians, and experts scored
means of 196, 213, and 261 respectively out of 315 possible points on the
final survey. The KAB and SCT subscale results showed similar patterns.
Score differences for the overall survey and its subscales were highly
significant (p<0.001). Conclusions: This survey, which we have named the
Physicians' Competence in Substance Abuse Test (P-CSAT) and placed in the
public domain, meets baseline criteria for reliability and validity. Future
studies should determine the extent to which the P-CSAT provides consistent
results in other practitioner populations and responds to SA educational
efforts. © 2011 Elsevier Ireland Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical assessment tool
health program
medical education
Physician Competence in Substance Abuse Test
EMTREE MEDICAL INDEX TERMS
adult
article
clinical decision making
clinical effectiveness
controlled study
female
health care personnel
health survey
human
internal consistency
male
patient care
physician attitude
priority journal
process development
professional knowledge
psychometry
reliability
scoring system
validity
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012211090
MEDLINE PMID
22055011 (http://www.ncbi.nlm.nih.gov/pubmed/22055011)
PUI
L51698869
DOI
10.1016/j.drugalcdep.2011.10.006
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2011.10.006
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 846
TITLE
Using educational visiting to address the judicious use of opioid therapy in
chronic pain
AUTHOR NAMES
Hurley E.
Lembke K.
Atkins L.
AUTHOR ADDRESSES
(Hurley E.; Lembke K.; Atkins L.) NPS, Better Choices Better Health, Sydney,
Australia.
CORRESPONDENCE ADDRESS
E. Hurley, NPS, Better Choices Better Health, Sydney, Australia.
SOURCE
Anaesthesia and Intensive Care (2012) 40:3 (541). Date of Publication: May
2012
CONFERENCE NAME
Australian Pain Society Conference 2012
CONFERENCE LOCATION
Melbourne, VIC, Australia
CONFERENCE DATE
2012-04-01 to 2012-04-04
ISSN
0310-057X
BOOK PUBLISHER
Australian Society of Anaesthetists
ABSTRACT
Background and aims: Educational visiting, outreach or academic detailing
has been shown in several studies to be an effective way to improve
prescribing and increase compliance with guidelines, either alone or as part
of a multi-faceted intervention1. PS partners with all the divisions and
networks of general practice in Australia to provide a nationally
coordinated and locally delivered educational visiting program. The aim of
the program “Opioid therapy in chronic pain: use a planned approach” was to
emphasise the need for a structured approach to the use of opioid therapy in
chronic pain where such therapy is warranted. Method: The program was
delivered to 107 divisions of general practice from July 2010. NPS
facilitators were up-skilled on the evidence behind the program's key
messages with the aid of local pain specialists and representatives of the
Australian and New Zealand College of Anaesthetists. Supplementary resources
developed for the program included a pain management plan, a pain diary and
a patient information leaflet on the use of opioid therapy for chronic pain.
A random sample of GPs was surveyed before the program launch (intervention)
and 12 months after the intervention to investigate the impact of
educational visiting on their knowledge, behaviour and attitude towards the
role of opioid therapy in chronic pain. Responses from those that had
participated in the educational visiting program were compared to those that
had not participated. Results: A total of 8589 GPs from 107 (out of 112)
divisions of general practice participated in either a one-on-one
educational visit or a small group case based discussion with an NPS
facilitator. From analysis of the pre/post-program survey, significant
changes were observed in the following areas after participation in the
program: Increase in the number of GPs recommending a pain management plan
to patients with chronic pain (RD=+9.2% chisquare= 6.25, P=0.0124) Increase
in the number of GPs that would discuss realistic goals of opioid therapy
with their patients (RD=+7.1% chisquare= 4.1, P=0.043) Increase in the
number of GPs that would discuss realistic expectations of pain relief from
opioid therapy with their patients (RD=+6.2% chi-square=4.29, P=0.0384)
Increase in the number of GPs recommending the use of a pain diary (RD=+9.2%
chi-square=5.22, P=0.0223) When the pre-survey population was compared to
the postsurvey no intervention population, no change in behaviour was noted.
Conclusion: Educational visiting was used to emphasise the importance of a
structured approach to the use of opioid therapy in chronic pain. A number
of significant changes in attitude and behaviour were noted through analysis
of a pre/post-survey of random GPs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
pain
society
therapy
EMTREE MEDICAL INDEX TERMS
analgesia
anesthesist
Australia
college
general practice
human
medical specialist
New Zealand
patient
patient information
population
random sample
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70851188
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 847
TITLE
Hepatitis c (HCV) antiviral therapy is feasible in patients with active
substance use (SU) and mental illness (MI) and is more likely to occur in
those who receive education class
AUTHOR NAMES
Bari K.
Augustin S.
Eggers C.A.
Hashem H.J.
Desai M.
Shea M.
Wongcharatrawee S.
Lim J.K.
Garcia-Tsao G.
AUTHOR ADDRESSES
(Bari K.; Augustin S.; Eggers C.A.; Hashem H.J.; Desai M.; Shea M.;
Wongcharatrawee S.; Lim J.K.; Garcia-Tsao G.)
CORRESPONDENCE ADDRESS
K. Bari,
SOURCE
Gastroenterology (2012) 142:5 SUPPL. 1 (S967). Date of Publication: May 2012
CONFERENCE NAME
Digestive Diease Week 2012, DDW 2012
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2012-05-19 to 2012-05-22
ISSN
0016-5085
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
Many veterans with HCV infection have active SU or MI and these
co-morbidities are considered contraindications to antiviral therapy in most
centers across the world. The objective of the study was to assess the
feasibility of therapy in these patients and to identify predictors and/or
barriers to treatment initiation. METHODS: Prospective cohort study of
anti-HCV-positive veterans with active SU (use of alcohol and/or illegal
substances within 6 months) and/or active MI (undergoing active treatment
for MI in the past 6 months). Patients who agreed to have a baseline
psychometric evaluation were enrolled in the study. After the initial visit,
all patients were given appointments to attend HCV education class (1 hour),
baseline psychiatric evaluation, liver biopsy and office visit with provider
to discuss therapy and decide on treatment initiation. Patients who decided
to undergo therapy (mostly pegylated interferon + ribavirin), were followed
until completion of therapy and evaluation of sustained virological response
(SVR). RESULTS: From 1/03 to 5/09, 928 patients with active SU/MI were
referred to the clinic and 296 were enrolled in the study, of which 69 were
excluded (50 genotype non-1, 14 medical contraindications, 5 negative
HCV-RNA). We chose to focus this analysis on genotype 1 patients (n=227)
since the results would be more relevant to current triple therapy. Median
age was 51 years, 99% male, 50% Caucasian, 45% African-American (AA), 5 %
Hispanic; median BMI 28, biopsy done in 43% (46% stage 0-1; 54% stage 2-4)].
One hundred and seventy (75%) patients had active MI and 139 (61%) had
active SU; 94 (41%) had both. Eighty one (36%) patients initiated HCV
therapy. Fifty eight (72%) continued treatment until recommended by provider
and 16 patients (16/81=20%) had SVR (rate across the VA is ∼25%). On
univariate analysis, and taking into account all baseline characteristics,
patients who initiated treatment were more likely to have: attended
education class, baseline psychiatric evaluation, liver biopsy and prior HCV
treatment. AA ethnicity and alcohol + another substance (polySU) were
inversely related to treatment initiation. On multivariate analysis,
education class (p=0.002, OR=3.1) was the strongest predictor of treatment
initiation while AA ethnicity (p=0.023, OR=0.5) and polySU (p=0.057,
OR=0.52) were the most significant barriers to starting therapy. Having
attended class increased treatment initiation rates in AAs and in polySU
patients (Table 1). Patients who attended class were also more likely to
have a liver biopsy (52% vs. 85%, p=0.000) CONCLUSION: HCV treatment is
feasible in patients with active SU/MI and these co-morbidities should not
be a contraindication to therapy. Patient education is the strongest
predictor of treatment initiation and increases therapy rates in even
harderto- treat subsets of patients (AA, polySU). (Table Presented).
EMTREE DRUG INDEX TERMS
alcohol
peginterferon
ribavirin
RNA
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
antiviral therapy
education
hepatitis C
human
mental disease
patient
EMTREE MEDICAL INDEX TERMS
African American
ambulatory care
biopsy
Caucasian
cohort analysis
ethnicity
genotype
Hispanic
hospital
infection
liver biopsy
male
morbidity
multivariate analysis
patient education
therapy
univariate analysis
veteran
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71108970
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 848
TITLE
Professional training to reduce children's exposure to second-hand smoke in
the home: Evidence-based considerations on targeting and content
AUTHOR NAMES
Gordon J.
Friel B.
McGranachan M.
AUTHOR ADDRESSES
(Gordon J., jacki@jackigordon.net) Jacki Gordon + Associates, 8 Williamwood
Park West, Glasgow, G44 3TE, United Kingdom.
(Friel B.) NHS Greater Glasgow and Clyde Smokefree Services, Gartnavel Royal
Hospital, Glasgow, United Kingdom.
(McGranachan M.) NHS Greater Glasgow and Clyde Public Health Resource Unit,
Gartnavel Royal Hospital, Glasgow, United Kingdom.
CORRESPONDENCE ADDRESS
J. Gordon, Jacki Gordon + Associates, 8 Williamwood Park West, Glasgow, G44
3TE, United Kingdom. Email: jacki@jackigordon.net
SOURCE
Perspectives in Public Health (2012) 132:3 (135-143). Date of Publication:
May 2012
ISSN
1757-9139
1757-9147 (electronic)
BOOK PUBLISHER
SAGE Publications Ltd, 55 City Road, London, United Kingdom.
ABSTRACT
Aims: Proponents of theory-based evaluations argue that the type of evidence
needed by public health decision-makers is not simply whether interventions
work or not. A more fruitful approach is to understand the contexts and
circumstances associated with effectiveness.This article aims: to firstly
understand factors influencing professionals' practice following their
participation in training that aimed to reduce children's exposure to
second-hand smoke (SHS) in the home via increased usage of brief
interventions; and secondly to consider the implications of these factors
for improving the skills of a diverse workforce.Methods: Questionnaires were
issued to the 231 participants pre- and post-training and at three-month
follow-up. Four focus groups and four interviews were run with 16 people who
had attended the training in the previous four to eight months and who
performed a wide range of professional roles, reflecting the diversity of
those trained.Results: The three-month follow-up data indicated that some,
but not all, participants had engaged in components of the brief
intervention and changed their practice. This difference was largely
explained by professional role. Those working in a health-visiting role or
team were considered better placed to support families through a process of
restricting SHS exposure in the home. Triangulated data also indicated that
these professionals more often practised elements of the brief intervention.
There was also some evidence that the training did not equip participants
with the full range of information they wanted, or with the skills that they
felt that they needed.Conclusions: Decisions on who to target for training
need to be informed by an understanding of the contexts in which
professionals work and the opportunities and constraints within these. Those
working in a health-visiting team are credible message carriers, have
opportunities to develop a relationship with families, and can be well
placed to provide families with sustained support. To do so, they need clear
messages on precisely how to reduce exposure. In addition, they need the
skills to support families through a process of change. © Royal Society for
Public Health 2012.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
passive smoking
EMTREE MEDICAL INDEX TERMS
clinical practice
environmental exploitation
health care personnel
health visitor
human
professional competence
professional standard
questionnaire
review
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012321001
MEDLINE PMID
22700578 (http://www.ncbi.nlm.nih.gov/pubmed/22700578)
PUI
L364943897
DOI
10.1177/1757913912442271
FULL TEXT LINK
http://dx.doi.org/10.1177/1757913912442271
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 849
TITLE
Smoking habits, attitudes and training among medical students of the
Democritus University of Thrace
AUTHOR NAMES
Pantsidis G.-M.
Papageorgiou D.-I.
Bouros D.
AUTHOR ADDRESSES
(Pantsidis G.-M.; Bouros D., bouros@med.duth.gr) Democritus University of
Thrace, Greece.
(Papageorgiou D.-I.) University of Thessaly, Greece.
CORRESPONDENCE ADDRESS
D. Bouros, Dept of Pneumonology, University Hospital of Alexandroupolis,
68100 Alexandroupolis, Greece. Email: bouros@med.duth.gr
SOURCE
Pneumon (2012) 25:2 (208-218). Date of Publication: April-June 2012
ISSN
1105-848X
BOOK PUBLISHER
Technogramma, 12 Markou Avgeri Str., Athens, Greece.
ABSTRACT
Introduction Tobacco use continues to be the leading global cause of
preventable death, contributing to the death of nearly 6 million people each
year. Medical students, who are future doctors, have an important role to
play in smoking cessation and prevention. The objective of this study was to
estimate the prevalence of tobacco use among medical students of the
Democritus University of Thrace Medical School, and to evaluate their
smoking-related attitudes and the training in tobacco issues they receive
during their studies at the University. Methodology This study was conducted
from March to May 2011. The students were asked to complete a modified
version of the Global Health Professional Students' Survey (GHPSS)
questionnaire. The final study population consisted of 233 randomly selected
students in the 1(st)-6(th) years of medical studies. Results Of the 233
students invited to participate, 229 submitted adequately completed
questionnaires. Of this sample, 24% were smokers, 38.2% of whom had
experimented with smoking at the age of 11-15 years. The banning of smoking
in all enclosed public places was considered useful by 88.6%, with a
statistically significant difference between smokers and non-smokers (65.5%
vs. 96%, p<0.001). Of the participants, 31% believed that slim/light and
hand-rolled cigarettes are less harmful, and only 8.1% had been taught
cessation techniques and 17.8% the reasons why people smoke. Conclusions The
study shows that the prevalence of smoking among medical students in
northern Greece is high compared with other countries. It is evident that
the issue of tobacco use is not covered adequately and systematically by the
Medical School curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking habit
student attitude
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
cigarette smoking
controlled study
curriculum development
environmental exposure
evaluation research
female
geographic distribution
Greece
human
male
medical school
passive smoking
questionnaire
sex difference
smoking cessation
tobacco
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012414701
PUI
L365250969
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 850
TITLE
Smoking cessation pharmacotherapy improves patients adherence and increases
the ability to achieve abstinence from cigarette smoking in a Brazilian
teaching hospital
AUTHOR NAMES
Sousa A.B.
Lotufo J.P.B.
Fukuoka M.H.
Sakai M.C.
Galvão G.F.
Ribeiro E.
Wasicovichi N.N.
Fuchida C.L.
Takahashi P.S.K.
Souza E.T.C.
AUTHOR ADDRESSES
(Sousa A.B.; Lotufo J.P.B.; Fukuoka M.H.; Sakai M.C.; Galvão G.F.; Ribeiro
E.; Wasicovichi N.N.; Fuchida C.L.; Takahashi P.S.K.; Souza E.T.C.)
University of São Paulo, Pharmacy Service, University Hospital, São Paulo,
Brazil.
(Sousa A.B.; Lotufo J.P.B.; Fukuoka M.H.; Sakai M.C.; Galvão G.F.; Ribeiro
E.; Wasicovichi N.N.; Fuchida C.L.; Takahashi P.S.K.; Souza E.T.C.)
University of São Paulo, Medical Service, University Hospital, São Paulo,
Brazil.
CORRESPONDENCE ADDRESS
A.B. Sousa, University of São Paulo, Pharmacy Service, University Hospital,
São Paulo, Brazil.
SOURCE
European Journal of Hospital Pharmacy: Science and Practice (2012) 19:2
(220-221). Date of Publication: April 2012
CONFERENCE NAME
2012 European Association of Hospital Pharmacists, EAHP Congress
CONFERENCE LOCATION
Milan, Italy
CONFERENCE DATE
2012-03-21 to 2012-03-23
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Background: The cessation smoking group (CSG) of University Hospital of
University of São Paulo consists of a multidisciplinary team composed of
pharmacists, a doctor, a psychologist, nurses, a system analyst, and
dentists. Counselling and medicines, such as nicotine replacement therapy,
bupropion, and varenicline, are available, free of charge, to treat nicotine
dependence on the employees of University of São Paulo. CSG also offers
smoking-cessation counselling to all other citizens from the community of
São Paulo city who desire to participate in it, yet The authors do not
delivery these medicines free of charge for this population. Purpose: The
authors aimed to: a) verify patients adherence to CSG in those who received
smoking cessation pharmacotherapy plus counselling (G1) compared to those
who received only counselling (G2) and b) measure success in smoking
cessation within these two groups. Materials and methods: A total of 303
smokers were followed at CSG from 2009 to 2010. The program included active
follow-up during one year after quitting. 157 patients belonged to G1 and
146 to G2. Treatment adherence was defined as any subject who took >or=1
dose of any medicine prescribed for >or=80% days during the minimum 12-week
treatment period for G1 and the frequency to the meetings >or=80% for G1 and
G2. Smoking abstinence was assessed using breath carbon monoxide confirmed
weekly and self-reported tobacco cessation. Results: There were no
difference between G1 and G2 related to: gender (female 63%), age when
enrolled at CSG (41-50 years old, 38%), years smoking (21 - 30 years, 38%),
age at initiation of smoking (11-15 years old, 41%), current smoking intake
(> 20 units/day, 50%) and Fagerströn test (80%>5). On the other hand, there
were statistically significant differences between G1 and G2 for: the
outcome 'adheres to CSG': 68.8 versus 53.4%, respectively, p=0.006,
RR=1.288, OR=1.92, CI 95% from 1.20 - 3.07 and the outcome 'quit smoking'
(more than one year): 44.6% versus 22.6%, respectively, p=0.001, RR=1.97,
OR=2.75, CI 95% 1.67 - 4.54. Conclusions It is of utmost importance to
maintain the supply of medicines to achieve abstinence from cigarettes in
programs such as CSG since it was found in the present study that patients
who received anti-smoking medication free of charge not only dropped out
less from CSG but also better able to quit smoking.
EMTREE DRUG INDEX TERMS
amfebutamone
carbon monoxide
varenicline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abstinence
cigarette smoking
drug therapy
hospital
human
patient
pharmacist
smoking cessation
teaching hospital
EMTREE MEDICAL INDEX TERMS
breathing
city
community
counseling
dentist
employee
female
follow up
gender
nicotine replacement therapy
nurse
physician
population
psychologist
smoking
tobacco
tobacco dependence
university
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70877216
DOI
10.1136/ejhpharm-2012-000074.355
FULL TEXT LINK
http://dx.doi.org/10.1136/ejhpharm-2012-000074.355
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 851
TITLE
Prescription opioid use and misuse: Piloting an educational strategy for
rural primary care physicians
AUTHOR NAMES
Srivastava A.
Kahan M.
Jiwa A.
AUTHOR ADDRESSES
(Srivastava A., anita_srivastava@camh.net; Kahan M.) Department of Family
and Community Medicine, University of Toronto, Toronto, ON, Canada.
(Srivastava A., anita_srivastava@camh.net; Kahan M.) St. Joseph's Health
Centre, Family Medicine, East Wing, 30 The Queensway, Toronto, ON M6R 1B5,
Canada.
(Srivastava A., anita_srivastava@camh.net) Centre for Addiction and Mental
Health, Toronto, ON, Canada.
(Kahan M.) Addiction Medicine Services, Canada.
(Jiwa A.) York Community Services, St. Michael's Hospital, Toronto, ON,
Canada.
(Jiwa A.) Sioux Lookout Zone and Meno Ya Win Health Centre, Sioux Lookout,
ON, Canada.
CORRESPONDENCE ADDRESS
A. Srivastava, St. Joseph's Health Centre, Family Medicine, East Wing, 30
The Queensway, Toronto, ON M6R 1B5, Canada. Email: anita_srivastava@camh.net
SOURCE
Canadian Family Physician (2012) 58:4 (e210-e216). Date of Publication:
April 2012
ISSN
0008-350X
BOOK PUBLISHER
College of Family Physicians of Canada, 2630 Skymark Avenue, Mississauga
Ont., Canada.
ABSTRACT
Objective: To evaluate the feasibility and effectiveness of a multifaceted
educational intervention to improve the opioid prescribing practices of
rural family physicians in a remote First Nations community. Design:
Prospective cohort study. Setting: Sioux Lookout, Ont. Participants: Family
physicians. Interventions: Eighteen family physicians participated in a
1-year study of a series of educational interventions on safe opioid
prescribing. Interventions included a main workshop with a lecture and
interactive case discussions, an online chat room, video case conferencing,
and consultant support. Main outcome measures: Responses to questionnaires
at baseline and after 1 year on knowledge, attitudes, and practices related
to opioid prescribing. Results: The main workshop was feasible and was well
received by primary care physicians in remote communities. At 1 year,
physicians were less concerned about getting patients addicted to opioids
and more comfortable with opioid dosing. Conclusion: Multifaceted education
and consultant support might play an important role in improving family
physician comfort with opioid prescribing, and could improve the treatment
of chronic pain while minimizing the risk of addiction.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse
drug use
general practitioner
prescription
EMTREE MEDICAL INDEX TERMS
article
chronic pain (drug therapy)
cohort analysis
human
medical education
patient attitude
patient education
patient monitoring
physician attitude
prospective study
questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2012239198
MEDLINE PMID
22611608 (http://www.ncbi.nlm.nih.gov/pubmed/22611608)
PUI
L364692368
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 852
TITLE
Attitude of physicians in training towards opioids for long term pain
management
AUTHOR NAMES
Eriator I.
Estess J.
AUTHOR ADDRESSES
(Eriator I.; Estess J.) University of Mississippi Medical Center, Jackson,
United States.
CORRESPONDENCE ADDRESS
I. Eriator, University of Mississippi Medical Center, Jackson, United
States.
SOURCE
Journal of Pain (2012) 13:4 SUPPL. 1 (S36). Date of Publication: April 2012
CONFERENCE NAME
31st Annual Scientific Meeting of the American Pain Society
CONFERENCE LOCATION
Honolulu, HI, United States
CONFERENCE DATE
2012-05-16 to 2012-05-19
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
The recent decades helped to illuminate the problem of chronic pain, and
ushered in an era of increased opioid (narcotic) use for the treatment of
pain. The prescription of opioids has increased significantly, and so have
the public health problem. Currently the abuse of prescription opioids has
surpassed that of heroin and cocaine combined, and about 40 people die daily
in the USA from prescription opioids. Knowledge and skills to balance the
availability of opioids for pain management and prevent abuse becomes
critical. A significant proportion of pain patients are managed at the
primary care level. We carried out a survey in a university hospital,
following IRB approval, to examine the opinions and concerns of physicians
in training in such specialties regarding long term use of opioids for pain
management. 93 trainees including those in Emergency Medicine, General
surgery, Psychiatry, Internal Medicine, Family medicine and Neurology, and
16 medical students completed a pen and paper questionnaire. 66% were males,
65% were Caucasians and 60% were married. 91% were less than 40 years old.
45% treated chronic pain on a regular basis. 21% felt comfortable treating
chronic pain, while 34% felt it depended on the situation. 81% reported
feeling uncomfortable prescribing long term narcotics for patients. There
was no significant relationship between treating chronic pain on a regular
basis and being comfortable prescribing long term narcotics (p = 0.3).
Females were more likely to feel uncomfortable prescribing long term
narcotics (likelihood ratio, p = 0.02). However, trainees who felt
comfortable managing chronic pain were significantly more likely to also
feel comfortable prescribing long term narcotics. The most commonly listed
concern with prescribing long term narcotic was chemical dependency or
addiction (37%), closely followed by escalating opioid doses (35%). Legal
environment was cited only by 3.4%.
EMTREE DRUG INDEX TERMS
cocaine
diamorphine
narcotic agent
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
human
pain
physician
society
EMTREE MEDICAL INDEX TERMS
abuse
addiction
chronic pain
emergency medicine
environment
family medicine
female
general surgery
internal medicine
male
medical student
neurology
patient
prescription
primary medical care
psychiatry
public health problem
questionnaire
skill
student
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70722275
DOI
10.1016/j.jpain.2012.01.153
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2012.01.153
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 853
TITLE
Training health professionals in smoking cessation: A cochrane systematic
review
AUTHOR NAMES
Carson K.V.
Verbiest M.E.A.
Brinn M.P.
Crone M.R.
Esterman A.J.
Assendelft W.J.J.
Smith B.J.
AUTHOR ADDRESSES
(Carson K.V.; Brinn M.P.; Smith B.J.) Clinical Practice Unit, Basil Hetzel
Research Institute, , Australia.
(Verbiest M.E.A.; Crone M.R.; Assendelft W.J.J.) Department of Public Health
and Primary Care, Leiden University Medical Centre, , Netherlands.
(Esterman A.J.) School of Nursing and Midwifery, University of South
Australia, , Australia.
CORRESPONDENCE ADDRESS
K.V. Carson, Clinical Practice Unit, Basil Hetzel Research Institute, ,
Australia.
SOURCE
Respirology (2012) 17 SUPPL. 1 (20). Date of Publication: April 2012
CONFERENCE NAME
2012 Annual Scientific Meetings of the Thoracic Society of Australia and New
Zealand and the Australian and New Zealand Society of Respiratory Science
CONFERENCE LOCATION
Canberra, ACT, Australia
CONFERENCE DATE
2012-03-30 to 2012-04-04
ISSN
1323-7799
BOOK PUBLISHER
Wiley Blackwell
ABSTRACT
Aim To determine the efficacy of training health professionals in the
delivery of smoking cessation interventions to patients, and additional
effects of trial characteristics e.g., content, delivery method and
intensity. Methods The Cochrane Tobacco Addiction Group's register,
electronic databases and bibliographies of studies were searched. Randomized
controlled trials of at least 6 months duration, with an intervention of
training healthcare professionals in smoking cessation were included.
Results Thirteen of 12 studies were meta-analysed. A statistically and
clinically significant effect was produced in favour of the intervention for
smoking point prevalence (odds ratio 1.40, 95% CI 1.09 to 1.80, P = 0.008).
Healthcare professionals who received training were more likely to perform
smoking cessation tasks than untrained controls, including: asking patients
to set quit dates (P < 0.0001), making follow-up appointments (P < 0.00001),
counselling of smokers (P < 0.0001) provision of self-help material (P <
0.0001) and prescription of quit dates (P < 0.00001). No evidence of an
effect was observed for provision of nicotine gum/replacement therapy.
Conclusion Training health professionals to provide smoking cessation
interventions had a measurable effect on smoking point prevalence and
professional performance. New studies are needed to investigate
multi-component interventions that incorporate newer pharmacotherapies or
other smoking cessation aids alongside physician training, to determine if
any additional benefit in long term abstinence can be obtained.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Australia and New Zealand
health practitioner
New Zealand
smoking cessation
society
systematic review
EMTREE MEDICAL INDEX TERMS
abstinence
counseling
data base
follow up
health care personnel
human
patient
physician
prescription
prevalence
publication
randomized controlled trial (topic)
register
risk
self help
smoking
therapy
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70704859
DOI
10.1111/j.1440-1843.2012.02142.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-1843.2012.02142.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 854
TITLE
Changing the face of support for smokers in australia survey of smoking
cessation facilitator course participants March 2005-March 2011
AUTHOR NAMES
James A.
Williams J.
AUTHOR ADDRESSES
(James A.; Williams J.) Lung Health Promotion Centre, Alfred Hospital,
Melbourne, Australia.
CORRESPONDENCE ADDRESS
A. James, Lung Health Promotion Centre, Alfred Hospital, Melbourne,
Australia.
SOURCE
Respirology (2012) 17 SUPPL. 1 (87). Date of Publication: April 2012
CONFERENCE NAME
2012 Annual Scientific Meetings of the Thoracic Society of Australia and New
Zealand and the Australian and New Zealand Society of Respiratory Science
CONFERENCE LOCATION
Canberra, ACT, Australia
CONFERENCE DATE
2012-03-30 to 2012-04-04
ISSN
1323-7799
BOOK PUBLISHER
Wiley Blackwell
ABSTRACT
Introduction There is Level A evidence that smokers should have access to
specialist smoking cessation services staffed by trained health
professionals. The Lung Health Promotion Centre at The Alfred (LHPC)
recognized the need for a Smoking Cessation Facilitator Course for health
professionals and to address this, has conducted a course from 2005. Aim To
assess the knowledge, skills and confidence of the health professionals who
attended the LHPC Smoking Cessation Course from March 2005 to March 2011 and
note the changes they have made to their practice as a result. Methods Of
the 322 course participants, 22 were lost to follow-up. The remaining 93% (n
= 300) were invited to complete an anonymous 35 question multiple choice and
short answer survey via the online Survey Monkey tool. An initial email was
sent incorporating the survey link, reminder emails were sent at 4 and 6
weeks. Results The survey was completed by 122 course participants, a
response rate of 41%. The course significantly improved the knowledge,
confidence and skills of those attending. The majority of attendees are now
providing smoking education and over 50% are providing a specific service to
their clients. The main barriers identified with running or commencing a
service were lack of specific funding, Medicare rebate and lack of
organizational support for the service nearly 100% found the ongoing email
contact with the Lung Health Promotion Centre valuable. Conclusion The
survey demonstrated that the LHPC Smoking Cessation Facilitator Course is
effective. It improves the knowledge, confidence and skills of health
professionals wanting to actively engage in smoking cessation interventions
and education with their clients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Australia
Australia and New Zealand
human
New Zealand
smoking
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
e-mail
education
follow up
funding
Haplorhini
health practitioner
health promotion
lung
medical specialist
medicare
multiple choice test
skill
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70705118
DOI
10.1111/j.1440-1843.2012.02143.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-1843.2012.02143.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 855
TITLE
Learning from the addiction-related deaths of celebrities
AUTHOR NAMES
Burke J.
AUTHOR ADDRESSES
(Burke J., burke@choice.net)
CORRESPONDENCE ADDRESS
J. Burke, Email: burke@choice.net
SOURCE
Pharmacy Times (2012) 78:4. Date of Publication: April 2012
ISSN
0003-0627
BOOK PUBLISHER
Intellisphere LLC, 6666 PlainsBoro Road BLDG 300, PlainsBoro,New Jersey,
United States.
EMTREE DRUG INDEX TERMS
alcohol
benzodiazepine
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
addiction related death
death
public figure
EMTREE MEDICAL INDEX TERMS
alcoholism
drug abuse
human
note
pharmacy
physician
prescription
substance abuse
CAS REGISTRY NUMBERS
alcohol (64-17-5)
benzodiazepine (12794-10-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pharmacy (39)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012235621
PUI
L364680151
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 856
TITLE
Drug addiction on the wards: Are junior doctors equipped?
AUTHOR NAMES
Jones D.
AUTHOR ADDRESSES
(Jones D., Ugm4djj@gmail.com) Health Science Department, University of York,
Heslington, York, YO10 5DD, United Kingdom.
CORRESPONDENCE ADDRESS
D. Jones, Health Science Department, University of York, Heslington, York,
YO10 5DD, United Kingdom. Email: Ugm4djj@gmail.com
SOURCE
Clinical Teacher (2012) 9:2 (132-133). Date of Publication: April 2012
ISSN
1743-4971
1743-498X (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
doctor patient relation
medical staff
EMTREE MEDICAL INDEX TERMS
clinical competence
human
letter
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22405375 (http://www.ncbi.nlm.nih.gov/pubmed/22405375)
PUI
L364434829
DOI
10.1111/j.1743-498X.2011.00518.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1743-498X.2011.00518.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 857
TITLE
Implementation of a symptom-triggered benzodiazepine protocol for alcohol
withdrawal on a combined internal medicine-psychiatry unit
AUTHOR NAMES
Fowler J.
Paulsen J.
Liu D.
Zeier K.
Kijewski V.
Gingerich M.
AUTHOR ADDRESSES
(Fowler J.; Kijewski V.; Gingerich M.) University of Iowa Hospitals and
Clinics, United States.
(Fowler J.; Paulsen J.; Liu D.) University of Iowa, College of Pharmacy,
United States.
(Zeier K.) Chillicothe Veterans Affairs Medical Center, United States.
CORRESPONDENCE ADDRESS
J. Fowler, University of Iowa Hospitals and Clinics, United States.
SOURCE
Journal of Pharmacy Practice (2012) 25:2 (284). Date of Publication: April
2012
CONFERENCE NAME
15th Annual Meeting of the College of Psychiatric and Neurologic
Pharmacists, CPNP 2012
CONFERENCE LOCATION
Tampa, FL, United States
CONFERENCE DATE
2012-04-29 to 2012-05-02
ISSN
0897-1900
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Background: Use of a symptomtriggered benzodiazepine administration strategy
for treatment of alcohol withdrawal allows for individualization of dosing
based on the severity of alcohol withdrawal symptoms. The majority of
previous studies evaluating symptom-triggered dosing strategies used the
Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) rating scale
as a basis for benzodiazepine dosing. The CIWA-Ar is well validated for use
in evaluating alcohol withdrawal symptoms, though many of the items could be
considered subjective measurements. The University of Iowa Hospitals and
Clinics (UIHC) uses a locally-developed alcohol withdrawal scale, which
incorporates more objective measures such as blood pressure, pulse, and
temperature into the total score. Objectives: The purpose of this study is
to evaluate the comparative effectiveness of a symptom-triggered
benzodiazepine dosing protocol that is based on a locally-developed alcohol
withdrawal scale in patients admitted to a combined internal
medicine-psychiatry service. Methods: A retrospective chart review was
conducted for all patients receiving a fixed-dose benzodiazepine taper for
the treatment of alcohol withdrawal on the internal medicine-psychiatry unit
from 7/1/ 2009 to 06/30/2011. The symptom-triggered dosing protocol was
implemented on this service in July 2011, and an additional chart review
will be conducted of patients who received alcohol withdrawal treatment
according to this protocol from 7/1/2011 to 12/31/2011. Key variables used
to compare the effectiveness and safety of the two benzodiazepine dosing
strategies will include cumulative benzodiazepine dose, total number of
benzodiazepine doses administered, duration of benzodiazepine therapy, and
occurrence of seizure or development of alcohol withdrawal delirium after
initiation of treatment. Independent samples t-tests and Chi-squared
analyses will be used to compare variables between symptom-triggered and
fixed-schedule dosing groups. If significant differences exist between the
groups on baseline variables (age, gender, blood ethanol level at admission,
history of alcohol withdrawal seizures, and history of alcohol withdrawal
delirium), multiple linear regression and logistic regression equations will
be used to control for the influence of these variables in comparisons
between treatment groups on outcome variables. Outcomes: We will report
comparisons of demographic, effectiveness, and safety variables between
patients receiving a symptom-triggered benzodiazepine dosing strategy for
alcohol withdrawal and those receiving a fixed-dose benzodiazepine taper.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol withdrawal syndrome
college
human
internal medicine
pharmacist
psychiatry
EMTREE MEDICAL INDEX TERMS
alcohol blood level
blood pressure
comparative effectiveness
delirium tremens
gender
hospital
individualization
logistic regression analysis
medical record review
multiple linear regression analysis
outcome variable
patient
pulse rate
rating scale
safety
seizure
Student t test
temperature
therapy
treatment withdrawal
United States
university
withdrawal seizure
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70780089
DOI
10.1177/0897190012441353
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190012441353
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 858
TITLE
Questionnaire for research priorities in Paediatric SCT and future steps
AUTHOR NAMES
Stenvall M.
Trigoso E.
Deiana M.
AUTHOR ADDRESSES
(Stenvall M.; Trigoso E.; Deiana M.)
CORRESPONDENCE ADDRESS
M. Stenvall,
SOURCE
Bone Marrow Transplantation (2012) 47 SUPPL. 1 (S470). Date of Publication:
April 2012
CONFERENCE NAME
38th Annual Meeting of the European Group for Blood and Marrow
Transplantation, EBMT 2012
CONFERENCE LOCATION
Geneva, Switzerland
CONFERENCE DATE
2012-04-01 to 2012-04-04
ISSN
0268-3369
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Background: At the end of 2008, the EBMT Nurses Group created a Paediatric
Committee with the aims to know what are the main needs of the Paediatric
Nurses involved in the field of the HSCT and to promote, develop and share
knowledge between the paediatric nurses throughout Europe. During last year
a questionnaire has been developed in collaboration with the EBMT NG
Research Committee. The first aim of this survey is to identify and analyse
the research priorities among the EBMT paediatric nurses. The second aim is
to better focus and organize our future interventions. This questionnaire
was distributed during “ The 3rd Training course for Paediatricians and
Paediatric Nurses on HSCT in children and adolescents ” held in Genoa (IT)
from 31.5.2011 to 3.6.2011. In autumn 2011, it was sent to all contact
nurses by mail. Methods: An ad hoc questionnaire was used with a 5 points
numeric rating scale ranging from 1 (most important) to 5 (less important).
The questionnaire includes: demographic data and 4 different parts:
Management of Nursing, Process of Nursing, Practice of Nursing and
Development of Nursing. Statistical analysis was used. 5 points have been
assigned to the most important, while only 1 to the less important. We have
added the points, and below we have listed some results. We also considered
the percentage of votes received, among the total number of valid votes
possible. Results: At the moment, 30 questionnaires have been collected (43%
of our contact nurses' list, 12 countries and 18 different HSCT centres).
Our results show that: Considering “ Management of Nursing ” , “ Supportive
care guidelines ” received 60 points total and the 69,6 % of nurses voted
for it; more nurses (78,3%) voted for “ the psychosocial wellbeing of staff
” but received 57 points; Regarding The Process of Nursing:, “ Patient
information issues ” was the most voted (84,6%) and collected the highest
number of points, 67. The Practice of Nursing, Patient/family education was
the most voted (78,3%) and collected the highest number of points, 69. The
Development of Nursing, Quality of life issues collected the highest number
of points (80) and was the most voted (84%), as well as Practice development
and education (79 votes). In addiction “ The top five ” results (considering
all 4 parts) are the following: 1. “ Patient information issues ” was the
most considered, 2. “ Quality of life issues ” , 3. “ Practice development
and education ” , 4. “ Patient/ family education ” and 5. “ Supportive care
guidelines ” . Not one topic has been voted by 100% of nurses (considering
valid votes). The survey points out those research priorities are different
considering professional position. In fact the 100% of nurses scored “
Quality of life issues ” with 49 points, while the 100% of Coordinators and
managers scored for “ Practice development and education ” , with 49 points.
Conclusion: These findings had already contributed to the organization of “
The 3rd Meeting of the EBMT Paediatric Nurses ” that will be held in Prague,
Czech Republic, 7-10 June 2012. Paediatric Committee members are developing
an interesting programme in accordance with PDWP. The programme will include
patient education, safety of the patient and family centred care in the HSCT
setting. These results will help us in our commitment: to share knowledge
and education. It should be important to increase the number of
questionnaires in order to allow us to understand better the needs of
nurses, basic nurses, specialist nurses or coordinators.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
blood
bone marrow
questionnaire
research priority
transplantation
EMTREE MEDICAL INDEX TERMS
addiction
adolescent
autumn
child
Czech Republic
education
Europe
human
manager
medical specialist
nurse
nursing
nursing practice
nursing process
patient
patient education
patient information
pediatric nurse
pediatrician
quality of life
rating scale
safety
statistical analysis
training
wellbeing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70723539
DOI
10.1038/bmt.2012.39
FULL TEXT LINK
http://dx.doi.org/10.1038/bmt.2012.39
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 859
TITLE
How to revive neuropsychopharmacological innovation
AUTHOR NAMES
Gjedde A.
AUTHOR ADDRESSES
(Gjedde A., gjedde@sund.ku.dk) Department of Neuroscience and Pharmacology,
University of Co-penhagen, Denmark.
CORRESPONDENCE ADDRESS
A. Gjedde, Department of Neuroscience and Pharmacology, University of
Co-penhagen, Denmark. Email: gjedde@sund.ku.dk
SOURCE
Acta Neuropsychiatrica (2012) 24 SUPPL. 1 (9). Date of Publication: April
2012
CONFERENCE NAME
53rd Annual Meeting of the Scandinavian College of Neuropsychopharmacology,
SCNP 2012
CONFERENCE LOCATION
Copenhagen, Denmark
CONFERENCE DATE
2012-04-25 to 2012-04-27
ISSN
0924-2708
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
There is no doubt that neuropsychopharmacology is in a crisis. Worldwide,
pharmaceutical companies are drop-ping the brain as a focus of research. The
main reason for the crisis is the lack of understanding of the
patho-physiology of major neuropsychiatric disorders, which prevents the
scientists from designing new drugs that address specific disorders of brain
function. Some psy-chologists and psychiatrists even claim that existing
neuropsychopharmaceuticals in fact are the cause rather than the consequence
of the precipitous rise of mental disorders in the Western world. It now
appears that 50% of the adult populations of Western societies have
suf-fered from a mental illness at least once in their lifetime. According
to the National Institutes of Mental Health in the US, as cited by Marcia
Angell in the New York Re-view, the relevant illnesses fall into the four
broad cate-gories of anxiety, mood, impulse control, and substance abuse
disorders. Marcia Angell is a Senior Lecturer in Social Medicine at Harvard
Medical School and a for-mer editor of the New England Journal of Medicine,
and the European Brain Council confirms that these com-plaints are among the
most expensive brain disorders that burden European societies. The critics
(1) of the current diagnostic proliferation argue that these disorders
emerged to fit the drugs that were discovered rather than the opposite. The
drugs were not designed to treat the disorders because no one knows how the
mind works in patients with mental complaints, and historically it is true
that the first major psychoactive drugs were meant to cure infections. We
still depend on the revolution that happened more than 50 years ago when
chlorpromazine was found inci-dentally to be effective against psychosis,
meprobamate was shown to be effective against anxiety, and iproni-azid
turned out to relieve some symptoms of depression. It is still a mystery how
they really work, despite the debates of many theories. Of course, the
original drugs and their current succes-sors have significant neurochemical
effects, but the crit-ics argue that the effects of the drugs, including the
rise of serotonin and noradrenaline in brain tissue, or the blockade of
dopamine receptors, are used to make claims about the causes of the same
mental disturbances that the drugs are prescribed to cure, such as
noradrena-line and serotonin deficiency in depression, or dopamine excess in
schizophrenia. For these reasons, the same critics argue, the drugs work not
nearly as well as re-ported, and the efficiency has been exaggerated by the
neuropsychopharmaceutical industry. The critics claim that a higher number
of negative than positive clinical studies have been concluded worldwide but
only posi-tive studies have been published. It is possible, they say, that
patients generally use side-effects rather than main effects to infer the
nature of the treatment in placebo-controlled and double-blinded studies,
when placebo drugs are as active as test drugs. The only solution to this
crisis is to know more about the pathophysiology of neuropsychiatric
disorders: What is the matter with the brains of the people who suffer from
these complaints? The effective future treatments must be designed to
correct known malfunc-tions of the brain, which necessarily requires a
strong boost to translational studies into the functional integra-tion of
brain work in drug-naïve patients, including ge-netic, epigenetic and
development studies of the patients and their relatives before they are
treated with many of the current drugs that in reality are left-overs from a
revolution that happened more than 50 years ago.
EMTREE DRUG INDEX TERMS
chlorpromazine
dopamine
dopamine receptor
meprobamate
new drug
noradrenalin
placebo
psychotropic agent
serotonin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
psychopharmacology
EMTREE MEDICAL INDEX TERMS
adult
anxiety
brain
brain disease
brain function
brain tissue
clinical study
cultural anthropology
diagnosis
diseases
drug industry
editor
health care organization
human
industry
infection
lifespan
medical school
mental disease
mental health
mood
pathophysiology
patient
physiology
population
psychiatrist
psychosis
schizophrenia
scientist
side effect
social medicine
substance abuse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70760114
DOI
10.1111/j.1601-5215.2012.00664.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1601-5215.2012.00664.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 860
TITLE
Ethnicity and the long-term course and outcome of psychosis: Initial
findings from AESOP-10
AUTHOR NAMES
Morgan C.
AUTHOR ADDRESSES
(Morgan C.) Institute of Psychiatry, King's College London, London, United
Kingdom.
CORRESPONDENCE ADDRESS
C. Morgan, Institute of Psychiatry, King's College London, London, United
Kingdom.
SOURCE
Schizophrenia Research (2012) 136 SUPPL. 1 (S42-S43). Date of Publication:
April 2012
CONFERENCE NAME
3rd Biennial Schizophrenia International Research Conference
CONFERENCE LOCATION
Florence, Italy
CONFERENCE DATE
2012-04-14 to 2012-04-18
ISSN
0920-9964
BOOK PUBLISHER
Elsevier
ABSTRACT
In the UK, there is strong evidence that black Caribbean and black African
populations have higher rates of psychosis and more negative interactions
with specialist mental health services. In addition, it has been suggested
that the clinical course and outcome of psychosis in these groups is more
benign, with fewer individuals experiencing continuous and negative symptoms
over time. Underlying this is the idea that psychosis in these groups is
more often brief, characterised by an acute onset and positive and manic
symptoms, and caused by social stress (broadly construed). We sought to test
this in a ten-year follow-up of a large cohort of individuals with
first-episode psychosis (n=535) (AESOP-10). SOP-10 is a multi-centre
follow-up study at 10 years of a cohort of 535 individuals with a first
episode of psychosis. At baseline, extensive data were collected on a range
of social and biological risk factors. At follow-up, detailed information
was collated on clinical course and outcome, social function and disability,
and service use during the 10 year period since inception into the study.
Initial analyses have focused on comparisons between ethnic groups. In
initial analyses, we found that there were no differences between ethnic
groups in: a) clinical course and outcome, with, for example, similar
proportions in all groups experiencing a continuous course (white British
24%, black Caribbean 28%, black African 24%; χ(2)=0.2, df 2, p=0.92); and b)
social function and disability, with, for example, similar scores on the
Global Assessment of Function Disability Scale (Mean Disability Score: white
British 59.6, black Caribbean 60.7, black African 52.4, f=0.76, p=0.47).
There were, however, marked ethnic differences in patterns of service use.
After ad justing for age, gender, overall number of admissions, clinical
course and outcome, baseline diagnosis and substance use, the compulsory
admission rate ratio, modelled using poisson regression with White British
as the baseline group, was 1.9 (95% CI 1.26-2.87) for black Caribbean
patients and 2.5 (95% CI 1.50-4.27) for black African patients. Further, by
the end of the follow-up period: a) 31% of white British patients had had a
criminal justice agency involved in at least one admission, compared with
68% of black Caribbean (OR 4.5, 95% CI 1.56-12.95) and 70% of black African
patients (OR 5.1, 95% CI 1.39-18.64); and b) 5% of white British patients
had been admitted at least once to a secure unit, compared with 18% of black
Caribbean patients (OR 4.4, 95% CI 0.85-23.37) and 33% of black Africans (OR
10.0, 95% CI 1.59-63.0)] These initial analyses do not support the
proposition that outcomes of psychosis are more benign in black minority
ethnic groups in the UK. They do, however, again show high levels of
compulsion in these groups, with suggestions that differences between groups
become more pronounced over time.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
ethnicity
psychosis
schizophrenia
EMTREE MEDICAL INDEX TERMS
African
African Caribbean
compulsion
criminal justice
diagnosis
disability
disease course
ethnic difference
ethnic group
follow up
gender
Global Assessment of Functioning
human
medical specialist
mental health service
negative syndrome
patient
population
risk factor
social status
social stress
substance use
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71729463
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 861
TITLE
Process addictions in 2012: Food, internet and gambling
AUTHOR NAMES
Zhang Y.
Tian J.
Von Deneen K.M.
Liu Y.
Gold M.S.
AUTHOR ADDRESSES
(Zhang Y.; Tian J.; Von Deneen K.M.) Life Sciences Research Center, School
of Life Sciences and Technology, Xidian University, Xi'an, Shaanxi 710071,
China.
(Zhang Y.; Von Deneen K.M.; Liu Y.; Gold M.S., msgold@ufl.edu) Department of
Psychiatry and McKnight Brain Institute, University of Florida, 100 South
Newell Drive, Gainesville, FL 32610-0256, United States.
(Tian J.) Institute of Automation, Chinese Academy of Sciences, Zhong
Guancun East Road, No.95, Beijing 100190, China.
CORRESPONDENCE ADDRESS
M.S. Gold, Department of Psychiatry and McKnight Brain Institute, University
of Florida, 100 South Newell Drive, Gainesville, FL 32610-0256, United
States. Email: msgold@ufl.edu
SOURCE
Neuropsychiatry (2012) 2:2 (155-161). Date of Publication: April 2012
ISSN
1758-2008
1758-2016 (electronic)
BOOK PUBLISHER
Future Medicine Ltd., 2nd Albert Place, Finchley Central, London, United
Kingdom.
ABSTRACT
Traditional addiction studies have focused specifically on the use of
chemical substances, while more recent studies have begun to focus on
behavioral processes. Process addiction is an addiction to a natural and in
many cases essential behavior such as eating and sex. Acquired continued and
compulsive overeating is one process addiction similar to other activities
or behaviors, such as excessive video gaming, pathological gambling,
hypersexuality or excessive internet use where the addict shows loss of
control, an inability to stop or modify the activity, and a range of signs
and symptoms that can be as debilitating as those associated with substance
abuse or addiction. Individuals with process addiction would meet criteria
for addiction if their substance of abuse was considered a drug. They
present characteristics like other addicts, have a chronic and relapsing
course and often the addiction leaves them with loss of health, happiness
and a difficulty treating the disease. Gambling has been the least
contentious process addiction and will appear in the Diagnostic and
Statistical Manual of Mental Disorders. Food and sex have been the most
difficult for the field to consider as addictions. However, food may have
the clearest, long-standing scientific research behind it. In this review,
we provide a summary of the literature on process (behavior) addictions and
a discussion of food addiction, as well as pathological gambling and
internet addiction disorder. © 2012 Future Medicine Ltd.
EMTREE DRUG INDEX TERMS
alcohol
ghrelin
insulin
leptin
methylphenidate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction (etiology)
pathological gambling (etiology)
EMTREE MEDICAL INDEX TERMS
alcohol abuse
binge eating disorder
body weight gain
decision making
eating disorder
electroencephalogram
feeding disorder
food
human
hyperphagia
metabolic syndrome X
neoplasm
non insulin dependent diabetes mellitus
Prader Willi syndrome
priority journal
review
tobacco
CAS REGISTRY NUMBERS
alcohol (64-17-5)
ghrelin (304853-26-7)
insulin (9004-10-8)
methylphenidate (113-45-1, 298-59-9)
EMBASE CLASSIFICATIONS
General Pathology and Pathological Anatomy (5)
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012201353
PUI
L364582500
DOI
10.2217/npy.12.14
FULL TEXT LINK
http://dx.doi.org/10.2217/npy.12.14
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 862
TITLE
Reaching out and reaching up - developing a low cost drug treatment system
in Cambodia
AUTHOR NAMES
Klein A.
Saphonn V.
Reid S.
AUTHOR ADDRESSES
(Klein A., A.Klein@kent.ac.uk) Centre for Health Services Studies,
University of Kent, Canterbury, United Kingdom.
(Saphonn V., vsaphonn@yahoo.com) National Institute of Public Health,
Ministry of Health, Phnom Penh, Cambodia.
(Reid S., inkwell_11@yahoo.com) School of Community Health Sciences,
University of Nevada at Las Vegas, Las Vegas, United States.
CORRESPONDENCE ADDRESS
S. Reid, School of Community Health Sciences, University of Nevada at Las
Vegas, Las Vegas, United States. Email: inkwell_11@yahoo.com
SOURCE
Harm Reduction Journal (2012) 9 Article Number: 11. Date of Publication: 12
Mar 2012
ISSN
1477-7517 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., info@biomedcentral.com
ABSTRACT
Cambodia, confronted by the spread of drug misuse among young people,
requested support from international agencies to develop a drug treatment
programme in 2000. The initial plan developed by the United Nations Office
on Drugs and Crime was to set up a number of conventional drug treatment
centres in urban areas. During the planning phase, however, the project was
redesigned as a community based outreach programme. Ten Community
Counselling Teams have been formed and trained in pilot areas, and within
the first year of operation 462 drug and alcohol users contacted. Comprising
former drug users, family members affected by drug use and health care
staff, they have drug scene credibility, local knowledge and connectivity,
and a rudimentary level of medical competence. Crucially, they enjoy the
support of village elders, who are involved in the planning and reporting
stages. While the Community Counselling Teams with their basic training in
addiction counselling are in no position as yet to either provide or refer
clients to treatment, they can provide brief interventions, organise self
help groups, and most importantly provide an alternative to law enforcement.
By taking a development centred approach, with emphasis on community,
empowerment and inclusion, it provides a constructive and inclusive
alternative to medical approaches and the compulsory drug treatment centres.
The paper is based on an evaluation involving interviews with a range of
stakeholders and a review of project documents. © 2012 Klein et al; licensee
BioMed Central Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
EMTREE MEDICAL INDEX TERMS
alcohol abuse
article
Cambodia
disease control
drug abuse
evaluation study
health care cost
health care delivery
health program
human
interview
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012233068
PUI
L51909756
DOI
10.1186/1477-7517-9-11
FULL TEXT LINK
http://dx.doi.org/10.1186/1477-7517-9-11
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 863
TITLE
Physician survey examining the impact of an educational tool for responsible
opioid prescribing
AUTHOR NAMES
Young A.
Alfred K.C.
Davignon P.P.
Hughes L.M.
Robin L.A.
Chaudhry H.J.
AUTHOR ADDRESSES
(Young A.; Chaudhry H.J.) Federation of State Medical Boards, Euless, TX,
United States.
(Alfred K.C.) Education and Legislative Services, Federation of State
Medical Boards, Euless, TX, United States.
(Davignon P.P.) Department of Sociology, Baylor University, Waco, TX, United
States.
(Hughes L.M.) Georgia Composite Board of Medical Examiners, Atlanta, GA,
United States.
(Robin L.A.) Federation of State Medical Boards, Washington, DC, United
States.
CORRESPONDENCE ADDRESS
A. Young, Federation of State Medical Boards, Euless, TX, United States.
SOURCE
Journal of Opioid Management (2012) 8:2 (81-87). Date of Publication:
March-April 2012
ISSN
1551-7489
BOOK PUBLISHER
Weston Medical Publishing, 470 Boston Post Road, Weston, United States.
ABSTRACT
Introduction: In response to the need for physician education on proper
opioid prescribing, the Federation of State Medical Boards (FSMB) and the
FSMB Foundation, the philanthropic arm of the FSMB, commissioned and
distributed Responsible Opioid Use: A Physician's Guide to more than 165,000
licensed physicians in the United States. The book, written by pain
management specialist Scott Fishman, MD, seeks to further physicians'
continuing medical education by providing information on how to properly
prescribe opioids to treat patients in pain. Although the book has been
widely distributed, there have been no systematic studies of its impact. To
address this knowledge gap, the authors surveyed licensed physicians in
Georgia who received a copy of the book to determine whether it added to
their knowledge about prescribing opioids, and if they planned to make
changes in their practice based on reading the book. Methods: Six weeks
after licensed physicians in Georgia received the book, a survey was sent to
12,666 of them via e-mail. Results: A total of 508 physicians completed the
online survey. Of these, 82.1 percent rated the book either "very good" or
"good" on providing pragmatic steps for improved care for patients in pain,
and more than 80 percent agreed that the book is a useful educational tool.
Almost one-third (32.2 percent) claimed that they intend to make changes to
their practice after reading the book. The analysis also showed physicians
in a solo practice were more likely to make changes (41.8 percent) than
their counterparts in office-based group practice (33-3 percent) and
hospital-based (25.0 percent) settings. Primary care providers (41.6
percent) were also much more likely to make changes than physicians working
in other specialty areas of medicine (22.8 percent). Well over half (57.7
percent) of the respondents indicated the book was better than other
publications they had read on opioid prescribing and pain management.
Conclusions: The results from this state-wide survey of licensed physicians
demonstrate the value of educating physicians about how to appropriately
prescribe, document, and treat patients who need opioid medications for pain
management. The findings should be of value to organizations seeking to
better educate physicians about appropriate opioid prescribing by providing
insight into which physician population would be the most receptive to the
type of information presented in Dr. Fishman's book. When faced with limited
resources, an organizational strategy that first targets solo and primary
care practitioners may improve physician educational efforts about
prescribing opioids better than a strategy targeting medical and surgical
specialists or those physicians participating in group practice settings. ©
2012 Journal of Opioid Management, All Rights Reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
outcome of education
physician attitude
prescription
EMTREE MEDICAL INDEX TERMS
article
e-mail
general practitioner
hospital physician
human
licensing
medical documentation
medical ethics
medical practice
medical specialist
pain
patient care
practice guideline
professional knowledge
publication
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012316400
MEDLINE PMID
22616313 (http://www.ncbi.nlm.nih.gov/pubmed/22616313)
PUI
L364928913
DOI
10.5055/jom.2012.0100
FULL TEXT LINK
http://dx.doi.org/10.5055/jom.2012.0100
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 864
TITLE
Smoking prevention activities at the third faculty of medicine of Charles
University in Prague, Czech Republic.
AUTHOR NAMES
Schneidrová D.
Herotová T.K.
Sustková M.
AUTHOR ADDRESSES
(Schneidrová D.) Department of Child and Youth Health, Third Faculty of
Medicine, Charles University, Prague, Czech Republic.
(Herotová T.K.; Sustková M.)
CORRESPONDENCE ADDRESS
D. Schneidrová, Department of Child and Youth Health, Third Faculty of
Medicine, Charles University, Prague, Czech Republic.
SOURCE
Central European journal of public health (2012) 20:1 (67). Date of
Publication: Mar 2012
ISSN
1210-7778
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
counseling
Czech Republic
health education
health promotion
human
methodology
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22571022 (http://www.ncbi.nlm.nih.gov/pubmed/22571022)
PUI
L364914937
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 865
TITLE
Internet addiction as an important predictor in early detection of
adolescent drug use experience-implications for research and practice
AUTHOR NAMES
Fisoun V.
Floros G.
Siomos K.
Geroukalis D.
Navridis K.
AUTHOR ADDRESSES
(Fisoun V.) Department of Psychiatry, Evaggelismos General Hospital of
Athens, Athens, Greece.
(Floros G., georgefloros@gmail.com) 2nd Department of Psychiatry, Aristotle
University of Thessaloniki, 196 Langada Str., 564 29 Thessaloniki, Greece.
(Siomos K.) Hellenic Association for the Study of Internet Addiction
Disorder, Larisa, Greece.
(Geroukalis D.) Hippocrates Center for Drug Abuse Prevention, Kos, Greece.
(Navridis K.) Department of Psychology, School of Philosophy, University of
Athens, Athens, Greece.
CORRESPONDENCE ADDRESS
G. Floros, 2nd Department of Psychiatry, Aristotle University of
Thessaloniki, 196 Langada Str., 564 29 Thessaloniki, Greece. Email:
georgefloros@gmail.com
SOURCE
Journal of Addiction Medicine (2012) 6:1 (77-84). Date of Publication: March
2012
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
We present results from a cross-sectional study of the entire adolescent
student population aged 14 to 18 years of the island of Kos, on the
correlates between personality, illicit chemical substance use, and Internet
abuse. Results demonstrate that adolescents who have used illicit substances
and are abusing the Internet as well appear to share some common personality
characteristics, namely those that are classified under the label of
"psychoticism" in the Eysenck's personality model. An increase in the
severity of pathological Internet use has been linked to increased chances
of having used an illicit substance. Taking into account any common
personality attributes, Internet addiction can still be useful as a
predictor variable for substance use experiences. Future research should
attempt to verify any biological common factors between chemical substances
use and Internet abuse. Targeting the adolescent population that engages in
increased Internet use may be of benefit for drug abuse prevention programs.
Copyright © 2012 American Society of Addiction Medicine.
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
child behavior
cross-sectional study
disease association
disease severity
drug use
Eysenck Personality Questionnaire
female
human
major clinical study
male
personality
priority journal
psychosis
risk factor
sex difference
substance abuse
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012398283
MEDLINE PMID
22227578 (http://www.ncbi.nlm.nih.gov/pubmed/22227578)
PUI
L365208801
DOI
10.1097/ADM.0b013e318233d637
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e318233d637
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 866
TITLE
Federal health policy: Mental health priorities in a challenging
congressional landscape
AUTHOR NAMES
Blank K.
Hash M.
Feder J.
AUTHOR ADDRESSES
(Blank K.) Institute of Living, Hartford, United States.
(Hash M.) U. S. Department of Health and Human Services, Washington, United
States.
(Feder J.) Georgetown University, Washington, United States.
CORRESPONDENCE ADDRESS
K. Blank, Institute of Living, Hartford, United States.
SOURCE
American Journal of Geriatric Psychiatry (2012) 20:3 SUPPL. 1 (S21-S22).
Date of Publication: March 2012
CONFERENCE NAME
AAGP Annual Meeting 2012
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2012-03-16 to 2012-03-19
ISSN
1064-7481
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
This public policy workshop will provide an overview of the current
legislative and regulatory environment that impacts the development and
enactment of health and mental health policy at the Federal level. For the
first two years of the Obama Administration, Democrats held large majorities
in both the House of Representatives and the Senate, but an almost toxic
partisanship made legislative progress extremely difficult. The 2010
elections brought about a shift in control of the House of Representatives
to the Republicans, with a strong contingent of members who are opposed to
compromise and determined to bring about radical change in domestic policy.
Perhaps the most challenging policy question for Congress and the
Administration has been reaching agreement on how to reduce looming
long-term budget deficits. At the same time, the nation's continuing
struggle to move past the devastating recession following the Wall Street
collapse in 2008 means that measures to strengthen the economy and
particularly to address unemployment will continue to demand lawmakers'
attention. The budget resolution passed in the House of Representatives in
the spring of 2011, which was crafted by Representative Paul Ryan (R-WI),
chair of the Budget Committee, has drawn stark policy lines in the sand. His
proposal to make radical changes in Medicare has drawn a strong reaction,
from both policy and political standpoints. The health care community is
also focused on implementation of health care reform legislation, the
Patient Protection and Accountable Care Act (ACA), which was enacted in
March 2009, and the regulations that will govern it. Most recently,
regulations to govern Accountable Care Organizations (ACOs) have been of
great concern to health care providers and practitioners. In addition, a
number of issues that were set aside in the health care reform debate are
still unresolved. Foremost among them is the acknowledged but as yet
unresolved conundrum on how to avoid deep annual cuts in the Medicare
physician fee schedule, solution for which will cost hundreds of billions of
dollars. Current budget strains have meant substantial cut-backs in funding
for existing programs already with the strong possibility of more to come.
Several major health programs are now operating under expired authorization
statutes, including the Substance Abuse and Mental Health Administration
(SAMHSA), health professions education programs, and the Older Americans
Act, which governs programs in the Administration on Aging. This public
policy session will enable participants to have an understanding of the
legislative and regulatory issues that may be considered at the Federal
level in 2012 and the attendant tensions throughout the Federal government
as a result of bitter partisan and policy divisions. The first part of the
session will consist of an examination of the impact of enactment of ACA on
all aspects of health policy, with particular attention given to its impact
on mental health and aging policy. The next presentation will address health
policy issues that will be on Congress's agenda and expectations for
legislative success. The issues include Medicare reimbursement for
physicians' services; geriatric medical education; legislation setting new
policy for both aging and mental health services; and funding for mental
health services and research programs. Finally, the session will identify
strategies for AAGP and individual geriatric psychiatrists to utilize to
ensure that the voice of geriatric psychiatry is heard as these and other
health care issues are considered by Congress, the Federal regulatory
agencies, and the White House.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care planning
health care policy
landscape
mental health
EMTREE MEDICAL INDEX TERMS
accountable care organization
aging
bitter taste
budget
community
economic aspect
education program
election
environment
examination
fee
funding
gerontopsychiatry
government
health
health care
health care management
health care personnel
health program
human
law
medical education
medical fee
medicare
mental health service
occupation
patient
physician
policy
protection
psychiatrist
reimbursement
sand
substance abuse
unemployment
voice
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70682418
DOI
10.1097/01.JGP.0000413062.84325.48
FULL TEXT LINK
http://dx.doi.org/10.1097/01.JGP.0000413062.84325.48
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 867
TITLE
To study the influence of stress, obesity & habits on body weight among
medical UG students
AUTHOR NAMES
Parikh M.B.
Kulhalli P.
Shweta A.G.
Hiralal B.D.
AUTHOR ADDRESSES
(Parikh M.B., mananparikh91@gmail.com; Kulhalli P.,
preetikulhalli@gmail.com; Shweta A.G., shweta.a.honey@gmail.com; Hiralal
B.D., dhruv.baru@yahoo.com)
CORRESPONDENCE ADDRESS
M.B. Parikh, Email: mananparikh91@gmail.com
SOURCE
Australasian Medical Journal (2012) 5:1 (89). Date of Publication: 2012
CONFERENCE NAME
4th International Medical Students' Research Conference of the Forum for
Medical Students' Research (India)
CONFERENCE LOCATION
Mumbai, India
CONFERENCE DATE
2011-05-12 to 2011-05-14
ISSN
1836-1935
BOOK PUBLISHER
Australasian Medical Journal Pty Ltd
ABSTRACT
Introduction Obesity is emerging as a serious problem throughout the world,
not sparing any age. Of the factors contributing to obesity, stress seems to
be particularly important as it leads to irregularity in diet, lack of
exercise and addiction. Medical education is a stressful course. It is seen
that medical students undergo tremendous stress which along with bad dietary
habits and addictions like smoking, drinking have serious effects on their
body weight.Aims: 1.To assess the magnitude of stress in medical students.
2.To study the influence of obesity and habits on bodyweight of medical
students. Materials and Methods A Cross sectional study was carried out in
SDMCMSH, Dharwad. Data was collected on a pre-designed questionnaire among
the students attending the medical school. Questionnaire: Part1 included
assessing the stress levels using PSQ (perceived stress questionnaire).
Part2 included risk factors leading to obesity. Students of all the Terms
were included. The study was carried out for a period of 1 month. Incidence
of Obesity was calculated using BMI. Significance of non-parametric factors
influencing body weight, like diet, exercise and addiction was done by chi
square test. Informed consent was taken from the study subjects and results
were analysed. Results Our study consisted of 200 students (95girls and
105boys). It was found that there is direct correlation of stress with
increase in academic year of study. Effect of Exercise on body weight was
found to be statistically significant(p<0.05), so was effect of smoking on
body weight and BMI(p><0.05). There is also significant statistical
correlation between weight and BMI. Our study is in coherence with the study
done by Sen Gupta and team(Indian Journal of Community Medicine JULY 2009)
who also found a significant correlation between exercise and body
Conclusions 1.Level of stress increased with increase in difficulty of
academics in medical education. 2.Exercise, Smoking and BMI have significant
effect on body weight.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
body weight
habit
human
India
medical student
obesity
student
EMTREE MEDICAL INDEX TERMS
addiction
boy
chi square test
community medicine
cross-sectional study
diet
drinking
exercise
female
girl
Indian
informed consent
male
medical education
medical school
questionnaire
risk factor
smoking
weight
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70678428
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 868
TITLE
Internet addiction in a group of medical students: a cross sectional study.
AUTHOR NAMES
Pramanik T.
Sherpa M.T.
Shrestha R.
AUTHOR ADDRESSES
(Pramanik T.) Department of Physiology, Nepal Medical College, Kathmandu,
Nepal.
(Sherpa M.T.; Shrestha R.)
CORRESPONDENCE ADDRESS
T. Pramanik, Department of Physiology, Nepal Medical College, Kathmandu,
Nepal. Email: drpramanik@hotmail.com
SOURCE
Nepal Medical College journal : NMCJ (2012) 14:1 (46-48). Date of
Publication: Mar 2012
ABSTRACT
The use of Internet for education, recreation and communication is
increasing day by day. Nevertheless, the possibility of exploitation and
addiction leading to impairment in academic performance and emotional
balance cannot be denied, especially among young population. The study was
aimed to measure the degree of Internet addiction among a group of medical
students. Internet addiction test questionnaire developed by Young was used
to assess mild, moderate and severe addiction. Amongst the study population
(n=130, age 19-23 years), 40% had mild addiction. Moderate and severe
addiction was found in 41.53% and 3.07% of the participants respectively.
The study revealed that 24% often and 19.2% always found themselves using
Internet longer than they had planned or thought. Late night Internet
surfing leading to sleep deprivation was found in 31.53% of the
participants. Almost one fourth of them (25.38%) occasionally tried to cut
down the time they spent on the Internet but failed and 31.53% sometimes
experienced restlessness when deprived of Internet access. Results reflected
that a significant number of participants suffered from mild to moderate
addiction. The role of counseling and education should be emphasized for
prevention of Internet addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
Internet
medical student
EMTREE MEDICAL INDEX TERMS
adult
article
cross-sectional study
female
human
male
Nepal (epidemiology)
psychological aspect
utilization review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23441494 (http://www.ncbi.nlm.nih.gov/pubmed/23441494)
PUI
L368671516
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 869
TITLE
Enhanced didactic methods of smoking cessation training for medical
students-A randomized study
AUTHOR NAMES
Stolz D.
Langewitz W.
Meyer A.
Pierer K.
Tschudi P.
S'ng C.T.
Strobel W.
Perruchoud A.P.
Fagerström K.
Tamm M.
AUTHOR ADDRESSES
(Stolz D., dstolz@uhbs.ch; Meyer A.; S'ng C.T.; Strobel W.; Tamm M.) Clinic
of Pulmonary Medicine and Respiratory Cell Research, University Hospital
Basel, Basel, Switzerland.
(Langewitz W.) Department of Psychosomatic Medicine, University Hospital
Basel, Basel, Switzerland.
(Pierer K.; Perruchoud A.P.) University of Basel, Basel, Switzerland.
(Tschudi P.) Department of General Practitioner Medicine, University
Hospital Basel, Basel, Switzerland.
(Fagerström K.) Research Department, Fagerström Consulting, Helsingborg,
Sweden.
CORRESPONDENCE ADDRESS
D. Stolz, Clinic of Pulmonary Medicine and Respiratory Cell Research,
University Hospital Basel, Petersgraben 4, CH-4031 Basel, Switzerland.
Email: dstolz@uhbs.ch
SOURCE
Nicotine and Tobacco Research (2012) 14:2 (224-228). Date of Publication:
2012
ISSN
1462-2203
1469-994X (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Background: It is essential that medical students are adequately trained in
smoking cessation. A web-based tobacco abstinence training program might
supplement or replace traditional didactic methods. Methods: One-hundred and
forty third-year medical students were all provided access to a
self-directed web-based learning module on smoking cessation. Thereafter,
they were randomly allocated to attend 1 of 4 education approaches: (a)
web-based training using the same tool, (b) lecture, © role playing, and (d)
supervised interaction with real patients. Results: Success of the
intervention was measured in an objective structured clinical examination.
Scores were highest in Group 4 (35.9 ± 8.7), followed by Groups 3 (35.7 ±
6.5), 2 (33.5 ± 9.4), and 1 (28.0 ± 9.6; p = .007). Students in Groups 4
(60.7%) and 3 (57.7%) achieved adequate counseling skills more frequently
than those in Groups 2 (34.8%) and 1 (30%; p = .043). There was no
difference in the scores reflecting theoretical knowledge (p = .439).
Self-assessment of cessation skills and students' satisfaction with training
was significantly better in Groups 3 and 4 as compared with 1 and 2 (p <
.001 and p = .006, respectively). Conclusions: Role playing and interaction
with real patients are equally efficient and both more powerful learning
tools than web-based learning with or without a lecture. © The Author 2011.
Published by Oxford University Press on behalf of the Society for Research
on Nicotine and Tobacco. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
medical student
skill
smoking cessation program
smoking cessation skill
EMTREE MEDICAL INDEX TERMS
article
clinical examination
comparative study
controlled study
female
human
knowledge
male
normal human
patient counseling
priority journal
randomized controlled trial (topic)
scoring system
self evaluation
student satisfaction
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012064948
MEDLINE PMID
22090454 (http://www.ncbi.nlm.nih.gov/pubmed/22090454)
PUI
L364168619
DOI
10.1093/ntr/ntr186
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/ntr186
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 870
TITLE
"I feel uncomfortable 'calling a patient out'": Educational needs of
palliative medicine fellows in managing opioid misuse
AUTHOR NAMES
Childers J.W.
Arnold R.M.
AUTHOR ADDRESSES
(Childers J.W., childersjw2@upmc.edu; Arnold R.M.) Section of Palliative
Care and Medical Ethics, Division of General Internal Medicine, University
of Pittsburgh Medical Center, Pittsburgh, PA, United States.
(Arnold R.M.) Center for Bioethics and Health Law, University of Pittsburgh,
School of Medicine, Pittsburgh, PA, United States.
CORRESPONDENCE ADDRESS
J.W. Childers, Division of General Internal Medicine, University of
Pittsburgh Medical Center, 200 Lothrop Street, Pittsburgh, PA 15213, United
States. Email: childersjw2@upmc.edu
SOURCE
Journal of Pain and Symptom Management (2012) 43:2 (253-260). Date of
Publication: February 2012
ISSN
0885-3924
1873-6513 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Context: During the past 10 years, advocates of palliative care have sought
to be included earlier in the course of patients' illnesses. Palliative care
providers may thus be more likely to care for patients who misuse and abuse
opioids. Objectives: To assess whether hospice and palliative medicine (HPM)
fellows see patients at risk for opioid misuse and how competent they
perceive themselves to be to treat pain in these patients. Methods: An
electronic survey was distributed to 102 HPM fellows. The survey included
questions assessing self-perceived competency in care for patients who
misuse opioids. Responses were rated using a Likert scale of one to seven,
where one = strongly agree and seven = strongly disagree; any number greater
than two was considered to be nonagreement. Results: Fifty-seven (56%)
fellows from 34 programs responded to the survey. In the previous two weeks,
77.2% of respondents had seen at least one patient with a substance use
disorder (SUD) and 43.9% had treated a patient whom they were concerned was
misusing opioids. Half (47.2%) of respondents stated that they have a
working knowledge of addiction, 41.4% agreed their training has prepared
them to manage opioid misuse, and 36.8% felt they knew how to differentiate
pain from addiction. Only 21.1% were satisfied with how they treat symptoms
in this population. Fellowship training in opioid misuse was associated with
increased satisfaction. Conclusion: HPM fellows regularly see patients who
are at risk for opioid misuse and feel unprepared to treat pain in these
patients. There is a need for more education of fellows in this area. © 2012
U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights
reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse
palliative therapy
EMTREE MEDICAL INDEX TERMS
adult
article
emergency medicine
family medicine
female
health survey
hospice care
human
internal medicine
Likert scale
male
pain
patient satisfaction
pediatrics
physical medicine
rating scale
residency education
substance abuse
surgery
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012036110
MEDLINE PMID
21680141 (http://www.ncbi.nlm.nih.gov/pubmed/21680141)
PUI
L51475680
DOI
10.1016/j.jpainsymman.2011.03.009
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpainsymman.2011.03.009
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 871
TITLE
Use of an online pediatric curriculum
AUTHOR NAMES
Hassan A.
Harris S.K.
Sherritt L.
Van Hook S.
Bridgemohan C.
Knight J.
Emans J.
AUTHOR ADDRESSES
(Hassan A.; Harris S.K.; Sherritt L.; Van Hook S.; Bridgemohan C.; Knight
J.; Emans J.) Children's Hospital Boston, United States.
CORRESPONDENCE ADDRESS
A. Hassan, Children's Hospital Boston, United States.
SOURCE
Journal of Adolescent Health (2012) 50:2 SUPPL. 1 (S48). Date of
Publication: February 2012
CONFERENCE NAME
Society for Adolescent Health and Medicine Annual Meeting: Impact of Trauma
on Teens: Building the Safety Net 2012
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2012-03-14 to 2012-03-17
ISSN
1054-139X
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: In response to new training requirements and curricular needs of
pediatric residency programs, the Pedicases website (www. pedicases.org) was
launched in 2000 to provide free educational materials. Over 30 case-based
modules incorporating Bright Futures health supervision guidelines were
published covering child growth, development, behavior, and adolescent
medicine. As part of a larger QI study to inform the revision of this tool,
we assessed Pedicases usage patterns and evaluated the experience of
previous users. Methods: Two data sources were utilized: the website data
registry which recorded utilization and descriptive data as users accessed
and downloaded cases, and an emailed survey sent to a selection of previous
users in March 2011. We characterized users by discipline, years of
training, and geographic location, and Pedicases utilization by numbers and
types of topics downloaded. The survey asked users about their website
experience and suggestions for improvement, including their thoughts
regarding overall efficacy of the tool, website interface, and the quality,
accessibility, and relevance of the materials. We compared usage patterns
across types of users using Chi square and Kruskal-Wallis tests. Results:
Between March 2000 and November 2010, 6,078 unique users downloaded
Pedicases materials. 30% of the users identified themselves as staff
physicians and 28% as medical trainees. The remainder reflected multiple
disciplines including nurses, nurse practitioners, mental health
professionals, and other health educators. Most users had completed
professional training recently (45% within five years). Although three
quarters of users hailed from the US with the largest numbers from the
Mid-West and Mid-Atlantic regions, over 130 countries were represented
across users. A total of 28,075 cases were downloaded with a mean of 4.6 (SD
8.2) per user. Among the adolescent-specific cases, the mental health module
(anorexia nervosa, substance use, and depression) was the most frequently
accessed, comprising 10.3% of the total downloads. Cases involving routine
screening and health promotion during adolescence were also frequently
accessed (8.8%). Users who had been out of training longer (p<.001) and
international users (p=.019) tended to download more cases. 269 users
completed the survey. Overall, most users had a positive experience with 86%
responding that they would “probably” or “definitely” recommend the website
to other colleagues involved in medical education, and just under 90%
planned continued use of materials. Although the materials were originally
targeted for teaching residents, more than half of users (54%) have used
materials for self-education purposes with 71% interested in having
associated CME credit. Constructive feedback indicated that cases should be
further revised to accommodate limited trainee teaching time, and tools such
as standardized video clips, Powerpoint presentations, and self-assessment
questions and answers should be added. Conclusions: The Pedicases online
pediatric curriculum was well received by users from a wide variety of
backgrounds. Data suggest that adolescent mental health is a particular area
of interest. Providing a web-based accessible, comprehensive, and
well-structured learning experience has the potential to enhance pediatric
education worldwide. Future revisions should focus on updated content to
meet current health guidelines and incorporate new technology.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
curriculum
injury
safety
society
EMTREE MEDICAL INDEX TERMS
adolescence
adolescent
anorexia nervosa
child growth
clip
education
feedback system
geography
growth curve
health
health educator
health practitioner
health promotion
human
Kruskal Wallis test
learning
medical education
medicine
mental health
nurse
nurse practitioner
pediatrics
physician
register
screening
self evaluation
student
teaching
technology
United States
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70661057
DOI
10.1016/j.jadohealth.2011.10.130
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jadohealth.2011.10.130
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 872
TITLE
Tobacco use prevalence, knowledge and attitudes, and tobacco cessation
training among medical students: Results of a pilot study of Global Health
Professions Students Survey (GHPSS) in Italy
AUTHOR NAMES
Gualano M.R.
Siliquini R.
Manzoli L.
Firenze A.
Cattaruzza M.S.
Bert F.
Renzi D.
Romano N.
Ricciardi W.
Boccia A.
La Torre G.
AUTHOR ADDRESSES
(Gualano M.R., mar.guala@gmail.com; Ricciardi W.) Institute of Hygiene,
Catholic University of the Sacred Heart, Largo Francesco Vito, 1, 00168
Rome, Italy.
(Siliquini R.; Bert F.) Department of Public Health, University of Torino,
Via Santena, 5 bis, 10126 Torino, Italy.
(Manzoli L.) Section of Epidemiology and Public Health, University of
Chieti, Via dei Vestini 31, 66013 Chieti, Italy.
(Firenze A.; Romano N.) Institute of Hygiene, University of Palermo, Via del
Vespro, 133, Palermo 90127, Italy.
(Cattaruzza M.S.; Renzi D.; Boccia A.; La Torre G.) Department of Public
Health and Infectious Diseases, Sapienza University of Rome, Viale Regina
Elena, 324, Rome 00161, Italy.
CORRESPONDENCE ADDRESS
M.R. Gualano, Institute of Hygiene, Catholic University of the Sacred Heart,
Largo Francesco Vito, 1, 00168 Rome, Italy. Email: mar.guala@gmail.com
SOURCE
Journal of Public Health (Germany) (2012) 20:1 (89-94). Date of Publication:
February 2012
ISSN
0943-1853
1613-2238 (electronic)
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
ABSTRACT
Aim: The aims of this study were to examine tobacco use prevalence,
knowledge and attitudes, and tobacco cessation training among students
attending Italian medical schools using the Global Health Professions
Student Survey approach and to identify possible factors associated with
smoking status. Subjects: and Methods A multicentre cross-sectional pilot
study was carried out in five Italian Schools of Medicine from March to
April 2009. Questionnaires were administered in anonymous, voluntary and
self-administered form to third year students attending medical schools. The
outcome measure was "being a current smoker". A logistic regression was used
to evaluate possible factors associated with smoking status. Results: The
prevalence of current smokers was 31.4%. More than half considered health
professionals as models for patients, and around 90% thought health
professionals have a role in giving advice or information about smoking
cessation. Only 5.8% of responders had received smoking cessation training
during medical school. Medical students who considered healthcare
professionals as behavioural models had lower likelihood of smoking
(OR=0.52). Conclusions: Given the high prevalence of smokers among medical
students and the poorness of smoking cessation programmes, it is important
to create tobacco control training programmes addressed to healthcare
students. © Springer-Verlag 2011.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
knowledge
medical student
smoking cessation program
student attitude
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
cross-sectional study
female
human
Italy
male
medical education
pilot study
prevalence
questionnaire
smoking
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012386019
PUI
L51595861
DOI
10.1007/s10389-011-0442-2
FULL TEXT LINK
http://dx.doi.org/10.1007/s10389-011-0442-2
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 873
TITLE
“The dog ate my methadone”: Challenges treating patients with advanced
illness, pain, and addiction
AUTHOR NAMES
Skarf L.
Schaefer K.
Narang S.
Peteet J.
Nabati L.
Scullion B.
Wilson E.
Chittenden E.
Fitzgerald K.
O'Donnell A.
AUTHOR ADDRESSES
(Skarf L.) VA Boston Healthcare System, West Roxbury, United States.
(Schaefer K.) Dana-Farber Cancer Institute, Brigham and Women's Hospital,
Boston, United States.
(Narang S.) Brigham and Women's Hospital, Boston, United States.
(Peteet J.; Nabati L.; Scullion B.; Fitzgerald K.) Dana-Farber Cancer
Institute, Boston, United States.
(Wilson E.; Chittenden E.) Massachusetts General Hospital, Boston, United
States.
(O'Donnell A.) Dana Farber and Brigham and Women's Cancer Institute, Jamaica
Plain, United States.
CORRESPONDENCE ADDRESS
L. Skarf, VA Boston Healthcare System, West Roxbury, United States.
SOURCE
Journal of Pain and Symptom Management (2012) 43:2 (315-316). Date of
Publication: February 2012
CONFERENCE NAME
Annual Assembly of the American Academy of Hospice and Palliative Medicine
and the Hospice and Palliative Nurses Association 2012
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2012-03-07 to 2012-03-10
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives 1. Recognize and overcome barriers to care in patients with
addiction, including interpreting and managing aberrant drug behaviors. 2.
Demonstrate and practice techniques for discussing pain management with
patients who have a history of addiction, including how to use pain
contracts, and demonstrate use of opioids to manage acute and chronic pain,
including in patients on methadone and suboxone for addiction. 3. Discuss
interdisciplinary resources for the management of pain and addiction in
patients with advanced illness, and indentify barriers and strategies for
improved collaboration. Systematic, interdisciplinary treatment strategies
and systems of care for patients with pain and addiction are well
established, but clinicians in palliative care often lack training and
experience in the interdisciplinary approach to addiction and pain
management. In our palliative care practices, as the rates of addiction to
opioid medications in this country rise, we are seeing an increasing number
of patients with advanced illness and active or history of addiction which
informs their care. In addition, as the generation that was first treated in
methadone maintenance clinics ages, they are entering the population of
palliative care patients in greater numbers. Caring for these patients can
prove challenging as they demonstrate both psychosocial complexity and
opioid tolerance. In addition, caring for the actively addicted patient
provides challenges that are psychological, social, medical, and legal.
Historically, pain has been under-treated in patients on opioid agonist
therapy. Many barriers and misconceptions exist which lead to undertreatment
of pain. In this highly interactive and multidisciplinary workshop we will
address barriers to caring for patients with addiction that are both
behavioral and physiologic and include concern for readdiction, aberrant
drug behavior, drug-seeking behavior, as well as opioid hyperalgesia and
tolerance as a result of opioid agonist therapy. We will address the
benefits of treating addiction and how to use an interdisciplinary approach
to manage pain in patients with a history of addiction and those currently
on opioid maintenance medications (methadone and suboxone).We will use case
discussions and role play in small groups to identify barriers to effective
care and interdisciplinary resources, and to practice diagnosing and
managing addiction and pain management. We will also use worksheets in small
groups to practice dose conversions from suboxone to methadone and to other
opioids, and managing acute and chronic pain in patients on suboxone
andmethadone.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone
EMTREE DRUG INDEX TERMS
buprenorphine plus naloxone
opiate
opiate agonist
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
dog
general aspects of disease
hospice
human
nurse
pain
palliative therapy
patient
EMTREE MEDICAL INDEX TERMS
analgesia
chronic pain
drug seeking behavior
drug therapy
hospital
hyperalgesia
methadone treatment
population
role playing
therapy
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70647382
DOI
10.1016/j.jpainsymman.2011.12.005
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpainsymman.2011.12.005
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 874
TITLE
Prevalence of unhealthy substance use on teaching and hospitalist medical
services: Implications for education
AUTHOR NAMES
Holt S.R.
Ramos J.
Harma M.A.
Cabrera F.
Louis-Ashby C.
Dinh A.
Tetrault J.M.
Fiellin D.A.
AUTHOR ADDRESSES
(Holt S.R., stephen.holt@yale.edu; Ramos J.; Harma M.A.; Cabrera F.;
Louis-Ashby C.; Dinh A.; Tetrault J.M.; Fiellin D.A.) Departments of
Internal Medicine and Investigative Medicine, Yale University School of
Medicine, P.O. Box 208025, New Haven, CT 06520-8025, United States.
(Louis-Ashby C.) National Health Service Corps, Family Health Center, Tampa,
FL, United States.
CORRESPONDENCE ADDRESS
S.R. Holt, Departments of Internal Medicine and Investigative Medicine, Yale
University School of Medicine, P.O. Box 208025, New Haven, CT 06520-8025,
United States. Email: stephen.holt@yale.edu
SOURCE
American Journal on Addictions (2012) 21:2 (111-119). Date of Publication:
March-April 2012
ISSN
1521-0391 (electronic)
1055-0496
BOOK PUBLISHER
Wiley-Blackwell Publishing Ltd, info@royensoc.co.uk
ABSTRACT
The prevalence of unhealthy substance use (USU) among medical inpatients can
vary, and prior research has not characterized the prevalence of USU among
patients cared for by a teaching service (TS) and a nonteaching hospitalist
service (NTHS). The objective of this study was to compare the prevalence of
USU among patients cared for by a TS and an NTHS. We conducted a
cross-sectional study from February to June 2009 at a community teaching
hospital. Within 24 hours of admission, all eligible internal medicine
admissions to the TS or NTHS were screened for USU, using the Alcohol Use
Disorders Identification Test-Consumption and Drug Abuse Screening Test.
Patients screening positive then underwent a diagnostic interview and
blinded chart review to increase case finding and to assess whether each
patient's admission was related to USU. There were 414 eligible and
consenting patients out of 656 patients identified. Patients on the TS were
younger and more likely to be current smokers, male, unmarried, non-white,
and unemployed (p <.01 for all comparisons). TS patients were more likely to
have evidence of USU (29.2% vs. 12.3%; p <.01). Among all admissions to the
TS, 22.2% were deemed to be probably or possibly due to USU, as compared
with only 3.7% of admissions to the NTHS (p <.01). Medical TSs care for a
greater share of patients with USU as compared with an NTHS. These data
highlight the need for expanded medical resident training in the diagnosis
and management of USU. Copyright © American Academy of Addiction Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
medical service
substance abuse
unhealthy substance use
EMTREE MEDICAL INDEX TERMS
adult
aged
alcohol consumption
article
case finding
cross-sectional study
employment status
female
health status
hospital admission
human
informed consent
interview
major clinical study
male
medical record review
medical staff
prevalence
screening test
smoking
teaching hospital
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012104717
PUI
L51853892
DOI
10.1111/j.1521-0391.2011.00207.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2011.00207.x
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 875
TITLE
Pharmacy residents and students as an adjunct to current smoking cessation
education
ORIGINAL (NON-ENGLISH) TITLE
Residentes y estudiantes de farmacia como adjuntos en la actual educación
para la cesacióln tabáquica
AUTHOR NAMES
Franks A.S.
Givens C.B.
Barger-Stevens A.
AUTHOR ADDRESSES
(Franks A.S.) Department of Clinical Pharmacy, College of Pharmacy,
Department of Family Medicine, Graduate School of Medicine, University of
Tennessee, Knoxville,TN, United States.
(Givens C.B.) Department of Pharmacy, University of Tennessee Medical
Center, Knoxville, TN, United States.
(Barger-Stevens A.) Department of Family Medicine, Graduate School of
Medicine, University of Tennessee, Knoxville, TN, United States.
CORRESPONDENCE ADDRESS
A. S. Franks, Department of Clinical Pharmacy, College of Pharmacy,
Department of Family Medicine, Graduate School of Medicine, University of
Tennessee, Knoxville,TN, United States.
SOURCE
Pharmacy Practice (2012) 10:2 (92-96). Date of Publication: June 2012
ISSN
1886-3655 (electronic)
BOOK PUBLISHER
Grupo de Investigacion en Atencion Farmaceutica, catedra@farmacare.com
ABSTRACT
Objective: The purpose of this study was to evaluate the impact of
individualized tobacco cessation counseling provided by pharmacy residents
and students to patients in the inpatient setting at an academic medical
center. Methods: Documented tobacco users were evaluated for study
inclusion. The intervention group received counseling specific to their
readiness to quit. After discharge, patients in the intervention group
received weekly phone calls for additional counseling and data collection.
One month after discharge, the standard therapy group received one phone
call for data collection. Results: No significant differences were found
between groups for demographic variables or number of years smoking. At
baseline, the intervention group reported significantly fewer quit attempts
and more packs per day than the control group. The odds ratio (OR) for the
primary outcome, abstinence, was 1.68 [95%CI=0.29:9.748] favoring the
intervention group. The OR for patients using outpatient pharmacotherapy was
3.20 [95%CI=0.484:21.167] for the intervention group compared to the control
group. The percentage of patients using outpatient treatment programs was
5.26% in the control group vs. 0% in the intervention group. Conclusions:
Results showed a trend toward significance for abstinence and increased use
of outpatient pharmacotherapy; however, our sample size and study period
limit conclusions that may be drawn. Further study is warranted for
definitive results.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
pharmacy
resident
smoking cessation
EMTREE MEDICAL INDEX TERMS
abstinence
adult
article
clinical article
confidence interval
controlled study
counseling
demography
documentation
female
hospital discharge
human
individualization
information processing
intervention study
male
risk
sample size
tobacco
university hospital
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English, Spanish
LANGUAGE OF SUMMARY
English, Spanish
EMBASE ACCESSION NUMBER
2012358712
PUI
L365082896
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 876
TITLE
Training for general practitioners in opioid prescribing for chronic pain
based on practice guidelines: A randomized pilot and feasibility trial
AUTHOR NAMES
McCracken L.M.
Boichat C.
Eccleston C.
AUTHOR ADDRESSES
(McCracken L.M., Lance.McCracken@kcl.ac.uk) Centre for Pain Services, Royal
National Hospital for Rheumatic Diseases, Bath, United Kingdom.
(McCracken L.M., Lance.McCracken@kcl.ac.uk; Boichat C.; Eccleston C.) Centre
for Pain Research, University of Bath, Bath, United Kingdom.
CORRESPONDENCE ADDRESS
L.M. McCracken, Psychology Department, King's College London, Guy's Campus,
Bermondsey Wing, London, SE1 9RT, United Kingdom. Email:
Lance.McCracken@kcl.ac.uk
SOURCE
Journal of Pain (2012) 13:1 (32-40). Date of Publication: January 2012
ISSN
1526-5900
1528-8447 (electronic)
BOOK PUBLISHER
Churchill Livingstone Inc., 650 Avenue of the Americas, New York, United
States.
ABSTRACT
This study is a pilot and feasibility study that compares 2 training
experiences to improve appropriate opioid prescribing for chronic pain. Both
training conditions included education in relation to opioid guidelines.
Following education, 1 condition included training aimed at improving
psychological flexibility and the other included training in practical
knowledge and skills related to pain management. Eighty-one general
practitioners (GPs) took part in the study, each having been randomly
assigned to 1 of the training conditions. It proved easy to recruit GPs to
the training. Overall, GPs demonstrated increased knowledge of opioid
prescribing for chronic pain and decreases in concerns related to
prescribing following training. However, there were no changes observed in
reported prescribing practices or in secondary measures of well-being. There
were also no significant differences between the training conditions, other
than a greater increase in intention to use prescribing guidelines in the
psychological flexibility condition. Feasibility and acceptability of the
training methods were generally rated high. The psychological flexibility
condition was rated higher than the comparison condition in terms of
interest and satisfaction. Finally, processes of psychological flexibility
before and after training significantly correlated with measures of GP
well-being, providing partial support for the relevance of these processes
as a focus in GP training. Perspective: A training intervention for GPs
including education on opioid guidelines for chronic pain and psychological
flexibility training increased knowledge of prescribing and reduced concerns
but did not change prescribing behavior or well-being. The training was
highly acceptable to GPs but may have been too short to produce other
effects. © 2012 by the American Pain Society.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE DRUG INDEX TERMS
analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy, drug therapy)
general practitioner
medical education
practice guideline
prescription
EMTREE MEDICAL INDEX TERMS
adult
article
behavior
burnout
controlled study
depersonalization
emotional stress
feasibility study
female
human
knowledge
major clinical study
male
normal human
patient satisfaction
physician attitude
pilot study
psychological balance
randomized controlled trial (topic)
rating scale
skill
wellbeing
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012009740
MEDLINE PMID
22112421 (http://www.ncbi.nlm.nih.gov/pubmed/22112421)
PUI
L51726845
DOI
10.1016/j.jpain.2011.09.007
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2011.09.007
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 877
TITLE
Structured smoking cessation training for health professionals on cardiology
wards: A prospective study
AUTHOR NAMES
Raupach T.
Falk J.
Vangeli E.
Schiekirka S.
Rustler C.
Grassi M.C.
Pipe A.
West R.
AUTHOR ADDRESSES
(Raupach T., raupach@med.uni-goettingen.de; Falk J.; Schiekirka S.)
Department of Cardiology and Pneumology, University Medical Centre
Göttingen, Göttingen, Germany.
(Raupach T., raupach@med.uni-goettingen.de; Vangeli E.; West R.) University
College London, London, United Kingdom.
(Rustler C.) Deutsches Netz Rauchfreier Krankenhäuser and
Gesundheitseinrichtungen E.V., Berlin, Germany.
(Grassi M.C.) Sapienza University of Rome, Rome, Italy.
(Pipe A.) University of Ottawa Heart Institute, Ottowa, Canada.
CORRESPONDENCE ADDRESS
T. Raupach, Department of Cardiology and Pneumology, University Medical
Centre Göttingen, Göttingen, Germany. Email: raupach@med.uni-goettingen.de
SOURCE
European Journal of Preventive Cardiology (2012) 21:7 (915-922). Date of
Publication: 2012
ISSN
2047-4881 (electronic)
2047-4873
BOOK PUBLISHER
SAGE Publications Inc., claims@sagepub.com
ABSTRACT
Background Smoking is a major cardiovascular risk factor, and smoking
cessation is imperative for patients hospitalized with a cardiovascular
event. This study aimed to evaluate a systems-based approach to helping
hospitalized smokers quit and to identify implementation barriers. Design
Prospective intervention study followed by qualitative analysis of staff
interviews. Methods The prospective intervention study assessed the effects
of implementing standard operating procedures (SOPs) for the provision of
counselling and pharmacotherapy to smokers admitted to cardiology wards on
counselling frequency. In addition, a qualitative analysis of staff
interviews was undertaken to examine determinants of physician and nurse
behaviour; this sought to understand barriers in terms of motivation,
capability, and/or opportunity. Results A total of 150 smoking patients were
included in the study (75 before and 75 after SOP implementation). Before
the implementation of SOPs, the proportion of patients reporting to have
received cessation counselling from physicians and nurses was 6.7% and 1.3%,
respectively. Following SOP implementation, these proportions increased to
38.7% (p < 0.001) and 2.7% (p = 0.56), respectively. Qualitative analysis
revealed that lack of motivation, e.g. role incongruence, appeared to be a
major barrier. Conclusions Introduction of a set of standard operating
procedures for smoking cessation advice was effective with physicians but
not nurses. Analysis of barriers to implementation highlighted lack of
motivation rather than capability or opportunity as a major factor that
would need to be addressed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiology
professional standard
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
female
health practitioner
human
intervention study
major clinical study
male
motivation
nurse attitude
patient counseling
physician
priority journal
prospective study
qualitative analysis
questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160379169
PUI
L610402163
DOI
10.1177/2047487312462803
FULL TEXT LINK
http://dx.doi.org/10.1177/2047487312462803
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 878
TITLE
HBV vaccination status in dyspeptic patients of Pakistan. Needs heroic
campaign
AUTHOR NAMES
Memon S.
AUTHOR ADDRESSES
(Memon S.) Isra University Hospital, Pakistan.
CORRESPONDENCE ADDRESS
S. Memon, Isra University Hospital, Pakistan.
SOURCE
Hepatology International (2012) 6:1 (103-104). Date of Publication: January
2012
CONFERENCE NAME
22nd Conference of the Asian Pacific Association for the Study of the Liver,
APASL 2012
CONFERENCE LOCATION
Taipei, Taiwan
CONFERENCE DATE
2012-02-16 to 2012-02-19
ISSN
1936-0533
BOOK PUBLISHER
Springer New York
ABSTRACT
Background: Pakistan is in intermediate epidemic for HBV infection.
Vaccination against HBV introduced 30 years ago but still Pakistan has not
been 100% vaccinated. Each Pakistani has 55-60% life time risk for acquiring
HBV infection. The aims of this study were to document the frequency HBV
vaccination status and risk factors of acquiring HBV infection in dyspeptic
patients who frequently visited at family physicians and
gastroenterologists. Methods: A prospective study was carried out in the
department of Gastroenterology, Isra University Hospital, Hyderabad
Pakistan, from June 2010 to March 2011. After taking informed consent all
dyspeptic patients were answered to structured questionnaire. The variables
were age, sex, substance abuse, vaccination status and risk factors
acquiring HBV infection. Results: Total 1393 dyspeptic participants were
included. There were 791 (56.8%) male. Mean age of participants was 42.0
years. Out of 1,393 only 289 (20.7%) participants were vaccinated against
Hepatitis B infection. Hepatitis B vaccinated dyspeptic patients were
significantly younger (mean age of vaccinated 40 years and unvaccinated 43
years P value < 0.00), more educated (more than 10 years of education and
vaccinated was 27.3% and less than 10 years of education and vaccinated was
17.2 years P value<0.001), less frequently indulge in substance abuse
(substance abuse and vaccinated 15.3% and non-substance abuse but vaccinated
was 22% P value 0.018), less frequent history of jaundice (history of
jaundice and vaccinated was 16.6%, no history of jaundice but vaccinated was
22.2% P value 0.02), less number of risk factors for acquiring HBV
infections (no risk factors and vaccinated was 25% and one or more than one
risk factors and vaccinated was 19% P value 0.014). There were no
differences with respect to sex distribution, rural or urban residence,
marital status, ethnicity, nature of work (desk or field work), smoking
habit, diabetes mellitus, IHD, HTN history of blood transfusion, surgery,
past hospitalization, history of tattooing or dental procedures.
Conclusions: There were only 21% of dyspeptic population of Pakistan is
vaccinated against CHB infection. Old age, education less than 10 years,
history of substance abuse and one or more risk factors to acquire HBV
infection were associated with less frequent vaccination against CHB
infection. We need to implement multiple strategies to educate health care
providers, family physicians and Gastroenterologist of Pakistan to encourage
HBV vaccination at their dyspeptic clinics.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Asian
human
liver
Pakistan
patient
vaccination
EMTREE MEDICAL INDEX TERMS
blood transfusion
dental procedure
diabetes mellitus
education
epidemic
ethnicity
field work
gastroenterology
general practitioner
health care personnel
hepatitis B
hospital
hospitalization
infection
informed consent
jaundice
male
marriage
population
prospective study
risk
risk factor
senescence
sex ratio
smoking habit
statistical significance
structured questionnaire
substance abuse
surgery
tattooing
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70812139
DOI
10.1007/s12072-011-9333-4
FULL TEXT LINK
http://dx.doi.org/10.1007/s12072-011-9333-4
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 879
TITLE
The preparation of graduate health professionals for working with bereaved
clients: An Australian perspective
AUTHOR NAMES
Breen L.
Fernandez M.
O'Connor M.
Pember A.-J.
AUTHOR ADDRESSES
(Breen L.) Curtin University and Edith Cowan University, Australia.
(Fernandez M.; Pember A.-J.) Edith Cowan University, Australia.
(O'Connor M.) Curtin University, Australia.
CORRESPONDENCE ADDRESS
Curtin University and Edith Cowan University, Australia.
SOURCE
Omega (United States) (2012) 66:4 (313-332). Date of Publication: 1 Jan 2012
ISSN
0030-2228
1541-3764 (electronic)
BOOK PUBLISHER
Baywood Publishing Co. Inc., 26 Austin Avenue, P.O. Box 337, Amityville,
United States.
ABSTRACT
Students enrolled in health profession courses require grief education so
that, upon graduation, they are able to meet the needs of clients living
with loss and grief. We investigated grief and loss education in six
Australian university programs - medicine, nursing, counseling, psychology,
social work, and occupational therapy - drawing from course documents and
face-to-face interviews with key staff and final-year students. Only the
counseling course included a dedicated grief and loss unit. The nursing,
medicine, and occupational therapy courses emphasized end-of-life issues
rather than a breadth of bereavement experiences. The social work course
taught grief as a socially-constructed practice and the psychology course
focused on grief and loss in addiction. Several factors influenced the
delivery of grief education, including staffing, time, placement
opportunities, student feedback, and needs of each profession. The study
provides an indication as to how future health professionals are prepared
for grief and loss issues in their practice. © 2013, Baywood Publishing Co.,
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to death
grief
health care personnel
health personnel attitude
human relation
medical personnel
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adult
article
Australia
curriculum
female
human
male
needs assessment
psychological aspect
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23785983 (http://www.ncbi.nlm.nih.gov/pubmed/23785983)
PUI
L369406346
DOI
10.2190/OM.66.4.c
FULL TEXT LINK
http://dx.doi.org/10.2190/OM.66.4.c
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 880
TITLE
A brief report on perceptions of alcohol and society among scottish medical
students
AUTHOR NAMES
Steed H.
Groome M.
Rice P.
Simpson K.
Day A.
Ker J.
AUTHOR ADDRESSES
(Steed H.; Groome M., m.groome@nhs.net) Department of Gastroenterology,
Ninewells Hospital and Medical School, Dundee DD1 9SY, United Kingdom.
(Rice P.; Simpson K.; Day A.) Department of Psychiatry, Ninewells Hospital
and Medical School, Dundee DD1 9SY, United Kingdom.
(Ker J.) Department of Undergraduate Education, University of Dundee,
Ninewells Hospital and Medical School, Dundee DD1 9SY, United Kingdom.
CORRESPONDENCE ADDRESS
M. Groome, Department of Gastroenterology, Ninewells Hospital and Medical
School, Dundee DD1 9SY, United Kingdom. Email: m.groome@nhs.net
SOURCE
Alcohol and Alcoholism (2012) 47:1 (75-78) Article Number: agr139. Date of
Publication: January 2012
ISSN
0735-0414
1464-3502 (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Aims: To assess perceptions on alcohol misuse and addiction among medical
students prior to in-depth training in order to determine areas of the
curriculum that need to be reshaped or focused on. Methods: A questionnaire
assessment of first- and second-year medical students' perceptions of
alcohol misuse. Results: Students had some misconceptions about current
alcohol misuse rates, including a perception that addiction is common among
health professionals, that the under-25s had the fastest increasing rate of
alcohol addiction and that British women had a more rapidly increasing rate
of alcohol addiction than British men. Conclusion: Encouragingly, students
overwhelmingly felt that alcohol addiction was something to which they could
make a difference. It highlights that early education about alcohol misuse
is important in terms of teaching students how to recognize hazardous and
harmful drinkers and how to manage them. © The Author 2011. Published by
Oxford University Press on behalf of the Medical Council on Alcohol. All
rights reserved.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
medical student
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
alcohol consumption
article
curriculum
female
human
major clinical study
male
medical society
priority journal
questionnaire
United Kingdom
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012003791
MEDLINE PMID
22085525 (http://www.ncbi.nlm.nih.gov/pubmed/22085525)
PUI
L364010919
DOI
10.1093/alcalc/agr139
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agr139
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 881
TITLE
This might be a stupid question but...? Creating safe spaces and dispelling
myths: Training workers outside of the HIV world on women and HIV
AUTHOR NAMES
Medjuck M.
Summers M.
Grant S.
AUTHOR ADDRESSES
(Medjuck M.; Summers M.; Grant S.) Vancouver, Canada.
CORRESPONDENCE ADDRESS
M. Medjuck, Vancouver, Canada.
SOURCE
Canadian Journal of Infectious Diseases and Medical Microbiology (2012) 23
SUPPL. SA (115A). Date of Publication: Summer 2012
CONFERENCE NAME
21st Annual Canadian Conference on HIV/AIDS Research, CAHR 2012
CONFERENCE LOCATION
Montreal, QC, Canada
CONFERENCE DATE
2012-04-19 to 2012-04-22
ISSN
1712-9532
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
Issue : Women are one of the fastest growing populations with HIV in Canada.
The complex issues women living with HIV (WLHIV) contend with can result in
experiences of unique HIV discrimination, which strengthen and reproduce
existing inequalities of class, race, gender and sexuality. Negative social
responses to WLHIV remain pervasive, and interventions against HIV-related
discrimination are integral components of a comprehensive approach to HIV
treatment and prevention. One intervention is to train community members on
HIV knowledge that will help them engage in practices that uphold WLHIV's
human rights. Description : Positive Women's Network (PWN) provides
education, support and resources for WLHIV (called “members”) in British
Columbia (BC). Since PWN's inception in 1991, members have consistently
reported experiencing HIV-related discrimination from service providers not
directly involved in the HIV field. Since 2006, PWN has delivered free HIV
trainings throughout BC to over 1300 participants, targeting service
providers who work with WLHIV, including transition house workers,
immigration workers and students in social work and criminology. Lessons
Learned : Service providers not directly involved in the HIV field report
having no to limited HIV knowledge. Trainings must start with basic
information about HIV and its transmission. Trainings should have a holistic
lens and address issues linked to the vulnerabilities that put women at risk
for HIV, including poverty, violence, addiction, racism and transphobia.
Some challenges to the training program include lack of funding to travel to
rural areas, resistance from service providers to recognizing HIV affects
their clients, service providers' discomfort with their lack of HIV
knowledge, and potential participants having heavy workloads and no time to
attend trainings. Next Steps : Our results indicate that interactive
trainings on HIV and WLHIV, facilitated in a non-academic style that does
not focus on the medical model of care, significantly improve participants'
knowledge.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Canadian
female
human
Human immunodeficiency virus
literature
worker
EMTREE MEDICAL INDEX TERMS
addiction
Canada
community
criminology
education
funding
gender
human rights
immigration
lens
model
population
poverty
prevention
racism
risk
rural area
sexuality
social work
student
training
travel
violence
workload
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71973288
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 882
TITLE
Ketamine use: a review.
AUTHOR NAMES
Morgan C.J.
Curran H.V.
Independent Scientific Committee on Drugs
AUTHOR ADDRESSES
(Morgan C.J.) Clinical Psychopharmacology Unit, Clinical Health Psychology,
University College London, London, UK.
(Curran H.V.; Independent Scientific Committee on Drugs)
CORRESPONDENCE ADDRESS
C.J. Morgan, Clinical Psychopharmacology Unit, Clinical Health Psychology,
University College London, London, UK.
SOURCE
Addiction (Abingdon, England) (2012) 107:1 (27-38). Date of Publication: Jan
2012
ISSN
1360-0443 (electronic)
ABSTRACT
Ketamine remains an important medicine in both specialist anaesthesia and
aspects of pain management. At the same time, its use as a recreational drug
has spread in many parts of the world during the past few years. There are
now increasing concerns about the harmful physical and psychological
consequences of repeated misuse of this drug. The aim of this review was to
survey and integrate the research literature on physical, psychological and
social harms of both acute and chronic ketamine use. The literature on
ketamine was systematically searched and findings were classified into the
matrix of Nutt et al.'s (2007) rational scale for assessing the harms of
psychoactive substances. A major physical harm is ketamine induced
ulcerative cystitis which, although its aetiology is unclear, seems
particularly associated with chronic, frequent use of the drug. Frequent,
daily use is also associated with neurocognitive impairment and, most
robustly, deficits in working and episodic memory. Recent studies suggest
certain neurological abnormalities which may underpin these cognitive
effects. Many frequent users are concerned about addiction and report trying
but failing to stop using ketamine. The implications of these findings are
drawn out for treatment of ketamine-induced ulcerative cystitis in which
interventions from urologists and from addiction specialists should be
coordinated. Neurocognitive impairment in frequent users can impact
negatively upon achievement in education and at work, and also compound
addiction problems. Prevention and harm minimization campaigns are needed to
alert young people to these harmful and potentially chronic effects of
ketamine. © 2011 The Authors, Addiction © 2011 Society for the Study of
Addiction.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
anesthetic agent (adverse drug reaction, drug therapy, pharmacology)
ketamine (adverse drug reaction, drug therapy, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, epidemiology)
cystitis
memory disorder
EMTREE MEDICAL INDEX TERMS
abdominal pain
acute disease
adult
animal
chemically induced disorder
child
chronic disease
educational status
high risk behavior
human
male
mild cognitive impairment
psychological aspect
rat
review
CAS REGISTRY NUMBERS
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21777321 (http://www.ncbi.nlm.nih.gov/pubmed/21777321)
PUI
L560079694
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 883
TITLE
Inpatient addicition therapy: An overview of medical rehab data
ORIGINAL (NON-ENGLISH) TITLE
Die stationäre suchtkrankenhilfe - Daten aus der medizinischen
rehabilitation im überblick
AUTHOR NAMES
Missel P.
Koch A.
AUTHOR ADDRESSES
(Missel P., pmissel@ahg.de) Fachverband Sucht e.V., Bonn, Germany.
(Koch A.) Bundesverband für Stationäre Suchtkrankenhilfe e.V., Kassel,
Germany.
CORRESPONDENCE ADDRESS
P. Missel, AHG Kliniken Daun Am Rosenberg, Schulstr. 6, DE-54550 Daun,
Germany. Email: pmissel@ahg.de
SOURCE
Sucht (2011) 57:6 (451-468). Date of Publication: 2011
ISSN
0939-5911
BOOK PUBLISHER
Hogrefe Publishing, Merkelstr. 3, Gottingen, Germany.
ABSTRACT
Goals: Data from German Addiction Aid statistics [Deutsche
Suchthilfestatistik (DSHS)] are gathered every year at inpatient and
outpatient addiction facilities, keeping to the German Core Data Set
[Deutscher Kerndatensatzes (KDS)] format developed by the German Addiction
Aid [Deutsche Suchthilfe (DHS)] together with the main addiction aid
associations. This analysis was done exclusively on data from 157
semi-inpatient (all-day outpatient), inpatient rehab and adaptation
facilities. Methods: Data from inpatient rehab therapies in 2009 were
analysed for the type of facility and patients treated as well as
sociodemographic data, diagnoses, comorbidities and course of therapy.
Results: The National Addiction Aid statistics indicate a participation
ratio for rehab facilities in Germany of 42.5%, and of 59.5% for treatment
which was covered by the German pension insurance. Routine basic
documentation and catamnesis are now standard procedure at participating
facilities. The certification ratio, however, still is well below the
mandatory certification level to be met by autumn 2012. By far the largest
group of patients treated were those with a main diagnosis of alcoholism.
These also showed a high ratio of comorbidities. More than half of the
patients were unemployed both at the beginning and at the end of therapy.
Treatment results indicate low drop-out-rates. Patients treated primarily
for compulsive gambling and alcoholism showed the lowest rate of recidivism.
Conclusions: The results indicate a quality of therapy for patients with
comorbidities treated at inpatient rehab facilities in Germany. Specific
target group concepts for patients with comorbid disorders need to be
developed further, and so does medically and professionally oriented rehab
therapy. © 2011 Verlag Hans Huber, Hogrefe AG.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (disease management, rehabilitation)
alcoholism (disease management, rehabilitation)
hospital care
rehabilitation care
EMTREE MEDICAL INDEX TERMS
comorbidity
data analysis
Germany
health care facility
hospital patient
human
major clinical study
mental health care
outpatient
review
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Rehabilitation and Physical Medicine (19)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2011685866
PUI
L363082709
DOI
10.1024/0939-5911.a000143
FULL TEXT LINK
http://dx.doi.org/10.1024/0939-5911.a000143
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 884
TITLE
The manual «problematic use and dependence of prescipted drugs» in daily
routine care a study among participants in a training to qualify in «primary
addiction treatment»
ORIGINAL (NON-ENGLISH) TITLE
Der Leitfaden «medikamente - schädlicher Gebrauch und Abhängigkeit» im
ärztlichen Arbeitsalltag: Eine Studie unter Kursteilnehmern zum Erwerb der
Zusatzweiterbildung «suchtmedizinische Grundversorgung»
AUTHOR NAMES
Ulbricht S.
Groß B.
Kunstmann W.
Meyer C.
John U.
AUTHOR ADDRESSES
(Ulbricht S., ulbricht@uni-greifswald.de; Meyer C.; John U.)
Universitätsmedizin Greifswald, Institut für Epidemiologie und
Sozialmedizin, Walther-Rathenau-Str. 48, 17457 Greifswald, Germany.
(Groß B.) Institut und Poliklinik für Psychosomatische Medizin und
Psychotherapie, Universitätsklinikum Hamburg-Eppendorf, Germany.
(Kunstmann W.) Bundesärztekammer Berlin, Germany.
CORRESPONDENCE ADDRESS
S. Ulbricht, Universitätsmedizin Greifswald, Institut für Epidemiologie und
Sozialmedizin, Walther-Rathenau-Str. 48, 17457 Greifswald, Germany. Email:
ulbricht@uni-greifswald.de
SOURCE
Deutsche Medizinische Wochenschrift (2011) 136:49 (2537-2541). Date of
Publication: 2011
ISSN
0012-0472
1439-4413 (electronic)
BOOK PUBLISHER
Georg Thieme Verlag, Rudigerstrasse 14, Stuttgart, Germany.
ABSTRACT
Background: To strengthen the position of physicians regarding problematic
use and dependence of prescripted drugs a manual was issued by the German
Medical Association in 2007. A study among participants in a training to
qualify in primary addiction treatment was conducted. The utilisation of the
manual, its relevance for routine care and self-estimated changes in drug
prescription were examined. Methods: All 542 participants in training
courses between 1.9.2008 and 31.12.2009 were asked about participation in a
survey 12 weeks later. A number of 267 took part in this investigation.
Results: A proportion of 60,7% among GPs that received the manual dealt with
them beyond the training course. From 178 physicians, who confirmed the
provision of drug prescription, a number of 56 stated changes in their drug
prescription. A higher probabilty for changes in drug prescription was given
in case of a high percentage of new informations that could be culled from
the manual. Conclusion: The interest for the manual beyond the training
course and the amount of self-estimated changes in drug prescription should
encourage to use this within training measures in a systematic way. © Georg
Thieme Verlag KG - Stuttgart - New York.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
drug dependence treatment
prescription
EMTREE MEDICAL INDEX TERMS
article
human
major clinical study
medical education
primary medical care
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2011663205
MEDLINE PMID
22131073 (http://www.ncbi.nlm.nih.gov/pubmed/22131073)
PUI
L363027209
DOI
10.1055/s-0031-1292834
FULL TEXT LINK
http://dx.doi.org/10.1055/s-0031-1292834
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 885
TITLE
Basics on addiction: A training package for medical practitioners or
psychiatrists who treat opioid dependence
AUTHOR NAMES
Maremmani I.
Pacini M.
Pani P.P.
AUTHOR ADDRESSES
(Maremmani I., maremman@med.unipi.it) Vincent P. Dole Dual Diagnosis Unit,
Santa Chiara University Hospital, Department of Psychiatry, NPB, University
of Pisa, Italy.
(Pacini M.) G. de Lisio Institute of Behavioural Sciences, Pisa, Italy.
(Pani P.P.) Social-Health Division, Health District 8 (ASL 8) Cagliari,
Italy.
CORRESPONDENCE ADDRESS
I. Maremmani, Vincent P. Dole Dual Diagnosis Unit, Santa Chiara University
Hospital, Department of Psychiatry, NPB, University of Pisa, Via Roma, 67,
56100 PISA, Italy. Email: maremman@med.unipi.it
SOURCE
Heroin Addiction and Related Clinical Problems (2011) 13:3 (5-40). Date of
Publication: 2011
ISSN
1592-1638
BOOK PUBLISHER
Pacini Editore SPA, Via A. Gherardesca 1, Ospedaletto (Pisa), Italy.
ABSTRACT
Opioid dependence is a chronic, relapsing brain disease that causes major
medical, social and economic problems to both the individual and society.
This seminar is intended to be a useful training resource to aid healthcare
professionals - in particular, physicians who prescribe opioid
pharmacotherapies - in assessing and treating opioid-dependent individuals.
Herein we describe the neurobiological basis of the condition; recommended
approaches to patient assessment and monitoring; and the main principles and
strategies underlying medically assisted approaches to treatment, including
the pharmacology and clinical application of methadone, buprenorphine and
buprenorphine-naloxone. © Icro Maremmani.
EMTREE DRUG INDEX TERMS
alcohol (drug interaction)
benzodiazepine derivative (drug combination, drug interaction)
buprenorphine (adverse drug reaction, clinical trial, drug combination, drug
comparison, drug concentration, drug interaction, drug therapy, intravenous
drug administration, pharmacokinetics, pharmacology, sublingual drug
administration)
buprenorphine plus naloxone (adverse drug reaction, clinical trial, drug
administration, drug comparison, drug dose, drug therapy, intramuscular drug
administration, intranasal drug administration, intravenous drug
administration, sublingual drug administration)
delta opiate receptor (endogenous compound)
diamorphine (drug therapy)
dopamine (endogenous compound)
efavirenz (drug combination, drug interaction)
endorphin (endogenous compound)
hydromorphone (drug combination, drug comparison, drug therapy,
intramuscular drug administration)
kappa opiate receptor (endogenous compound)
methadone (adverse drug reaction, clinical trial, drug combination, drug
comparison, drug concentration, drug interaction, drug therapy, drug
toxicity, oral drug administration, pharmacokinetics)
morphine (drug therapy, oral drug administration)
mu opiate receptor (endogenous compound)
naloxone (adverse drug reaction, drug combination, drug comparison, drug
therapy)
naltrexone (drug administration, drug therapy, intravenous drug
administration, oral drug administration)
placebo
sedative agent (drug combination, drug interaction)
sufentanil (drug combination)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction (drug therapy, diagnosis, drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
article
brain disease
chronic disease
clinical assessment
cognitive therapy
comorbidity
constipation (side effect)
detoxification
Diagnostic and Statistical Manual of Mental Disorders
drug absorption
drug alcohol interaction
drug bioavailability
drug blood level
drug cost
drug dose increase
drug dose reduction
drug dose titration
drug efficacy
drug elimination
drug half life
drug intoxication
drug megadose
drug overdose
drug potentiation
drug receptor binding
drug safety
drug seeking behavior
drug tolerance
education program
genetic association
genetic polymorphism
heroin dependence (drug therapy)
human
long term exposure
maintenance therapy
neurobiology
neuromodulation
nociception
opiate substitution treatment
pain (drug therapy)
patient assessment
patient counseling
patient monitoring
priority journal
psychologic assessment
QT prolongation (side effect)
recommended drug dose
relapse
respiration depression (drug therapy, side effect)
reward
risk factor
sedation
side effect (side effect)
substance abuse
sweating
withdrawal syndrome (side effect)
DRUG TRADE NAMES
suboxone
CAS REGISTRY NUMBERS
alcohol (64-17-5)
buprenorphine (52485-79-7, 53152-21-9)
diamorphine (1502-95-0, 561-27-3)
dopamine (51-61-6, 62-31-7)
efavirenz (154598-52-4)
endorphin (60118-07-2)
hydromorphone (466-99-9, 71-68-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
naloxone (357-08-4, 465-65-6)
naltrexone (16590-41-3, 16676-29-2)
sufentanil (56030-54-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011654616
PUI
L363008036
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 886
TITLE
Undergraduate medical education in substance use in Ireland: A review of the
literature and discussion paper
AUTHOR NAMES
O'Brien S.
Cullen W.
AUTHOR ADDRESSES
(O'Brien S., sarahob17@gmail.com) UCD General Practice, UCD School of
Medicine and Medical Science, Coombe Healthcare Centre, Dolphins Barn,
Dublin 8, Ireland.
(Cullen W., Walter.Cullen@ul.ie) Graduate Entry Medical School, Faculty of
Education and Health Sciences, University of Limerick, Limerick, Ireland.
CORRESPONDENCE ADDRESS
S. O'Brien, UCD General Practice, UCD School of Medicine and Medical
Science, Coombe Healthcare Centre, Dolphins Barn, Dublin 8, Ireland. Email:
sarahob17@gmail.com
SOURCE
Irish Journal of Medical Science (2011) 180:4 (787-792). Date of
Publication: December 2011
ISSN
0021-1265
1863-4362 (electronic)
BOOK PUBLISHER
Springer London, The Guildway, Old Portsmouth Road, Artington, Guildford,
United Kingdom.
ABSTRACT
Background: Medical complications of substance use are a considerable cause
of morbidity and the role of the physician in the care of such problems has
consistently been demonstrated. Appropriate knowledge and skills are
necessary to carry out this role. Aims: To review the literature on training
undergraduate medical students in identifying and managing substance misuse
and to discuss the implications of this literature for Irish medical
education. Methods: A search of the literature was performed using keywords;
"substance-related disorders", "undergraduate" and "curriculum". All
abstracts were reviewed and the full text of relevant abstracts was studied
and references reviewed for further articles. Results: Despite an increase
in prevalence of the problem of drug and alcohol use in Ireland and the UK,
this has not been reflected in undergraduate medical curricula. In the UK,
minimal time is devoted to formal teaching of medical undergraduates in the
area of substance misuse and many doctors do not have the appropriate
knowledge, skills, attitudes and confidence to treat patients with such
problems. In Ireland, no data has reported formal undergraduate teaching
hours in the area of drug and alcohol misuse. Internationally, substance
abuse curricula have been developed and implemented in medical schools in
the United States and Australia. Conclusion: While substance misuse is
increasing in prevalence, this is not reflected in the composition of
medical curricula, especially in Ireland. International best practice
whereby undergraduate curricula that adequately address substance misuse and
related issues are systematically developed and implemented, is recommended
for adoption by Irish medical schools. © 2011 Royal Academy of Medicine in
Ireland.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
anamnesis
detoxification
drug dependence treatment
high risk patient
human
Ireland
learning
medical research
patient care
patient education
professional knowledge
psychiatry
review
student attitude
systematic review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011670150
MEDLINE PMID
21805088 (http://www.ncbi.nlm.nih.gov/pubmed/21805088)
PUI
L51551050
DOI
10.1007/s11845-011-0736-y
FULL TEXT LINK
http://dx.doi.org/10.1007/s11845-011-0736-y
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 887
TITLE
Assessing the current status of tobacco dependence education curricula in US
physician assistant programs
AUTHOR NAMES
Kelly C.W.
Davis J.M.
di Cocco M.
AUTHOR ADDRESSES
(Kelly C.W., ckelly@siu.edu; di Cocco M.) Southern Illinois University,
Lindegren Hall 10B 600 Agriculture Drive, Carbondale IL 62901-6516, United
States.
(Davis J.M.) College of Applied Sciences and Arts, Southern Illinois
University, Carbondale, IL, United States.
CORRESPONDENCE ADDRESS
C. W. Kelly, Southern Illinois University, Lindegren Hall 10B 600
Agriculture Drive, Carbondale IL 62901-6516, United States. Email:
ckelly@siu.edu
SOURCE
Journal of Physician Assistant Education (2011) 22:3 (4-14). Date of
Publication: 2011
ISSN
1941-9430
BOOK PUBLISHER
Physician Assistant Education Association, 300 N. Washington Street, Suite
505, Alexandria, United States.
ABSTRACT
Purpose: Tobacco use continues to be the single most preventable cause of
death and disease in the United States. A paradigm shift is needed in
physician assistant (PA) education to address tobacco dependence as a
chronic, relapsing disease requiring patient education, counseling,
treatment, and follow-up. Methods: A national study was conducted to assess
the existing tobacco dependence education currently offered in US PA
programs. An established tobacco dependence curriculum survey was revised
and mailed to the 141 accredited PA programs in the United States during the
2008-2009 academic year. The survey asked respondents to report the
following with regard to tobacco dependence education content in their PA
program: (1) Perceived self-efficacy and barriers; (2) Medical topics
covered and minutes spent; (3) Evaluation of students' competency level; (4)
Tobacco courses, topics, and resources used; and (5) Level of
tobacco-cessation competency expected upon graduation. Results: A total of
79 surveys were returned (56% response rate). Though, on average, over 827
minutes (14 hours) were devoted to tobacco dependence education curriculum,
most minutes (223 minutes) were spent on the health effects of tobacco use,
with only 42 minutes spent on cessation counseling, 55 minutes on
medications, and 13 minutes on integrating tobacco-cessation into clinical
practice. Conclusions: PA educators have the unique opportunity to affect
tobacco-related morbidity and mortality. The present study demonstrates that
PA instructors are more than adequately teaching students about tobacco use.
However, it is not clear if students are being adequately taught how to
assist patients to quit using tobacco.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
physician assistant
smoking (adverse drug reaction, prevention)
smoking cessation
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
health survey
human
methodology
practice guideline
self concept
tobacco (adverse drug reaction)
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22070058 (http://www.ncbi.nlm.nih.gov/pubmed/22070058)
PUI
L362771806
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 888
TITLE
Evaluation of a community-based, service-oriented social medicine residency
curriculum.
AUTHOR NAMES
Michael Y.L.
Gregg J.
Amann T.
Solotaroff R.
Sve C.
Bowen J.L.
AUTHOR ADDRESSES
(Michael Y.L.) Department of Epidemiology and Biostatistics, Drexel
University School of Public Health, USA.
(Gregg J.; Amann T.; Solotaroff R.; Sve C.; Bowen J.L.)
CORRESPONDENCE ADDRESS
Y.L. Michael, Department of Epidemiology and Biostatistics, Drexel
University School of Public Health, USA.
SOURCE
Progress in community health partnerships : research, education, and action
(2011) 5:4 (433-442). Date of Publication: 2011 Winter
ISSN
1557-0541
ABSTRACT
Educators can create opportunities for physicians-in-training to learn about
the health care needs of the underserved and expose learners to models of
care and opportunities for service. We evaluated a community-based,
service-oriented Social Medicine curriculum for Internal Medicine interns
and residents initiated in 2007. Qualitative data were collected through
focus groups. Potent community-based experiential learning with adequate
time and encouragement to hear clients' stories allowed residents to gain an
understanding of some of the complex factors that contribute to ill health
in this population and seemed to influence residents' confidence in their
skills in working with an undeserved population, particularly a population
struggling with addiction. However, the curriculum did not provide adequate
time for facilitated, personal reflection. These data will assist community
health partnerships in developing their own curricula to address health
needs of the underserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health disparity
internal medicine
medical education
participatory research
social medicine
EMTREE MEDICAL INDEX TERMS
article
attitude to health
behavior
education
evaluation study
health care planning
health personnel attitude
human
information processing
organization and management
poverty
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22616211 (http://www.ncbi.nlm.nih.gov/pubmed/22616211)
PUI
L364999789
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 889
TITLE
Substance use and its predictors among undergraduate medical students of
Addis Ababa University in Ethiopia.
AUTHOR NAMES
Deressa W.
Azazh A.
AUTHOR ADDRESSES
(Deressa W.) Department of Epidemiology and Biostatistics, School of Public
Health, College of Health Sciences, Addis Ababa University, Ethiopia.
(Azazh A.)
CORRESPONDENCE ADDRESS
W. Deressa, Department of Epidemiology and Biostatistics, School of Public
Health, College of Health Sciences, Addis Ababa University, Ethiopia. Email:
deressaw@yahoo.com
SOURCE
BMC public health (2011) 11 (660). Date of Publication: 2011
ISSN
1471-2458 (electronic)
ABSTRACT
Substance use remains high among Ethiopian youth and young adolescents
particularly in high schools and colleges. The use of alcohol, khat and
tobacco by college and university students can be harmful; leading to
decreased academic performance, increased risk of contracting HIV and other
sexually transmitted diseases. However, the magnitude of substance use and
the factors associated with it has not been investigated among medical
students in the country. This study was conducted to determine the
prevalence of substance use and identify factors that influenced the
behavior among undergraduate medical students of Addis Ababa University in
Ethiopia. A cross-sectional study using a pre-tested structured
self-administered quantitative questionnaire was conducted in June 2009
among 622 medical students (Year I to Internship program) at the School of
Medicine. The data were entered into Epi Info version 6.04d and analyzed
using SPSS version 15 software program. Descriptive statistics were used for
data summarization and presentation. Differences in proportions were
compared for significance using Chi Square test, with significance level set
at p < 0.05. Multivariate logistic regression analyses were used to assess
the magnitude of associations between substance use and socio-demographic
and behavioral correlates. In the last 12 months, alcohol was consumed by
22% (25% males vs. 14% females, p = 0.002) and khat use was reported by 7%
(9% males vs. 1.5% females, p < 0.001) of the students. About 9% of the
respondents (10.6% males vs. 4.6% females, p = 0.014) reported ever use of
cigarette smoking, and 1.8% were found to be current smokers. Using multiple
logistic regression models, being male was strongly associated with alcohol
use in the last 12 months (adjusted OR = 2.14, 95% CI = 1.22-3.76). Students
whose friends currently consume alcohol were more likely to consume alcohol
(adjusted OR = 2.47, 95% CI = 1.50-4.08) and whose friends' use tobacco more
likely to smoke (adjusted OR = 3.89, 95% CI = 1.83-8.30). Khat use within
the past 12 months was strongly and positively associated with alcohol
consumption (adjusted OR = 15.11, 95% CI = 4.24-53.91). Similarly, ever use
of cigarette was also significantly associated with alcohol consumption
(adjusted OR = 8.65, 95% CI = 3.48-21.50). Concordant use of alcohol, khat
and tobacco is observed and exposure to friends' use of substances is often
implicated. Alcohol consumption or khat use has been significantly
associated with tobacco use. While the findings of this study suggest that
substance use among the medical students was not alarming, but its trend
increased among students from Year I to Internship program. The university
must be vigilant in monitoring and educating the students about the
consequences of substance use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
Catha
drinking behavior (epidemiology)
medical student
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cross-sectional study
Ethiopia (epidemiology)
female
friend
human
male
prevalence
psychological aspect
risk factor
sex ratio
statistics
university
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21859483 (http://www.ncbi.nlm.nih.gov/pubmed/21859483)
PUI
L560016609
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 890
TITLE
Teaching tobacco cessation skills to Uruguayan physicians using information
and communication technologies
AUTHOR NAMES
Llambí L.
Esteves E.
Martinez E.
Forster T.
García S.
Miranda N.
Lopez Arredondo A.
Margolis A.
AUTHOR ADDRESSES
(Llambí L., llambil@hc.edu.uy; Margolis A.) Unidad de Tabaquismo,
Universidad de la Republica, Physician member, EviMed, Uruguay.
(Esteves E.) Communication, Education and ICT, EviMed, Uruguay.
(Martinez E.) Medical Documentation, EviMed, Uruguay.
(Forster T.) Communication and Quality, EviMed, Uruguay.
(García S.; Miranda N.; Lopez Arredondo A.) EviMed, Uruguay.
CORRESPONDENCE ADDRESS
L. Llambí, Universidad de la República, Luis Alberto de Herrera 3030/304,
Montevideo, 11300, Uruguay. Email: llambil@hc.edu.uy
SOURCE
Journal of Continuing Education in the Health Professions (2011) 31:1
(43-48). Date of Publication: Winter 2011
ISSN
0894-1912
1554-558X (electronic)
BOOK PUBLISHER
John Wiley and Sons Inc., 111 River Street, Hoboken, United States.
ABSTRACT
Introduction: Since 2004, with the ratification of the Framework Convention
on Tobacco Control, Uruguay has implemented a wide range of legal
restrictions designed to reduce the devastating impacts of tobacco. This
legal process generated an increase in demand for tobacco cessation
treatment, which led to the need to train a large number of physicians.
Information and Communication Technologies (ICTs) are evolving constantly,
creating new opportunities to make online education more interactive. The
evolution of ICTs presents an opportunity to develop innovative continuing
medical education (CME) experiences to meet the increasing demand for this
topic. Methods: A blended-learning course on tobacco cessation was developed
and implemented, combining face-to-face and online activities. Educational
strategy focused on (1) facilitating interaction among generalists and
between generalists and experts, and (2) providing high impact CME
incorporating multifaceted interventions with wiki-type collaborative
construction of practical knowledge. Multiple-choice tests and
commitments-to-change were used for evaluation. Results: Three hundred
thirty-five health professionals participated in the course. Of these, 145
(43.3%) attended the on-site workshop, 216 (64.5%) participated in the
online activities, and 109 (32.5%) completed both phases. Fifty of the 105
(47.6%) participants completing the pretest had a passing score, while 78.1%
received a passing score on the final test (p <.001). Differences between
mean pretest and posttest scores among those who completed both phases
compared with those who only did the online phase were statistically
significant (p =.003 and p =.009, respectively). Discussion: The need to
train physicians on tobacco cessation skills can be addressed via ICTs and
educational activities that include participant interaction. © 2011 The
Alliance for Continuing Medical Education, the Society for Academic
Continuing Medical Education, and the Council on CME, Association for
Hospital Medical Education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Internet
interpersonal communication
medical education
smoking cessation
teaching
EMTREE MEDICAL INDEX TERMS
article
clinical competence
curriculum
education
evaluation study
health care personnel
human
methodology
Uruguay
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21425359 (http://www.ncbi.nlm.nih.gov/pubmed/21425359)
PUI
L361468266
DOI
10.1002/chp.20100
FULL TEXT LINK
http://dx.doi.org/10.1002/chp.20100
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 891
TITLE
Smoking habits of medical students in a private medical college of
Bangladesh
AUTHOR NAMES
Siddiqui M.N.A.
Sultana S.
Sharif T.
Ekram A.R.M.S.
AUTHOR ADDRESSES
(Siddiqui M.N.A., drnurealom@gmail.com) Rajshahi Medical College Hospital,
Rajshahi, Bangladesh.
(Sultana S.) UHC, Paba, Rajshahi, Bangladesh.
(Sharif T.) IBMCHR, Rajshahi, Bangladesh.
(Ekram A.R.M.S.) Department of Medicine, Rajshahi Medical College, Rajshahi,
Bangladesh.
CORRESPONDENCE ADDRESS
M. Siddiqui, Rajshahi Medical College Hospital, Rajshahi, Bangladesh. Email:
drnurealom@gmail.com
SOURCE
Bangladesh Journal of Medical Science (2011) 10:4 (280-283). Date of
Publication: 2011
ISSN
2223-4721
2076-0299 (electronic)
BOOK PUBLISHER
Ibn Sina Trust, 1/1-B Kallyanpur, Mirpur Road,, Dhaka, Bangladesh.
ABSTRACT
Objective: To assess trends of smoking and the relation between smoking
behavior of under graduate medical students and their attitudes towards
smoking and treatment of tobacco dependence. Methodology: Data was collected
from the medical students of Rajshahi Islami Bank Medical College,
Bangladesh. A total of 200 male students completed the anonymous
questionnaire. Response rate was 80.0%. Results: Of the respondents 20% and
80% were regular smokers and non-smokers respectively. Only 32.50% of the
regular smokers smoke less than ten cigarettes, 30.0% smoke ten to twenty
cigarettes whereas, 37.50% smoke more than 20 cigarettes per day. 25%
started smoking at nineteen years of age, 22.5% started before this age and
27.5% and 25.0% started at twenty and twenty one years of ages respectively.
70% started smoking just for pleasure. Only 29.72% smoke light cigarettes
whereas 33.78% and 36.48% smoke medium and heavy cigarettes respectively.
Almost 75% smokers agreed with the fact that smoking is harmful to health
and 45% realized that their cigarette smoke bother others and again 70% of
smokers have attempted to quit smoking but failed and 42.5% still wanted to
quit smoking. About 55% of smokers complained that they suffer from chronic
cough, 60% were lacking concentration in their studies and 45% felt that
they were short of memory. Conclusions: Attitudes of smokers were
significantly dif ferent on most items of tobacco, but knowledge of tobacco
problem in the undergraduate medical students was not sufficient. Teaching
about tobacco and related issues remains essential in the under graduate
medical course.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
medical student
private practice
smoking habit
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
Bangladesh
cigarette smoking
controlled study
human
male
postgraduate education
questionnaire
smoking
smoking cessation
tobacco dependence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012068238
PUI
L364178964
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 892
TITLE
Clinical management of compulsive sexual behavior
AUTHOR NAMES
Hughes B.
AUTHOR ADDRESSES
(Hughes B.) Trinity College Dublin, Social Work and Social Policy, Ireland.
CORRESPONDENCE ADDRESS
B. Hughes, Trinity College Dublin, Social Work and Social Policy, Ireland.
SOURCE
Journal of Sexual Medicine (2011) 8 SUPPL. 5 (414). Date of Publication:
December 2011
CONFERENCE NAME
14th Annual Congress of the European Society for Sexual Medicine
CONFERENCE LOCATION
Milan, Italy
CONFERENCE DATE
2011-12-01 to 2011-12-04
ISSN
1743-6095
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Objective: This research investigates the supports used by patients/ clients
to self-manage their compulsive sexual behavior. Methods: A qualitative
approach was used. Data collection includes pilot study, focus groups,
questionnaires, and interviews involving 87 adult participants consisting of
43 treatment providers who work with this phenomenon in clinical practice
and 44 individual who selfidentified with compulsive sexual behavior.
Interpretative phenomenological analysis (IPA) and thematic analysis (TA)
are used for data analysis. Results: The primary supports used by
participants to manage their compulsive sexual behavior are psychological,
medical and educational. Psychological supports include psychotherapy,
residential treatment, and 12-step fellowship movements. Seventeen (39%) of
the “addicts” sought psychotherapy and 6 (13%) attended group therapy. Four
(9%) “addicts” specifically sought residential treatment for their sexual
compulsion and 7 (16%) spoke about their sexual compulsion while in
residential treatment for substance addictions. Twenty-four (54%)
participants sought help from 12-step fellowships. Medical support is sought
by 28 (48%) participants which included the medical doctor, sexual health
clinician, psychiatrist and psychologist. Medical support is typically used
by patients/clients with comorbid disorders, sexual disease or concurrent
substance addictions. Education is the third source of support used by
patients/clients. This typically involves the patient/client reading, and
completing “homework” given by treatment provider. Personal development
exercises were often given by treatment providers, and these take the form
of reflective journaling on sexuality and related topics. Additional
educational components mainly available in residential treatment programs
include art, music, and sand therapy. Conclusion: Participants require
specific support to manage their sexually compulsive behavior. Supports can
be delivered in a variety of settings, used in different ways as well as
concurrently. The supports are most effective when used to meet the specific
needs of the individual. Increased awareness and training among
patients/clients and professionals will develop successful strategies for
the management of compulsion sexual behavior.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
sexual behavior
society
EMTREE MEDICAL INDEX TERMS
addiction
adult
clinical practice
compulsion
data analysis
drug dependence
education
exercise
group therapy
human
information processing
interview
music
physician
pilot study
psychiatrist
psychologist
psychotherapy
questionnaire
reading
residential care
sand
sexual health
sexuality
thematic analysis
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70612202
DOI
10.1111/j.1743-6109.2010.02546_3.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1743-6109.2010.02546_3.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 893
TITLE
Smoking cessation educational poster campaign
AUTHOR NAMES
Ryder J.
Davies L.
Bibby J.
AUTHOR ADDRESSES
(Ryder J.) Roy Castle Fag Ends, Liverpool, United Kingdom.
(Davies L.) Aintree University NHS Trust, Liverpool, United Kingdom.
(Bibby J.) Liverpool Community Health NHS Trust (Sefton SUPPORT), Liverpool,
United Kingdom.
CORRESPONDENCE ADDRESS
J. Ryder, Roy Castle Fag Ends, Liverpool, United Kingdom.
SOURCE
Thorax (2011) 66 SUPPL. 4 (A119). Date of Publication: December 2011
CONFERENCE NAME
British Thoracic Society Winter Meeting 2011
CONFERENCE LOCATION
London, United Kingdom
CONFERENCE DATE
2011-12-07 to 2011-12-09
ISSN
0040-6376
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Introduction: The health benefits of stopping smoking are well established
and hospitals have a unique opportunity to contribute to protecting and
promoting health through smoking cessation interventions. NICE published
recommendations in 2006 stating that all health professionals should offer
brief advice of the benefits to stopping smoking to their patients and a
referral to a specialist service. However, despite this, smoking cessation
interventions are not generally part of routine care in a hospital setting.
Method A partnership with Aintree NHS Trust, Pfizer and a design agency was
established to develop a creative campaign to promote the stop smoking
service to hospital based health professionals who are influential
messengers available to give expert advice to patients. Furthermore, we
wanted to engage with the patients, friends and family directly to endorse
the message.We trained staff on a number of wards to be champions for the
campaign that was launched on No Smoking Day 2010. We agreed on the theme
“Time to Quit” consisting of posters; leaflets; prompts in patient notes;
and information folders for all wards and clinical areas. Results: The
campaign met its objectives to increase the number of patients referred to
the hospital stop smoking service. There was a 60% increase in the referrals
at Aintree over the first 8 months compared to the previous year. We
particularly noticed an increase on the wards with a Champion trained in
delivering a brief intervention. Conclusion: A comprehensive educational
campaign proved to be effective in raising awareness of the Hospital Stop
Smoking Service and increasing referrals within the Trust. A similar
campaign could contribute to an increase in referrals and support to
patients in other secondary care settings, resulting in smoking cessation
interventions becoming part of routine care in hospital settings. Moreover,
the campaign contributes to supporting healthcare providers in their role in
prevention and health education. (Table presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
society
winter
EMTREE MEDICAL INDEX TERMS
friend
health
health care personnel
health education
health practitioner
hospital
hospital patient
human
medical specialist
patient
prevention
smoking
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70627438
DOI
10.1136/thoraxjnl-2011-201054c.128
FULL TEXT LINK
http://dx.doi.org/10.1136/thoraxjnl-2011-201054c.128
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 894
TITLE
DAT genotype-dependent baclofen-induced inhibition of ventral striatum and
medial orbitofrontal cortex brain responses to smoking cues: Moving toward a
personalized medicine approach to cigarette addiction
AUTHOR NAMES
Franklin T.
Suh J.J.
Shin J.
Hazan R.
Jagannathan K.
Singer Z.
Li Y.
Wang Z.
Goldman M.
Ehrman R.
O'Brien C.P.
Lohoff F.
Childress A.R.
AUTHOR ADDRESSES
(Franklin T.; Suh J.J.; Shin J.; Hazan R.; Jagannathan K.; Singer Z.; Li Y.;
Wang Z.; Goldman M.; Ehrman R.; O'Brien C.P.; Lohoff F.; Childress A.R.)
University of Pennsylvania, School of Medicine, Philadelphia, United States.
CORRESPONDENCE ADDRESS
T. Franklin, University of Pennsylvania, School of Medicine, Philadelphia,
United States.
SOURCE
Neuropsychopharmacology (2011) 36 SUPPL. 1 (S404-S405). Date of Publication:
December 2011
CONFERENCE NAME
50th Annual Meeting of the American College of Neuropsychopharmacology, ACNP
CONFERENCE LOCATION
Waikoloa, HI, United States
CONFERENCE DATE
2011-12-04 to 2011-12-08
ISSN
0893-133X
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Background: Cigarette addiction is the leading cause of preventable death in
our nation. Despite the life-threatening health consequences of smoking and
the substantial heavy economic burden on society, close to 25% of the
population continues to smoke. Two major factors contribute to continued
smoking and relapse: craving elicited by smoking cues (SCs) and craving
elicited by nicotine withdrawal (WD).Inability to combat WD-induced craving,
which declines within a month, plays a major role in early relapse. However,
smokers report that SCs can trigger relapse months or even years after
quitting. Existing smoking cessation medications focus on alleviating WD
and/or blocking nicotine reward, and are helpful for subgroups of smokers.
However, other 'cue-vulnerable' smokers have less success. Thus, there is a
critical need to identify agents that can improve treatment outcome in
SCvulnerable individuals. A number of factors, including genetic variance,
may underlie the relative contribution of SCs and WD to the maintenance of
dependence and to relapse. Indeed, using perfusion fMRI and evocative SCs,
we found (Franklin et al NPP '09), and confirmed (Franklin et al Addiction
'11), a profound effect of variance in the dopamine transporter (DAT) gene
on brain responses during SC exposure: smokers carrying a 9-repeat allele
had robust responses in the reward-relevant ventral striatum and medial
orbitofrontal cortex (VS/mOFC) while homozygotes for the 10-repeat had
little or no brain responses in these regions. GABA B agonists modulate
dopamine and have shown promise as drug cue blocking agents. The GABA B
agonist, baclofen, has shown promise in treating alcohol, cocaine,
methamphetamine, opiate, and cigarette addictions. We demonstrated that it
reduced the number of cigarettes per day in a smoking reduction clinical
trial (Franklin et al DAD 2009), and, that three-weeks chronic baclofen
reduces activity in the brain at rest in the VS/mOFC and amygdala in smokers
(Franklin et al DAD '11). Thus, we hypothesize that baclofen may be an
effective agent to aid a SC-vulnerable endophenotype. Methods: To test our
hypothesis, in a within-subject design, we administered either one 20-mg
dose of baclofen (onBAC) or no medication (offBAC) to N=12 nicotine
dependent smokers and acquired both resting baseline data and functional
data while smokers performed a Craving Modulation Task. We used a BOLD
block-design that consisted of six counterbalanced blocks of three 20-second
conditions. In two of the conditions, (nonSC and SC) subjects were
instructed to just watch the pictures (Watch). In an additional SC condition
smokers were instructed to inhibit their craving for a cigarette (Down).
Subjects were grouped by DAT genotype and data were analyzed in SPM 8 for
Watch SC (-) Watch nonSC and for Watch SC (-) Down SC conditions. Results:
In all subjects, similar to chronic baclofen, acute baclofen blunted VS/mOFC
and amygdala activity in the brain at rest, without differences in sedation
across conditions. In the Craving Modulation Task, reward-related activity
was not different in the on versus offBAC conditions for Watch SC (-) Watch
nonSC and no differences were observed in Watch SC (-) Down SC in all
subjects. However, analysis by genotype revealed that in 9-repeat carriers
only, onBAC versus offBAC responses to Watch SC (-) Watch nonSC were reduced
in the VS/mOFC and increased activity in these regions was observed in the
Watch SC (-) Down SC, indicating an enhanced ability to inhibit. 10-repeat
homozygotes had greater responses in the mOFC in the onBAC versus offBAC
condition to Watch SC (-) Watch nonSC and showed no differences in activity
to Watch SC - Down SC. Discussion: These results have important clinical
implications as they demonstrate that acute baclofen is effective at
blunting limbic circuitry in the brain at rest and, that it enables
inhibition of brain responses in reward-related circuitry during SC exposure
in a DAT-genotype dependent manner, potentially identifying a
pharmaco-responsive endophenotype. Some smokers can control their craving
and remain abstinent for months or even years after quitting. Given that
relapse may occur long after WD symptoms abate and long-term treatment may
not be a practical solution in 9-repeat carrier 'cue vulnerable' smokers,
acute baclofen may suffice to immediately block drug-motivated behavior
during 'at risk' situations. Ultimately, the goal for contemporary medicine
is to establish brain/behavioral/genetic endophenotypes that predict
medication response, and foster the development of individualized treatment
strategies,helping to conquer a devastating and deadly disease: Cigarette
Addiction.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
baclofen
EMTREE DRUG INDEX TERMS
4 aminobutyric acid
4 aminobutyric acid B receptor stimulating agent
alcohol
blocking agent
cocaine
dopamine
dopamine transporter
methamphetamine
nicotine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
brain
cigarette smoking
college
corpus striatum
genotype
orbital cortex
personalized medicine
psychopharmacology
smoking
EMTREE MEDICAL INDEX TERMS
allele
amygdala
clinical trial
death
drug therapy
endophenotype
exposure
functional magnetic resonance imaging
gene
genetic variability
health
homozygote
human
hypothesis
long term care
modulation
perfusion
population
relapse
reward
risk
sedation
smoke
smoking cessation
society
treatment outcome
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70607821
DOI
10.1038/npp.2011.293
FULL TEXT LINK
http://dx.doi.org/10.1038/npp.2011.293
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 895
TITLE
Cardiology Rx for change: Improving clinical attention to tobacco use and
secondhand smoke exposure in cardiology
AUTHOR NAMES
Prochaska J.J.
Benowitz N.L.
Glantz S.A.
Hudmon K.S.
Grossman W.
AUTHOR ADDRESSES
(Prochaska J.J., jprochaska@ucsf.edu; Benowitz N.L.; Glantz S.A.) Center for
Tobacco Control, Research, and Education, San Francisco, CA, United States.
(Prochaska J.J., jprochaska@ucsf.edu) Department of Psychiatry, San
Francisco, CA, United States.
(Benowitz N.L.; Glantz S.A.; Grossman W.) Department of Medicine, Division
of Cardiology, San Francisco, CA, United States.
(Benowitz N.L.) Division of Clinical Pharmacology, University of California,
San Francisco, San Francisco, CA, United States.
(Hudmon K.S.) Purdue University College of Pharmacy Science, West Lafayette,
IN, United States.
CORRESPONDENCE ADDRESS
J.J. Prochaska, University of California, San Francisco, 401 Parnassus Ave.,
TRC0984, San Francisco, CA 94143-0984, United States. Email:
jprochaska@ucsf.edu
SOURCE
Clinical Cardiology (2011) 34:12 (738-743). Date of Publication: December
2011
ISSN
0160-9289
1932-8737 (electronic)
BOOK PUBLISHER
John Wiley and Sons Inc., 111 River Street, Hoboken, United States.
ABSTRACT
Background: Heart disease is the leading cause of tobacco-related death in
smokers and of deaths due to secondhand smoke (SHS) exposure in nonsmokers.
This study centers on the development and evaluation of an evidence-based
model curriculum for improving clinical attention to tobacco use and SHS
exposure in cardiology. Hypothesis: We hypothesized that the curriculum
would be associated with improvements in clinician tobacco-related
knowledge, attitudes, confidence, and counseling behaviors from pre-to
post-training and at the 3-month follow-up. Methods: The 1-hour Cardiology
Rx for Change curriculum was evaluated with 22 cardiology fellows and 77
medical residents with consistent training effects observed between the 2
groups. Results: Trainees' tobacco treatment knowledge increased
significantly from pre- to post-training (t[81] = 6.51, P<0.001), and
perceived barriers to providing cessation treatment decreased significantly
(t[81] = -3.97, P<0.001). The changes, however, were not sustained at the
3-month follow-up, suggesting the need for booster training efforts. From
pretraining to 3-month follow-up, the training was associated with
significant sustained gains in clinician confidence for treating tobacco
dependence (t[61] = 3.69, P = 0.001) and with improvements in clinicians
assessing patients' readiness to quit smoking (from 61% to 79%, t[59] =
3.69,P<0.001) and providing assistance with quitting (from 47% to 59%, t[59]
= 2.12, P = 0.038). Asking patients about tobacco use, advising cessation,
and arranging follow-up also increased over time, but not significantly. All
participants (100%) recommended the curriculum for dissemination to other
training programs. Conclusions: Available online via, Cardiology Rx for
Change offers a packaged training tool for improving treatment of tobacco
use and SHS exposure in cardiology care. © 2011 Wiley Periodicals, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
passive smoking
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
attitude
cardiologist
cardiology
counseling
evidence based practice
female
follow up
human
information dissemination
male
medical student
quasi experimental study
resident
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011672582
MEDLINE PMID
21987417 (http://www.ncbi.nlm.nih.gov/pubmed/21987417)
PUI
L51662525
DOI
10.1002/clc.20982
FULL TEXT LINK
http://dx.doi.org/10.1002/clc.20982
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 896
TITLE
Do smoking knowledge, attitudes and behaviors change with years of
schooling? A comparison of medical with non-medical students in China.
AUTHOR NAMES
Han M.Y.
Chen W.Q.
Chen X.
AUTHOR ADDRESSES
(Han M.Y.) The Sixth Affiliated Hosptial, Sun Yat-Sen University, 510080,
Guangzhou, China.
(Chen W.Q.; Chen X.)
CORRESPONDENCE ADDRESS
M.Y. Han, The Sixth Affiliated Hosptial, Sun Yat-Sen University, 510080,
Guangzhou, China.
SOURCE
Journal of community health (2011) 36:6 (966-974). Date of Publication: Dec
2011
ISSN
1573-3610 (electronic)
ABSTRACT
This study aimed to compare the tobacco-related knowledge, attitudes and
smoking behavior among Chinese medical and non-medical students across three
grades from freshmen to juniors. Survey data were collected among 8,138
students using a paper-and-pencil questionnaire. Study findings indicate
that compared to non-medical students, medical students in the sophomore and
junior years reported significantly higher levels of knowledge regarding
tobacco toxicants and tobacco-related diseases, and had stronger attitudes
against smoking as personal rights and stronger attitudes in favor of
smoking ban. The differences between medical and non-medical students
remained after controlling for a number of covariates. However the
prevalence rates of cigarette smoking were similar between medical and
non-medical students across grades even after adjusted smoking initiation
before entering college. Despite increases in tobacco related knowledge,
approximately 40% of junior-year medical students did not recognize carbon
monoxide as a toxicant from tobacco, and 30-40% of them were unknown of
tobacco smoking as a risk factor for several diseases, including
hypertension, stroke, and gastric ulcer. Findings of this study suggest the
need for immediate action to enhance tobacco-related education in formal
medical training in China to prepare future doctors for smoking prevention
and to assist millions of smokers to quit.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical education
medical student
smoking (adverse drug reaction, prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
China
comparative study
female
human
male
psychological aspect
standard
statistics
student
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21452029 (http://www.ncbi.nlm.nih.gov/pubmed/21452029)
PUI
L560045213
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 897
TITLE
Is there a danger for myopia in anti-doping education? Comparative analysis
of substance use and misuse in Olympic racket sports calls for a broader
approach.
AUTHOR NAMES
Kondric M.
Sekulic D.
Petroczi A.
Ostojic L.
Rodek J.
Ostojic Z.
AUTHOR ADDRESSES
(Kondric M.) Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia.
(Sekulic D.; Petroczi A.; Ostojic L.; Rodek J.; Ostojic Z.)
CORRESPONDENCE ADDRESS
M. Kondric, Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia.
SOURCE
Substance abuse treatment, prevention, and policy (2011) 6 (27). Date of
Publication: 2011
ISSN
1747-597X (electronic)
ABSTRACT
Racket sports are typically not associated with doping. Despite the common
characteristics of being non-contact and mostly individual, racket sports
differ in their physiological demands, which might be reflected in substance
use and misuse (SUM). The aim of this study was to investigate SUM among
Slovenian Olympic racket sport players in the context of educational,
sociodemographic and sport-specific factors. Elite athletes (N=187; mean
age=22±2.3; 64% male) representing one of the three racket sports, table
tennis, badminton, and tennis, completed a paper-and-pencil questionnaire on
substance use habits. Athletes in this sample had participated in at least
one of the two most recent competitions at the highest national level and
had no significant difference in competitive achievement or status within
their sport. A significant proportion of athletes (46% for both sexes)
reported using nutritional supplements. Between 10% and 24% of the studied
males would use doping if the practice would help them achieve better
results in competition and if it had no negative health consequences; a
further 5% to 10% indicated potential doping behaviour regardless of
potential health hazards. Females were generally less oriented toward SUM
than their male counterparts with no significant differences between sports,
except for badminton players. Substances that have no direct effect on sport
performance (if timed carefully to avoid detrimental effects) are more
commonly consumed (20% binge drink at least once a week and 18% report using
opioids), whereas athletes avoid substances that can impair and threaten
athletic achievement by decreasing physical capacities (e.g. cigarettes),
violating anti-doping codes or potentially transgressing substance control
laws (e.g. opiates and cannabinoids). Regarding doping issues, athletes'
trust in their coaches and physicians is low. SUM in sports spreads beyond
doping-prone sports and drugs that enhance athletic performance. Current
anti-doping education, focusing exclusively on rules and fair play, creates
an increasingly widening gap between sports and the athletes' lives outside
of sports. To avoid myopia, anti-doping programmes should adopt a holistic
approach to prevent substance use in sports for the sake of the athletes'
health as much as for the integrity of sports.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
athlete
doping
sport
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
diet supplementation
educational status
female
human
male
psychological aspect
questionnaire
sexual development
Slovenia
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21988896 (http://www.ncbi.nlm.nih.gov/pubmed/21988896)
PUI
L560044770
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 898
TITLE
Acupuncture-related techniques for the treatment of opiate addiction: A case
of translational medicine
AUTHOR NAMES
Han J.
Cui C.
Wu L.
AUTHOR ADDRESSES
(Han J., hanjisheng@bjmu.edu.cn; Cui C.; Wu L.) Neuroscience Research
Institute, Peking University, Beijing 100191, China.
(Han J., hanjisheng@bjmu.edu.cn; Cui C.; Wu L.) Department of Neurobiology,
School of Basic Medical Sciences, Peking University, Beijing 100191, China.
(Han J., hanjisheng@bjmu.edu.cn; Cui C.; Wu L.) Key Laboratory for
Neuroscience, Ministry of Education, Beijing 100191, China.
(Han J., hanjisheng@bjmu.edu.cn; Cui C.; Wu L.) Key Laboratory for
Neuroscience, Ministry of Health, Beijing 100191, China.
CORRESPONDENCE ADDRESS
J. Han, Neuroscience Research Institute, Peking University, Beijing 100191,
China. Email: hanjisheng@bjmu.edu.cn
SOURCE
Frontiers of Medicine in China (2011) 5:2 (141-150). Date of Publication:
2011
ISSN
1673-7342
1673-7458 (electronic)
BOOK PUBLISHER
Higher Education Press, Shatanhou Street 5, Beijing, China.
ABSTRACT
Drug addiction is a chronic brain disorder characterized by withdrawal
symptoms that occur during drug abstinence and a high tendency of relapse.
Compared with the currently available pharmacological interventions,
acupuncture therapy has the potential to help drug addicts stay away from
drugs without major adverse side effects. It has taken decades of research
to optimize the parameters of electrical acupoint stimulation for
detoxification and for relapse prevention, as well as to establish a safe
and easy procedure by which drug addicts can use it on themselves. The
discovery that acupuncture can trigger the release of opioid substances from
the brain in the 1970s provided the inspiration. Following this, basic
research on animals made it possible to understand the mechanisms of action
and establish the procedure for treating drug addictions. This article
reviews the past, present, and foreseeable future regarding the use of
acupuncture-related technique for the treatment of opiate addiction from the
perspective of translational medicine. © Higher Education Press and
Springer-Verlag Berlin Heidelberg 2011.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
endorphin
narcotic agent (adverse drug reaction, pharmacokinetics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acupuncture
opiate addiction (therapy)
translational research
EMTREE MEDICAL INDEX TERMS
animal
China
disease model
drug detoxification
human
methodology
opiate substitution treatment (adverse drug reaction)
pathophysiology
physiology
psychological aspect
recurrent disease (prevention)
review
CAS REGISTRY NUMBERS
endorphin (60118-07-2)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21695618 (http://www.ncbi.nlm.nih.gov/pubmed/21695618)
PUI
L363007302
DOI
10.1007/s11684-011-0136-8
FULL TEXT LINK
http://dx.doi.org/10.1007/s11684-011-0136-8
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 899
TITLE
Retrospective studying of sociodemographic, clinical characteristics and
extent of alcohol use disorder among patients applied by probation
ORIGINAL (NON-ENGLISH) TITLE
Denetimli serbestlik uygulamasi{dotless} kapsami{dotless}nda başvuran
hastalarda sosyodemografik, klinik özelliklerin ve alkol kullani{dotless}m
bozukluǧu si{dotless}kli{dotless}ǧi{dotless}ni{dotless}n geriye dönük
deǧerlendirilmesi
AUTHOR NAMES
Zorlu N.
Türk H.
Manavgat A.I.
Karadaş B.
Gülseren Ş.
AUTHOR ADDRESSES
(Zorlu N., zorlunabi@hotmail.com; Türk H.; Manavgat A.I.; Gülseren Ş.) Izmir
Atatürk Eǧitim ve Araştirma Hastanesi, Psikiyatri Kliniǧi, Izmir, Turkey.
(Karadaş B.) Izmir Atatürk Eǧitim ve Araştirma Hastanesi, Klinik Farmakoloji
ve Toksikoloji Birimi, Izmir, Turkey.
CORRESPONDENCE ADDRESS
N. Zorlu, Atatürk Eǧitim ve Araştirma Hastanesi, Psikiyatri Kliniǧi,
Basinsitesi-Izmir, Turkey. Email: zorlunabi@hotmail.com
SOURCE
Anadolu Psikiyatri Dergisi (2011) 12:4 (253-257). Date of Publication: 2011
ISSN
1302-6631
BOOK PUBLISHER
Cukurova University, Faculty of Medicine, Balcali/ADANA, Turkey.
ABSTRACT
Objective: Aim of this study was to study sociodemographic, clinical
characteristics and extent of alcohol use disorder (AUD) among patients
applied by probation. Methods: The file records of the 215 cases who gave at
least one urine-blood sample applied to Izmir Ataturk Education and Research
Hospital Addiction Unit Probation Policlinic at February 2010 have been
assessed retrospectively. Sociodemographic characteristics, clinical
characteristics of substance use and CAGE (Cut down, Annoyed, Guilty,
Eye-opener) scores and blood %CDT (carbohydrate-deficient transferring)
results of cases were used to detect AUD. SPSS 15.0 program has been used
for the statistical assessment. Results: The average age of the sample was
29.4±9.1 year and most of the patients were male (%99.5). The lifetime
prevalence of substances was cannabis %99.5, ecstasy %17.2, benzodiazepine
%11.6, cocaine %5.6, heroin %0.9 and inhalants %0.9. %10.2 patients were
positive for urine samples. %8.8 patient were positive for cannabis and %3.2
were positive for benzodiazepine. Urine samples positive group had higher
unemployment rates (χ(2)=8.72, p=0.003) and higher CAGE scores (χ(2)=5.08,
p=0.024). %37.2 patients had positive %CDT and %25.6 patients had positive
CAGE scores. Discussion: The most important finding of this study is that
higher unemployment rates in urine positive group and high AUD rates in all
patients. The relationship between unemployment and substance use show that
social and employment rehabilitation programs with medical treatment is
important. High AUD rates show the importance of evaluating alcohol use in
treatment.
EMTREE DRUG INDEX TERMS
benzodiazepine
cannabis
carbohydrate deficient transferrin (endogenous compound)
cocaine
diamorphine
midomafetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, epidemiology)
alcoholism (diagnosis, epidemiology)
probation
EMTREE MEDICAL INDEX TERMS
adult
article
blood sampling
CAGE score
cannabis addiction (diagnosis, epidemiology)
clinical assessment
clinical assessment tool
clinical feature
cocaine dependence (diagnosis, epidemiology)
controlled study
data analysis software
demography
drug dependence (diagnosis, epidemiology)
female
heroin dependence (diagnosis, epidemiology)
human
inhalant abuse
major clinical study
male
medical record
prevalence
retrospective study
risk factor
social aspect
substance abuse
unemployment
urinalysis
CAS REGISTRY NUMBERS
3,4 methylenedioxymethamphetamine (42542-10-9)
benzodiazepine (12794-10-4)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English, Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
2011646307
PUI
L362978664
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 900
TITLE
[Epidemiology, medical and social features of the addiction to beer and
strong alcogol].
AUTHOR NAMES
Iliuk R.D.
Rybakova K.V.
Kiselev A.S.
Krupitskiǐ E.M.
AUTHOR ADDRESSES
(Iliuk R.D.; Rybakova K.V.; Kiselev A.S.; Krupitskiǐ E.M.)
CORRESPONDENCE ADDRESS
R.D. Iliuk,
SOURCE
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova / Ministerstvo
zdravookhraneniia i meditsinskoǐ promyshlennosti Rossiǐskoǐ Federatsii,
Vserossiǐskoe obshchestvo nevrologov [i] Vserossiǐskoe obshchestvo
psikhiatrov (2011) 111:11 Pt 2 (3-13). Date of Publication: 2011
ISSN
1997-7298
ABSTRACT
The comparative study of the addiction to beer and hard liquor was carried
out. Despite of the dramatic increase in the beer consumption in the Russian
Federation between 1999 and 2009, the incidence and prevalence of alcohol
dependence and alcohol psychoses had decreased. The analysis of preference
in alcohol consumption revealed that 90.7% of study participants consumed
different types of alcohol beverages: beer and hard liquor. Alcohol
addiction caused by the consumption of beer or spirits and wine alone was
1.2% and 8.1%, respectively. Our study of case histories demonstrated that
alcohol addiction related predominantly to the beer use was associated with
the consumption of smaller doses of pure ethanol, less pronounced abstinent
syndrome, less frequent complications, such as the convulsive syndrome and
alcoholic psychosis, compared to the addiction to hard liquor. The
examination of 106 outpatients with alcohol addiction revealed that patients
who preferred hard liquor during the last month consumed more alcohol in
terms of pure ethanol. Also, the period of hard drinking was longer and
patients had more social, legal, and psychological problems as well as
somatic and psychopathological disorders. The higher was the consumption of
hard liquor, the severe was the course of alcohol addiction. The least
number of biopsychosocial problems was noted in patients who consumed only
beer.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholic beverage
alcoholism (diagnosis, epidemiology)
beer
EMTREE MEDICAL INDEX TERMS
adult
aged
article
classification
female
health
hospitalization
human
incidence
male
mental health
middle aged
psychological aspect
Russian Federation (epidemiology)
social adaptation
statistics
utilization review
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
22611690 (http://www.ncbi.nlm.nih.gov/pubmed/22611690)
PUI
L364915013
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 901
TITLE
Opiates and plasticity
AUTHOR NAMES
Dacher M.
Nugent F.S.
AUTHOR ADDRESSES
(Dacher M.; Nugent F.S., fnugent@usuhs.mil) Uniformed Services University of
the Health Sciences, Department of Pharmacology, Edward Hebert School of
Medicine, 4301 Jones Bridge Road, Bethesda, MD 20814, United States.
CORRESPONDENCE ADDRESS
F.S. Nugent, Uniformed Services University of the Health Sciences,
Department of Pharmacology, Edward Hebert School of Medicine, 4301 Jones
Bridge Road, Bethesda, MD 20814, United States. Email: fnugent@usuhs.mil
SOURCE
Neuropharmacology (2011) 61:7 (1088-1096). Date of Publication: December
2011
ISSN
0028-3908
1873-7064 (electronic)
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Opiates are among the most powerful analgesics and pain-relieving agents.
However, they are potentially extremely addictive thereby limiting their
medical use, making them exceedingly susceptible to abuse and adding to the
global drug problem. It is believed that positive memories associated with
the pleasurable effects of opiates and negative memories associated with
dysphoria during opiate withdrawal contribute to compulsive opiate-seeking
behavior characterizing addiction. There is a vast amount of available data
regarding the neuroadaptations in response to opiates during opiate
tolerance, dependence and withdrawal that contribute to opiate addiction,
yet it is still a major challenge to identify the neurobiological
adaptations that underlie the hallmarks of opiate addiction such as
compulsive drug use, and relapse to drug seeking. Since the discovery of
synaptic plasticity as the cellular correlate of learning and memory, strong
overlaps between neural and cellular substrates of learning and addiction
have been recognized. Consequently, the current notion of addiction supports
the idea that aberrant forms of drug-induced synaptic plasticity and
learning in the brain drive addictive behaviors. Here we discuss current
progress on some of the recently identified forms of synaptic plasticity at
excitatory and inhibitory synapses in opioid-sensitive areas of the brain
that are targeted by opiates and other addictive drugs. The neuroadaptations
involved in opiate tolerance, dependence and withdrawal will be re-visited
since they share many features with synaptic learning mechanisms. This
article is part of a Special Issue entitled 'Synaptic Plasticity and
Addiction'. © 2011 Elsevier Ltd. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
cocaine
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nerve cell plasticity
opiate addiction
EMTREE MEDICAL INDEX TERMS
anatomical variation
brain function
drug seeking behavior
electroencephalogram
GABAergic system
hippocampus
human
learning
long term depression
long term potentiation
nonhuman
nucleus accumbens
prefrontal cortex
priority journal
review
synaptic transmission
ventral tegmentum
withdrawal syndrome
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011526344
MEDLINE PMID
21272593 (http://www.ncbi.nlm.nih.gov/pubmed/21272593)
PUI
L51271301
DOI
10.1016/j.neuropharm.2011.01.028
FULL TEXT LINK
http://dx.doi.org/10.1016/j.neuropharm.2011.01.028
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 902
TITLE
Advanced rural skills training: The value of an addiction medicine rotation
AUTHOR NAMES
Allan J.
AUTHOR ADDRESSES
(Allan J., jallan@lyndoncommunity.org.au) Lyndon Community, Research and
Training, Orange, NSW, Australia.
CORRESPONDENCE ADDRESS
J. Allan, Lyndon Community, Research and Training, Orange, NSW, Australia.
Email: jallan@lyndoncommunity.org.au
SOURCE
Australian Family Physician (2011) 40:11 (927-929). Date of Publication:
November 2011
ISSN
0300-8495
BOOK PUBLISHER
Royal Australian College of General Practitioners, 1 Palmerston Crescent,
South Melbourne VIC, Australia.
ABSTRACT
Background: General practitioners are ideally placed to address drug and
alcohol problems in the Australian population. Lack of adequate
undergraduate and postgraduate training has been suggested as a key barrier
limiting their involvement in addiction medicine. Objective: This article
describes the establishment and operations of an advanced rural skills
training program at the Lyndon Community - a rural drug and alcohol
treatment organisation in New South Wales. Discussion: An addiction medicine
rotation offers general practice registrars the opportunity to develop
skills and experience in psychosocial interventions as well as physical and
mental health issues common in the treatment population. Registrars
participating in the Lyndon Community program perceived that the training
period had influenced and enhanced their future practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
general practice
medical education
medical staff
public health
rural health care
EMTREE MEDICAL INDEX TERMS
article
Australia
education
female
health services research
human
interdisciplinary communication
male
organization and management
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22059226 (http://www.ncbi.nlm.nih.gov/pubmed/22059226)
PUI
L364114955
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 903
TITLE
Impact of a lecture intervention on the knowledge, attitudes and behavior in
smoking of first year medical students from the Faculty of Medicine and
Surgery at the University of Santo Tomas School year 2010-2011
AUTHOR NAMES
Javier A.G.
Santos M.A.R.
Calata-Rosales R.
AUTHOR ADDRESSES
(Javier A.G.; Santos M.A.R.; Calata-Rosales R.) Center for Respiratory
Medicine, University of Santo Tomas Hospital Espana, Manila, Philippines.
CORRESPONDENCE ADDRESS
A.G. Javier, Center for Respiratory Medicine, University of Santo Tomas
Hospital Espana, Manila, Philippines.
SOURCE
Respirology (2011) 16 SUPPL. 2 (44-46). Date of Publication: November 2011
CONFERENCE NAME
16th Congress of the Asian Pacific Society of Respirology
CONFERENCE LOCATION
Shanghai, China
CONFERENCE DATE
2011-11-03 to 2011-11-06
ISSN
1323-7799
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Introduction: Tobacco related deaths have been projected to increase from
3.0 million in 1990 to 8.4 million in 2020, which will make tobacco the
largest single health problem at this time.1 There are 80-90% of deaths from
chronic obstructive lung disease attributed to tobacco, and smokers have six
times the risk of contracting this disease compared with non-smokers;
similarly, 80-85% of lung cancer deaths are attributed to tobacco use, with
smokers having 10 times the risk compared with non-smokers.2 National and
international responses to the public health problem of tobacco therefore
need to be intensified. Primary care physicians have a vital role to play in
advising patients to stop smoking as most smokers visit their doctor.
Doctors and nurses are expected not only to offer care for their patients
but also to be a model to the advice they offer. Studies have found that the
practices and behaviours of their health-care providers can significantly
influence health-related behaviour of patients. Moreover, studies have shown
that very brief advice from the doctor yields one year quit rates of 5-10%,
and interventions that are more comprehensive, including follow up sessions,
produce abstinence rates of 20-36%.2 Another important way to control
tobacco use is to encourage medical schools to teach about tobacco issues in
the curriculum. It is vital that medical students, the future medical
practitioners, have adequate knowledge of smoking related diseases and
skills in smoking cessation. However, despite this important data citing the
important role of health-care providers in helping smokers to quit, medical
practitioners has not been proactive in providing smoking cessation services
to patients3. Inadequate education, knowledge, attitudes and perceptions of
health-care providers regarding smoking and smoking cessation have been
reported as one of the many factors that may contribute to the ineffective
tobacco treatment interventions. The literature reveals serious deficiencies
in knowledge and counselling skills among medical students, and large gaps
in the medical curriculum with respect to tobacco issues. If future medical
practitioners are to engage actively in advising smokers to quit, it is
vital that they acquire the skills and knowledge base which will allow them
to accomplish this task. Medical students should receive sufficient
knowledge of the determinants of smoking and specific training on how to
help patients to stop smoking, and a tobacco module should be included in
the curriculum of every medical school. Review of Related Literature There
have been many studies conducted around the world to determine the smoking
rates of medical students and their knowledge of smoking related diseases
and intervention strategies. Recognizing the important role of the future
health-care providers in smoking cessation campaign, the Tobacco Prevention
Section of the International Union Against Tuberculosis and Lung Disease
(IUATLD), a committee of representatives from many countries concerned with
tobacco control and prevention, has conducted a series of studies in medical
schools globally. The studies were joint collaborations between the IUATLD,
the World Health Organization (WHO), the American Cancer Society, and the
International Union against Cancer. The surveys were conducted among more
than 9000 students from 51 medical schools in 42 countries. The objectives
were to determine the smoking rates of medical students; to ascertain
medical students' knowledge of smoking as a major cause of disease; and to
determine whether students believed they can counsel patients about smoking.
Additionally, many medical schools have conducted surveys among their
student populations. In these surveys, most of them have the same
conclusions: medical students lacked relevant information about smoking and
health and the effectiveness of cessation methods. In a survey done by
Raupauch et al in a medical school in Germany and in London, smoking-related
mortality was underestimated by students from both study sites. Their data
suggest that smoking medical students greatly overestimated the chances of
reaching old age as a smoker and less than a third of medical students from
both study sites felt competent to counsel smoking patients. This finding
was constant across different stages of medical education. A study done by
Tessier et al on medical schools in Asia also revealed a gross
underestimation of tobacco's causal role in a number of important diseases,
e.g. coronary artery disease, peripheral vascular disease, emphysema,
bladder cancer and neonatal mortality. There were notable defects both in
training and in motivation to counsel smoking patients. Similar survey done
on medical schools in Africa by Tessier et al also yielded same conclusions.
An international study by Crofton and colleagues of smoking among medical
students in 42 countries, which asked the students about their knowledge of
its health consequences and looked at the implications for medical
education, has reported disturbing levels of smoking and widespread
ignorance about diseases caused by smoking. In Europe, nearly one in five
male medical students smokes. In Japan the rate is one in three, with only
just over half of students agreeing that cigarette smoking cause lung
cancer. Smokers generally tell the truth about their smoking, but asking
medical students if they smoke may be like asking theology students if they
blaspheme.9 Many of the self reported rates of smoking among medical
students are likely to be underestimates. Crofton's group has circulated its
findings to the deans of all European medical schools and asked them to take
action. Some will be spurred into reviewing their curriculums. In a review
by Richmond, he found out that as medical students progress through their
course their knowledge of smoking as a major cause of disease increase but,
interestingly, superior knowledge did not lead to a lower rate of smoking,
as students in the latter years generally smoked more than those in the
earlier years. Students seem more likely to begin smoking in medical school
than to give it up, and to increase their cigarette consumption rather than
decrease it, supporting the suggestion that, in medical students, medical
education and knowledge about the harmful effects of smoking have relatively
little impact on smoking. It would seem that the effect of increased
knowledge about smoking does not relate to students' smoking behaviour. Same
results were also seen in a study by Patkar et al in comparing smoking
habits among medical and nursing students. As the students progressed
through their education, little change in smoking habits including plans to
quit were observed during the course of medical and nursing education. It is
this inadequate education about tobacco treatment which hinders healthcare
practitioners to provide effective tobacco treatment interventions to their
patients. Also, it is the smoking behaviour and attitude of these doctors
which hinder them to provide adequate counselling on their patients who
smoke. In an editorial by Chapman, he questioned those general practitioners
and medical students who smoke. The first consideration concerns doctors'
roles and, many would add, responsibilities as exemplars. A recent
Australian study of smokers from low socioeconomic groups found that half of
them agreed with the statement that 'a lot of doctors smoke.' How can
doctors condemn smoking when so many of them do it themselves, and, by
extension, 'Why should I stop smoking when plenty of doctors don't?' 10 The
second consideration is whether smoking by doctors inhibits any of them from
counselling patients about smoking. Despite the enormous publicity given to
the health consequences of smoking and, more recently, the efforts of drug
companies to promote nicotine replacement therapy, the depressing fact
remains that doctors are either blind to their patients' smoking or
unwilling to raise the issue. A recent British study reported that less than
one third of smokers could recall being given advice to stop by their
general practitioner. 10 In Australia just over half of smokers had been
given such advice10 and general practitioners could identify only 62% of
their patients who smoked.10 Hence, Chapman, raised the issue of whether
medical students who smoke should be channelled away from primary care? Many
of the literature support the fact there is an increasing trend of smokers
among that medical students and many of them are underreported. Objectives
Prior to the implementation of a new curriculum regarding tobacco and its
treatment, basic information about smoking among medical students would be
important since their approach and credibility as treatment providers would
be largely influenced by their smoking habits, their attitudes and
perceptions towards smoking. Hence, the authors of this study would like to
investigate the smoking habits of this population using a cross-sectional
approach. The main objective of this study is to describe and assess the
behaviour, knowledge and attitudes of medical students on smoking by means
of a survey. Specifically, the authors of this study would like to:
Investigate the smoking habits of first year medical students enrolled in
UST Faculty of Medicine and Surgery Determine whether smoking habits,
knowledge and attitude of first year medical students will change after a
lecture Methodology Study Design Cross-sectional survey descriptive study.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Asian
human
medical student
school
smoking
society
surgery
university
EMTREE MEDICAL INDEX TERMS
abstinence
Africa
Asia
Australia
bladder cancer
cancer mortality
chronic obstructive lung disease
cigarette smoking
coronary artery disease
counseling
curriculum
death
education
emphysema
Europe
follow up
general practitioner
Germany
health
health behavior
health care personnel
Japan
knowledge base
lung cancer
lung disease
male
mass medium
medical education
medical school
methodology
model
mortality
motivation
neoplasm
newborn mortality
nicotine replacement therapy
non profit organization
nurse
nursing education
nursing student
patient
peripheral vascular disease
physician
population
prevention
primary medical care
public health problem
recall
responsibility
risk
senescence
skill
smoke
smoking cessation
smoking habit
student
study design
theology
tobacco
tuberculosis
United Kingdom
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70575859
DOI
10.1111/j.1400-1843.2011.02071.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1400-1843.2011.02071.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 904
TITLE
Education of medical students in Bitola on tobacco use and their role in
health promotion activities.
AUTHOR NAMES
Jovanovska T.
Stojcevska V.P.
AUTHOR ADDRESSES
(Jovanovska T.) University St. Kliment Ohridski Bitola R. Macedoni Medical
College.
(Stojcevska V.P.)
CORRESPONDENCE ADDRESS
T. Jovanovska, University St. Kliment Ohridski Bitola R. Macedoni Medical
College. Email: tanjajovanovska42@yahoo.com
SOURCE
Medicinski pregled (2011) 64:11-12 (529-532). Date of Publication: 2011
Nov-Dec
ISSN
0025-8105
ABSTRACT
Health professionals should have a key role in health promotion activities
regarding reduced tobacco use. This study was aimed at presenting students'
level of knowledge on harmful effects of smoking and the level of training
they had gained in order to quit smoking. The research was done as an
epidemiological, cross sectional study according to the standardized
methodology of Global Health Professional Survey. The study sample consisted
of a hundred college students. During the educational process, 77.5% of
females, and 93.1% of males were educated on harmful and dangerous effects
of smoking and 59.2% of females and 62.1% of males were instructed how to
give up smoking and the age of 86.6% of them was from 18 to 24 years. It has
been concluded that some qualitative changes are needed in the current
curricula and syllabi.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
health promotion
medical education
smoking (adverse drug reaction)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
human
male
medical student
patient education
Serbia
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22368994 (http://www.ncbi.nlm.nih.gov/pubmed/22368994)
PUI
L364448228
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 905
TITLE
Effectiveness of smoking cessation skills building workshops in educating
smoking cessation techniques to Pakistani physicians
AUTHOR NAMES
Irfan M.
Waheed Z.
Haque A.S.
Khan J.
AUTHOR ADDRESSES
(Irfan M.; Waheed Z.; Haque A.S.; Khan J.) Section of Pulmonary and Critical
Care Medicine, Department of Medicine, Aga Khan University Hospital,
Karachi, Pakistan.
CORRESPONDENCE ADDRESS
M. Irfan, Section of Pulmonary and Critical Care Medicine, Department of
Medicine, Aga Khan University Hospital, Karachi, Pakistan.
SOURCE
Respirology (2011) 16 SUPPL. 2 (39). Date of Publication: November 2011
CONFERENCE NAME
16th Congress of the Asian Pacific Society of Respirology
CONFERENCE LOCATION
Shanghai, China
CONFERENCE DATE
2011-11-03 to 2011-11-06
ISSN
1323-7799
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Introduction: Physician advice to quit smoking is an effective component of
a smoking cessation strategy. Previously published data clearly demonstrated
that education smoking cessation skills to physicians improves physicians'
smoking cessation practices and increases smoking cessation rates among
their patients Objective To determine the effectiveness of smoking cessation
skills building workshops in training of smoking cessation techniques to
Pakistani physicians Methods Five full day smoking cessation skills building
workshop have been arranged in different part of the country in which 113
physicians participated including General Practitioners (GPs) Chest
Physicians, Cardiologists, Residents, and House Officers. A validated
questionnaire regarding the attitude and knowledge about smoking is filled
by the doctors at the registration desk before the start of the workshop.
After the completion of the workshop same questionnaire was again filled by
the attending doctor to record the response. Results: Total of 113 doctors
attended the workshops in which 90 were males and age ranged from 22 to 61
years (mean age ± SD is 37 ± 11). Out of these 113, 33 doctors were GPs, 11
chest physicians, 11 cardiologists, 8 consultant physicians and 11 were
house officers. After the workshop the physicians felt very confident about
their knowledge to treat nicotine dependence 15.9% (pre-workshop) vs. 64.6%
(post workshop); they (physicians) seemed very confident is discussing the
smoking cessation issue with their patients 52.2% vs. 80.9% and also they
themselves felt them very knowledgeable regarding pharmacotherapy 9.7% vs.
49.1%. Regarding the technical knowledge of the subject response is also
favorable e.g. the 5As approach answered correctly by 17.7% vs. 69.9% in pre
and post workshop respectively; regarding Nicotine Replacement Therapy
correct answer given were 39.8% vs. 61.1% in pre and post workshop
respectively; while regarding Bupropion adverse effects 46.9% vs. 71.1%
physician gave correct answer in pre and post workshop questionnaire
respectively. Conclusion: After attending one full day smoking cessation
skills building workshop physician felt more confident in discussing the
anti-smoking issue with their patient and their smoking cessation knowledge
also increased significantly.
EMTREE DRUG INDEX TERMS
amfebutamone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Asian
human
nicotine replacement therapy
physician
skill
smoking cessation
society
workshop
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
cardiologist
consultation
drug therapy
education
general practitioner
male
patient
questionnaire
registration
smoking
thorax
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70575844
DOI
10.1111/j.1400-1843.2011.02071.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1400-1843.2011.02071.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 906
TITLE
Beliefs and attitudes about prescribing opioids among healthcare providers
seeking continuing medical education
AUTHOR NAMES
Hooten W.M.
Bruce B.K.
AUTHOR ADDRESSES
(Hooten W.M.) Department of Anesthesiology, Mayo Clinic College of Medicine,
Rochester, MN, United States.
(Hooten W.M.; Bruce B.K.) Department of Psychiatry and Psychology, Mayo
Clinic College of Medicine, Kochester, MN, United States.
CORRESPONDENCE ADDRESS
W.M. Hooten, Department of Anesthesiology, Mayo Clinic College of Medicine,
Rochester, MN, United States.
SOURCE
Journal of Opioid Management (2011) 7:6 (417-424). Date of Publication:
November-December 2011
ISSN
1551-7489
BOOK PUBLISHER
Weston Medical Publishing, 470 Boston Post Road, Weston, United States.
ABSTRACT
Objective: The purpose of this study was to assess the beliefs and attitudes
of healthcare providers about prescribing opioids for chronic pain. Setting:
The setting was a continuing medical education conference that was
specifically designed to deliver content about chronic pain and prescription
opioids to providers without specialty expertise in pain medicine.
Participants: Conference attendees with prescribing privileges were eligible
to participate, including physicians, physician assistants, and advance
practice nurses. Intervention: Study participants completed a questionnaire
using an electronic response system. Main outcome measures: Study
participants completed a validated questionnaire that u 'as specifically
developed to measure the beliefs and attitudes of healthcare providers about
prescribing opioids for chronic pain. Results: The questionnaire was
completed by 128 healthcare providers. The majority (58 percent) indicated
that they were "likely" to prescribe opioids for chronic pain. A significant
proportion of respondents had favorable beliefs and attitudes toward
improvements in pain (p < 0.001) and quality of life (p < 0.001) attributed
to prescribing opioids. However, a significant proportion had negative
beliefs and attitudes about medication abuse (p < 0.001) and addiction (p <
0.001). Respondents also indicated that prescribing opioids could
significantly increase the complexity of patient care and could unfavorably
impact several administrative aspects of clinical practice. Conclusions: The
beliefs and attitudes identified in this study highlight important
educational gaps that exist among healthcare providers about prescribing
opioids. Knowledge of these educational gaps could build the capacity of
medical educators to develop targeted educational materials that could
improve the opioid prescribing practices of healthcare providers. © 2011
Journal of Opioid Management, All Rights Reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
medical education
EMTREE MEDICAL INDEX TERMS
advanced practice nurse
article
attitude
clinical practice
consensus development
female
health belief
human
male
normal human
opiate addiction
patient care
physician
physician assistant
prescription
quality of life
questionnaire
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012051346
MEDLINE PMID
22320023 (http://www.ncbi.nlm.nih.gov/pubmed/22320023)
PUI
L364134345
DOI
10.5055/jom.2011.0082
FULL TEXT LINK
http://dx.doi.org/10.5055/jom.2011.0082
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 907
TITLE
The influence of education background, Stress, Parents, Friends, And
advertising on smoking behaviour among college students of sebelas maret
university surakarta
AUTHOR NAMES
Rima A.
Setijadi M.
AUTHOR ADDRESSES
(Rima A.; Setijadi M.) Department of Pulmonology and Respiratory Medicine,
Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia.
CORRESPONDENCE ADDRESS
A. Rima, Department of Pulmonology and Respiratory Medicine, Faculty of
Medicine, Sebelas Maret University, Surakarta, Indonesia.
SOURCE
Respirology (2011) 16 SUPPL. 2 (48). Date of Publication: November 2011
CONFERENCE NAME
16th Congress of the Asian Pacific Society of Respirology
CONFERENCE LOCATION
Shanghai, China
CONFERENCE DATE
2011-11-03 to 2011-11-06
ISSN
1323-7799
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Background: Smoking is a global health problem and Indonesia has the 3(rd)
largest number of smoker. Smoking behaviour in college students is more
often found. Medical college students should avoid smoking behaviour and
support no smoking campaign. Objective To determine the influence of
education background (faculty of medicine and nonmedicine), stress, parents,
friends, and advertising on smoking behaviour among college students.
Methods: It was cross sectional observational analysis. Questionnaires data
of 240 male students from medical and nonmedical faculty were collected. We
used multiple logistic regression for analysis, 95% CI, α = 0.05. Results:
The medical student current smokers were 44.2% and nonmedical were 46.7%.
Smokers who had life problems were 74.3%. There were 59.9% smokers who had
no smoker parents. When close friend offered a cigarette, 79.8% smokers
would take it. Smokers knew cigarette advertising from television 63.3% and
from newspaper 67.0%. The analysis showed there was significant correlation
between friends and smoking behaviour, p = 0.000. Education background did
not correlate significantly to smoking behaviour, p = 0.219. Stress,
parents, and advertising also did not correlate significantly to smoking
behaviour. Conclusion: Smoking behaviour closely related with friendship.
Education background as medical student did not alter smoking behaviour.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
advertising
Asian
college student
education
friend
human
parent
smoking
society
university
EMTREE MEDICAL INDEX TERMS
cigarette smoking
friendship
health
Indonesia
male
medical school
medical student
multivariate logistic regression analysis
publication
questionnaire
student
television
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70575868
DOI
10.1111/j.1400-1843.2011.02071.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1400-1843.2011.02071.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 908
TITLE
Medical School Hotline: Turning the tragedy of tobacco around: how revenue
from cigarettes improves health in Hawai'i.
AUTHOR NAMES
Shelton T.M.
Hedges J.R.
AUTHOR ADDRESSES
(Shelton T.M.) John A. Burns School of Medicine, University of Hawai'i, USA.
(Hedges J.R.)
CORRESPONDENCE ADDRESS
T.M. Shelton, John A. Burns School of Medicine, University of Hawai'i, USA.
SOURCE
Hawaii medical journal (2011) 70:11 (245-247). Date of Publication: Nov 2011
ISSN
0017-8594
ABSTRACT
JABSOM takes its responsibility to improve health among Hawai'i's people to
heart. The school's vision is, ALOHA: to Attain Lasting Optimal Health for
All, a theme adopted through a strategic planning process which engaged
JABSOM's partners in the health and life sciences including its private
sector collaborators and its sister colleges throughout the University of
Hawai'i's ten-campus system. JABSOM's ability to collaborate and contribute
in these areas has been irrevocably enhanced by tobacco-related funding that
the State of Hawai'i has committed to develop the Kaka'ako campus. The
taxpayers' generosity has improved the education and reach of clinicians and
researchers who, in turn, dedicate their lives to preventing, treating and
eliminating the deadly grip tobacco holds on too many of the people of
Hawai'i.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
medical school
public health
smoking (epidemiology)
social marketing
tobacco
EMTREE MEDICAL INDEX TERMS
article
community care
economics
human
medical student
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22162605 (http://www.ncbi.nlm.nih.gov/pubmed/22162605)
PUI
L560079214
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 909
TITLE
Tobacco education and counseling in obstetrics and gynecology clerkships: a
survey of medical school program directors.
AUTHOR NAMES
Powers C.A.
Zapka J.
Phelan S.
Özcan T.
Biello K.B.
O'Donnell J.
Geller A.
AUTHOR ADDRESSES
(Powers C.A.) Division of Pharmacoepidemiology and Pharmacoeconomics,
Brigham and Women's Hospital, and Harvard School of Public Health, Boston,
MA 02115, USA.
(Zapka J.; Phelan S.; Özcan T.; Biello K.B.; O'Donnell J.; Geller A.)
CORRESPONDENCE ADDRESS
C.A. Powers, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham
and Women's Hospital, and Harvard School of Public Health, Boston, MA 02115,
USA.
SOURCE
Maternal and child health journal (2011) 15:8 (1153-1159). Date of
Publication: Nov 2011
ISSN
1573-6628 (electronic)
ABSTRACT
The 16,000 medical students completing OB/GYN clerkship programs each year
provide a unique opportunity to motivate and mentor students in facilitating
tobacco cessation. To determine the scope of current tobacco teaching in
obstetrics/gynecology (OB/GYN) education at US medical schools and to assess
opportunities for including new tobacco teaching, a 28-question survey was
administered to directors and assistant directors at US medical school
OB/GYN clerkship programs. Surveys were completed at 71% of schools. Only 9%
reported having at least 15 min of dedicated teaching time for improving
tobacco cessation skills. Nearly three-fourths of respondents reported
teaching students how to intervene to reduce smoking during a work-up in the
OB/GYN clinic, but only 43% reported that students would know where to refer
someone wishing to quit. Only a third of respondents reported teaching
students both to intervene with and refer OB/GYN patients who smoke. These
findings suggest that although medical students see many OB and GYN patients
who smoke, they have few opportunities to learn comprehensive cessation
skills during their clerkships.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
counseling
gynecology
health education
obstetrics
smoking cessation
EMTREE MEDICAL INDEX TERMS
administrative personnel
article
education
human
information processing
medical school
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20842522 (http://www.ncbi.nlm.nih.gov/pubmed/20842522)
PUI
L560044018
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 910
TITLE
Mind your step: Developing effective mental health training for alcohol and
other drug workers
AUTHOR NAMES
Lee N.K.
Harney A.
Cameron J.
Roeg S.
AUTHOR ADDRESSES
(Lee N.K.; Harney A., angela.harney@turningpoint.org.au; Cameron J.; Roeg
S.) Turning Point Alcohol and Drug Centre, Fitzroy, Australia.
(Lee N.K.) School of Psychology and Psychiatry, Monash University, Clayton,
Australia.
(Cameron J.) Eastern Health Clinical School, Monash University, Melbourne,
VIC, Australia.
(Lee N.K.) National Centre for Education and Training on Addiction (NCETA),
Flinders University, LeeJenn Health Consultants Pty Ltd, Australia.
CORRESPONDENCE ADDRESS
A. Harney, Turning Point Alcohol and Drug Centre, Fitzroy, Australia. Email:
angela.harney@turningpoint.org.au
SOURCE
Mental Health and Substance Use: Dual Diagnosis (2011) 4:4 (340-347). Date
of Publication: November 2011
ISSN
1752-3281
1752-3273 (electronic)
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
Mental health problems are common among drug treatment clients with most
symptoms related to anxiety and depression. In this study, we used an
established manual for alcohol and drug practitioners known as PsyCheck that
outlines basic mental health screening and intervention for high prevalence
disorders. The aim of this study was to examine changes in clinician's
mental health screening and intervention activities post-training. One
hundred ninety-five staff members from 13 alcohol and drug services across
Australia participated in the training, which consisted of 2 days of
practical instruction in comorbidity and the use of the PsyCheck manual. The
package takes a symptom-focused approach. A clinical file audit was
undertaken prior to and 6 months after the training to examine changes in
clinicians' screening and intervention activities. The results showed
increases in screening for mental health problems 6 months after training.
Although the study is methodologically limited, it suggests that manualised
treatments, with the addition of training and post-training support, can
improve alcohol and other drug practitioners focus on mental health
screening and intervention. © 2011 Taylor & Francis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
drug use
medical education
mental health
EMTREE MEDICAL INDEX TERMS
article
Australia
clinical assessment tool
clinical audit
human
mass screening
mental disease
mental health service
physician
priority journal
PsyCheck
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011551062
PUI
L362693005
DOI
10.1080/17523281.2011.603699
FULL TEXT LINK
http://dx.doi.org/10.1080/17523281.2011.603699
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 911
TITLE
Chronic pain: Reducing costs through early implementation of adherence
testing and recognition of opioid misuse
AUTHOR NAMES
McCarberg B.H.
AUTHOR ADDRESSES
(McCarberg B.H., bill.h.mccarberg@kp.org) Adjunct University of California
San Diego, San Diego, CA, United States.
CORRESPONDENCE ADDRESS
B. H. McCarberg, Adjunct University of California San Diego, 732 N Broadway,
Escondido, CA 92025, United States. Email: bill.h.mccarberg@kp.org
SOURCE
Postgraduate Medicine (2011) 123:6 (132-139). Date of Publication: November
2011
ISSN
0032-5481
1941-9260 (electronic)
BOOK PUBLISHER
Medquest Communications LLC, 3800 Lakeside Avenue, Suite 201, Cleveland,
United States.
ABSTRACT
Objective: To review the literature on costs associated with chronic pain
therapy and to identify key contributing factors. Also, to assess the
potential cost-saving benefits of monitoring pain treatment adherence using
urine drug tests (UDTs), emphasizing their use in opioid therapy. Results:
Reduced productivity, compensation costs, and treatment of comorbid
conditions related to chronic pain contribute to the substantial financial
burden of chronic pain management in the United States. The growing use of
opioids for chronic pain increases the risk for drug nonadherence and
associated drug abuse, potential addiction, and aberrant drug-related
behaviors (ADRBs). Treatment of drug abuse increases health care costs;
opioid abusers are 25 times more likely to require hospitalization than
nonopioid abusers. Early detection of patient nonadherence using UDTs could
significantly reduce costs of chronic pain therapy by allowing the physician
to identify and treat patients' ADRBs related to controlled substances and
drug addiction and abuse problems. Adherence in chronic pain may be
determined by point-of-care (POC) tests, and more sensitive laboratory urine
tests employing gas chromatography/mass spectrometry with high-performance
liquid chromatography tests (LUTs). Cost-benefit studies suggest that the
cost of LUTs to optimize adherence may reduce costs associated with
nonadherence, such as inpatient clinical care and patient self-release.
Current estimates indicate that appropriate use of LUTs could produce
decreases up to 14.8-fold in the cost of chronic pain therapy. Conclusions:
The cost benefits of UDTs can only be fully realized if physicians know how
to define and detect various types of drug abuse, addiction, and diversion.
Physicians should be educated on the proper implementation of POC tests and
LUTs, and interpretation of adherence data. Early monitoring of drug
adherence using POC tests and follow-up LUTs may provide substantial cost
savings associated with health care issues incurred in nonadherent chronic
pain patients, especially those taking opioid therapy. © Postgraduate
Medicine.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy, pharmacoeconomics)
EMTREE DRUG INDEX TERMS
acetylsalicylic acid plus oxycodone plus oxycodone terephthalate (drug
therapy)
carisoprodol (drug therapy)
codeine (drug therapy)
hydrocodone bitartrate plus ibuprofen (drug therapy)
hydrocodone bitartrate plus paracetamol (drug therapy)
illicit drug
morphine sulfate (drug therapy)
oxycodone (drug therapy)
oxycodone plus paracetamol (drug therapy)
oxycodone plus paracetamol (drug therapy)
oxycodone plus paracetamol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy, disease management, drug therapy)
cost control
narcotic dependence
patient compliance
EMTREE MEDICAL INDEX TERMS
absenteeism
article
comorbidity
cost benefit analysis
depression
health care cost
high performance liquid chromatography
hospitalization
human
low back pain
mass fragmentography
migraine
neuropathic pain
osteoporosis
point of care testing
quality of life
sensitivity and specificity
unemployment
United States
urinalysis
urine drug test
work disability
DRUG TRADE NAMES
astramorph
duramorph
lorcet
lortab
ms contin
oxycontin
percocet
percodan
roxanol
roxicet
soma
tylox
vicodin
vicoprofen
CAS REGISTRY NUMBERS
acetylsalicylic acid plus oxycodone plus oxycodone terephthalate
(64336-56-7)
carisoprodol (78-44-4)
codeine (76-57-3)
morphine sulfate (23095-84-3, 35764-55-7, 64-31-3)
oxycodone (124-90-3, 76-42-6)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011649856
MEDLINE PMID
22104462 (http://www.ncbi.nlm.nih.gov/pubmed/22104462)
PUI
L362995222
DOI
10.3810/pgm.2011.11.2503
FULL TEXT LINK
http://dx.doi.org/10.3810/pgm.2011.11.2503
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 912
TITLE
The prevalence and manifestation of substance use paralleling behaviours in
a secure forensic psychiatric hospital
AUTHOR NAMES
Schaefer R.
Daffern M.
Ferguson A.M.
AUTHOR ADDRESSES
(Schaefer R.; Daffern M., michael.Daffern@monash.edu; Ferguson A.M.) Centre
for Forensic Behavioural Science, Monash University, Melbourne, Australia.
(Daffern M., michael.Daffern@monash.edu; Ferguson A.M.) Psychology
Department, Victorian Institute of Forensic Mental Health, Melbourne,
Australia.
CORRESPONDENCE ADDRESS
M. Daffern, Centre for Forensic Behavioural Science, Monash University,
Melbourne, Australia. Email: michael.Daffern@monash.edu
SOURCE
Mental Health and Substance Use: Dual Diagnosis (2011) 4:4 (327-339). Date
of Publication: November 2011
ISSN
1752-3281
1752-3273 (electronic)
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
Co-morbid substance dependence is common in patients of secure psychiatric
services. Identifying opportunities for intervention, monitoring progress in
treatment and assessing risk of relapse are compromised by this group's
limited access to illicit substances. This research investigated the
validity of the substance use paralleling behaviour (SUPB) framework, which
was developed to assist staff in identifying behaviours indicative of
substance dependence in controlled environments. Thirty-one patients
admitted to the acute units of a secure forensic psychiatric hospital were
interviewed and assessed with the Brief Psychiatric Rating Scales, the
structured clinical interview for DSM disorders substance use disorders
module, and an original questionnaire measuring motivations for drug use and
behaviours indicative of substance dependence in a controlled setting
(SUPBs). Results showed that patients with a history of substance dependence
preceding admission engaged in more SUPBs during hospitalisation than
patients without a history of substance dependence. Severity of psychiatric
illness was unrelated to the frequency of requests for Pro re nata (PRN)
medication and SUPBs. These results provide preliminary support for the SUPB
framework and suggest that these behaviours might usefully be considered by
staff of secure psychiatric hospitals when planning treatment, measuring
progress and ascertaining risk of relapse. Opportunities for clinical
application and future research are discussed. © 2011 Taylor & Francis.
EMTREE DRUG INDEX TERMS
amphetamine
caffeine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
psychiatric department
questionnaire
substance use paralleling behavior
EMTREE MEDICAL INDEX TERMS
adult
article
automutilation
Brief Psychiatric Rating Scale
clinical article
disease severity
drug seeking behavior
drug use
fantasy
female
fluid intake
hospital admission
hospitalization
human
male
medical staff
mental disease
obsession
opiate addiction
overnutrition
pathological gambling
priority journal
sexual behavior
Structured Clinical Interview for DSM Disorders
treatment planning
CAS REGISTRY NUMBERS
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
caffeine (58-08-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011555173
PUI
L362702157
DOI
10.1080/17523281.2011.598464
FULL TEXT LINK
http://dx.doi.org/10.1080/17523281.2011.598464
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 913
TITLE
Aims and methods of the PREMOS study (Predictors, Moderators and Outcome of
Substitution treatments)
ORIGINAL (NON-ENGLISH) TITLE
Ziele und methodik der PREMOS-studie (Predictors, Moderators and Outcome of
Substitution treatments)
AUTHOR NAMES
Wittchen H.-U.
Rehm J.T.
Soyka M.
Langer K.
Träder A.
Trautmann S.
Bühringer G.
AUTHOR ADDRESSES
(Wittchen H.-U., wittchen@psychologie.tu-dresden.de; Rehm J.T.; Langer K.;
Träder A.; Trautmann S.; Bühringer G.) Institut für Klinische Psychologie
und Psychotherapie, Technische Universität Dresden, Chemnitzer Str. 46,
D-01187 Dresden, Germany.
(Bühringer G.) Institut für Therapieforschung (IFT), München, Germany.
(Rehm J.T.) Centre for Addiction and Mental Health, Toronto, ON, Canada.
(Soyka M.) Psychiatrische Klinik, Universität München, Germany.
(Soyka M.) Privatklinik Meiringen, Meiringen, Switzerland.
CORRESPONDENCE ADDRESS
H.-U. Wittchen, Institut für Klinische Psychologie und Psychotherapie,
Technische Universität Dresden, Chemnitzer Str. 46, D-01187 Dresden,
Germany. Email: wittchen@psychologie.tu-dresden.de
SOURCE
Suchtmedizin in Forschung und Praxis (2011) 13:5 (213-226). Date of
Publication: 2011
ISSN
1437-5567
BOOK PUBLISHER
Ecomed Publishers, Justus-von-Liebig-Str. 1, Landsberg, Germany.
ABSTRACT
PREMOS is a prospective-longitudinal study program with up to 4 waves of
assessment over a time period of up to 7 years. PREMOS is also a
clinical-epidemiological study due to its reliance on a nationwide
representative random sampling of institutions and patients.The paper
describes aims, methods, response rates, and statistical issues. The study
is based on a prospective-longitudinal naturalistic design with four waves
of assessment in a prevalence sample of n = 2.284 eligible substitution
patients (t(1), baseline), recruited from a nationwide representative sample
of 223 substitution physicians having been followed up over 6 years. At each
wave (12 months:t (2); RR: 91%, 56 months:t(3),cRR:71.1%; 69 months:t
(4),cRR: 90.9%) physicians and patients have been assessed with standardized
methods (e.g. clinical interview with doctor and patient, urine screenings)
regarding course and outcome (e.g. substitution, substance use, clinical,
medical, psychopathological, social aspects). Furthermore, following
procedures have been applied to ensure the entire acquisition of data at the
best: setting questionnaire, mortality questionnaire, separate interview for
women, course and tracking questionnaire. Add-ons components of study
include attempts to define "stable substitution" as well as a module
assessing the situation of women. Analyses have been conducted widely
weighted by design (e.g. size of setting, settings' cluster effects) and
response rate. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical assessment tool
predictor, moderator and outcome of substitution treatment
study design
EMTREE MEDICAL INDEX TERMS
doctor patient relation
female
follow up
human
interview
longitudinal study
major clinical study
mental disease
naturalistic inquiry
prevalence
prospective study
questionnaire
review
social aspect
urinalysis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2011571170
PUI
L362752950
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 914
TITLE
Evaluation of risk of tanning addiction in a selected population of women
aged 15-30
ORIGINAL (NON-ENGLISH) TITLE
Ocena ryzyka uzależnienia od opalania w wybranej populacji kobiet w wieku
15-30 lat
AUTHOR NAMES
Stawczyk M.
Łakis A.
Ulatowska A.
Szczerkowska-Dobosz A.
AUTHOR ADDRESSES
(Stawczyk M., marta_stawczyk@wp.pl; Łakis A.; Ulatowska A.;
Szczerkowska-Dobosz A.) Katedrze I Klinice Dermatologii, Wenerologii I
Alergologii, Gdańskiego Uniwersytetu Medycznego, Poland.
CORRESPONDENCE ADDRESS
M. Stawczyk, Katedrze I Klinice Dermatologii, Wenerologii I Alergologii,
Gdańskiego Uniwersytetu Medycznego, Poland. Email: marta_stawczyk@wp.pl
SOURCE
Przeglad Dermatologiczny (2011) 98:4 (305-311). Date of Publication: 2011
ISSN
0033-2526
BOOK PUBLISHER
Termedia Publishing House Ltd., Kleeberqa St.2, Poznan, Poland.
ABSTRACT
Introduction. Excessive exposure to natural and artificial sources of
ultraviolet radiation may lead to skin cancer, skin photoaging, as well as
tanning addiction. Objective. To evaluate sunbathing habits and risk of
tanning addiction in a selected population of women. Material and methods.
496 women aged 15 to 30 years, studying at schools and universities with
medical faculties and similar. On-line or direct anonymous answers to
questionnaire, which included questions about tanning preferences, knowledge
about the danger of ultraviolet radiation exposure, use of sunscreens,
familial incidence of skin cancer and mCAGE questionnaire evaluating risk of
tanning addiction. Results. 83.9% of respondents declared that they
regularly tan. Among this group 18% had a positive result in the mCAGE
questionnaire. The most popular way of getting a tan was sunbathing (70.4%),
but 62.7% of women had used a sunbed at least once in a lifetime and 26.6%
did so regularly. The respondents using sunbeds were most often (20.2%)
cosmetology students. A statistically significant correlation between
duration of sunbed session and a positive result in the mCAGE questionnaire
was observed. The biggest group of women (38%) that declared they had never
used a sunbed consisted of secondary school students. Conclusions. According
to the results of our study, using natural and artificial sources of
ultraviolet radiation is still popular among young women. This population is
also at risk of tanning addiction. Therefore widespread educational
programmes concerning health consequences of excessive exposure to
ultraviolet radiation are essential.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
sunbathing
tanning addiction
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
esthetics
female
human
questionnaire
risk factor
EMBASE CLASSIFICATIONS
Dermatology and Venereology (13)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Polish
LANGUAGE OF SUMMARY
English, Polish
EMBASE ACCESSION NUMBER
2011552521
PUI
L362695636
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 915
TITLE
Evaluation of a substance use disorder curriculum for internal medicine
residents.
AUTHOR NAMES
Stein M.R.
Arnsten J.H.
Parish S.J.
Kunins H.V.
AUTHOR ADDRESSES
(Stein M.R.) Department of Medicine, Albert Einstein College of Medicine and
Montefiore Medical Center, Bronx, New York, USA.
(Arnsten J.H.; Parish S.J.; Kunins H.V.)
CORRESPONDENCE ADDRESS
M.R. Stein, Department of Medicine, Albert Einstein College of Medicine and
Montefiore Medical Center, Bronx, New York, USA. Email:
mstein@montefiore.org
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:4 (220-224). Date of
Publication: Oct 2011
ISSN
1547-0164 (electronic)
ABSTRACT
Teaching about diagnosis, treatment, and sequelae of substance use disorders
(SUDs) is insufficient in most Internal Medicine residency programs. To
address this, the authors developed, implemented, and evaluated a novel and
comprehensive SUD curriculum for first year residents (interns) in Internal
Medicine, which anchors the ensuing 3-year longitudinal SUD curriculum. This
intern curriculum includes didactic and experiential elements and allows
skills practice. Topics include local epidemiology of substance abuse,
neurobiology of SUDs, and screening, treatment, and referral. The entire
curriculum is delivered over 7 hours during a month-long ambulatory
rotation. Among 58 interns who have completed a pre-post evaluation of the
curriculum, the majority reported an increased sense of responsibility for
and confidence in treating patients with SUDs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
curriculum
internal medicine
medical education
EMTREE MEDICAL INDEX TERMS
adult
article
education
evaluation study
female
human
male
methodology
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22014252 (http://www.ncbi.nlm.nih.gov/pubmed/22014252)
PUI
L560041788
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 916
TITLE
Efficacy of a physicians' pocket guide about prenatal substance use: a
randomized trial.
AUTHOR NAMES
Midmer D.
Kahan M.
Kim T.
Ordean A.
Graves L.
AUTHOR ADDRESSES
(Midmer D.) Department of Family and Community Medicine, University of
Toronto, Toronto, Ontario, Canada.
(Kahan M.; Kim T.; Ordean A.; Graves L.)
CORRESPONDENCE ADDRESS
D. Midmer, Department of Family and Community Medicine, University of
Toronto, Toronto, Ontario, Canada.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:4 (175-179). Date of
Publication: Oct 2011
ISSN
1547-0164 (electronic)
ABSTRACT
A pocket guide on management of substance use during pregnancy was developed
by a group of Canadian care providers. One hundred and fifteen family
medicine residents in 6 Canadian teaching sites were randomized to receive
either the pocket guide or a paper summary on similar clinical topics, based
on UpToDate, a comprehensive Web-based resource. At baseline, both groups
completed a survey containing questions on beliefs, attitudes, experience,
and training on pregnancy and substance use. Participants then answered 28
multiple choice questions about substance use in pregnancy, using either the
pocket guide or UpToDate. Finally participants were asked to rate ease of
use for the 2 resources. The results showed that the pocket guide group had
higher knowledge scores than the UpToDate group overall and at each study
site (61.27% vs. 42.86%, P < .001). The residents found the pocket guide
easier to use than UpToDate (mean = 2.73 vs. 4.36, P < .001), and were more
likely to want to use it again (96% for pocket card, 78% for UpToDate, P =
.005). It is concluded that the pocket guide is a practical source of
clinical information at point of care, particularly for "orphan" subjects
such as substance use in pregnancy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practice
physician
practice guideline
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
adult
article
Canada
clinical trial
controlled clinical trial
controlled study
female
health personnel attitude
human
male
medical education
methodology
pregnancy
psychological aspect
randomized controlled trial
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22014247 (http://www.ncbi.nlm.nih.gov/pubmed/22014247)
PUI
L560041783
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 917
TITLE
Effects of resident education on smoking cessation counseling in the
emergency department
AUTHOR NAMES
Kloss B.T.
Cooney D.R.
Hart D.M.
Wojcik S.
Lagace R.E.
AUTHOR ADDRESSES
(Kloss B.T.; Cooney D.R.; Hart D.M.; Wojcik S.; Lagace R.E.) SUNY Upstate
Medical University, Syracuse, United States.
CORRESPONDENCE ADDRESS
B.T. Kloss, SUNY Upstate Medical University, Syracuse, United States.
SOURCE
Annals of Emergency Medicine (2011) 58:4 SUPPL. 1 (S280-S281). Date of
Publication: October 2011
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2011 Research Forum
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2011-10-15 to 2011-10-16
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: Tobacco use disorder is a common concomitant condition
among emergency department (ED) patients (between 21-41%). The negative
health effects of smoking are well known. Patients who visit EDs can be
influenced by emergency physicians who take several minutes to inform them
of the risks. The objective of this study was to evaluate the effects of
educating emergency medicine residents on the public health impact,
counseling techniques, and proper documentation of tobacco use disorder and
smoking cessation counseling (SCC). Methods: A brief didactic program was
developed and delivered to emergency medicine residents training in an urban
universityhospital setting. The emergency medicine residents were educated
on the importance of screening for tobacco use disorder and how to provide
ED smoking cessation counseling and referral for outpatient smoking
cessation counseling. They were asked to document the ED smoking cessation
counseling in the medical record. Pamphlets containing public education and
referral information were produced and placed in the ED. Documented
performance of ED smoking cessation counseling was reviewed by searching the
ED coding database for documented episodes of ED smoking cessation
counseling for the 4 months before the didactic program, and for 4 mos.
after. Statistical analysis was performed in SPSS® Statistics 19 (IBM®) to
compare the number of ED SCC before and after the didactic program. To
estimate the number of adult patients with tobacco use disorder, a rate of
41% was applied to the number of adult patient visits for each period.
Charges associated with documented ED smoking cessation counseling events
were also evaluated. Results: The volume of adult patient visits in the 12
months prior to the didactic program was 35,783. Adult visits were 12,093 in
the 4 months prior to the program (pre-program), and 12,028 in the 4 months
after (post-program). In the pre-program group smoking cessation counseling
events were 70 with a monthly average of 17.5 (SD =± 3.32). The post-program
period had 221 smoking cessation counseling events with a monthly average of
55.25 (SD =± 22.9). The comparison of the 2 groups was significant
(p<0.001). When estimating the percent smokers at 41%, 1.41% of smokers were
counseled in the pre-program group and 4.52% in the post-program group
(p<0.001). The ED charge for smoking cessation counseling in this study was
$39. Emergency physician charges increased from $2,710 in the pre-program
period, up to $8,732 in the post-program period. Conclusion: With only a
brief didactic program and the availability of pamphlets in the ED, resident
education regarding smoking cessation counseling increased the number of
patients counseled by over 30% (from 1.41% up to 4.52%), signifying a
significant improvement in patient care quality. The potential reimbursement
to the ED also increased and, if the financial data are extrapolated to a
12-month period, charges would increase from around $8,130/year up to
$26,196/year. We believe that it is a reasonable patient care goal to
counsel at least 20% of smokers in the ED, and therefore additional didactic
sessions for the emergency physicians are needed. Based on the data, and an
estimated 41% smoker rate, around 3,000 patients would be counseling per
year in this urban ED. The estimated financial impact of counseling these
patients would be around $117,000/year in potential reimbursement. The
public health and financial implications of a formal ED smoking cessation
counseling program justify the further development of this quality
improvement program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
counseling
education
emergency physician
emergency ward
human
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
data base
documentation
emergency medicine
health
hospital patient
medical record
outpatient
patient
patient care
public health
reimbursement
risk
screening
smoking
statistical analysis
statistics
tobacco dependence
total quality management
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70551564
DOI
10.1016/j.annemergmed.2011.06.337
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2011.06.337
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 918
TITLE
Medical School Hotline: Tobacco dependence and the management of
tobacco-related disorders: how John A. Burns School of Medicine is preparing
our future physicians.
AUTHOR NAMES
Omori J.S.
Kramer K.
AUTHOR ADDRESSES
(Omori J.S.) Office of Medical Education, John A. Burns School of Medicine,
University of Hawai'i, USA.
(Kramer K.)
CORRESPONDENCE ADDRESS
J.S. Omori, Office of Medical Education, John A. Burns School of Medicine,
University of Hawai'i, USA.
SOURCE
Hawaii medical journal (2011) 70:10 (220-221). Date of Publication: Oct 2011
ISSN
0017-8594
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
curriculum
medical school
medical student
smoking (epidemiology)
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
article
female
human
male
public relations
register
tobacco
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22162598 (http://www.ncbi.nlm.nih.gov/pubmed/22162598)
PUI
L560079208
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 919
TITLE
Efficacy of continuing medical education to reduce the risk of buprenorphine
diversion
AUTHOR NAMES
Lofwall M.R.
Wunsch M.J.
Nuzzo P.A.
Walsh S.L.
AUTHOR ADDRESSES
(Lofwall M.R., michelle.lofwall@uky.edu; Wunsch M.J.; Walsh S.L.) Department
of Psychiatry, University of Kentucky, Lexington, KY 40509, United States.
(Lofwall M.R., michelle.lofwall@uky.edu; Wunsch M.J.; Nuzzo P.A.; Walsh
S.L.) Department of Behavioral Science, University of Kentucky, Lexington,
KY 40509, United States.
(Lofwall M.R., michelle.lofwall@uky.edu; Wunsch M.J.; Walsh S.L.) Center on
Drug and Alcohol Research, University of Kentucky, Lexington, KY 40509,
United States.
CORRESPONDENCE ADDRESS
M.R. Lofwall, Department of Psychiatry, University of Kentucky, 3470 Blazer
Parkway, Lexington, KY 40509, United States. Email: michelle.lofwall@uky.edu
SOURCE
Journal of Substance Abuse Treatment (2011) 41:3 (321-329). Date of
Publication: October 2011
ISSN
0740-5472
1873-6483 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
As office-based opioid dependence treatment (OBOT) has grown in the United
States, postmarketing surveillance data reveal increased reports of
buprenorphine misuse and diversion. It is important that doctors understand
buprenorphine clinical pharmacology and engage in practices to decrease risk
of misuse, diversion, and other adverse events. This study evaluated the
efficacy of continuing medical education (CME) in two U.S. regions with
surveillance signals of buprenorphine misuse/diversion. Four surveys
(before, on-site, and 1 and 3 months post CME) evaluated physician
characteristics, practice behaviors, and buprenorphine pharmacology and
legislative knowledge. The results show that physicians had limited
addictions training. Knowledge and practice behaviors significantly improved
after the CME, which should enhance the quality of OBOT and may decrease
risk of buprenorphine misuse and diversion from their practices. Mandatory
CME targeting OBOT-certified physicians could have a positive impact on
patient and public health outcomes. © 2011 Elsevier Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
continuing medical education
medical education
EMTREE MEDICAL INDEX TERMS
article
clinical practice
drug misuse
health survey
human
physician attitude
priority journal
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011489100
MEDLINE PMID
21664789 (http://www.ncbi.nlm.nih.gov/pubmed/21664789)
PUI
L51467993
DOI
10.1016/j.jsat.2011.04.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2011.04.008
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 920
TITLE
An interdisciplinary approach to reducing opioid analgesic misuse in
patients with chronic noncancer pain in the primary care setting
AUTHOR NAMES
Matthews M.L.
Jamison R.N.
Ross E.
Scanlan E.M.
Tishler L.W.
AUTHOR ADDRESSES
(Matthews M.L.) Massachusetts College of Pharmacy and Health Sciences,
Boston, United States.
(Jamison R.N.; Ross E.; Scanlan E.M.) Brigham and Women's Hospital, Pain
Management Center, Chestnut Hill, United States.
(Tishler L.W.) Brigham and Women's Hospital, Phyllis Jen Center for Primary
Care, Boston, United States.
CORRESPONDENCE ADDRESS
M.L. Matthews, Massachusetts College of Pharmacy and Health Sciences,
Boston, United States.
SOURCE
Pharmacotherapy (2011) 31:10 (405e-406e). Date of Publication: October 2011
CONFERENCE NAME
2011 Annual Meeting of the American College of Clinical Pharmacy
CONFERENCE LOCATION
Pittsburgh, PA, United States
CONFERENCE DATE
2011-10-16 to 2011-10-19
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: Many health care professionals are reluctant to support the use of
opioid analgesics for patients with chronic noncancer pain because of
concerns regarding adverse effects, lack of efficacy, tolerance, and
addiction. Within the past ten years the prescription of opioids for the
treatment of chronic pain has increased exponentially, primarily for
noncancer pain, and the abuse of such medications is receiving increasing
notice. Chronic pain patients who show aberrant drug-related behavior are
often dismissed from a primary care practice when they are nonadherent with
opioid therapy, instead of being offered interventions to reduce misuse and
to improve adherence. Unfortunately, there are few treatment resources for
such patients. Through the implementation of an interdisciplinary approach
to chronic pain management, we are seeking to remedy that deficit, with the
goal of reducing the rate of prescription opioid misuse among those patients
on or who are being considered for opioid therapy within the primary care
setting. METHODS: An interdisciplinary team of pain specialists consisting
of a physician, clinical pharmacist, psychologist, nurse practitioner, and
psychiatrist will work closely with primary care physicians to implement the
following services and programs: direct clinical support through a weekly
pharmacist-directed chronic pain management clinic embedded within the
primary care center to provide recommendations for therapy and ensure
adherence to an institution-wide opioid use policy; use of an electronic
software program that conducts computerized 'live' interviews of patients
and offers a provider report with a summarized pain assessment; psychiatry
consult service to manage opioid abuse/addiction issues; and monthly
provider educational sessions on pain assessment and management to promote
proper patient selection and risk assessment. RESULTS: This approach to the
use of opioid analgesics will help to improve adherence and reduce misuse
within the primary care setting.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
college
human
pain
patient
primary medical care
EMTREE MEDICAL INDEX TERMS
abuse
addiction
adverse drug reaction
analgesia
chronic pain
drug therapy
general practitioner
health care personnel
hospital
interview
medical specialist
nurse practitioner
pain assessment
patient selection
pharmacist
physician
policy
prescription
psychiatrist
psychiatry
psychologist
risk assessment
software
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70648224
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 921
TITLE
The substance abuse counseling workforce: education, preparation, and
certification.
AUTHOR NAMES
Rieckmann T.
Farentinos C.
Tillotson C.J.
Kocarnik J.
McCarty D.
AUTHOR ADDRESSES
(Rieckmann T.) Department of Public Health and Preventive Medicine, Oregon
Health and Science University, Portland, Oregon 97239, USA.
(Farentinos C.; Tillotson C.J.; Kocarnik J.; McCarty D.)
CORRESPONDENCE ADDRESS
T. Rieckmann, Department of Public Health and Preventive Medicine, Oregon
Health and Science University, Portland, Oregon 97239, USA. Email:
rieckman@ohsu.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:4 (180-190). Date of
Publication: Oct 2011
ISSN
1547-0164 (electronic)
ABSTRACT
The National Drug Abuse Treatment Clinical Trials Network (CTN) is an
alliance of drug abuse treatment programs and research centers testing new
interventions and implementation factors for treating alcohol and drug use
disorders. A workforce survey distributed to those providing direct services
in 295 treatment units in the CTN obtained responses from 1750 individuals
with a job title of counselor (n = 1395) or counselor supervisor (n = 355).
A secondary analysis compares and describes both groups. Supervisors were
more likely to be licensed or certified. Master's degrees were more common
among counselors in outpatient and methadone programs. Counselors in
residential settings tended to be on the job fewer years. Finally, higher
education was associated with greater familiarity with and acceptance of
evidence-based practices.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
certification
counseling
drug dependence treatment
educational status
health personnel attitude
licensing
EMTREE MEDICAL INDEX TERMS
article
comparative study
evidence based practice
female
human
information processing
male
standard
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22014248 (http://www.ncbi.nlm.nih.gov/pubmed/22014248)
PUI
L560041784
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 922
TITLE
Behavior, knowledge, and attitude of medical students on smoking at
university of santo tomas, Faculty of medicine and surgery, School year
2010- 2011: A cross-sectional survey
AUTHOR NAMES
Javier A.
Calata-Rosales R.A.
Santos R.
AUTHOR ADDRESSES
(Javier A.; Calata-Rosales R.A.; Santos R.) University of Santo Tomas
Hospital, Manila, Philippines.
CORRESPONDENCE ADDRESS
A. Javier, University of Santo Tomas Hospital, Manila, Philippines.
SOURCE
Chest (2011) 140:4 MEETING ABSTRACT. Date of Publication: October 2011
CONFERENCE NAME
CHEST 2011
CONFERENCE LOCATION
Honolulu, HI, United States
CONFERENCE DATE
2011-10-22 to 2011-10-26
ISSN
0012-3692
BOOK PUBLISHER
American College of Chest Physicians
ABSTRACT
PURPOSE: To investigate the knowledge, attitudes and behavior of medical
students enrolled in UST Faculty of Medicine and Surgery school year
2010-2011 and examine whether it changed during the course of education for
each group using a cross-sectional survey approach. METHODS: Medical
students (n=1256) answered a structural questionnaire adapted from Global
Adult Tobacco Survey. The chi-square tests for significance were used for
comparison between two categories and for trends among more than 2
categories; 95% confidence interval were given in the test when appropriate.
Correlations between continuous variables were performed using Pearson
product correlations. RESULTS: A total of 1300 medical students surveyed,
1256 returned a completed, legible survey. Among the medical students
surveyed, 477 (38%) were first year, 220 (17.5%) were second year, 197
(15.7%) were third year, 296 (23.6) were fourth year and 66 (5.3%) were
interns. Out of 1256 medical students surveyed, 168 (13.3%) are current
smokers. More than 90% of medical students think that smoking can cause
serious illness such as stroke, coronary disease, peripheral vascular
disease, lung cancer, COPD, oral cancer, laryngeal cancer and neonatal
death. However, it is very alarming that only 67% of them think that smoking
can cause bladder cancer. More than 90% of medical students also believe
that doctors should set a good example to patients by not smoking, that
there should be teaching program/lectures for tobacco and cessation
techniques in medical schools. When asked if they have enough knowledge to
counsel patients on smoking cessation, only 82.2% agree that they have
enough knowledge to do it. CONCLUSIONS: This survey showed that 369 (29.3%)
of medical students, the future physicians are smokers or have had smoked
tobacco during their years in medical school. there is a significant
difference about their knowledge But there was an overall increase in
knowledge in terms of year level by answering “yes ” more than “no ” and “I
don't know ”. This clearly showed that educational interventions could lead
to significant changes in knowledge among medical students. there is a
positive attitude about doctors should set a good example to patients by not
smoking and there should be teaching program/lectures for tobacco and
cessation techniques in medical schools. CLINICAL IMPLICATIONS: It is very
alarming that not all our medical students, our future health care provider
have not enough knowledge and with negative attitudes towards smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
medical student
school
smoking
surgery
university
EMTREE MEDICAL INDEX TERMS
adult
bladder cancer
cerebrovascular accident
chi square test
confidence interval
coronary artery disease
education
general aspects of disease
health care personnel
larynx cancer
lung cancer
medical school
mouth cancer
newborn death
patient
peripheral vascular disease
physician
questionnaire
smoking cessation
teaching
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70634771
DOI
10.1378/chest.1119832
FULL TEXT LINK
http://dx.doi.org/10.1378/chest.1119832
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 923
TITLE
Paediatricians' knowledge, attitudes and practice following provision of
educational resources about prevention of prenatal alcohol exposure and
Fetal Alcohol Spectrum Disorder
AUTHOR NAMES
Payne J.M.
France K.E.
Henley N.
D'Antoine H.A.
Bartu A.E.
Mutch R.C.
Elliott E.J.
Bower C.
AUTHOR ADDRESSES
(Payne J.M., janp@ichr.uwa.edu.au; France K.E.; D'Antoine H.A.; Mutch R.C.;
Bower C.) Telethon Institute for Child Health Research, Centre for Child
Health Research, University of Western Australia, PO Box 855, West Perth, WA
6872, Australia.
(Henley N.) Centre for Applied Social Marketing Research, Edith Cowan
University, Perth, Australia.
(Bartu A.E.) School of Nursing and Midwifery, Curtin Health Innovation
Research Institute, Curtin University of Technology, Perth, WA, Australia.
(Elliott E.J.) Discipline of Paediatrics and Child Health, Sydney Medical
School, University of Sydney, Sydney, NSW, Australia.
(France K.E.) Centre for Applied Social Marketing Research, Edith Cowan
University, WA, Australia.
(D'Antoine H.A.) Menzies School of Health Research, NT, Australia.
CORRESPONDENCE ADDRESS
J.M. Payne, Telethon Institute for Child Health Research, Centre for Child
Health Research, University of Western Australia, PO Box 855, West Perth, WA
6872, Australia. Email: janp@ichr.uwa.edu.au
SOURCE
Journal of Paediatrics and Child Health (2011) 47:10 (704-710). Date of
Publication: October 2011
ISSN
1034-4810
1440-1754 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Aim: The study aims to provide paediatricians in Western Australia (WA) with
educational resources () about the prevention of prenatal alcohol exposure
and fetal alcohol spectrum disorder, and assess changes in their knowledge,
attitudes and practice about fetal alcohol syndrome (FAS) and alcohol
consumption in pregnancy. Methods: Following our 2004 survey of
paediatricians, we developed and distributed educational resources to 159
paediatricians in WA in 2007. Six months later, we surveyed these
paediatricians and compared their responses with results from 2004 using
prevalence rate ratios (PRRs) and 95% confidence intervals (CIs). Results:
Of 133 eligible paediatricians, 82 (61.7%) responded: 65.9% had seen the
resources, of these 66.7% had used them and 29.6% said the resources had
helped them change, or influenced their intent to change, their practice.
There was no change in the proportion that knew all the essential features
of FAS (18.3% in 2007; 20.0% in 2004) or had diagnosed FAS (58.5% in 2007;
58.9% in 2004). An increased proportion (75.6% in 2007; 48.9% in 2004)
agreed that pregnant women should completely abstain from consuming alcohol
(PRR 1.55, 95% CI 1.21-1.97). Only 21.7% (no increase from 2004) routinely
asked about alcohol use when taking a pregnancy history. Conclusions: We
recommend that asking about alcohol use during pregnancy should be
emphasised in paediatric training. Unless paediatricians' capacity to ask
about alcohol consumption when taking a pregnancy history and to diagnose
FAS is increased, FAS will remain under-diagnosed in Australia and
opportunities for management, early intervention and prevention will be
overlooked. © 2011 The Authors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
fetal alcohol syndrome
medical information
prenatal exposure
EMTREE MEDICAL INDEX TERMS
article
attitude to health
Australia
clinical practice
female
health care personnel
health survey
human
knowledge
male
pediatrician
pregnant woman
prevalence
priority journal
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011583183
MEDLINE PMID
21449899 (http://www.ncbi.nlm.nih.gov/pubmed/21449899)
PUI
L51361598
DOI
10.1111/j.1440-1754.2011.02037.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-1754.2011.02037.x
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 924
TITLE
The prevalence of substance use among psychiatric patients: the case study
of Bugando Medical centre, Mwanza (northern Tanzania).
AUTHOR NAMES
Hauli K.A.
Ndetei D.M.
Jande M.B.
Kabangila R.
AUTHOR ADDRESSES
(Hauli K.A.) University of Nairobi, Nairobi, Kenya.
(Ndetei D.M.; Jande M.B.; Kabangila R.)
CORRESPONDENCE ADDRESS
K.A. Hauli, University of Nairobi, Nairobi, Kenya.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:4 (238-241). Date of
Publication: Oct 2011
ISSN
1547-0164 (electronic)
ABSTRACT
World Health Organization (2004) documented that substance use or abuse and
mental disorders are important causes of disease burden accounting for 8.8%
and 16.6% of the total burden of disease in low income and lower
middle-income countries, respectively. Alcohol use/abuse disorders alone
contribute to 0.6%-2.6% of the total burden of disease in these countries.
This cross-sectional descriptive study recruited 184 psychiatric patients
seen at Bugando Medical centre and assessed them for substance involvement
using the WHO Alcohol, Smoking and Substance Involvement Screening Test. The
most frequently used substances among respondents were alcohol (59.3%),
tobacco (38.6%), and cannabis (29.3%), while heroin and cocaine were least
used (2.1% and 1.6%, respectively). Statistical significant difference
existed between substance use and participants: level of education, formal
employment, marital status, gender, family history of mental illness, and
family history of substance use. About a third attributed their involvement
into substance exclusively to peer pressure, 8.7 to both peer pressure and
curiosity while 7.1% exclusively to curiosity. This result represents one of
the most important risks to mental health, and is a leading factor that
causes high rates of admission or reason to be seen by a psychiatrist, this
cannot be ignored when managing psychiatric disorders and therefore calls
for routing screening for substance involvement among clients seeking
psychiatric treatment. It also calls for appropriate standard operation
policy procedures that can be operationlized as a matter of clinical
practice by mental health workers in their routine medical practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, epidemiology)
mental disease (complication, epidemiology)
psychiatric diagnosis
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
cross-sectional study
female
human
male
middle aged
prevalence
risk factor
statistics
Tanzania (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22014254 (http://www.ncbi.nlm.nih.gov/pubmed/22014254)
PUI
L560041790
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 925
TITLE
Fibromyalgia and parental medical histories of depression and alcoholism
AUTHOR NAMES
Katz R.S.
Small B.J.
Ferbert S.M.
Kuenzi P.
Shott S.
AUTHOR ADDRESSES
(Katz R.S.; Small B.J.; Ferbert S.M.; Kuenzi P.; Shott S.) Rush University
Medical Center, Chicago, United States.
(Katz R.S.; Small B.J.; Ferbert S.M.; Kuenzi P.; Shott S.) Rush University
Medical School, Chicago, United States.
(Katz R.S.; Small B.J.; Ferbert S.M.; Kuenzi P.; Shott S.) Advocates for
Funding Fibromyalgia Treatment, Education and Research (AFFTER),
Libertyville, United States.
CORRESPONDENCE ADDRESS
R.S. Katz, Rush University Medical Center, Chicago, United States.
SOURCE
Arthritis and Rheumatism (2011) 63:10 SUPPL. 1. Date of Publication: October
2011
CONFERENCE NAME
Annual Scientific Meeting of the American College of Rheumatology and
Association of Rheumatology Health Professionals 2011
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2011-11-04 to 2011-11-09
ISSN
0004-3591
BOOK PUBLISHER
John Wiley and Sons Inc.
ABSTRACT
Background/Purpose: We investigated whether depression or alcoholism in
parents is associated with an increased risk of fibromyalgia (FMS) in
offspring. We had found in a previous study suggestions of an increased
prevalence depression in the mothers and alcohol abuse in the fathers of
fibromyalgia patients. Methods: 115 FMS patients and 63 control patients
with other rheumatic diseases answered a rheumatology office questionnaire
that included questions about whether their mother or father had been
diagnosed with or had symptoms of depression, alcoholism, or FMS. The
chi-square test of association and Fisher's exact test were used to compare
FMS and control patients with respect to percentages. The Mann-Whitney test
was done to compare these groups with respect to age. A 0.05 significance
level was used and all tests were two-sided. Results: 81.7% of the FMS
patients and 61.9% of the control patients were women (p = 0.004). The mean
age was 48.1 ± 12.3 years for FMS patients and 50.7 ±13.6 for control
patients (p = 0.092). 33.0% of FMS patients and 8.1% of control patients
reported a depression diagnosis or symptoms in their mothers (p < 0.001).
26.3% of FMS patients reported a depression diagnosis or symptoms in their
fathers, compared to 10.0% of control patients (p = 0.013). Although FMS
patients were more likely than control patients to report an alcoholism
diagnosis or symptoms in their mothers (9.6% vs. 4.8%. p = 0.38) and fathers
(19.2% vs. 10.0%, p = 0.18), the differences were not statistically
significant. FMS patients were significantly more likely than control
patients to report a FMS diagnosis or symptoms in their mothers (26.4% vs.
3.2%. p < 0.001), but not in their fathers (6.2% vs. 0%, p = 0.083).
Conclusion: FMS patients were significantly more likely than control
patients to report that their parents had a diagnosis or symptoms of
depression, and significantly more likely to report that their mothers had a
FMS diagnosis or symptoms. No statistically significant differences were
found with respect to paternal FMS or maternal or paternal alcoholism.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
college
fibromyalgia
health practitioner
human
medical history
rheumatology
EMTREE MEDICAL INDEX TERMS
alcohol abuse
chi square test
diagnosis
father
female
Fisher exact test
male
mother
parent
patient
prevalence
progeny
questionnaire
rank sum test
rheumatic disease
risk
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70785614
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 926
TITLE
Benzodiazepine use in alcohol withdrawal syndrome at an academic medical
center
AUTHOR NAMES
Amelung K.A.
Deal E.N.
AUTHOR ADDRESSES
(Amelung K.A.; Deal E.N.) Barnes-Jewish Hospital, St. Louis, United States.
CORRESPONDENCE ADDRESS
K.A. Amelung, Barnes-Jewish Hospital, St. Louis, United States.
SOURCE
Pharmacotherapy (2011) 31:10 (438e-439e). Date of Publication: October 2011
CONFERENCE NAME
2011 Annual Meeting of the American College of Clinical Pharmacy
CONFERENCE LOCATION
Pittsburgh, PA, United States
CONFERENCE DATE
2011-10-16 to 2011-10-19
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: This retrospective review was completed to assess practices in
managing alcohol withdrawal syndrome (AWS) at a 1300- bed tertiary academic
medical center. METHODS: Medical records were reviewed on 100
randomlyselected patients admitted between January 1 and June 30, 2010 with
an ICD-9 code for alcohol use/abuse and an active benzodiazepine (BZD) order
for at least 24 hours. Patients were excluded if BZD use was for sedation or
non-alcohol withdrawal related anxiety. Documented information included
demographic and admission information, past medical history, ethanol level
upon admission, utilization of an AWS order set, alcohol withdrawal
medication regimen (agent, route, and fixed-schedule or symptom-triggered
dosing), and total amount of BZD administered over the length of stay.
RESULTS: The average patient was a 48-year old male who consumed 10.6 drinks
per day. Approximately one-third of patients had a history of AWS with 15%
having a noted history of seizures related to alcohol withdrawal. One-third
had a measurable ethanol level upon admission with the mean being 233 mg/.
The majority of patients were admitted to the medicine service (82%). An
alcohol withdrawal order set was utilized in 45% of all patients. Overall, a
fixed-regimen was chosen in 50% of cases and a symptom-triggered regimen was
chosen in 87% of cases. The mean total amount of (lorazepam-equivalent) BZDs
administered was 16.6 milligrams over an average length of stay of 5.4 days.
When only fixed-schedule orders were written (n=12), the total amount of
medication administered was 27.4 milligrams. When only symptom-triggered
orders were written (n=50), the total amount of medication administered was
3 milligrams. CONCLUSIONS: The BZD prescribing practices for AWS at this
institution are varied. This could be due to a number of factors including
extensive patient differences, the high number of prescribing physicians,
and the lack of standardized assessments for symptoms of alcohol withdrawal.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine
EMTREE DRUG INDEX TERMS
alcohol
lorazepam
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol withdrawal syndrome
clinical pharmacy
college
university hospital
EMTREE MEDICAL INDEX TERMS
anxiety
drug therapy
human
length of stay
male
medical history
medical record
patient
physician
sedation
seizure
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70648348
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 927
TITLE
Medical student delivery of alcohol education to high school pupils: The
MEDALC programme
AUTHOR NAMES
Alcolado R.
Alcolado J.C.
AUTHOR ADDRESSES
(Alcolado R.) Department of Medicine, Cwm Taf Local Health Board, Royal
Glamorgan Hospital, United Kingdom.
(Alcolado J.C., John.Alcolado@bhrhospitals.nhs.uk) Centre for Medical
Education, Queen Mary University of London, Barts and the London School of
Medicine, Whitechapel, London, United Kingdom.
CORRESPONDENCE ADDRESS
J.C. Alcolado, Queens Hospital, Rom Valley Road, Romford, Essex RM07 OAG,
United Kingdom. Email: John.Alcolado@bhrhospitals.nhs.uk
SOURCE
Clinical Medicine, Journal of the Royal College of Physicians of London
(2011) 11:5 (443-447). Date of Publication: October 2011
ISSN
1470-2118
1473-4893 (electronic)
BOOK PUBLISHER
Royal College of Physicians, 11 St Andrews Place, Regents Park, London,
United Kingdom.
ABSTRACT
There is increasing concern about the inappropriate use of alcohol by
teenagers and young adults. The objective of this study was to assess the
practicality of developing an alcohol education programme for school pupils
delivered by medical students. The study design was of a prospective,
observational, interventional cohort study. The primary outcomes were the
number of schools, school pupils and medical students participating in the
programme. Secondary outcomes were quantitative and qualitative measures
derived from the feedback received from the participants. Over a three-year
period, 60 medical students provided alcohol education sessions to 1,780
high school pupils (aged 13-15 years) within seven schools in Wales.
Strongly positive feedback was obtained from all stakeholders and all
schools asked to be included in future programmes. In conclusion, medical
student-delivered teaching of alcohol education programmes to school pupils
appears to be feasible and welcome by schools, teachers, pupils and medical
students. © Royal College of Physicians, 2011. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
education program
high school student
medical student
EMTREE MEDICAL INDEX TERMS
adolescent
article
cohort analysis
human
intervention study
observational study
prospective study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011590144
MEDLINE PMID
22034702 (http://www.ncbi.nlm.nih.gov/pubmed/22034702)
PUI
L362804051
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 928
TITLE
A case series of buprenorphine/naloxone treatment in a primary care
practice.
AUTHOR NAMES
Doolittle B.
Becker W.
AUTHOR ADDRESSES
(Doolittle B.) Department of Internal Medicine, Yale University School of
Medicine, New Haven, Connecticut 06520-8030, USA.
(Becker W.)
CORRESPONDENCE ADDRESS
B. Doolittle, Department of Internal Medicine, Yale University School of
Medicine, New Haven, Connecticut 06520-8030, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:4 (262-265). Date of
Publication: Oct 2011
ISSN
1547-0164 (electronic)
ABSTRACT
Physicians' adoption of buprenorphine/naloxone treatment is hindered by
concerns over feasibility, cost, and lack of comfort treating patients with
addiction. We examined the use of buprenorphine/naloxone in a community
practice by two generalist physicians without addiction training, employing
a retrospective chart review. From 2006-2010, 228 patients with opiate
abuse/dependence were treated with buprenorphine/naloxone using a
home-induction protocol. Multiple co-morbidities including diabetes (23% of
patients), hypertension (36%), Hepatitis C (43%), and depression (74%) were
concurrently managed. In this diverse sample, 1/228 experienced precipitated
withdrawal during induction. Of the convenience subsample analyzed (n = 28),
82% (+/-10%) had negative urine drug tests for opioids; 92% (+/-11%) were
negative for cocaine; 88% (+/-12%) were positive for buprenorphine. This
case series demonstrated feasibility and safety of a low-cost
buprenorphine/naloxone home induction protocol employed by generalists.
Concurrent treatment of multiple comorbidities conforms with the
patient-centered medical home ideal. Randomized trials of this promising
approach are needed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy)
naloxone (drug therapy)
EMTREE DRUG INDEX TERMS
buprenorphine plus naloxone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug self administration
opiate addiction (drug therapy, epidemiology)
primary health care
EMTREE MEDICAL INDEX TERMS
article
comorbidity
drug combination
human
retrospective study
statistics
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
naloxone (357-08-4, 465-65-6)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22014257 (http://www.ncbi.nlm.nih.gov/pubmed/22014257)
PUI
L560041793
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 929
TITLE
Laboratory screening of depressed or suicidal patients is unnecessary
AUTHOR NAMES
Paech N.
Zwank M.
AUTHOR ADDRESSES
(Paech N.; Zwank M.) Regions Hospital, St. Paul, United States.
CORRESPONDENCE ADDRESS
N. Paech, Regions Hospital, St. Paul, United States.
SOURCE
Annals of Emergency Medicine (2011) 58:4 SUPPL. 1 (S320-S321). Date of
Publication: October 2011
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2011 Research Forum
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2011-10-15 to 2011-10-16
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objective: To determine the utility of routine laboratory screening of
patients who are evaluated and admitted for severe depression, active
suicidal thoughts, or other mood disorders without psychotic or manic
features. Patients in this diagnostic spectrum comprise over half of all
patients admitted to our mental health service. Methods: Study Design: This
is a retrospective case series of 150 consecutive patients. Study Setting:
All patients included in this study were evaluated at a single urban
tertiary care hospital with an annual emergency department census of 65,000
patients. Study Participants: The primary inclusion criteria were a) any
psychiatric evaluation in the emergency department (ED), regardless of
presenting chief complaint, and b) hospital admission, regardless of final
diagnosis or disposition. Exclusion criteria were: age < 18 years, known
overdose or suspicion of overdose, psychosis, mania, agitation, dementia or
a history/ physical examination that independently warranted laboratory
evaluation. Data Analysis: A consecutive list of 750 patients with any
psychiatric evaluation in the emergency department was obtained. For any
patient who was ultimately admitted to the hospital, the history of present
illness, review of systems and physical exam were reviewed to determine
study eligibility. ED notes, laboratory studies, follow-up studies,
medication administration logs, prescription histories and discharge
summaries were reviewed. Abnormal laboratory values and pertinent management
events were tabulated. Results: Routine laboratory studies resulted in
minimal changes in clinical management in our study sample. As a consequence
of routine laboratory screening, 2 patients received single doses of oral
potassium supplementation, 1 patient was treated for an a Symptomatic
urinary tract infection, and eleven patients who denied drug use were
discharged with instructions to abstain from substance abuse. Laboratory
screening resulted in no cases of sustained changes in medical management
and no changes of inpatient or discharge disposition. Six patients were
discharged with new diagnoses as a direct result of laboratory screening: 5
with mild anemia and 1 with urinary tract infection. All of these patients
were a Symptomatic. Conclusion: In the easily identifiable and prevalent
subset of psychiatric patients included in this study (medically a
Symptomatic patients with isolated depression, suicidal intent, or other
mood disturbances without psychotic features or mania), routine ED
laboratory screening of is minimally useful. Prior studies of routine
laboratory evaluation in psychiatric patients have come to disparate
conclusions. All prior studies have included at least some patients with
mania, agitation, psychosis or dementia, all of which are features that are
more likely to be mistaken with delirium than isolated mood disorders.
EMTREE DRUG INDEX TERMS
potassium
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
emergency physician
human
laboratory
patient
screening
EMTREE MEDICAL INDEX TERMS
abnormal laboratory result
agitation
anemia
case study
data analysis
delirium
dementia
diagnosis
disease management
drug therapy
drug use
emergency ward
follow up
general aspects of disease
hospital
hospital admission
hospital patient
intoxication
mania
mental health service
mental patient
mood disorder
physical examination
population research
prescription
psychosis
single drug dose
study design
substance abuse
supplementation
tertiary health care
urinary tract infection
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70551678
DOI
10.1016/j.annemergmed.2011.06.454
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2011.06.454
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 930
TITLE
Dementia and other chronic diseases in older adults in havana and matanzas:
The 10/66 study in Cuba
AUTHOR NAMES
Llibre Rodríguez J.D.J.
Valhuerdi A.
Calvo M.
Garciá R.M.
Guerra M.
Laucerique T.
Loṕez A.M.
Llibre J.C.
Noriega L.
Sańchez I.Y.
Porto R.
Arencibia F.
Marcheco B.
Moreno C.
AUTHOR ADDRESSES
(Llibre Rodríguez J.D.J., mguerra@infomed.sld.cu) Alzheimer Studies Center,
Finlay - Albarrán Medical Faculty, Medical University of Havana, Cuba.
(Valhuerdi A.; Arencibia F.) Faustino Pérez Provincial University Hospital,
Matanzas, Cuba.
(Calvo M.) La Lisa Community Mental Health Center, Havana, Cuba.
(Garciá R.M.) 14 de Junio University Polyclinic, Luyano, Havana, Cuba.
(Guerra M.) 27 de Noviembre University Polyclinic, Marianao, Havana, Cuba.
(Laucerique T.) Carlos J. Finlay Hospital, Havana, Cuba.
(Loṕez A.M.) Héroes del Corynthia Polyclinic, Havana, Cuba.
(Llibre J.C.) Cuban Neurology and Neurosurgery Institute, Havana, Cuba.
(Noriega L.) Marianao Community Mental Health Center, Havana, Cuba.
(Sańchez I.Y.) Ana Betancourt Polyclinic, Playa, Havana, Cuba.
(Porto R.) José R. López Tabranes Hospital, Matanzas, Cuba.
(Marcheco B.) National Medical Genetics Center, Havana, Cuba.
(Moreno C.) Finlay - Albarrán Medical Faculty, Medical University of Havana,
Cuba.
CORRESPONDENCE ADDRESS
J.D.J. Llibre Rodríguez, Alzheimer Studies Center, Finlay - Albarrán Medical
Faculty, Medical University of Havana, Matanzas, Cuba. Email:
mguerra@infomed.sld.cu
SOURCE
MEDICC Review (2011) 13:4 (30-37). Date of Publication: October 2011
ISSN
1555-7960
1527-3172 (electronic)
BOOK PUBLISHER
MEDICC Medical Education Cooperation with Cuba, 1814 Franklin Street, Suite
500, Oakland, United States.
ABSTRACT
INTRODUCTION: Chronic non-communicable diseases are the leading cause of
death worldwide, except in Sub-Saharan Africa. Nonetheless, one of these
conditions, dementia, is the major contributor to disability-adjusted life
years in people aged ≥60 years. Few epidemiological studies exist of the
prevalence and impact of dementia and selected chronic diseases in older
adults in Latin America. OBJECTIVE: Describe prevalence of dementia, other
chronic vascular diseases and cardiovascular risk factors, as well as
resulting disabilities and care needs generated in adults aged ≥65 years in
Havana City and Matanzas provinces, Cuba. METHODS: The 10/66 study is a
prospective longitudinal study involving a cohort of 3015 adults aged ≥65
years in municipalities of Havana City and Matanzas provinces, divided into
two phases: a cross-sectional door-to-door study conducted in 2003-2006, and
a follow-up and assessment phase in 2007-2010. This article reports findings
from the first phase. Hypertension diagnosis was based on criteria from the
International Society for Hypertension; diabetes mellitus on American
Diabetes Association criteria; stroke according to WHO definitions; and
dementia according to criteria of the American Psychiatric Society's
Diagnostic and Statistical Manual of Mental Disorders DSMIV and the 10/66
International Dementia Research Group. Ischemic heart disease was defined by
self-report of previous physician diagnosis. Study variables included age,
sex, educational level, substance use (alcohol, tobacco) and dietary habits.
A structured physical and neurological exam, including blood pressure
measurement, was performed on all participants. Laboratory tests included
complete blood count, fasting blood glucose, total cholesterol and
lipoprotein fractions, triglycerides and apolipoprotein E genotype.
Prevalence and standardized morbidity ratios (crude and adjusted) were
calculated for chronic diseases studied with 95% confidence intervals, using
a Poisson regression model and indirect standardization. RESULTS: The study
assessed 2944 older adults (response rate 97.6%) and found high prevalence
of vascular risk factors and of chronic non-communicable diseases:
hypertension 73.0% (95% CI 71.4-74.7), diabetes mellitus 24.8% (95% CI
22.9-26.5), ischemic heart disease 14.1% (95% CI 12.9-15.4), dementia 10.8%
(95% CI 9.7-12.0) and stroke 7.8% (95% CI 6.9-8.8). The majority of
participants (85%) had more than one cardiovascular risk factor. The main
cause of disability and dependency in the study population was dementia.
CONCLUSION: The high prevalence of chronic diseases observed in the elderly
- with the consequent morbidity, disability and dependency - highlights the
need for prevention, early diagnosis and risk factor control, particularly
given the demographic and epidemiologic transition faced by Cuba and other
developing countries.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiovascular risk
chronic disease (epidemiology)
dementia (epidemiology)
vascular disease (epidemiology)
EMTREE MEDICAL INDEX TERMS
aged
article
cerebrovascular accident (epidemiology)
Cuba
diabetes mellitus (epidemiology)
disability
female
follow up
human
hypertension (epidemiology)
ischemic heart disease (epidemiology)
major clinical study
male
prevalence
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Gerontology and Geriatrics (20)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011591077
MEDLINE PMID
22143605 (http://www.ncbi.nlm.nih.gov/pubmed/22143605)
PUI
L362805859
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 931
TITLE
Smoking among medical and non-medical students in Tbilisi, Georgia: Does
education matter?
AUTHOR NAMES
Chkhaidze I.
Maglakelidze N.
Maglakelidze T.
AUTHOR ADDRESSES
(Chkhaidze I.; Maglakelidze N.; Maglakelidze T.)
CORRESPONDENCE ADDRESS
I. Chkhaidze,
SOURCE
European Respiratory Journal (2011) 38 SUPPL. 55. Date of Publication: 1 Sep
2011
CONFERENCE NAME
European Respiratory Society Annual Congress 2011
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2011-09-24 to 2011-09-28
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Smoking rate in Georgia remains high and even tend to increase, especially
among youth. The aim of this study was to describe the prevalence and
factors influencing smoking among medical and non-medical students of
Tbilisi, Georgia. The study was carried out in Tbilisi State Medical
University and Tbilisi State University. 400 students were asked to fill out
questionnaires. Sex ratio was 1:1. In total 48.9% of students were
indentified to be smokers and 51.1% nonsmokers. The mean age was 20.24 years
among smokers and 20.26 among nonsmokers. Medical education did not play
role in smoking habit, since 50%.3 among medical students were smokers and
47.5% among non-medical students. 68% smokers were males. 45.8% were light
smokers, 40.2% moderate and 14.0% heavy smokers. Males and females have
expressed equal willingness to quit smoking. Just 37.3% of smokers have
tried to quit smoking. The most common reasons of starting to smoke again
were habit of smoking and alcohol. 58.8% of smokers would like to quit
smoking stating health and financial reasons as the main factors on their
desire. The willingness to quit smoking was expressed by 61.2% of medical
and 56% of non-medical students. About 65% percent of students was exposed
to smoking in the families, despite this fact did not turn out to have
influence on their own smoking habit. In conclusion, results of the study
have identified the need of enhancement of smoking related education on
university level. Special attention should be given to the inclusion of
anti-smoking information in study curricula. These measures can only be
successful if tobacco control policies will be fully enforced on national
level as well.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
European
human
medical student
smoking
society
EMTREE MEDICAL INDEX TERMS
curriculum
female
habit
health
juvenile
male
medical education
policy
prevalence
questionnaire
sex ratio
smoke
smoking cessation
smoking habit
student
tobacco
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72121832
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 932
TITLE
The impact of education to healthcare professionals (HCPs) on smoking
cessation in changing patient referral patterns
AUTHOR NAMES
Vlies B.
Nazir A.
Walsh C.
Agarwal S.
Nazareth D.
Stockton P.
AUTHOR ADDRESSES
(Vlies B.; Nazir A.; Walsh C.; Agarwal S.; Nazareth D.; Stockton P.)
CORRESPONDENCE ADDRESS
B. Vlies,
SOURCE
European Respiratory Journal (2011) 38 SUPPL. 55. Date of Publication: 1 Sep
2011
CONFERENCE NAME
European Respiratory Society Annual Congress 2011
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2011-09-24 to 2011-09-28
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Background: NICE (UK) recommends that every smoker should be advised to quit
and referred to a smoking cessation service (SCS) for support. In a previous
survey [1], 74% of patients had a missed opportunity for referral to SCS.
The current survey evaluates the impact of a HCP education programme on
referral patterns. Method: HCPs including doctors, nurses and pharmacists
completed an anonymous, voluntary questionnaire in January 2011. Results:
58/65 HCPs completed the survey. 45% were aware of local smoking cessation
guidelines. 50% had received information on smoking cessation in the last 12
months. 24% did not wish to receive training. 95% evaluated smoking
cessation to be important, but only 79% considered that a hospitalization
was a useful opportunity to stop smoking. Education by SCS did not alter the
reasons given for not referring patients for smoking cessation [Fig 1] of
HCPs, although awareness of, and referral to, SCS was higher in the group of
HCPs who received education (64% vs 54%). 12% of respondents indicated that
referring to SCS was not part of their role. Conclusion: Education of HCPs
did not alter overall attitudes towards smoking cessation in this group, but
did result in increased awareness and positively influenced referral rate to
the SCS. (Figure Presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
European
health care personnel
human
patient referral
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
education program
hospitalization
nurse
patient
pharmacist
physician
questionnaire
smoking
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72116699
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 933
TITLE
Documentation & accuracy of smoking status-an educational need?
AUTHOR NAMES
Redfern J.
Patel S.
Plant J.
Ennals G.
Gittins H.
Schrober M.
Collins A.
Nazareth D.
Davies L.
AUTHOR ADDRESSES
(Redfern J.; Patel S.; Plant J.; Ennals G.; Gittins H.; Schrober M.; Collins
A.; Nazareth D.; Davies L.)
CORRESPONDENCE ADDRESS
J. Redfern,
SOURCE
European Respiratory Journal (2011) 38 SUPPL. 55. Date of Publication: 1 Sep
2011
CONFERENCE NAME
European Respiratory Society Annual Congress 2011
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2011-09-24 to 2011-09-28
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Introduction: A comprehensive admission assessment includes an accurate
smoking history (SH). There are ∼3 million people in the UK with Chronic
Obstructive Pulmonary Disease (COPD), of which ∼2/3rd remain undiagnosed
[1]. Without an accurate SH prompting spirometry & appropriate referral
(smoking cessation advice (SCA) services) this statistic will not improve &
delays early preventative treatment. NICE (UK) encourages all healthcare
professionals (HCP) to refer to SCA services [2]. Our study conducted at a
large UK university hospital evaluates the pattern & accuracy of
documentation, with a view to targeted HCP education. Method:
Cross-sectional case note audit during admission to a respiratory ward in
January 2011 (current and ex-smokers). We compared the documentation of pack
year (PY) SH at hospital admission to SH taken by a respiratory physician.
The initial documentation of PYs was deemed accurate if within ±5 PYs of
that determined by the physician. Results: N=81 (43% male). Mean age 72 (SD
14) yrs. Smoking status (SS) was documented on admission in 89% (45%
smokers, 55% ex-smokers). Accuracy of calculation of PYs -40%. Documentation
was by junior (79%), middle grade doctors (21%). Conclusion: Recognising
undiagnosed COPD earlier is vital, & an accurate SH helps to enable this.
Although nearly 90% of patients had some documentation of their SS, less
than half were accurate when calculating PYs. A regular targeted education
programme surrounding the issues of SH documentation & its importance in
COPD diagnosis is being arranged for all HCPs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
documentation
European
smoking
society
EMTREE MEDICAL INDEX TERMS
chronic obstructive lung disease
clinical audit
diagnosis
education
education program
health care personnel
hospital admission
human
male
patient
physician
smoking cessation
spirometry
United Kingdom
university hospital
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72117096
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 934
TITLE
Smoking cessation advice (SCA) and referral: Do we need to further educate
healthcare professionals?
AUTHOR NAMES
Gittins H.
Patel S.
Ennals G.
Plant J.
Redfern J.
Shober M.
Collins A.
Nazareth D.
Davies L.
AUTHOR ADDRESSES
(Gittins H.; Patel S.; Ennals G.; Plant J.; Redfern J.; Shober M.; Collins
A.; Nazareth D.; Davies L.)
CORRESPONDENCE ADDRESS
H. Gittins,
SOURCE
European Respiratory Journal (2011) 38 SUPPL. 55. Date of Publication: 1 Sep
2011
CONFERENCE NAME
European Respiratory Society Annual Congress 2011
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2011-09-24 to 2011-09-28
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Background: Health promotion is a key component of holistic, patient-centred
care. 50% of UK smokers make at least one annual attempt to quit; only 3%
succeed long-term1. Due to the long-term complications of smoking, we
recognise the importance of prompt & effective SCA, a NICE (UK) priority2.
The objectives of this study, in an area of socio-economic deprivation in
Liverpool, were to determine whether we provide simple SCA and to explore
referral rates to specialist SCA services. Method: We undertook a 3-week
prospective analysis on the respiratory wards at a large UK University
Hospital (December 2010). Specialist SCA is available for all in-patients.
Results: 81 patient records were reviewed. Mean age 72 (SD 14) years; 34
(43%) male, 30 (37%) current smokers. Of these 40% received documented SCA
from a HCP however, only 42% of this guidance was at time of admission. Only
43% of these smokers were referred to SCA services, of which 85% received a
consultation; following this 36% continued to smoke whilst an inpatient.
Conclusion: Best practice would suggest SCA within 24 hrs of admission but
this occurs in only 40% of cases. Long term follow-up of the smoking
cessation rates in these patients is pending. We are working within our
hospital to ensure training occurs in this area as per NICE guidance2,
aiming to reduce the burden of smoking related lung disease and have
implemented a cyclical SCA education programme for all HCPs with the hope of
improving SCA referral rates.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
health care personnel
human
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
consultation
education program
follow up
health promotion
hope
hospital
hospital patient
lung disease
male
medical record
medical specialist
patient
smoke
smoking
United Kingdom
university hospital
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72121817
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 935
TITLE
Implementing an interdisciplinary pain management center for patients with
chronic pain
AUTHOR NAMES
Poffenberger N.
Weickum R.
AUTHOR ADDRESSES
(Poffenberger N.; Weickum R., ricke.weickum@us.army.mil) Madigan Army
Medical Center, United States.
CORRESPONDENCE ADDRESS
N. Poffenberger, Madigan Army Medical Center, United States.
SOURCE
Journal of the American Pharmacists Association (2011) 51:5 (647). Date of
Publication: September-October 2011
CONFERENCE NAME
Joint Forces Pharmacy Seminar, JFPS 2011
CONFERENCE LOCATION
Dallas, TX, United States
CONFERENCE DATE
2011-10-30 to 2011-11-03
ISSN
1544-3191
BOOK PUBLISHER
American Pharmacists Association
ABSTRACT
Objective: Describe the development of an interdisciplinary pain management
center designed to improve care of patients with chronic pain. Discuss the
role of clinical pharmacists supporting this center. Methods: Managing
patients with acute and chronic pain is a medical and political imperative.
The 2010 Army Surgeon General's Comprehensive Pain Management Campaign Plan
provided guidelines, tools, and initiatives for military treatment
facilities (MTFs) to implement improvements in the management of acute and
chronic pain. At this medical center, we created the Interdisciplinary Pain
Management Center (IMPC), a referral center comprising providers from
multiple disciplines dedicated to the care of patients with chronic pain.
Assigned providers included physicians with expertise in pain management,
health psychologists, a physiatrist, physical and occupational therapists,
acupuncturists, nurse clinicians, a case manager, a pain educator, an
addiction specialist, and clinical pharmacists. Patients receive a
comprehensive pain assessment that includes a health history, physical and
psychological evaluation, medication history review/reconciliation, and risk
assessment for potential comorbid conditions and substance abuse risk
factors. Patients are enrolled in opioid treatment and sole prescriber
agreements. Multimodal therapy, including alternative medicine and
self-management education, is offered at the center. Clinical pharmacists
are involved in all aspects of care, including pharmacotherapy planning,
risk assessment, medication reconciliation, adherence monitoring, dose
tapering/withdrawal, drug screening, and medication education. This poster
describes the pharmacists' roles and responsibilities.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
chronic pain
human
patient
pharmacy
EMTREE MEDICAL INDEX TERMS
addiction
alternative medicine
army
case manager
drug screening
drug therapy
education
health
medical specialist
medication therapy management
monitoring
nurse
occupational therapist
pain
pain assessment
pharmacist
physical medicine
physician
planning
psychologic assessment
psychologist
responsibility
risk assessment
risk factor
self care
substance abuse
surgeon
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71331163
DOI
10.1331/JAPhA.2011.11542
FULL TEXT LINK
http://dx.doi.org/10.1331/JAPhA.2011.11542
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 936
TITLE
Developing clinical competencies to assess learning needs and outcomes: The
experience of the CS2day initiative
AUTHOR NAMES
Mckeithen T.
Robertson S.
Speight M.
AUTHOR ADDRESSES
(Mckeithen T., mckeithen@changingperformance.com) Healthcare Performance
Consulting, Inc, United States.
(Robertson S.) CME Enterprise, United States.
(Speight M.) Iowa Foundation for Medical Care, United States.
CORRESPONDENCE ADDRESS
T. Mckeithen, 2321 Stockton Dr., Fleming Island, FL 32003, United States.
Email: mckeithen@changingperformance.com
SOURCE
Journal of Continuing Education in the Health Professions (2011) 31:SUPPL. 1
(S21-S27). Date of Publication: Autumn 2011
ISSN
0894-1912
1554-558X (electronic)
BOOK PUBLISHER
John Wiley and Sons Inc., 111 River Street, Hoboken, United States.
ABSTRACT
An outcomes-based education (OBE) approach was desired for the CS2day
initiative, and the size and scope of the initiative compelled a consistent
and cohesive framework in order to apply such an approach. A series of
competency statements were developed to provide that framework. The
competency statements were based on current clinical guidelines, and further
refined through stakeholder interviews and expert feedback. These competency
statements were utilized throughout the CS2day initiative as the foundation
for needs assessments, activity planning and development, and outcomes
measurement. The CS2day partners found these competencies useful in
developing over 150 educational activities in the initiative. The
competencies became the firm linkages between the needs and outcomes
measures used for all CS2day activities, and enabled a summative evaluation
to be developed for the entire initiative. This article describes the
rationale for developing the competencies, the methods used to deploy them,
and the tools that incorporated these competencies. © 2011 The Alliance for
Continuing Medical Education, the Society for Academic Continuing Medical
Education, and the Council on CME, Association for Hospital Medical
Education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
medical education
needs assessment
practice guideline
quality control
smoking cessation
tobacco dependence (prevention)
treatment outcome
EMTREE MEDICAL INDEX TERMS
article
cooperation
education
health care personnel
health care quality
human
integrated health care system
learning
medical school
methodology
nonbiological model
organization
organization and management
standard
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22190097 (http://www.ncbi.nlm.nih.gov/pubmed/22190097)
PUI
L363137001
DOI
10.1002/chp.20145
FULL TEXT LINK
http://dx.doi.org/10.1002/chp.20145
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 937
TITLE
Substance use disorder among people with first-episode psychosis: A
systematic review of course and treatment
AUTHOR NAMES
Wisdom J.P.
Manuel J.I.
Drake R.E.
AUTHOR ADDRESSES
(Wisdom J.P., jwisdom@nyspi.columbia.edu; Manuel J.I.) Division of Mental
Health Services and Policy Research, New York State Psychiatric Institute,
1051 Riverside Drive, Box 100, New York, NY 10032, United States.
(Drake R.E.) Departments of Psychiatry and Community and Family Medicine,
Dartmouth University, Lebanon, NH, United States.
CORRESPONDENCE ADDRESS
J.P. Wisdom, Division of Mental Health Services and Policy Research, New
York State Psychiatric Institute, 1051 Riverside Drive, Box 100, New York,
NY 10032, United States. Email: jwisdom@nyspi.columbia.edu
SOURCE
Psychiatric Services (2011) 62:9 (1007-1012). Date of Publication: September
2011
ISSN
1075-2730
1557-9700 (electronic)
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
ABSTRACT
Objective: People experiencing a first episode of psychosis frequently have
co-occurring substance use disorders, usually involving alcohol and
cannabis, which put them at risk for prolonged psychosis, psychotic relapse,
and other adverse outcomes. Yet few studies of first-episode psychosis have
addressed the course of substance use disorders and the response to
specialized substance abuse treatments. Methods: The authors searched
MEDLINE, PsycINFO, and other medical databases for English-language articles
published between 1990 and 2009. Included studies addressed two research
questions. First, do some clients become abstinent after a first episode of
psychosis without specialized substance abuse treatments? Second, for
clients who continue to use substances after a first episode of psychosis,
does the addition of specialized substance abuse treatment enhance outcomes?
Results: Nine studies without specialized substance abuse treatment and five
with specialized substance abuse treatment assessed the course of substance
use (primarily cannabis and alcohol) after a first episode of psychosis.
Many clients (approximately half) became abstinent or significantly reduced
their alcohol and drug use after a first episode of psychosis. The few
available studies of specialized substance abuse treatments did not find
better rates of abstinence or reduction. Conclusions: Experience, education,
treatment, or other factors led many clients to curtail their substance use
disorders after a first episode of psychosis. Specialized interventions for
others need to be developed and tested.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
cannabis
EMTREE DRUG INDEX TERMS
cocaine
diamorphine
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
cannabis addiction (therapy)
psychosis
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
affective psychosis
alcohol consumption
cognitive therapy
coping behavior
drug abuse
drug withdrawal
follow up
human
mental health
problem solving
psychoeducation
psychologic assessment
review
schizophrenia
systematic review
tobacco
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011584428
MEDLINE PMID
21885577 (http://www.ncbi.nlm.nih.gov/pubmed/21885577)
PUI
L362789268
DOI
10.1176/appi.ps.62.9.1007
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ps.62.9.1007
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 938
TITLE
Identifying primary care skills and competencies in opioid risk management
AUTHOR NAMES
Chiauzzi E.
Trudeau K.J.
Zacharoff K.
Bond K.
AUTHOR ADDRESSES
(Chiauzzi E., echiauzzi@inflexxion.com; Trudeau K.J.; Zacharoff K.; Bond K.)
Inflexxion, Inc., United States.
CORRESPONDENCE ADDRESS
E. Chiauzzi, Inflexxion, Inc, 320 Needham St., Suite 100, Newton, MA, 02464,
United States. Email: echiauzzi@inflexxion.com
SOURCE
Journal of Continuing Education in the Health Professions (2011) 31:4
(231-240). Date of Publication: Autumn (Fall) 2011
ISSN
0894-1912
1554-558X (electronic)
BOOK PUBLISHER
John Wiley and Sons Inc., 111 River Street, Hoboken, United States.
ABSTRACT
Introduction: Primary care physicians (PCPs) treat a high proportion of
chronic pain patients but often lack training about how to assess and
address issues associated with prescribing opioids when they are an
appropriate component of therapy. The result may be that they may avoid
treating these patients, which can lead to an undertreatment of pain. The
objective of this study was to identify which skills and competencies are
most critical for PCPs in order to effectively manage opioid risk in
patients treated for chronic pain. Methods: We conducted 1-hour interviews
with 16 nationally known experts in primary care, pain management, and
addiction. Eight were trained as PCPs, and 8 were trained as specialists.
Their responses were collated and then presented online to the participants
for independent sorting and rating. These data were analyzed using an online
concept mapping program, which offers an innovative method of summarizing
and prioritizing qualitative data. Results: Based on this analysis, items
were organized into 10 clusters representing the most critical categories of
skills (the "best fit" for these data). The cluster that received the
highest average statement rating was "How to Manage Pain Patients With
Comorbid Conditions." Follow-up analyses indicated that specialists rated
this cluster, and 5 others, significantly higher than the PCPs, suggesting
that the specialists perceive these competencies as more important in opioid
risk management. Discussion: Using a relatively small sample and
cost-effective technique (ie, concept mapping), key PCP competencies can be
identified for potential inclusion in continuing education and training in
opioid risk management. © 2011 The Alliance for Continuing Medical
Education, the Society for Academic Continuing Medical Education, and the
Council on CME, Association for Hospital Medical Education.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
general practitioner
primary health care
risk management
EMTREE MEDICAL INDEX TERMS
addiction (drug therapy)
analgesia
article
chronic pain (drug therapy)
clinical practice
education
ethnic group
female
health care quality
human
interview
male
medicine
methodology
psychological aspect
questionnaire
standard
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22189986 (http://www.ncbi.nlm.nih.gov/pubmed/22189986)
PUI
L363134386
DOI
10.1002/chp.20135
FULL TEXT LINK
http://dx.doi.org/10.1002/chp.20135
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 939
TITLE
The substance use disorder among patients with bipolar disorder in UMMC
(University Malaya Medical Center) in Malaysia
AUTHOR NAMES
Anne Yee H.A.
Rashid R.A.
AUTHOR ADDRESSES
(Anne Yee H.A.; Rashid R.A.)
CORRESPONDENCE ADDRESS
H.A. Anne Yee,
SOURCE
International Clinical Psychopharmacology (2011) 26 SUPPL. A (e161). Date of
Publication: September 2011
CONFERENCE NAME
16th Biennial Winter Workshop in Psychoses
CONFERENCE LOCATION
Innsbruck, Austria
CONFERENCE DATE
2011-01-30 to 2011-02-02
ISSN
0268-1315
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Objective: To determine the prevalence of substance use disorder and the
demographic profile of the bipolar patients in UMMC, Malaysia. Methods:
Participants were recruited from March 2009 to 06 Sep 2010 among bipolar
patients who attended service at psychiatric unit in University Malaya
Medical Center (UMMC), Malaysia. Inclusion criteria: All patients age more
than 18 years old with informed consent. Instruments: M.I.N.I (Mini
International Neuropsychiatric Interview) bipolar to confirm the diagnosis,
M.I.N.I Substance section (K, L), Fagerstrom Test for Nicotine Dependence
(FTND), Addiction Severity Index (ASI) for the prevalence of substance use
disorder and demographic data. Results: 121 bipolar patients were recruited
with 43.8% of them using at least one substance currently or in their
lifetime. Nearly 30.6% of them was diagnosed of substance use disorders. The
prevalence of current nicotine dependence was 22.3% (n=27). The current and
lifetime prevalence of alcohol dependence were 4.1% (n =5) and 9.9% (n = 12)
respectively.the lifetime prevalence of non-alcohol, non- nicotine,
psychoactive substance use disorder was 8.2% (dependence) and 9.0% (abuse).
Among these bipolar patients who used substance: 80.8% were male, more than
half (59.6%) were within the age group of 18-30 and 51-60 years old with the
mean age of 42 years old. 38.5% were Indian. 40.4% were inpatient, nearly a
quarter of them (30.8%) needed to stay more than 2 weeks in the ward and
36.5% needed at least 4 types of medication (X2 = 13.975, df = 4, P).
Conclusion: The prevalence of substance use disorder among bipolar patients
in Malaysia was higher compared to general population (30.6 vs. 2%). Males
had higher rates of using substance then females. Those bipolar patients
with comorbid substance use requires more medication usage.
EMTREE DRUG INDEX TERMS
alcohol
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bipolar disorder
human
Malaysia
patient
psychosis
substance abuse
university
winter
workshop
EMTREE MEDICAL INDEX TERMS
abuse
addiction
alcoholism
diagnosis
drug therapy
female
groups by age
hospital patient
Indian
informed consent
interview
lifespan
male
population
prevalence
psychiatric department
tobacco dependence
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70550323
DOI
10.1097/01.yic.0000399969.31830.3f
FULL TEXT LINK
http://dx.doi.org/10.1097/01.yic.0000399969.31830.3f
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 940
TITLE
The prevalence of tobacco smoking and respiratory symptoms among students of
medical university
AUTHOR NAMES
Bilichenko T.
Tubekova M.
Yakhutlova I.
Lipanovskiy A.
AUTHOR ADDRESSES
(Bilichenko T.; Tubekova M.; Yakhutlova I.; Lipanovskiy A.)
CORRESPONDENCE ADDRESS
T. Bilichenko,
SOURCE
European Respiratory Journal (2011) 38 SUPPL. 55. Date of Publication: 1 Sep
2011
CONFERENCE NAME
European Respiratory Society Annual Congress 2011
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2011-09-24 to 2011-09-28
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
The aim of the research was to study the smoking habits and respiratory
symptoms (RS) in young patients. Materials and methods: The study involved
students of fourth year and fifth year at the age of 20 to 38 years old: 62
boys and 169 girls (response rate was 72,0%). To assess smoking the standard
WHO questionnaire was used, and RS were studied on the basis of GA2LEN
questionnaire. The analysis was conducted using Statistica 7 version.
Results: 82,6% of males and 71,0% of females among the students have tried
smoking once mostly aged 10-15 years. 38,7% of boys and 33,1% of girls
regularly smoked for 12 months or more and during the month before the
survey 32,3% and 26,0% of students respectively. Intensity of smoking among
boys was 11,8±6,1 and among the girls 7,0±4,4 cigarettes per day. Wheezing
in the chest during the last 12 months was marked by 22,6% of boys and 22,5%
of girls. 14,5% of boys and 25,4% of girls woke up from coughing. Coughing
up phlegm on most days for 3 months each year was indicated by 11,3% of boys
and 13,6% of girls. Wheezing in the chest in smokers compared with never
smokers were 2,2 times more frequently (31,7% and 17,4% respectively, OR =
2,20 95% CI 1,12-4,32; P <0,01), cough was 3 times more frequent (35,4% and
15,4% respectively, OR = 3,0 95% CI 1,52-5,94; p <0,001), sputum - 1,5 times
more frequently (18,3% and 10,1% respectively). Conclusion: The results
showed a high prevalence of smoking among both boys and girls. Despite the
brief period of smoking and its adverse effect is manifested by increased
frequency of RS. These findings point to the need to strengthen prevention
of smoking among young people and medical students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
human
prevalence
smoking
society
student
university
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
boy
coughing
female
girl
male
medical student
patient
prevention
questionnaire
smoking habit
sputum
thorax
wheezing
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L72121831
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 941
TITLE
The SmokingPaST Framework: illustrating the impact of quit attempts, quit
methods, and new smokers on smoking prevalence, years of life saved, medical
costs saved, programming costs, cost effectiveness, and return on
investment.
AUTHOR NAMES
O'Donnell M.P.
Roizen M.F.
AUTHOR ADDRESSES
(O'Donnell M.P.) American Journal of Health Promotion, Bratenahl, Ohio, USA.
(Roizen M.F.)
CORRESPONDENCE ADDRESS
M.P. O'Donnell, American Journal of Health Promotion, Bratenahl, Ohio, USA.
SOURCE
American journal of health promotion : AJHP (2011) 26:1 (e11-23). Date of
Publication: 2011 Sep-Oct
ISSN
0890-1171
ABSTRACT
Describe the specifications of the Smoking Prevalence, Savings, and
Treatment (SmokingPaST) Framework and show how it can illustrate the impact
of quit attempts, quit method, number of new smokers, smoking rates of
immigrants and emigrants, and death rates of smokers and nonsmokers on
future smoking prevalence rates, program costs, years of life saved, medical
costs saved, cost effectiveness of programs, and return on investment (ROI).
FRAMEWORK SPECIFICATIONS: Mathematical relationships among factors in
SmokingPaST are described. Input variables include baseline smoking rates
among current adults, new adults, immigrants, and emigrants; population
counts for these groups; annual quit attempts; and distribution of quit
methods. Assumption variables include success rate by quit method, death
rates of smokers and nonsmokers, annual medical costs of smoking, costs per
person for four tobacco treatment methods, age distribution of quitters, and
distribution of medical cost funding by source. Output variables include
year-end adult smoking rates, successful quitters, years of life saved by
quitting, medical costs saved by quitting and by not hiring smokers, total
costs of smoking treatment programs, cost per quitter, cost per life-year
saved, distribution of medical cost savings from quitting, and ROI of
treatment costs. The Framework was applied at the employer, county, state,
and national levels. The SmokingPaST Framework provides a conceptually
simple framework that can be applied to any population. It illustrates that
significant drops in smoking rates can be achieved and significant savings
in medical costs can be captured by employers as well as state and federal
governments through tobacco treatment and prevention programs. Savings are
especially important for reducing state and federal government deficits and
enhancing job competitiveness.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
quality adjusted life year
smoking (epidemiology, prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
behavior therapy
cost benefit analysis
economics
health behavior
health care cost
high risk behavior
human
investment
methodology
migration
prevalence
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21879928 (http://www.ncbi.nlm.nih.gov/pubmed/21879928)
PUI
L560018783
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 942
TITLE
Correlation between anxiety symptom and suicidal ideation
AUTHOR NAMES
Kim S.I.
Lim W.J.
Kim Y.C.
Yun K.W.
Kim E.J.
Choi H.Y.
AUTHOR ADDRESSES
(Kim S.I.; Lim W.J.; Kim Y.C.; Yun K.W.; Kim E.J.; Choi H.Y.) Ewha Womans
Univ. Mokdong Hospital, Department of Psychiatry, Seoul, South Korea.
CORRESPONDENCE ADDRESS
S.I. Kim, Ewha Womans Univ. Mokdong Hospital, Department of Psychiatry,
Seoul, South Korea.
SOURCE
European Neuropsychopharmacology (2011) 21 SUPPL. 3 (S612-S613). Date of
Publication: September 2011
CONFERENCE NAME
24th Congress of the European College of Neuropsychopharmacology, ECNP 2011
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2011-09-03 to 2011-09-07
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
In South Korea, the number of deaths from suicide has increased in the last
two decades, and suicide has become both a social and political problem.
Considering that suicide cases tend to be hidden or misclassified as deaths
from other causes, the actual state of suicide cases in the country can be
expected to be more serious than reported. Anxiety disorders, the most
prevalent psychiatric disorders, markedly reduce the quality of life, tend
to be chronic, can be disabling, and increase mortality. Anxiety is
frequently regarded as a symptom of a mental disorder other than an anxiety
disorder, or is frequently found even in individuals without mental
disorders. Some previous studies suggested that anxiety is a risk factor for
suicidality. In this study, after controlling the variables influencing
suicidal ideation, it was expected that it would be determined if anxiety is
independently related to suicidal ideation. Data were obtained from 327
psychiatric outpatients aged 18-65 years who visited the psychiatry
department of Ewha Women's University Mokdong Hospital. The patients
accomplished a self-reported questionnaire that included sociodemo-graphic
characteristics and clinical variables as well as self-rating scales for
measuring the severity of one's anxiety (Beck Anxiety Inventory and
State-Trait Anxiety Inventory), depression (Beck Depression Inventory), and
suicidal ideation (Beck Scale for Suicidal Ideation). Multiple
logistic-regression analyses were used to determine the correlation between
anxiety and significant suicidal ideation, adjusting for covariates. The
average age of the patients with significant suicidal ideation was 37.07 (SD
= 13.18) while that of the patients without significant suicidal ideation
was 40.19 (SD = 12.16). The patients with significant suicidal ideation were
shown to be less educated (p = 0.0275), unemployed (p = 0.0102), never
married, divorced, or separated by death (p = 0.0232), or living alone (p =
0.0273), and were shown to have a lower income (p=0.0132), a drinking habit
(p = 0.0402), a higher number of past suicide attempts (p<0.0001), and more
family members who committed suicide (p = 0.0069), than the patients without
significant suicidal ideation. There was no significant difference between
the two groups, however, in terms of gender, religion, physical illness,
smoking, past psychiatric-admission history, and family history of mental
disorder. As the significant suicidal ideation increased, the severity of
depressive symptoms also increased (OR=1.106; 95%CI = 1.080-1.133). There
was a tendency of higher severity of anxiety as the significant suicidal
ideation increased (BAI: OR = 1.071, 95% CI = 1.051-1.092; STAI state: OR
=1.080, 95% CI = 12.058-1.103; STAI trait: OR=1.111, 95%CI = 1.082-1.141).
Even after adjusting the covariates influencing significant suicidal
ideation, such as age, education, employment, marital status, residence,
income, alcohol addiction, past suicide attempts, and family history of
suicide, anxiety was associated with significant suicidal ideation. After
adjusting for depressive symptoms, however, only the trait of anxiety was
associated with significant suicidal ideation. These findings suggest that
anxiety is an independent risk factor for suicidal ideation. The finding
that the trait of anxiety remained a risk factor after controlling the
variables influencing significant suicidal ideation suggests that anxiety as
an individual's characteristic contributes more to the increase of suicidal
ideation than anxiety as a derivative of external factors does. Anxiety is
frequently found among patients with mental disorders, and can be easily
measured. Clinicians may thus use anxiety for the screening examination when
evaluating suicidal ideation and risk, and will have to actively evaluate
and treat the anxiety of patients with suicidal tendencies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anxiety
college
psychopharmacology
suicidal ideation
EMTREE MEDICAL INDEX TERMS
alcoholism
anxiety disorder
Beck Anxiety Inventory
Beck Depression Inventory
death
depression
drinking behavior
education
employment
examination
family history
female
gender
hospital
human
income
logistic regression analysis
marriage
mental disease
mortality
multivariate logistic regression analysis
outpatient
patient
physical disease
psychiatry
quality of life
questionnaire
rating scale
religion
risk
risk factor
screening
self concept
smoking
South Korea
State Trait Anxiety Inventory
suicide
suicide attempt
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70508460
DOI
10.1016/S0924-977X(11)71002-1
FULL TEXT LINK
http://dx.doi.org/10.1016/S0924-977X(11)71002-1
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 943
TITLE
Experimental medicine in drug addiction: Towards behavioral, cognitive and
neurobiological biomarkers
AUTHOR NAMES
Duka T.
Crombag H.S.
Stephens D.N.
AUTHOR ADDRESSES
(Duka T., t.duka@sussex.ac.uk; Crombag H.S.; Stephens D.N.) Behavioral and
Clinical Neuroscience Research Group, School of Psychology, University of
Sussex, Falmer, Brighton BN1 9QG, United Kingdom.
CORRESPONDENCE ADDRESS
T. Duka, Behavioral and Clinical Neuroscience Research Group, School of
Psychology, University of Sussex, Falmer, Brighton BN1 9QG, United Kingdom.
Email: t.duka@sussex.ac.uk
SOURCE
Journal of Psychopharmacology (2011) 25:9 (1235-1255). Date of Publication:
September 2011
ISSN
0269-8811
1461-7285 (electronic)
BOOK PUBLISHER
SAGE Publications Ltd, 55 City Road, London, United Kingdom.
ABSTRACT
Several theoretical frameworks have been developed to understand putative
processes and mechanisms involved in addiction. Whilst these 'theories of
addiction' disagree about importance and/or nature of a number of key
psychological processes (e.g. the necessity of craving and/or the
involvement of drug-value representations), a number of commonalities exist.
For instance, it is widely accepted that Pavlovian associations between cues
and environmental contexts and the drug effects acquired over the course of
addiction play a critical role, especially in relapse vulnerability in
detoxified addicts. Additionally, all theories of addiction (explicitly or
implicitly) propose that chronic drug exposure produces persistent
neuroplastic changes in neurobiological circuitries underlying critical
emotional, cognitive and motivational processes, although disagreement
exists as to the precise nature of these neurobiological changes and/or
their psychological consequences. The present review, rather than limiting
itself to any particular theoretical stance, considers various candidate
psychological, neurobiological and/or behavioral processes in addiction and
outlines conceptual and procedural approaches for the experimental medicine
laboratory. The review discusses (1) extinction, renewal and
(re)consolidation of learned associations between cues and drugs, (2) the
drug reward value, (3) motivational states contributing to drug seeking and
(4) reflective (top-down) and sensory (bottom-up) driven decision-making. In
evaluating these psychological and/or behavioral processes and their
relationship to addiction we make reference to putative underlying brain
structures identified by basic animal studies and/or imaging studies with
humans. © 2011 The Author(s).
EMTREE DRUG INDEX TERMS
4 aminobutyric acid A receptor (endogenous compound)
4 aminobutyric acid A receptor alpha2 (endogenous compound)
biological marker
cocaine
gabapentin (drug therapy)
morphine
naltrexone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior
cognition
drug dependence
neurobiology
EMTREE MEDICAL INDEX TERMS
association
brain region
conditioning
DNA polymorphism
DRB4 gene
drug choice
drug efficacy
drug self administration
experimental study
gene
genetic variability
human
learning
memory
nonhuman
phenotype
priority journal
review
reward
self report
stimulus response
withdrawal syndrome (drug therapy)
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
gabapentin (60142-96-3)
morphine (52-26-6, 57-27-2)
naltrexone (16590-41-3, 16676-29-2)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011567410
MEDLINE PMID
21169391 (http://www.ncbi.nlm.nih.gov/pubmed/21169391)
PUI
L362741716
DOI
10.1177/0269881110388324
FULL TEXT LINK
http://dx.doi.org/10.1177/0269881110388324
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 944
TITLE
Psychotropic drug use among college students: Patterns of use, misuse, and
medical monitoring
AUTHOR NAMES
Oberleitner L.M.S.
Tzilos G.K.
Zumberg K.M.
Grekin E.R.
AUTHOR ADDRESSES
(Oberleitner L.M.S., lsander@wayne.edu; Tzilos G.K.; Zumberg K.M.; Grekin
E.R.) Department of Psychology, Wayne State University, 5057 Woodward
Avenue, Detroit, MI 48202, United States.
CORRESPONDENCE ADDRESS
L.M.S. Oberleitner, Department of Psychology, Wayne State University, 5057
Woodward Avenue, Detroit, MI 48202, United States. Email: lsander@wayne.edu
SOURCE
Journal of American College Health (2011) 59:7 (658-661). Date of
Publication: August-October 2011
ISSN
0744-8481
1940-3208 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Objective: To assess whether college students who use psychotropic drugs are
(1) aware of potential side effects, (2) appropriately monitored by
prescribing physicians, and (3) taking medications as prescribed.
Participants: Fifty-five college students, currently taking psychotropic
medications, were recruited between Summer 2008 and Fall 2009. Methods:
Participants were given interviews assessing (1) interactions with
prescribing physicians, (2) patterns of psychotropic drug use, and (3)
Diagnostic and Statistical Manual of Mental Disorders Fourth Edition
(DSM-IV) substance use disorders. Results: Twenty-five percent of
participants did not remember being assessed for suicidal ideation. A large
number of participants took their medications in different quantities or
frequencies than prescribed and 35% of participants met DSM criteria for
substance dependence. Conclusions: Many students are misusing psychotropic
medications and this misuse is not being communicated with prescribing
physicians. © 2011 Taylor & Francis Group, LLC.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
health care delivery
student
university
EMTREE MEDICAL INDEX TERMS
adult
article
chi square distribution
depression (diagnosis)
Diagnostic and Statistical Manual of Mental Disorders
female
health service
human
male
mental health
mental health service
psychological aspect
psychometry
suicidal ideation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21823962 (http://www.ncbi.nlm.nih.gov/pubmed/21823962)
PUI
L362350771
DOI
10.1080/07448481.2010.521960
FULL TEXT LINK
http://dx.doi.org/10.1080/07448481.2010.521960
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 945
TITLE
Value of a health behavior change reflection assignment for health promotion
learning.
AUTHOR NAMES
Lee B.K.
Yanicki S.M.
Solowoniuk J.
AUTHOR ADDRESSES
(Lee B.K.) University of Lethbridge, Lethbridge, Alberta, Canada.
(Yanicki S.M.; Solowoniuk J.)
CORRESPONDENCE ADDRESS
B.K. Lee, University of Lethbridge, Lethbridge, Alberta, Canada. Email:
bonnie.lee@uleth.ca
SOURCE
Education for health (Abingdon, England) (2011) 24:2 (509). Date of
Publication: Aug 2011
ISSN
1469-5804 (electronic)
ABSTRACT
Health promotion is a recognized competency in the preparation and education
of Addictions Counseling students. This qualitative study explores the value
of a reflection assignment in an undergraduate health promotion course at
the University of Lethbridge, Canada, towards developing Addictions
Counseling students' health promotion competency. In the course, students
attempted a health behavior change of their own choosing, reflected on their
experiences and completed a reflection paper. Thematic analysis was
conducted on students' reflection papers (n=21) and on a transcript of a
focus group with four students to generate a description of students'
perceived value of the assignment for their learning, personal health, and
future health promotion practice in the field of Addictions Counseling.
Three themes marked students perceived increased capacity for healthy
behavior and health promotion: (1) facilitating the change process; (2)
integrating experiential and theoretical learning about health; and (3)
growing as a health promotion practitioner and as a person with expanding
capacity for health. This reflection assignment shows potential as both a
learning process supporting future professional practice and as a tool for
promoting health among undergraduate students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
learning
medical student
risk reduction
thinking
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Canada
female
human
information processing
male
medical education
middle aged
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22081654 (http://www.ncbi.nlm.nih.gov/pubmed/22081654)
PUI
L560059460
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 946
TITLE
Substance use and brain injury bridging project (SUBI): Increasing capacity
for concurrent intervention in Ontario, Canada
AUTHOR NAMES
Lemsky C.
AUTHOR ADDRESSES
(Lemsky C., clemsky@chirs.com) Community Head Injury Resource Service of
Toronto, North York, Canada.
CORRESPONDENCE ADDRESS
C. Lemsky, Community Head Injury Resource Service of Toronto, North York,
Canada. Email: clemsky@chirs.com
SOURCE
Brain Impairment (2011) 12 SUPPL. 1 (63). Date of Publication: 2011
CONFERENCE NAME
8th Conference of the Neuropsychological Rehabilitation Special Interest
Group of the World Federation for NeuroRehabiliation
CONFERENCE LOCATION
Rotorua, New Zealand
CONFERENCE DATE
2011-07-11 to 2011-07-12
ISSN
1443-9646
BOOK PUBLISHER
Australian Academic Press
ABSTRACT
Background and aims: The high comorbidity of substance use and neurological
impairment is well documented. The Substance Use and Brain Injury (SUBI)
Bridging project (WWW.SUBI.ca) was developed to promote access to care for
Ontarians living with Acquired Brain Injury (ABI) at risk for or
experiencing problematic substance use. Methods: Cross-training materials
were developed via a partnership between a community- based ABI and academic
medical centre addiction provider. Training reaching 350 service providers
across Ontario. An online community of practice was established.
Teleconferencing was provided to providers in remote areas. Screening for
ABI was undertaken at a large academic addictions and mental health centre.
Outcome data are being collected in a group-program based upon the SUBI
materials. Results: The greatest barriers to care were stigma associated
with either condition, and the need for information about screening
intervention and care partners. After training, providers reported increased
frequency of screening for and willingness to treat individuals with
Addictions and ABI respectively. Preliminary data from 352 individuals
presenting for addictions treatment, 24% reported some history of acquired
brain injury. Available programs increased from two to ten ABI/addictions
treatment partnerships. Conclusions: The SUBI materials are useful in
promoting concurrent intervention. Preliminary data suggest that
approximately 20% of individuals presenting to a large urban addictions
program have unrecognised cognitive impairment. These data may be used to
encourage participation of addiction providers previously unaware of this
clinical population. Active case management and psycho-educational
programming show a trend toward reducing substance use and improving quality
of life.
EMTREE DRUG INDEX TERMS
reducing agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain injury
Canada
rehabilitation
EMTREE MEDICAL INDEX TERMS
addiction
case management
cognitive defect
community
comorbidity
cross training
health center
mental health
population
quality of life
risk
screening
teleconference
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70495473
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 947
TITLE
"CAN Stop"--implementation and evaluation of a secondary group prevention
for adolescent and young adult cannabis users in various contexts--study
protocol.
AUTHOR NAMES
Baldus C.
Miranda A.
Weymann N.
Reis O.
Moré K.
Thomasius R.
AUTHOR ADDRESSES
(Baldus C.) German Centre for Addiction Research in Childhood and
Adolescence (DZSKJ), University Medical Centre Hamburg-Eppendorf,
Martinistrasse 52, 20246 Hamburg, Germany.
(Miranda A.; Weymann N.; Reis O.; Moré K.; Thomasius R.)
CORRESPONDENCE ADDRESS
C. Baldus, German Centre for Addiction Research in Childhood and Adolescence
(DZSKJ), University Medical Centre Hamburg-Eppendorf, Martinistrasse 52,
20246 Hamburg, Germany. Email: cbaldus@uke.uni-hamburg.de
SOURCE
BMC health services research (2011) 11 (80). Date of Publication: 2011
ISSN
1472-6963 (electronic)
ABSTRACT
Current research shows that overall numbers for cannabis use among
adolescents and young adults dropped in recent years. However, this trend is
much less pronounced in continuous cannabis use. With regard to the
heightened risk for detrimental health- and development-related outcomes,
adolescents and young adults with continuous cannabis use need special
attention. The health services structure for adolescents and young adults
with substance related problems in Germany, is multifaceted, because
different communal, medical and judicial agencies are involved. This results
in a rather decentralized organizational structure of the help system. This
and further system-inherent characteristics make the threshold for young
cannabis users rather high. Because of this, there is a need to establish
evidence-based low-threshold help options for young cannabis users, which
can be easily disseminated. Therefore, a training programme for young
cannabis users (age 14-21) was developed in the "CAN Stop" project. Within
the project, we seek to implement and evaluate the training programme within
different institutions of the help system. The evaluation is sensitive to
the different help systems and their specific prerequisites. Moreover,
within this study, we also test the practicability of a training provision
through laypersons. The CAN Stop study is a four-armed randomized wait-list
controlled trial. The four arms are needed for the different help system
settings, in which the CAN Stop training programme is evaluated: (a) the
drug addiction aid and youth welfare system, (b) the out-patient medical
system, (c) the in-patient medical system and (d) prisons for juvenile
offenders. Data are collected at three points, before and after the training
or a treatment as usual, and six months after the end of either
intervention. The CAN Stop study is expected to provide an evidence-based
programme for young cannabis users seeking to reduce or quit their cannabis
use. Moreover, we seek to gain knowledge about the programme's utility
within different settings of the German help system for young cannabis users
and information about the settings' specific clientele. The study protocol
is discussed with regard to potential difficulties within the different
settings. ISRCTN: ISRCTN57036983.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cannabis addiction (prevention)
secondary prevention
teaching
EMTREE MEDICAL INDEX TERMS
adolescent
adult
ambulatory care
article
clinical trial
controlled clinical trial
controlled study
drug dependence treatment
female
follow up
Germany
health care quality
human
male
methodology
organization and management
patient care
prison
randomized controlled trial
CLINICAL TRIAL NUMBERS
ISRCTN (ISRCTN57036983)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21501479 (http://www.ncbi.nlm.nih.gov/pubmed/21501479)
PUI
L362186747
DOI
10.1186/1472-6963-11-80
FULL TEXT LINK
http://dx.doi.org/10.1186/1472-6963-11-80
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 948
TITLE
Training pediatric residents for intervention on tobacco
AUTHOR NAMES
Hymowitz N.
AUTHOR ADDRESSES
(Hymowitz N., hymowitz@umdnj.edu) Department of Psychiatry, University of
Medicine and Dentistry of New Jersey, New Jersey Medical School, 183 South
Orange Avenue, Newark, NJ 07103, United States.
CORRESPONDENCE ADDRESS
N. Hymowitz, Department of Psychiatry, University of Medicine and Dentistry
of New Jersey, New Jersey Medical School, 183 South Orange Avenue, Newark,
NJ 07103, United States. Email: hymowitz@umdnj.edu
SOURCE
Current Pediatric Reviews (2011) 7:2 (143-152). Date of Publication: 2011
ISSN
1573-3963
1875-6336 (electronic)
BOOK PUBLISHER
Bentham Science Publishers B.V., P.O. Box 294, Bussum, Netherlands.
ABSTRACT
Tobacco use and smoke exposure are at the heart of a world-wide pandemic of
tobacco-related disease and literally condemn millions of young people to a
life-time of addiction and premature morbidity and mortality. In order to
protect children and adolescents from the scourge of tobacco use and smoke
exposure, pediatricians must be prepared to intervene for behavior change
and to advocate for legislation, policy, and resources aimed at reducing
tobacco use and creating a smoke-free environment. The pediatric residency
training years provide important opportunities to prepare pediatricians to
meet the tobacco challenge. This current review supports the efficacy of
active and experiential approaches to learning in order to prepare residents
in pediatric preventive cardiology, environmental and community pediatrics,
and primary care to play a leadership role in protecting children and
adolescents from the harm of tobacco use and exposure. With proper training,
pediatric residents should be able to acquire the knowledge, skill, and
confidence to address tobacco use and smoke exposure in their clinical
practice. There still is much work to be done, including addressing
professional norms which contribute to reluctance on the part of
pediatricians and residents to go beyond ask and advise to assist and
arrange as well as to address tobacco use in parents. As training to
intervene becomes more accepted and integrated within the formal pediatric
residency curriculum, professional norms and mores will change, and the next
generation of pediatricians will be better prepared to stem the tobacco
pandemic. © 2011 Bentham Science Publishers Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pediatrics
primary medical care
residency education
tobacco
EMTREE MEDICAL INDEX TERMS
article
clinical practice
education program
human
pediatrician
practice guideline
preventive medicine
priority journal
professional development
public health service
smoking
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011371441
PUI
L362082283
DOI
10.2174/157339611795735549
FULL TEXT LINK
http://dx.doi.org/10.2174/157339611795735549
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 949
TITLE
With God's help i can do it: crack users? Formal and informal recovery
experiences in El Salvador.
AUTHOR NAMES
Dickson-Gomez J.
Bodnar G.
Guevara C.E.
Rodriguez K.
De Mendoza L.R.
Corbett A.M.
AUTHOR ADDRESSES
(Dickson-Gomez J.) Medical College of Wisconsin, Psychiatry and Behavioral
Medicine, Milwaukee, Wisconsin 53202, USA.
(Bodnar G.; Guevara C.E.; Rodriguez K.; De Mendoza L.R.; Corbett A.M.)
CORRESPONDENCE ADDRESS
J. Dickson-Gomez, Medical College of Wisconsin, Psychiatry and Behavioral
Medicine, Milwaukee, Wisconsin 53202, USA. Email: jdicson@mcw.edu
SOURCE
Substance use & misuse (2011) 46:4 (426-439). Date of Publication: 2011
ISSN
1532-2491 (electronic)
ABSTRACT
Crack use has increased dramatically in El Salvador in the last few decades.
As with other developing countries with sudden onsets of drug problems, El
Salvador has few medical staff trained in addictions treatment. Little
research has examined drug users? attempts to reduce or abstain from drug
use in countries where government-regulated formal medical treatment for
drug addiction is scarce. This paper uses qualitative and quantitative data
gathered from active crack users to explore their formal and informal
strategies to reduce or abstain from drugs, and compares these with
components of informal and formal treatment in developed countries.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cocaine dependence (therapy)
spiritual healing
EMTREE MEDICAL INDEX TERMS
article
developing country
El Salvador
health care delivery
health survey
human
interview
religion
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20735191 (http://www.ncbi.nlm.nih.gov/pubmed/20735191)
PUI
L362088126
DOI
10.3109/10826084.2010.495762
FULL TEXT LINK
http://dx.doi.org/10.3109/10826084.2010.495762
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 950
TITLE
Alcohol medical scholars program--a mentorship program for improving medical
education regarding substance use disorders.
AUTHOR NAMES
Neufeld K.J.
Schuckit M.A.
Hernandez-Avila C.A.
AUTHOR ADDRESSES
(Neufeld K.J.) Department of Psychiatry and Behavioral Sciences, Johns
Hopkins University, School of Medicine, Baltimore, Maryland, USA.
(Schuckit M.A.; Hernandez-Avila C.A.)
CORRESPONDENCE ADDRESS
K.J. Neufeld, Department of Psychiatry and Behavioral Sciences, Johns
Hopkins University, School of Medicine, Baltimore, Maryland, USA. Email:
kneufel2@jhmi.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:3 (121-127). Date of
Publication: Jul 2011
ISSN
1547-0164 (electronic)
ABSTRACT
The Alcohol Medical Scholars Program (AMSP) is designed to improve medical
education related to substance use disorders (SUDs) through mentorship of
junior, full-time academic faculty from medical schools across the United
States. Scholarship focuses on literature review and synthesis, lecture
development and delivery, increasing SUD education in their medical schools,
professional development, and networking. Results are reported from an
anonymous survey of self-reported changes in educational involvement by 28
of 33 AMSP graduates. Participation was associated with a 4-fold increase in
yearly SUD lecture time and topics, increased numbers of medical disciplines
taught and trained in clinical rotations, design of new SUD-related
electives and journal clubs, and membership on medical education committees.
Sixty percent of scholars reported promotion since involvement in AMSP, with
the majority endorsing the organization's contribution to professional
development. AMSP is a useful mentorship model for junior faculty and is
associated with increasing SUD-related medical education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health care quality
medical education
program development
teacher
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
health personnel attitude
human
information processing
methodology
self report
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21660871 (http://www.ncbi.nlm.nih.gov/pubmed/21660871)
PUI
L362745538
DOI
10.1080/08897077.2011.562451
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.562451
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 951
TITLE
Consultation to medically ill patients: Survey of addiction psychiatry
fellowship programs
AUTHOR NAMES
Suzuki J.
Chang G.
AUTHOR ADDRESSES
(Suzuki J.; Chang G.) Brigham and Women's Hospital, Harvard Medical Schoo,
United States.
CORRESPONDENCE ADDRESS
J. Suzuki, Brigham and Women's Hospital, Harvard Medical Schoo, United
States.
SOURCE
American Journal on Addictions (2011) 20:4 (387-388). Date of Publication:
July-August 2011
CONFERENCE NAME
21st Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2010
CONFERENCE LOCATION
Boca Raton, FL, United States
CONFERENCE DATE
2010-12-02 to 2010-12-05
ISSN
1055-0496
BOOK PUBLISHER
Wiley-Blackwell
ABSTRACT
Background: The ACCME requires that addiction psychiatry fellowship programs
offer a consultation-liaison (C/L) rotation, where fellows act as expert
consultants to the medical and surgical teams in the general medical
setting. The survey aimed to characterize the C/L rotation offered to
fellows during their training. Methods: We conducted an anonymous on-line
survey of all accredited addiction psychiatry fellowship programs in the
United States. Results: Eighteen programs (43%) responded to the survey.
Fellows spent on average 196 hours on the C/L service (SD 125, range 64-480
hours), representing approximately 10% of the entire fellowship training. A
board-certified addiction psychiatrist or an ASAM-certified psychiatrist was
identified as the C/L rotation supervisor in 44% of the programs. Fellows
rotated on a general psychiatry C/L service and a specialty addiction
psychiatry C/L service in 61% and 39% of the programs, respectively. On
average, 23.8 hours (SD 35.2 hours, range 0-80 hours) of didactic teaching
was offered to fellows during the C/L rotation, which included formal
lectures, seminars, teaching rounds, and case conferences. Although not
significant, fellows rotating on a general psychiatry C/L service tended to
(1) spend more time on the rotation (235 vs. 134 hours); (2) be supervised
more frequently by a board-certified addiction psychiatrist or an
ASAM-certified faculty; (3) have more opportunities to supervise psychiatry
residents and medical students; and (4) receive more didactic teaching.
Conclusions: The C/L rotation offered to fellows varied across programs. The
limited availability of addiction supervisors on the C/L service remains a
concern. The opportunity for fellows to supervise psychiatry residents and
medical students may be an important advantage to offering the rotation on a
general psychiatry C/L service.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
consultation
human
patient
psychiatry
EMTREE MEDICAL INDEX TERMS
medical student
psychiatrist
teaching
teaching round
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70487420
DOI
10.1111/j.1521-0391.2011.00147.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2011.00147.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 952
TITLE
Implementation of screening, brief intervention, and referral to treatment
in psychiatric emergency settings
AUTHOR NAMES
Ross J.D.
Bahl R.
Connery H.S.
Greenfield S.F.
AUTHOR ADDRESSES
(Ross J.D.; Bahl R.; Connery H.S.; Greenfield S.F.) Massachusetts General
Hospital, McLean Hospital Adult Psychiatry Residency Training Program,
University of Texas Southwestern Medical Center, United States.
CORRESPONDENCE ADDRESS
J.D. Ross, Massachusetts General Hospital, McLean Hospital Adult Psychiatry
Residency Training Program, University of Texas Southwestern Medical Center,
United States.
SOURCE
American Journal on Addictions (2011) 20:4 (378). Date of Publication:
July-August 2011
CONFERENCE NAME
21st Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2010
CONFERENCE LOCATION
Boca Raton, FL, United States
CONFERENCE DATE
2010-12-02 to 2010-12-05
ISSN
1055-0496
BOOK PUBLISHER
Wiley-Blackwell
ABSTRACT
Background: Patients with substance use disorders (SUD) repeatedly utilize
the emergency department (ED) to access mental health care services.
Screening, Brief Intervention, and Referral to Treatment (SBIRT) protocols
can decrease recidivism in medical settings.We hypothesize that SBIRT can be
adapted for use in a psychiatric ED to improve patient care and psychiatry
resident training in this area. Methods: IRB approval was obtained for both
pilot sites (Massachusetts General Hospital, McLean Hospital). SBIRT
adaptation includes the AUDIT-C and a modified version of the ASSIST.
Psychiatry residents are being surveyed before training and 4 weeks after
implementation to compare resident attitudes and beliefs about emergency
treatment of SUD patients and self-confidence in delivering SBIRT. Training
consists of a 1-hour online didactic on motivational interviewing, brief
interventions, and SBIRT tools. This is supplemented by (1) self-study
training modules created for the resident training program electronic
database files (wiki), and (2) flexible individualized training by the
addictions chief resident (RB). Aggregate data from SBIRT delivered during
the pilot study will be collected to analyzeSUDprofiles of patients seen and
referrals recommended. Results: SBIRT protocols, training tools, and pilot
feedback from residents using the modified SBIRT protocol are presented. The
wiki site provides a continuous, interactive training site for ongoing
supervision of challenging cases and updated referral resources.
Conclusions: SBIRT is adaptable to psychiatric EDs and may provide a
valuable tool for training psychiatry residents in core addiction psychiatry
competencies and for shaping positive attitudes toward the treatment of SUD
patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
emergency health service
psychiatry
screening
EMTREE MEDICAL INDEX TERMS
adaptation
data base
emergency treatment
emergency ward
feedback system
general hospital
health service
hospital
human
mental health care
patient
patient care
pilot study
recidivism
residency education
substance abuse
training
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70487396
DOI
10.1111/j.1521-0391.2011.00147.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2011.00147.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 953
TITLE
Prenatal toxicology screening for substance abuse in research: codes and
consequences.
AUTHOR NAMES
Rohan A.J.
Monk C.
Marder K.
Reame N.
AUTHOR ADDRESSES
(Rohan A.J.; Monk C.; Marder K.; Reame N.)
CORRESPONDENCE ADDRESS
A.J. Rohan,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:3 (159-164). Date of
Publication: Jul 2011
ISSN
1547-0164 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical ethics
personnel
research subject
substance abuse
EMTREE MEDICAL INDEX TERMS
ethics
female
human
legal aspect
letter
pregnancy
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21660877 (http://www.ncbi.nlm.nih.gov/pubmed/21660877)
PUI
L362745544
DOI
10.1080/08897077.2011.560526
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.560526
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 954
TITLE
Changes in health professionals' knowledge, attitudes and practice following
provision of educational resources about prevention of prenatal alcohol
exposure and fetal alcohol spectrum disorder
AUTHOR NAMES
Payne J.
France K.
Henley N.
D'Antoine H.
Bartu A.
O'Leary C.
Elliott E.
Bower C.
AUTHOR ADDRESSES
(Payne J., janp@ichr.uwa.edu.au; France K.; D'Antoine H.; O'Leary C.; Bower
C.) Telethon Institute for Child Health Research, University of Western
Australia, Subiaco, WA, Australia.
(Henley N.) Centre for Applied Social Marketing Research, Edith Cowan
University, Joondalup, WA, Australia.
(Bartu A.) School of Nursing and Midwifery, Curtin Innovation Research
Institute, Curtin University of Technology, Bentley, WA, Australia.
(Elliott E.) Discipline of Paediatrics and Child Health, Sydney Medical
School, University of Sydney, Sydney, NSW, Australia.
CORRESPONDENCE ADDRESS
J. Payne, Telethon Institute for Child Health Research, Centre for Child
Health Research, University of Western Australia, PO Box 855 West, Perth, WA
6008, Australia. Email: janp@ichr.uwa.edu.au
SOURCE
Paediatric and Perinatal Epidemiology (2011) 25:4 (316-327). Date of
Publication: July 2011
ISSN
0269-5022
1365-3016 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
We provided health professionals in Western Australia (WA) with educational
resources about prevention of prenatal alcohol exposure and fetal alcohol
spectrum disorder and assessed changes in their knowledge, attitudes and
practice concerning fetal alcohol syndrome (FAS) and alcohol consumption in
pregnancy. Following our 2002 survey of health professionals in WA, we
developed and distributed educational resources to 3348 health professionals
in WA in 2007. Six months later we surveyed 1483 of these health
professionals. Prevalence rate ratios [PRR] and 95% confidence intervals
[CI] were calculated to compare 2007 results with results from the 2002
survey. Of the 1001 responding health professionals, 69.8% had seen the
educational resources; of these 77.1% have used them and 48.5% said the
resources had assisted them to change their practice or their intention to
change their practice. Compared with 2002, there was an increase in the
proportion who knew all the essential features of FAS from 11.7% to 15.8%
[PRR 1.35; 95% CI 1.09, 1.67] and had diagnosed FAS, from 4.8% to 7.3% [PRR
1.52; 95% CI 1.08, 2.13]. In 2007, 98.1% of health professionals stated they
would advise pregnant women to consider not drinking at all or advise them
that no alcohol in pregnancy is the safest choice. Health professionals
surveyed in 2007 have increased their knowledge, changed their attitudes and
practice about FAS, and altered the advice they give to pregnant women about
alcohol consumption since our survey in 2002. It is essential that we build
on this change and continue to support health professionals' knowledge,
attitudes and practice about the prevention of prenatal alcohol exposure and
fetal alcohol spectrum disorder. The educational resources for health
professionals may be ordered as hard copies and downloaded from the internet
http://www.ichr.uwa.edu.au/alcoholandpregnancy. © 2011 Blackwell Publishing
Ltd.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
attitude to health
fetal alcohol syndrome (prevention)
health practitioner
medical practice
prenatal alcohol exposure (prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
female
general practitioner
health care personnel
health survey
human
male
normal human
nurse
paramedical personnel
pregnancy
pregnant woman
prevalence
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011360810
MEDLINE PMID
21649674 (http://www.ncbi.nlm.nih.gov/pubmed/21649674)
PUI
L51387442
DOI
10.1111/j.1365-3016.2011.01197.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-3016.2011.01197.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 955
TITLE
Attitudes, training and smoking profile of European Respiratory Society
members
AUTHOR NAMES
Kabir Z.
Ward B.
Clancy L.
AUTHOR ADDRESSES
(Kabir Z.; Clancy L., lclancy@tri.ie) TobaccoFree Research Institute,
Digital Depot, Thomas Street, Dublin 8, Ireland.
(Ward B.) European Respiratory Society, Brussels, Belgium.
CORRESPONDENCE ADDRESS
L. Clancy, TobaccoFree Research Institute, Digital Depot, Thomas Street,
Dublin 8, Ireland. Email: lclancy@tri.ie
SOURCE
European Respiratory Journal (2011) 38:1 (225-227). Date of Publication: 1
Jul 2011
ISSN
0903-1936
1399-3003 (electronic)
BOOK PUBLISHER
European Respiratory Society, 4 Ave Sainte-Luce, Lausanne, Switzerland.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
medical education
physician attitude
EMTREE MEDICAL INDEX TERMS
health care policy
health hazard
health practitioner
health program
health promotion
health survey
high risk population
human
letter
lifestyle
medical care
medical society
patient counseling
priority journal
sex difference
smoking cessation
smoking habit
tobacco dependence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2011380795
MEDLINE PMID
21719502 (http://www.ncbi.nlm.nih.gov/pubmed/21719502)
PUI
L362116686
DOI
10.1183/09031936.00185410
FULL TEXT LINK
http://dx.doi.org/10.1183/09031936.00185410
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 956
TITLE
Reflections on 10 years of training students and professionals in addiction
treatment.
AUTHOR NAMES
Moonshine C.
Schaefer S.
AUTHOR ADDRESSES
(Moonshine C.; Schaefer S.)
CORRESPONDENCE ADDRESS
C. Moonshine,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:3 (165-167). Date of
Publication: Jul 2011
ISSN
1547-0164 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
academic achievement
addiction (therapy)
continuing education
health care personnel
EMTREE MEDICAL INDEX TERMS
curriculum
education
human
letter
methodology
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21660878 (http://www.ncbi.nlm.nih.gov/pubmed/21660878)
PUI
L362745545
DOI
10.1080/08897077.2011.560530
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.560530
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 957
TITLE
Substance use prevalence and screening instrument comparisons in urban
primary care.
AUTHOR NAMES
Lee J.D.
Delbanco B.
Wu E.
Gourevitch M.N.
AUTHOR ADDRESSES
(Lee J.D.) Division of General Internal Medicine, New York University School
of Medicine, New York, New York 10010, USA.
(Delbanco B.; Wu E.; Gourevitch M.N.)
CORRESPONDENCE ADDRESS
J.D. Lee, Division of General Internal Medicine, New York University School
of Medicine, New York, New York 10010, USA. Email: joshua.lee@med.nyu.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:3 (128-134). Date of
Publication: Jul 2011
ISSN
1547-0164 (electronic)
ABSTRACT
Substance use screening in a primary care setting compared the Alcohol,
Smoking, and Substance Involvement Screening Test (ASSIST version 3.0),
Two-Item Conjoint Screen (TICS), National Institute on Alcohol Abuse and
Alcoholism (NIAAA) daily limit single item, and electronic medical record
(EMR). Among 236 consecutive adults, ASSIST moderate- to high-risk substance
use prevalence was tobacco, 15.3%; alcohol, 8.5%; cannabis, 5.1%; cocaine,
2.5%; and opioids, 2.5%. Compared to ASSIST, a positive TICS was 45% (95%
confidence interval [CI], 27-64%) sensitive, 99% (95-100%) specific; the
NIAAA single-item screen was 80% (56-94%) sensitive, 87% (82-91%) specific.
The NIAAA single item correlated closely with alcohol ASSIST. TICS and EMR
were less sensitive for any nontobacco substance use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology)
primary health care
substance abuse
urban population
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
comparative study
devices
female
human
male
middle aged
prevalence
psychological rating scale
sensitivity and specificity
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21660872 (http://www.ncbi.nlm.nih.gov/pubmed/21660872)
PUI
L362745539
DOI
10.1080/08897077.2011.562732
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.562732
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 958
TITLE
High prevalence of hepatitis C infection among high risk groups in
Kohgiloyeh and Boyerahmad Province, Southwest of Iran
AUTHOR NAMES
Sarkari B.
Eilami O.
Khosravani A.
Akbartabartori M.
Tabatabaee M.
AUTHOR ADDRESSES
(Sarkari B.) Faculty of Medicine, Shiraz University of Medical Sciences,
Shiraz, Iran.
(Eilami O.; Khosravani A.; Tabatabaee M.) Faculty of Medicine, Yasuj
University of Medical Sciences, Yasuj, Iran.
(Akbartabartori M.) Faculty of Health, Yasuj University of Medical Sciences,
Yasuj, Iran.
CORRESPONDENCE ADDRESS
B. Sarkari, Faculty of Medicine, Shiraz University of Medical Sciences,
Shiraz, Iran.
SOURCE
International Journal of Infectious Diseases (2011) 15 SUPPL. 1 (S82). Date
of Publication: July 2011
CONFERENCE NAME
5th Ditan International Conference on Infectious Diseases: Infectious
Diseases in the Resistance Era, DICID 2011
CONFERENCE LOCATION
Beijing, China
CONFERENCE DATE
2011-07-14 to 2011-07-17
ISSN
1201-9712
BOOK PUBLISHER
Elsevier
ABSTRACT
Objectives: Detection of HCV-infected people in each community helps the
control and prevention of the infection. This study aimed to evaluate the
prevalence of HCV infection among high risk groups in Kohgiloyeh and
Boyerahmad province in Southwest of Iran. Materials and Methods: This study
was conducted through 2009 to 2010 in Kohgiloyeh and Boyerahmad province in
Iran. High risk groups for HCV were the subjects of this study. Blood
samples were taken from 2009 individuals at high risk for HCV including
inmates, injecting drug users, health care workers patients on maintenance
hemodialysis, hemophilic patients and patients with a history of blood
transfusion from Yasuj, Gachsaran, and Dehdasht (three main townships in the
province) and tested by ELISA for anti-HCV antibodies. Demographic features
of participants were recorded using a questionnaire during sample
collecting. Results: Of 2009 subjects, HCV antibodies were detected in 172
(8.6%) of subjects. Rate of infection was higher in males (11.4%) compared
to females (3.2%). Rate of infection in inmates was 11.7% while this rate
was 42.4% in injecting drug users, 4.2% in health care workers, and 6.1% in
thalassemic patients. Significant correlation was found between HCV
infection and sex, marital status, history of imprisonment, drug addiction,
level of education and place of residence. Conclusion: Results of this study
may help to hold back the spread of HCV infection in this and other similar
settings in the region. Furthermore, findings of this study may help in
improving the surveillance and prevention of the infection in the community
through management and monitoring of infected individuals.
EMTREE DRUG INDEX TERMS
antibody
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis C
high risk population
infection
Iran
prevalence
EMTREE MEDICAL INDEX TERMS
blood sampling
blood transfusion
community
drug dependence
drug use
education
enzyme linked immunosorbent assay
female
health care personnel
hemodialysis
human
male
marriage
monitoring
patient
prevention
questionnaire
risk
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70496712
DOI
10.1016/S1201-9712(11)60285-3
FULL TEXT LINK
http://dx.doi.org/10.1016/S1201-9712(11)60285-3
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 959
TITLE
Impulse control disorder comorbidity among patients with bipolar I disorder
AUTHOR NAMES
Karakus G.
Tamam L.
AUTHOR ADDRESSES
(Karakus G., goncakaratas78@hotmail.com; Tamam L.) Cukurova University,
Faculty of Medicine, Department of Psychiatry, Adana, Turkey.
CORRESPONDENCE ADDRESS
G. Karakus, Cukurova University, Faculty of Medicine, Department of
Psychiatry, Adana, Turkey. Email: goncakaratas78@hotmail.com
SOURCE
Comprehensive Psychiatry (2011) 52:4 (378-385). Date of Publication:
July-August 2011
ISSN
0010-440X
1532-8384 (electronic)
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Objective: Impulsivity is associated with mood instability, behavioral
problems, and action without planning in patients with bipolar disorder.
Increased impulsivity levels are reported at all types of mood episodes.
This association suggests a high comorbidity between impulse control
disorders (ICDs) and bipolar disorder. The aim of this study is to compare
the prevalence of ICDs and associated clinical and sociodemographic
variables in euthymic bipolar I patients. Method: A total of 124 consecutive
bipolar I patients who were recruited from regular attendees from the
outpatient clinic of our Bipolar Disorder Unit were included in the study.
All patients were symptomatically in remission. Diagnosis of bipolar
disorder was confirmed using the Structured Clinical Interview for
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition.
Impulse control disorders were investigated using the modified version of
the Minnesota Impulsive Disorders Interview. Impulsivity was measured with
the Barratt Impulsiveness Scale Version 11. Furthermore, all patients
completed the Zuckerman Sensation-Seeking Scale Form V. Results: The
prevalence rate of all comorbid ICDs in our sample was 27.4% (n = 34). The
most common ICD subtype was pathologic skin picking, followed by compulsive
buying, intermittent explosive disorder, and trichotillomania. There were no
instances of pyromania or compulsive sexual behavior. There was no
statistically significant difference between the sociodemographic
characteristics of bipolar patients with and without ICDs with regard to
age, sex, education level, or marital status. Comorbidity of
alcohol/substance abuse and number of suicide attempts were higher in the
ICD(+) group than the ICD(-) group. Length of time between mood episodes was
higher in the ICD(-) group than the ICD(+) group. There was a statistically
significant difference between the total number of mood episodes between the
2 groups, but the number of depressive episodes was higher in the ICD(+)
patients as compared with the ICD(-) patients. There was no statistically
significant difference between the age of first episode, seasonality,
presence of psychotic features, and chronicity of illness. A statistically
significant difference was observed between the ICD(+) and ICD(-) groups in
terms of total impulsivity, attention, nonplanning, and motor impulsivity
scores as determined by the Barratt Impulsiveness Scale Version 11.
Conclusion: The present study revealed that there is a high comorbidity rate
between bipolar disorder and ICDs based on Diagnostic and Statistical Manual
of Mental Disorders, Fourth Edition, Text Revision, criteria.
Alcohol/substance use disorders, a high number of previous suicide attempts,
and depressive episodes should alert the physician to the presence of
comorbid ICDs among bipolar patients that could affect the course and
treatment of the disorder. © 2011 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bipolar I disorder (diagnosis)
comorbidity
impulse control disorder
EMTREE MEDICAL INDEX TERMS
adult
aged
alcohol abuse
article
attention disturbance
Barratt Impulsiveness Scale
clinical assessment tool
compulsion
depression
female
human
impulsiveness
intermittent explosive disorder
major clinical study
male
minnesota impulsive disorders interview
mood disorder
outpatient department
psychiatric diagnosis
purchasing
rating scale
remission
Structured Clinical Interview for DSM Disorders
substance abuse
suicide attempt
trichotillomania
zuckerman sensation seeking scale
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011335285
MEDLINE PMID
21683175 (http://www.ncbi.nlm.nih.gov/pubmed/21683175)
PUI
L51132138
DOI
10.1016/j.comppsych.2010.08.004
FULL TEXT LINK
http://dx.doi.org/10.1016/j.comppsych.2010.08.004
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 960
TITLE
Benzodiazepine withdrawal in the poly-substance dependent pregnant patient
AUTHOR NAMES
Hussaini S.
Patel M.
Kasbekar V.
Nandu B.
Iqbal J.
AUTHOR ADDRESSES
(Hussaini S.; Nandu B.; Iqbal J.) Bergen Regional Medical Center, United
States.
(Patel M.; Kasbekar V.) Saint George's University School of Medicine, United
States.
CORRESPONDENCE ADDRESS
S. Hussaini, Bergen Regional Medical Center, United States.
SOURCE
American Journal on Addictions (2011) 20:4 (387). Date of Publication:
July-August 2011
CONFERENCE NAME
21st Annual Meeting and Symposium of the American Academy of Addiction
Psychiatry, AAAP 2010
CONFERENCE LOCATION
Boca Raton, FL, United States
CONFERENCE DATE
2010-12-02 to 2010-12-05
ISSN
1055-0496
BOOK PUBLISHER
Wiley-Blackwell
ABSTRACT
Introduction: Substance abuse inwomen of childbearing age is an issue of
growing concern, especially inwomenwho become pregnant. The risk of prenatal
exposure to benzodiazepines and other substances remains inconclusive. Side
effects of prenatal exposure include: preterm delivery, cleft lip/palate,
and placental abruption. Benzodiazepine withdrawal in pregnancy may be
associated with increased suicidal tendencies and elective termination of
the pregnancy. Objective: To ascertain proper management of polysubstance
dependent patients undergoing benzodiazepine withdrawal during pregnancy.
Methods: Patient's medical records from her emergency room visit and the
admitting floor were obtained. A timeline of her hospital stay and the
clinical management was compiled and the patient was contacted for
completion. A comprehensive literature search was conducted using PubMed.
Keywords included: «benzodiazepine withdrawal,» «poly-substance dependence
(PSD),» and «pregnancy.» An analysis of the best clinical management of the
pregnant patient with poly-substance dependence was performed. Case
Presentation: A 30-year-old poly-substance dependent female experiencing
benzodiazepine withdrawal visited the emergency department for care.
Initialmanagement included haloperidol for agitation. The patient was
admitted to a dual-diagnosis ward for Mental Illness/Chemical Addiction
(MICA) where she learned of her pregnancy. She expressed a desire to
terminate her pregnancy and left against medical advice. Conclusion:
Benefits of using benzodiazepines in pregnancy to manage withdrawal symptoms
outweigh the dangers of withdrawal in the mother and fetus. Further research
needs to be conducted to ascertain the effect of poly-substance dependence
on pregnancy and the effects of benzodiazepine withdrawal in the pregnant
patient.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine
EMTREE DRUG INDEX TERMS
benzodiazepine derivative
haloperidol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
human
patient
psychiatry
EMTREE MEDICAL INDEX TERMS
agitation
diagnosis
emergency ward
female
fetus
hospitalization
medical record
Medline
mother
pregnancy
premature labor
prenatal exposure
risk
side effect
substance abuse
ward
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70487418
DOI
10.1111/j.1521-0391.2011.00147.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1521-0391.2011.00147.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 961
TITLE
Did unprogrammed tobacco control efforts over seven years decrease smoking
prevalence in the medical school?
ORIGINAL (NON-ENGLISH) TITLE
Ti{dotless}p fakültesi öǧrencilerinin sigara içme oranlari{dotless}, yedi
yi{dotless}l süresince gerçekleştirilen programsi{dotless}z tütün kontrolü
çabalari{dotless} ile azaldi{dotless} mi{dotless}?
AUTHOR NAMES
Karlikaya C.
Özdemir L.
AUTHOR ADDRESSES
(Karlikaya C., celalk@trakya.edu.tr) Department of Chest Diseases, Faculty
of Medicine, Trakya University, Edirne, Turkey.
(Özdemir L.) Dortyol State Hospital, Hatay, Turkey.
CORRESPONDENCE ADDRESS
C. Karlikaya, Department of Chest Diseases, Faculty of Medicine, Trakya
University, Edirne, Turkey. Email: celalk@trakya.edu.tr
SOURCE
Tuberkuloz ve Toraks (2011) 59:1 (18-26). Date of Publication: 2011
ISSN
0494-1373
BOOK PUBLISHER
BILIMSEL TIP YAYINEVI, BUKRES SOKAK nO: 3/20 kAVAKLIDERE, ANKARA, Turkey.
ABSTRACT
Medical students will have significant roles in combating against death tool
of tobacco. The aim of this study is to evaluate whether any decrease in the
smoking prevalence of the medical students over seven years of many tobacco
control efforts. A self-administered questionnaire was carried out among 764
of 854 (89.4%) medical students in order to determine the knowledge,
attitudes and behaviors towards tobacco use. Chi-square tests, Student's
t-test and multiple logistic regression methods were used. Results were
compared with the historical control study that was done seven years ago
with same methods. 25.9% of the students were smoker (36.6% of males, 16.3%
of females), 4.9% was exsmoker and 69.2% was nonsmoker. Quit rate was high
among males than females (6.8% versus 3.3%, p< 0.05). When compared with
historical cohort in 1999, smoking rate decreased only 3.8% for males and
5.5% for females, and quit rates were not higher. Lower curriculum year, and
lower knowledge level about the harms of smoking and environmental tobacco
smoke in lower grades, living in bachelor homes, easy access to smuggled
cigarettes, using non-cigarette tobacco products were main factors for
smoking. There was little decline in smoking rates of medical students
despite of many local and national tobacco control efforts over seven years.
Special attention and organized, programmed efforts are needed in medical
schools in Turkey.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
medical school
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
female
human
male
medical student
questionnaire
student attitude
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English, Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
2011301279
MEDLINE PMID
21554226 (http://www.ncbi.nlm.nih.gov/pubmed/21554226)
PUI
L361862039
DOI
10.5578/tt.902
FULL TEXT LINK
http://dx.doi.org/10.5578/tt.902
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 962
TITLE
Basics on addiction: A training package for medical practitioners or
psychiatrists who treat opioid dependence
AUTHOR NAMES
Maremmani I.
Pacini M.
Pani P.P.
AUTHOR ADDRESSES
(Maremmani I., maremman@med.unipi.it) Vincent P. Dole Dual Diagnosis Unit,
Santa Chiara University Hospital, Department of Psychiatry, NPB, University
of Pisa, Italy.
(Pacini M.) G. de Lisio Institute of Behavioural Sciences, Pisa, Italy.
(Pani P.P.) Social-Health Division, Health District 8 (ASL 8), Cagliari,
Italy.
CORRESPONDENCE ADDRESS
I. Maremmani, Vincent P. Dole Dual Diagnosis Unit, Santa Chiara University
Hospital, Department of Psychiatry, University of Pisa, Via Roma, 67, 56100
PISA, Italy. Email: maremman@med.unipi.it
SOURCE
Heroin Addiction and Related Clinical Problems (2011) 13:2 (5-40). Date of
Publication: June 2011
ISSN
1592-1638
BOOK PUBLISHER
Pacini Editore SPA, Via A. Gherardesca 1, Ospedaletto (Pisa), Italy.
ABSTRACT
Opioid dependence is a chronic, relapsing brain disease that causes major
medical, social and economic problems to both the individual and society.
This seminar is intended to be a useful training resource to aid healthcare
professionals - in particular, physicians who prescribe opioid
pharmacotherapies - in assessing and treating opioid-dependent individuals.
Herein we describe the neurobiological basis of the condition; recommended
approaches to patient assessment and monitoring; and the main principles and
strategies underlying medically assisted approaches to treatment, including
the pharmacology and clinical application of methadone, buprenorphine and
buprenorphine-naloxone. © Icro Maremmani.
EMTREE DRUG INDEX TERMS
benzodiazepine (drug combination, drug interaction)
buprenorphine (adverse drug reaction, clinical trial, drug combination, drug
comparison, drug concentration, drug dose, drug therapy, intravenous drug
administration, pharmacokinetics, pharmacology, sublingual drug
administration)
buprenorphine plus naloxone (clinical trial, drug comparison, drug dose,
drug therapy, intramuscular drug administration, pharmacokinetics,
pharmacology, sublingual drug administration)
diamorphine (drug comparison)
hydromorphone (intramuscular drug administration)
methadone (adverse drug reaction, drug combination, drug comparison, drug
concentration, drug dose, drug interaction, drug therapy, oral drug
administration, pharmacokinetics, pharmacology)
morphine (drug comparison)
naloxone (drug administration, drug therapy, intramuscular drug
administration, intravenous drug administration, oral drug administration,
pharmacokinetics)
opiate receptor (endogenous compound)
placebo
psychotropic agent (drug interaction)
sedative agent (drug combination)
sufentanil (drug comparison)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
opiate addiction (drug therapy, diagnosis, drug therapy)
EMTREE MEDICAL INDEX TERMS
article
brain disease (complication)
clinical assessment
clinical effectiveness
comorbidity
constipation (side effect)
Diagnostic and Statistical Manual of Mental Disorders
disease classification
dose response
drug absorption
drug abuse
drug antagonism
drug bioavailability
drug blood level
drug detoxification
drug dose comparison
drug dose reduction
drug dose titration
drug efficacy
drug exposure
drug fatality (side effect)
drug half life
drug intoxication
drug mechanism
drug megadose
drug overdose
drug potentiation
drug safety
drug tolerability
drug tolerance
general practitioner
heroin dependence (drug therapy)
human
long term exposure
low drug dose
maintenance drug dose
mental disease
methadone treatment
neurobiology
patient assessment
patient monitoring
priority journal
psychiatrist
QT prolongation (side effect)
recommended drug dose
relapse
respiration depression (drug therapy, side effect)
reward
risk factor
sedation
side effect (side effect)
sweating
treatment duration
treatment planning
withdrawal syndrome (drug therapy)
DRUG TRADE NAMES
suboxone
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
buprenorphine (52485-79-7, 53152-21-9)
diamorphine (1502-95-0, 561-27-3)
hydromorphone (466-99-9, 71-68-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
naloxone (357-08-4, 465-65-6)
sufentanil (56030-54-7)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011389750
PUI
L362144489
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 963
TITLE
What are the links between consultation-liaison in psychiatry and
addictology?
AUTHOR NAMES
Paradis M.
Rouveix E.
Berkane K.
Dupont C.
Consoli S.
AUTHOR ADDRESSES
(Paradis M.; Rouveix E.; Berkane K.; Consoli S.) Ambroise Pare Hospital, CL
Addictology Unit, Boulogne, France.
(Paradis M.; Consoli S.) European Georges Pompidou Hospital, CL-Psychiatry
Unit, Paris, France.
(Rouveix E.; Dupont C.) AMbroise Pare Hospital, Department of Internal
Medicine, Boulogne, France.
(Rouveix E.) Paris Ouest University of Medicine, Paris, France.
(Consoli S.) Paris Descartes University of Medicine, Paris, France.
CORRESPONDENCE ADDRESS
M. Paradis, Ambroise Pare Hospital, CL Addictology Unit, Boulogne, France.
SOURCE
Journal of Psychosomatic Research (2011) 70:6 (608-609). Date of
Publication: June 2011
CONFERENCE NAME
14th Annual Meeting of the European Association for Consultation Liaison
Psychiatry and Psychosomatics, EACLPP 2011
CONFERENCE LOCATION
Budapest, Hungary
CONFERENCE DATE
2011-06-30 to 2011-07-02
ISSN
0022-3999
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Background: In France, both CL-psychiatry and CL-addictology facilities
exist nowadays in several general hospitals. Comorbidity between mental and
substance use disorders is associated with a worse prognosis and a higher
risk of chronicity. Advantages and limits of such separate facilities are
still debated. Methods: Sociodemographic and clinical data concerning 36 and
22 patients consecutively met in CL-psychiatry and CLaddictology practices
during a 3-month period in the same hospital were compared. Additionally,
patients were invited to fill out the Hospital Anxiety and Depression Scale,
the Alcohol Use Disorder Identification Test (AUDIT), and the Fagersrtöm
tobacco dependence questionnaire. Results: Given that CL-psychiatry patients
were older (p=0.002), comparisons were adjusted for age. 100% of
CLaddictology, but also 22% of CL-psychiatry patients had an alcohol-related
problem. 41% of the first vs. 14% of the latter presented with cannabis
consumption, and respectively 36% vs. 3% with other substances misuse.
HAD-anxiety and AUDIT scores were higher in CL addictology patients
(respectively p=0.006 and pb0.001). HAD-depression and Fagerström scores
were comparable across groups. The lifetime percentage of mood disorders,
anxiety disorders and psychoses was similar in both populations (eg: one
third of depressive disorders). Conclusion: Findings suggest the interest in
systematically assessing the consumption of psychoactive substances among
patients admitted in medical services with psychiatric disorders and,
reciprocally, to adapt the care project to the presence of psychiatric
comorbidity among substance abuse disordered patients. Training
CL-practitioners on screening for psychiatric as well as addictive behavior
disorders, whatever the facility in which they are involved, can be helpful.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE DRUG INDEX TERMS
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
consultation
liaison psychiatry
psychiatry
psychosomatics
questionnaire
EMTREE MEDICAL INDEX TERMS
addiction
alcohol consumption
anxiety
anxiety disorder
behavior disorder
chronicity
clinical study
comorbidity
depression
diseases
France
general hospital
hospital
Hospital Anxiety and Depression Scale
human
lifespan
medical service
mental disease
mood disorder
patient
physician
population
prognosis
psychosis
risk
screening
substance abuse
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70642437
DOI
10.1016/j.jpsychores.2011.03.006
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpsychores.2011.03.006
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 964
TITLE
The effect of psychiatric symptoms on the internet addiction disorder in
Isfahan's university students
AUTHOR NAMES
Alavi S.S.
Maracy M.R.
Jannatifard F.
Eslami M.
AUTHOR ADDRESSES
(Alavi S.S.) School of Management and Medical Informatics, Isfahan
University of Medical Sciences, Isfahan, Iran.
(Maracy M.R., maracy@med.mui.ac.ir) Behavioral Sciences Research Center,
Department of Epidemiology and Biostatistics, Isfahan University of Medical
Sciences, Isfahan, Iran.
(Jannatifard F.) Isfahan Education Organization, Isfahan, Iran.
(Eslami M.) Shohadaye Lenjan Hospital, Isfahan, Iran.
CORRESPONDENCE ADDRESS
M. R. Maracy, Behavioral Sciences Research Center, Department of
Epidemiology and Biostatistics, Isfahan University of Medical Sciences,
Isfahan, Iran. Email: maracy@med.mui.ac.ir
SOURCE
Journal of Research in Medical Sciences (2011) 16:6 (793-800). Date of
Publication: June 2011
ISSN
1735-1995
1735-7136 (electronic)
BOOK PUBLISHER
Isfahan University of Medical Sciences, Hezar Jerib Avenue, P.O. Box
81745-319, Isfahan, Iran.
ABSTRACT
BACKGROUND: Internet addiction disorder is an interdisciplinary phenomenon
and it has been studied from different viewpoints in terms of various
sciences such as medicine, computer, sociology, law, ethics, and psychology.
The aim of this study was to determine the association of psychiatric
symptoms with Internet addiction while controlling for the effects of age,
gender, marital status, and educational levels. It is hypothesized, that
high levels of Internet addiction are associated with psychiatric symptoms
and are specially correlated with obsessive-compulsive disorder symptoms.
METHODS: In a cross-sectional study, a total number of 250 students from
Isfahan's universities were randomly selected. Subjects completed the
demographic questionnaire, the Young Diagnostic Questionnaire (YDQ) and the
Symptom Checklist-90-Revision (SCL-90-R). Data was analyzed using the
multiple logistic regression method. RESULTS: There was an association
between psychiatric symptoms such as somatization, sensitivity, depression,
anxiety, aggression, phobias, and psychosis with exception of paranoia; and
diagnosis of Internet addiction controlling for age, sex, education level,
marital status, and type of universities. CONCLUSIONS: A great percentage of
youths in the population suffer from the adverse effects of Internet
addiction. It is necessary for psychiatrists and psychologists to be aware
of the mental problems caused by Internet addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction (diagnosis)
mental disease
EMTREE MEDICAL INDEX TERMS
adult
age
aggression
anxiety
article
Checklist 90 Revision questionnaire
controlled study
cross-sectional study
depression
disease association
educational status
female
gender
human
Iran
male
marriage
obsessive compulsive disorder
paranoia
phobia
psychosis
questionnaire
social adaptation
somatization
student
Young Diagnostic Questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011376795
PUI
L362101572
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 965
TITLE
Gene targeting MRI: nucleic acid-based imaging and applications.
AUTHOR NAMES
Liu P.K.
Liu C.H.
AUTHOR ADDRESSES
(Liu P.K.) Department of Radiology, AA Martinos Center for Biomedical
Imaging, Massachusetts General Hospital, Charlestown, MA, USA.
(Liu C.H.)
CORRESPONDENCE ADDRESS
P.K. Liu, Department of Radiology, AA Martinos Center for Biomedical
Imaging, Massachusetts General Hospital, Charlestown, MA, USA. Email:
philipl@nmr.mgh.harvard.edu
SOURCE
Methods in molecular biology (Clifton, N.J.) (2011) 711 (363-377). Date of
Publication: 2011
ISSN
1940-6029 (electronic)
ABSTRACT
Gene action plays a role in neural cell migration, learning processes,
stress response, drug addiction, cancer, mental health, psychiatric and
neurological disorders, as well as neurodegenerative diseases. Studies also
show that upregulation of certain gene activities in neurons may contribute
to the development of Alzheimer's disease and other progressive cognitive
disorders many decades after the alteration itself occurs. Endogenous,
environmental stress-related, or drug-induced chemical imbalances in the
brain affect the homeostasis of gene activities in neurons in specific brain
regions and contribute to the comorbidity of mental illness and substance
dependence. On the other hand, altered gene activities are also a necessary
part of repair processes after brain injury. Our general well-being is
governed by the highly regulated gene activities in our brains. A better
understanding of gene activities and their relationship to the progression
of neurological disease can help the research and medical communities
develop necessary measures for early intervention, as well as plan more
appropriate interventions or new therapeutic approaches that can benefit a
broad spectrum of patients who will be or have been affected by brain
diseases. We developed a non-invasive imaging technique that allows
real-time assessment of gene transcription profiles in live brains. This
imaging method has the potential to provide first-hand information about the
progression of neurological disorders by gene targeting and cell typing, and
it could elucidate a surrogate marker for therapeutic efficacy for future
planning of treatments for human diseases. We have established a workable
and reproducible MRI technique in live rodent brains.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nucleic acid
EMTREE DRUG INDEX TERMS
complementary DNA
fluorescein isothiocyanate
Fosb protein, mouse
magnetite nanoparticle (drug administration)
oligonucleotide (drug administration)
protein c fos
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
gene targeting
nuclear magnetic resonance imaging
EMTREE MEDICAL INDEX TERMS
animal
article
biotinylation
blood
brain
cerebrospinal fluid
drug administration route
fluorescence microscopy
genetics
human
metabolism
methodology
mouse
CAS REGISTRY NUMBERS
fluorescein isothiocyanate (25168-13-2, 27072-45-3, 3326-32-7)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21279612 (http://www.ncbi.nlm.nih.gov/pubmed/21279612)
PUI
L361707362
DOI
10.1007/978-1-61737-992-5_18
FULL TEXT LINK
http://dx.doi.org/10.1007/978-1-61737-992-5_18
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 966
TITLE
Survey of Psychosomatic Medicine Fellowships: Training in Substance Use
Disorders
AUTHOR NAMES
Suzuki J.
Gitlin D.F.
Chang G.
AUTHOR ADDRESSES
(Suzuki J.; Gitlin D.F.; Chang G.) Department of Psychiatry, Brigham and
Women's Hospital, Harvard Medical School, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
J. Suzuki, Department of Psychiatry, Brigham and Women's Hospital, Harvard
Medical School, Boston, MA 02115, United States.
SOURCE
Psychosomatics (2011) 52:3 (296-297). Date of Publication: May 2011
ISSN
0033-3182
1545-7206 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
EMTREE DRUG INDEX TERMS
buprenorphine
methadone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
psychosomatic medicine fellowship
substance abuse
EMTREE MEDICAL INDEX TERMS
accreditation
consultation
drug dependence treatment
health care survey
letter
patient counseling
practice guideline
psychologic assessment
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012237531
MEDLINE PMID
21565606 (http://www.ncbi.nlm.nih.gov/pubmed/21565606)
PUI
L364687186
DOI
10.1016/j.psym.2011.01.005
FULL TEXT LINK
http://dx.doi.org/10.1016/j.psym.2011.01.005
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 967
TITLE
Using standardized patients to evaluate resident skills in screening and
brief interventions for substance abuse in the primary care setting.
AUTHOR NAMES
Treit K.
Levitt D.
McCance-Katz E.
Moreno-John G.
O'Sullivan P.
Satterfield J.
Wamsley M.
AUTHOR ADDRESSES
(Treit K.; McCance-Katz E.; Moreno-John G.; O'Sullivan P.; Satterfield J.;
Wamsley M.) UCSF, Medical Center, San Francisco, United States.
(Levitt D.) UCSF, School of Medicine, San Francisco, United States.
CORRESPONDENCE ADDRESS
K. Treit, UCSF, Medical Center, San Francisco, United States.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S586). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
SETTING AND PARTICIPANTS: This project took place at a large academic
residency training program. Prior to SBIRT curriculum implementation, 15
primary care internal medicine residents (PGY2/PGY3) participated in the SP
evaluation. The SP exam took place at a training facility designed for
observation of learners during clinical skills exams. Actors were hired and
trained in their specific roles as SPs. DESCRIPTION: The standardized
patient exam consisted of 3 twentyminute outpatient encounters representing
typical clinic visits. Specific cases were as follows:∗35 year-old man with
risky alcohol use and paroxysmal atrial fibrillation. ∗39 year-old woman
with low back pain and opiate misuse. ∗63 year-old woman with depression and
an alcohol use disorder. Cases evaluated the following substance use
competencies: ∗ Screening for substance use and taking a substance abuse
history. ∗Accurate assessment of risky use and substance use disorders.
∗Brief interventions to address substance use. ∗Appropriate referral for
substance use disorders. ∗Effective communication with patients regarding
substance use NEEDS AND OBJECTIVES: It is widely recognized that screening
and brief intervention for substance use disorders are lacking in primary
care settings. Barriers include physician reluctance to address substance
abuse, negative attitudes towards substance abusing patients, lack of
confidence and inadequate skills. In order to address this deficiency, we
are implementing a Screening, Brief Intervention and Referral to Treatment
(SBIRT) curriculum for primary care internal medicine residents. To measure
the impact of our curriculum, we propose using a standardized patient (SP)
evaluation. The objective of this project is to determine baseline SBIRT
skills for residents prior to implementation of the SBIRT curriculum from an
SP evaluation. EVALUATION: SPs evaluated residents using case-specific
checklists that include history (HX), information sharing (IS), and
patientphysician interaction (PPI) items. Residents received an average of
79 (sd=16) in history, 67 (sd=12) in information sharing and 69 (sd=6) in
physician patient interaction. Residents completed a post-exercise survey
indicating that they did feel it was a valuable experience (3.67/5).
Residents attended a faculty-run debriefing session. Each resident SP
encounterwas videotaped and reviewed by residency faculty. Following the
exercise, residents met individually with faculty to receive direct feedback
on SBIRT skills. DISCUSSION/REFLECTION/LESSONS LEARNED: Substance use
disorders are ubiquitous in primary care settings and physicians receive
inadequate training in managing these disorders. Internal medicine residents
demonstrated a baseline performance on the SP evaluation that indicated room
for improvement in SBIRT skills. Residents reported highest levels of
confidence in screening patients for alcohol and drugs, but felt less
confident making treatment plans for patients with substance use disorders.
Resident evaluation scores also indicate a lack of skill in developing
treatment plans for individuals with substance use disorders. Effective
curricula should address SBIRT skills and confidence in managing substance
use disorders, specifically focusing on the establishment of treatment
plans. Our baseline data suggest that SP assessments can be used to assess
SBIRT competencies in residents and may be useful in determining specific
areas for individual resident improvement.
EMTREE DRUG INDEX TERMS
alcohol
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
internal medicine
patient
primary medical care
screening
skill
society
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol consumption
atrial fibrillation
checklist
curriculum
diseases
exercise
feedback system
female
hospital
interpersonal communication
low back pain
male
outpatient
physician
residency education
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70654386
DOI
10.1007/s11606-011-1730-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 968
TITLE
An educational intervention to increase preventive health services provided
to adolescents and young adults by internal medicine physicians
AUTHOR NAMES
Gooding H.C.
Blood E.
Sharma N.
AUTHOR ADDRESSES
(Gooding H.C.) Brigham and Women's Hospital and Children's Hospital Boston,
Boston, United States.
(Blood E.) Children's Hospital Boston, Boston, United States.
(Sharma N.) Brigham and Women's Hospital, Boston, United States.
CORRESPONDENCE ADDRESS
H.C. Gooding, Brigham and Women's Hospital and Children's Hospital Boston,
Boston, United States.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S573). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
SETTING AND PARTICIPANTS: This intervention was designed for IM residents
training in an academic medical center and its associated outpatient
community practices. Following a pilot session with a small group of PGY3
residents (n=18), half of the PGY1 residents in the 2010- 2011 class (n=31)
were randomly assigned to participate in the educational intervention during
their introductory ambulatory medicine block rotation. The remainder of the
PGY1 residents (n=28) received no specific instruction in adolescent and
young adult medicine and served as a comparison group. One half of the PGY2
residents will participate in the educational intervention in the coming
months and will also be compared to their peers. DESCRIPTION: The
educational intervention is led by two faculty trained in both adolescent
and internal medicine. Residents are first introduced to general topics in
adolescent medicine and the role internists play in the primary and
specialty care of adolescents and young adults. The residents are then
divided into two smaller groups. Each group spends one hour reviewing
screening recommendations from the USPSTF using an evidence-based medicine
approach. Each group also spends one hour interviewing adolescents employed
by the local children's hospital as consultants for practitioners working
with youth. The adolescents are trained in the portrayal of three
standardized cases designed to highlight STIs, substance abuse, and
depression. The adolescents are also trained to give feedback to the
residents using the Structured Communication Adolescent Guide (SCAG), a
commercially available tool with established validity and reliability. NEEDS
AND OBJECTIVES: The US Preventive Services Task Force recommends screening
for sexually transmitted infections (STIs), alcohol misuse, and depression
in adolescents and young adults. Despite these national guidelines, few
adolescents and even fewer young adults receive routine preventive care in
these areas. In addition, internal medicine (IM) physicians often report
inadequate preparation to care for adolescent patients as they transition to
young adulthood. Fostering internists' understanding of preventive care
guidelines and enhancing their communication skills regarding sensitive
topics are essential for ensuring the health of adolescent and young adult
patients. We aimed to create, deliver, and evaluate an educational
intervention designed to increase internal medicine (IM) residents' comfort
with and confidence in their ability to care for adolescents and young
adults, as well as the percentage of patients screened appropriately for
Chlamydia, HIV, alcohol misuse, and depression. EVALUATION: During the
baseline pre-intervention period from July 2009 through June 2010, 117 IM
residents saw 523 unique outpatients ages 16-26, representing 8.5% of all
outpatients seen by the residents. Seventy percent of the patients had
documented alcohol screening, 35% had documented depression screening, 21%
had HIV testing, and 40% of females had Chlamydia testing. Eighteen PGY3
residents were surveyed to pilot the assessment instrument. More residents
reported that they were somewhat or very comfortable taking a sexual history
(78%) or a substance use history (67%) than a mental health history (28%)
from adolescents and young adults. More residents reported that they were
somewhat or very confident in their ability to identify and counsel
adolescents and young adults with STIs (56%) than with substance abuse (6%)
or depression (22%). The educational intervention for PGY1 and PGY2
residents is currently in progress. DISCUSSION/REFLECTION/LESSONS LEARNED:
Residents felt the opportunity to interact with adolescents from the
community and to receive real-time feedback from them as well as their peers
were the most valuable aspects of the workshop. Didactic portions of the
intervention could be streamlined or presented in advance as self-study in
the future. The practice of interviewing trained community members and
receiving feedback in a small-group peer setting could be expanded to
improve the care of other special populations in ambulatory medicine, such
as patients requiring language interpreters or those with physical or
cognitive disabilities. If successful in meeting the objective of improving
preventive screening for adolescent and young adult patients, this
educational intervention could be expanded to faculty practices or other
internal medicine residency programs.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
adult
human
internal medicine
physician
preventive health service
society
EMTREE MEDICAL INDEX TERMS
adulthood
Chlamydia
cognitive defect
communication skill
community
consultation
evidence based medicine
faculty practice
feedback system
female
health
HIV test
Human immunodeficiency virus
internist
interpersonal communication
juvenile
language
medical specialist
medicine
mental health
outpatient
patient
pediatric hospital
population
reliability
screening
sexually transmitted disease
substance abuse
university hospital
validity
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70654362
DOI
10.1007/s11606-011-1730-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 969
TITLE
A wed-based module on neurobiology to engage students in substance abuse
research
AUTHOR NAMES
Truncali A.
Gillespie C.
Lee J.
Ross S.
Kerr D.
Huben L.
More F.
Naegle M.
Kalet A.
Gourevitch M.
AUTHOR ADDRESSES
(Truncali A.; Gillespie C.; Lee J.; Ross S.; Gourevitch M.) NYU School of
Medicine, New York, United States.
(More F.) NYU College of Dentistry, New York, United States.
(Kerr D.; Naegle M.) NYU College of Nursing, New York, United States.
(Huben L.; Kalet A.) NYU School of Medicine, Brooklyn, United States.
CORRESPONDENCE ADDRESS
A. Truncali, NYU School of Medicine, New York, United States.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S585-S586). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
SETTING AND PARTICIPANTS: All first-year medical students (n=172) were
invited to complete the module as a supplement to their Neuroscience course
addiction lecture. They received instructions for accessing the module by
way of the Neuroscience course website. DESCRIPTION: The multimedia module
features a case study of a cocaine-dependent man whose addictive behaviors
are described and linked with associated neurobiology,including reward, cue
development and executive dysfunction. It uses interactive animation,
user-controlled video segments, and immediate feedback facilitated by the
learning platform. Successful research faculty colleagues further discuss
how basic science has advanced the understanding and treatment of addiction.
Immediate pre-post-testing on 4-point Likert scales evaluated interest in
SA, interest in general- and SA-focused research and perceived knowledge.
Post-testing evaluated attitudes and module appeal. A -month post survey was
conducted by email to assess longer-term impact. NEEDS AND OBJECTIVES: There
is a need to build the ranks of substance abuse (SA) researchers across
health professions. We developed a web-based module, the Neurobiology of SA,
as part of a NIDA-funded initiative to increase interest in SA research
among nursing, dental and medical students. We aimed to foster students'
understanding of addiction's physiologic basis and motivate interest in
SA-focused research. EVALUATION: 83 of 172 (48%) students voluntarily
completed the module (92 pretest, 44 posttest). Prior exposure to SA
treatment or research was reported as absent (45%), personal
(20%),educational (31%), and clinical (13%). SA interest increased (29% pre
to 45% post somewhat or very interested, p=.005). There was no change in
anticipated career research involvement, but interest in conducting SA
research specifically increased from 45 to 52% (p=.09). After the module,
students endorsed somewhat or full understanding of “how neurobiology
research has shaped addiction treatment” (73%), “relationships between
addiction and reward” (81%), and “pathways through which drug abuse affects
decision making and inhibition” (90%). SA attitudes were generally
ambivalent. At 4 months (n=44), students endorsed enhanced interest in SA
treatment (77% some or a lot), SA research (70%) and change in attitudes
(75%), as well as improved understanding of related course material(89%) and
exam performance(84%). DISCUSSION/REFLECTION/LESSONS LEARNED: A web module
on the neurobiology of SA offered to preclinical medical students with a
baseline lack of interest in SA was readily integrated into existing course
material and led to enhanced interest in SA and possibly motivation to
conduct related research. The module deepened understanding of related
course material. Attitudes toward SA treatment were generally ambivalent
post-module but may represent an improvement from baseline. Future study
will assess impact among dental and nursing students.
EMTREE DRUG INDEX TERMS
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
internal medicine
neurobiology
society
student
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
case study
decision making
drug abuse
e-mail
exposure
feedback system
health
learning
male
manager
medical student
motivation
multimedia
nursing
nursing student
occupation
reward
scientist
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70654385
DOI
10.1007/s11606-011-1730-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 970
TITLE
A cross-sectional survey on the inclusion of tobacco prevention/cessation,
nutrition/ diet, and exercise physiology/fitness education in medical school
curricula
AUTHOR NAMES
Torabi M.R.
Tao R.
Jay S.J.
Olcott C.
AUTHOR ADDRESSES
(Torabi M.R., torabi@indiana.edu; Tao R.; Olcott C., torabi@indiana.edu)
Department of Applied Health Science, Indiana University, HPER 116, 1025 E
7th St, Bloomington, IN 47405, United States.
(Jay S.J.) Indiana University, Purdue University School of Medicine,
Indianapolis, IN, United States.
CORRESPONDENCE ADDRESS
C. Olcott, Department of Applied Health Science, Indiana University, HPER
116, 1025 E 7th St, Bloomington, IN 47405, United States. Email:
torabi@indiana.edu
SOURCE
Journal of the National Medical Association (2011) 103:5 (400-406). Date of
Publication: May 2011
ISSN
0027-9684
BOOK PUBLISHER
National Medical Association, 1012 Tenth Street NW, Washington, United
States.
ABSTRACT
Chronic diseases are currently the major cause of death and disability
worldwide. Addressing the main causes of chronic diseases from a preventive
perspective is imperative for halting a continual increase in premature
deaths. Physicians occupy a unique position to assist individuals with
chronic disease prevention. Hence, medical school is an opportunity to
prepare physicians for preventive interventions with patients at risk for
developing chronic diseases. This study asserts that education on chronic
disease prevention that targets tobacco cessation/prevention, nutrition/
diet, and exercise physiology/fitness is a key aspect of medical school
curricula. However, many US medical schools do not include all 3 components
in their curricula. This study investigates the extent to which medical
school curricula include the above 3 areas. Two methods were utilized for
the study: (1) a cross-sectional survey was given to the associate dean of
academic affairs of 129 US medical schools and (2) relevant data were
retrieved from the Association of American Medical Colleges. Findings
support the notion that medical schools are in need of increased curricula
covering tobacco prevention/cessation, nutrition/diet, and exercise
physiology/fitness. Results indicate that exercise physiology/fitness was
the area receiving the least attention in medical schools. Ultimately, this
study's purpose was to provide a basis for determining whether inclusion of
these 3 subjects in medical school curricula has any significant effect on
training future doctors to meet the needs of growing numbers of individuals
with chronic disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic disease (prevention)
medical education
EMTREE MEDICAL INDEX TERMS
article
cause of death
curriculum
diet
disability
exercise physiology
fitness
human
medical school
nutrition education
preventive medicine
priority journal
smoking cessation
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012319419
MEDLINE PMID
21809789 (http://www.ncbi.nlm.nih.gov/pubmed/21809789)
PUI
L364938962
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 971
TITLE
Effects of an educational intervention about tobacco use on medical students
in Argentina
AUTHOR NAMES
Konfino J.
Mejia R.
Ferrante D.
Iermoli R.
Perez-Stable E.
AUTHOR ADDRESSES
(Konfino J.) Hospital de Clínicas José de San Martín, Universidad de Buenos
Aires, Argentina.
(Konfino J.; Mejia R.; Iermoli R.) Hospital de Clínicas José de San Martín,
Buenos Aires, Argentina.
(Ferrante D.) Ministerio de Salud de la Nación, Buenos Aires, Argentina.
(Perez-Stable E.) University of California San Francisco, San Francisco,
United States.
CORRESPONDENCE ADDRESS
J. Konfino, Hospital de Clínicas José de San Martín, Universidad de Buenos
Aires, Argentina.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S178-S179). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: In Argentina smoking prevalence among medical students is 30%
and similar to that in the general population. The objective of this study
was to implement and evaluate a brief educational intervention about tobacco
use on fourth year medical students in Buenos Aires. METHODS: At the
beginning of the fourth year of the 6-year medical school, students assigned
to rotations at the Universidad de Buenos Aires Hospital de Clinicas were
divided into four groups. Each group attended classes at specific locations
with different teachers and there was no structured contact among the
different groups. Students were assigned to intervention or control based on
a cluster-randomized trial design. All fourth year medical students from the
Hospital de Clínicas were invited to participate in March 2009. Participants
completed the Global Health Professions Student Survey (GHPSS). About half
of the students then attended the modified Spanish version of the “Rx for
Change Course”, about tobacco cessation for students in the health sciences.
Three months later, all participants completed the GHPSS again RESULTS: We
invited 354 students to participate and 299 (84%) accepted. Of these 299,
70% were women, 26% had an outside job and 20% lived alone. The median age
was 23 years. Although 88 (29%) were smokers, only 50 (57%) smoked
cigarettes daily. Among smokers, 78% were women. Among the 299 students, 51%
were exposed to second hand smoke (SHS) in their home in the previous week
and 90% were exposed outside their homes. There was a high level of
knowledge regarding tobacco consumption as 93%of the students answered
correctly all the questions such as “Smoking during pregnancy increases the
risk of disease in the newborn, such as Sudden Death Syndrome?” Only 3%of
students had ever received information about smoking cessation and most were
interested in receiving it for themselves or for their future patients. 40%
of respondents considered that medical advice or smoking cessation
counseling by physicians was not effective. No significant changes were
observed in tobacco consumption or in the students' beliefs about cessation
counseling after the implementation of the educational intervention.
CONCLUSION: Providing knowledge on tobacco did not change student's
consumption or attitudes about tobacco use and cessation. Teaching medical
students about helping their patients quit smoking should be a priority in
Latin American medical education. New educational strategies will need to be
developed to modify student's attitudes and behavior about tobacco use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Argentina
human
internal medicine
medical student
society
tobacco
EMTREE MEDICAL INDEX TERMS
cigarette smoking
counseling
female
health
health science
hospital
medical education
medical school
newborn
occupation
passive smoking
patient
physician
population
pregnancy
prevalence
risk
smoking
smoking cessation
student
student attitude
study design
sudden death
teacher
teaching
work
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70653559
DOI
10.1007/s11606-011-1730-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 972
TITLE
Training of general practitioners about smoking cessation counseling
AUTHOR NAMES
Djalalinia S.
Tehrani F.R.
Malekafzali H.
Dovvom M.R.
Neot R.
Peykari N.
AUTHOR ADDRESSES
(Djalalinia S.; Malekafzali H.; Dovvom M.R.; Neot R.; Peykari N.) Research
and Technology, Ministry of Health and Education, Shahid Beheshty Medical
Science University, Iran.
(Tehrani F.R.) Research Institute For Endocrine Sciences, Shahid Beheshty
Medical Science University, Iran.
CORRESPONDENCE ADDRESS
S. Djalalinia, Research and Technology, Ministry of Health and Education,
Shahid Beheshty Medical Science University, Iran.
SOURCE
Journal of the Pakistan Medical Association (2011) 61:5 (449-452). Date of
Publication: May, 2011
ISSN
0030-9982
BOOK PUBLISHER
Pakistan Medical Association, Garden Road, Karachi - 3, Pakistan.
ABSTRACT
Objectives: To study general practitioners' knowledge regarding smoking and
their formal educational training on quitting smoking and associated
readiness for providing associated services. Methods: This cross sectional
study was carried out using an anonymous WHO based questionnaire. According
to sample size estimated based on general practitioners' population ratio,
review literatures and response rate probability; it was given to the 5140
general practitioners selected by random quota sampling method from a total
of 25,600 practitioners all over the country at the time of the study.
Results: There were 3804 (74%) males with 16% being smokers and 4.6% having
a history of smoking. Thirty percent of the subjects felt that they were
ready for smoking cessation counseling, but only 9% had received formal
training for it during medical school or post graduate training, while more
than 80% perceived such trainings necessary. Smoking cessation intervention
during physician visits was associated with increased patient satisfaction
especially among those who smoked. Conclusion: Formal training for smoking
cessation among the study subject was inadequate. They were of the opinion
that more courses should be included in medical school as better trained
doctors could make good counselors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practice
medical education
patient counseling
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
clinical competence
cross-sectional study
female
general practitioner
human
male
patient satisfaction
physician attitude
postgraduate education
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011246710
MEDLINE PMID
22204177 (http://www.ncbi.nlm.nih.gov/pubmed/22204177)
PUI
L361703264
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 973
TITLE
Knowledge on drugs phenomenon by students and faculty from the medical
school at universidad mayor de San Andrés, La Paz, Bolivia
ORIGINAL (NON-ENGLISH) TITLE
Conocimiento sobre el fenómeno de las drogas en entre estudiantes y docentes
de la facultad de medicina universidad mayor de san andrés, La Paz, Bolivia
AUTHOR NAMES
Navia-Bueno M.P.
Farah-Bravo J.
Yaksic-Feraudy N.
Philco-Lima P.
Takayanagui A.M.M.
AUTHOR ADDRESSES
(Navia-Bueno M.P.) IINSAD, Universidad Mayor de San Andrés, La Paz, Bolivia.
(Farah-Bravo J.; Yaksic-Feraudy N.) IINSAD, Brazil.
(Philco-Lima P.)
(Takayanagui A.M.M., ammtakay@eerp.usp.br) Escola de Enfermagem de Ribeirão
Preto, Universidade de São Paulo, Centro Colaborador de la OMS para el
Desarrollo de la Investigación en Enfermería, SP, Brazil.
CORRESPONDENCE ADDRESS
A. M. M. Takayanagui, Universidade de São Paulo, Escola de Enfermagem de
Ribeirão Preto, Departamento de Enfermagem Psiquiátrica e Ciências Humanas,
Av. dos Bandeirantes, 3900 Bairro: Monte Alegre, CEP: 14040-902 Ribeirão
Preto, SP, Brazil. Email: ammtakay@eerp.usp.br
SOURCE
Revista Latino-Americana de Enfermagem (2011) 19:SPEC. ISSUE (722-729). Date
of Publication: May-June 2011
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista, Sao
Paulo, Brazil.
ABSTRACT
The goal of this study was to identify the degree of knowledge of students
and health educators on licit and illicit drugs, related to the type,
classification, action, mechanisms damages, consequences and adverse
effects, besides use and consumption. A cross-sectional methodological
design was used, with a sample of 172 students, professors and residents in
medicine and nursing at Universidad Mayor de San Andrés (UMSA), Bolivia. The
results reveal weak knowledge on the classification of psychotropic
substances according to structure, chemical property and effects for health,
highlighting significant difference with knowledge on licit and illicit
drugs use, with high percentages. In conclusion, there is lack of knowledge
in all groups studied on licit and illicit drugs regarding the consequences
and adverse effects. This confirms the need to improve teaching on this
content in health schools.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude to health
medical school
medical student
EMTREE MEDICAL INDEX TERMS
adult
article
Bolivia
female
human
male
LANGUAGE OF ARTICLE
English, Portuguese, Spanish
LANGUAGE OF SUMMARY
English, Portuguese, Spanish
MEDLINE PMID
21739053 (http://www.ncbi.nlm.nih.gov/pubmed/21739053)
PUI
L362110238
DOI
10.1590/S0104-11692011000700009
FULL TEXT LINK
http://dx.doi.org/10.1590/S0104-11692011000700009
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 974
TITLE
Contract-basedlearningasanapproachtoimplementing competency based training
in pre-clinical introduction to clinical medicine courses
AUTHOR NAMES
Wilson J.F.
Rudy D.
AUTHOR ADDRESSES
(Wilson J.F.; Rudy D.) University of Kentucky, College of Medicine,
Lexington, United States.
CORRESPONDENCE ADDRESS
J.F. Wilson, University of Kentucky, College of Medicine, Lexington, United
States.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S587). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
SETTING AND PARTICIPANTS: The setting is year one of medical school and
participants are 115 first year medical students and 30 clinical and
behavioral preceptors. DESCRIPTION: ICM is an 11 credit, year long small
group course for M1 students. ICM focuses on basic and applied interviewing,
professionalism and medical ethics, applied topics such as grief, pain, and
addiction; The course blends small group, on-line learning modules,
independent study, and clinical placements. Assessment is through an
extensive on-line portfolio. Students contract for a grade through a variety
of contact options. The learning contracts are designed to focus on
application and synthesis dimensions of Bloom's taxonomy. Each small group
of eight students has a clinical and a behavioral preceptor. All course
materials and assessment takes place through a single web portal. Each
student has a personal WIKI page accessible to them and their preceptor, who
provides blog style feedback, allowing for evaluation and dialogue. NEEDS
AND OBJECTIVES: Introduction to Clinical Medicine (ICM) courses often do not
easily fit into the curricular structure of the basic science years in
medical school. MCQ examinations, lecture based educational formats and the
increasing pressures on clinician's teaching time are barriers to effective
implementation of competency based learning in “doctoring” courses. Our
objective was to use a contract based learning model to implement a
competency based and portfolio assessed introduction to clinical medicine
course for M1 students. Contract based approaches are noted for their
emphasis on fluid rather than fixed curricula, challenge rather than threat
motivation, active rather than passive learning, and a focus on questions
rather than answers. EVALUATION: The usefulness of contract-based teaching
is illustrated through discussion of six course elements: (1) Training in
interviewing includes actor-patient simulations, learning labs with cycles
of practice followed by coaching, formal self-assessments, and preceptor
feedback. (2) Required and elective “continuing medical education” credits
model life-long learning. (3) Diverse topics such as Medical humanities ,
Service Learning, and student-designed learning activities. (4) Clinical
placements introduce students to interprofessional education and team based
clinical work. (5) Small group seminars on grief, loss, pain, suffering, and
addiction emphasize skill learning and formation of professional attitudes.
(6) A focus on written portfolio entries with blog-style preceptor feedback
and formative or coaching based skill assessments move toward higher order
Bloom objectives. DISCUSSION/REFLECTION/LESSONS LEARNED: Advantages and
practical problems about contract based learning are discussed and
illustrated through use of student evaluations, quality assurance materials,
student outcomes, and examples of portfolio entries. Issues related to
faculty development of preceptors, creation and maintenance of clinical
experience sites suitable for M1 students, and approaches to nurturing
inter-professional involvement in the training program are discussed. The
use of contract based learning to efficiently use clinician time, provide a
flexible course infrastructure easily adapted to changing resources, and to
promote higher order learning objectives is described.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical medicine
internal medicine
society
EMTREE MEDICAL INDEX TERMS
addiction
curriculum
education
examination
feedback system
grief
human
learning
liquid
medical education
medical ethics
medical humanities
medical school
medical student
model
motivation
pain
professionalism
quality control
self evaluation
skill
student
synthesis
taxonomy
teaching
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70654388
DOI
10.1007/s11606-011-1730-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 975
TITLE
CAMH and McMaster alcohol curriculum (CAMAC) project
AUTHOR NAMES
Levinson A.
Garside S.
Johnson A.
Devillaer M.
Ernest D.
Hasan M.
Selby P.
Rhyno M.
AUTHOR ADDRESSES
(Levinson A.; Garside S.; Rhyno M.) McMaster University, Canada.
(Johnson A.; Devillaer M.; Ernest D.; Hasan M.; Selby P.) Centre for
Addiction and Mental Health, Canada.
CORRESPONDENCE ADDRESS
A. Levinson, McMaster University, Canada.
SOURCE
Medical Education, Supplement (2011) 45 SUPPL. 1 (66-67). Date of
Publication: May 2011
CONFERENCE NAME
Canadian Conference on Medical Education 2011
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2011-05-07 to 2011-05-11
ISSN
1352-3929
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Context or Setting: Alcohol use disorders are common, and lead to high
degrees of morbidity and mortality. Despite their importance, there is
little formal curriculum devoted to this topic in undergraduate medicine.
Why the Innovation Was Undertaken: We sought to embed high quality,
evidence-based resources related to alcohol use disorders into both
pre-clerkship and clerkship to improve the recognition and management of
these disorders. In particular, we used an 'action-oriented' focus, with a
pragmatic approach to clinical skills teaching and reference materials that
students could use as job aides and workplace performance support. What Was
Done: We developed a multimodal implementation strategy, with a range of
curriculum 'products' and resources. This included a large group
session/instructor-led presentation; tutorial problem and tutor guide for
small group problem-based learning; self-directed e-learning modules;
reference resources such as the CAMH KnowledgeX Portal; and a pocket
reference guide. Both pre-clerkship and clerkship students were targeted,
with specialtyspecific modules for clerkship. Online modules were based on
the previous high quality Project CREATE materials, with extensive expert
review and updating, as well as adaptation for self-directed e-learning
using best practices in multimedia learning and instructional design. Brief
Evaluation of the Innovation and / or Its Impact: The curriculum has been
successfully implemented within the McMaster University undergraduate MD
program, with plans for broader dissemination across other medical schools.
Moreover all elements of the curriculum are freely available online through
the www.machealth.ca portal and CAMH's KnowledgeX portal
(knowledgeX.camh.net), as well as indexed through the Canadian Health
Education Commons website.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Canadian
curriculum
learning
medical education
EMTREE MEDICAL INDEX TERMS
adaptation
alcoholism
diseases
evidence based practice
health education
human
medical school
morbidity
mortality
multimedia
problem based learning
skill
student
teaching
university
work
workplace
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71978046
DOI
10.1111/j.13652923.2011.04002
FULL TEXT LINK
http://dx.doi.org/10.1111/j.13652923.2011.04002
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 976
TITLE
What does modern addiction medicine have to offer aboriginal and Torres
Strait Islander Australians?
AUTHOR NAMES
Conigrave K.
AUTHOR ADDRESSES
(Conigrave K.) Royal Prince Alfred Hospital, University of Sydney,
Australia.
CORRESPONDENCE ADDRESS
K. Conigrave, Royal Prince Alfred Hospital, University of Sydney, Australia.
SOURCE
Internal Medicine Journal (2011) 41 SUPPL. 2 (5). Date of Publication: May
2011
CONFERENCE NAME
Royal Australasian College of Physicians Congress 2011
CONFERENCE LOCATION
Darwin, NT, Australia
CONFERENCE DATE
2011-05-22 to 2011-05-25
ISSN
1444-0903
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Aboriginal and Torres Strait Islander individuals and communities often bear
complex burdens of acute and chronic disease. Trauma, grief and loss,
threats to traditional way of life, and limited educational and economic
opportunities all contribute to stress and sense of loss of control. All
these factors place Indigenous Australians at risk of substance use
disorders. Both smoking and alcohol in turn are key contributors to the
burden of disease and mortality, perpetuating a cycle of trauma and loss.
Furthermore, alcohol dependence itself can behave as a chronic remitting,
relapsing disease. Supply control, for both alcohol and petrol, has led to
some significant advances, particularly in more remote regions. However
where one substance is removed, sometimes another comes in to fill its
place. Cannabis for example has become a rapidly rising concern for many
communities. Supply control is far harder in urban and regional centres. In
this session we discuss the state of the evidence around epidemiology,
prevention and treatment of substance misuse among Indigenous Australians.
In particular we reflect on advances in evidence-based treatment for alcohol
and nicotine dependence, including modern pharmacotherapies. Their role and
limitations among Indigenous Australians are examined. Future directions are
discussed, including improved access to the full range of modern treatment.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
gasoline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
college
indigenous people
physician
EMTREE MEDICAL INDEX TERMS
alcoholism
chronic disease
community
epidemiology
evidence based practice
grief
injury
mortality
prevention
recurrent disease
risk
smoking
substance abuse
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70421960
DOI
10.1111/j.1445-5994.2011.02486.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1445-5994.2011.02486.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 977
TITLE
Treating hepatitis c in the homeless: A model that works
AUTHOR NAMES
Ho C.
Preston C.
Fredericks K.
Doorley S.
AUTHOR ADDRESSES
(Ho C.; Preston C.; Fredericks K.; Doorley S.) Valley Homeless Healthcare
Program, San Jose, United States.
CORRESPONDENCE ADDRESS
C. Ho, Valley Homeless Healthcare Program, San Jose, United States.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S558). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
STATEMENT OF PROBLEM OR QUESTION: Access to Hepatitis C evaluation and
treatment is often limited in patients with a history of mental illness,
addiction, and/or unstable living conditions. DESCRIPTION OF
PROGRAM/INTERVENTION: The Valley Homeless Healthcare Program (VHHP) is a
FQHC primary care medical home in San Jose, California whose patient
population has a high prevalence of infection with the Hepatitis C virus.
While most of the patients with HCV desire evaluation and treatment for
their infection, few qualify for treatment in a traditional specialty clinic
setting because of the difficulty in co-managing mental illness, substance
use disorders, while balancing unstable living conditions. At VHHP, the
processes of medical evaluation, psychosocial assessment, patient education,
treatment monitoring, peer support, and self-efficacy development are all
conducted in a single setting of a multidisciplinary group model within
primary care. Primary care physicians co-lead a weekly group visit with
Psychologists for patients who are contemplating Hepatitis C treatment,
currently in treatment, and who have completed treatment, all in one group
together. OBJECTIVES OF PROGRAM/INTERVENTION: 1. To improve healthcare
access to Hepatitis C evaluation and treatment in patients with a history of
mental illness, addiction, and/or unstable living conditions. 2. To
streamline processes in HCV treatment of patient education, medical
evaluation, psychosocial assessment, and treatment monitoring into a weekly
multi-disciplinary group clinic. 3. To achieve outcomes of HCV treatment
compliance rates and viral response rates in a socially vulnerable
population that rival published standards. FINDINGS TO DATE: A total of 28
patients have undergone treatment through this multidisciplinary group
treatment model. 4 patients stopped treatment early due to intolerable side
effects. 10 out of 18 (55%) patients with HCV Genotype 1 achieved a
sustained viral response, or clearance of the Hepatitis C virus at 6 months
compared with the published standard of approximately 50%. 8 out of 10
patients (80%) with Genotypes 2 or 3 achieved a sustained viral response,
compared with 70-80% nationally. KEY LESSONS LEARNED: Patients with a
history of mental illness, substance use disorders, and unstable living
conditions can be successfully treated for Hepatitis C within the primary
care context of a multidisciplinary group clinic model, with treatment
completion rates and sustained viral response rates that rival published
literature rates.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis C
internal medicine
model
society
EMTREE MEDICAL INDEX TERMS
addiction
general practitioner
genotype
group therapy
health care
health care access
Hepatitis C virus
hospital
human
infection
medical assessment
medical education
mental disease
monitoring
patient
patient compliance
patient education
peer group
population
prevalence
primary medical care
psychologist
self concept
side effect
substance abuse
United States
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70654328
DOI
10.1007/s11606-011-1730-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 978
TITLE
Distinct beliefs, attitudes, and experiences of Latino smokers: relevance
for cessation interventions.
AUTHOR NAMES
Zinser M.C.
Pampel F.C.
Flores E.
AUTHOR ADDRESSES
(Zinser M.C.) Department of Psychology, University of Colorado Denver,
Campus Box 173, PO Box 173364, Denver, CO 80217-3364, USA.
(Pampel F.C.; Flores E.)
CORRESPONDENCE ADDRESS
M.C. Zinser, Department of Psychology, University of Colorado Denver, Campus
Box 173, PO Box 173364, Denver, CO 80217-3364, USA. Email:
michael.zinser@ucdenver.edu
SOURCE
American journal of health promotion : AJHP (2011) 25:5 Suppl (eS1-15). Date
of Publication: 2011 May-Jun
ISSN
0890-1171
ABSTRACT
Determine the extent to which Latino smokers are using effective
interventions for smoking cessation, with particular focus on nicotine
replacement therapy (NRT). Related aims were to explore cultural,
attitudinal, knowledge, and socioeconomic variables associated with
treatment use. Cross-sectional telephone survey of two groups of Colorado
adult smokers: Latinos (n = 1010) and non-Latino whites (n = 519). Colorado.
Computer-assisted telephone survey in either Spanish or English. Survey
addressed sociodemographic variables; smoking and cessation history;
knowledge, attitudes, and beliefs about smoking and quitting; and
experiences in and attitudes toward the health care setting. Latino and
non-Latino white adult Colorado residents who reported being regular
smokers. Colorado Latinos report using NRT substantially less often than do
non-Latino whites residing in the state. This and other differences in the
study were more pronounced in Latinos characterized as low acculturation on
the basis of a language preference variable. Latinos smoke somewhat less
than non-Latino whites and report lower levels of dependence. They appear to
be motivated to quit but endorse attitudes and beliefs antithetical to NRT
use. Health care access was lower among Latinos, and this was related to
lower reports of lifetime NRT use. Receipt of recommended practitioner
intervention (the "five As") did not differ by ethnicity. Results suggested
that use of effective cessation interventions among Latinos may be enhanced
by education about nicotine addiction and NRT. Policy change to increase
health care access also showed promise.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
Hispanic
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Caucasian
cross-sectional study
cultural factor
ethnology
female
human
male
methodology
psychological aspect
socioeconomics
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21510796 (http://www.ncbi.nlm.nih.gov/pubmed/21510796)
PUI
L362240133
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 979
TITLE
Needle and syringe exchange programs in correctional settings: Feasible,
safe and necessary!
AUTHOR NAMES
Wolff H.
Favrod-Coune T.
Rieder J.-P.
Pinault F.
Getaz L.
Broers B.
AUTHOR ADDRESSES
(Wolff H.) University Hospitals of Geneva, Geneva, Switzerland.
(Favrod-Coune T.; Rieder J.-P.; Pinault F.; Getaz L.; Broers B.) University
Hospitals of Geneva and University of Geneva, Geneva, Switzerland.
CORRESPONDENCE ADDRESS
H. Wolff, University Hospitals of Geneva, Geneva, Switzerland.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S141-S142). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Addiction-related problems are highly prevalent in almost every
prison in the world. Despite the fact that illicit drugs are forbidden, they
frequently enter most correctional facilities. Therefore, harm reduction
measures such as needle and syringe exchange programs (NSP) need to be
implemented. In the community and in prison, NSPs have been shown to: 1.
prevent the transmission of infectious diseases, 2. not compromise the
security (syringes not used as a weapon) and 3. not increase the consumption
nor the injection of drugs. Despite strong evidence of efficacy, NSPs exist
in less than 1% of the prisons worldwide. The Geneva University Hospitals
are dispensing health care to inmates of the prison of Geneva, the largest
remand prison in Switzerland. This prison faces severe overcrowding as it
housed in 2010 a mean of 543 inmates, primarily male, in the 270 officially
provided places (occupancy rate: >200%). The NSP is in place since 1996. The
aim of the study is to evaluate the acceptance and feasibility of the NSP in
prison. METHODS: In the prison of Geneva, a syringe exchange protocol was
elaborated by addiction specialists and accepted by the prison authorities
in 1996. The protocol gave an official framework to provide injection kits
and appropriate counseling to drug-using inmates. Staff is trained in
addiction and harm reduction measures. Evaluation included distribution and
return of the syringes over time. RESULTS: Each year 169-446 syringes were
distributed to 24-53 intravenous drug using inmates (fig 1). The return rate
ranged from 58 to 83%. No acts of aggression or other incidents involving
the contents of injection kits (e.g. threats, aggression, injury by a
syringe left in a dustbin ...) were reported. The program was well accepted
by the prison staff and the health care team. Healthcare workers noted that
10-20% of the iv-drug users participating in the program related an initial
hesitation when distributing the syringes, which let suspect that the fear
of denouncement existed and that the totality of the target prisoners were
not reached. The prison direction actively supported the programand operated
no cell search for drugs after delivery of an injection kit. In addition to
the harmreduction itself, the programhelped to strengthen the dialogue in an
atmosphere of greater understanding and encouraged constructive co-operation
between all partners (healthcare team, prison officers, and political
partners). CONCLUSION: Scientific evidence as well as our experience showed
that syringe and needle exchange in the prison is feasible, safe and well
accepted by staff and iv-drug users, although it could be improved by
providing better confidentiality during the distribution of the injection
kits. The program needed an active supervision to make sure that nurses,
prison staff and detainees feel comfortable with it. Access to harm
reduction measures should be universal, in concordance with human rights
principles and therefore be implemented in all prisons. (Table presented).
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internal medicine
needle
society
syringe
EMTREE MEDICAL INDEX TERMS
addiction
aggression
atmosphere
community
confidentiality
counseling
crowding (area)
disease transmission
drug use
fear
harm reduction
health care
health care personnel
human
human rights
injection
injury
male
medical specialist
nurse
prison
prisoner
Switzerland
university hospital
weapon
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70653489
DOI
10.1007/s11606-011-1730-9
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 980
TITLE
Kinome analysis of cancers by high-throughput transcriptome sequencing:
Ideas in personalized medicine
AUTHOR NAMES
Kumar-Sinha C.
Shankar S.
Ma L.
Robinson D.
Cao X.
Kalyana-Sundaram S.
Chinnaiyan A.M.
AUTHOR ADDRESSES
(Kumar-Sinha C.; Shankar S.; Ma L.; Robinson D.; Cao X.; Kalyana-Sundaram
S.; Chinnaiyan A.M.) UMICH, Ann Arbor, United States.
CORRESPONDENCE ADDRESS
C. Kumar-Sinha, UMICH, Ann Arbor, United States.
SOURCE
Cancer Research (2011) 71:8 SUPPL. 1. Date of Publication: 15 Apr 2011
CONFERENCE NAME
102nd Annual Meeting of the American Association for Cancer Research, AACR
2011
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2011-04-02 to 2011-04-06
ISSN
0008-5472
BOOK PUBLISHER
American Association for Cancer Research Inc.
ABSTRACT
Targeted cancer therapy, which takes into account the intrinsic molecular
heterogeneity of individual cases, is the ultimate goal of cancer genomics
research. Despite intrinsic genetic complexity and heterogeneity, a few
genes exert an overarching influence on the growth and sustenance of
cancers, a phenomenon described as “oncogene addiction”. The most common
class of addictive genes in cancers are protein kinases, and some of the
most successful therapeutics include kinase inhibitors such as imatinib for
BCR-ABL1 positive chronic myeloid leukemia, herceptin and lapatinib for
ERBB2 positive breast cancers and gefitinib for lung cancers with EGFR
mutations. Inhibitors of several other common driver kinases are under
various stages of clinical use, trials or development. Unfortunately,
targeting a primary driver almost always fails because, (1) Target patients
are not well defined (2) cancers display de novo or acquired resistance to
the inhibitors, and (3) there is an absence of additional/ alternate
targets. We hypothesize that, in addition to the primary oncogenic driver,
cancers harbor additional/ secondary drivers that are capable of providing
escape from addiction to the primary driver following targeted therapy.
Using high throughput sequencing, cancer samples can be interrogated
individually to identify patient specific drivers/ therapeutic targets. We
have used gene expression readout of transcriptome sequencing data from
individual cancer samples to identify potential therapeutic targets showing
outlier expression. In a proof of principle study focusing on kinase
outliers, we nominated sample-specific, multiple outlier kinases in breast
and pancreatic cancer and tested combinatorial targeting through siRNA
knockdown experiments. In herceptin resistant, ERBB2 positive cancers, we
observed an outlier expression (or mutation, or both) of other druggable
kinases, such as FGFR4, RET, EGFR or MET, among others. Similarly,
pancreatic cancer cell lines harboring oncogenic KRAS mutation were found to
display outlier expression of AXL, MET, EPHA2, or MST1R and other
potentially targetable kinases, in a sample specific expression profile.
Based on these observations, we hypothesize that in addition to the primary
aberration in every cancer sample multiple secondary drivers act through
parallel/collaborating pathways. A combinatorial therapeutic strategy
targeting the primary aberration together with sample specific secondary
aberrations could preempt or overcome resistance to targeted therapy focused
solely on the primary driver. Through an integrative analysis of high
throughput transcriptome and exome sequencing of cancer samples, we could
nominate personalized therapeutic candidates in real time. This could
provide a novel paradigm for personalized medicine for cancers.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
transcriptome
EMTREE DRUG INDEX TERMS
gefitinib
imatinib
lapatinib
phosphotransferase
phosphotransferase inhibitor
protein kinase
small interfering RNA
trastuzumab
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer research
neoplasm
personalized medicine
EMTREE MEDICAL INDEX TERMS
addiction
breast
breast cancer
cancer cell culture
chronic myeloid leukemia
exome
gene
gene expression
genomics
high throughput sequencing
human
lung cancer
molecularly targeted therapy
mutation
oncogene
pancreas cancer
patient
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70690898
DOI
10.1158/1538-7445.AM2011-4986
FULL TEXT LINK
http://dx.doi.org/10.1158/1538-7445.AM2011-4986
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 981
TITLE
Abdominal Aortic Aneurysm (AAA) screening compliance and correlation with
smoking status documentation at an academic medical center: 5 years later
where are we?
AUTHOR NAMES
Ilonze O.J.
Mathew L.M.
AUTHOR ADDRESSES
(Ilonze O.J.; Mathew L.M.) Unity Health System, Rochester, United States.
CORRESPONDENCE ADDRESS
O.J. Ilonze, Unity Health System, Rochester, United States.
SOURCE
Journal of the American College of Cardiology (2011) 57:14 SUPPL. 1 (E1191).
Date of Publication: 5 Apr 2011
CONFERENCE NAME
60th Annual Scientific Session of the American College of Cardiology and i2
Summit: Innovation in Intervention, ACC.11
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2011-04-02 to 2011-04-05
ISSN
0735-1097
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Background: Aortic Aneurysms account for 15 000 deaths in the United States
annually; of these, 9 000 are abdominal aortic aneurysm (AAA) - with most of
these deaths occurring in men above 65 years of age. In 2005, updated
guidelines by the United States Preventive Services Task Force (USPSTF)
recommended a one-time screening with abdominal ultrasonography for AAA in
men aged 65-75 years of age who have ever smoked. National data on
compliance with AAA screening guidelines and detection rates are sparse..
Methods: Retrospective reviews of the electronic medical record (EMR) of
male patients between ages of 64 and 76 years former smokers or currently
active tobacco users who had been followed by their primary care physicians
for a period of at least 1 year were performed in a busy outpatient clinic.
The aim was to determine patients who had at least a one-time abdominal
ultrasound primarily for AAA screening or any other screening modality for
any other indication eg. abdominal CT with concomitant infra-aortic imaging.
The likelihood of AAA screening was then compared with the likelihood of
smoking status documentation. The study period was from the installation of
the EMR in 2006 till August 31, 2010. Results: The fnal study sample size
was 126 patients. The average rate of AAA screening was 36%. There was huge
variability in rates of screening for AAA among the individual physicians
with rates ranging from 0%-69%. In our study, higher rate of documentation
of smoking status resulted in higher screening rates for AAA. However the
highly variable trend of screening rates among individual physicians is
worrying and there is need for marked improvement in documentation of
smoking status and one-time AAA screening. Conclusion: Despite the glaring
survival benefits of AAA screening, compliance rates remain low. Documenting
smoking status among older men and increasing awareness about mortality
benefits of screening are necessary first steps. Future studies and
guidelines should emphasize reporting of screening compliance to maximize
long term mortality benefit from this recommendation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abdominal aortic aneurysm
cardiology
college
documentation
screening
smoking
university hospital
EMTREE MEDICAL INDEX TERMS
aortic aneurysm
death
echography
electronic medical record
imaging
male
mortality
outpatient department
patient
physician
preventive health service
primary medical care
sample size
survival
tobacco
ultrasound
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70400868
DOI
10.1016/S0735-1097(11)61191-1
FULL TEXT LINK
http://dx.doi.org/10.1016/S0735-1097(11)61191-1
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 982
TITLE
Training in addiction medicine in Australia.
AUTHOR NAMES
Haber P.S.
Murnion B.P.
AUTHOR ADDRESSES
(Haber P.S.) Drug Health Services, Royal Prince Alfred Hospital and
Discipline of Addiction Medicine, University of Sydney, Camperdown, New
South Wales, Australia.
(Murnion B.P.)
CORRESPONDENCE ADDRESS
P.S. Haber, Drug Health Services, Royal Prince Alfred Hospital and
Discipline of Addiction Medicine, University of Sydney, Camperdown, New
South Wales, Australia. Email: paul.haber@sydney.edu.au
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:2 (115-119). Date of
Publication: Apr 2011
ISSN
1547-0164 (electronic)
ABSTRACT
Barriers to entering addiction medicine (AM) have led to a persisting
workforce shortage. To address this problem, the Chapter of Addiction
Medicine (AChAM) was formed in 2001 as a subdivision of the Royal
Australasian College of Physicians (RACP). Through consultation, AChAM has
identified the scope of practice and offered fellowship to suitable
established practitioners. The Chapter successfully applied to the
Australian Government for recognition of AM as a medical specialty, which
was finalized in November 2009. Specialist reimbursement item numbers were
incorporated into that decision process and commence operating in November
2010. AChAM has designed and implemented a training scheme using a model
similar to that of the RACP internal medicine training program. This
comprises 3 years of basic general medical training post internship followed
by 3 years of discipline-specific supervised training. The training is
broadly based, with experience in both ambulatory care and inpatient care,
and including physical health as well as mental health. Assessment is
continuous and competency based. There is no exit examination. The
overriding clinical approach rests upon the harm minimization framework
consistent with long-established national drug policy in Australia and
favors evidence-based treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical medicine
drug dependence treatment
medical education
EMTREE MEDICAL INDEX TERMS
accreditation
article
Australia
curriculum
education
human
manpower
methodology
standard
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21534133 (http://www.ncbi.nlm.nih.gov/pubmed/21534133)
PUI
L362474742
DOI
10.1080/08897077.2011.555718
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.555718
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 983
TITLE
Specialized training on addictions for physicians in the United States.
AUTHOR NAMES
Tontchev G.V.
Housel T.R.
Callahan J.F.
Kunz K.B.
Miller M.M.
Blondell R.D.
AUTHOR ADDRESSES
(Tontchev G.V.) Department of Family Medicine, University at Buffalo,
Buffalo, New York 14215, USA.
(Housel T.R.; Callahan J.F.; Kunz K.B.; Miller M.M.; Blondell R.D.)
CORRESPONDENCE ADDRESS
G.V. Tontchev, Department of Family Medicine, University at Buffalo,
Buffalo, New York 14215, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:2 (84-92). Date of
Publication: Apr 2011
ISSN
1547-0164 (electronic)
ABSTRACT
In the United States accredited residency programs in addiction exist only
for psychiatrists specializing in addiction psychiatry (ADP);
nonpsychiatrists seeking training in addiction medicine (ADM) can train in
nonaccredited "fellowships," or can receive training in some ADP programs,
only to not be granted a certificate of completion of accredited training.
Information about ADP residency programs has been tabulated, but it is not
available for ADM fellowships. The authors conducted a national survey to
compile information about the location, structure, curriculum, and other
characteristics of active ADM fellowships. Of the 40 accredited ADP
residency programs, 7 offered training in addiction to nonpsychiatrists. The
authors identified 14 nonaccredited ADM fellowships. In 2009 and 2010, there
were approximately 15 nonpsychiatrists in ADP programs and 25 in ADM
fellowships. Clinical experiences included inpatient services, outpatient
treatment services such as methadone maintenance or buprenorphine
maintenance, and providing addiction consult services. The most common
academic activities included weekly lectures and the teaching of medical
students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical medicine
drug dependence treatment
medical education
EMTREE MEDICAL INDEX TERMS
article
education
human
manpower
methodology
organization and management
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21534129 (http://www.ncbi.nlm.nih.gov/pubmed/21534129)
PUI
L362474738
DOI
10.1080/08897077.2011.555702
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.555702
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 984
TITLE
Developing a competence-based addiction medicine curriculum in Indonesia:
the training needs assessment.
AUTHOR NAMES
Pinxten W.J.
De Jong C.
Hidayat T.
Istiqomah A.N.
Achmad Y.M.
Raya R.P.
Norviatin D.
Siregar I.M.
AUTHOR ADDRESSES
(Pinxten W.J.) IMPACT, Bandung, Indonesia.
(De Jong C.; Hidayat T.; Istiqomah A.N.; Achmad Y.M.; Raya R.P.; Norviatin
D.; Siregar I.M.)
CORRESPONDENCE ADDRESS
W.J. Pinxten, IMPACT, Bandung, Indonesia. Email: lpinxten@yahoo.com
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:2 (101-107). Date of
Publication: Apr 2011
ISSN
1547-0164 (electronic)
ABSTRACT
Indonesia has one of the fastest growing, injecting drugs user-driven, human
immunodeficiency virus (HIV) epidemics in Asia. Coverage of needle and
syringe programs (NSPs), opioid substitution therapy (OST), and
antiretroviral treatment (ART) is increasing, but is still low, whereas
professional training in addiction medicine is not yet established. Urgent
development and scaling-up of professional capacity in comprehensive,
evidence-based addiction medicine is needed. In this article the results of
the first step is presented, being the training needs assessment (TNA) and
the process of further developing a national evidence- and competence-based
addiction medicine curriculum in Indonesia.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical medicine
curriculum
drug dependence treatment
evidence based medicine
medical education
needs assessment
EMTREE MEDICAL INDEX TERMS
adult
article
education
female
health personnel attitude
human
Indonesia
male
manpower
middle aged
standard
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21534131 (http://www.ncbi.nlm.nih.gov/pubmed/21534131)
PUI
L362474740
DOI
10.1080/08897077.2011.555710
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.555710
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 985
TITLE
Substance use disorder education for medical students: Reflections on our
Betty Ford Institute training experience
AUTHOR NAMES
Schrimsher G.W.
Casey L.
Nelson J.S.
Overstreet S.E.
Schaefer D.
Williams S.C.
AUTHOR ADDRESSES
(Schrimsher G.W., gregory.schrimsher@ttuhsc.edu) Texas Tech. University
Health Sciences Center, Department of Psychiatry, STOP 8103, 3601 4th
Street, Lubbock, TX 79430-8103, United States.
(Casey L.; Nelson J.S.; Overstreet S.E.; Schaefer D.) School of Medicine,
Texas Tech. University Health Sciences Center, Lubbock, TX, United States.
(Williams S.C.) Department of Cell Biology and Biochemistry, Texas Tech.
University Health Sciences Center, Lubbock, TX, United States.
CORRESPONDENCE ADDRESS
G. W. Schrimsher, Texas Tech. University Health Sciences Center, Department
of Psychiatry, STOP 8103, 3601 4th Street, Lubbock, TX 79430-8103, United
States. Email: gregory.schrimsher@ttuhsc.edu
SOURCE
Alcoholism Treatment Quarterly (2011) 29:2 (158-169). Date of Publication:
April 2011
Relating Research to the Treatment of Alcoholism Guest Editor: Gregory W.
Schrimsher, Book Series Title:
ISSN
0734-7324
1544-4538 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
This article shares the personal reflections of four 3rd-year medical
students and two faculty members from the Texas Tech University Health
Sciences Center who participated in the Summer Institute for Medical
Students (SIMS) program provided by the Betty Ford Institute. The SIMS
program is a one-week experiential program of participating in treatment
activities with patients and their family members at the Betty Ford Center
as well as educational instruction on addiction as a treatable disease. We
would like to share how the SIMS experience affected us as professionals and
individuals and how we will incorporate this experience in our future
efforts as health care providers and educators. Copyright © Taylor & Francis
Group, LLC.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
medical student
personal experience
summer institute for medical students
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
education program
family centered care
health care personnel
health educator
human
patient care planning
review
treatment planning
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011281122
PUI
L361792682
DOI
10.1080/07347324.2011.557981
FULL TEXT LINK
http://dx.doi.org/10.1080/07347324.2011.557981
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 986
TITLE
International perspectives in postgraduate medical training in addiction
medicine.
AUTHOR NAMES
Haber P.S.
AUTHOR ADDRESSES
(Haber P.S.)
CORRESPONDENCE ADDRESS
P.S. Haber,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:2 (75-76). Date of
Publication: Apr 2011
ISSN
1547-0164 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical medicine
drug dependence treatment
international cooperation
medical education
EMTREE MEDICAL INDEX TERMS
editorial
education
human
manpower
methodology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21534127 (http://www.ncbi.nlm.nih.gov/pubmed/21534127)
PUI
L362474736
DOI
10.1080/08897077.2011.555695
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.555695
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 987
TITLE
Addiction medicine in Canada: challenges and prospects.
AUTHOR NAMES
el-Guebaly N.
Crockford D.
Cirone S.
Kahan M.
AUTHOR ADDRESSES
(el-Guebaly N.) Addiction Division, University of Calgary, Calgary, Alberta,
Canada.
(Crockford D.; Cirone S.; Kahan M.)
CORRESPONDENCE ADDRESS
N. el-Guebaly, Addiction Division, University of Calgary, Calgary, Alberta,
Canada. Email: nady.el-guebaly@albertahealthservices.ca
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:2 (93-100). Date of
Publication: Apr 2011
ISSN
1547-0164 (electronic)
ABSTRACT
In Canada, the qualification of physicians is the jurisdiction of the
College of Family Physicians and the Royal College of Physicians and
Surgeons. The Colleges have promoted the training of "generalists" in family
medicine and "sophisticated generalists" among the traditional specialties,
and the development of subspecialties has not been encouraged. Nevertheless,
due to the increasing number of family physicians and specialists practicing
a range of new subspecialties, including addiction medicine, the College of
Family Physicians has recognized special interest or focused practices,
whereas the Royal College has recognized, in psychiatry, 3 subspecialties
(child, geriatric, forensic) requiring an extra year of training and may
offer others a diploma recognition. These new opportunities will shape the
training requirements of addiction medicine leading to available
certification through the International and American Medical Societies of
Addiction Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
certification
clinical competence
clinical medicine
drug dependence treatment
evidence based medicine
EMTREE MEDICAL INDEX TERMS
article
Canada
education
general practitioner
human
manpower
methodology
psychiatry
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21534130 (http://www.ncbi.nlm.nih.gov/pubmed/21534130)
PUI
L362474739
DOI
10.1080/08897077.2011.555705
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.555705
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 988
TITLE
One more cup of coffee, my dear professor? caffeine, alcohol and cigarette
consumption among students, residents and teaching staff in a medical
faculty
ORIGINAL (NON-ENGLISH) TITLE
Hocam, bir kahve daha al{dotless}r m{dotless}yd{dotless}n{dotless}z? bir
t{dotless}p fakültesinde öǧrenciler, asistanlar ve öǧretim üyeleri
aras{dotless}nda kafein, alkol ve sigara tüketimi
AUTHOR NAMES
Acar S.T.
Yazici K.
Köksal R.
Sanberk S.
Yazici A.
AUTHOR ADDRESSES
(Acar S.T., seneltot@mersin.edu.tr; Yazici K.; Köksal R.; Yazici A.) Mersin
Üniversitesi Tip Fakültesi Psikiyatri AD, Turkey.
(Sanberk S.) Mersin Üniversitesi Tip Fakültesi Çocuk Psikiyatrisi AD,
Turkey.
CORRESPONDENCE ADDRESS
S. T. Acar, Mersin Üniversitesi Tip Fakültesi Psikiyatri AD, Zeytinlibahçe
Cad 33079 Mersin, Turkey. Email: seneltot@mersin.edu.tr
SOURCE
Yeni Symposium (2011) 49:2 (120-124). Date of Publication: April 2011
ISSN
1300-8773
1304-4591 (electronic)
BOOK PUBLISHER
Istanbul Universitesi, Aksaray, Istanbul, Turkey.
ABSTRACT
Purpose: To investigate the association of daily the level of caffeine
intake, cigarette smoking and alcohol intake with the level of anxiety and
depression among the students, residents and teaching staff, and to compare
those three groups for these variables. Method: Study population consisted
of 130 students (male: 67, female: 63), 54 residents (male: 31, female: 23),
and 35 members of teaching staff (male: 18, female: 17). Students were
divided into two groups as those in basic medical education phase (within
first 3 years) and those in clinical medical education (within last 3
years). All subjects were administered a 14-item questionnaire concerning
caffeine, cigarette and alcohol use, and Beck Depression and Beck Anxiety
scales. Results: Total caffeine intake values by male subjects (n=116) and
female subjects (n=103) were 288.8 mg/day and 214.7 mg/day respectively
(p=0.002). Daily caffeine consumption in different groups were as follows:
teaching staff 346±183 mg/day, residents 258±204 mg/day, clinical medical
education students 248 mg/day and basic medical education students 202±141
mg/day. Caffeine intake was positively correlated with alcohol intake and
number of cigarettes consumed (r= 0.232, p=0.001 and r=0.351, p=0.0001,
respectively). There was no association between caffeine and cigarette
consumption and anxiety and depression scores. Discussion and Conclusion:
Caffeine intake was higher in males than females and in teaching staff than
students. Cigarette smoking and alcohol intake increases with caffeine
intake. Amount of caffeine consumed was not associated with depression and
anxiety levels.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
caffeine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
coffee
EMTREE MEDICAL INDEX TERMS
alcohol consumption
anxiety
article
Beck Anxiety Inventory
Beck Depression Inventory
cigarette smoking
correlation analysis
depression
disease association
female
human
male
medical education
medical school
medical student
questionnaire
resident
teacher
teaching
CAS REGISTRY NUMBERS
caffeine (58-08-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English, Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
2011315412
PUI
L361907320
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 989
TITLE
The master in addiction medicine program in the Netherlands.
AUTHOR NAMES
De Jong C.
Luycks L.
Delicat J.W.
AUTHOR ADDRESSES
(De Jong C.) Nijmegen Institute for Scientist Practitioners in Addiction
(NISPA), Nijmegen, The Netherlands.
(Luycks L.; Delicat J.W.)
CORRESPONDENCE ADDRESS
C. De Jong, Nijmegen Institute for Scientist Practitioners in Addiction
(NISPA), Nijmegen, The Netherlands. Email: nispa.dejong@gmail.com
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:2 (108-114). Date of
Publication: Apr 2011
ISSN
1547-0164 (electronic)
ABSTRACT
Since 2007 there is a full-time, 2-year professional training in addiction
medicine in the Netherlands. The aim of this article is to describe in
detail the development and present status of the Dutch Master in Addiction
Medicine (MiAM) program. In this competency-based professional training,
theoretical courses are integrated with learning in clinical practice under
guidance of an experienced clinical teacher. The theoretical courses consist
of evidence-based medicine, communication and basic psychotherapeutic
skills, neurobiology of addiction, addiction medicine, addiction and
psychiatry, and public health. The 7 main competencies are made ready for
operation in the personal education plan and are evaluated by different
styles of examination.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical medicine
curriculum
drug dependence treatment
evidence based medicine
medical education
program development
EMTREE MEDICAL INDEX TERMS
addiction
article
economics
education
human
manpower
methodology
Netherlands
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21534132 (http://www.ncbi.nlm.nih.gov/pubmed/21534132)
PUI
L362474741
DOI
10.1080/08897077.2011.555713
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.555713
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 990
TITLE
The international certification of addiction medicine: validating clinical
knowledge across borders.
AUTHOR NAMES
el-Guebaly N.
Violato C.
AUTHOR ADDRESSES
(el-Guebaly N.) University of Calgary, Calgary, Alberta, Canada.
(Violato C.)
CORRESPONDENCE ADDRESS
N. el-Guebaly, University of Calgary, Calgary, Alberta, Canada. Email:
nady.el-guebaly@albertahealthservices.ca
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:2 (77-83). Date of
Publication: Apr 2011
ISSN
1547-0164 (electronic)
ABSTRACT
The experience of the International Society of Addiction Medicine in setting
up the first international certification of clinical knowledge is reported.
The steps followed and the results of a psychometric analysis of the tests
from the first 65 candidates are reported. Lessons learned in the first 5
years and challenges for the future are identified.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
certification
clinical competence
clinical medicine
drug dependence treatment
international cooperation
EMTREE MEDICAL INDEX TERMS
article
human
manpower
methodology
reproducibility
standard
statistics
validation study
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21534128 (http://www.ncbi.nlm.nih.gov/pubmed/21534128)
PUI
L362474737
DOI
10.1080/08897077.2011.555697
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.555697
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 991
TITLE
Training physicians to do office-based smoking cessation increases adherence
to PHS guidelines.
AUTHOR NAMES
Caplan L.
Stout C.
Blumenthal D.S.
AUTHOR ADDRESSES
(Caplan L.) Department of Community Health and Preventive Medicine,
Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310-1495,
USA.
(Stout C.; Blumenthal D.S.)
CORRESPONDENCE ADDRESS
L. Caplan, Department of Community Health and Preventive Medicine, Morehouse
School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310-1495, USA.
Email: lcaplan@msm.edu
SOURCE
Journal of community health (2011) 36:2 (238-243). Date of Publication: Apr
2011
ISSN
1573-3610 (electronic)
ABSTRACT
Cigarette smoking is the leading cause of preventable mortality and
morbidity in the United States. Healthcare providers can contribute
significantly to the war against tobacco use; patients advised to quit
smoking by their physicians are 1.6 times more likely to quit than patients
not receiving physician advice. However, most smokers do not receive this
advice when visiting their physicians. The Morehouse School of Medicine
Tobacco Control Research Program was undertaken to develop best practices
for implementing the "2000 Public Health Services Clinical Practice
Guidelines on Treating Tobacco Use and Dependence" and the "Pathways to
Freedom" tobacco cessation program among African American physicians in
private practice and healthcare providers at community health centers. Ten
focus groups were conducted; 82 healthcare professionals participated. Six
major themes were identified as barriers to the provision of smoking
cessation services. An intervention was developed based on these results and
tested among Georgia community-based physicians. A total of 308 charts were
abstracted both pre- and post-intervention. Charts were scored using a
system awarding one point for each of the five "A's" recommended by the PHS
guidelines (Ask, Advise, Assess, Assist, Arrange) employed during the
patient visit. The mean pre-intervention five "A's" score was 1.29 compared
to 1.90 post-intervention (P < 0.001). All charts had evidence of the first
"A" ("asked") both pre- and post-intervention, and the other four "A's" all
had statistically significant increases pre-to post-intervention.
CONCLUSIONS: The results demonstrate that, with training of physicians,
compliance with the PHS tobacco guidelines can be greatly improved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
medical education
practice guideline
smoking cessation
EMTREE MEDICAL INDEX TERMS
African American
article
clinical competence
clinical practice
evaluation study
health care delivery
health center
human
information processing
methodology
organization and management
public health service
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20697785 (http://www.ncbi.nlm.nih.gov/pubmed/20697785)
PUI
L361941522
DOI
10.1007/s10900-010-9303-0
FULL TEXT LINK
http://dx.doi.org/10.1007/s10900-010-9303-0
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 992
TITLE
Effectiveness of a course on the prevention and control of the smoking habit
on its prevalence and incidence among students of health sciences
AUTHOR NAMES
Martín V.
Molina A.J.
Fernández D.
Fernández T.
de Abajo S.
Delgado M.
AUTHOR ADDRESSES
(Martín V., vmars@unileon.es) Area of Preventive Medicine and Public Health,
Department of Biomedical Sciences, University of Leon, Institute of
Biomedicine (IBIOMED), Spain.
(Molina A.J.) Area of Preventive Medicine and Public Health, Department of
Biomedical Sciences, University of Leon, Institute of Biomedicine (IBIOMED),
Spain.
(Fernández D.) Nursing Supervisor Nursing Service, Hospital of León, Spain.
(Fernández T.) Teaching Assistant Area of Preventive Medicine and Public
Health, Department of Biomedical Sciences, Institute of Biomedicine
(IBIOMED), University of Leon, Spain.
(de Abajo S.) Teaching Assistant Area of Preventive Medicine and Public
Health, Department of Biomedical Sciences, University of Leon, Institute of
Biomedicine (IBIOMED), Spain.
(Delgado M.) Area of Preventive Medicine, Department of Health Sciences,
University of Jaén, Spain.
CORRESPONDENCE ADDRESS
V. Martín, Area of Preventive Medicine and Public Health, Department of
Biomedical Sciences, University of Leon, Institute of Biomedicine (IBIOMED),
Spain. Email: vmars@unileon.es
SOURCE
Journal of Advanced Nursing (2011) 67:4 (747-755). Date of Publication:
April 2011
ISSN
0309-2402
1365-2648 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aim. This paper is a report of the effectiveness of a tobacco use prevention
and control course on health sciences students' smoking prevalence and
incidence. Background. Although it is known that the intervention of health
professionals in their patients' tobacco use can be affected by their own
habit, very few studies have analysed the effect of specific
tobacco-oriented training on smoking among health science students. Methods.
This study is a quasi-experimental study of community intervention. During
the years 2005-2008, a total of 290 health science students on the
intervention campus and 256 on the control campus took part in the study. In
the former, the intervention consisted of a course on the prevention and
control of tobacco use for students, which was not offered on the control
campus. Data about tobacco use and socio-demographic variables were
collected by means of a questionnaire before and 6months after the
intervention. Results. Prevalence of tobacco use decreased in the
intervention group (-1·1%) and increased in the control group (1·5%). The
risk of acquiring the habit was almost three times higher in the control
group than in the intervention group and the probability of cessation was
40% higher in the intervention group and correlated with nicotine
dependence. Conclusion. The intervention suggests the effect on habit
acquisition was slight but not so on cessation. Preventive interventions
should be carried out before students go to university, while more specific
cessation programmes are required to reduce tobacco use among students. ©
2010 Blackwell Publishing Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical personnel
smoking (epidemiology, prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
female
health care personnel
human
incidence
male
model
nursing evaluation research
prevalence
psychological aspect
statistics
tobacco dependence (epidemiology, prevention)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21143623 (http://www.ncbi.nlm.nih.gov/pubmed/21143623)
PUI
L361452876
DOI
10.1111/j.1365-2648.2010.05532.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2648.2010.05532.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 993
TITLE
Addiction psychiatry.
AUTHOR ADDRESSES
SOURCE
Clinical privilege white paper (2011) :426 (1-17). Date of Publication: Apr
2011
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
accreditation
addiction
medical education
psychiatry
EMTREE MEDICAL INDEX TERMS
article
certification
education
hospital management
human
medical society
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21696020 (http://www.ncbi.nlm.nih.gov/pubmed/21696020)
PUI
L362241897
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 994
TITLE
Course of smoking and quit attempts among clients with co-occurring severe
mental illness and substance use disorders
AUTHOR NAMES
Ferron J.C.
Brunette M.F.
He X.
Xie H.
McHugo G.J.
Drake R.E.
AUTHOR ADDRESSES
(Ferron J.C., joelle.ferron@dartmouth.edu; He X.; Xie H.; McHugo G.J.)
Department of Community and Family Medicine, Dartmouth College, 85 Mechanic
St., Lebanon, NH 03766, United States.
(Brunette M.F.; Drake R.E.) Department of Psychiatry, Dartmouth College,
United States.
CORRESPONDENCE ADDRESS
J. C. Ferron, Department of Community and Family Medicine, Dartmouth
College, 85 Mechanic St., Lebanon, NH 03766, United States. Email:
joelle.ferron@dartmouth.edu
SOURCE
Psychiatric Services (2011) 62:4 (353-359). Date of Publication: April 2011
ISSN
1075-2730
1557-9700 (electronic)
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
ABSTRACT
Objective: Approximately three-quarters of people with severe mental
illnesses smoke cigarettes, and the rate is even higher among those with
co-occurring substance use disorders. This longitudinal study explored
patterns of cigarette use and cessation attempts among mental health clients
with co-occurring disorders. Methods: Clients participating in a
longitudinal study of co-occurring disorders (N=174) were assessed yearly
over 11 years for smoking and smoking cessation behaviors, psychiatric
symptoms, and other substance use, as well as social, occupational, and
other characteristics. Generalized linear mixed-effects models were used to
examine smoking cessation outcomes. Results: Eighty-nine percent of
participants were current smokers at baseline. Seventy-five percent of
participants tried to quit at least once over the 11 years of the study,
although none received nicotine replacement therapy or bupropion. Only 17%
were not smoking at the 11-year follow-up. The presence of a chronic general
medical condition predicted a longer duration of not smoking in the past
year. Being male and having a high school education or higher were
associated with more attempts to quit smoking, as were higher scores on the
activation subscale of the Brief Psychiatric Rating Scale, more social
contact with non-substance-using friends, and more daily activities.
Conclusions: Although many clients with co-occurring serious mental illness
and substance use disorders tried to quit each year, few achieved sustained
abstinence and none used evidence-based interventions (nicotine replacement
therapy or bupropion). Treatment providers need to administer evidence-based
interventions to help people quit successfully. Copyright © 2011 American
Psychiatric Association. All rights reserved.
EMTREE DRUG INDEX TERMS
amfebutamone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease
smoking cessation
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
cigarette smoking
clinical feature
controlled study
disease severity
educational status
female
human
major clinical study
male
nicotine replacement therapy
occupation
rating scale
social aspect
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011188310
MEDLINE PMID
21459985 (http://www.ncbi.nlm.nih.gov/pubmed/21459985)
PUI
L361554803
DOI
10.1176/appi.ps.62.4.353
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ps.62.4.353
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 995
TITLE
Why are we waiting? Improving pain management in the emergency department at
Southampton General Hospital
AUTHOR NAMES
Davies E.
Spearst T.
Price C.
Dawson P.
AUTHOR ADDRESSES
(Davies E.; Price C.; Dawson P.) Southampton University, Hospitals NHS
Trust, Southampton, United Kingdom.
(Spearst T.) University of Southampton, School of Medicine, Southampton,
United Kingdom.
CORRESPONDENCE ADDRESS
E. Davies, Southampton University, Hospitals NHS Trust, Southampton, United
Kingdom.
SOURCE
Clinical Pharmacist (2011) 3:4 (S1-S2). Date of Publication: April 2011
CONFERENCE NAME
United Kingdom Clinical Pharmacy Association Autumn Symposium 2010, UKCPA
2010
CONFERENCE LOCATION
Daventry, United Kingdom
CONFERENCE DATE
2010-11-19 to 2010-11-21
ISSN
1758-9061
BOOK PUBLISHER
Pharmaceutical Press
ABSTRACT
Pain management is recognised by the College of Emergency Medicine (CEM) as
a priority in the treatment of patients. Indeed, the CEM “Guideline for
management of pain in adults” states that it is one of the most important
components of patient care.(1) Standards for pain management are laid down
in the 2008 document, “Clinical standards for emergency departments”.(2)
Despite this, pain is often managed suboptimally.(3,4) Pain management was
highlighted as a key area for improvement in the Healthcare Commission's
“Emergency department survey 2008”, a retrospective survey of the
experiences of emergency department (ED) patients that involved 151 acute
trusts and almost 50,000 responses. When asked “Do you think that the
hospital staff did everything they could to help control your pain?” 59% of
patients said “yes, definitely”, 27% replied, “yes, to some extent” but 14%
of the patients said “No”.(5) Although progress has been made, the
Healthcare Commission highlights that it remains an area with room for
improvement. Within the emergency department at Southampton General
Hospital, it was acknowledged that pain was not always being managed within
the CEM guideline recommendations. Attempts had been made in the past to
improve the situation but standardised guidelines had not been completed. In
addition, there were multiple analgesic preparations available in the ED
that anecdotally led to practitioners using personal preference when
prescribing medicines rather than being guided by evidence or protocol. The
quality of pain management in the ED of Southampton General Hospital was
audited and the results were then used to direct the development of new
guidelines for the treatment of pain in the ED, which was to include a more
rational choice of medication. OBJECTIVES: • To ascertain the extent to
which practice conforms to guidelines and agreed standards laid down by the
CEM with regards to: assessment of pain; analgesia given; timeliness of
analgesia; and reassessment of pain • To establish whether patients are
satisfied with their pain management • To develop new guidelines for pain
management within the ED and then reaudit quality of care following their
implementation METHOD: A questionnaire was developed to assess how the ED
was performing with respect to key areas of interest: pain assessment:
scored between 0 and 10 and recorded on arrival in ED, patient-recalled
values at arrival and during ED admission and then during interview;
analgesia prescribed and given; time to reassessment of pain following
medication administration - from notes and patient recall; qualitative
patient reports - whether they felt their pain was better since admission
and how well they felt it had been managed. This was piloted over one month
and then adjusted based on feedback and preliminary evaluation. The
questionnaire incorporated details from ED notes and patient interviews.
Data for the final questionnaire were collected 9am to 5pm Monday to Friday
and from 200 patients between November 2008 and February 2009. RESULTS: Of
the 200 patients interviewed (47% male), 193 had a pain score recorded on
arrival in the ED. Twenty per cent recalled having mild pain, 24% moderate
and 56% severe pain. Of those, 76 patients were interviewed in ED “minors”
and 117 in “majors”. The results are summarised in Figure 1 and Table 1.
CONCLUSION: The full study results demonstrated that analgesia was underused
in the ED - particularly for patients in severe pain and when analgesia was
given too slowly or not effectively reassessed. This may demonstrate a
reticence to prescribe stronger analgesia. Indeed, lack of education and
inappropriate attitudes towards addiction and drug-seeking behaviour are
cited(6) as possible reasons for similar trends observed previously. New
guidelines have been developed to take account of the needs of patient
groups in different areas of the ED. There is a focus on reassessment and
adding medicines according to need. Colour coding is used to improve impact
and ease of use in the busy environment of the ED. Bolusing IV morphine for
severe pain has been introduced, with rescue plans included also. In
addition, the medicines available in the ED have been rationalised
(combination products removed, NSAIDs reduced to one option) and advice on
discharge medication has been provided. A comprehensive staff education
programme is in development to accompany the launch of the guidelines.
Compliance with the new guidelines was to be audited six months after their
introduction, which was expected to occur in July 2010.
EMTREE DRUG INDEX TERMS
analgesic agent
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
autumn
clinical pharmacy
emergency ward
general hospital
United Kingdom
EMTREE MEDICAL INDEX TERMS
addiction
adult
college
color
drug seeking behavior
drug therapy
education
emergency medicine
environment
feedback system
health care
hospital personnel
human
interview
male
pain
pain assessment
patient
patient care
physician
questionnaire
recall
staff training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70749572
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 996
TITLE
Pathological gambling in treatment-seeking alcoholics: A national survey in
France
AUTHOR NAMES
Nalpas B.
Yguel J.
Fleury B.
Martin S.
Jarraud D.
Craplet M.
AUTHOR ADDRESSES
(Nalpas B., bertrand.nalpas@inserm.fr; Fleury B.; Jarraud D.; Craplet M.)
Délégation à l'évaluation et la recherche, ANPAA, Paris, France.
(Nalpas B., bertrand.nalpas@inserm.fr) Inserm U1016, Paris, France.
(Nalpas B., bertrand.nalpas@inserm.fr) Service Addictologie, CHU Caremeau,
Av du Pr. Robert Debré, 30029 Nîmes Cedex 9, France.
(Yguel J.) Service Addictologie, Centre Hospitalier Avesnes sur Helpe, Nîmes
Cedex 9, France.
(Martin S.) ANPAA, Comité 30, Nîmes, France.
CORRESPONDENCE ADDRESS
B. Nalpas, Délégation à l'évaluation et la recherche, ANPAA, Paris, France.
Email: bertrand.nalpas@inserm.fr
SOURCE
Alcohol and Alcoholism (2011) 46:2 (156-160) Article Number: agq099. Date of
Publication: 2011
ISSN
0735-0414
1464-3502 (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Aims: To estimate the prevalence of pathological gambling (pG) in people
addicted to alcohol and drugs, particularly those with alcohol use disorders
(AUDs), including new forms of gambling such as video and on-line games; and
to update the sociodemographic profile of people suffering from both AUD and
pG. Method: A cross-sectional survey was conducted in 1 week of 2009 in 55
French addiction treatment centres, including all consecutive patients
attending that centre, using an anonymous questionnaire which included a
tool specific for pG screening, the DEBA-jeu questionnaire (Détection et
Besoin d'Aide en regard du Jeu Excessif). Results: A total of 2790 patients
entered the study. The most frequent reason for attending the Addiction
Centres was AUD (77%). According to the DEBA test, 6.5% of the patients were
pathological gamblers and 12% were subsyndromal gamblers. pG affected all
age groups and did not decrease with abstinence from alcohol. pG was
significantly associated with male sex [relative risk (RR) = 2.4; P <
0.001)] and, at a lower level of significance, with homelessness (RR = 1.52;
P = 0.03) and unemployment (RR = 1.47; P = 0.04). Conclusions: pG appears to
be a common feature of the French people with alcohol and drug disorders.
Apart from male sex, no parameter had discriminatory power sufficient to
target pG screening on a specific subgroup. Therefore, any patient attending
a centre for drug or AUD should be asked about his gambling. Moreover,
clinical teams should be trained to treat this addiction. © The Author 2011.
Published by Oxford University Press on behalf of the Medical Council on
Alcohol. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
alcoholism
help seeking behavior
pathological gambling (diagnosis)
EMTREE MEDICAL INDEX TERMS
addiction
adult
article
controlled study
Diagnostic and Statistical Manual of Mental Disorders
female
France
health survey
homelessness
human
major clinical study
male
prevalence
priority journal
questionnaire
screening
unemployment
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011115433
MEDLINE PMID
21245061 (http://www.ncbi.nlm.nih.gov/pubmed/21245061)
PUI
L361333109
DOI
10.1093/alcalc/agq099
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agq099
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 997
TITLE
Cross-Canada check-up 2010: A survey of family medicine residency training
in chronic non cancer pain (CNCP) and addiction
AUTHOR NAMES
Dubin R.E.
Hunter J.
Jovey R.D.
Andre Belanger
Foley J.
Forster I.
Fraser J.
Hajela R.
Hatcher L.
Jacobs H.
Kim J.
Montbriand M.
Montgomery L.
Opdahl M.
Plach N.
Rahaman O.
Squire P.
Szott M.
Ware M.
Weinberg E.
Wu H.
AUTHOR ADDRESSES
(Andre Belanger; Foley J.; Forster I.; Fraser J.; Hajela R.; Hatcher L.;
Jacobs H.; Kim J.; Montbriand M.; Montgomery L.; Opdahl M.; Plach N.;
Rahaman O.; Squire P.; Szott M.; Ware M.; Weinberg E.; Wu H.)
(Dubin R.E.) Kingston Family Health Team, Queen's University, Kingston,
Canada.
(Hunter J.) Department of Physical Therapy, University of Alberta, Edmonton,
Canada.
(Hunter J.) University of Toronto, U of A Certificate in Pain Management
Course, Toronto, Canada.
(Jovey R.D.) CPM Centres for Pain Management, Addictions, Concurrent
Disorders, Credit Valley Hospital, Mississauga, Canada.
CORRESPONDENCE ADDRESS
R.E. Dubin, Kingston Family Health Team, Queen's University, Kingston,
Canada.
SOURCE
Pain Research and Management (2011) 16:2 (105). Date of Publication:
March-April 2011
CONFERENCE NAME
2011 Annual Conference of the Canadian Pain Society
CONFERENCE LOCATION
Niagara Falls, ON, Canada
CONFERENCE DATE
2011-04-13 to 2011-04-16
ISSN
1203-6765
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
AIM: Family physicians manage the majority of patients with CNCP (1). This
exploratory descriptive study aimed to survey the designated time for formal
teaching about CNCP including addiction, for Canadian family medicine
residents (FMR). METHODS: Family medicine programme directors from Canadian
medical schools (n=16) were asked to state the objectives and number of
hours devoted to chronic pain, acute pain, palliative care, and addiction.
RESULTS: Response rate was 81.3% (13/16 schools, 17 sites)(∗). All mandate 1
month of palliative care. Eleven provide acute pain training. CNCP teaching
averaged 3.44 hours (range 0-8). Ten offered CNCP electives but most
reported that < 5% of residents participated. Exceptions were McMaster
(40%), Calgary (33%), Northern School of Medicine (50-100%) and Regina
(20%). Fourteen sites reported addiction training ranging from “included in
other talks” to 18 hours in Calgary. Pain education objectives were mostly
brief and general (e.g. “become comfortable and competent in pain
management”) except Calgary and Dalhousie who supplied specific training
goals. Interprofessional exposure was available at 7/17 sites with 4.1
(range 1-7) other healthcare providers represented. CCFP lists 99 conditions
for FMR competence, with minimal focus on chronic pain or multi-modal
strategies. “Pain” competency summaries (headache/chest/back/abdomen/joint)
stressed ruling out emergencies. “Substance Abuse” lacked content on
prescription opioid addiction. CONCLUSIONS: Effective pain management
requires adequate training. Most CNCP teaching to Canadian FMRs is elective
and varies in content. Acknowledging the NOUGG guidelines (2), we suggest
that adequate FMR training requires medical, functional/rehabilitation,
self-management and bio-psycho-social-spiritual aspects of chronic pain and
addiction.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Canada
cancer pain
family medicine
pain
residency education
society
EMTREE MEDICAL INDEX TERMS
chronic pain
competence
education
emergency
exposure
general practitioner
health care personnel
human
medical school
palliative therapy
patient
prescription
school
self care
substance abuse
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70487235
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 998
TITLE
Clinical reasoning sessions: Back to the patient
AUTHOR NAMES
Harris A.
Boyce P.
Ajjawi R.
AUTHOR ADDRESSES
(Harris A., anthony.harris@sydney.edu.au; Boyce P.) Discipline of Psychiatry
and Westmead Clinical School, Sydney Medical School, University of Sydney,
Australia.
(Ajjawi R.) Health Professions Education, Faculty of Medicine, Nursing and
Health Sciences, Monash University, Victoria, Australia.
CORRESPONDENCE ADDRESS
A. Harris, Department of Psychiatry, Westmead Hospital, Westmead, NSW 2145,
Australia. Email: anthony.harris@sydney.edu.au
SOURCE
Clinical Teacher (2011) 8:1 (13-16). Date of Publication: March 2011
ISSN
1743-4971
1743-498X (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Background: Problem-based learning (PBL) was developed as a facilitated
small group learning process based around a clinical problem. Originally
designed for pre-clinical years of medical education, its application across
all years poses a number of difficulties, including the risk of reducing
patient contact, providing a learning process that is skewed towards an
understanding of pathophysiological processes, which may not be well
understood in all areas of medicine, and failing to provide exposure to
clinically relevant reasoning skills. Context: Curriculum review identified
dissatisfaction with PBLs in the clinical years of the Sydney Medical
School's Graduate Medical Program, from both staff and students. A new model
was designed and implemented in the Psychiatry and Addiction Medicine
rotation, and is currently being evaluated. Innovation: We describe an
innovative model of small-group, student-generated, case-based learning in
psychiatry - clinical reasoning sessions (CRS) - led by expert facilitators.
Implications: The CRS format returns the student to the patient, emphasises
clinical assessment skills and considers treatment in the real-world context
of the patient. Students practise a more sophisticated reasoning process
with real patients modelled upon that of their expert tutor. This has
increased student engagement compared with the previous PBL programme. ©
Blackwell Publishing Ltd 2011.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
group process
mass communication
problem based learning
psychiatry
EMTREE MEDICAL INDEX TERMS
addiction
article
attitude to health
Australia
education
educational model
feedback system
human
medical education
medical student
methodology
questionnaire
risk assessment
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21324066 (http://www.ncbi.nlm.nih.gov/pubmed/21324066)
PUI
L361279709
DOI
10.1111/j.1743-498X.2010.00407.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1743-498X.2010.00407.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 999
TITLE
A Bayesian Two-Part Latent Class Model for Longitudinal Medical Expenditure
Data: Assessing the Impact of Mental Health and Substance Abuse Parity
AUTHOR NAMES
Neelon B.
O'Malley A.J.
Normand S.-L.T.
AUTHOR ADDRESSES
(Neelon B., brian.neelon@duke.edu) Nicholas School of the Environment, Duke
University, Durham, NC 27708, United States.
(O'Malley A.J.; Normand S.-L.T.) Department of Health Care Policy, Harvard
Medical School, Boston, MA 02115, United States.
(Normand S.-L.T.) Department of Biostatistics, Harvard School of Public
Health, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
B. Neelon, Nicholas School of the Environment, Duke University, Durham, NC
27708, United States. Email: brian.neelon@duke.edu
SOURCE
Biometrics (2011) 67:1 (280-289). Date of Publication: March 2011
ISSN
0006-341X
1541-0420 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
In 2001, the U.S. Office of Personnel Management required all health plans
participating in the Federal Employees Health Benefits Program to offer
mental health and substance abuse benefits on par with general medical
benefits. The initial evaluation found that, on average, parity did not
result in either large spending increases or increased service use over the
four-year observational period. However, some groups of enrollees may have
benefited from parity more than others. To address this question, we propose
a Bayesian two-part latent class model to characterize the effect of parity
on mental health use and expenditures. Within each class, we fit a two-part
random effects model to separately model the probability of mental health or
substance abuse use and mean spending trajectories among those having used
services. The regression coefficients and random effect covariances vary
across classes, thus permitting class-varying correlation structures between
the two components of the model. Our analysis identified three classes of
subjects: a group of low spenders that tended to be male, had relatively
rare use of services, and decreased their spending pattern over time; a
group of moderate spenders, primarily female, that had an increase in both
use and mean spending after the introduction of parity; and a group of high
spenders that tended to have chronic service use and constant spending
patterns. By examining the joint 95% highest probability density regions of
expected changes in use and spending for each class, we confirmed that
parity had an impact only on the moderate spender class. © 2010, The
International Biometric Society.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
mental health service
resource allocation
statistical model
EMTREE MEDICAL INDEX TERMS
article
computer simulation
economics
human
longitudinal study
statistics
United States (epidemiology)
utilization review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20528856 (http://www.ncbi.nlm.nih.gov/pubmed/20528856)
PUI
L361435023
DOI
10.1111/j.1541-0420.2010.01439.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1541-0420.2010.01439.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1000
TITLE
Policy implications of integrating buprenorphine/naloxone treatment and HIV
care
AUTHOR NAMES
Finkelstein R.
Netherland J.
Sylla L.
Gourevitch M.N.
Cajina A.
Cheever L.
AUTHOR ADDRESSES
(Finkelstein R., rfinkelstein@nyam.org; Netherland J.) New York Academy of
Medicine, Division of Health Policy, 1216 Fifth Avenue, New York, NY 10029,
United States.
(Sylla L.) Yale University School of Medicine, New Haven, CT, United States.
(Gourevitch M.N.) New York University School of Medicine, New York, NY,
United States.
(Cajina A.; Cheever L.) HIV/AIDS Bureau, Health Resources and Services
Administration, Rockville, MD, United States.
CORRESPONDENCE ADDRESS
R. Finkelstein, New York Academy of Medicine, Division of Health Policy,
1216 Fifth Avenue, New York, NY 10029, United States. Email:
rfinkelstein@nyam.org
SOURCE
Journal of Acquired Immune Deficiency Syndromes (2011) 56:SUPPL. 1
(S98-S104). Date of Publication: 1 Mar 2011
ISSN
1525-4135
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Researchers, practitioners, and policymakers have long recognized the
potential benefits of providing integrated substance abuse and medical care
services, particularly for special populations such as people living with
HIV/AIDS. Buprenorphine, an office-based pharmacological treatment for
opioid dependence, offers new opportunities for integrating drug treatment
into HIV care settings. However, the historical separation between the drug
treatment and medical care systems has resulted in a host of policy
barriers. The Buprenorphine and HIV Care Evaluation and Support initiative,
a multisite demonstration project to assess the feasibility and
effectiveness of integrating buprenorphine/naloxone into HIV care settings,
provided an opportunity to evaluate if and how policy barriers affect
efforts to integrate HIV care and addiction treatment. We found that
financing issues, workforce and training issues, and the operational
consequences of some conceptual differences between HIV care and addiction
treatment are barriers to the full integration of buprenorphine into HIV
care. We recommend changes to financing and reimbursement policies, programs
to strengthen the addiction treatment skills of physicians, and cross
training between the fields of addiction, medicine, drug treatment, and HIV
medicine. By addressing some of the policy barriers to integration, this
promising new treatment can help the thousands of people living with
HIV/AIDS who are also opioid dependent. Copyright 2011 by Lippincott
Williams & Wilkins.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine plus naloxone (drug therapy, pharmacoeconomics, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Human immunodeficiency virus infection (drug therapy, drug therapy)
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome (drug therapy)
addiction (drug therapy)
article
cross training
drug efficacy
health care financing
health care policy
human
medical care
medical education
physician
priority journal
reimbursement
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Immunology, Serology and Transplantation (26)
Clinical and Experimental Pharmacology (30)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011103755
MEDLINE PMID
21317602 (http://www.ncbi.nlm.nih.gov/pubmed/21317602)
PUI
L361298083
DOI
10.1097/QAI.0b013e31820a9a97
FULL TEXT LINK
http://dx.doi.org/10.1097/QAI.0b013e31820a9a97
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1001
TITLE
Erratam to Feasibility study of rapid opioid rotation and titration (Pain
Physician (2011), 14, (71-82))
AUTHOR ADDRESSES
SOURCE
Pain Physician (2011) 14:2 (217). Date of Publication: March/April 2011
ISSN
1533-3159
BOOK PUBLISHER
Association of Pain Management Anesthesiologists, 2831 Lone Oak Road,
Paducah, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
error
EMTREE MEDICAL INDEX TERMS
erratum
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2011160354
PUI
L361474732
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1002
TITLE
Policy and politics: Shaping mental health priorities in the 112th congress
AUTHOR NAMES
Blank K.
Hash M.
Walter A.
AUTHOR ADDRESSES
(Blank K.) Institute of Living, Hartford, United States.
(Hash M.) White House Office of Health Reform, Washington, United States.
(Walter A.) National Journal, Inc, Washington, United States.
CORRESPONDENCE ADDRESS
K. Blank, Institute of Living, Hartford, United States.
SOURCE
American Journal of Geriatric Psychiatry (2011) 19:3 SUPPL. 1 (S29-S30).
Date of Publication: March 2011
CONFERENCE NAME
American Association for Geriatric Psychiatry, AAGP Annual Meeting 2011
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2011-03-18 to 2011-03-21
ISSN
1064-7481
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
This public policy workshop will provide an overview of the current
legislative, regulatory and political environment that impacts the
development and enactment of health and mental health policy at the Federal
level. For the first two years of the Obama Administration, Democrats held
large majorities in both the House of Representatives and the Senate, but an
almost toxic partisanship made legislative progress extremely difficult. The
2010 elections are not likely to improve that situation but will point up
some of the issues that both sides will want to address or emphasize in
2011, both to attain policy goals and to lay the groundwork for the
Presidential race in 2012. Perhaps the most challenging policy question for
Congress and the Administration will be reaching agreement on how to reduce
looming long-term budget deficits. However, under that overarching concern,
the 111th Congress is dealing with a domestic agenda dominated by
consideration of measures to stimulate the economy, preserve jobs, invest in
infrastructure, and protect those who are unemployed. Having enacted major
health care reform legislation, much of the attention of the health care
community is focused on implementation and the regulations that will govern
it. The members and staff of the Congressional committees with health care
jurisdiction were exhausted by the protracted negotiations and debate for
the health care legislation and may be unwilling to undertake new measures
that, in the current environment, could be expected to bring another round
of bitter, partisan debate with little chance for success. Nevertheless,
there will be pressure from health care advocates for action on a number of
issues that were set aside during the debate on health care reform. Foremost
among them is the acknowledged but as yet unresolved conundrum on how to
avoid deep annual cuts in the Medicare physician fee schedule. Several major
health programs are now operating under expired authorization statutes,
including the Substance Abuse and Mental Health Administration (SAMHSA),
health professions education programs, and the Older Americans Act, which
governs programs in the Administration on Aging. Also, the current budget
strains have meant substantial cut-backs in funding for existing programs.
This public policy session will explore the merging of political action with
policy development through analysis of mental health and health care issues
and the current political environment. It will enable participants to have
an understanding of the legislative and regulatory issues that may be
considered at the Federal level in 2011, as well as an understanding of the
results of the 2010 Congressional elections and their impact on those
issues. Presidential politics for 2012 will also begin to have a bearing.
The first part of the session will consist of the political environment that
shaped the 2010 Congressional elections and the Speakers will then discuss
the political environment for the mid-term Congressional elections and the
policy implications as the 112th Congress convenes. The next presentation
will address health policy issues that will be on Congress's agenda and
expectations for legislative success. The issues include Medicare
reimbursement for physicians' services; geriatric medical education;
legislation setting new policy for both aging and mental health services;
and funding for mental health services and research programs. Finally, the
session will identify strategies for AAGP and individual geriatric
psychiatrists to utilize to ensure that the voice of geriatric psychiatry is
heard as these and other health care issues are considered by Congress, the
Federal regulatory agencies, and the White House.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
gerontopsychiatry
health care planning
mental health
policy
politics
EMTREE MEDICAL INDEX TERMS
aging
bitter taste
budget
community
economic aspect
education program
election
environment
fee
funding
health
health care
health care management
health care policy
health program
law
medical education
medical fee
medicare
mental health service
occupation
physician
psychiatrist
reimbursement
substance abuse
voice
work
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70372492
DOI
10.1097/01.JGP.0000395252.20665.7c
FULL TEXT LINK
http://dx.doi.org/10.1097/01.JGP.0000395252.20665.7c
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1003
TITLE
Physician Barriers to Incorporating Pharmacogenetic Treatment Strategies for
Nicotine Dependence Into Clinical Practice
AUTHOR NAMES
Schnoll R.A.
Shields A.E.
AUTHOR ADDRESSES
(Schnoll R.A., schnoll@mail.med.upenn.edu) Department of Psychiatry,
University of Pennsylvania, Philadelphia, United States.
(Shields A.E.) Mongan Institute for Health Policy, Massachusetts General
Hospital, Harvard Medical School, Boston, United States.
CORRESPONDENCE ADDRESS
R.A. Schnoll, Department of Psychiatry, University of Pennsylvania,
Philadelphia, United States. Email: schnoll@mail.med.upenn.edu
SOURCE
Clinical Pharmacology and Therapeutics (2011) 89:3 (345-347). Date of
Publication: 1 Mar 2011
ISSN
1532-6535 (electronic)
0009-9236
BOOK PUBLISHER
Nature Publishing Group, Houndmills, Basingstoke, Hampshire, United Kingdom.
ABSTRACT
Advances in genomics research may improve health outcomes by tailoring
treatment according to patients' genetic profiles. The treatment of nicotine
dependence, in particular, may soon encompass pharmacogenetic treatment
models. Realizing the benefits of such treatment strategies may depend on
physicians' preparedness to incorporate genetic testing into clinical
practice. This article describes barriers to clinical integration of
pharmacogenetic treatments that will need to be addressed to realize the
benefits of individualized smoking-cessation treatment. Clinical
Pharmacology & Therapeutics (2011) 89 3, 345-347. doi:10.1038/clpt.2010.267.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
genetic screening
medical education
pharmacogenetics
tobacco dependence
EMTREE MEDICAL INDEX TERMS
general practitioner
health care system
human
medical genetics
priority journal
review
smoking
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Human Genetics (22)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160100680
PUI
L608028735
DOI
10.1038/clpt.2010.267
FULL TEXT LINK
http://dx.doi.org/10.1038/clpt.2010.267
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 1004
TITLE
Recent trends in american board of psychiatry and neurology psychiatric
subspecialties.
AUTHOR NAMES
Faulkner L.R.
Juul D.
Andrade N.N.
Brooks B.A.
Colenda C.C.
Guynn R.W.
Mrazek D.A.
Reus V.I.
Schneidman B.S.
Shaw K.R.
AUTHOR ADDRESSES
(Faulkner L.R.) American Board of Psychiatry and Neurology, Inc., Buffalo
Grove, IL 60089, USA.
(Juul D.; Andrade N.N.; Brooks B.A.; Colenda C.C.; Guynn R.W.; Mrazek D.A.;
Reus V.I.; Schneidman B.S.; Shaw K.R.)
CORRESPONDENCE ADDRESS
L.R. Faulkner, American Board of Psychiatry and Neurology, Inc., Buffalo
Grove, IL 60089, USA.
SOURCE
Academic psychiatry : the journal of the American Association of Directors
of Psychiatric Residency Training and the Association for Academic
Psychiatry (2011) 35:1 (35-39). Date of Publication: 2011 Spring
ISSN
1545-7230 (electronic)
ABSTRACT
this article reviews the current status and recent trends in the American
Board of Psychiatry and Neurology (ABPN) psychiatric subspecialties and
discusses the implications of those trends as well as several key questions
whose answers may well determine subspecialty viability. data are presented
on specialty and subspecialty programs; graduates; and ABPN certification
candidates and diplomates drawn from several sources, including the records
of the ABPN, the websites of the Accreditation Council for Graduate Medical
Education and the American Medical Association, and the annual medical
education issues of JAMA. fewer than half of psychiatry graduates pursue
subspecialty training. While most recent specialty graduates attempt to
become certified by the ABPN, many subspecialists elect not to do so. There
have been recent decreases in the number of fellowship programs and trainees
in geriatric psychiatry and addiction psychiatry. The pass rates for
fellowship graduates are superior to those for the "grandfathers" in all of
the newer psychiatric subspecialties. Lower percentages of subspecialists
than specialists participate in maintenance of certification, and
maintenance of certification pass rates are high. the initial interest in
training and certification in some of the ABPN subspecialties appears to
have slowed, and the long-term viability of those subspecialties may well
depend on the answers to a number of complicated social, economic, and
political questions in the new health care era.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neurology
psychiatry
specialization
EMTREE MEDICAL INDEX TERMS
certification
consumer
economics
education
human
information processing
medical education
politics
program development
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21209405 (http://www.ncbi.nlm.nih.gov/pubmed/21209405)
PUI
L361643461
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1005
TITLE
Teaching physicians to address unhealthy alcohol use: A randomized
controlled trial assessing the effect of a Web-based module on medical
student performance
AUTHOR NAMES
Truncali A.
Lee J.D.
Ark T.K.
Gillespie C.
Triola M.
Hanley K.
Gourevitch M.N.
Kalet A.L.
AUTHOR ADDRESSES
(Truncali A., andrea.truncali@nyumc.org; Lee J.D.; Gillespie C.; Triola M.;
Hanley K.; Gourevitch M.N.; Kalet A.L.) Department of Medicine, New York
University School of Medicine, New York, NY, United States.
(Ark T.K.) University of British Columbia, Vancouver, BC, Canada.
CORRESPONDENCE ADDRESS
A. Truncali, Department of Medicine, New York University School of Medicine,
OBV D401, New York, NY 10016, United States. Email:
andrea.truncali@nyumc.org
SOURCE
Journal of Substance Abuse Treatment (2011) 40:2 (203-213). Date of
Publication: March 2011
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Background: The authors developed and evaluated an interactive, Web-based
module to train medical students in screening and brief intervention (SBI)
for unhealthy alcohol use. Methods: First-year students were randomized to
module versus lecture. Change in knowledge, attitudes, and confidence were
compared. Performance was assessed by objective structured clinical
examination (OSCE) and analyzed by intention to treat and treatment
received. Results: Of 141 consenting students, 64% (n = 90) completed an
intervention (54% lecture vs. 70% Web assigned). Knowledge, confidence, and
attitudes improved in both groups, with more improvement in Advise-Assist
knowledge for Web students (14% vs. -3%, p = 003). Web students outperformed
their lecture peers in both general communication (65% vs. 51% items well
done, p = 004) and alcohol-specific tasks (54% vs. 41%, p = 021) on OSCE.
Analysis by treatment received enhanced between-group differences.
Conclusion: Use of a Web-based module to teach SBI is associated with
greater knowledge gain and skills performance compared with a lecture
covering similar content. The module provides an efficient means for
training in this area. © 2011 Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
teaching
EMTREE MEDICAL INDEX TERMS
article
attitude
behavior
controlled study
female
human
interpersonal communication
knowledge
medical student
physician
priority journal
randomized controlled trial
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011050035
MEDLINE PMID
21094015 (http://www.ncbi.nlm.nih.gov/pubmed/21094015)
PUI
L51159723
DOI
10.1016/j.jsat.2010.09.002
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2010.09.002
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1006
TITLE
Gender differences in provider's use of a standardized screening tool for
prenatal substance use
AUTHOR NAMES
Oser C.
Biebel E.
Harris M.
Klein E.
Leukefeld C.
AUTHOR ADDRESSES
(Oser C., cboser0@uky.edu; Biebel E.) Departments of Sociology, Center on
Drug and Alcohol Research and Sociology, University of Kentucky, Lexington,
KY, United States.
(Harris M.) Pacific Institute for Research and Evaluation, Calverton, MD,
United States.
(Klein E.) Bluegrass Care Clinic, University of Kentucky, United States.
(Leukefeld C.) Department of Behavioral Science, Center on Drug and Alcohol
Research, University of Kentucky, Lexington, KY, United States.
CORRESPONDENCE ADDRESS
C. Oser, Department of Sociology, Center on Drug and Alcohol Research,
University of Kentucky, 1531 Patterson Office Tower, Lexington, KY 40506,
United States. Email: cboser0@uky.edu
SOURCE
Journal of Addiction Medicine (2011) 5:1 (36-42). Date of Publication: March
2011
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objectives: Prenatal substance use contributes birth defects, prematurity,
and infant mortality in the United States. As such, it is critical that
medical professionals receive appropriate education and actively engage in
screening patients; however, a physician's gender may influence differences
in screening practices. The purpose of this study is to examine male and
female obstetrics and gynecology (Ob/Gyn) physician's beliefs and practices
related to perinatal substance use screening and to identify the significant
correlates of using a standardized screening tool. Methods: Data were
collected from 131 Ob/Gyn physicians in Kentucky using a web-based survey.
=2 and t tests were used to distinguish differences between male (n = 84)
and female (n = 47) providers. Binary logistic regression was also used to
assess the independent correlates of the use of a standardized screening
tool. Results: Female Ob/Gyn physicians were more likely to "believe in" the
effectiveness of screening, to discuss sensitive topics with patients, and
were motivated to screen as a part of comprehensive care or because
screening could produce a behavioral change. Female providers were also more
likely to use a screening tool in a multivariate model; however, being
female was no longer significant after additional variables were included in
the model. Specifically, younger Ob/Gyn physicians who frequently discussed
mental health issues with female patients of childbearing age and were
motivated to screen because it is part of comprehensive care were
significantly more likely to use a standardized substance use screening
tool. Conclusions: In summary, less than half of Ob/Gyn physicians were
using a standardized screening tool and most physicians were using the CAGE.
This suggests additional training is needed to increase their use of
substance use screening tools, especially those geared toward pregnant
women. © 2011 American Society of Addiction Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prenatal screening
sex difference
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
behavior change
clinical effectiveness
clinical practice
controlled study
female
health care delivery
health survey
human
independent variable
Internet
male
mental health
patient care
pregnant woman
standardization
United States
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011434735
MEDLINE PMID
21359106 (http://www.ncbi.nlm.nih.gov/pubmed/21359106)
PUI
L361611246
DOI
10.1097/ADM.0b013e3181ccec2e
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e3181ccec2e
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1007
TITLE
Pain and addictions Continuing Professional Development
AUTHOR NAMES
Cord M.
MacDougall P.
Fraser J.
AUTHOR ADDRESSES
(Cord M.) Medical Management for Addictions and Pain, Toronto, Canada.
(MacDougall P.) Nova Scotia Chronic Pain Collaborative Care Network,
Department of Anesthesia, Palhousie University, Halifax, Canada.
(Fraser J.) Pirection 180, Mentor, NSCPCCN, Halifax, Canada.
CORRESPONDENCE ADDRESS
M. Cord, Medical Management for Addictions and Pain, Toronto, Canada.
SOURCE
Pain Research and Management (2011) 16:2 (100). Date of Publication:
March-April 2011
CONFERENCE NAME
2011 Annual Conference of the Canadian Pain Society
CONFERENCE LOCATION
Niagara Falls, ON, Canada
CONFERENCE DATE
2011-04-13 to 2011-04-16
ISSN
1203-6765
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
OBJECTIVE: The aim of this workshop is to describe a novel technique for
delivering Continuing Professional Development and clinical support to
primary care practitioners. Parallel development of similar networks in two
provinces, the Nova Scotia Chronic Pain Collaborative Care Network (NSCPCCN)
and Medical Mentoring for Addiction and Pain (MMAP) in Ontario will be
described. The workshop will describe the development of both networks and
collaboration between them including the development of a novel
interprovincial mentoring system. Learning Objectives: 1. Will appreciate
the concept of the mentor-mentee network and how it can be utilized to
enhance pain and addiction education in the community. 2. Will be aware of
the unique advantages of the educational dialogue created within such
networks and will be in a position to identify whether this approach has
application for other provinces across Canada. 3. Will understand the
advantages of mentor-mentee networks within the health' care system.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
pain
professional development
society
EMTREE MEDICAL INDEX TERMS
Canada
chronic pain
community
education
health care system
learning
physician
primary medical care
teacher
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70487209
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1008
TITLE
Risks and benefits of available treatments for adult ADHD.
AUTHOR NAMES
Newcorn J.H.
AUTHOR ADDRESSES
(Newcorn J.H.) Division of Child and Adolescent Psychiatry, Department of
Psychiatry, Mount Sinai School of Medicine, New York, New York, USA.
CORRESPONDENCE ADDRESS
J.H. Newcorn, Division of Child and Adolescent Psychiatry, Department of
Psychiatry, Mount Sinai School of Medicine, New York, New York, USA.
SOURCE
The Journal of clinical psychiatry (2011) 72:3 (e12). Date of Publication:
Mar 2011
ISSN
1555-2101 (electronic)
ABSTRACT
Several pharmacotherapeutic options, both FDA-approved and off-label, exist
for the treatment of adult ADHD. The most commonly used agents include
several stimulants and atomoxetine, which have demonstrated significant,
though similar, efficacy for ADHD versus placebo. Treatment should be
selected according to patient comorbidity profiles, cardiovascular risks,
and risk of abuse of prescription medications. In this activity, treatments
for ADHD with and without comorbidity are discussed, including mechanisms of
action, safety risks, and the potential for substance abuse. Implementing
psychosocial education in conjunction with pharmacotherapy is recommended. ©
Copyright 2011 Physicians Postgraduate Press, Inc.
EMTREE DRUG INDEX TERMS
atomoxetine
central stimulant agent (adverse drug reaction, drug therapy)
propylamine (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder (drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
human
note
patient education
risk assessment
CAS REGISTRY NUMBERS
atomoxetine (82248-59-7, 82857-39-4, 82857-40-7, 83015-26-3)
propylamine (107-10-8)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21450148 (http://www.ncbi.nlm.nih.gov/pubmed/21450148)
PUI
L361843111
DOI
10.4088/JCP.9066tx2c
FULL TEXT LINK
http://dx.doi.org/10.4088/JCP.9066tx2c
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1009
TITLE
Gene X disease interaction on orbitofrontal gray matter in cocaine addiction
AUTHOR NAMES
Alia-Klein N.
Parvaz M.A.
Woicik P.A.
Konova A.B.
Maloney T.
Shumay E.
Wang R.
Telang F.
Biegon A.
Wang G.-J.
Fowler J.S.
Tomasi D.
Volkow N.D.
Goldstein R.Z.
AUTHOR ADDRESSES
(Alia-Klein N., nellyklein@bnl.gov; Parvaz M.A.; Woicik P.A.; Konova A.B.;
Maloney T.; Shumay E.; Wang R.; Biegon A.; Wang G.-J.; Fowler J.S.;
Goldstein R.Z.) Medical Department, Brookhaven National Laboratory, Medical
490, Upton, NY 11973-5000, United States.
(Parvaz M.A.) Department of Biomedical Engineering, Stony Brook University,
Stony Brook, NY, United States.
(Konova A.B.) Department of Psychology, Stony Brook University, Stony Brook,
NY, United States.
(Wang G.-J.; Fowler J.S.) Mount Sinai School of Medicine, New York, NY,
United States.
(Telang F.; Tomasi D.) National Institute on Alcohol and Alcoholism,
Bethesda, MD, United States.
(Volkow N.D.) National Institute on Drug Abuse, Bethesda, MD, United States.
CORRESPONDENCE ADDRESS
N. Alia-Klein, Medical Department, Brookhaven National Laboratory, Medical
490, Upton, NY 11973-5000, United States. Email: nellyklein@bnl.gov
SOURCE
Archives of General Psychiatry (2011) 68:3 (283-294). Date of Publication:
March 2011
ISSN
0003-990X
1538-3636 (electronic)
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Context: Long-term cocaine use has been associated with structural deficits
in brain regions having dopaminereceptive neurons. However, the concomitant
use of other drugs and common genetic variability in monoamine regulation
present additional structural variability. Objective: To examine variations
in gray matter volume (GMV) as a function of lifetime drug use and the
genotype of the monoamine oxidase A gene, MAOA, in men with cocaine use
disorders (CUD) and healthy male controls. Design: Cross-sectional
comparison. Setting: Clinical Research Center at Brookhaven National
Laboratory. Patients: Forty individuals with CUD and 42 controls who
underwent magnetic resonance imaging to assess GMV and were genotyped for
the MAOA polymorphism (categorized as high- and low-repeat alleles). Main
Outcome Measures: The impact of cocaine addiction on GMV, tested by (1)
comparing the CUD group with controls, (2) testing diagnosis X MAOA
interactions, and (3) correlating GMV with lifetime cocaine, alcohol, and
cigarette smoking, and testing their unique contribution to GMV beyond other
factors. Results: (1) Individuals with CUD had reductions in GMVin the
orbitofrontal, dorsolateral prefrontal, and temporal cortex and the
hippocampus compared with controls. (2) The orbitofrontal cortex reductions
were uniquely driven by CUD with low-MAOA genotype and by lifetime cocaine
use. (3) The GMV in the dorsolateral prefrontal cortex and hippocampus was
driven by lifetime alcohol use beyond the genotype and other pertinent
variables. Conclusions: Long-term cocaine users with the low-repeat MAOA
allele have enhanced sensitivity to gray matter loss, specifically in the
orbitofrontal cortex, indicating that this genotype may exacerbate the
deleterious effects of cocaine in the brain. In addition, long-term alcohol
use is a major contributor to gray matter loss in the dorsolateral
prefrontal cortex and hippocampus, and is likely to further impair executive
function and learning in cocaine addiction. ©2011 American Medical
Association. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE DRUG INDEX TERMS
amine oxidase (flavin containing) isoenzyme A (endogenous compound)
monoamine (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cocaine dependence
gene interaction
gray matter
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
brain size
cigarette smoking
clinical article
controlled study
cross-sectional study
DNA polymorphism
dopaminergic nerve cell
frontal cortex
gene frequency
genetic variability
genotype
hippocampus
human
male
orbital cortex
prefrontal cortex
sensitivity and specificity
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Radiology (14)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011132589
MEDLINE PMID
21383264 (http://www.ncbi.nlm.nih.gov/pubmed/21383264)
PUI
L361389128
DOI
10.1001/archgenpsychiatry.2011.10
FULL TEXT LINK
http://dx.doi.org/10.1001/archgenpsychiatry.2011.10
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1010
TITLE
Demographic characteristics of iv drug abusers commencing treatment in
opiate detoxification centers in Iran
AUTHOR NAMES
Yassini Ardekani S.M.
Bozorgi S.
Taghavi M.
AUTHOR ADDRESSES
(Yassini Ardekani S.M.) Psychiatry, Yazd, Iran.
(Bozorgi S.; Taghavi M.) Post Graduate, Yazd University of Medical Sciences,
Yazd, Iran.
CORRESPONDENCE ADDRESS
S.M. Yassini Ardekani, Psychiatry, Yazd, Iran.
SOURCE
European Psychiatry (2011) 26 SUPPL. 1. Date of Publication: March 2011
CONFERENCE NAME
19th European Congress of Psychiatry, EPA 2011
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2011-03-12 to 2011-03-15
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Introduction: IV drug abuse is a medical and social problem in countries all
over the world including Iran. Objectives: Knowing about the characteristics
of drug abuser could help policy makers to have more precise plan of action
for prevention and management of addiction Aims: This study was designed to
investigate the demographic characteristics of IV drug abusers in Iran and
determining the risk factors for shifting to IV drug abuse. Methods: 150
intravenous drug addicts (147 males and 3 females) aged 19-61 referred to
opiate detoxification centers in Yazd city in autumn 2008 were randomly
enrolled to this descriptive cross sectional study. Data collection was
undertaken through a structured interview, a questionnaire for demographic
data and written documents at detoxification centers. Analysis of data was
done with SPSS software (version 13). Results: There was positive family
history of addiction in 56.7%, known psychiatric illness in 43.3%, known
physical disease in 32% and history of psychotropic medication abuse in 58%
of participants. The mean age of onset in opium and its derivatives abusers
was 19.12, heroin abusers 23.5 and IV bupropion abusers 27.2 years. The most
common injecting drug at the time of study was heroin (65.2%). Conclusion:
Family history of addiction, psychiatric disease, physical illness and low
education could all be risk factors for exacerbating an addiction.
Identification of these risk factors could lead to the development of
interventions to reduce the burden of addiction. Further research about this
subject is required to determine if this is true.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
amfebutamone
diamorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
demography
detoxification
drug abuse
Iran
psychiatry
EMTREE MEDICAL INDEX TERMS
abuse
addiction
autumn
city
cross-sectional study
drug dependence
drug therapy
education
family history
female
information processing
male
mental disease
onset age
physical disease
policy
prevention
questionnaire
risk factor
social problem
software
structured interview
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70416359
DOI
10.1016/S0924-9338(11)71840-5
FULL TEXT LINK
http://dx.doi.org/10.1016/S0924-9338(11)71840-5
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1011
TITLE
Correlates of positive attitudes toward the clinical management of substance
use
AUTHOR NAMES
Oscos-Sanchez M.A.
Williams J.
AUTHOR ADDRESSES
(Oscos-Sanchez M.A.; Williams J.) University of Texas, Health Science
Center, San Antonio, United States.
CORRESPONDENCE ADDRESS
M.A. Oscos-Sanchez, University of Texas, Health Science Center, San Antonio,
United States.
SOURCE
Journal of Adolescent Health (2011) 48:2 SUPPL. 1 (S76-S77). Date of
Publication: February 2011
CONFERENCE NAME
Society for Adolescent Health and Medicine, SAHM 2011 Annual Meeting
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2011-03-29 to 2011-04-01
ISSN
1054-139X
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: Use of alcohol, tobacco, and other illicit substances begins in
adolescence and peaks in young adulthood. To more effectively address
substance use, the Substance Abuse and Mental Health Services Administration
is supporting the dissemination of SBIRT (Screening, Brief Intervention, and
Referral for Treatment) training among physicians. SBIRT has been shown to
modify the substance use patterns of patients who use alcohol and other
drugs. SBIRT targets patients with nondependent substance use and provides
effective intervention strategies prior to the need for extensive or
specialized treatment. Because 80% percent of adolescents and young adults
have at least one outpatient clinical encounter each year, Pediatricians and
Family Physicians are uniquely poised to screen for and manage adolescent
substance use. In this study, we examine correlates of positive attitudes
toward the clinical management of substance use among pediatric and family
medicine residents after one year of SBIRT training. Specifically we examine
correlates of Belief that Substance Use is Treatable, Belief that Physicians
have a Responsibility to perform SBIRT, and Belief that Physician use of
SBIRT will Improve Treatment Success. Methods: Sixty-five pediatric and
family medicine residents completed confidential self-administered
questionnaires and an SBIRT knowledge test at baseline and at a12-month
followup. Three linear regression models with the outcome variables of
Belief that Substance Use is Treatable, Belief that Physicians have a
Responsibility to perform SBIRT, and Belief that Physician use of SBIRT will
Improve Treatment Success were constructed. Four measures of previous year
SBIRT training were entered as potential predictor variables. These included
change in score on an SBIRT Knowledge test and self-reported measures of
didactic hours of SBIRT training, percent of patients seen with substance
use issues, and extent of clinical experience with substance use in the past
year. Baseline attitude, age, being a resident of color, personally knowing
someone with an alcohol abuse problem, gender, and level of residency
training were entered as control variables. Results: The mean age of the
residents was 32.0 years, 57% were pediatric residents, 62% were residents
of color (33% Latino, 27% Asian, 2% African American), and 76% were female.
The strongest predictor of positive attitude at 12 months was baseline
attitude. Increase in score on the SBIRT Knowledge test was also
consistently correlated with positive attitude at 12 months. Conclusions:
Positive baseline attitude about the clinical management of substance use
was the strongest predictor of positive attitudeat 12 months; however,
increased knowledge about SBIRT was also correlated with positive attitudes.
To increase the likelihood that adolescents will have access to effective
clinical management of substance use, residency programs should actively
recruit students with positive baseline attitudes. Increasing knowledge
about SBIRT during residency training will further increase the likelihood
that future pediatricians and family physicians believe that substance use
is treatable, that they have a responsibility to manage substance use, and
that their interventions will improve treatment success.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
society
EMTREE MEDICAL INDEX TERMS
adolescence
adolescent
adult
adulthood
African American
alcohol abuse
Asian
color
family medicine
female
follow up
gender
general practitioner
health service
Hispanic
linear regression analysis
mental health service
model
outcome variable
outpatient
patient
pediatrician
physician
predictor variable
questionnaire
residency education
responsibility
screening
student
substance abuse
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70352282
DOI
10.1016/j.jadohealth.2010.11.161
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jadohealth.2010.11.161
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1012
TITLE
Teaching community program clinicians motivational interviewing using expert
and train-the-trainer strategies.
AUTHOR NAMES
Martino S.
Ball S.A.
Nich C.
Canning-Ball M.
Rounsaville B.J.
Carroll K.M.
AUTHOR ADDRESSES
(Martino S.) Department of Psychiatry, Yale University School of Medicine,
New Haven, CT, USA.
(Ball S.A.; Nich C.; Canning-Ball M.; Rounsaville B.J.; Carroll K.M.)
CORRESPONDENCE ADDRESS
S. Martino, Department of Psychiatry, Yale University School of Medicine,
New Haven, CT, USA. Email: steve.martino@yale.edu
SOURCE
Addiction (Abingdon, England) (2011) 106:2 (428-441). Date of Publication:
Feb 2011
ISSN
1360-0443 (electronic)
ABSTRACT
The effectiveness of expert-led (EX) and train-the-trainer (TT) strategies
was compared to a self-study approach (SS) for teaching clinicians
motivational interviewing (MI). Twelve community treatment programs were
assigned randomly to the three conditions. EX and TT conditions used
skill-building workshops and three monthly supervision sessions guided by
treatment integrity ratings, performance feedback and coaching techniques.
Trainers in TT were first trained and certified in MI and then prepared
carefully to deliver the workshops and supervise MI at their programs.
Clinicians in SS only received the training materials. Licensed out-patient
and residential addiction and mental health treatment programs in the US
state of Connecticut were involved in the study. Ninety-two clinicians who
provided addiction treatment within these programs and had limited
experience with MI participated in the study. Primary outcomes were the
clinicians' MI adherence and competence and the percentage of clinicians
meeting clinical trial standards of MI performance. Assessments occurred at
baseline, post-workshop, post-supervision and at 12-week follow-up. The
study found EX and TT, in comparison to SS, improved clinicians' adherence
and competence significantly, with higher percentages of clinicians reaching
clinical trial standards of MI performance and few differences between EX
and TT. This study supports the combined use of workshops and supervision to
teach community program clinicians MI and suggests the train-the-trainer
approach may be a feasible and effective strategy for disseminating
empirically supported treatments. © 2010 The Authors, Addiction © 2010
Society for the Study of Addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
clinical competence
medical education
psychologic test
teaching
EMTREE MEDICAL INDEX TERMS
adult
article
clinical trial
controlled clinical trial
controlled study
drug dependence treatment
education
female
health care quality
human
male
methodology
middle aged
motivation
program development
randomized controlled trial
regression analysis
technology
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20925684 (http://www.ncbi.nlm.nih.gov/pubmed/20925684)
PUI
L361809863
DOI
10.1111/j.1360-0443.2010.03135.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.2010.03135.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1013
TITLE
Integrating addiction medicine into graduate medical education in primary
care: The time has come
AUTHOR NAMES
O'Connor P.G.
Nyquist J.G.
McLellan A.T.
AUTHOR ADDRESSES
(O'Connor P.G.) Yale School of Medicine, PO Box 208093, New Haven, CT
06520-8093, United States.
(Nyquist J.G.) Keck School of Medicine, University of Southern California,
KAM-210, 1975 Zonal Avenue, Los Angeles, CA 90033, United States.
(McLellan A.T.) 623 South 9th Street, Philadelphia, PA 19147, United States.
CORRESPONDENCE ADDRESS
P. G. O'Connor, Yale School of Medicine, PO Box 208093, New Haven, CT
06520-8093, United States.
SOURCE
Annals of Internal Medicine (2011) 154:1 (56-59). Date of Publication:
January 4, 2011
ISSN
0003-4819
1539-3704 (electronic)
BOOK PUBLISHER
American College of Physicians, 190 N. Indenpence Mall West, Philadelphia,
United States.
ABSTRACT
Substance use disorders create an enormous burden of medical, behavioral,
and social problems and pose a major and costly public health challenge.
Despite the high prevalence of substance use and its consequences,
physicians often do not recognize these conditions and, as a result, provide
inadequate patient care. At the center of this failure is insufficient
training for physicians about substance use disorders. To address this
deficit, the Betty Ford Institute convened a meeting of experts who
developed the following 5 recommendations focused on improving training in
substance abuse in primary care residency programs in internal medicine and
family medicine: 1) integrating substance abuse competencies into training,
2) assigning substance abuse teaching the same priority as teaching about
other chronic diseases, 3) enhancing faculty development, 4) creating
addiction medicine divisions or programs in academic medical centers, and 5)
making substance abuse screening and management routine care in new models
of primary care practice. This enhanced primary care residency training
should represent a major step forward in improving patient care. © 2011
American College of Physicians.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
medical education
primary medical care
substance abuse
EMTREE MEDICAL INDEX TERMS
article
chronic disease
clinical practice
clinical protocol
family medicine
human
internal medicine
medical expert
patient care
physician
priority journal
professional competence
residency education
screening test
teaching
university hospital
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011074445
MEDLINE PMID
21200039 (http://www.ncbi.nlm.nih.gov/pubmed/21200039)
PUI
L361211038
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1014
TITLE
Undergraduate medical education in substance abuse: A review of the quality
of the literature
AUTHOR NAMES
Kothari D.
Gourevitch M.N.
Lee J.D.
Grossman E.
Truncali A.
Ark T.K.
Kalet A.L.
AUTHOR ADDRESSES
(Kothari D.) Substance Abuse Research and Education Training (SARET)
Program, New York University School of Medicine, New York, NY, United
States.
(Gourevitch M.N.; Lee J.D.) Departments of Medicine and Psychiatry, New York
University School of Medicine, New York, NY, United States.
(Gourevitch M.N.; Grossman E.; Truncali A.; Kalet A.L.,
adina.kalet@nyumc.org) Department of Medicine and Surgery, Section of
Primary Care, New York University School of Medicine, New York, NY, United
States.
(Ark T.K.) University of British Columbia, Vancouver, BC, Canada.
CORRESPONDENCE ADDRESS
A. L. Kalet, BCD, D401, 550 First Avenue, New York, NY 10016, United States.
Email: adina.kalet@nyumc.org
SOURCE
Academic Medicine (2011) 86:1 (98-112). Date of Publication: January 2011
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Purpose: To prepare to develop a medical school curriculum on substance
abuse disorders (SADs), the authors conducted a review of the quality of the
sparse published literature. Method: The authors searched MEDLINE (1950
through December 2008) using OVID, PsycINFO, and PubMed to identify all
studies of SAD interventions targeted toward undergraduate medical students.
Of the 1,084 studies identified initially, 31 reported sufficient data to
allow the authors to evaluate quality using Medical Education Research Study
Quality Instrument (MERSQI) scores. The authors also determined the impact
of the studies by considering three-year citation rate and journal impact
factor. A detailed review of the literature provided data on contact hours
and intervention content. Results: The three-rater intraclass correlation
coefficient for total MERSQI score was 0.82 (95% confidence interval:
0.70-0.90). The mean MERSQI score was 10.42 of a possible 18 (SD 2.59;
range: 6.33-14.83). MERSQI scores were higher for more recently published
studies and correlated with three-year citation rate but not impact factor.
The mean contact time for 26 studies was 29.25 hours (range: 0.83-200
hours). Conclusions: The literature provides a variety of educational
methods to train medical students in SAD detection and intervention skills.
This literature is of variable quality and provides limited guidance for
development of curricula and medical education policy. Better methods of
curriculum evaluation and publication guidelines would help ensure that this
literature has a positive impact on educational practice and public health.
Copyright © by the Association of American Medical Colleges.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
educational model
medical education
psychiatry
publication
EMTREE MEDICAL INDEX TERMS
education
human
review
standard
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21099395 (http://www.ncbi.nlm.nih.gov/pubmed/21099395)
PUI
L51159137
DOI
10.1097/ACM.0b013e3181ff92cf
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0b013e3181ff92cf
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1015
TITLE
Junior doctors' confidence around prescribing opiates in thoracic oncology:
A survey from a teaching hospital in Bristol, South West England
AUTHOR NAMES
Leahy A.
Cooper L.
AUTHOR ADDRESSES
(Leahy A.; Cooper L.) Respiratory Department, University Hospitals Bristol,
NHS Foundation Trust, Bristol, United Kingdom.
CORRESPONDENCE ADDRESS
A. Leahy, Respiratory Department, University Hospitals Bristol, NHS
Foundation Trust, Bristol, United Kingdom.
SOURCE
Lung Cancer (2011) 71 SUPPL. 1 (S32). Date of Publication: January 2011
CONFERENCE NAME
9th Annual BTOG Conference 2011
CONFERENCE LOCATION
Dublin, Ireland
CONFERENCE DATE
2011-01-26 to 2011-01-28
ISSN
0169-5002
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Opiates are widely prescribed for moderate to severe cancer pain. If
prescribed incorrectly they can result either in poor pain control or
harmful respiratory depression. We were concerned that opiate prescribing
varies widely among junior doctors, and performed a survey to evaluate.
Methods: An anonymous, spot survey was performed at a teaching hospital in
Bristol asking junior medical doctors: 1. Which grade are you and in which
speciality? 2. Do you feel adequately trained and confident when prescribing
opiates and changing doses? Yes or No. 3. Imagine you are looking after a
lady with metastatic lung cancer on your ward. She has used 90mg of oramorph
in the past 24 hours, which has controlled her pain well. You would like to
convert her to a Fentanyl patch as she is going home soon. a. Which fentanyl
patch would you choose? b. What is her new prn oramorph dose? Results: 32
responses were obtained from F1 to ST5 doctors working in all medical
specialties. 16/32 (50%) felt under-confident and under-trained when
prescribing opiates. 13/32 (41%) were able to give the correct answer to the
patch dose and 19/32 (60%) gave the correct prn oramorph dose. 7 doctors
said they would look it up in the BNF when unsure. There was some
discordance between doctors perception of their confidence when prescribing
and the ability to get the doses correct, for instance, 8 out of the 16
(50%) people who felt confident actually got the answers wrong. Conclusion:
This survey has identified a significant knowledge gap in opiate prescribing
of junior doctors at the Bristol Royal Infirmary, and discordance between
perceptions of knowledge and actual knowledge. We are implementing teaching
sessions locally to correct this, but these findings may be representative
of the situation in other hospitals in the UK.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
fentanyl
morphine sulfate
phenyltoloxamine citrate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
oncology
physician
teaching hospital
United Kingdom
EMTREE MEDICAL INDEX TERMS
cancer pain
hospital
lung cancer
medicine
pain
respiration depression
teaching
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70348215
DOI
10.1016/S0169-5002(11)70092-7
FULL TEXT LINK
http://dx.doi.org/10.1016/S0169-5002(11)70092-7
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1016
TITLE
Managing opioid misuse in palliative care settings: How prepared do hospice
and palliative medicine fellows feel? (412-A)
AUTHOR NAMES
Childers J.
Arnold R.
AUTHOR ADDRESSES
(Childers J.) University of Pittsburgh, Medical Center, Pittsburgh, United
States.
(Arnold R.) University of Pittsburgh, Pittsburgh, United States.
CORRESPONDENCE ADDRESS
J. Childers, University of Pittsburgh, Medical Center, Pittsburgh, United
States.
SOURCE
Journal of Pain and Symptom Management (2011) 41:1 (227-228). Date of
Publication: January 2011
CONFERENCE NAME
Annual Assembly of American Academy of Hospice and Palliative Medicine and
Hospice and Palliative Nurses Association
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2011-02-16 to 2011-02-19
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives: 1. Describe the percentage of hospice and palliative medicine
fellows who had encountered a patient at risk for opioid misuse within a
2-week period. 2. Describe the domains in which hospice and palliative
medicine expressed particular challenges in treating patients at risk for
opioid misuse. 3. Rate education in substance use disorders and opioid
misuse as an important objective for future palliative medicine specialists.
Background: As palliative care becomes integrated earlier in patients'
diseases, palliative care providers may treat more patients who misuse
opioids. It is unknown how well-prepared hospice and palliative medicine
(HPM) fellows are to treat pain in these patients. Research objectives:
Assess how frequently HPM fellows treat patients with substance use
disorders (SUDs) and prescription opioid misuse and how prepared they feel
to treat these patients. Methods: With input from experts in addiction and
palliative medicine, we developed a survey asking about fellows' perceived
competence in domains related to treating patients at risk for opioid
misuse. Responses were rated using a 7-point Likert scale where 1 = strongly
agree and 7 = strongly disagree. We considered a 1 and 2 to indicate
agreement, 3-5 as neutral, and 6 or 7 indicated disagreement. We distributed
the online survey by e-mail to all HPM fellows. Results: Fifty-seven of the
102 fellows contacted (55.6%) completed the survey. In the previous two
weeks, 77.2% of respondents had treatedapatient with a SUD and 43.9% had
treated a patient who was misusing opioids. Half (47.2%) of respondents
agreed that they have a working knowledge of addiction, and 41.4% agreed
they feel prepared to treat pain and symptoms in patients with SUDs.
Specifically, 36.8% agreed that they can identify requests for pain
medication that are due to addiction; 24.6% feel comfortable managing
patients with lost or stolen pain medications; 33.3% agreed that they could
diagnose a SUD in apatient for whom they were prescribing opioids.
Twenty-one percent were satisfied with how they treat symptoms in patients
with SUDs. Conclusion: HPM fellows regularly see patients at risk for opioid
misuse and express limited competency in treating pain in these patients.
Implications for research, policy, or practice: There is a need for more
education of HPM fellows in this area.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospice
nurse
palliative therapy
EMTREE MEDICAL INDEX TERMS
addiction
competence
drug therapy
e-mail
education
medical specialist
pain
patient
policy
prescription
risk
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70382511
DOI
10.1016/j.jpainsymman.2010.10.108
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpainsymman.2010.10.108
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1017
TITLE
Surgical trainees and smoking cessation advice - Are we forgetting to use
this important resource?
AUTHOR NAMES
Akbar M.
Mehmood S.
Siriani C.
Qayyum N.
Samra W.
AUTHOR ADDRESSES
(Akbar M.; Siriani C.; Qayyum N.; Samra W.) Betsi Cadwaladr University
Health Board, Glen Clwyd Hospital, Rhyl, United Kingdom.
(Mehmood S.) Surgical Unit, Castle Hill Hospital, Hull and East Yorkshire
NHS Trust, Hull, United Kingdom.
CORRESPONDENCE ADDRESS
M. Akbar, Betsi Cadwaladr University Health Board, Glen Clwyd Hospital,
Rhyl, United Kingdom.
SOURCE
Journal of Vascular Access (2011) 12:1 (104). Date of Publication:
January/March 2011
CONFERENCE NAME
Inaugural Meeting of the Vascular Access Society of Britain and Ireland 2010
CONFERENCE LOCATION
Manchester, United Kingdom
CONFERENCE DATE
2010-09-09 to 2010-09-10
ISSN
1129-7298
BOOK PUBLISHER
Wichtig Editore s.r.l.
ABSTRACT
Purpose: Smoking is a well known risk factor in development of vascular
diseases. Treatment of smoking related diseases has been estimated to cost
the National Health Service approximately 1.5 billion pounds a year. A part
of the issue can be addressed by establishing strategies to promote smoking
cessation. The aim of this study was to assess junior surgical trainees'
practice and views about smoking cessation. Method: We conducted an online
and paper based survey to assess junior surgeons' practice and views about
smoking cessation. We approached 100 surgical trainees working at core
surgical training grades within Yorkshire deanery and Wales deanery regions
to participate in the survey. Results: The response rate was 41% (n=41).
Ninety percent of respondents only assessed quantitative smoking status.
Seventy percent did not assess patients' interest in smoking cessation.
Fifty percent routinely advised their patients to stop smoking. Fifty
percent counselled them for less than a minute. Ninety percent have not
received any training for smoking cessation counselling. Eighty percent
believed that they would benefit from such training sessions. Sixty five
percent were prescribing anti-smoking medications to their patients.
Conclusion: Our results confirm significantly low number of surgical
trainees assessing patients' interest in smoking with only half of them
advising their patients against smoking. This phenomenon is possibly a
direct squeal of the fact that the majority of the trainees do not receive
any formal training in smoking cessation counselling. However, it is
reassuring to note that there is a preserved interest in such activities on
the part of a great majority of the trainees. We recommend that the
foundation doctors and core surgical trainees be provided access to
counselling training sessions which will be a cornerstone to promoting
smoking cessation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Ireland
smoking cessation
society
student
United Kingdom
vascular access
EMTREE MEDICAL INDEX TERMS
counseling
drug therapy
national health service
non profit organization
patient
physician
risk factor
smoking
surgeon
surgical training
vascular disease
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70463278
DOI
10.5301/JVA.2011.6369
FULL TEXT LINK
http://dx.doi.org/10.5301/JVA.2011.6369
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1018
TITLE
The education of women on smoking cessation and limiting secondhand smoke
exposure in Weiser, Idaho
AUTHOR NAMES
Windhorn A.M.
AUTHOR ADDRESSES
(Windhorn A.M.) School of Medicine, University of Washington, Seattle,
United States.
CORRESPONDENCE ADDRESS
A.M. Windhorn, School of Medicine, University of Washington, Seattle, United
States.
SOURCE
Journal of Investigative Medicine (2011) 59:1 (210). Date of Publication:
January 2011
CONFERENCE NAME
American Federation for Medical Research Western Regional Meeting, AFMR 2011
CONFERENCE LOCATION
Carmel, CA, United States
CONFERENCE DATE
2011-06-26 to 2011-06-29
ISSN
1081-5589
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Purpose of Study: Cigarette smoking and secondhand smoke exposure is quite
prevalent in the city of Weiser and its neighboring communities. Every year
over 1,403 Idahoans die from smoking-related diseases according to the
Behavioral Risk Factor Surveillance System. Currently about 12-20% of
pregnant women are smokers and approximately 27% of children under the age
of 6 live with a caregiver who smokes. In the past, efforts have been made
to promote smoking cessation for the general population, but no local
programming has been done to educate pregnant women. The purpose of this
project was to educate pregnant women about the adverse effects of smoking
and secondhand smoke exposure and in addition provide them with resources
for cessation or to limit their exposure. Methods Used: Patients of the
target group encountered in a clinical setting were polled on their thoughts
on smoking cessation as a means of evaluating the need in the community. In
addition, clinicians, medical staff, smoking cessation instructors and WIC
educators were interviewed to identify resources and challenges in
programming for pregnant women. A literature review was done for validation
of chosen methods and creation of educational materials. A brief
informational session on smoking cessation and secondhand smoke exposure was
conducted as part of a breastfeeding class series at the Southwest Health
District. In addition, an educational brochure was created and distributed
at the informational session. Summary of Results: About eight to ten
pregnant women attended the first class which is the average class size for
this venue. The intent was to continue to incorporate this informational
session in future class series and to disseminate brochures throughout the
Southwest region. Conclusions: To best educate pregnant women on the adverse
effects of smoking and secondhand smoke exposure, programming must be
focused on resources and information specific to pregnant women. This
approach also integrated into other already existing programs offered to
pregnant women, could be largely successful in addressing this health issue
in the community.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
exposure
female
human
medical research
passive smoking
smoking cessation
United States
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
behavioral risk factor surveillance system
caregiver
child
cigarette smoking
city
community
health
medical staff
patient
population
pregnant woman
smoke
smoking
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70524732
DOI
10.231/JIM.0b013e31820501bd
FULL TEXT LINK
http://dx.doi.org/10.231/JIM.0b013e31820501bd
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1019
TITLE
Substance abuse treatment for older adults in private centers.
AUTHOR NAMES
Rothrauff T.C.
Abraham A.J.
Bride B.E.
Roman P.M.
AUTHOR ADDRESSES
(Rothrauff T.C.) Institute for Behavioral Research, University of Georgia,
Athens, Georgia 30602, USA.
(Abraham A.J.; Bride B.E.; Roman P.M.)
CORRESPONDENCE ADDRESS
T.C. Rothrauff, Institute for Behavioral Research, University of Georgia,
Athens, Georgia 30602, USA. Email: trothrauff@gmail.com
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:1 (7-15). Date of
Publication: Jan 2011
ISSN
1547-0164 (electronic)
ABSTRACT
By 2020, an estimated 4.4 million older adults will require substance abuse
treatment compared to 1.7 million in 2000-01. This study examined the
availability of special services for older adults, adoption of recommended
treatment approaches, and organizational characteristics of centers that
offer special services. Data were collected via face-to-face interviews with
administrators and/or clinical directors from a nationally representative
sample of 346 private treatment centers participating in the 2006-07
National Treatment Center Study. Results indicated that only 18% provided
special services for older adults; age-specific recommendations were
generally adopted; more older adult-specialty centers offered prescription
drug addiction treatment, primary medical care, and housing assistance. The
proportion of patients with Medicare payment predicted availability of
special services. As more older adults will seek help with a myriad of
substance use disorders (SUDs) over the next decade, treatment centers need
to get ready for a plethora of challenges as well as unique opportunities
for growth.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, therapy)
drug dependence treatment
organization and management
EMTREE MEDICAL INDEX TERMS
aged
article
health care delivery
human
practice guideline
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21302179 (http://www.ncbi.nlm.nih.gov/pubmed/21302179)
PUI
L361734399
DOI
10.1080/08897077.2011.540463
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.540463
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1020
TITLE
Snake bite as a novel form of substance abuse: personality profiles and
cultural perspectives.
AUTHOR NAMES
Katshu M.Z.
Dubey I.
Khess C.R.
Sarkhel S.
AUTHOR ADDRESSES
(Katshu M.Z.; Dubey I.; Khess C.R.; Sarkhel S.)
CORRESPONDENCE ADDRESS
M.Z. Katshu,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:1 (43-46). Date of
Publication: Jan 2011
ISSN
1547-0164 (electronic)
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent (drug toxicity)
snake venom (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology)
cultural anthropology
snakebite
EMTREE MEDICAL INDEX TERMS
adult
case report
decision making
human
letter
male
middle aged
CAS REGISTRY NUMBERS
snake venom (55230-69-8)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21302184 (http://www.ncbi.nlm.nih.gov/pubmed/21302184)
PUI
L361734403
DOI
10.1080/08897077.2011.540482
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.540482
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1021
TITLE
Evaluation of the burden of type 2 diabetes mellitus in population of
Puducherry, South India
AUTHOR NAMES
Bharati D.R.
Pal R.
Rekha R.
Yamuna T.V.
AUTHOR ADDRESSES
(Bharati D.R.) Department of Community Medicine, Mahatma Gandhi Medical
College, Research Institute, Pondy-Cuddalore Main Road, Pillayarkuppam,
Puducherry - 607402, India.
(Pal R., ranabirmon@yahoo.co.in) Department of Community Medicine,
Sikkim-Manipal Institute, Medical Sciences and Central Referral Hospital,
5th Mile Tadong, Gangtok, Sikkim 737 102, India.
(Rekha R.) Mahatma Gandhi Medical College, Research Institute,
Pillayarkuppam, Puducherry - 607402, India.
(Yamuna T.V.) Kasturba Gandhi Nursing College, Mahatma Gandhi Medical
College, Research Institute Campus, Pondy-Cuddalore Main Road,
Pillayarkuppam, Puducherry - 607402, India.
CORRESPONDENCE ADDRESS
R. Pal, Department of Community Medicine, Sikkim-Manipal Institute, Medical
Sciences and Central Referral Hospital, 5th Mile Tadong, Gangtok, Sikkim 737
102, India. Email: ranabirmon@yahoo.co.in
SOURCE
Diabetes and Metabolic Syndrome: Clinical Research and Reviews (2011) 5:1
(12-16). Date of Publication: January-March 2011
ISSN
1871-4021
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Aims: To find out the prevalence of undiagnosed diabetes mellitus and the
correlates among the adult population of Puducherry, South India. Methods:
In this population based cross-sectional study in the rural and urban field
practice area of Mahatma Gandhi Medical College and Research Institute,
Puducherry, by simple random sampling 1013 adults of 30 years and above, not
on anti-diabetics drugs were included. Main outcome measures were the
prevalence and correlates of undiagnosed diabetes mellitus among the adult
population. Pre-designed and pre-tested questionnaire was used to elicit the
information on family and individual socio-demographic variables. Height,
weight, waist and hip circumference, blood pressure were measured and venous
blood was collected to measure fasting blood glucose and blood cholesterol.
Results: Overall, 10.3% study subjects were diagnosed as diabetic. In
univariate analysis age, dilatory habit, tobacco addiction, body mass index,
waist hip ratio, hypertension, and total blood cholesterol were found
statistically significant. In multivariate logistic regression (LR method)
analysis age, residence, education, dietary habit, tobacco addiction, body
mass index, waist hip ratio and total blood cholesterol were statistically
significant. Conclusions: In our study adults having increased age, urban
residence, illiterate, non-vegetarian diet, tobacco addiction, obese and
high total blood cholesterol were important correlates. © 2010 Diabetes
India. Published by Elsevier Ltd. All rights reserved.
EMTREE DRUG INDEX TERMS
cholesterol (endogenous compound)
glucose (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
India
non insulin dependent diabetes mellitus (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
anthropometric parameters
article
blood pressure
body mass
cholesterol blood level
controlled study
cross-sectional study
demography
education
evaluation study
female
glucose blood level
habit
height
hip circumference
human
hypertension
major clinical study
male
outcome assessment
population research
prevalence
priority journal
questionnaire
random sample
rural area
statistical significance
tobacco dependence
urban area
venous blood
waist circumference
waist hip ratio
weight
CAS REGISTRY NUMBERS
cholesterol (57-88-5)
glucose (50-99-7, 84778-64-3)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Clinical and Experimental Biochemistry (29)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011266776
MEDLINE PMID
22814835 (http://www.ncbi.nlm.nih.gov/pubmed/22814835)
PUI
L361760329
DOI
10.1016/j.dsx.2010.05.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.dsx.2010.05.008
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 1022
TITLE
Substance use attitudes and behaviors at three pharmacy colleges.
AUTHOR NAMES
Baldwin J.N.
Scott D.M.
DeSimone 2nd. E.M.
Forrester J.H.
Fankhauser M.P.
AUTHOR ADDRESSES
(Baldwin J.N.) College of Pharmacy, The University of Nebraska Medical
Center, Omaha, Nebraska 68198-6045, USA.
(Scott D.M.; DeSimone 2nd. E.M.; Forrester J.H.; Fankhauser M.P.)
CORRESPONDENCE ADDRESS
J.N. Baldwin, College of Pharmacy, The University of Nebraska Medical
Center, Omaha, Nebraska 68198-6045, USA. Email: jbaldwin@unmc.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2011) 32:1 (27-35). Date of
Publication: Jan 2011
ISSN
1547-0164 (electronic)
ABSTRACT
The objective of this study was to profile and compare alcohol and other
drug (AOD) use attitudes and behaviors in three pharmacy colleges. Student
surveys of AOD use attitudes and behaviors were conducted at one
southwestern and two midwestern pharmacy colleges. Response was 86.5%
(566/654). Reported past-year use included alcohol 82.8%, tobacco 25.4%, and
marijuana 6.9%. Past-year AOD-associated events included blackouts 18.2%,
class or work under influence 7.8%, patient care under influence 1.4%,
lowered grades or job evaluations 5.8%, legal charges 2.7%, and heavy
drinking 29.0%. Family histories of alcohol or drug problems were reported
by 35.5% and 13.1%, respectively. A number of significant differences in AOD
use attitudes and behaviors between the three colleges were identified.
Pharmacy students reported a number of risky drug-use attitudes and
behaviors in this survey. Student AOD prevention, assistance, and education
should be proactively addressed by pharmacy colleges.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
attitude to health
education
pharmacy student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
high risk behavior
human
male
psychological aspect
questionnaire
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21302181 (http://www.ncbi.nlm.nih.gov/pubmed/21302181)
PUI
L361734401
DOI
10.1080/08897077.2011.540470
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.540470
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1023
TITLE
Pain theater: How to talk to your patients when their pills are “stolen” -
Again (407)
AUTHOR NAMES
Childers J.
Wood G.
Barnett M.
AUTHOR ADDRESSES
(Childers J.) University of Pittsburgh, Pittsburgh, United States.
(Wood G.) University of Pittsburgh, Medical Center, Pittsburgh, United
States.
(Barnett M.) University of Alabama at Birmingham, Birmingham, United States.
CORRESPONDENCE ADDRESS
J. Childers, University of Pittsburgh, Pittsburgh, United States.
SOURCE
Journal of Pain and Symptom Management (2011) 41:1 (222-223). Date of
Publication: January 2011
CONFERENCE NAME
Annual Assembly of American Academy of Hospice and Palliative Medicine and
Hospice and Palliative Nurses Association
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2011-02-16 to 2011-02-19
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives: 1. Identify common red flags for opioid misuse. 2. Discuss how
to respond to signs of opioid misuse with empathy and appropriate
limitsetting. 3. Interpret positive and negative urine drug screens. Many
practitioners dread confronting a patient about behaviors such as repeatedly
“losing” pills, getting opioid prescriptions from multiple providers, or
using street drugs concurrently with opioids. While many of these patients
may simply need better pain management, some may be abusing the medications,
struggling with addiction, or diverting medications. Palliative care centers
are seeing a growing number of such difficult-to-manage patients in
consultation, and hospices struggle with the barriers that active substance
use disorders create to providing quality end-of-life care. Most hospice and
palliative care clinicians do not receive education in how to communicate
with patients with life-limiting illnesses who also exhibit aberrant
drug-taking behavior. This session uses a technique called “Pain Theater” to
teach communication skills around opioid misuse and addiction disorders in
the hospice and palliative care population. Pain Theater is an educational
innovation that was introduced at the 2010 AAHPM Educational Exchange to
overwhelmingly positive audience response. The centerpiece of this year's
session is the opportunity to see how an expert clinician communicates in a
difficult encounter with a patient with newly diagnosed metastatic cancer
and a history of chronic pain opioid misuse and a recent positive urine drug
screen. The case will be acted out in front of the audience by two of the
presenters. A third presenter facilitates the session, soliciting audience
feedback to identify the specific communication skills that were used and
“pausing” the encounter to ask for suggestions on how to proceed in a way
that sets limits, but maintains the rapport necessary to develop a treatment
plan that addresses, both, opioid misuse and pain. Through this exercise the
audience sees the real-time consequences of skillful communication and
envisions how they could adopt these strategies with their own patients.
EMTREE DRUG INDEX TERMS
opiate
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospice
nurse
pain
palliative therapy
patient
pill
EMTREE MEDICAL INDEX TERMS
addiction
chronic pain
communication skill
consultation
drug therapy
education
empathy
exercise
feedback system
general aspects of disease
interpersonal communication
metastasis
physician
population
prescription
substance abuse
terminal care
urine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70382503
DOI
10.1016/j.jpainsymman.2010.10.100
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpainsymman.2010.10.100
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1024
TITLE
Engaging populations at risk - Strengthening connections
AUTHOR NAMES
Korhonen L.D.
Sobota M.
Tranter D.
Hudson K.
AUTHOR ADDRESSES
(Korhonen L.D.; Sobota M.; Tranter D.; Hudson K.) Thunder Bay, Canada.
CORRESPONDENCE ADDRESS
L.D. Korhonen, Thunder Bay, Canada.
SOURCE
Canadian Journal of Infectious Diseases and Medical Microbiology (2011) 22
SUPPL. SB (117B). Date of Publication: Spring 2011
CONFERENCE NAME
20th Annual Canadian Conference on HIV/AIDS Research: Honouring our History,
Embracing our Diversity, CAHR 2011
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2011-04-14 to 2011-04-17
ISSN
1712-9532
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
HIV/AIDS and Hepatitis C epidemics in Northern Ontario are primarily fuelled
by Injection drug use (IDU) and substance use in combination with unsafe
sex. GOAL: Decrease disease transmission. Increase education and support for
individuals with addictions. PURPOSE: Locate injection drug users and
substance users to learn: who are they, where are they, how do they
learn/want to engage. DESIGN: Research conducted June 1, 2009 to March 31,
2010 involving development of a survey tool (adapted from respondent driven
sampling RDS know as effective to reach invisible populations), focus groups
and a literature review. RESULTS: 51% female, 48% male. Majority >25 yrs
old, unemployed, living in unstable housing and had children. Many reported
poor physical health, not seeking or receive health care, use family/
friends for medical attention, or go nowhere. Primary health problems:
mental health, depression, anxiety (females) and head injuries (males). HEP
C is the most diagnosed condition. Use >3x/wk. Excluding alcohol and
marijuana, most substances used are non-prescribed prescription drugs as
follows: oxycontin, Percocet, Tylenol #3s, cocaine and morphine. Pills
easily injected. Respondents reported they are sharing drug paraphernalia.
MESSAGING TO SUBSTANCE USERS: Respondents want information delivered
informally and passively preferably in pamphlets or via Internet. Not
seeking information on sexually transmitted diseases or safe drug injection.
Information should be two-tiered: primarily about improving life generally,
with other messages (eg. harm reduction) embedded within. Information
priorities: housing, mental health services, government services. Highest
trust method is delivered by friends/peers, available in non-stigmatizing
locations, (Internet, mall, coffee shop). SERVICE IMPACT: Improve existing
services, develop new resources, explore web-based delivery, introduce
programs better meeting needs of the IDU and substance-using population.
Increase outreach time on the street, coffee shops, libraries, malls to
improve engaging with this population. Revise peer training program.
Continue research to explore questions arising from study.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cocaine
morphine
oxycodone
oxycodone plus paracetamol
paracetamol
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
population
risk
EMTREE MEDICAL INDEX TERMS
addiction
anxiety
Canada
child
coffee
disease transmission
drug use
education
epidemic
female
friend
government
harm reduction
head injury
health
health care utilization
hepatitis C
housing
human
information processing
injection
Internet
library
male
mental health
mental health service
pill
respiratory distress syndrome
sampling
sexually transmitted disease
training
unsafe sex
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70476116
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1025
TITLE
Self-reported tobacco smoking practices among medical students and their
perceptions towards training about tobacco smoking in medical curricula: A
cross-sectional, questionnaire survey in Malaysia, India, Pakistan, Nepal,
and Bangladesh.
AUTHOR NAMES
Sreeramareddy C.T.
Suri S.
Menezes R.G.
Kumar H.N.
Rahman M.
Islam M.R.
Pereira X.V.
Shah M.
Sathian B.
Shetty U.
Vaswani V.R.
AUTHOR ADDRESSES
(Sreeramareddy C.T.) Department of Community Medicine, Melaka Manipal
Medical College, Melaka, Malaysia.
(Suri S.; Menezes R.G.; Kumar H.N.; Rahman M.; Islam M.R.; Pereira X.V.;
Shah M.; Sathian B.; Shetty U.; Vaswani V.R.)
CORRESPONDENCE ADDRESS
C.T. Sreeramareddy, Department of Community Medicine, Melaka Manipal Medical
College, Melaka, Malaysia. Email: chandrashekharats@yahoo.com
SOURCE
Substance abuse treatment, prevention, and policy (2010) 5 (29). Date of
Publication: 2010
ISSN
1747-597X (electronic)
ABSTRACT
Tobacco smoking issues in developing countries are usually taught
non-systematically as and when the topic arose. The World Health
Organisation and Global Health Professional Student Survey (GHPSS) have
suggested introducing a separate integrated tobacco module into medical
school curricula. Our aim was to assess medical students' tobacco smoking
habits, their practices towards patients' smoking habits and attitude
towards teaching about smoking in medical schools. A cross-sectional
questionnaire survey was carried out among final year undergraduate medical
students in Malaysia, India, Nepal, Pakistan, and Bangladesh. An anonymous,
self-administered questionnaire included items on demographic information,
students' current practices about patients' tobacco smoking habits, their
perception towards tobacco education in medical schools on a five point
Likert scale. Questions about tobacco smoking habits were adapted from GHPSS
questionnaire. An 'ever smoker' was defined as one who had smoked during
lifetime, even if had tried a few puffs once or twice. 'Current smoker' was
defined as those who had smoked tobacco product on one or more days in the
preceding month of the survey. Descriptive statistics were calculated.
Overall response rate was 81.6% (922/1130). Median age was 22 years while
50.7% were males and 48.2% were females. The overall prevalence of 'ever
smokers' and 'current smokers' was 31.7% and 13.1% respectively. A majority
(> 80%) of students asked the patients about their smoking habits during
clinical postings/clerkships. Only a third of them did counselling, and
assessed the patients' willingness to quit. Majority of the students agreed
about doctors' role in tobacco control as being role models, competence in
smoking cessation methods, counseling, and the need for training about
tobacco cessation in medical schools. About 50% agreed that current
curriculum teaches about tobacco smoking but not systematically and should
be included as a separate module. Majority of the students indicated that
topics about health effects, nicotine addiction and its treatment,
counselling, prevention of relapse were important or very important in
training about tobacco smoking. Medical educators should consider revising
medical curricula to improve training about tobacco smoking cessation in
medical schools. Our results should be supported by surveys from other
medical schools in developing countries of Asia.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
curriculum
medical student
questionnaire
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
Asia (epidemiology)
cross-sectional study
female
human
Malaysia (epidemiology)
male
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21080923 (http://www.ncbi.nlm.nih.gov/pubmed/21080923)
PUI
L360266817
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1026
TITLE
Attitudes of undergraduate health science students towards patients with
intellectual disability, substance abuse, and acute mental illness: a
cross-sectional study.
AUTHOR NAMES
Boyle M.J.
Williams B.
Brown T.
Molloy A.
McKenna L.
Molloy E.
Lewis B.
AUTHOR ADDRESSES
(Boyle M.J.) Department of Community Emergency Health and Paramedic
Practice, Monash University, PO Box 527, Frankston 3199, Victoria,
Australia.
(Williams B.; Brown T.; Molloy A.; McKenna L.; Molloy E.; Lewis B.)
CORRESPONDENCE ADDRESS
M.J. Boyle, Department of Community Emergency Health and Paramedic Practice,
Monash University, PO Box 527, Frankston 3199, Victoria, Australia. Email:
Mal.Boyle@monash.edu
SOURCE
BMC medical education (2010) 10 (71). Date of Publication: 2010
ISSN
1472-6920 (electronic)
ABSTRACT
There is a long history of certain medical conditions being associated with
stigma, stereotypes, and negative attitudes. Research has shown that such
attitudes can have a detrimental effect on patients presenting with
stigmatised medical conditions and can even flow on to impact their family.
The objective of this study was to measure the attitudes of undergraduate
students enrolled in six different health-related courses at Monash
University toward patients with intellectual disability, substance abuse,
and acute mental illness. A convenience sample of undergraduate students
enrolled in six health-related courses in first, second and third years at
Monash University were surveyed. The Medical Condition Regard Scale--a valid
and reliable, self-report measure of attitudes--was administered to students
along with a brief demographic form. Mean scores, t-tests, and ANOVA were
used to analyse student attitudes. Ethics approval was granted. 548 students
participated. Statistically significant differences were found between the
courses (p = 0.05), year of the course (p = 0.09), and gender (p = 0.04) for
the medical condition of intellectual disability. There was no statistically
significant difference between the courses, year of the course, gender, and
age group for substance abuse or acute mental illness conditions. The
findings suggest that students in undergraduate health-related courses, as a
group, have a strong regard for patients with intellectual disability and
some regard for patients with acute mental illness, but not for patients
presenting with substance abuse problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude to health
medical education
mental deficiency
mental disease
student
EMTREE MEDICAL INDEX TERMS
acute disease
adult
analysis of variance
article
cross-sectional study
curriculum
education
female
human
male
paramedical personnel
psychological aspect
psychometry
questionnaire
social psychology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20964840 (http://www.ncbi.nlm.nih.gov/pubmed/20964840)
PUI
L360249928
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1027
TITLE
An educational strategy for treating chronic, noncancer pain with opioids: A
pilot test
AUTHOR NAMES
Elhwairis H.
Reznich C.B.
AUTHOR ADDRESSES
(Elhwairis H., helhwai1@hurleymc.com) Hurley Medical Center, Michigan State
University, Two Hurley Plaza, Flint, MI 48503, United States.
(Reznich C.B.) Michigan State University, East Lansing, MI, United States.
CORRESPONDENCE ADDRESS
H. Elhwairis, Hurley Medical Center, Michigan State University, Two Hurley
Plaza, Flint, MI 48503, United States. Email: helhwai1@hurleymc.com
SOURCE
Journal of Pain (2010) 11:12 (1368-1375). Date of Publication: December 2010
ISSN
1526-5900
1528-8447 (electronic)
BOOK PUBLISHER
Churchill Livingstone Inc., 650 Avenue of the Americas, New York, United
States.
ABSTRACT
Chronic pain is common and can be devastating to the patient and challenging
to the health care provider. Despite the importance of the topic, pain
management curricula are incomplete in health professionals' training. We
developed a longitudinal curriculum to teach therapy for chronic noncancer
pain over four units and pilot-tested the teaching of one unit (opioids) to
internal medicine residents. The educational strategies we used included
didactic sessions, write-up of a management plan following a model, case
discussions, and role-play group activities. We pilot-tested one unit
(opioid therapy) in March 2008. We performed learner evaluations, using a
pretest and posttest, a write-up plan following a model, and a learner
knowledge questionnaire. Results showed significant improvement in
knowledge. Residents found the sessions and educational strategy to be
excellent and reported higher confidence levels in managing patients with
chronic noncancer pain. Perspective: This article demonstrates that multiple
teaching modalities - including didactic lectures, case discussions,
write-up of a management plan following a model, and role-play group
activities - are effective methods of teaching internal medicine residents
how to use opioids to manage chronic noncancer pain. © 2010 by the American
Pain Society.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate derivative (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy, drug therapy)
EMTREE MEDICAL INDEX TERMS
curriculum
education
health practitioner
human
model
pilot study
questionnaire
resident
review
role playing
treatment planning
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010659263
MEDLINE PMID
20542743 (http://www.ncbi.nlm.nih.gov/pubmed/20542743)
PUI
L50945059
DOI
10.1016/j.jpain.2010.03.012
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2010.03.012
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1028
TITLE
A CME approach to smoking cessation.
AUTHOR NAMES
Addleton R.L.
Cohen A.B.
AUTHOR ADDRESSES
(Addleton R.L.) Physicians' Institute, USA.
(Cohen A.B.)
CORRESPONDENCE ADDRESS
R.L. Addleton, Physicians' Institute, USA.
SOURCE
Journal of the Medical Association of Georgia (2010) 99:4 (21-22). Date of
Publication: 2010
ISSN
0025-7028
ABSTRACT
Overall, both project participants and project coordinators were very
positive about their experiences and the outcomes of the projects. Several
projects went beyond expectations, utilizing patient audits to determine
outcomes and indicated changes in processes and behaviors to improve patient
outcomes in smoking cessation. Many grantees indicated that their project
was a catalyst for future programs and other policy changes. Finally, local
CME coordinators acknowledged that this type of project with supporting
evaluation and content assisted them in providing higher quality CME and
meeting the new Accreditation Council for Continuing Medical Education
requirements.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
human
medical society
methodology
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21319662 (http://www.ncbi.nlm.nih.gov/pubmed/21319662)
PUI
L361407438
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1029
TITLE
Crossroads of pain and addiction
AUTHOR NAMES
Bailey J.A.
Hurley R.W.
Gold M.S.
AUTHOR ADDRESSES
(Bailey J.A., baileyjo@ufl.edu) Pain and Addiction Medicine in the Division
of Addiction Medicine, Department of Psychiatry, University of Florida's
Springhill Health Center, United States.
(Hurley R.W.) Division of Pain, Department of Anesthesiology, University of
Florida, United States.
(Gold M.S.) Department of Psychiatry, McKnight Brain Institute, Gainesville,
FL, United States.
CORRESPONDENCE ADDRESS
J.A. Bailey, Springhill Health Center, 8491 NW 39th Ave., Gainesville, FL
32606, United States. Email: baileyjo@ufl.edu
SOURCE
Pain Medicine (2010) 11:12 (1803-1818). Date of Publication: December 2010
ISSN
1526-2375
1526-4637 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
Background. Despite the fact that chronic pain and addiction often coexist,
few pain training programs offer significant experiential and didactic
training in drug abuse and addiction. Similarly, addiction medicine programs
often offer little training in pain management. What follows is a review of
the intersection between these two specialties from the perspective of
clinicians that practice both. Objective. The objective of this study was to
review the historical backdrop, terminology, vulnerability, and neurobiology
of addiction; explore the effects of drug, delivery system, timing, and
environment on drug self-administration; and review strategies used in
managing patients with coexisting addiction and chronic pain. Setting. The
University of Florida has training programs in both pain management and
addiction medicine. The collaboration of these two subspecialties has led to
the development of a successful pain management clinic that manages
difficult patients based on the strategies that are discussed. Conclusions.
It is possible to successfully manage patients with coexisting chronic pain
and addictive disorders. Addiction medicine and pain management training
programs should offer didactic and experiential training in both
subspecialties. © 2010 Wiley Periodicals, Inc.
EMTREE DRUG INDEX TERMS
hydrocodone (adverse drug reaction, drug therapy)
opiate derivative (adverse drug reaction, drug therapy)
oxycodone (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy, drug therapy)
drug dependence (side effect, etiology, side effect)
EMTREE MEDICAL INDEX TERMS
article
comorbidity
drug abuse
drug self administration
human
medical education
medical specialist
neurobiology
nonhuman
opiate addiction (side effect)
risk benefit analysis
DRUG TRADE NAMES
oxycontin
CAS REGISTRY NUMBERS
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
oxycodone (124-90-3, 76-42-6)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010687286
MEDLINE PMID
21040437 (http://www.ncbi.nlm.nih.gov/pubmed/21040437)
PUI
L360160147
DOI
10.1111/j.1526-4637.2010.00982.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1526-4637.2010.00982.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1030
TITLE
Drug abuse pattern and high risk behaviors among addicts in Shahroud County
of Semnan Province, Northeast Iran in 2009
AUTHOR NAMES
Amiri M.
Khosravi A.
Chaman R.
AUTHOR ADDRESSES
(Amiri M., m-amiri-71@yahoo.com) Department of Public Health, School of
Health, Shahroud University of Medical Sciences, Shahroud, Iran.
(Khosravi A.; Chaman R.) Department of Epidemiology and Center for Health
Related Social and Behavioral Sciences Research, School of Health, Shahroud
University of Medical Sciences, Shahroud, Iran.
CORRESPONDENCE ADDRESS
M. Amiri, Department of Public Health, School of Health, Shahroud University
of Medical Sciences, Shahroud, Iran. Email: m_amiri_71@yahoo.com
SOURCE
Journal of Research in Health Sciences (2010) 10:2 (104-109). Date of
Publication: 2010
ISSN
1682-2765
BOOK PUBLISHER
School of Public Health, P.O. Box 65175, Hamedan, Iran.
ABSTRACT
Background: This study aimed at determining the drug abuse pattern and the
frequency of high-risk behaviors among the clients of Methadone Maintenance
Treatment Centers and Drop-in Centers in Shahroud County of Semnan Province.
Methods: In this cross-sectional study, the data collection tool was a
questionnaire including 10 general and 32 specific items about drug abuse
pattern and high-risk behaviors. The data were collected via interview.
Results: The mean age of the subjects was 34.8 year. The patterns of opium
consumption among the subjects before coming to treatment center were
inhalation (44.4%), ingestion (25.7%), and injection (12.7%). The subjects
abused different types of opium before referring to the treatment centers
including opium 88.42%, opium extract 65.5%, crack 48.0%, alcohol 30.3%,
cannabis 19.8%, heroin 16.7%, and other substances 6.5%. Almost 42.4% of
subjects had positive family history of drug abuse. There was not
statistically significant correlation between the form of substance abuse
and gender, education level, occupation and marital status. However the
correlation between form of substance abuse and place of residence
(P=0.014), income (P=0.03) and tobacco smoking (P=0.001) was statistically
significant. Conclusion: The most prevalent pattern of drug consumption was
inhalation. Opium and crack were the most frequent kind of drugs among study
subjects. These results need serious attention in providing services through
Methadone Maintenance Treatment Centers as well as Drop-in Centers. In
addition, due to highly positive family history among addicts, family
participation will play an important role in prevention.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cocaine
diamorphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
drug dependence
high risk behavior
EMTREE MEDICAL INDEX TERMS
adult
aged
article
controlled study
cross-sectional study
drug use
educational status
family history
female
human
income
ingestion
inhalation
injection
interview
Iran
male
marriage
occupation
questionnaire
residential area
sex ratio
smoking
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011082907
PUI
L361237560
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1031
TITLE
Smoking cessation quitlines in Europe: matching services to callers'
characteristics.
AUTHOR NAMES
Willemsen M.C.
van der Meer R.M.
Schippers G.M.
AUTHOR ADDRESSES
(Willemsen M.C.) STIVORO, Dutch Expert Centre on Tobacco Control, The Hague,
The Netherlands.
(van der Meer R.M.; Schippers G.M.)
CORRESPONDENCE ADDRESS
M.C. Willemsen, STIVORO, Dutch Expert Centre on Tobacco Control, The Hague,
The Netherlands. Email: mc.willemsen@stivoro.nl
SOURCE
BMC public health (2010) 10 (770). Date of Publication: 2010
ISSN
1471-2458 (electronic)
ABSTRACT
Telephone quitlines offer a wide range of services to callers, including
advice and counsel, and information on pharmacotherapy for smoking
cessation. But, little is known about what specific quitline services are
offered to smokers and whether these services are appropriately matched to
characteristics of smokers. This study examines how quitline services are
matched to callers' level of addiction, educational level, stage-of-change
with quitting, and whether they are referred by a doctor or other health
professional. Between February 2005 and April 2006, 3,585 callers to seven
European quitlines responded to our survey. During the course of and
immediately after the call, quitline counsellors collected descriptive data
on callers' characteristics and the services they used. We then conducted
four logistic regression analyses to examine the relationship between
quitline services and the four caller characteristics. Forty three percent
of all callers received information on pharmacotherapy--most often nicotine
patches and nicotine gum--from the counsellor. As we predicted, these
callers were the heavy smokers. There was a direct correlation between the
length of the conversations between the counsellor and the educational level
of the smoker: the lower the education of the smoker, the shorter the call.
However, we found no significant association between any other type of
service and the educational level of caller. We also found a correlation
between the smoker's stage of quitting and the type of advice a counsellor
gives. Smokers in the action stage of quitting were more likely to receive
advice (in two quitlines) or counselling (in two quitlines) than those in
the preparation stage, who were less likely to be referred (in three
quitlines). Very few of the total number of calls (10.7%) were from
referrals by health professionals. Referred callers were more likely to
receive counselling, but this was found only in four of seven quitlines.
Most of the services quitlines offer to smokers favour heavy smokers and
those at a more advanced stage of cessation, but not based on their
educational level. Thus, we recommend that European quitlines extend and
tailor their services to include less-educated smokers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient referral
smoking cessation
telephone
EMTREE MEDICAL INDEX TERMS
adult
article
Europe
female
human
male
middle aged
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21167063 (http://www.ncbi.nlm.nih.gov/pubmed/21167063)
PUI
L361461370
DOI
10.1186/1471-2458-10-770
FULL TEXT LINK
http://dx.doi.org/10.1186/1471-2458-10-770
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1032
TITLE
Barriers to and facilitators of hepatitis C testing, management, and
treatment among current and former injecting drug users: A qualitative
exploration
AUTHOR NAMES
Swan D.
Long J.
Carr O.
Flanagan J.
Irish H.
Keating S.
Keaveney M.
Lambert J.
McCormick P.A.
McKiernan S.
Moloney J.
Perry N.
Cullen W.
AUTHOR ADDRESSES
(Swan D., davina.swan@ucd.ie; Lambert J.; Cullen W.) School of Medicine and
Medical Science, University College Dublin, Centre for Immediate Care
Services, Belfield, Dublin 4, Ireland.
(Long J.) Alcohol and Drug Research Unit, Health Research Board, Dublin,
Ireland.
(Carr O.) Canal Communities Local Drugs Task Force, Dublin, Ireland.
(Flanagan J.) HSE Addiction Service-Dublin North, Dublin, Ireland.
(Irish H.; McKiernan S.) Hepatology Centre, St. James's Hospital, Dublin,
Ireland.
(Keating S.) Drug Treatment Centre Board, Trinity Court, Dublin, Ireland.
(Keaveney M.) East Coast Area, Addiction Service, Co. Dublin, Ireland.
(Lambert J.) Catherine McAuley Education and Research Centre, Mater
Misericordiae University Hospital, Dublin, Ireland.
(McCormick P.A.) National Liver Transplant Unit, St. Vincent's University
Hospital, Dublin, Ireland.
(Moloney J.) Patrick Street Clinic, Dun Laoghaire, Co. Dublin, Ireland.
(Perry N.) Community Response, Dublin, Ireland.
(Cullen W.) Graduate Entry Medical School, University of Limerick, Limerick,
Ireland.
CORRESPONDENCE ADDRESS
D. Swan, School of Medicine and Medical Science, University College Dublin,
Centre for Immediate Care Services, Belfield, Dublin 4, Ireland. Email:
davina.swan@ucd.ie
SOURCE
AIDS Patient Care and STDs (2010) 24:12 (753-762). Date of Publication: 1
Dec 2010
ISSN
1087-2914
BOOK PUBLISHER
Mary Ann Liebert Inc., 140 Huguenot Street, New Rochelle, United States.
ABSTRACT
Hepatitis C (HCV) infection is common among injecting drug users (IDUs), yet
accessing of HCV care, particularly HCV treatment, is suboptimal. There has
been little in-depth study of IDUs experiences of what enables or prevents
them engaging at every level of HCV care, including testing, follow-up,
management and treatment processes. This qualitative study aimed to explore
these issues with current and former IDUs in the greater Dublin area,
Ireland. From September 2007 to September 2008 in-depth interviews were
conducted with 36 service-users across a range of primary and secondary care
services, including: two addiction clinics, a general practice, a community
drop-in center, two hepatology clinics, and an infectious diseases clinic.
Interviews were analyzed using a grounded theory approach. Barriers to HCV
care included perceptions of HCV infection as relatively benign, fear of
investigations and treatment, and feeling well. Perceptions were shaped by
the discourse about HCV and "horror stories" about the liver biopsy and
treatment within their peer networks. Difficulties accessing HCV care
included limited knowledge of testing sites, not being referred for
specialist investigations and ineligibility for treatment. Employment,
education, and addiction were priorities that competed with HCV care.
Relationships with health care providers influenced engagement with care:
Trust in providers, concern for the service-user, and continuity of care
fostered engagement. Education on HCV infection, investigations, and
treatment altered perceptions. Becoming symptomatic, responsibilities for
children, and wanting to move on from drug use motivated HCV treatment. In
conclusion, IDUs face multiple barriers to HCV care. A range of facilitators
were identified that could inform future interventions. © Copyright 2010,
Mary Ann Liebert, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
hepatitis C
intravenous drug abuse
EMTREE MEDICAL INDEX TERMS
addiction
adult
article
clinical article
disease association
education
employment
fear
female
follow up
health care personnel
human
interview
Ireland
liver biopsy
male
medical specialist
patient care
primary medical care
qualitative research
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010683932
MEDLINE PMID
21138381 (http://www.ncbi.nlm.nih.gov/pubmed/21138381)
PUI
L360150906
DOI
10.1089/apc.2010.0142
FULL TEXT LINK
http://dx.doi.org/10.1089/apc.2010.0142
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1033
TITLE
Bringing all the players to the table: the West Virginia Controlled
Substance Advisory Board.
AUTHOR NAMES
Hannah K.L.
O'Neil M.
AUTHOR ADDRESSES
(Hannah K.L.) West Virginia Medical Institute, USA.
(O'Neil M.)
CORRESPONDENCE ADDRESS
K.L. Hannah, West Virginia Medical Institute, USA.
SOURCE
The West Virginia medical journal (2010) 106:4 Spec No (22-24). Date of
Publication: 2010
ISSN
0043-3284
ABSTRACT
Abuse and diversion of controlled substances are well-known problems in West
Virginia and nationally. The costs to our society in both dollars and human
capital are substantial. These problems touch groups as diverse as law
enforcement, medical professionals, government leaders, addiction
specialists, pain specialists, social workers, educators and regulatory
boards, among others. The issues these groups face are varied and often
unique to each profession, often resulting in a lack of communication and
collaboration. This problem has been compounded by the fact that each group
often makes decisions based on independent data related to substance abuse
and diversion, which historically have not been shared due to privacy and
other concerns. The West Virginia Controlled Substance Advisory Board was
created to address these and other issues involved in drug diversion and
substance abuse in West Virginia.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
advisory committee
EMTREE MEDICAL INDEX TERMS
article
human
organization and management
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21932749 (http://www.ncbi.nlm.nih.gov/pubmed/21932749)
PUI
L560034896
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1034
TITLE
Medical education needed for smoking cessation
AUTHOR NAMES
Brewster J.M.
AUTHOR ADDRESSES
(Brewster J.M.) Dalla Lana School of Public Health, University of Toronto,
Toronto, ON, Canada.
CORRESPONDENCE ADDRESS
J. M. Brewster, Dalla Lana School of Public Health, University of Toronto,
Toronto, ON, Canada.
SOURCE
CMAJ (2010) 182:16 (1761). Date of Publication: 9 Nov 2010
ISSN
0820-3946
1488-2329 (electronic)
BOOK PUBLISHER
Canadian Medical Association, 1867 Alta Vista Drive, Ottawa, Canada.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
health care cost
health care personnel
health service
human
letter
patient counseling
physician
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2010622386
MEDLINE PMID
21059784 (http://www.ncbi.nlm.nih.gov/pubmed/21059784)
PUI
L359954245
DOI
10.1503/cmaj.110-2119
FULL TEXT LINK
http://dx.doi.org/10.1503/cmaj.110-2119
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1035
TITLE
Prevalence and profile of smokers, perceptions on smoking, and practices on
smoking cessation among medical students, residents, and fellows in training
at the philippine general hospital
AUTHOR NAMES
Reyes K.A.
Pablo M.P.
Fernandez L.
AUTHOR ADDRESSES
(Reyes K.A.; Pablo M.P.; Fernandez L.) Section of Pulmonary Medicine,
Philippine General Hospital, Taft Avenue, Manila, Philippines.
CORRESPONDENCE ADDRESS
K.A. Reyes, Section of Pulmonary Medicine, Philippine General Hospital, Taft
Avenue, Manila, Philippines.
SOURCE
Respirology (2010) 15 SUPPL. 2 (109). Date of Publication: November 2010
CONFERENCE NAME
15th Congress of the Asian Pacific Society of Respirology
CONFERENCE LOCATION
Manila, Philippines
CONFERENCE DATE
2010-11-22 to 2010-11-25
ISSN
1323-7799
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Introduction In a study done at the Philippine General Hospital last 2003,
the prevalence of smoking among physicians was even higher than that of the
general population at 48%. It was also observed that physicians who smoke
tend to provide less motivation or even completely neglect to give advise
regarding smoking cessation. Methods A representative population of medical
students, clerks, interns, residents, and fellows in UPCM-PGH for the month
of February 2010 were identified by stratified random sampling and given a
questionnaire consisting of 21 items. The z test was used to determine if
there was a significant difference between the prevalence obtained from this
study and that done in 2003. The chi-square test was used to determine if
there was a significant difference between smokers and non-smokers in their
perceptions on smoking and practices on smoking cessation. Results There
were 228 respondents. The prevalence of smoking among medical students,
residents, and fellows in UPCM-PGH has declined signifi- cantly from 48% to
28% since 2003 but remains high relative to developed countries. A better
understanding of the factors that motivate physicians to smoke may help us
explain the high prevalence despite access to information on its harmful
effects. Medical students and physicians who smoke tend to be more
permissive and tolerant of smoking but both smokers and non-smokers believe
that this habit indirectly encourages patients to smoke. Majority believe
that it is the moral obligation of doctors to initiate smoking cessation
measures but only a minority consistently give advice on smoking cessation
and an even a smaller percentage offer pharmacologic therapy and enrollment
to smoking cessation programs. The main reasons why doctors fail to do so
are their smoking status and the feeling that they have inadequate knowledge
or skill in helping patients quit smoking. Conclusion Physicians must be
reminded of their roles as exemplars, and the no smoking policy in UPCM-PGH
must be strictly implemented. Knowledge and skills on smoking cessation must
be incorporated earlier in the medical curriculum specifically so that
physicians may develop the confidence to counsel patients and to offer them
the appropriate smoking cessation method.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Asian
general hospital
medical student
prevalence
smoking
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
access to information
chi square test
curriculum
developed country
habit
morality
motivation
patient
physician
policy
population
questionnaire
sampling
skill
smoke
smoking cessation program
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70313477
DOI
10.1111/j.1400-1843.2010.01865.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1400-1843.2010.01865.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1036
TITLE
Smoking habits among university students in Florence: Is a medical degree
course the right choice?
AUTHOR NAMES
Lucenteforte E.
Vannacci A.
Cipollini F.
Gori A.
Santini L.
Franchi G.
Terrone R.
Ravaldi C.
Mugelli A.
Gensini G.F.
Lapi F.
AUTHOR ADDRESSES
(Lucenteforte E., ersilia.lucenteforte@unifi.it; Vannacci A.; Mugelli A.;
Lapi F.) Department of Preclinical and Clinical Pharmacology M. Alazzi
Mancini, Centre for Molecular Medicine (CIMMBA), Tuscan Regional Centre of
Pharmacovigilance, University of Florence, Florence, Italy.
(Lucenteforte E., ersilia.lucenteforte@unifi.it) Department of Labor
Medicine L. Devoto, Section of Medical Statistics and Biometry G. A.
Maccacaro, University of Milan, Milan, Italy.
(Cipollini F.) Department of Statistics, University of Florence, Florence,
Italy.
(Gori A.; Santini L.; Franchi G.; Terrone R.) Italian League Against Tumors,
Florence Section, Florence, Italy.
(Ravaldi C.) Department of Neurological and Psychiatric Sciences, University
of Florence, Florence, Italy.
(Gensini G.F.) Heart and Vessel Department, Azienda
Ospedaliero-Universitaria Careggi, University of Florence, Florence, Italy.
(Lapi F.) Regional Authority for Healthcare Services of Tuscany,
Epidemiology Unit, Florence, Italy.
CORRESPONDENCE ADDRESS
E. Lucenteforte, Dept. of Preclinical and Clinical Pharmacology M. Alazzi
Mancini, Univ. of Florence, Viale G. Pieraccini, 6-50139 Florence, Italy.
Email: ersilia.lucenteforte@unifi.it
SOURCE
Preventive Medicine (2010) 51:5 (429-430). Date of Publication: November
2010
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
smoking habit
university student
EMTREE MEDICAL INDEX TERMS
agriculture
controlled study
demography
educational status
female
human
Italy
jurisprudence
law
letter
major clinical study
male
parent
priority journal
questionnaire
self report
smoking
social problem
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2010585376
MEDLINE PMID
20801155 (http://www.ncbi.nlm.nih.gov/pubmed/20801155)
PUI
L51079786
DOI
10.1016/j.ypmed.2010.08.009
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2010.08.009
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1037
TITLE
A survey on physician knowledge and attitudes towards clinical use of
morphine for cancer pain treatment in China
AUTHOR NAMES
Yanjun S.
Changli W.
Ling W.
Woo J.C.A.-L.
Sabrina K.
Chang L.
Lei Z.
AUTHOR ADDRESSES
(Yanjun S.; Changli W.; Lei Z., raymd728@yahoo.com.cn) Department of
Thoracic Surgery, Tianjin Lung Cancer Center, Tianjin Medical University
Cancer Institute and Hospital, Tianjin 300060, China.
(Ling W.) Xiangya Medical School, Central-South University, Changsha, China.
(Woo J.C.A.-L.; Sabrina K.) Harvard University, Cambridge, MA, United
States.
(Chang L.) Tianjin Medical University, Tianjin, China.
CORRESPONDENCE ADDRESS
Z. Lei, Department of Thoracic Surgery, Tianjin Lung Cancer Center, Tianjin
Medical University Cancer Institute and Hospital, Tianjin 300060, China.
Email: raymd728@yahoo.com.cn
SOURCE
Supportive Care in Cancer (2010) 18:11 (1455-1460). Date of Publication:
November 2010
ISSN
0941-4355
1433-7339 (electronic)
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
ABSTRACT
Background The WHO's three-step guideline for cancer pain management has
been introduced in China; however, there remain large differences in the
standards of cancer pain management between China and other developed
countries. This survey was carried out to determine the degree of physician
knowledge on morphine use and the factors that impede morphine use in
clinical practice in China. Methods A self-reported questionnaire was
designed and administered to randomly selected physicians in four tertiary
hospitals in the cities of Changchun and Changsha in China. Statistical
analyses were conducted using SPSS statistical software. Results Two hundred
and one clinical physicians participated in the survey. Physicians who
reported having received training in cancer pain management and drug use
demonstrated a significantly higher mean score of basic knowledge compared
to physicians who reported not having received training
(9.31±2.88:8.23±2.70, u=2.74, p<0.001). The top three cited impediments to
widespread clinical use of morphine for cancer pain were: (1) lack of
professional knowledge and training; (2) fear of opioid addiction; and (3)
physicians' personal preferences to select other drugs. Conclusions Medical
staffs lack the basic knowledge and harbor misconceptions about the clinical
use of morphine for cancer pain treatment. Creating training opportunities
for medical staffs is necessary to increase their awareness and knowledge of
effective cancer pain management. © Springer-Verlag 2009.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
morphine (drug therapy)
EMTREE DRUG INDEX TERMS
analgesic agent
bucinnazine
fentanyl
ketamine
morphine derivative
morphine sulfate
pethidine
unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain (drug therapy, drug therapy)
drug use
physician attitude
professional knowledge
EMTREE MEDICAL INDEX TERMS
China
clinical practice
drug choice
factor analysis
fear
health survey
human
medical decision making
medical education
opiate addiction
priority journal
professional competence
questionnaire
review
scoring system
self report
tertiary health care
urban area
CAS REGISTRY NUMBERS
fentanyl (437-38-7)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
morphine (52-26-6, 57-27-2)
morphine sulfate (23095-84-3, 35764-55-7, 64-31-3)
pethidine (28097-96-3, 50-13-5, 57-42-1)
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012550761
MEDLINE PMID
19902274 (http://www.ncbi.nlm.nih.gov/pubmed/19902274)
PUI
L50698613
DOI
10.1007/s00520-009-0768-2
FULL TEXT LINK
http://dx.doi.org/10.1007/s00520-009-0768-2
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1038
TITLE
Neighborhood education inequality and drinking behavior
AUTHOR NAMES
Lê F.
Ahern J.
Galea S.
AUTHOR ADDRESSES
(Lê F., felicele@umich.edu; Ahern J.) Division of Epidemiology, University
of California, Berkeley School of Public Health, 101 Haviland Hall,
Berkeley, CA 94720, United States.
(Lê F., felicele@umich.edu; Ahern J.; Galea S.) Department of Epidemiology,
University of Michigan School of Public Health, 109 Observatory Street, Ann
Arbor, MI 48109, United States.
(Ahern J.; Galea S.) Department of Epidemiology, Columbia University Mailman
School of Public Health, 622 168th Street, New York, NY 10032, United
States.
CORRESPONDENCE ADDRESS
F. Lê, Department of Epidemiology, University of Michigan School of Public
Health, 109 Observatory Street, 3rd Floor Tower, Ann Arbor, MI 48109-2029,
United States. Email: felicele@umich.edu
SOURCE
Drug and Alcohol Dependence (2010) 112:1-2 (18-26). Date of Publication: 1
Nov 2010
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Background: The neighborhood distribution of education (education
inequality) may influence substance use among neighborhood residents.
Methods: Using data from the New York Social Environment Study (conducted in
2005; n=4000), we examined the associations of neighborhood education
inequality (measured using Gini coefficients of education) with alcohol use
prevalence and levels of alcohol consumption among alcohol users. Analyses
were adjusted for neighborhood education level, income level and income
inequality, as well as for individual demographic and socioeconomic
characteristics and history of drinking prior to residence in the current
neighborhood. Neighborhood social norms about drinking were examined as a
possible mediator. Results: In adjusted generalized estimating equation
regression models, one-standard-deviation-higher education inequality was
associated with 1.18 times higher odds of alcohol use (logistic regression
odds ratio. =1.18, 95% confidence interval 1.08-1.30) but 0.79 times lower
average daily alcohol consumption among alcohol users (Poisson regression
relative rate. =0.79, 95% confidence interval 0.68-0.92). The results tended
to differ in magnitude depending on respondents' individual educational
levels. There was no evidence that these associations were mediated by
social drinking norms, although norms did vary with education inequality.
Conclusions: Our results provide further evidence of a relation between
education inequality and drinking behavior while illustrating the importance
of considering different drinking outcomes and heterogeneity between
neighborhood subgroups. Future research could fruitfully consider other
potential mechanisms, such as alcohol availability or the role of stress;
research that considers multiple mechanisms and their combined effects may
be most informative. © 2010 Elsevier Ireland Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
educational status
neighborhood education inequality
EMTREE MEDICAL INDEX TERMS
adult
African American
age
aged
article
Asian
Caucasian
college
drinking behavior
female
high school
Hispanic
household income
human
income
male
marriage
postgraduate education
priority journal
race difference
social norm
socioeconomics
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010600452
MEDLINE PMID
20541875 (http://www.ncbi.nlm.nih.gov/pubmed/20541875)
PUI
L50948142
DOI
10.1016/j.drugalcdep.2010.05.005
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2010.05.005
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1039
TITLE
Developing early intervention in psychosis (EIP) programming in a Canadian
inner city environment
AUTHOR NAMES
Gehrs M.
Pickles C.
Langley J.
AUTHOR ADDRESSES
(Gehrs M., gehrsm@smh.ca; Pickles C.; Langley J.) St. Michael's Hospital,
Mental Health Service, Toronto, Canada.
(Gehrs M., gehrsm@smh.ca; Pickles C.; Langley J.) University of Toronto,
Canada.
CORRESPONDENCE ADDRESS
M. Gehrs, St. Michael's Hospital, Mental Health Service, Toronto, Canada.
Email: gehrsm@smh.ca
SOURCE
Early Intervention in Psychiatry (2010) 4 SUPPL. 1 (170). Date of
Publication: November 2010
CONFERENCE NAME
7th International Conference on Early Psychosis - Early Psychoses: A
Lifetime Perspective
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2010-11-29 to 2010-12-01
ISSN
1751-7885
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Background: St. Michael's Hospital, affiliated with the University of
Toronto, is a teaching hospital with strong clinical and research foci on
inner city health issues. In 2006, government EIP funding was received to
implement the STEPS for Youth Program to serve Toronto's inner city youth.
Objective: To describe challenges in developing EIP services for the diverse
needs of youth in Toronto's inner city. Description: In order to generate
referrals from Toronto's diverse inner city community, partnerships were
forged with stakeholders who could identify youth in need of EIP services.
Examples include: psychiatrist outreach into several youth hostels to
develop trust and early identification in street-involved youth;
relationships with student counselling services to improve access from the
numerous educational institutions in the downtown core; and linkages with
the hospital's psychiatric and family practice services. Implications: Since
2006 over 150 youth have been served. Research data from the Matryoshka
study and ongoing program evaluation indicate that STEPS for Youth clients
include a high proportion of recent immigrants, who also experience low
incomes, increased homelessness or poor housing conditions, concurrent
substance use, legal difficulties and lower education. This presentation
will describe some of the program adaptations that were required to serve
the needs of these diverse clients and their families. Discussion will focus
on assertive outreach strategies; creative joint services with youth
hostels; awareness of trauma-based issues; integration of concurrent
substance use counselling; culturally sensitive treatment and recovery
interventions; and linkages with cultural interpretation services and
cultural agencies to enhance psychosocial support.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
city
early intervention
environment
lifespan
psychosis
EMTREE MEDICAL INDEX TERMS
adaptation
community
counseling
education
funding
general practice
government
halfway house
health
health care quality
homelessness
hospital
housing
human
immigrant
injury
juvenile
lowest income group
psychiatrist
psychosocial care
student
teaching hospital
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70588625
DOI
10.1111/j.1751-7893.2010.00230.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1751-7893.2010.00230.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1040
TITLE
Impact of a smoke-free policy in a large psychiatric hospital on staff
attitudes and patient behavior
AUTHOR NAMES
Voci S.
Bondy S.
Zawertailo L.
Walker L.
George T.P.
Selby P.
AUTHOR ADDRESSES
(Voci S.; Zawertailo L.; Walker L.; Selby P., peter_selby@camh.net)
Addictions Program and Nicotine Dependence Clinic, Centre for Addiction and
Mental Health, Toronto, M5S 2S1, Canada.
(Bondy S.; Selby P., peter_selby@camh.net) Dalla Lana School of Public
Health, University of Toronto, Toronto, M5T 3M7, Canada.
(Bondy S.; Selby P., peter_selby@camh.net) Ontario Tobacco Research Unit,
Toronto, M5S 2S1, Canada.
(Zawertailo L.) Department of Pharmacology and Toxicology, University of
Toronto, Toronto, M5S 1A8, Canada.
(George T.P.) Schizophrenia Program, Centre for Addiction and Mental Health,
Toronto, M6J 1H4, Canada.
(George T.P.; Selby P., peter_selby@camh.net) Department of Psychiatry,
University of Toronto, Toronto, M5T 1R8, Canada.
(Selby P., peter_selby@camh.net) Department of Family and Community
Medicine, University of Toronto, Toronto, M5T 1W7, Canada.
CORRESPONDENCE ADDRESS
P. Selby, Centre for Addiction and Mental Health, Toronto, ON, M5S 2S1,
Canada. Email: peter_selby@camh.net
SOURCE
General Hospital Psychiatry (2010) 32:6 (623-630). Date of Publication:
November-December 2010
ISSN
0163-8343
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Objective: The objectives of this work were to examine changes over time in
degree of staff support for the implementation of a smoke-free policy in
Canada's largest public mental health and addiction teaching hospital and to
assess the impact of the policy on patient behavior. Method: Staff completed
an anonymous survey, which assessed views toward the smoke-free policy and
perceived change in patient behavior, 2-7 and 31-33 months after an indoor
smoke-free policy was implemented (September 21, 2005). Objective indicators
of patient behavior were also collected in the form of number of emergency
code whites (aggressive behavior) and that of code reds (fire) called 1 year
prior to and 2 years following policy implementation. Results: Survey
response rates were 19.0% (n=481) and 18.1% (n=500) at 2-7 and 31-33 months,
respectively. The proportion of staff who supported the policy increased
from pre-implementation (82.6%) to post-implementation (89.1%), and a high
level of support was maintained 2 years after policy enactment (90.1%). The
number of emergency codes did not significantly change after policy
implementation, and staff did not perceive a change in most forms of patient
behavior. Conclusion: A smoke-free policy can be implemented in a large
psychiatric hospital with a high degree of support from staff and no
substantial negative impact on patient behavior. © 2010 Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
hospital policy
mental hospital
patient attitude
smoking ban
EMTREE MEDICAL INDEX TERMS
adult
aggression
article
Canada
controlled study
female
health care planning
health care survey
human
male
medical staff
public hospital
teaching hospital
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010655337
MEDLINE PMID
21112455 (http://www.ncbi.nlm.nih.gov/pubmed/21112455)
PUI
L51109061
DOI
10.1016/j.genhosppsych.2010.08.005
FULL TEXT LINK
http://dx.doi.org/10.1016/j.genhosppsych.2010.08.005
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1041
TITLE
Pathological video game use among youth
AUTHOR NAMES
Choo H.K.
Gentile D.A.
Liau A.K.F.
Sim T.
Li D.D.
Fung D.S.S.
Khoo A.
AUTHOR ADDRESSES
(Choo H.K.) Social Work, Arts and Social Sciences, National University of
Singapore, Singapore, Singapore.
(Gentile D.A.) Psychology, Iowa State University, United States.
(Liau A.K.F.; Li D.D.; Khoo A.) Psychological Studies, Nanyang Technological
University, Singapore, Singapore.
(Sim T.) Applied Social Sciences, Hong Kong Polytechnic University, Hong
Kong, Hong Kong.
(Fung D.S.S.) Child and Adolescent Psychiatry, Institute of Mental Health,
Singapore, Singapore.
CORRESPONDENCE ADDRESS
H.K. Choo, Social Work, Arts and Social Sciences, National University of
Singapore, Singapore, Singapore.
SOURCE
Annals of the Academy of Medicine Singapore (2010) 39:11 SUPPL. 1 (S76).
Date of Publication: November 2010
CONFERENCE NAME
1st Singapore Health and Biomedical Congress, SHBC 2010
CONFERENCE LOCATION
Singapore, Singapore
CONFERENCE DATE
2010-11-12 to 2010-11-13
ISSN
0304-4602
BOOK PUBLISHER
Academy of Medicine Singapore
ABSTRACT
Background/Hypothesis: The American Medical Association and American
Psychiatric Association have noted the need for additional research on
pathological video gaming or Internet use. Longitudinal studies, in
particular, are needed to test predictions about the etiology, risk factors,
course, and outcomes of video game “addiction”. Hence, this study hopes to
measure the prevalence and length of the problem, to identify risk and
protective factors, whether pathological gaming is a primary or secondary
problem, and to identify outcomes for those who become or stop being
pathological gamers Methods: A 2-year longitudinal panel study was conducted
on general elementary and secondary school population in Singapore. Three
thousand and thirty-four children in Grades 3 (n = 743), 4 (n = 711), 7 (n =
916) and 8 (n = 664) were interviewed. Several hypothesised risk and
protective factors for becoming or overcoming video game addiction were
taken in consideration, including pathological gaming, weekly amount of game
play, impulsivity, social competence, depression, social phobia, anxiety and
school performance. Results: The prevalence of pathological gaming was
similar to other countries (∼9%). Greater amount of gaming, lower social
competence, and impulsivity appeared to act as risk factors for becoming
pathological gamers, whereas depression, anxiety, social phobias, and school
performance appeared to act as outcomes of being a pathological gamer.
Discussion & Conclusion: This study adds important information to the
discussion about whether video game “addiction” is similar to other
addictive behaviours, demonstrating that it can last for years and is not
solely a symptom of other comorbid disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health
juvenile
recreation
Singapore
EMTREE MEDICAL INDEX TERMS
academic achievement
addiction
American
anxiety
child
diseases
etiology
high school
hope
human
impulsiveness
Internet
longitudinal study
medical society
panel study
population
prediction
prevalence
protection
risk
risk factor
social competence
social phobia
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71795937
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 1042
TITLE
Tobacco smoking practices among medical students and their attitude towards
teaching about tobacco smoking in Medical Schools: A questionnaire-based
survey from a Pakistani Medical School
AUTHOR NAMES
Shah M.
Sreeramareddy C.T.
AUTHOR ADDRESSES
(Shah M.; Sreeramareddy C.T.) University of Health Sciences, CMH Lahore
Medical College, Faculty of Medicine, Pakistan.
CORRESPONDENCE ADDRESS
M. Shah, University of Health Sciences, CMH Lahore Medical College, Faculty
of Medicine, Pakistan.
SOURCE
European Journal of Medical Research (2010) 15 SUPPL. 1 (198). Date of
Publication: 13 Oct 2010
CONFERENCE NAME
21st European Students' Conference. Promising Medical Scientists Willing to
Look Beyond
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2010-10-13 to 2010-10-17
ISSN
0949-2321
BOOK PUBLISHER
BioMed Central Ltd.
ABSTRACT
Background: Global medical school survey has reported that tobacco smoking
issues in developing countries are often taught in a systematic way on as
and when topic arose basis. WHO-GHPSS has suggested that an integrated
tobacco module should be introduced into the existing medical school
curricula. Objectives: To assess medical students' tobacco smoking habits,
their practices towards patients' smoking habits and attitude towards
teaching about smoking in medical schools. Methods: A cross-sectional survey
was carried among 3 rd and 4 th year undergraduate medical students at CMH
Lahore Medical College, Pakistan. A questionnaire was developed after
reviewing available literature and validated. Questionnaire had demographic
information, students' current practices about patients' tobacco smoking
habits attitude towards tobacco education in medical schools and rating the
contents of tobacco module in a five point likert scale. Questions about
tobacco smoking habits were adapted from GHPSS questionnaire. Questionnaire
was anonymous, self-administered and participation was voluntary. Results:
Overall response rate was 80.5% (161/200). Median age was 21 years while
34.8% were males and 65.2% were female. Prevalence of 'ever smokers' (not
smoked during previous 30 days but had tried in the past even if once or
twice) and 'current smokers' (smoked during previous 30 days) was 28.6% and
9.3% respectively. On multivariate analysis 'ever smoking' was associated
with at least one friend smokes (OR 2.9 95% CI 1.3 6.8). Counselling,
assessment of willingness to quit and assisting patient to quit smoking,
were never, rarely or sometimes (70-80%) done. Doctors' role in tobacco
control being role models, their competency about smoking cessation and
facilities for smoking cessation, 75% to 90% of respondents agreed/strongly
agreed. Nearly 75% agreed that medical schools should teach about tobacco
cessation. Nearly 75% agreed that current curriculum teaches about tobacco
smoking non-systematically and should include a separate module. Majority
(80%-90%) of the students indicated treatment of nicotine addiction as
important. Conclus ion: Medical students were not practicing smoking
cessation methods during clerkships. Students indicated that current
curriculum was inadequate and were positive towards adopting a separate
module on tobacco education. Teaching about tobacco smoking should be
improved in medical school curricula.
EMTREE DRUG INDEX TERMS
ion
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
medical school
medical student
questionnaire
scientist
smoking
student
teaching
EMTREE MEDICAL INDEX TERMS
counseling
curriculum
developing country
education
female
friend
Likert scale
male
model
multivariate analysis
Pakistan
patient
physician
prevalence
smoke
smoking cessation
smoking habit
tobacco
tobacco dependence
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71295247
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 1043
TITLE
Providing competency-based family medicine residency training in substance
abuse in the new millennium: a model curriculum.
AUTHOR NAMES
Seale J.P.
Shellenberger S.
Clark D.C.
AUTHOR ADDRESSES
(Seale J.P.) Department of Family Medicine, Mercer University School of
Medicine & Medical Center of Central Georgia, 3780 Eisenhower Parkway,
Macon, GA 31206, USA.
(Shellenberger S.; Clark D.C.)
CORRESPONDENCE ADDRESS
J.P. Seale, Department of Family Medicine, Mercer University School of
Medicine & Medical Center of Central Georgia, 3780 Eisenhower Parkway,
Macon, GA 31206, USA. Email: seale.paul@mccg.org
SOURCE
BMC medical education (2010) 10 (33). Date of Publication: 2010
ISSN
1472-6920 (electronic)
ABSTRACT
BACKGROUND: This article, developed for the Betty Ford Institute Consensus
Conference on Graduate Medical Education (December, 2008), presents a model
curriculum for Family Medicine residency training in substance abuse.
METHODS: The authors reviewed reports of past Family Medicine curriculum
development efforts, previously-identified barriers to education in high
risk substance use, approaches to overcoming these barriers, and current
training guidelines of the Accreditation Council for Graduate Medical
Education (ACGME) and their Family Medicine Residency Review Committee. A
proposed eight-module curriculum was developed, based on substance abuse
competencies defined by Project MAINSTREAM and linked to core competencies
defined by the ACGME. The curriculum provides basic training in high risk
substance use to all residents, while also addressing current training
challenges presented by U.S. work hour regulations, increasing international
diversity of Family Medicine resident trainees, and emerging new primary
care practice models. RESULTS: This paper offers a core curriculum, focused
on screening, brief intervention and referral to treatment, which can be
adapted by residency programs to meet their individual needs. The curriculum
encourages direct observation of residents to ensure that core skills are
learned and trains residents with several "new skills" that will expand the
basket of substance abuse services they will be equipped to provide as they
enter practice. CONCLUSIONS: Broad-based implementation of a comprehensive
Family Medicine residency curriculum should increase the ability of family
physicians to provide basic substance abuse services in a primary care
context. Such efforts should be coupled with faculty development initiatives
which ensure that sufficient trained faculty are available to teach these
concepts and with efforts by major Family Medicine organizations to
implement and enforce residency requirements for substance abuse training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
general practice
medical education
nonbiological model
problem based learning
EMTREE MEDICAL INDEX TERMS
article
economics
education
human
organization and management
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20459842 (http://www.ncbi.nlm.nih.gov/pubmed/20459842)
PUI
L359676792
DOI
10.1186/1472-6920-10-33
FULL TEXT LINK
http://dx.doi.org/10.1186/1472-6920-10-33
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1044
TITLE
Improving training in tobacco-dependence diagnosis and treatment in
doctoral-level medical, nursing, dental, and pharmacy schools
AUTHOR NAMES
Sachs D.P.
Ferry L.H.
Sachs B.L.
AUTHOR ADDRESSES
(Sachs D.P.; Ferry L.H.; Sachs B.L.) Palo Alto Center for Pulmonary Disease
Prevention, Palo Alto, United States.
CORRESPONDENCE ADDRESS
D.P. Sachs, Palo Alto Center for Pulmonary Disease Prevention, Palo Alto,
United States.
SOURCE
Chest (2010) 138:4. Date of Publication: October 2010
CONFERENCE NAME
CHEST 2010 Annual Meeting
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2010-10-30 to 2010-11-04
ISSN
0012-3692
BOOK PUBLISHER
American College of Chest Physicians
ABSTRACT
PURPOSE: Tobacco dependence remains the leading cause of premature death in
the United States, killing half its victims and causing 423,595 deaths/year.
It is exceptionally cost-effective to treat, yet tobacco-dependence basic
science knowledge and clinic diagnostic and treatment skills remain largely
untaught in the United States' medical, nursing, dental, or pharmacy
schools. We wanted to explore methods to integrate tobacco-dependence
education and training into all healthcare professional schools. METHODS:
The Palo Alto Center for Pulmonary Disease Prevention (PACPDP) chose to
partner with Loma Linda University (LLU) because it has graduate schools for
all four, major, health-science disciplines and has a 100-year-old
campus-wide mission to prevent and treat tobacco dependence. We initially
revised and updated the School of Medicine's (SM) thorough, 4-hour,
pre-clinical workshop and the School of Pharmacy's (SP) 9 hours of
pre-clinical content in tobacco-dependence diagnosis and pharmacotherapy.
Using a heuristic methodology for curriculum and faculty development, we
fostered discipline-specific curricular changes and initiated
interdisciplinary clinical rotations for LLU's Schools of Nursing (SN),
Pharmacy (SP), and Dentistry (SD). Faculty attended national, scientific
tobacco and nicotine meetings to increase knowledge and competence by
interacting with international experts. RESULTS: From February 2007 through
December 2009, the number of basic science hours taught in each of the four
professional schools increased a substantial 3-to 6-fold (e.g., 1 hour to 6
hours). Clinical training hours increased overall from 0 to 4, with the
School of Medicine adding a 4-week elective rotation. The greater the direct
support from the Dean's office in each school, the faster and greater the
faculty and curricular change. CONCLUSION: Major curricular change in
tobacco-dependence basic-science and clinical training can occur rapidly in
all four, major health-science schools by interweaving content into existing
courses and clerkships. Doing so required consistent, unwavering support
from the University Chancellor and Deans. CLINICAL IMPLICATIONS:
Implementing interdisciplinary curricular change will enable the forthcoming
generation of healthcare professionals to be vastly more effective in
diagnosis and treatment of tobacco dependence, reducing healthcare costs
substantially.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diagnosis
nursing
school
tobacco dependence
EMTREE MEDICAL INDEX TERMS
competence
curriculum
death
dentistry
drug therapy
education
graduate
health care cost
health care personnel
health science
hospital
Loma
lung disease
methodology
pharmacy
prophylaxis
skill
tobacco
United States
university
victim
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70361892
DOI
10.1378/chest.10264
FULL TEXT LINK
http://dx.doi.org/10.1378/chest.10264
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1045
TITLE
An Australian single centre study evaluating the role of smoking in the
phenotype and clinical course of Crohn's disease
AUTHOR NAMES
Subramaniam K.
Lawrance I.C.
AUTHOR ADDRESSES
(Subramaniam K.; Lawrance I.C.) Department of Gastroenterology, Fremantle
Hospital, Australia.
(Lawrance I.C.) Centre for Inflammatory Bowel Diseases, Fremantle Hospital,
Australia.
(Lawrance I.C.) School of Medicine and Pharmacology, UWA, Australia.
CORRESPONDENCE ADDRESS
K. Subramaniam, Department of Gastroenterology, Fremantle Hospital,
Australia.
SOURCE
Journal of Gastroenterology and Hepatology (2010) 25 SUPPL. S3 (A100). Date
of Publication: October 2010
CONFERENCE NAME
Australian Gastroenterology Week 2010, AGW
CONFERENCE LOCATION
Gold Coast, QLD, Australia
CONFERENCE DATE
2010-10-20 to 2010-10-23
ISSN
0815-9319
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Of environmental factors, tobacco smoking is the most strongly implicated in
the aetiology of Crohn's disease (CD). Studies from the 1990s observed that
smokers with CD experienced more clinical relapses, increased complications
and a greater need for surgery. Patient categorisation by the Montreal
classification, however, has suggested that smoking does not directly
influence behavior of CD or the need for surgery. The study aimed to further
investigate the role of smoking in CD with respect to Montreal disease
classification at diagnosis, complications, medication use and need for
surgery. Methods: CD patients were assessed from a single specialist IBD
centre. Demographic data including Montreal classification at diagnosis and
at last follow-up, medication use (steroids, immunomodulators, anti-TNF α),
surgical history and family history were recorded. A detailed smoking
history was collected including starting and stopping date. 'Ever smokers'
was defined as patients who have smoked >100 cigarettes in their life. Data
were analysed using the statistical software package SPSS for windows,
version 15. Results: 194 smokers and 204 ever-smokers with CD were included.
Older age was found to be significantly associated with smoking status (p <
0.05). In comparison to smokers, non smokers were statistically more likely
to be on immunomodulators and anti-TNF α but not on steroids. The need for
initial surgery was not different between the nonsmokers, exsmokers and
current smokers. Current smokers were significantly more likely to have
stricturing (B2) disease compared to nonsmokers and exsmokers at last
follow-up (p < 0.05). In comparison to nonsmokers, significantly fewer
people, who had ceased smoking more than 1 year prior to CD diagnosis or
within 1-year post diagnosis, had complicated disease (p < 0.05).
Conclusions Smoking impacts on progression to complicated disease. However
with cessation of smoking even within 1-year post diagnosis, fewer had
complicated disease in comparison to non smokers. Measuring tobacco exposure
prior to diagnosis and afterward is essential to understanding disease
evolution with implications for counselling.
EMTREE DRUG INDEX TERMS
steroid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Crohn disease
disease course
gastroenterology
phenotype
smoking
EMTREE MEDICAL INDEX TERMS
cigarette smoking
classification
counseling
diagnosis
disease classification
drug therapy
environmental factor
etiology
exposure
family history
follow up
medical specialist
patient
relapse
software
surgery
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70440554
DOI
10.1111/j.1440-1746.2010.06455.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-1746.2010.06455.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1046
TITLE
Identification and brief interventions for alcohol problems: Evaluation of a
training program for primary health care professionals
AUTHOR NAMES
Panagiotidis P.
Papadopoulou M.
Diakogiannis I.
AUTHOR ADDRESSES
(Panagiotidis P., psypanpan@yahoo.gr; Papadopoulou M.; Diakogiannis I.) Drug
Dependence Unit, C' Department of Psychiatry, AHEPA University Hospital,
Thessanloniki, Greece.
CORRESPONDENCE ADDRESS
P. Panagiotidis, 12 Paisiou Street, 56728 Neapoli, Thessaloniki, Greece.
Email: psypanpan@yahoo.gr
SOURCE
Alcoholism Treatment Quarterly (2010) 28:4 (464-479). Date of Publication:
October 2010
ISSN
0734-7324
1544-4538 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
This study presents the outcomes of three 1-day training coursesTraining
Program on Identification and Brief Interventionsprovided to 37 primary
health care professionals. It evaluates the pre- and postattitudes and
knowledge of participants on screening and brief interventions and on the
effectiveness of the training experience. The follow-up evaluations
determined how the participants had used their training in clinical
interventions and the barriers that they encountered. Results indicate that
training had a positive impact at the knowledge level and on clinical
behavior. Further research is needed to determine the duration of this
effect in its influence on practice behavior. Copyright © Taylor & Francis
Group, LLC.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
clinical education
health care personnel
primary health care
EMTREE MEDICAL INDEX TERMS
adult
article
clinical practice
drug dependence treatment
female
follow up
health personnel attitude
health program
human
knowledge
male
screening
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010574454
PUI
L359776568
DOI
10.1080/07347324.2010.511079
FULL TEXT LINK
http://dx.doi.org/10.1080/07347324.2010.511079
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1047
TITLE
Sleep: Intrinsic and extrinsic stimuli in teen adolescents
AUTHOR NAMES
Casturi L.R.
Rao A.
Rao R.M.
Miller B.
AUTHOR ADDRESSES
(Casturi L.R.; Rao A.; Rao R.M.; Miller B.) High School, Pearland, United
States.
CORRESPONDENCE ADDRESS
A. Rao, High School, Pearland, United States.
SOURCE
Chest (2010) 138:4. Date of Publication: October 2010
CONFERENCE NAME
CHEST 2010 Annual Meeting
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2010-10-30 to 2010-11-04
ISSN
0012-3692
BOOK PUBLISHER
American College of Chest Physicians
ABSTRACT
PURPOSE: Daytime sleepiness and poor mood in adolescents deserves careful
attention from parents and school authorities. Sleep hygiene refers to
proper sleep practices which maximize restful sleep leading to increased
daytime alertness. This project studied intrinsic and extrinsic factors
affecting teen sleep habits. METHODS: A four-page Sleep Habits Survey was
administered in December 2009, and January 2010 to junior high students in
Texas. Informed consent forms were provided to the entire student body of
almost 700 students belonging to 7th and 8th grades, and the surveys
administered only to those students who had parental consent. A total of 66
survey responses (37 females and 29 males with an equal number of 7th and
8th graders) was then analyzed by entering data in an Excel spreadsheet with
formulas embedded to calculate the BMI, the sleep duration statistics, and
various scales like a Sleepiness Scale, a Sleep/Wake Behavioral Problems
Scale and a Depressed Mood Scale. Regression analyses were performed for
outcome variables with a set of control variables. RESULTS: Factors like
sex, age, ethnicity, educational expectations and substance abuse contribute
to differences in daytime alertness of adolescents. The results show that
sleep measures of Sleep Hygiene like Sleep-Wake Behavioral Problems scale
have a direct correlation with daytime alertness, and mood problems.
CONCLUSION: We confirmed the hypothesis showing a strong correlation between
poor sleep hygiene and low daytime alertness and problems related to mood.
We need to focus on sleep hygiene as a priority like other health issues
such as drug abuse and wearing seat belts are targeted. CLINICAL
IMPLICATIONS: The study established a clear correlation between poor sleep
hygiene in teen adolescents and daytime alertness and mood disorders. In the
long run, this may result in increased medical costs to individual and the
society. Sleep specialists need to emphasize educating children to follow a
healthy bedtime routine, while minimizing the use of caffeinated drinks and
technology in the bedroom.
EMTREE DRUG INDEX TERMS
cyanocobalamin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
sleep
stimulus
EMTREE MEDICAL INDEX TERMS
alertness
child
daytime somnolence
drug abuse
ethnicity
female
habit
health
hygiene
hypothesis
informed consent
male
medical specialist
mood
mood disorder
outcome variable
parent
parental consent
regression analysis
school
seatbelt
society
somnolence
statistics
student
substance abuse
technology
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70362172
DOI
10.1378/chest.9985
FULL TEXT LINK
http://dx.doi.org/10.1378/chest.9985
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1048
TITLE
Cultural competency and tobacco control training in US medical schools: many
but missed opportunities.
AUTHOR NAMES
Powers C.A.
Zapka J.
Biello K.B.
O'Donnell J.
Prout M.
Geller A.
AUTHOR ADDRESSES
(Powers C.A.) Office for Diversity and Community Partnership, Harvard
Medical School, Boston, MA, USA.
(Zapka J.; Biello K.B.; O'Donnell J.; Prout M.; Geller A.)
CORRESPONDENCE ADDRESS
C.A. Powers, Office for Diversity and Community Partnership, Harvard Medical
School, Boston, MA, USA.
SOURCE
Journal of cancer education : the official journal of the American
Association for Cancer Education (2010) 25:3 (290-296). Date of Publication:
Sep 2010
ISSN
1543-0154 (electronic)
ABSTRACT
Tobacco-related morbidity and mortality disproportionately burdens America's
most vulnerable populations, and many physicians in the USA are untrained in
smoking cessation skills with patients of various literacy levels and races
and ethnicities. An anonymous survey was administered to 860 second year and
827 fourth year students at 12 medical schools. A faculty representative at
each of the schools completed an assessment of the curriculum and rated
medical students' knowledge and skills for cultural competency. Report of
experience in tobacco counseling for persons of various literacy levels and
ethnicities rose from 42% (second year students) to 82% (fourth year
students) and 48% (second year students) to 91% (fourth year students),
respectively. However, only 37% of second year students and 40% of fourth
year students reported that they had ever been taught to employ culturally
competent strategies for tobacco cessation. This study found that almost two
thirds of students in 12 medical schools reported no exposure to teaching
about cultural competency and tobacco cessation, and approximately one third
reported no practical experience with tobacco cessation counseling persons
of various races and ethnicities. Effective cultural competency training for
tobacco control should include teaching the social constructs of race,
ethnicity, and socio-cultural concepts within a medical context.
Additionally, students should receive supervised clinical opportunities to
practice counseling, including opportunities to discuss and reflect on their
experiences.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
cultural competence
medical school
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
attitude to health
curriculum
education
human
medical education
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20559787 (http://www.ncbi.nlm.nih.gov/pubmed/20559787)
PUI
L360262064
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1049
TITLE
The Eastern North Carolina opioid prescribers project: A model continuing
medical education workshop
AUTHOR NAMES
Crozier M.K.
McMillan S.
Hudson S.
Jones S.
AUTHOR ADDRESSES
(Crozier M.K.; McMillan S.; Jones S.) Department of Rehabilitation Studies,
East Carolina University, Greenville, NC, United States.
(Hudson S.) Department of Biostatistics, East Carolina University,
Greenville, NC, United States.
CORRESPONDENCE ADDRESS
M. K. Crozier, Department of Rehabilitation Studies, East Carolina
University, Greenville, NC, United States.
SOURCE
Journal of Opioid Management (2010) 6:5 (359-364). Date of Publication:
September-October 2010
ISSN
1551-7489
BOOK PUBLISHER
Weston Medical Publishing, 470 Boston Post Road, Weston, United States.
ABSTRACT
The decision to prescribe opioid medications is complex. Physicians often
struggle to balance the risks of medication diversion and abuse with the
benefits of pain management. Nationally, more than 40 percent of primary
care physicians report difficulty in discussing the possibility of
prescription medication abuse with patients and more than 90 percent fail to
detect symptoms of substance abuse. Continuing medical education workshops
were developed in Eastern North Carolina to mitigate problems with opioid
prescriptions. Attendance at these workshops suggests that prescribers are
interested in improving opioid prescribing practices and reducing patient
risk. Presurvey data indicate that prescribers are knowledgeable about
screening tools and they consider patient risk factors for misuse. © 2010
Journal of Opioid Management, All Rights Reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction (disease management, prevention)
EMTREE MEDICAL INDEX TERMS
article
continuing education
drug abuse
human
informed consent
mental health care
model
patient education
patient referral
prescription
professional practice
risk benefit analysis
risk management
risk reduction
substance abuse
United States
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010627738
MEDLINE PMID
21046933 (http://www.ncbi.nlm.nih.gov/pubmed/21046933)
PUI
L359970196
DOI
10.5055/jom.2010.0033
FULL TEXT LINK
http://dx.doi.org/10.5055/jom.2010.0033
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1050
TITLE
An audit of benzodiazepine prescribing particularly in the elderly in a PCT
in North West England
AUTHOR NAMES
Hynes K.
Cubbin I.
AUTHOR ADDRESSES
(Hynes K.; Cubbin I.) Liverpool John Moores' University, Liverpool,
Merseyside, United Kingdom.
CORRESPONDENCE ADDRESS
K. Hynes, Liverpool John Moores' University, Liverpool, Merseyside, United
Kingdom.
SOURCE
International Journal of Pharmacy Practice (2010) 18 SUPPL. 2 (55-56). Date
of Publication: September 2010
CONFERENCE NAME
2010 Royal Pharmaceutical Society Conference
CONFERENCE LOCATION
London, United Kingdom
CONFERENCE DATE
2010-09-05 to 2010-09-06
ISSN
0961-7671
BOOK PUBLISHER
Pharmaceutical Press
ABSTRACT
Focal points: • Evaluation of benzodiazepine prescribing and GP adherence to
local and national guidelines. • Data was collected over a population of
87,405 of whom 1006 were prescribed repeat prescriptions for
benzodiazepines, and the prescribing trends were analysed. - 80% of
prescriptions were for the three agents diazepam, nitrazepam and temazepam
and females over the age of 60 were the largest group of patients. • The
maximum figure of 1.6% of patients on continuous benzodiazepine therapy in
one surgery, with an average of 1.15% across the cohort compares favourably
with national averages of 2 to 7%. Introduction: When introduced in the
1950s benzodiazepines were hailed as minor tranquillizers devoid of serious
side-effects.([1]) Fifty years later it is apparent that this was erroneous,
particularly in prolonged use. Highly effective for short-term relief; NICE
guidelines recommend a maximum of a four-week course. Long-term use raises
concerns about addiction, tolerance and both physical and psychological
adverse effects.([2]). Withdrawal from benzodiazepines is a difficult
aspiration despite obvious improvements in physical and mental health;
professional resource and patient compliance being the largest obstacles.
Long-term use of benzodiazepines has been linked to a number of social
issues and increased NHS costs. This work set out to capture current
prescribing trends and GP adherence to both national and local guidelines
with respect to this cohort of patients to provide baseline data for future
initiatives. Method: The study was carried out in 13 GP surgeries caring for
a population of 87,405 forming a discreet division of the Trust. The records
of those patients receiving a repeat benzodiazepine prescription within the
last five years were examined. Patient details such as age, sex, duration of
treatment and agent were recorded and analysed. In addition, details of
withdrawal/reduction attempts or alterations in the agent were also noted.
The data was tabulated and interrogated with respect to national (NICE) and
local guidelines, as well as comparatives with national prescribing data.
Results: Diazepam was the benzodiazepine of choice for repeat prescribing
accounting for 38% of all benzodiazepine prescriptions issued. Nitrazepam
and temazepam were the next most popular accounting for 24% and 18%
respectively. 1,006 patients (1.15% of the population) were issued a repeat
benzodiazepine prescription. Females accounted for 69% of these patients and
over 70% of these were above the age of sixty. Patients on repeat
prescriptions ranged from 0.6% to 1.6% of the total patient number
registered in each surgery, with no demonstrable links to social
demographics. Indications for benzodiazepine prescribing included insomnia
(23%), anxiety (21%) and depression (15%). In 16% of patients no clinical
diagnosis was assigned for prescribing. Conclusions: The maximum figure of
1.6% of patients on continuous benzodiazepine therapy in one surgery, with
an average of 1.15% across the cohort compares favourably with national
averages (2 to 7%) although there are still a significant number of patients
receiving this long term treatment. The ratio of women to men in this cohort
is 3:1. This is only partially explained by differences in longevity, and
factors such as willingness to seek medical help, education and
socioeconomic back ground need to be further considered. Of the
prescriptions issued 21% were for anxiety and 15% for depression both of
which are outside NICE guidance, with the majority of these going to
patients aged over 60; this presents a major risk since these patients are
most likely to suffer from short- and long-term effects of benzodiazepine
use.([3]) Many of these patients view tapering off as timeconsuming, low
priority, costly and rather arduous; sometimes their GPs colludewith
them.([1]) The lack of clinical diagnosis for 16% makes the application of
an audit tool difficult and reenforced the perception that more could be
done to reduce prescribing in this area; much of the reduction that has
taken place has been by natural progression rather than active intervention.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine
EMTREE DRUG INDEX TERMS
anxiolytic agent
benzodiazepine derivative
diazepam
nitrazepam
temazepam
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aged
clinical audit
health care organization
United Kingdom
EMTREE MEDICAL INDEX TERMS
addiction
adverse drug reaction
anxiety
aspiration
diagnosis
education
female
insomnia
long term care
longevity
mental health
patient
patient compliance
population
prescription
risk
side effect
surgery
therapy
treatment duration
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70292966
DOI
10.1111/j.2042-7174.2010.tb00511.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.2042-7174.2010.tb00511.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1051
TITLE
FDA opioid safety plan promotes patient, physician education to prevent
abuse
AUTHOR NAMES
Kuehn B.M.
AUTHOR ADDRESSES
(Kuehn B.M.)
CORRESPONDENCE ADDRESS
B. M. Kuehn,
SOURCE
JAMA - Journal of the American Medical Association (2010) 304:8 (845). Date
of Publication: 25 Aug 2010
ISSN
0098-7484
1538-3598 (electronic)
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE DRUG INDEX TERMS
long acting drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
food and drug administration
medical education
opiate addiction
patient education
EMTREE MEDICAL INDEX TERMS
drug release
drug safety
human
law
pain (drug therapy)
prescription
priority journal
short survey
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2010581697
MEDLINE PMID
20736462 (http://www.ncbi.nlm.nih.gov/pubmed/20736462)
PUI
L359801364
DOI
10.1001/jama.2010.1200
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.2010.1200
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1052
TITLE
Smoking cessation training for physicians and other health professionals in
Switzerland
ORIGINAL (NON-ENGLISH) TITLE
Rauchstopp-weiterbildung für ärzte und nicht-ärztliche fachpersonen in der
Schweiz
AUTHOR NAMES
Schuurmans M.M.
Bussinger C.
Müller V.
Burkhalter A.K.
Bolliger C.T.
AUTHOR ADDRESSES
(Schuurmans M.M., maceschuurmans@yahoo.com) Pneumologie, Universitätsspital
Zürich, Rämistraße 100, CH - 8091 Zürich, Switzerland.
(Bussinger C.) Gesundheitszentrum Rheinfelden, Switzerland.
(Müller V.) Bildungszentrum des Schweizerischen Berufsverbandes der
Pflegefachfrauen und -Männer, Zürich, Switzerland.
(Burkhalter A.K.) Schweizerische Herzstiftung, Bern, Switzerland.
(Bolliger C.T.) Respiratory Research Unit, Faculty of Health Sciences,
Stellenbosch University, Tygerberg. Cape Town, South Africa.
CORRESPONDENCE ADDRESS
M. M. Schuurmans, Pneumologie, Universitätsspital Zürich, Rämistraße 100, CH
- 8091 Zürich, Switzerland. Email: maceschuurmans@yahoo.com
SOURCE
Therapeutische Umschau (2010) 67:8 (409-414). Date of Publication: 2010
ISSN
0040-5930
BOOK PUBLISHER
Verlag Hans Huber AG, Langgassstrasse 76, Postfach, 9 Bern, Switzerland.
ABSTRACT
Almost one third of the Swiss population smokes. Of these persons a large
percentage would like to quit smoking each year. It is well known that the
odds to quit successfully are improved by professional counseling and
medication support. In order to counsel the numerous smokers interested in
quitting a sufficient number of professionals needs to be trained in smoking
cessation. For this training a short and extended course in smoking
cessation for physicians is available (Frei von Tabak project). For
non-physician health professionals there is a postgraduate course in tabacco
prevention and smoking cessation and for both groups of professionals there
is the Hospital QuitSupport workshop, which aims to support and promote
hospital-based smoking cessation counseling. Smoking cessation counseling by
physicians is remunerated in the outpatient setting. For non-physician
smoking cessation counselling, however, there is no such tarif for
remuneration. This drawback presents a considerable obstacle for the
establishment of a large-scale smoking cessation counseling network in
Switzerland. © 2010 by Verlag Hans Huber, Hogrefe AG.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
health practitioner
human
patient counseling
physician
postgraduate education
prevention
reimbursement
review
Switzerland
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2010423819
MEDLINE PMID
20687043 (http://www.ncbi.nlm.nih.gov/pubmed/20687043)
PUI
L359301369
DOI
10.1024/0040-5930/a000072
FULL TEXT LINK
http://dx.doi.org/10.1024/0040-5930/a000072
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1053
TITLE
Effects of two educational programmes aimed at improving the utilization of
non-opioid analgesics in family medicine clinics in Mexico
AUTHOR NAMES
Doubova S.V.
Mino-León D.
Reyes-Morales H.
Flores-Hernandez S.
Torres-Arreola L.D.P.
Pérez-Cuevas R.
AUTHOR ADDRESSES
(Doubova S.V.; Pérez-Cuevas R., ricardo.perezcuevas@imss.gob.mx) Unidad de
Investigación Epidemiológica y en Servicios de Salud, Centro Médico Nacional
Siglo XXI, Instituto Mexicano Del Seguro Social, Mexico City, Mexico.
(Mino-León D.) Unidad de Investigación en Epidemiología Clínica, Hospital de
Especialidades Centro Médico Nacional Siglo XXI, Instituto Mexicano Del
Seguro Social, Mexico City, Mexico.
(Reyes-Morales H.) Dirección de Determinantes y Retos de Los Sistemas de
Salud, Centro de Investigación en Sistemas de Salud, Instituto Nacional de
Salud Pública México, Cuernavaca, Mexico.
(Flores-Hernandez S.) Coordinación de Investigación en Salud, Centro Médico
Nacional Siglo XXI, Instituto Mexicano Del Seguro Social, Mexico City,
Mexico.
(Torres-Arreola L.D.P.) División de Excelencia Clínica, Coordinación de
Unidades Médicas de Alta Especialidad, Instituto Mexicano Del Seguro Social,
Mexico City, Mexico.
CORRESPONDENCE ADDRESS
R. Pérez-Cuevas, Unidad de Investigación Epidemiológica y en Servicios de
Salud, Centro Médico Nacional Siglo XXI, Avenida Cuauhtemoc 330 Col
Doctores, CP 06725, México, D.F., Mexico. Email:
ricardo.perezcuevas@imss.gob.mx
SOURCE
Journal of Evaluation in Clinical Practice (2010) 16:4 (716-723). Date of
Publication: August 2010
ISSN
1356-1294
1365-2753 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Objectives To develop and test two educational programmes (interactive and
passive) aimed at improving family doctors' (FD) prescribing practices and
patient's knowledge and use of non-opioid analgesics (NOA). Methods The
educational programmes were conducted in two family medicine clinics by
using a three-stage approach: baseline evaluation, design, and
implementation of educational activities, and post-programme evaluation. An
interactive educational programme (IEP) was compared with a passive
educational programme (PEP); both were participated by FDs and patients. The
IEP for FDs comprised of workshops, discussion groups, in-service training
and guidelines, while for patients the IEP consisted of an interactive
session with a video, leaflets and a discussion. The PEP consisted in
delivering the guidelines to the FDs and the leaflets to patients. The
effect of the programmes on the FDs was measured through the appropriateness
of prescriptions and analysed using the differences-in-differences estimator
(D-in-D), and on patients through changes in self-medication and in their
knowledge about the proper use and adverse events by analysing the inter-
and intra-group differences before and after the programmes. Results The IEP
obtained better results to improve appropriate FDs prescription of NOA than
PEP (D-in-D = 15%). Regarding the patients, the PEP group reached higher
reduction of self-medication than the IEP group (13.4% vs. 9.1%); the
knowledge of proper NOA use increased by 8.5% in both groups, whereas
knowledge of NOA-related adverse events was better in the IEP (39.6%) than
in the PEP group (9.2%). Conclusions The IEP was better to improve the
doctors' abilities to prescribe NOAs, and both programmes improved patients'
knowledge. © 2010 Blackwell Publishing Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent
opiate derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family medicine
general practitioner
medical education
EMTREE MEDICAL INDEX TERMS
adult
aged
article
controlled study
drug utilization
female
human
in service training
knowledge
major clinical study
male
medical practice
Mexico
practice guideline
prescription
priority journal
self medication
workshop
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010390501
MEDLINE PMID
20545804 (http://www.ncbi.nlm.nih.gov/pubmed/20545804)
PUI
L359180238
DOI
10.1111/j.1365-2753.2009.01181.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2753.2009.01181.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1054
TITLE
Training center prevention effectiveness for fetal alcohol spectrum disorder
interventions for health care providers in a Midwest region of the United
States
AUTHOR NAMES
Rudeen K.
Tenkku L.
Mengel M.
Barlet E.
Schaefer B.
Everard K.
Ohlemiller M.
AUTHOR ADDRESSES
(Rudeen K.; Tenkku L.; Mengel M.; Barlet E.; Schaefer B.; Everard K.;
Ohlemiller M.) College of Allied Health, University of Oklahoma Health
Sciences Center, 1200 N. Stonewall Dr., Oklahoma City, United States.
CORRESPONDENCE ADDRESS
K. Rudeen, College of Allied Health, University of Oklahoma Health Sciences
Center, 1200 N. Stonewall Dr., Oklahoma City, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2010) 34 SUPPL. 3 (86A).
Date of Publication: August 2010
CONFERENCE NAME
International Society for Biomedical Research on Alcoholism World Congress,
ISBRA 2010
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2010-09-13 to 2010-09-16
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
The Midwest Regional Fetal Alcohol Syndrome Training Center (MRFASTC) is a
regional training center located at the Saint Louis University in St. Louis,
Missouri, where prevention education for health care professionals is
provided for seven states in the surrounding geographical area. The
objective of the center is 1) to provide training for health care
professionals (physicians, nurses, psychologists, physiotherapists,
occupational therapists, speech pathologists, social workers) to better
enable them to identify women at risk for having a child with fetal alcohol
spectrum disorders (FASD) or FAS, and to identify children who may be
affected with FAS/FASD, 2) to establish a network of 'trained speakers' who
will provide information on FAS/FASD to additional health care providers,
and 3) to enhance educational competencies addressing FAS/ FASD into medical
and allied health educational curricula. A range of competencies addressing
the biomedical basis of the effects of alcohol on fetal development,
assessing drinking behaviors in women of reproductive age, and recognizing
and screening children suspect of having FASD/FAS were developed as some of
the competencies. The efforts of the center in the past 8 years have
resulted in significant results. Lecture time spent in education programs on
FAS increased from an average of 62.6 minutes to 74.8 minutes (20%) and the
number of competencies addressed increased from 3 to 5. Using the
'train-the-trainer' technique resulted in 83 individuals trained, who
subsequently held additional educational events each year. This resulted in
the exposure of 6,872 health care providers and 3,900 health care students
to the FAS competencies. Assessment is being performed to determine whether
or not the educational intervention using this model has resulted in change
in practice behaviors by medical professionals. Each state in the region is
now developing independent teams to target health care providers located in
rural areas, and in areas where vulnerable populations exist known to be at
risk for high levels of FASD. We propose this model as an effective
interventional technique to introduce education and practice changes in a
diverse population of health care providers in an extensive geographical
area. The center has been successful in enhancing materials into the
curricula of medical and allied health educational programs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health care personnel
medical research
prevention
society
United States
EMTREE MEDICAL INDEX TERMS
child
Christian
curriculum
drinking behavior
education
education program
exposure
female
fetal alcohol syndrome
fetus development
health
health care
model
nurse
occupational therapist
pathologist
physician
physiotherapist
population
psychologist
risk
rural area
screening
social worker
speech
student
university
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70239156
DOI
10.1111/j.1530-0277.2010.01292-3.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2010.01292-3.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1055
TITLE
Prevalence of opiate misuse and abuse in sickle cell disease
AUTHOR NAMES
Aisiku I.
Smith W.R.
Scherer M.
Dahman B.
Penberthy L.T.
Bovbjerg V.E.
McClish D.K.
Levenson J.
Roseff S.
AUTHOR ADDRESSES
(Aisiku I.; Smith W.R.; Scherer M.; Dahman B.; Penberthy L.T.; Bovbjerg
V.E.; McClish D.K.; Levenson J.; Roseff S.) Virginia Commonwealth
University, United States.
CORRESPONDENCE ADDRESS
I. Aisiku, Virginia Commonwealth University, United States.
SOURCE
American Journal of Hematology (2010) 85:8 (E46). Date of Publication:
August 2010
CONFERENCE NAME
4th Annual Sickle Cell Disease Research and Educational Symposium and Grant
Writing Institute and Annual National Sickle Cell Disease Scientific Meeting
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2010-02-14 to 2010-02-19
ISSN
0361-8609
BOOK PUBLISHER
Wiley-Liss Inc.
ABSTRACT
Background: Pain is the primary symptomatic manifestation of SCD, and severe
paroxysmal painful vaso-occlusive “crises” are the most common reason for
presentation to a medical provider, and often require opiates. The
prevalence of opiate misuse in SCD patients with chronic pain and opiate use
is not well described. Our previous pilot study estimated a 30% misuse and
20% abuse rate. This study is a validation study designed to identify misuse
or at- risk patients and abuse. Methods: We administered 2 surveys,
Prescription Misuse Index (PMI), an internal opiate misuse in chronic pain
survey, and Prescription Drug Use Questionnaire (PDUQ) an externally
validated survey instrument, and interviews by a trained addiction
physician. The primary outcome was opiate misuse (at-risk) and abuse. Random
urine drug screens were performed to identify any illicit drug use. All
patients were recruited during routine clinic visits with their primary care
provider. Results: Fifty-one patients completed the PMI and PDUQ, Forty six
percent were males and forty percent were between the ages of 36-45. The PMI
had 22% (11/51) patients identified as misuse or at-risk patients. The PDUQ
had 0 patients. Random urine drug screens were positive for illicit drugs,
THC and Amphetamines, of abuse in twenty two percent (11/51) of the
patients. Limitations: The PMI survey instrument is an internally developed
survey and has not been validated. The PDUQ was not validated in sickle cell
patients. The results of this survey are limited to the population of a
single urban academic institution and have not been validated in a larger
cohort. Conclusion: Sickle cell patients on chronic opioid therapy may have
a higher than normal at-risk misuse potential. This percentage is lower than
our initial pilot data. The percentage of abuse is low in.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
amphetamine derivative
illicit drug
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
prevalence
sickle cell anemia
writing
EMTREE MEDICAL INDEX TERMS
addiction
chronic pain
drug use
hospital
human
interview
male
pain
patient
physician
pilot study
population
prescription
primary medical care
questionnaire
risk
sickle cell
therapy
urine
validation study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70787318
DOI
10.1002/ajh.21763
FULL TEXT LINK
http://dx.doi.org/10.1002/ajh.21763
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1056
TITLE
Waterpipe (narghile) smoking among medical and non-medical university
students in Turkey
AUTHOR NAMES
Poyrazoǧlu S.
Şarli S.
Gencer Z.
Günay O.
AUTHOR ADDRESSES
(Poyrazoǧlu S.; Şarli S.; Gencer Z.; Günay O., gunayos@erciyes.edu.tr)
Erciyes University Medical Faculty, Department of Public Health, Kayseri,
Turkey.
CORRESPONDENCE ADDRESS
O. Günay, Erciyes Üniversitesi, Tip Fakültesi Halk Saǧliǧi Anabilim Dali,
Kayseri, Turkey. Email: gunayos@erciyes.edu.tr
SOURCE
Upsala Journal of Medical Sciences (2010) 115:3 (210-216). Date of
Publication: August 2010
ISSN
0300-9734
BOOK PUBLISHER
Informa Healthcare, 69-77 Paul Street, London, United Kingdom.
ABSTRACT
Objectives. This investigation was performed in order to determine the
prevalence rate of waterpipe smoking in students of Erciyes University and
the effects of some socio-demographic factors. Methods. A total of 645
students who study the first three grades of the medical faculty and the
engineering faculty of Erciyes University were enrolled in the study. A
questionnaire including 48 questions was applied. Chi-square test and
logistic regression method were performed for the statistical analyses.
Results. The total prevalence rate of waterpipe smoking was found to be
32.7%. The prevalence rate of waterpipe smoking was 28.6% in the medical and
37.5% in the non-medical students. It was determined that 41.6% of the males
and 20.2% of the females currently smoke waterpipe. Gender, cigarette
smoking, and the presence of waterpipe smokers among family members and
friends have significant effects on the prevalence of waterpipe smoking.
Residence and economical status of the family and with whom the students
live have no significant effect on the prevalence rate. Conclusions.
Approximately one-third of the students currently smoke waterpipe. Smoking
of both cigarette and waterpipe was frequently found. The measures against
all tobacco products should be combined. © 2010 Informa UK Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
smoking (epidemiology)
student
university
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
female
human
male
Turkey (republic) (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20636256 (http://www.ncbi.nlm.nih.gov/pubmed/20636256)
PUI
L359218126
DOI
10.3109/03009734.2010.487164
FULL TEXT LINK
http://dx.doi.org/10.3109/03009734.2010.487164
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1057
TITLE
[The readiness of staff in general medical practices to participate in a
smoking cessation programme].
ORIGINAL (NON-ENGLISH) TITLE
Die Bereitschaft nichtärztlicher Mitarbeiterinnen in Hausarztpraxen, an der
Umsetzung eines Nichtraucherangebots mitzuwirken.
AUTHOR NAMES
Ulbricht S.
Koepsell S.
Rumpf H.J.
John U.
Meyer C.
AUTHOR ADDRESSES
(Ulbricht S.) Ernst-Moritz-Arndt-Universität Greifswald, Institut für
Epidemiologie und Sozialmedizin, Greifswald.
(Koepsell S.; Rumpf H.J.; John U.; Meyer C.)
CORRESPONDENCE ADDRESS
S. Ulbricht, Ernst-Moritz-Arndt-Universität Greifswald, Institut für
Epidemiologie und Sozialmedizin, Greifswald. Email:
ulbricht@uni-greifswald.de
SOURCE
Gesundheitswesen (Bundesverband der Ärzte des Öffentlichen
Gesundheitsdienstes (Germany)) (2010) 72:8-9 (492-495). Date of Publication:
2010 Aug-Sep
ISSN
1439-4421 (electronic)
ABSTRACT
So far, the chances for tobacco prevention are not currently implemented
sufficiently in general practices. The involvement of practice nurses (PN)
could contribute to reach more patients. This study investigated the
characteristics of PN which could be relevant for the implementation of
counselling offers. A total of 216 general practices was randomly selected
from all general practitioners registered for primary care in a defined
region in West Pomerania. The participation rate was 69% (n=151). A total of
209 PN participated in a training and 94.3% filled in the questionnaire. The
data indicated a smoking prevalence rate of 30.3% among PN. Their
motivation, to offer counselling measures in general practices was higher on
average than the confidence to realise such interventions. There was no
association between characteristics of PN such as age, number of work years
in the practice, hours worked per week or smoking status and motivation or
confidence measures. There is a need for proactive interventions to decrease
the smoking prevalence among PN. Furthermore, it should be examined which
skills and knowledge are essential for PN nurses to manage new tasks with a
high level of confidence. © Georg Thieme Verlag KG Stuttgart · New York.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
health promotion
nurse practitioner
practice guideline
smoking (epidemiology)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
female
Germany
human
male
middle aged
statistics
utilization review
LANGUAGE OF ARTICLE
German
MEDLINE PMID
19798627 (http://www.ncbi.nlm.nih.gov/pubmed/19798627)
PUI
L360259221
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1058
TITLE
Management of psychiatric disorders and addictive behaviors in patients with
viral hepatitis C in France: Current clinical practices, impact on disease
management and perspectives
AUTHOR NAMES
Lang J.P.
Schoeffler M.
Michel L.
Melin P.
Gauchet A.
Rousseaux C.
Cartier V.
Henry C.
AUTHOR ADDRESSES
(Lang J.P.; Schoeffler M.; Michel L.; Melin P.; Gauchet A.; Rousseaux C.;
Cartier V.; Henry C.) Service de Médecine Polyvalente et Spécialités
Médicales, Centre Hospitalier Général de Saint-Dizier, 4 rue Godard Jeanson,
Saint-Dizier, Cedex, France.
(Lang J.P.; Schoeffler M.) Erstein, France.
(Michel L.) Limeil-Brévanes, France.
(Gauchet A.) Grenoble, France.
(Rousseaux C.) Paris, France.
(Cartier V.) Roche, Neuilly, France.
(Henry C.) Créteil, France.
CORRESPONDENCE ADDRESS
J.P. Lang, Service de Médecine Polyvalente et Spécialités Médicales, Centre
Hospitalier Général de Saint-Dizier, 4 rue Godard Jeanson, Saint-Dizier,
Cedex, France.
SOURCE
Alcoholism: Clinical and Experimental Research (2010) 34 SUPPL. 3 (65A).
Date of Publication: August 2010
CONFERENCE NAME
International Society for Biomedical Research on Alcoholism World Congress,
ISBRA 2010
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2010-09-13 to 2010-09-16
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Psychiatric disorders and addictive behaviors are commonly observed in
patients with HCV infection, greatly hindering efficient care. However, many
studies have demonstrated that appropriate support for psychiatric or
addictive problems improves patient adherence and sustained virological
response to levels comparable with the general population. Despite European
guidelines for extended therapeutic indications in these patients, many do
not receive optimal antiviral treatment. The purpose of this presentation is
to present results of French surveys conducted between 2007 and 2009. The
aims of these surveys were: - To describe current clinical practices for
psychiatric disorders and addictive behaviors management in patients with
chronic HCV infection. - To determine whether psychiatric disorders and
addictive behaviors hinder initiation of antiviral treatment or favor its
discontinuation. - To analyze the impact and frequency of collaboration
between hepato/gastroenterologists and/or infectiologists and psychiatrists
and/or psychologists. - To describe how clinicians assess psychiatric
disorders and addictive behaviors. - To ascertain the nature and modalities
of practices employed when psychiatric disorders occur during antiviral
treatment. Results showed: - Up to 19% of HCV infected patients did not
receive optimal treatment because of psychiatric disorders or addictive
behaviors and that less than 50% of the hepato/
gastroenterologists/infectiologists work in collaboration with
psychiatrist/psychologist. - A psychiatric evaluation is requested in only
40% of cases before antiviral treatment initiation and 19% when treatment is
stopped. - A gap is observed between clinical practice and French national
recommendations addressing the importance of combined management between
hepato/gastroenterologists/ infectiologists and psychiatrist/psychologist -
A need for specific training on HCV psychiatric disorders and addictions
management is observed in healthcare professionals involved in addiction and
psychiatric disorders diseases Conclusion: theses surveys show the need for
specific trainings an improved coordination between healthcare professionals
involved in HCV, psychiatric disorders and addictions management. Available
French reference HCV networks could provide support to reinforce this
organization.
EMTREE DRUG INDEX TERMS
antivirus agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
clinical practice
disease management
France
hepatitis C
medical research
mental disease
patient
society
virus hepatitis
EMTREE MEDICAL INDEX TERMS
health care personnel
infection
patient compliance
population
psychiatrist
psychologist
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70239071
DOI
10.1111/j.1530-0277.2010.01292-3.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2010.01292-3.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1059
TITLE
Cognitive effects of Group I metabotropic glutamate receptor ligands in the
context of drug addiction
AUTHOR NAMES
Olive M.F.
AUTHOR ADDRESSES
(Olive M.F., olive@musc.edu) Center for Drug and Alcohol Programs,
Departments of Psychiatry and Neurosciences, Medical University of South
Carolina, 67 President Street, MSC 861, Charleston, SC 29425, United States.
CORRESPONDENCE ADDRESS
M.F. Olive, Center for Drug and Alcohol Programs, Departments of Psychiatry
and Neurosciences, Medical University of South Carolina, 67 President
Street, MSC 861, Charleston, SC 29425, United States. Email: olive@musc.edu
SOURCE
European Journal of Pharmacology (2010) 639:1-3 (47-58). Date of
Publication: August 2010
ISSN
0014-2999
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Glutamate plays a pivotal role in regulating drug self-administration and
drug-seeking behavior, and the past decade has witnessed a substantial surge
of interest in the role of Group I metabotropic glutamate receptors (mGlu(1)
and mGlu(5) receptors) in mediating these behaviors. As will be reviewed
here, Group I mGlu receptors are involved in normal and drug-induced
synaptic plasticity, drug reward, reinforcement and relapse-like behaviors,
and addiction-related cognitive processes such as maladaptive learning and
memory, behavioral inflexibility, and extinction learning. Animal models of
addiction have revealed that antagonists of Group I mGlu receptors,
particularly the mGlu(5) receptor, reduce self-administration of virtually
all drugs of abuse. Since inhibitors of mGlu5 receptor function have now
entered clinical trials for other medical conditions and appear to be
well-tolerated, a key question that remains unanswered is - what changes in
cognition are produced by these compounds that result in reduced drug intake
and drug-seeking behavior? Finally, in contrast to mGlu(5) receptor
antagonists, recent studies have indicated that positive allosteric
modulation of mGlu(5) receptors actually enhances synaptic plasticity and
improves various aspects of cognition, including spatial learning,
behavioral flexibility, and extinction of drug-seeking behavior. Thus, while
inhibition of Group I mGlu receptor function may reduce drug reward,
reinforcement, and relapse-related behaviors, positive allosteric modulation
of the mGlu5 receptor subtype may actually enhance cognition and potentially
reverse some of the cognitive deficits associated with chronic drug use. ©
2010 Elsevier B.V.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
metabotropic receptor 1 (endogenous compound)
metabotropic receptor 5 (endogenous compound)
metabotropic receptor antagonist (pharmacology)
EMTREE DRUG INDEX TERMS
(3 ethyl 2 methyl quinolin 6 yl) (4 methoxy cyclohexyl)methanone
(pharmacology)
2 methyl 6 (phenylethynyl)pyridine (drug comparison, intraperitoneal drug
administration, intravenous drug administration, pharmacology)
3 [(2 methyl 4 thiazolyl)ethynyl]pyridine (pharmacology)
3 cyano n (1,3 diphenyl 1h pyrazol 5 yl)benzamide (pharmacology)
3,3 difluorobenzaldazine (drug comparison, pharmacology)
3,5 dihydroxyphenylglycine (pharmacology)
4 aminobutyric acid
7 (hydroxyimino)cyclopropa[b]chromen 1a carboxylate ethyl ester
(pharmacology)
[(4 fluorophenyl) [3 [3 (4 fluoro phenyl) [1,2,4] oxadiazol 5 yl]piperidin 1
yl]methanone] (pharmacology)
adx 10059 (adverse drug reaction, clinical trial, drug therapy,
pharmacology)
adx 47273
alcohol
amphetamine
cocaine (intraperitoneal drug administration)
diazepam
endocannabinoid
fenobam (adverse drug reaction, clinical trial, drug comparison, drug
therapy, pharmacology)
gastrointestinal agent (clinical trial, drug therapy, pharmacology)
jnj 16259685 (pharmacology)
levodopa (adverse drug reaction, drug therapy)
midomafetamine
morphine
n [4 chloro 2 [1,3 dioxo 1,3 ihydro 2h isoindol 2 yl)methyl]phenyl] 2
hydroxybenzamide (drug comparison, pharmacology)
neuropeptide
neurotransmitter
nicotine
placebo
unclassified drug
unindexed drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognition
drug dependence
EMTREE MEDICAL INDEX TERMS
allosterism
anxiety disorder (drug therapy)
behavior
blurred vision (side effect)
clinical trial
cognitive defect
coughing (side effect)
depersonalization (side effect)
depression (drug therapy)
Diagnostic and Statistical Manual of Mental Disorders
dizziness (side effect)
drug effect
drug inhibition
drug mechanism
drug self administration
drug tolerability
drug withdrawal
dyskinesia (side effect)
gastroesophageal reflux (drug therapy)
hippocampus
human
insomnia (side effect)
learning
locomotion
long term potentiation
memory
nausea (side effect)
nerve cell plasticity
nonhuman
nucleus accumbens
Parkinson disease (drug therapy)
perception disorder (side effect)
place preference
priority journal
reinforcement
review
reward
sedation
side effect (side effect)
substance abuse
DRUG TRADE NAMES
adx 10059
adx 47273
jnj 16259685
CAS REGISTRY NUMBERS
3,4 methylenedioxymethamphetamine (42542-10-9)
4 aminobutyric acid (28805-76-7, 56-12-2)
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diazepam (439-14-5)
fenobam (57653-26-6)
levodopa (59-92-7)
morphine (52-26-6, 57-27-2)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Clinical and Experimental Pharmacology (30)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010339367
MEDLINE PMID
20371237 (http://www.ncbi.nlm.nih.gov/pubmed/20371237)
PUI
L50885575
DOI
10.1016/j.ejphar.2010.01.029
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ejphar.2010.01.029
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1060
TITLE
Dextromethorphan withdrawal and dependence syndrome
ORIGINAL (NON-ENGLISH) TITLE
Dextromethorphan: Entzugs- und abhängigkeitssyndrom
AUTHOR NAMES
Mutschler J.
Koopmann A.
Grosshans M.
Hermann D.
Mann K.
Kiefer F.
AUTHOR ADDRESSES
(Mutschler J., jochen.mutschler@puk.zh.ch; Koopmann A.; Grosshans M.;
Hermann D.; Mann K.; Kiefer F.) Klinik für Abhängiges Verhalten und
Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Universität
Heidelberg, 68159 Mannheim, Germany.
(Mutschler J., jochen.mutschler@puk.zh.ch) Psychiatrische Universitätsklinik
Zürich, Klinik für Soziale Psychiatrie und Allgemeinpsychiatrie ZH West,
Militärstr. 8, 8021 Zürich, Switzerland.
CORRESPONDENCE ADDRESS
J. Mutschler, Klinik für Abhängiges Verhalten und Suchtmedizin,
Zentralinstitut für Seelische Gesundheit, Universität Heidelberg, 68159
Mannheim, Germany. Email: jochen.mutschler@puk.zh.ch
SOURCE
Deutsches Arzteblatt (2010) 107:30 (537-540). Date of Publication: 30 Jul
2010
ISSN
0012-1207
BOOK PUBLISHER
Deutscher Arzte-Verlag GmbH, Dieselstrasse 2 (Postfach 0254), Cologne,
Germany.
ABSTRACT
Background: The N-methyl-D-aspartate (NMDA) antagonist dextromethorphan has
been available in pharmacies without a prescription since 1954 as an
antitussive agent. There is an alarming increase in reports of its abuse.
Dextromethorphan is avidly taken, mainly by young people, as a psychoactive
drug. The currently available data yield incomplete information about the
extent of the problem and its significance for addiction medicine in
Germany. Case presentation and course: We report the case of a 44-year-old
man who became dependent on dextromethorphan through years of abuse, buying
the substance for himself without a prescription in German pharmacies. He
told us he had taken it regularly for six years. He had become dependent on
dextromethorphan, ultimately taking it in a dose of 1800 mg daily. This led
him to overt neglect of his work and leisure activities. A urine sample
taken on admission to the hospital was found to contain dextromethorphan.
During inpatient detoxification, he developed an vegetative withdrawal
syndrome consisting of craving, diaphoresis, nausea, hypertension, and
tachycardia. He was treated on our ward for three weeks, and a stay in a
residential detoxification facility was planned thereafter. Conclusion:
Dextromethorphan is a psychotropic substance that carries a potential for
abuse and dependence. On the basis of the currently available data, its
reclassification as a prescription drug should be considered.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
dextromethorphan (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
adult
article
case report
diaphoresis
drug detoxification
follow up
Germany
hospital admission
hospital patient
human
hypertension
male
nausea
neglect
prescription
tachycardia
treatment planning
urinalysis
CAS REGISTRY NUMBERS
dextromethorphan (125-69-9, 125-71-3)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German, English
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2010600906
MEDLINE PMID
20737060 (http://www.ncbi.nlm.nih.gov/pubmed/20737060)
PUI
L359871363
DOI
10.3238/arztebl.2010.0537
FULL TEXT LINK
http://dx.doi.org/10.3238/arztebl.2010.0537
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1061
TITLE
Smoking cessation training among health professional trainees in Oyo state,
Nigeria
AUTHOR NAMES
Ogunnika O.
Atanda A.A.
Omiyefa S.
AUTHOR ADDRESSES
(Ogunnika O.) Educare Trust Nigeria, Ibadan, Nigeria.
(Atanda A.A.) Dept. of Dentistry, College of Medicine, University of Ibadan,
Ibadan, Nigeria.
(Omiyefa S.) Youth Action on Tobacco Control and Health, Ibadan, Nigeria.
CORRESPONDENCE ADDRESS
O. Ogunnika, Educare Trust Nigeria, Ibadan, Nigeria.
SOURCE
Circulation (2010) 122:2 (e275). Date of Publication: 13 Jul 2010
CONFERENCE NAME
World Congress of Cardiology Scientific Sessions 2010, WCC 2010
CONFERENCE LOCATION
Beijing, China
CONFERENCE DATE
2010-06-16 to 2010-06-19
ISSN
0009-7322
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Introduction: Tobacco use is a risk factor for six of the eight leading
causes of death in the world with the greater number of deaths from
cardiovascular related diseases. Health care professionals and trainees play
a major role in tobacco control especially in tobacco cessation programs.
However, there is a paucity of information about the availability of a
formal training on smoking cessation counseling in the curriculum of HPT.
Objectives: This study therefore aims to assess the availability of
information regarding smoking cessation training to HPT in Oyo State,
Nigeria as well as their attitudes towards the inclusion of smoking
cessation counseling in their curriculum. Methods: Cross sectional survey
among clinical (years 4, 5, 6) medical students in the University of Ibadan,
Oyo State using a self administered questionnaire. Results: 89% of the 86
respondents admit to not receiving any formal training in smoking cessation
counseling. The risks associated with smoking is perceived to be high and 7
out of 10 HPT think that it is important that a formal training in smoking
cessation be included in their curriculum. However, only 69% of the
respondents want to receive smoking cessation as part of their curriculum.
Conclusion: Smoking cessation counseling is not included in the curriculum
for health professional trainees in Nigeria. It is important that health
professionals are formally trained in smoking cessation counseling so as to
effectively play their role in tobacco control and in the reduction of heart
related deaths as a result of tobacco use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiology
health practitioner
Nigeria
smoking cessation
student
EMTREE MEDICAL INDEX TERMS
counseling
curriculum
death
health care personnel
heart
medical student
questionnaire
risk
risk factor
smoking
tobacco
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70232812
DOI
10.1161/CIRCULATIONAHA.110.192774
FULL TEXT LINK
http://dx.doi.org/10.1161/CIRCULATIONAHA.110.192774
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1062
TITLE
Current status of cancer pain management in middle eastern countries
AUTHOR NAMES
Silbermann M.
AUTHOR ADDRESSES
(Silbermann M.) Middle East Cancer Consortium, Israel.
CORRESPONDENCE ADDRESS
M. Silbermann, Middle East Cancer Consortium, Israel.
SOURCE
Journal of Pediatric Hematology/Oncology (2010) 32:5 (420-421). Date of
Publication: July 2010
CONFERENCE NAME
Middle Eastern Cancer Consortium, MECC Palliative Care Steering Committee
Meeting
CONFERENCE LOCATION
Larnaca, Cyprus
CONFERENCE DATE
2010-01-08 to 2010-01-10
ISSN
1077-4114
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
To date, the management of cancer pain has not been incorporated into many
areas of clinical practice in most Middle Eastern countries. The 3 main
reasons for these facts are these: 1. Priorities in national health care
systems Governments' regulations concerning the use of potent opiate-based
drugs 3. Lack of education and training in pain management Among those
treating patients for pain are 68% physicians, 16% nurses, 4%
physiotherapists, and 12% basic scientists (pharmacologists). Of these, only
24% had formal training during their undergraduate studies on pain and its
management, which by themselves, were not sufficient to deal with pain
problems clinically. At the postgraduate level, in 39% the training was
associated with anesthesiology, 28% with general medicine, and 22% with
training in nursing. Yet, in 78% of the countries, pain management is not a
recognized medical specialty. In 82% of the countries, an official training
program in pain management does not exist, and potential trainees prefer to
have their training in a specialized pain center in their own country.
Currently, a wide range of professionals deal with pain: Anesthesiologists
82%, Neurosurgeons 73%, Oncologists 63%, Nurses 63%,
Psychologists/Psychiatrists 50%, and Physiotherapists 54%. As in other parts
of the world, acute pain management is taking place in hospitals of all
kinds (University, General, Private), and the treatment is primarily aimed
at adult patients. Only a third of them are pediatric patients. Whereas the
availability of outpatient facilities is growing, specialist teams for acute
pain management are less well developed, and their training is not
sufficient. Opioid drugs are essential in the management of moderate to
acute cancer pain. Fentanyl (a synthetic opioid related to the
phenylpi-peridines; and as an analgesic it is estimated to be 80 times more
potent than morphine) is readily available to most cancer centers. Methadone
(a synthetic i agonist with pharmacologic properties qualitatively similar
to morphine) less so. The percentage of patients receiving opioids is less
than might be expected or hoped for. In the Middle East, the availability of
oral opioids is greater for inpatients than for outpatients; and the
permission to prescribe them is given primarily to Oncologists and pain
clinicians. Other physicians are, for the most part, restricted in
prescribing these drugs. The main reason for this situation relates to the
fear of abuse or addiction, government regulations, and lack of training.
Hence, the most powerful group of drugs for the relief of cancer pain-the
opioids, is not freely available. In summary, the main barriers to good pain
management are lack of education, government health policies, and the fear
of addiction. Further, one should add the issue of patient compliance.
Recommendations: To have better training and better access to drugs for pain
relief, which seem to be the major barriers to good pain management. 1. In
what could MECC be involved to improve this situation? 2. In promoting pain
education programs in Medical and Nursing undergraduate studies. Teaching
programs ought also to be incorporated in Psychology and Physiotherapy
training. 3. In training pain problems in the trainees' own country and
language. 4. As chronic pain is not less of a problem than acute pain, and
is most seen at outpatient clinics, training of Family Physicians and
General Physicians is of high priority. 5. In encouraging changes in
regulations related to the availability of opioids. (The statistical data
brought forward in this abstract were retrieved from “Education and Training
for Pain Management,” Based on a Report by the International Association for
the Study of Pain, Developing Countries Taskforce, November 2007.).
EMTREE DRUG INDEX TERMS
analgesic agent
fentanyl
methadone
morphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain
neoplasm
palliative therapy
EMTREE MEDICAL INDEX TERMS
abuse
addiction
adult
agonist
analgesia
anesthesiology
anesthesist
cancer center
chronic pain
clinical practice
developing country
education
education program
fear
general practice
general practitioner
government
government regulation
health care policy
health care system
hospital
hospital patient
language
medical specialist
medicine
Middle East
nurse
nursing
outpatient
outpatient department
pain
pain clinic
patient
patient compliance
physician
physiotherapist
physiotherapy
psychology
public health service
scientist
student
teaching
training
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70276972
DOI
10.1097/MPH.0b013e3181d5aa83
FULL TEXT LINK
http://dx.doi.org/10.1097/MPH.0b013e3181d5aa83
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1063
TITLE
Continuous medical education (CME) of general practitioners (GP) in primary
health care settings in the field of identification and diagnosis of
alcoholism.
AUTHOR NAMES
Grozdanov J.
Mladenovic I.
Vasic M.
Knezevic T.
AUTHOR ADDRESSES
(Grozdanov J.) Institute of Public Health of Serbia, Belgrade.
(Mladenovic I.; Vasic M.; Knezevic T.)
CORRESPONDENCE ADDRESS
J. Grozdanov, Institute of Public Health of Serbia, Belgrade.
SOURCE
Cahiers de sociologie et de démographie médicales (2010) 50:3 (375-396).
Date of Publication: 2010 Jul-Sep
ISSN
0007-9995
ABSTRACT
Institute of Public Health of Serbia (IPHS) is developing new function
related to better monitoring of alcohol related diseases and injuries,
actions focusing on alcohol as a lifestyle related factor using integrated
strategic approaches for both population and individual risk reduction. In
that regard the long term objective of the IPHS is to study, monitor,
promote and safeguard public health--from the point of view of mental health
and alcohol abuse--by means of research, development and the provision of
expert services. Starting point in the aforementioned need for the capacity
building in the area of mental health and alcohol abuse is the Program of
education of general practitioners (GPs) in primary health care settings for
identification and diagnosis of alcoholism. This is because GPs have the
widest contact with the general population. Their education related to
recognition of alcohol abuse and appropriate diagnostic tools application is
first, but very important step in providing direction of the health service
and other sectors for problem solving and would bring the largest benefit
for the whole population. In the year 2010 National program against alcohol
abuse and alcoholism will be developed. Program of education of GPs is very
important complementary activity which outcome will have great impact on the
National program implementation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication, diagnosis, epidemiology)
general practice
medical education
primary health care
EMTREE MEDICAL INDEX TERMS
article
education
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21086771 (http://www.ncbi.nlm.nih.gov/pubmed/21086771)
PUI
L360250039
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1064
TITLE
Effect of comorbid depression on substance use disorders.
AUTHOR NAMES
Erfan S.
Hashim A.H.
Shaheen M.
Sabry N.
AUTHOR ADDRESSES
(Erfan S.) Kasr El Aini, Faculty of Medicine, Cairo University, Cairo,
Egypt.
(Hashim A.H.; Shaheen M.; Sabry N.)
CORRESPONDENCE ADDRESS
S. Erfan, Kasr El Aini, Faculty of Medicine, Cairo University, Cairo, Egypt.
Email: Drsalwaerfan@hotmail.com
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2010) 31:3 (162-169). Date of
Publication: Jul 2010
ISSN
1547-0164 (electronic)
ABSTRACT
The aim of the study was to investigate the effect of depression on pattern
of substance use disorders (SUDs). Consecutive samples of (200) Egyptian
male SUD inpatients were examined over 1-year period. Study and control
samples were chosen. Study group consisted of 30 patients with comorbid
substance dependence and depression. Control group consisted of 30
substance-dependent patients without depression. Semistructured interviews,
Addiction Severity Index (ASI) and Hamilton Rating Scale for Depression
(HDRS), were applied. Comparison between both groups showed significant
differences for prescribed opioid use (100% versus 86%), polysubstance use
(73% versus 43%), frequency of suicidal attempts (86% versus 43%), mean of
admissions to substance use treatment (SUT) units (5 versus 2.2), mean of
abstinence periods (3.8 versus 1.2); study group showed greater medical
status impairment (P = .05), social and psychiatric impairment (P = .01). It
was concluded that depression might affect SUD as regards type of substance
used, pattern of use, suicide rate, duration of hospitalization, rate of
rehospitalization, and finally medical, social, and psychiatric status
impairment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
depression (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
comorbidity
Egypt (epidemiology)
hospitalization
human
male
middle aged
patient attitude
psychiatric diagnosis
psychological aspect
psychological rating scale
statistics
suicide attempt
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20687004 (http://www.ncbi.nlm.nih.gov/pubmed/20687004)
PUI
L360233289
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1065
TITLE
School nurses connect schools and parents from home to homeroom to prevent
teen medicine abuse.
AUTHOR NAMES
Suydam L.
Garcia A.
AUTHOR ADDRESSES
(Suydam L.) Consumer Healthcare Products Association, Washington, DC, USA.
(Garcia A.)
CORRESPONDENCE ADDRESS
L. Suydam, Consumer Healthcare Products Association, Washington, DC, USA.
SOURCE
NASN school nurse (Print) (2010) 25:4 (170-171). Date of Publication: Jul
2010
ISSN
1942-602X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
non prescription drug
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health education
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
human relation
parent
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20645589 (http://www.ncbi.nlm.nih.gov/pubmed/20645589)
PUI
L359392426
DOI
10.1177/1942602X10371008
FULL TEXT LINK
http://dx.doi.org/10.1177/1942602X10371008
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1066
TITLE
Effects of gamma neurofeedback training on perceived positiveemotional state
and cognitive functions
AUTHOR NAMES
Sokhadze E.
Cowan J.
Horrell T.
Tasman A.
Sokhadze G.
Stewart C.
AUTHOR ADDRESSES
(Cowan J.; Horrell T.; Tasman A.; Sokhadze G.; Stewart C.)
(Sokhadze E., tato.sokhadze@louisville.edu) University of Louisville, United
States.
CORRESPONDENCE ADDRESS
E. Sokhadze, University of Louisville, United States. Email:
tato.sokhadze@louisville.edu
SOURCE
Journal of Neurotherapy (2010) 14:4 (343-345). Date of Publication: 2010
CONFERENCE NAME
18th Annual Conference of the International Society for Neurofeedback and
Research, ISNR 2010
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2010-09-29 to 2010-10-03
ISSN
1087-4208
BOOK PUBLISHER
Routledge
ABSTRACT
Introduction It has been shown that emotional abnormalities are typical for
addicts. Alexithymia (i.e., state of deficiency in understanding,
processing, or describing emotions; Fukunishi, 1996) and dysphoria (i.e.,
state of inability to experience positive emotions, mood lability; Cowan et
al., 1980), and decreased emotional reactivity to natural positive
reinforcers (Gerra et al., 2003) are highly prevalent among substance
abusers and in those at risk for development of substance use disorders.
Therefore, in addition to well-known attentional and cognitive impairment,
there are disruptions in processing emotion in individuals with substance
dependence and in those predisposed to drug abuse. According to the
“allostasis” theory (Koob et al., 2004; Koob & Le Moal, 2001) sensitization
to drugs and counteradaptation are hypothesized to contribute to
dysregulation of hedonic homeostasis and to observed brain reward system
abnormalities in already-addicted individuals. However, in some cases
hedonic dysfunctions and lower sensitivity to positive affect might be an
inherited trait predisposing afflicted individuals to drug-seeking and
drug-taking behaviors that may result in substance abuse and ultimately in
drug dependence. Neurofeedback training-based neurotherapy is one of the
potentially efficacious nonpharmacological treatment options for substance
use disorders (Sokhadze et al., 2007, 2008, 2009). There have been an
increasing number of neurofeedback protocols that report success in treating
a variety of addictive behaviors. There are practically no studies on the
use of neurofeedback in adolescents and young adults with occasional drug
use when individuals have drug use history but did not yet developed
substance dependence (Trudeau, 2005). One of the most promising direction of
neurofeedback research is development of protocols that might be used to
prevent drug abuse through self-regulation training aimed to enhance of EEG
measures of positive emotional states. In a previous study it was show an
association of prefrontal gamma oscillations with positive emotional states
(Cowan & Rubik, 2009). One of the specific aims of this pilot study was to
determine the dynamics of self-reported perceived positive emotional state
rating before, during and after twelve 25-min-long neurofeedback training
course in 2 groups of participants. One group had documented drug use
history (N=6; most of them referred from Louisville Adolescent Network for
Substance Abuse Treatment- a community mental health system of care for
adolescents with substance use=abuse issues), and the other was a group of
drugnaïve participants (N=6; recruited mostly from students and residents).
Our hypothesis was that the prefrontal high-frequency power increase over 12
neurofeedback training sessions is possible and will be accompanied by
increased rating scores of positive emotional states. Our prediction was
that successful completers of the neurofeedback training in the groups of
adolescents and young adults both with and without drug= alcohol abuse
history will improve subsequent performance on cognitive tests and will
increase positive affect. Method As a preferred neurofeedback protocol, we
used enhancement of gamma range (centered around 40 Hz) activity (so-called
Neureka! parameter; Peak Achievement Trainer [PAT]) and
inhibition=suppression of other frequencies (i.e., “Focus” parameter) at the
prefrontal site (FPz). Training of highfrequency activity in 40Hz centered
gamma band at themidline prefrontal site after 12 sessions resulted, as it
was predicted in better performance on neurocognitive (MicroCog) and
attention (IVA+Plus) tasks and improved scores on emotional self-reports
(happiness and self-satisfaction, Siahpush et al., 2008) and clinical (Beck
Depression Inventory-II; Beck et al., 1996) status. This protocol used in
the study is based on the PAT application “Brain Happiness and Focus” and is
intended to train focus, concentration and emotional state (Cowan, 2008).
Individual reports of self-received happiness scores were assessed during
each neurofeedback session using the Continuous Response Digital Interface
dial (CRDI; Geringer et al., 2004) and recorded on a per-minute basis. The
CRDI reading showed significant positive correlation with relative gamma
power during individual training sessions and exhibited the tendency to
increase with the number of conducted neurofeedback sessions. Conclusion
Neurofeedback training aimed at enhancement of focus and Neureka! measures
was accompanied by positively correlated subjective self-reports of positive
emotional feelings during self-regulation sessions and resulted in improved
performance on IVA+Plus and MicroCog tests at the post-12-session
neurofeedback course. Posttraining evaluations showed a decrease in
depression scores and increased happiness and self-satisfaction rating in
both participant groups in this study. We discuss potential utility of the
Focus and Neureka! protocol for self-regulation of attention and emotional
state in individuals predisposed for substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognition
neurofeedback
society
EMTREE MEDICAL INDEX TERMS
abuse
achievement
addiction
adolescent
adult
alcohol abuse
alexithymia
allostasis
autoregulation
Beck Depression Inventory
brain
cognitive defect
community mental health
drug abuse
drug dependence
drug use
dynamics
dysphoria
electroencephalogram
emotion
happiness
health care
homeostasis
human
hypothesis
mental instability
oscillation
pilot study
prediction
processing
reading
reward
risk
satisfaction
self report
sensitization
student
substance abuse
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70480826
DOI
10.1080/10874208.2010.52335
FULL TEXT LINK
http://dx.doi.org/10.1080/10874208.2010.52335
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1067
TITLE
Does sexual reassignment surgery rewire the brain: A comparison of pre=post
QEEG results
AUTHOR NAMES
Miles J.J.
Donaldson S.
AUTHOR ADDRESSES
(Miles J.J., jmilesenator@gmail.com; Donaldson S.) University of Calgary,
Canada.
CORRESPONDENCE ADDRESS
J.J. Miles, University of Calgary, Canada. Email: jmilesenator@gmail.com
SOURCE
Journal of Neurotherapy (2010) 14:4 (363-364). Date of Publication: 2010
CONFERENCE NAME
18th Annual Conference of the International Society for Neurofeedback and
Research, ISNR 2010
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2010-09-29 to 2010-10-03
ISSN
1087-4208
BOOK PUBLISHER
Routledge
ABSTRACT
As identified by the quantitative electroencephalogram (qEEG), statistically
important brain wave patterns related to gender identity might be observed
when a transgendered person has undergone sexual reassignment surgery (SRS).
The observed differences in brain wave patterns may prove useful in
treatment, and or assessment for readiness for postsurgery success for a
transsexual person. Reassessment of brain wave patterns immediately after
diagnosis, treatment, and surgery will perhaps reveal that the previous
pattern was not altered and no longer statistically important. This pilot
study might support the concept that brain wave patterns related to gender
identity do have a correlated and measurable energetic effect. In addition,
this study may objectively identify an immediate energetic change after HRT=
surgeries in the direction of normalcy and health. Results of the study,
including serendipitous findings, will be available for discussion regarding
these questions and many others. Rationale for Pilot Study The qEEG is very
useful in revealing the underlying abnormal brainwave patterns associated
with Attention Deficit Hyperactivity Disorder (ADHD) and many other
disorders. The system can discriminate with more than 90% accuracy ADHD from
learning difficulties and from normal. Many psychiatrists, pediatricians,
and psychologists involved in the diagnosis of learning disorders and ADHD
are unaware of a significant body of research that supports the use of
topometric (visual) qEEG analysis as a diagnostic tool for differentiating
between organic and functional brain disorders including learning
difficulties, ADHD, schizophrenia, epilepsy, and cerebral atrophy associated
with alcohol abuse, depression, and anxiety. Psychophysiologists have
established normative qEEG databases. The differences in brain wave patterns
revealed in these comparisons point to subtypes of ADHD that are not
documented in the Diagnostic and Statistical Manual of Mental Disorders (4th
ed.). Studies of qEEG patterns of ADHD children and adults are consistent
with findings revealed by Positron Emission Topography, functional Magnetic
Resonance Imaging, Single Photon Emission Computed Tomography (SPECT), and
other neuroimaging studies. More recently, research from SPECT brain studies
by Daniel Amen and his colleagues have identified six subtypes of ADHD that
correlate to qEEG patterns found in individuals with Attention Deficit
Disorder (ADD). Although various psychometric measurements are available to
clinicians, presently there are no data available that document the qEEG for
use in assessments. Thus, topometric (or Visual) QEEG analysis is a powerful
adjunct to psychometric assessment in this area (Duff, 2002). qEEG A qEEG is
a topographic=visual enhancement of a traditional EEG. During the procedure,
electrical activity of the brain, at rest and during stimulation, is
recorded for analysis. Each area of the brain normally spends a
characteristic amount of time in alpha, beta, theta, and delta activity. By
comparing a patient's brain mapping to a control population, it may be
possible to localize areas of focal slowing and enhanced areas of electrical
activity. qEEG is not an invasive procedure; it can be used on all age
groups but requires the interpretation of a specialist trained in
quantitative encephalographic analysis. Interpretation of the qEEG involves
an assessment of the statistical degree of congruence or lack of congruence
between a patient and the normal population, or the degree of similarity
between a given patient and a qEEG profile that may be characteristic of
some defined clinical group. The quantitative approach can display not only
variations in the qEEG profiles but also progressive changes in
neurophysiological function over time. qEEGs are presently utilized in the
evaluation of (a) attention deficit disorder, (b) anxiety, (c) depression,
(d) substance abuse disorders, (e) psychiatric disorders, and (f) closed
head injuries (Donaldson, 2009). The most common and well-documented use of
neurofeedback is in the treatment of ADHD with multiple studies showing
neurofeedback to be useful in the treatment of ADD. Other areas where
neurofeedback has been researched include treatment of substance abuse,
anxiety, depression, epilepsy, obsessive compulsive disorder, learning
disabilities, bipolar disorder, conduct disorder, anger and rage, cognitive
impairment, migraines, headaches, chronic pain, autism spectrum disorders,
sleep, posttraumatic stress disorder, and mild traumatic brain injury
(Donaldson, 2009). Hence, the effort to discover the usefulness of the qEEG
as a tool for providing empirical data for assessment, treatment, and
prediction of success for postsexual reassignment surgery in transsexuals
would seem appropriate. Does sexual reassignment surgery create or cause new
neural networks that literally change the brain and allow it to operate with
greater efficiency, productivity, and functionality in the postsurgery
transsexual compared to genetic men and women?.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain
neurofeedback
society
surgery
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
anxiety
attention deficit disorder
autism
bipolar disorder
brain atrophy
brain disease
brain mapping
child
chronic pain
cognitive defect
conduct disorder
data base
diagnosis
Diagnostic and Statistical Manual of Mental Disorders
electric activity
electroencephalogram
epilepsy
female
functional magnetic resonance imaging
gender identity
groups by age
head injury
headache
health
human
invasive procedure
learning disorder
male
medical specialist
mental disease
migraine
neuroimaging
obsessive compulsive disorder
patient
pediatrician
pilot study
population
positron
posttraumatic stress disorder
prediction
productivity
psychiatrist
psychologist
rage
schizophrenia
single photon emission computed tomography
sleep
stimulation
substance abuse
topography
transsexualism
traumatic brain injury
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70480845
DOI
10.1080/10874208.2010.52335
FULL TEXT LINK
http://dx.doi.org/10.1080/10874208.2010.52335
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1068
TITLE
Measuring the burden of rheumatic musculoskeletal pain and disorders
(RMSK)in Mirza, Guwahati; Assam using WHO ILAR COPCORD (Community Oriented
Program for Prevention and Control of Rheumatic Diseases) Bhigwan model and
to find association with potential risk factors -A Bone and Joint Decade
(BJD) India initiative
AUTHOR NAMES
Thakurla B.
Chakravarty B.P.
Das M.P.
Dphukan J.
Kakotl B.J.
Nag A.
Chopra A.
AUTHOR ADDRESSES
(Thakurla B.; Chakravarty B.P.; Das M.P.; Dphukan J.; Kakotl B.J.; Nag A.)
Gauhati Medical College Hospital, Guwahati, Assam, India.
(Chopra A.) Bone and Joint Decade India, CRD, Pune, Maharashtra, India.
CORRESPONDENCE ADDRESS
B. Thakurla, Gauhati Medical College Hospital, Guwahati, Assam, India.
SOURCE
International Journal of Rheumatic Diseases (2010) 13 SUPPL. 1 (219). Date
of Publication: July 2010
CONFERENCE NAME
14th Congress of Asia Pacific League of Associations for Rheumatology, APLAR
2010
CONFERENCE LOCATION
Hong Kong, Hong Kong
CONFERENCE DATE
2010-07-11 to 2010-07-15
ISSN
1756-1841
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
The fast track model of COPCORD lndia Bhigwan survey 1996 was adopted for
carrying out the survey at Mirza; Guwahati; Assam in 2008.lt used a new
validated COPCORD core questionnaire and the project was endorsed by ILAR,
WHO and BJD. Methods: Sarpara village of Mirza which is located at a
distance of 43 km from Guwahati city is being surveyed for the project. A
total of eight trained health volunteers did the house to house survey from
February to May and the positive respondents were evaluated at monthly
COPCORD clinics by a COPCORD Medical team from April to November. The focus
was on clinical diagnosis and allocation to disease/syndrome group was as
per the categories of BJD. Bare minimum laboratory investigations were done
only when strongly indicated. We intend to standardize (age-sex) data to
lndian census population 2001. JMP software from the SAS lnstitute NC; USA
is used for statistical analysis. Results: Four thousand five hundred and
twenty-three Subjects were surveyed to identify 567 RMSK respondents [12.3%
(11.9, 13.9)]. It is the commonest self reported disorder followed by
Hypertension (0.9%) and abdominal problems (0.4%). We present preliminary
data of the recently completed survey (November 2008).Various sites at lower
limb (commonest feet 2.8%) was detected to be the most prevalent pain site
(6.1%); followed by upper limb sites (3%) and back pain (2.5%). Self
reported RMSK (mostly ill defined symptoms, soft tissue rheumatism and
osteoarthritis) were the predominant ailment (74.3%); 7.6% suffered from
inflammatory arthritis. We continue to analyze data especially any
significant correlation between potential risk factors viz sex, educational
level, addiction, work load etc and RMSK pain prevalence. Literacy, and
addiction to alcohol, tobacco and betel nut were all found to be
significantly associated with RMSK pain in Univariate Analysis. All of them
will be put to Multivariate Logistic Regression Analysis and results will be
presented in the APLAR Congress. Conclusion: COPCORD projects prove beyond
doubt that RMSK pain is the most prevalent affliction in the Indian society.
Risk factor analyses will be instrumental in planning future preventive
strategies and will definitely improve the quality of life of the coming
generation.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Asia
bone
community
India
model
musculoskeletal pain
prevention and control
rheumatic disease
rheumatology
risk factor
world health organization
EMTREE MEDICAL INDEX TERMS
addiction
areca nut
arm
arthritis
backache
city
diagnosis
factor analysis
health
hospital
hypertension
Indian
laboratory
leg
multivariate logistic regression analysis
nonarticular rheumatism
osteoarthritis
pain
planning
population
population research
prevalence
quality of life
questionnaire
reading
society
software
statistical analysis
tobacco
univariate analysis
volunteer
workload
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70198345
DOI
10.1111/j.1756-185X.2010.01517.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1756-185X.2010.01517.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1069
TITLE
Nicotine addiction
AUTHOR NAMES
Benowitz N.L.
AUTHOR ADDRESSES
(Benowitz N.L., nbenowitz@medsfgh.ucsf.edu) Division of Clinical
Pharmacology and Experimental Therapeutics, San Francisco General Hospital
Medical Center, University of California, San Francisco, San Francisco, CA,
United States.
(Benowitz N.L., nbenowitz@medsfgh.ucsf.edu) Departments of Medicine,
Bioengineering and Therapeutic Sciences, University of California, San
Francisco, San Francisco, CA, United States.
CORRESPONDENCE ADDRESS
N. L. Benowitz, Division of Clinical Pharmacology and Experimental
Therapeutics, San Francisco General Hospital Medical Center, University of
California, San Francisco, San Francisco, CA, United States. Email:
nbenowitz@medsfgh.ucsf.edu
SOURCE
New England Journal of Medicine (2010) 362:24 (2295-2303+2250). Date of
Publication: 17 Jun 2010
ISSN
0028-4793
1533-4406 (electronic)
BOOK PUBLISHER
Massachussetts Medical Society, 860 Winter Street, Waltham, United States.
ABSTRACT
This review gives an account of the cigarette as a highly efficient nicotine
delivery system. It explains how nicotine induces pleasure, reduces stress
and anxiety, and causes addiction to tobacco smoking. The basis of nicotine
addiction rests on its effects on the brain, but addiction is also
influenced by learned or conditioned factors, genetics, and social and
environmental conditions. Copyright © 2010 Massachusetts Medical Society.
All rights reserved.
EMTREE DRUG INDEX TERMS
amine oxidase (flavin containing) (endogenous compound)
neurotransmitter (endogenous compound)
nicotinic receptor (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adaptation
brain function
cigarette smoking
conditioning
genetics
human
mesolimbic dopaminergic system
nerve cell plasticity
neurotransmitter release
nonhuman
priority journal
review
vulnerable population
CAS REGISTRY NUMBERS
amine oxidase (flavin containing) (37255-42-8, 9001-66-5, 9059-11-4)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010343345
MEDLINE PMID
20554984 (http://www.ncbi.nlm.nih.gov/pubmed/20554984)
PUI
L359028161
DOI
10.1056/NEJMra0809890
FULL TEXT LINK
http://dx.doi.org/10.1056/NEJMra0809890
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1070
TITLE
Amulti-specialty, graduatemedical education screening, brief intervention
and referral to treatment (SBIRT) curriculum for alcohol and substance use
disorders
AUTHOR NAMES
Tetrault J.
Degutis L.
D'Onofrio G.
Ryan S.
Karsif B.
Martel S.
Pantalon M.
O'Connor P.
Fiellin D.
Martino S.
Thung S.
Green M.
Bernstein S.
AUTHOR ADDRESSES
(Tetrault J.; D'Onofrio G.; Ryan S.; Karsif B.; Martel S.; Pantalon M.;
O'Connor P.; Fiellin D.; Martino S.; Thung S.; Bernstein S.) Yale
University, School of Medicine, New Haven, United States.
(Degutis L.) Yale School of Public Health, New Haven, United States.
(Green M.) Yale University, School of Medicine, Waterbury, United States.
CORRESPONDENCE ADDRESS
J. Tetrault, Yale University, School of Medicine, New Haven, United States.
SOURCE
Journal of General Internal Medicine (2010) 25 SUPPL. 3 (S437). Date of
Publication: June 2010
CONFERENCE NAME
33rd Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Minneapolis, MN, United States
CONFERENCE DATE
2010-04-28 to 2010-05-01
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
STATEMENT OF PROBLEM OR QUESTION: Substance use disorders cause significant
morbidity and mortality; yet, many physicians fail to recognize or treat
these disorders. In response, the federal Substance and Mental Health
Services Administration launched the Screening Brief Intervention and
Referral to Treatment (SBIRT) initiative to promote a targeted approach for
identifying patients with at-risk substance use, providing brief counseling
(including motivational techniques), and referring to specialty treatment.
At present, few residency programs offer robust substance abuse training.
Taking advantage of economies of scale and inter-specialty collaboration, we
sought to demonstrate the feasibility and effectiveness of SBIRT training
across multiple residency programs at a single institution. LEARNING
OBJECTIVE 1: 1. Improve residents' knowledge, skills, and attitudes in
substance abuse. LEARNING OBJECTIVE 2: 2. Increase resident performance of
SBIRT their clinical practices. LEARNING OBJECTIVE 3: DESCRIPTION OF
PROGRAM/INTERVENTION: We first performed a needs assessment of patients and
learners and reviewed current expertise and resources in the primary care
disciplines at our university. Project faculty in the Emergency Medicine
(EM), Internal Medicine [(IM), Primary Care Internal Medicine (PC),
Medicine/Pediatrics (MP), Obstetrics and Gynecology (OB), Pediatrics (Peds),
and Psychiatry (Psych) programs were then trained in performing and teaching
SBIRT, including the Brief Negotiation Interview(amotivational technique
proven effective at reducing alcohol anddrug use). The facultywere
thendirected to conduct training for their residents, adapting to individual
programmatic concerns and attending to the Accreditation Council for
Graduate Medical Education's core competencies. Instructional strategies
included didactic teaching, video examples, and role plays using specialty
specific cases. Post-training, residents were observed performing SBIRT with
a standardized patient and assessed with a behavioral checklist. Faculty
development was offered to encourage the residents to perform and document
SBIRT in their clinical encounters. Residents completed knowledge, attitudes
and skills surveys pre-training and at 30 days post-training, tracked the
number of SBIRT encounters, and completed a satisfaction survey. FINDINGS TO
DATE: At present, we have trained 119 residents (21 EM, 51 IM, 11 OB, 17
Peds, and 19 Psych) out of 254. Ninety-three percent have completed 30 day
follow-up surveys. To date, 227 SBIRT (76 EM, 59 IM, 15 OB, 23 Peds, and 54
psych) SBIRT clinical encounters have been logged. Of the 119 satisfaction
surveys returned, the mean satisfaction score for the training was 1.64
(1=very satisfied and 5=very dissatisfied). KEY LESSONS LEARNED:
Implementation of a graduate medical education SBIRT curriculum is feasible
in a multi-specialty ormat. Enhanced communication was necessary to overcome
initial challenges in scheduling, coordination, and documentation.
Post-training, residents report implementation of SBIRT into their clinical
practice and satisfaction with the training.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
education
internal medicine
screening
society
substance abuse
EMTREE MEDICAL INDEX TERMS
accreditation
checklist
clinical practice
counseling
documentation
economic aspect
emergency medicine
follow up
graduate
gynecology
health service
interpersonal communication
interview
medical education
mental health service
morbidity
mortality
needs assessment
obstetrics
patient
pediatrics
physician
primary medical care
psychiatry
risk
role playing
satisfaction
skill
teaching
university
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70315286
DOI
10.1007/s11606-010-1338-5
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-010-1338-5
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1071
TITLE
Teaching opioid risk management (ORM) skills to residents
AUTHOR NAMES
Alford D.
Jackson A.
Brett B.
AUTHOR ADDRESSES
(Alford D.) Boston University, School of Medicine, Boston, United States.
(Jackson A.) Boston University, School of Medicine, Auburndale, United
States.
(Brett B.) Brett Consulting Group, Somerville, United States.
CORRESPONDENCE ADDRESS
D. Alford, Boston University, School of Medicine, Boston, United States.
SOURCE
Journal of General Internal Medicine (2010) 25 SUPPL. 3 (S450). Date of
Publication: June 2010
CONFERENCE NAME
33rd Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Minneapolis, MN, United States
CONFERENCE DATE
2010-04-28 to 2010-05-01
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
STATEMENT OF PROBLEM OR QUESTION: Chronic pain is a leading complaint for
which adults seek medical care, and opioid analgesics are increasingly being
prescribed. The rate of prescription opioid misuse including addiction,
unintentional overdoses and diversion is increasing. There is inadequate
medical education about opioid risk management for patients with chronic
pain. LEARNING OBJECTIVE 1: To increase internal medicine residents'
knowledge and skills in opioid risk management (ORM). LEARNING OBJECTIVE 2:
LEARNING OBJECTIVE 3:
DESCRIPTION OF PROGRAM/INTERVENTION: We
developed a twopart ORM education program. Part A: Didactic: 1-hour lecture
covered assessment of pain, function, addiction risk and potential opioid
benefit/risk; monitoring for opioid benefit/risk; developing exit strategies
for lack of benefit/increased risk; and developing effective communication
skills on these topics. Part B: Objective Structured Clinical Exams (OSCE):
consisted of three 20-minute stations using standardized patients in
realistic settings and immediate faculty observer feedback. The stations
covered opioid risk management (ORM) skills, including starting opioid
therapy, giving patients feedback regarding aberrant medication-taking
behaviors, and discussing opioid taper due to lack of benefit/increased
risk. The educational program was evaluated by comparing 3 groups of
residents selected by convenience sampling: Group 1 (n=20) participated in
the didactic session only, Group 2 (n=9) participated in both the didactic
and OSCE sessions, and Group 3 (n=10), a control group, did not participate
in either session. All 3 groups completed a baseline survey composed of 3
components: knowledge, clinical confidence and practice. Groups 1 and 2
completed a post-didactic survey to detect changes in knowledge from
baseline. Group 2 completed a post-OSCE survey assessing clinical confidence
to detect changes from baseline. Group 2 also completed an evaluation of the
OSCE experience. All 3 groups are scheduled to complete 4- and 8-month
follow-up surveys (identical to the baseline survey) asking about ORM
knowledge, clinical confidence and practice. FINDINGS TO DATE: The total
resident sample (n=39) were 51% female, 38% PGY1, 36% PGY2, and 26% PGY3;
31% reported no previous training in the use of opioids for managing chronic
pain; 74% reported that their prior ORM training was not enough; and 23%
reported starting patients on long-term opioids in the past three months.
Baseline differences in ORM clinical confidence/practice were not
significant between the three study groups. Post-didactic ORM knowledge
scores (max score=4) increased for both Group 1 (didactic only) and Group 2
(didactic+OSCE), from2.7 to 3.3 (p=.05) and 3.2 to 3.7 (NS) respectively.
For Group 2, post-OSCE mean clinical confidence (8 ORM skills using 5-point
Likert scale) increasedfrom2.8to3.8 (p=.002).Group2 all reported that the
OSCE “helped me identify my strengths and weaknesses,” “taught me something
new,” and “was a valuable learning tool.” KEY LESSONS LEARNED: Internal
medicine residents are not very confident about initiating and managing
long-term opioid pain therapy in patients with chronic pain. A didactic
session on the topic can increase knowledge. A related OSCE provides
additional valuable experience in developing skills needed to communicate
effectively with patients suffering from chronic pain on long-term opioids.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
narcotic analgesic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internal medicine
risk management
skill
society
teaching
EMTREE MEDICAL INDEX TERMS
addiction
adult
chronic pain
communication skill
control group
convenience sample
drug therapy
education program
feedback system
female
follow up
intoxication
learning
medical care
medical education
monitoring
pain
patient
prescription
risk
therapy
weakness
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70315316
DOI
10.1007/s11606-010-1338-5
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-010-1338-5
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1072
TITLE
Prevalence of unhealthy substance use on teaching and hospitalist medical
services: Implications for education
AUTHOR NAMES
Ramos J.
Louis-Ashby C.
Holt S.
Harma M.
Cabrera F.
Dinh A.
Tetrault J.
Fiellin D.
AUTHOR ADDRESSES
(Ramos J.; Holt S.; Harma M.; Cabrera F.) Yale University, Primary Care
Program, Waterbury, United States.
(Louis-Ashby C.) Tampa Family Health Centers, Tampa, United States.
(Dinh A.; Tetrault J.; Fiellin D.) Yale University, School of Medicine, New
Haven, United States.
CORRESPONDENCE ADDRESS
J. Ramos, Yale University, Primary Care Program, Waterbury, United States.
SOURCE
Journal of General Internal Medicine (2010) 25 SUPPL. 3 (S362-S363). Date of
Publication: June 2010
CONFERENCE NAME
33rd Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Minneapolis, MN, United States
CONFERENCE DATE
2010-04-28 to 2010-05-01
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Hospitalist services (HS) are common and may impact the
characteristics of patients admitted to teaching services (TS). Prior
research has not characterized the prevalence of unhealthy substance use
among patients cared for on hospitalist services versus those on medical
teaching services. The purpose of this study was to determine the prevalence
of unhealthy substance use among patients cared for on these two types of
medical services. METHODS: We conducted a cross-sectional study from
February to June 2009, at a 250 bed, urban, community teaching hospital in
central Connecticut. The study population included all community-dwelling,
new general medicine admissions to the TS or HS during the study period.
Within 24 hours of admission, subjects completed the Alcohol Use Disorders
Identification Test-Consumption (AUDIT-C) and Drug Abuse Screening Test
(DAST). Patients with an AUDIT-C score of greater than 3 for men or greater
than 2 for women, or any non-zero DAST score underwent an Alcohol, Smoking,
and Substance Involvement Screening Test (ASSIST) to further characterize
the degree of unhealthy substance use. Blinded chart reviews were conducted
to increase case finding, to determine the prevalence of other common
medical conditions and to assess whether each patient's admission was
related to unhealthy substance use. Unhealthy substance use was considered
present in any patient with evidence based on the ASSIST interview, chart
review, or ICD9 coding. RESULTS: There were 414 eligible and consenting
patients out of 656 patients identified. Patients on the TS were more likely
to be current smokers, male, unmarried, non-white, and unemployed (p<0.01
for all comparisons). The mean ages of patients on the TS and HS were 58.7
and 70.4 years, respectively (p<0.01). Nearly 40% of TS patients were either
uninsured or on state insurance, as compared with only 2.9% of HS patients
(p<0.01). TS patients were more likely to have evidence of unhealthy
substance use (28.6% vs. 11.1%; p<0.01). Illicit drug use was more common on
the TS (17.0% vs. 4.5%, p<0.01). Unhealthy alcohol use was present in 19.3%
of TS patients, as compared with 8.2% of HS patients (p<0.01). Moreover,
alcohol or drug dependence on the TS were more common than on the HS (9.9%
vs. 0.8% for alcohol and 9.4% vs. 0.8% for drugs, p<0.01 for both
comparisons). Factors associated with unhealthy substance use included
younger age, male sex, and current tobacco use. Among patients on the TS,
the prevalence of unhealthy substance use (28%) was less common than
diabetes (35.1%) and hypertension (53%), but more common than asthma (17%)
and emphysema (17%). Amongst all admissions to the TS, 22.2% were deemed to
be probably or possibly due to unhealthy substance use, as compared with
only 3.7% of admissions to the HS (p<0.01). CONCLUSIONS: Medical TS care for
a greater share of patients with unhealthy substance use as compared with a
HS. This use contributes to nearly one quarter of TS admissions. These data
highlight the need for expanded medical resident training in the diagnosis
and management of unhealthy substance use.
EMTREE DRUG INDEX TERMS
alcohol
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
internal medicine
medical service
prevalence
society
teaching
EMTREE MEDICAL INDEX TERMS
alcohol consumption
asthma
case finding
clinical audit
community
cross-sectional study
diabetes mellitus
diagnosis
drug abuse
drug dependence
drug use
emphysema
evidence based practice
female
general practice
hospital admission
hypertension
insurance
interview
male
medical education
medical record review
patient
population
residency education
screening test
smoking
teaching hospital
tobacco
United States
urban population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70315120
DOI
10.1007/s11606-010-1338-5
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-010-1338-5
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1073
TITLE
Opioid prescription practices, patient education, educational needs, and
satisfaction with pain management in icelandic cancer patients on opioids
AUTHOR NAMES
Gunnarsdottir S.
Sigurdardottir V.
AUTHOR ADDRESSES
(Gunnarsdottir S.) Landspitali University Hospital, Department of Oncology,
Reykjavík, Iceland.
(Gunnarsdottir S.) University of Iceland, Faculty of Nursing, Reykjavík,
Iceland.
(Sigurdardottir V.) Landspitali University Hospital, Palliative Care Unit,
Kopavogur, Iceland.
CORRESPONDENCE ADDRESS
S. Gunnarsdottir, Landspitali University Hospital, Department of Oncology,
Reykjavík, Iceland.
SOURCE
Palliative Medicine (2010) 24:4 SUPPL. 1 (S109). Date of Publication: June
2010
CONFERENCE NAME
EAPC 2010
CONFERENCE LOCATION
Glasgow, United Kingdom
CONFERENCE DATE
2010-06-10 to 2010-06-12
ISSN
0269-2163
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
The aims of this study were to assess pain severity, prescription habits of
opioids, patient education, educational needs and patient satisfaction with
pain management in a sample of Icelandic adult cancer patients on opioids.
150 patients, who participated in a large international study the European
Pharmacogenetic Opioid Study, answered a standardized questionnaire on pain
(BPI) and a study specific questionnaire on pain management. Data were
analysed with descriptive statistics.Mean age was 64 years, 41%were men and
59%women and majority (67%) received care on an outpatient basis. The mean
(sd) time since diagnosis was 36.32 (55.14) months and time since start of
opioid treatment was 4.04(6.03) months. The mean (sd) morphine equivalent
was 378.03(592.23) mg for scheduled dose and 35.00 (265.86) mg for
breakthrough dose. The mean (sd) pain severity index from the BPI was 11.64
(7.22) on a scale from 0-40. Almost all patients had received opioid
prescriptions from their oncologist (97%). Around 70% had received
information about the opioids and their potential side effects. This
information was usually provided orally (63%), mostly from their physicians
and nurses, and seldom supplemented with written information (18%).
One-third had received information about other approaches to pain management
than medications. Majority (70%) of participants wanted more information
about medications, their action and side effects. Around 80% were very
satisfied or satisfied with their pain management. Only 2.9% were very
dissatisfied. Based on this study it can be concluded that improvements need
to be made in patient education regarding pain management. As previously
reported in the literature patients are satisfied with their pain management
despite the fact that they still experience considerable pain.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer patient
pain
patient education
prescription
satisfaction
EMTREE MEDICAL INDEX TERMS
adult
diagnosis
drug therapy
female
habit
hospital patient
nurse
outpatient
patient
patient satisfaction
physician
questionnaire
side effect
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70450629
DOI
10.1177/0269216310366390
FULL TEXT LINK
http://dx.doi.org/10.1177/0269216310366390
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1074
TITLE
Subtyping of substance use disorders in a high-risk welfare-to-work sample:
A latent class analysis
AUTHOR NAMES
Schwartz B.
Wetzler S.
Swanson A.
Sung S.C.
AUTHOR ADDRESSES
(Schwartz B.; Wetzler S.; Swanson A.) Department of Psychiatry and
Behavioral Sciences, Montefiore Medical Center/Albert Einstein College of
Medicine, Bronx, NY 10467, United States.
(Sung S.C., ssung@partners.org) Department of Psychiatry, Massachusetts
General Hospital/Harvard Medical School, Boston, MA 02114, United States.
CORRESPONDENCE ADDRESS
S.C. Sung, Department of Psychiatry, Massachusetts General Hospital, 185
Cambridge St, Suite 2200, Boston, MA 02114, United States. Email:
ssung@partners.org
SOURCE
Journal of Substance Abuse Treatment (2010) 38:4 (366-374). Date of
Publication: June 2010
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The goals of this study were (a) to investigate the existence of substance
abuse/dependence subtypes in a diverse low-income welfare to work sample and
(b) to explore subtype differences in rates of comorbid psychiatric and
medical conditions. Data for all demographic and clinical variables were
extracted from deidentified case records of 4,977 clients enrolled in a
comprehensive case management program for welfare recipients with substance
use disorders. Latent class analysis supported a five-class model made up of
a multiple abuse/dependence class (n = 1,133), a cocaine/alcohol class (n =
2,120), an opioids class (n = 1,346), a cannabis class (n = 362), and a
small polysubstance/none primary class (n = 16). Post hoc chi-square
analyses revealed several between-class differences, perhaps reflecting
differing levels of severity and service needs. All five classes were
characterized by high rates of medical and psychiatric comorbidity. © 2010
Elsevier Inc.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cocaine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
aged
alcoholism
article
cannabis addiction
case management
classification
cocaine dependence
comorbidity
controlled study
disease classification
disease severity
female
health care need
health program
high risk population
human
lowest income group
major clinical study
male
mental disease
multiple drug abuse
priority journal
social welfare
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010274822
MEDLINE PMID
20362407 (http://www.ncbi.nlm.nih.gov/pubmed/20362407)
PUI
L358804234
DOI
10.1016/j.jsat.2010.03.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2010.03.001
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1075
TITLE
Alcohol and drug use among adolescents presenting to an urban emergency
department
AUTHOR NAMES
Walton M.A.
Chermack S.T.
Resko S.
Bingham C.R.
Shope J.
Zimmerman M.
Blow F.C.
Cunningham R.M.
AUTHOR ADDRESSES
(Walton M.A.; Chermack S.T.; Resko S.; Bingham C.R.; Shope J.; Zimmerman M.;
Blow F.C.; Cunningham R.M.) University of Michigan, Addiction Research
Center, Ann Arbor, United States.
CORRESPONDENCE ADDRESS
M.A. Walton, University of Michigan, Addiction Research Center, Ann Arbor,
United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2010) 34:6 (63A). Date of
Publication: June 2010
CONFERENCE NAME
33rd Annual Scientific Meeting of the Research Society on Alcoholism, RSA
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-06-26 to 2010-06-30
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Urban adolescents presenting to the emergency department (ED) provide an
opportunity to address alcohol and drug use among at-risk adolescents who
may not have a primary care physician and who may not attend school
regularly. This paper describes rates and correlates of alcohol and drug use
among adolescents presenting to an urban ED. Over a 2 y period,
2,271adolescent patients (ages 14 to 18) self-administered a computerized
survey (90.7% participation rate; 44.4% male; 59.5% African-American). Rates
of past year alcohol use were 28.5% for any drinking and 14.2% for binge
drinking; 12.1% screened positive for alcohol misuse on the CRAFFT (2 or
more). Rates of past year drug use were: 25.6% cigarettes, 28.5% marijuana,
7.4% other illicit drugs, and 5.9% psychoactive prescription pills on their
own (e.g., Ritalin, Xanax, Oxycontin). Latent class analyses of substance
use variables identified 3 risk groups: (i) low risk (74.5%), (ii) moderate
risk (19.3%), and (iii) high risk (6.2%). The low risk group had a low
probability of alcohol, cigarette, and marijuana use; this group had a zero
probability of binge drinking, other illicit drug use, and prescription drug
use. The moderate risk group had a medium probability of binge drinking,
cigarette use, and marijuana use; this group had a low probability of other
illicit drug use and a zero probability of prescription drug use. In
addition to a medium probability of binge drinking, cigarette and marijuana
use, the high risk group had a high probability of other illicit drug use
and prescription drug use. Multinomial logistic regression compared the 3
risk groups identified based on demographic variables and other risk
factors. Compared to the low risk group, participants in the moderate risk
group were older, less likely to be African-American, and more likely to
report poor grades/dropping out, depressive symptoms, being in jail,
carrying a weapon, dating violence, and ever having sex. In comparison to
the low risk group, the high risk group was less likely to be
African-American, and more likely to report poor grades/dropping out, being
injured, depressive symptoms, being in jail, carrying a weapon, peer
violence, and ever having sex. ED based intervention approaches for urban
adolescents need to address use of multiple substances, including binge
drinking, illicit and prescription drug use, as well as other risk behaviors
such as violence.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE DRUG INDEX TERMS
alprazolam
cannabis
illicit drug
methylphenidate
oxycodone
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
alcoholism
drug use
emergency ward
society
EMTREE MEDICAL INDEX TERMS
African American
alcohol consumption
cigarette smoking
depression
drinking
high risk population
logistic regression analysis
male
patient
physician
pill
prescription
primary medical care
prison
risk
risk factor
school
violence
weapon
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70173100
DOI
10.1111/j.1530-0277.2010.01210.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2010.01210.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1076
TITLE
A novel psychophysiological model of the effect of alcohol use on academic
performance of male medical students of belarusian state medical university
AUTHOR NAMES
Welcome M.O.
Pereverzeva E.V.
Pereverzev V.A.
AUTHOR ADDRESSES
(Welcome M.O., menimed1@yahoo.com) Belarusian State Medical University,
Dzerjinsky 83, Minsk 220116, Belarus.
(Pereverzeva E.V., PereverzevVA@bsmu.by) Department of Internal Medicine
Belarusian State Medical University, Minsk, Belarus.
(Pereverzev V.A., PereverzevVA@bsmu.by) Department of Normal Physiology
Belarusian State Medical University, Minsk, Belarus.
CORRESPONDENCE ADDRESS
M. O. Welcome, Belarusian State Medical University, Dzerjinsky 83, Minsk
220116, Belarus. Email: menimed1@yahoo.com
SOURCE
International Journal of Collaborative Research on Internal Medicine and
Public Health (2010) 2:6 (183-197). Date of Publication: June 2010
ISSN
1840-4529 (electronic)
BOOK PUBLISHER
Drunpp-Sarajevo, Bolnicka bb, Sarajevo, Bosnia and Herzegovina.
ABSTRACT
Background: The blood glucose concentration might determine the degree of
academic performance. Decrease in the glucose concentration leads to a
lowering of cognitive functions.Objectives: To produce a model of students'
alcohol use based on glucose homeostasis control and cognitive functions.
Methods: The study involved 13 male volunteers (8 moderate alcohol users and
5 non-alcohol users) - medical students and took 6.5 hours on fasting.
Selection criteria were based on a screening survey conducted among students
in Minsk, Belarus. Out of 1499 students, 185 were abstainers, 1052 -
moderate drinkers, 262 - problem drinkers. The experiment was divided into
three phases: first phase - the students were administered AUDIT, MAST,
CAGE, STAI, Academic Performance questionnaires; second phase - the students
worked with text No. 1 (physiology of bone tissue and subsequently answered
on the questions that followed it); third phase - with text No. 2
(physiology of autonomic nervous system and also answered subsequently on
the questions that followed it). Blood glucose level was measured at 2 hours
intervals, including the initial level. Tests on short-term, long-term
memory and attention were used in every phase of the experiment. The
probability value for significance was set at p<0.05.Results: The moderate
drinkers had significantly lower glucose concentration after 4- 6 hours,
compared to their initial concentration, as well as to the values of the
abstainers. Disturbances in cognitive functions, precisely a decrease in the
effectiveness of active attention and a faster development of fatigue after
4-6 hours of mental work in alcohol users, compared to abstainers was
statistically proven. The Intellectual Capacity on various tests/tasks
positively correlated with the blood glucose level and in the 2-3 phases of
the experiment and according to the results of the academic performances (ρ
= +0.75; p<0.01). Alcohol users had 12.5-40.0 times higher number of errors
on various tests/tasks than the non-alcohol users (p<0.001). The errors made
on various tests/tasks increased with decrease in the blood glucose
concentration (ρ = - 0.83; p<0.01). Significant increase in the Visual
Productivity Coefficient among abstainers was also observed (p<0.05).
Conclusion: This is the first study to show that alcohol use, even in
episodic moderate doses (28ml/person with 1-2 times frequency per month) is
accompanied by long-term glucose homeostasis disorders, leading to cognitive
function disturbances and a decrease in the effectiveness of mental
activities. These disorders in glucose homeostasis, cognitive functions were
retained after 7-10 days of moderate alcohol use and might be the reason for
the low academic performances among students who use alcoholic
beverages.©2010 Welcome MO, Pereverzeva EV, Pereverzev VA.
EMTREE DRUG INDEX TERMS
glucose (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
academic achievement
alcohol consumption
EMTREE MEDICAL INDEX TERMS
adult
article
attention
Belarus
body weight
cognition
controlled study
diet restriction
fatigue
glucose blood level
glucose homeostasis
human
human experiment
long term memory
male
medical student
mental function
normal human
psychological model
questionnaire
screening
short term memory
university
CAS REGISTRY NUMBERS
glucose (50-99-7, 84778-64-3)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010338875
PUI
L359011891
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1077
TITLE
Health care equality and parity for treatment of addictive disease
AUTHOR NAMES
Smith D.E.
Lee D.R.
Davidson L.D.
AUTHOR ADDRESSES
(Smith D.E.; Davidson L.D.) Buxton-Smith Center for Research on Addiction
Medicine and the Free Clinic Movement, San Francisco, United States.
(Lee D.R.)
(Smith D.E.) Buxton-Smith Center for Research on Addiction Medicine and the
Free Clinic Movement, 856 Stanyan Street, San Francisco 94117, United
States.
CORRESPONDENCE ADDRESS
D. E. Smith, Buxton-Smith Center for Research on Addiction Medicine and the
Free Clinic Movement, 856 Stanyan Street, San Francisco 94117, United
States.
SOURCE
Journal of Psychoactive Drugs (2010) 42:2 (121-126). Date of Publication:
June 2010
ISSN
0279-1072
BOOK PUBLISHER
Haight-Ashbury Publications, 612 Clayton Street, San Francisco, United
States.
ABSTRACT
Substance abuse represents a significant underlying cause of the health
issues faced in the United States, which severely impacts the nation's
health care system and economy. Recently enacted parity legislation mandates
that benefits for addiction and mental health treatment be provided on an
equal footing with those for treatment for physical health. Diversion and
abuse of prescription medications is growing in young people, with much of
the diversion occurring between family and friends. Addiction has been
accepted by mainstream medicine as a brain disease, and is associated with
many other medical disorders. Early intervention and treatment for addiction
provides extraordinary cost-benefit outcomes. Additional training for
addiction professionals will be necessary. Stigmatization of substance
abusers continues to exist at the state and federal levels, although
research during the past 10 years indicates that patient compliance and
relapse rates for substance abusers are not significantly different than
those for individuals with other chronic diseases, e.g. diabetes,
hypertension, and cardiac issues. While parity for addiction treatment has
become policy at the federal level, great challenges lie ahead in funding
access, facilities, and training, as well as redirecting societal
perceptions and legislated penalties.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health insurance
EMTREE MEDICAL INDEX TERMS
alcoholism
brain disease
drug abuse
health care access
health care planning
health care policy
health care quality
human
review
stigma
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010514317
MEDLINE PMID
20648907 (http://www.ncbi.nlm.nih.gov/pubmed/20648907)
PUI
L359591310
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1078
TITLE
Evaluation of a new core curriculum on alcohol use disorders for
undergraduate medical students
AUTHOR NAMES
Steed H.
Groome M.
Rice P.
Simpson K.
Day A.
Ker J.
AUTHOR ADDRESSES
(Steed H.; Groome M., m.groome@nhs.net) Department of Gastroenterology,
Ninewells Hospital, Dundee DD1 9SY, United Kingdom.
(Rice P.; Simpson K.; Day A.) Department of Psychiatry, Ninewells Hospital,
Dundee DD1 9SY, United Kingdom.
(Ker J.) Clinical Skills Centre, Ninewells Hospital, Dundee DD1 9SY, United
Kingdom.
CORRESPONDENCE ADDRESS
M. Groome, Department of Gastroenterology, Ninewells Hospital and Medical
School, Dundee DD1 9SY, United Kingdom. Email: m.groome@nhs.net
SOURCE
Alcohol and Alcoholism (2010) 45:4 (395-397) Article Number: agq024. Date of
Publication: 25 May 2010
ISSN
1464-3502 (electronic)
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
Aims: This study was aimed to review and rewrite the undergraduate
curriculum on alcohol use disorders, implement the changes and assess for
any early evidence of an improvement in knowledge. Methods: A three-stage
process was used to review the old curriculum and a new one was designed
around the five undergraduate years. Students' opinions were sought about
the acceptability of the new curriculum using a questionnaire, to which 93
responded and 70 volunteers were objectively assessed using an examination
based on questions from the text of the Medical Students' Handbook on
Alcohol and Health. Results: There was no evidence of any improvement in the
students' knowledge using the old curriculum. After teaching with the new
curriculum, examination scores significantly increased (P < 0.0001). There
was no difference between the sexes. The new curriculum was assessed as
acceptable to the students. Conclusion: This new curriculum reflects the
need for a new teaching method and not only offers improved teaching, but
also produces a generation of doctors equipped to identify alcohol-related
problems and to deliver brief interventions, helping to reduce the projected
consequences of alcohol abuse and the associated burden on the health
service. © The Author 2010. Published by Oxford University Press on behalf
of the Medical Council on Alcohol. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
medical student
EMTREE MEDICAL INDEX TERMS
curriculum
evaluation study
health service
knowledge
priority journal
questionnaire
review
teaching
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010372545
MEDLINE PMID
20501550 (http://www.ncbi.nlm.nih.gov/pubmed/20501550)
PUI
L359123576
DOI
10.1093/alcalc/agq024
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agq024
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 1079
TITLE
Smoking, obesity and education of icelandic women by rural-urban residence
ORIGINAL (NON-ENGLISH) TITLE
Reykingar, holdafar og menntun kvenna í borg og bæ
AUTHOR NAMES
Steingrímsdóttir L.
Ólafsdóttir E.J.
Jónsdóttir L.S.
Sigursson R.
Tryggvadóttir L.
AUTHOR ADDRESSES
(Steingrímsdóttir L.; Tryggvadóttir L., laufey@hi.is) Háskóla Íslands,
Iceland.
(Steingrímsdóttir L.) Landbúnaarháskóla, Iceland.
(Ólafsdóttir E.J.; Sigursson R.; Tryggvadóttir L., laufey@hi.is)
Krabbameinsskrá, Iceland.
(Jónsdóttir L.S.) Landlæknisembættinu, Iceland.
(Sigursson R.) Fjármálaráuneytinu, Iceland.
CORRESPONDENCE ADDRESS
L. Tryggvadóttir, Krabbameinsskrá, Iceland. Email: laufey@hi.is
SOURCE
Laeknabladid (2010) 96:4 (259-264). Date of Publication: 2010
ISSN
0023-7213
1670-4959 (electronic)
BOOK PUBLISHER
Icelandic Medical Association, Hlidasmara 8, Kopavogi, Iceland.
ABSTRACT
Objective: To assess the prevalence of obesity and the association with
smoking and education among young Icelandic women residing within and
outside the capital area. Materials and methods: A self-administered
questionnaire was sent to 28.000 Icelandic women, 18-45 years-old, in the
period November 2004 to June 2005. The sample was randomly selected from The
National Registry, response rate being 54.6%. The study was part of a large
Nordic population-based cross-sectional study. Logistic regression was used
for assessing the odds ratio of obesity (BMI=30) in a multivariate analysis
according to smoking and education, taking also into account age and alcohol
consumption. The chi-square test was used for comparing percentages.
Results: Thirteen percent of women residing in the capital area were obese
compared with 21% outside the capital. In the multivariate analysis obesity
was increased among women living outside the capital (OR = 1.66; 95% CI
1,50-1,83), among smokers (OR=1,13; 95% CI 1.01-1.28), and among women who
did not have university education (OR=1.53; 95%CI 1.36-1.71). Daily smokers
within the capital area were more likely to be obese (OR=1.27; 95%CI
1.07-1.49) but not smokers outside the capital (OR=1.0). Conclusions:
Residence outside the capital area, daily smoking and non-university
education are associated with an increased risk of obesity among young
Icelandic women. The relationship beween these factors is complex and
differs between women residing within and outside the capital area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
demography
educational status
obesity (epidemiology, etiology)
rural population
smoking (adverse drug reaction, epidemiology)
urban population
women's health
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
chi square distribution
cross-sectional study
female
health survey
human
Iceland (epidemiology)
middle aged
prevalence
questionnaire
risk
risk assessment
risk factor
statistical model
LANGUAGE OF ARTICLE
Icelandic
LANGUAGE OF SUMMARY
English, Icelandic
MEDLINE PMID
20339165 (http://www.ncbi.nlm.nih.gov/pubmed/20339165)
PUI
L358603726
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1080
TITLE
Internal medicine residency training for unhealthy alcohol and other drug
use: recommendations for curriculum design.
AUTHOR NAMES
Jackson A.H.
Alford D.P.
Dubé C.E.
Saitz R.
AUTHOR ADDRESSES
(Jackson A.H.; Alford D.P.; Dubé C.E.; Saitz R.) Residency Training Program
in Internal Medicine, Boston University School of Medicine, Boston, MA, USA.
CORRESPONDENCE ADDRESS
A.H. Jackson, Residency Training Program in Internal Medicine, Boston
University School of Medicine, Boston, MA, USA. Email:
angela.jackson@bmc.org
SOURCE
BMC medical education (2010) 10 (22). Date of Publication: 2010
ISSN
1472-6920 (electronic)
ABSTRACT
BACKGROUND: Unhealthy substance use is the spectrum from use that risks
harm, to use associated with problems, to the diagnosable conditions of
substance abuse and dependence, often referred to as substance abuse
disorders. Despite the prevalence and impact of unhealthy substance use,
medical education in this area remains lacking, not providing physicians
with the necessary expertise to effectively address one of the most common
and costly health conditions. Medical educators have begun to address the
need for physician training in unhealthy substance use, and formal curricula
have been developed and evaluated, though broad integration into busy
residency curricula remains a challenge. DISCUSSION: We review the
development of unhealthy substance use related competencies, and describe a
curriculum in unhealthy substance use that integrates these competencies
into internal medicine resident physician training. We outline strategies to
facilitate adoption of such curricula by the residency programs. This paper
provides an outline for the actual implementation of the curriculum within
the structure of a training program, with examples using common teaching
venues. We describe and link the content to the core competencies mandated
by the Accreditation Council for Graduate Medical Education, the formal
accrediting body for residency training programs in the United States.
Specific topics are recommended, with suggestions on how to integrate such
teaching into existing internal medicine residency training program
curricula. SUMMARY: Given the burden of disease and effective interventions
available that can be delivered by internal medicine physicians, teaching
about unhealthy substance use must be incorporated into internal medicine
residency training, and can be done within existing teaching venues.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
alcoholism (diagnosis)
curriculum
internal medicine
medical education
EMTREE MEDICAL INDEX TERMS
article
clinical competence
education
human
program development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20230607 (http://www.ncbi.nlm.nih.gov/pubmed/20230607)
PUI
L358762310
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1081
TITLE
Ask the doctor. I am an 84-year-old woman who recently had stents placed in
two coronary arteries. The doctors, of course, told me to quit smoking. I
told them, as I have told all of my other doctors, that I have tried to quit
but just can't. I have tried the patch and Chantix, but neither worked.
Support groups aren't for me. I have cut back, but that's as far as
so-called willpower goes. Hearing over and over again that I need to quit
leaves me feeling depressed and weak. Is there some news about current or
future approaches that might give me and others like me some hope?
AUTHOR NAMES
Lee T.
AUTHOR ADDRESSES
(Lee T.)
SOURCE
Harvard heart letter : from Harvard Medical School (2010) 20:9 (8). Date of
Publication: 1 May 2010
ISSN
1051-5313
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
psychology
EMTREE MEDICAL INDEX TERMS
attitude to health
coronary artery disease (therapy)
female
health promotion
human
patient attitude
prevention and control
procedures
smoking
smoking cessation
transluminal coronary angioplasty
very elderly
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20593571 (http://www.ncbi.nlm.nih.gov/pubmed/20593571)
PUI
L604083323
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 1082
TITLE
Risk factors for defaults in tuberculosis treatment
AUTHOR NAMES
Pontino M.V.
AUTHOR ADDRESSES
(Pontino M.V., monica_pontino@yahoo.com) Buenos Aires city government,
Buenos Aires, Argentina.
CORRESPONDENCE ADDRESS
M.V. Pontino, Buenos Aires city government, Buenos Aires, Argentina. Email:
monica_pontino@yahoo.com
SOURCE
American Journal of Respiratory and Critical Care Medicine (2010) 181:1
MeetingAbstracts. Date of Publication: 1 May 2010
CONFERENCE NAME
American Thoracic Society International Conference, ATS 2010
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2010-05-14 to 2010-05-19
ISSN
1073-449X
BOOK PUBLISHER
American Thoracic Society
ABSTRACT
Risk factors for defaults in tuberculosis treatment Mónica V Pontino; Pelaya
Elba M E; María de Lujan Calcagno; Celia Wainstein; Cristina Brian; Antonio
Sancineto. TB Control Program Buenos Aires City Argentina. Tuberculosis (TB)
Treatment default has been shown to lead to unsuccessful outcomes, such as
mortality and multi drug resistance. The reasons for default have not been
previously described in our population of TB patients. We need to know
reasons for default in order to design effective preventive strategies.
Design: Retrospective Cohort. Methods: > 16 years old recorded at Tb Control
Program of Buenos Aires (BA) City during 2008 with treatment assignment.
Resident of the BA City. Diagnosed with Tb with clinical and bacteriological
confirmation. Predictors variables: sex, age, education level, co morbidity,
addiction, previous treatment, nationality and residence recorded in TB
Control Program in BA. Statistical Analysis: Data were entered and
statistical analyses performed using EPI Info version 6.04 and Info Stat/E
version 2009. Results: The defaults was observed in patients in the 17-33
year old group (107, 73.3%), males (90, 61.6%), patients without previous
treatment (124, 84.9%) and co morbidity (116, 79.5%), education level
(illiterate-primary) (95, 65.06%), foreigners (91, 62.33%), residents of
southern area (87, 60,0%) and patients without addiction (97, 66.4%).
Univariate analysis was performed on the following predictive factors: 17-33
year old group OR 1.9, 95% CI 1.24-2.98, sex (male)OR 1.02, 95%,CI
0.68-1.54,area of residence ( Southern area)OR 0.56, 95% CI 0.36-0.87,
educational level(illiterate-primary) OR 1.54, 95% 0.99-2.41, previous
treatment OR 0.65 95% CI 0.34-1.26, co morbidity OR 0.31, 95%CI 0.16-0.61,
nationality OR 0.87, 95% CI% 0.57-1.33 and patients without addiction OR
0.44 95% CI 0.28-0.71. Multivariate logistic regression analysis showed that
age (OR 0.34; 95% IC 0.2-0.58), addiction (OR 2.01, 95% CI 1.13- 3.55) and
area of residence (OR1.95, 95% CI 1.21- 3.14) are independent risk factors
for default, adjusted by sex, nationality, co morbidity, education and
previous treatment. Conclusion: TB Control Program should investigate the
reasons and develop intervention methods to improve the situation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
risk factor
society
tuberculosis
EMTREE MEDICAL INDEX TERMS
addiction
Argentina
astronomy
city
drug resistance
education
human
male
morbidity
mortality
multivariate logistic regression analysis
patient
population
statistical analysis
univariate analysis
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70842211
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1083
TITLE
Smoking and the course of chronic pancreatitis: A dose-dependent
relationship
AUTHOR NAMES
Rebours V.
Vullierme M.-P.
Hentic O.
Maire F.
Hammel P.
Ruszniewski P.B.
Levy P.
AUTHOR ADDRESSES
(Rebours V.; Vullierme M.-P.; Hentic O.; Maire F.; Hammel P.; Ruszniewski
P.B.; Levy P.)
CORRESPONDENCE ADDRESS
V. Rebours,
SOURCE
Gastroenterology (2010) 138:5 SUPPL. 1 (S96-S97). Date of Publication: May
2010
CONFERENCE NAME
Digestive Disease Week, DDW 2010
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2010-05-01 to 2010-05-06
ISSN
0016-5085
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
Smoking has recently been shown to adversely affect the course of acute and
chronic alcoholic chronic pancreatitis (ACP), and mainly to induce earlier
apparition of pancreatic fibrosis, calcifications and diabetes. However,
these findings are still controversial and a dose-dependent relationship
with the amount of tobacco consumption has not been looked for. Patients and
methods- All patients with ACP who were smokers were included in this
prospective study conducted in a single centre from 2006 to 2009.
Epidemiological, clinical, biological and morphological data were collected
and all CT scans reviewed by a senior radiologist. Smoking was defined as a
minimal intake of 20 cigarettes per day for at least 3 years. Thresholds
were defined at 10, 15, 20 and 30 packs.years (p.y) in order to assess the
relationship between tobacco intake and the course of ACP. Statistical
adjustment on alcohol intake was performed. Results- 108 pts (male 86%) were
included, with a median alcohol intake of 145 (40-500) g/day since 15 [3-40]
years. 93% of the pts were smokers. The median tobacco intake was 30 [3-90]
p.y. Pancreatic calcifications and ductal changes were seen in 70 and 73% of
the pts, respectively. Pancreatic exocrine insufficiency and diabetes were
observed in 36 and 30% of the pts, respectively. Median age at onset of ACP,
pancreatic exocrine insufficiency and diabetes was 45, 46 and 47 years,
respectively. 33% of the pts had chronic, opioid-dependent pain. Pseudocysts
were present in 56% of the pts (median diameter 60 mm). Median Balthazar
severity index in pts with acute pancreatitis was 4 (1- 9). No differences
in ACP outcome were seen at the 10 p.y threshold. However from the 15 p.y
threshold, diagnosis of acute pancreatitis and ACP was made significantly
earlier (33y and 36y versus 45 and 46y resp) (p=0.005 and 0.005 resp),
irrespective of the amount of alcohol intake. Chronic pancreatic pain was
also more frequent (p=0.05). At 20 p.y threshold, ACP and acute pancreatitis
occurred earlier (p=0.0002 and <0.0001), and the pts hade more often,
calcifications and ductal changes (p=0.05 and 0.005 resp) irrespective of
alcohol intake. Similar results were observed at the 30 p.y threshold, but
additionally pancreatic exocrine insufficiency occurred earlier (p=0.04).
Conclusion- Tobacco intake accelerates the course of ACP in a dose-dependent
fashion. ACP occurs earlier as soon as 15 p.y, and a major threshold effect
is seen at 20 p.y, where the frequency of all major complications of ACP is
increased.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pancreatitis
gastrointestinal disease
smoking
EMTREE MEDICAL INDEX TERMS
acute pancreatitis
alcohol consumption
alcoholism
calcification
cigarette smoking
computer assisted tomography
cystic fibrosis
diabetes mellitus
diagnosis
exocrine secretion
male
onset age
pain
pancreas calcification
patient
prospective study
radiologist
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70395313
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1084
TITLE
Every life counts: Suicide by anesthetists
ORIGINAL (NON-ENGLISH) TITLE
Jedes Leben zählt: Suizid von Anästhesisten
AUTHOR NAMES
Mäulen B.
AUTHOR ADDRESSES
(Mäulen B., docmaeulen@t-online.de) Institut für Ärztegesundheit, 78050
Villingen, Germany.
CORRESPONDENCE ADDRESS
B. Mäulen, Institut für Ärztegesundheit, 78050 Villingen, Germany. Email:
docmaeulen@t-online.de
SOURCE
Anaesthesist (2010) 59:5 (395-400). Date of Publication: May 2010
ISSN
0003-2417
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
ABSTRACT
This article has its roots in the consternation of head anesthetists over
the loss of colleagues. Anesthesia, intensive care medicine, emergency
medicine and pain therapy has lost too many first class colleagues through
suicide, addiction, severe depression and other causes. It is time to direct
attention not exclusively to patients but also to apply an important
occupational principle in the rescue service and intensive care medicine to
the profession of anesthetists: Every life counts! The following article
supplies information on the frequency, methods and possible reasons for
suicide by physicians and suggestions for the prevention of suicide as well
as treatment of physicians who are at risk ofsuicide will be presented. ©
2010 Springer Medizin Verlag.
EMTREE DRUG INDEX TERMS
propofol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesist
suicide
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
anesthesiology
burnout
depression
emergency medicine
follow up
frequency analysis
human
infusion
intensive care
medical education
medical society
physician
postnatal depression
review
CAS REGISTRY NUMBERS
propofol (2078-54-8)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2010381438
MEDLINE PMID
20094691 (http://www.ncbi.nlm.nih.gov/pubmed/20094691)
PUI
L50774160
DOI
10.1007/s00101-009-1660-7
FULL TEXT LINK
http://dx.doi.org/10.1007/s00101-009-1660-7
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1085
TITLE
Reporting-bias in surveys of sensitive personal information
AUTHOR NAMES
Larson P.R.
AUTHOR ADDRESSES
(Larson P.R., larsonpr@upmc.edu) First-year Fellow, University of Pittsburgh
Family Medicine Faculty Development Fellowship Program, UPMC St. Margaret,
Pittsburgh, PA, United States.
CORRESPONDENCE ADDRESS
P. R. Larson, First-year Fellow, University of Pittsburgh Family Medicine
Faculty Development Fellowship Program, UPMC St. Margaret, Pittsburgh, PA,
United States. Email: larsonpr@upmc.edu
SOURCE
Academic Medicine (2010) 85:5 (742-743). Date of Publication: May 2010
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
epidemiology
medical education
EMTREE MEDICAL INDEX TERMS
denial
health personnel attitude
human
interpersonal communication
letter
patient attitude
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20520013 (http://www.ncbi.nlm.nih.gov/pubmed/20520013)
PUI
L359004791
DOI
10.1097/ACM.0b013e3181d6c6ea
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0b013e3181d6c6ea
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1086
TITLE
Practice-based learning in global youth tobacco prevention research at the
University of Texas master of public health program.
AUTHOR NAMES
Dhavan P.
Stigler M.H.
Arora M.
Bassi S.
Perry C.L.
Reddy K.S.
AUTHOR ADDRESSES
(Dhavan P.; Stigler M.H.; Arora M.; Bassi S.; Perry C.L.; Reddy K.S.)
Michael and Susan Dell Center for Advancement of Healthy Living, University
of Texas School of Public Health, Houston, TX 77030, USA.
CORRESPONDENCE ADDRESS
P. Dhavan, Michael and Susan Dell Center for Advancement of Healthy Living,
University of Texas School of Public Health, Houston, TX 77030, USA. Email:
Poonam.Dhavan@uth.tmc.edu
SOURCE
Public health reports (Washington, D.C. : 1974) (2010) 125:3 (505-511). Date
of Publication: 2010 May-Jun
ISSN
0033-3549
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health
international cooperation
medical education
participatory research
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
India
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20433047 (http://www.ncbi.nlm.nih.gov/pubmed/20433047)
PUI
L358883145
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1087
TITLE
Online training needs of primary care providers in pain and addiction
AUTHOR NAMES
Rossie K.
Metcalf M.
Tanner T.
AUTHOR ADDRESSES
(Rossie K.; Metcalf M.; Tanner T.) Clinical Tools Inc., Chapel HIll, United
States.
CORRESPONDENCE ADDRESS
K. Rossie, Clinical Tools Inc., Chapel HIll, United States.
SOURCE
Journal of Pain (2010) 11:4 SUPPL. 1 (S20). Date of Publication: April 2010
CONFERENCE NAME
29th Annual Scientific Meeting of the American Pain Society, APS
CONFERENCE LOCATION
Baltimore, MD, United States
CONFERENCE DATE
2010-05-06 to 2010-05-08
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
The majority of primary care providers did not receive adequate training to
detect, prevent, and manage patients at the interface of pain and
addiction.1 But there are currently little data to guide training
development so that it emphasizes the specific areas of greatest need.We
surveyed a convenience sample of twenty-seven primary care providers (9
physicians, 9 residents, and 9 nurse practitioners) retrospectively about
their training at the interface of treating pain and addiction. They were
asked to rate their agreement that their clinical training adequately
prepared them in 9 specific areas. The responses were very similar for each
of the three groups. Sixty-four percent (64%) of participants disagreed
(either strongly disagreed or disagreed) that they were adequately prepared
to treat pain in patients in recovery. Sixty percent (60%) disagreed that
they were prepared to treat pain in patients with current addictions. And
52% disagreed that they were adequately prepared to treat patients at risk
for addiction. Perception of their training to assess pain in the context of
addiction issues was more positive. Of the participants, 48% agreed or
strongly agreed that they were adequately prepared to recognize addiction in
a pain patient; still 28% disagreed. Similarly, 48% agreed or strongly
agreed that they were adequately prepared to recognize patients at risk for
addiction; but 36% disagreed. Primary care providers do not feel adequately
prepared by their training in pain and addiction, especially in the areas of
treatment. Training needs related to treatment increase as the risk of
addiction increases. Educational curricula are needed to ensure that pain
treatment providers have the skills necessary to assess and treat patients
at the interface of pain and addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
pain
primary medical care
society
EMTREE MEDICAL INDEX TERMS
convenience sample
curriculum
nurse practitioner
patient
physician
risk
skill
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70177177
DOI
10.1016/j.jpain.2010.01.087
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2010.01.087
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1088
TITLE
Addiction treatment intervention: an uncontrolled prospective pilot study of
Spiritual Self-Schema therapy with Latina women.
AUTHOR NAMES
Amaro H.
Magno-Gatmaytan C.
Meléndez M.
Cortés D.E.
Arevalo S.
Margolin A.
AUTHOR ADDRESSES
(Amaro H.) Institute on Urban Health Research, Bouvé College of Health
Sciences, Northeastern University, Boston, Massachusetts 02115, USA.
(Magno-Gatmaytan C.; Meléndez M.; Cortés D.E.; Arevalo S.; Margolin A.)
CORRESPONDENCE ADDRESS
H. Amaro, Institute on Urban Health Research, Bouvé College of Health
Sciences, Northeastern University, Boston, Massachusetts 02115, USA. Email:
h.amaro@neu.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2010) 31:2 (117-125). Date of
Publication: Apr 2010
ISSN
1547-0164 (electronic)
ABSTRACT
Spiritual Self-Schema (3-S) is a weekly 8-session, mindfulness-based,
manual-guided, individual intervention targeting addiction and human
immunodeficiency virus (HIV) risk behaviors that integrates cognitive
behavioral strategies with Buddhist principles and clients'
religious/spiritual beliefs. 3-S is efficacious for reducing drug use and
HIV risk behaviors among mixed-gender, methadone-maintained outpatients. The
study goal was to conduct a preliminary evaluation of 3-S therapy among
urban, low-income Latinas (n = 13) in residential addiction treatment. Data
gathered via in-person interviews (baseline, 8 and 20 weeks postentry)
showed high rates of 3-S acceptability and positive changes in a number of
outcomes relevant to recovery from addiction and to HIV prevention,
including impulsivity, spirituality, motivation for change, and HIV
prevention knowledge. The study findings are promising; however, a
controlled study with longer follow-up is needed to rigorously assess the
efficacy of 3-S therapy with Latinas in substance abuse treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, therapy)
alternative medicine
cognitive therapy
Hispanic
meditation
mental disease (complication, therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
clinical trial
female
high risk behavior
human
Human immunodeficiency virus infection (prevention)
impulsiveness (therapy)
methodology
patient compliance
patient satisfaction
pilot study
psychiatric diagnosis
psychological aspect
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20408063 (http://www.ncbi.nlm.nih.gov/pubmed/20408063)
PUI
L359391287
DOI
10.1080/08897071003641602
FULL TEXT LINK
http://dx.doi.org/10.1080/08897071003641602
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1089
TITLE
Opioids for the treatment of chronic neuropathic pain: The evidence
AUTHOR NAMES
Raja S.
AUTHOR ADDRESSES
(Raja S.) Division of Pain Medicine, Johns Hopkins University, Baltimore,
United States.
CORRESPONDENCE ADDRESS
S. Raja, Division of Pain Medicine, Johns Hopkins University, Baltimore,
United States.
SOURCE
European Journal of Pain Supplements (2010) 4:1 (34). Date of Publication:
April 2010
CONFERENCE NAME
3rd International Congress on Neuropathic Pain
CONFERENCE LOCATION
Athens, Greece
CONFERENCE DATE
2010-05-27 to 2010-05-30
ISSN
1754-3207
BOOK PUBLISHER
W.B. Saunders Ltd
ABSTRACT
The appropriate use of opioids for the management of chronic neuropathic
pain is a delicate balance between efficacy and the societal concerns of
increasing drug abuse and diversion. Several randomized trials in the last
decade have provided convincing evidence that at least in the short term
period of several weeks, opioid therapy is associated with a reduction in
pain intensity in patients with postherpetic neuralgia, diabetic neuropathy,
and postamputation pain. Decrease in pain intensity may be associated with
improvement in sleep and function. A critical review of the evidence does
not support the notion that opioids are less effective in the management of
neuropathic pain, when compared to nociceptive pain states. Studies also
suggest that opioids in combination with adjuvant drugs are more effective
than when used as sole therapy. Carefully conducted prospective studies on
the long term effectiveness of opioids for neuropathic pain is still
lacking. However, followup of patients enrolled in controlled trials suggest
that a subset of patients continue to obtain long term benefit with only
minimal increase in dose over time. The long term use of opioids can be
associated with tolerance and physical dependence. Cohort studies suggest
that tolerance to opioids is not a major limiting factor in their use.
Cross-tolerance among opioids is not complete and a strategy that is often
used when tolerance to an opioid is suspected is rotation to an alternate
opioid drug. Although addiction to opioids when used for the treatment of
chronic pain is reported to be less common, guidelines for responsible
prescribing of opioids have been published as a monograph by the Federation
of State Medical Boards. The critical suggested steps in the management of
chronic pain patients with opioids include appropriate patient evaluation,
creating and maintaining clear and detailed documentation, creating a
functionbased treatment plan with well-defined patient goals, obtaining a
written patient-physician agreement that includes informed consent and
patient education, periodic review that focuses on progress toward
functional goals, and making specialist referrals when managing difficult
patients. Diversion of opioids and the increasing abuse of prescription
opioids, particularly in teenagers and young adults, are of growing societal
concern in the USA.
EMTREE DRUG INDEX TERMS
adjuvant
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neuropathic pain
EMTREE MEDICAL INDEX TERMS
abuse
addiction
adolescent
adult
book
chronic pain
cohort analysis
controlled study
cross tolerance
diabetic neuropathy
documentation
drug abuse
drug dependence
follow up
informed consent
medical specialist
pain
patient
patient education
physician
postherpetic neuralgia
prescription
problem patient
prospective study
sleep
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70160794
DOI
10.1016/S1754-3207(10)70118-8
FULL TEXT LINK
http://dx.doi.org/10.1016/S1754-3207(10)70118-8
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1090
TITLE
The contribution of mindfulness practice to a multicomponent behavioral
sleep intervention following substance abuse treatment in adolescents: a
treatment-development study.
AUTHOR NAMES
Britton W.B.
Bootzin R.R.
Cousins J.C.
Hasler B.P.
Peck T.
Shapiro S.L.
AUTHOR ADDRESSES
(Britton W.B.) Department of Psychiatry and Human Behavior, Brown University
Medical School, Providence, Rhode Island 02906, USA.
(Bootzin R.R.; Cousins J.C.; Hasler B.P.; Peck T.; Shapiro S.L.)
CORRESPONDENCE ADDRESS
W.B. Britton, Department of Psychiatry and Human Behavior, Brown University
Medical School, Providence, Rhode Island 02906, USA. Email:
Willoughby_Britton@Brown.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2010) 31:2 (86-97). Date of
Publication: Apr 2010
ISSN
1547-0164 (electronic)
ABSTRACT
Poor sleep is common in substance use disorders (SUDs) and is a risk factor
for relapse. Within the context of a multicomponent, mindfulness-based sleep
intervention that included mindfulness meditation (MM) for adolescent
outpatients with SUDs (n = 55), this analysis assessed the contributions of
MM practice intensity to gains in sleep quality and self-efficacy related to
SUDs. Eighteen adolescents completed a 6-session study intervention and
questionnaires on psychological distress, sleep quality, mindfulness
practice, and substance use at baseline, 8, 20, and 60 weeks postentry.
Program participation was associated with improvements in sleep and
emotional distress, and reduced substance use. MM practice frequency
correlated with increased sleep duration and improvement in self-efficacy
about substance use. Increased sleep duration was associated with
improvements in psychological distress, relapse resistance, and substance
use-related problems. These findings suggest that sleep is an important
therapeutic target in substance abusing adolescents and that MM may be a
useful component to promote improved sleep.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, prevention, therapy)
child behavior
meditation
sleep disorder (complication, therapy)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
clinical trial
emotion
female
human
male
mental stress (therapy)
methodology
psychological aspect
psychotherapy
recurrent disease (prevention)
self concept
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20408060 (http://www.ncbi.nlm.nih.gov/pubmed/20408060)
PUI
L359391284
DOI
10.1080/08897071003641297
FULL TEXT LINK
http://dx.doi.org/10.1080/08897071003641297
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1091
TITLE
President's message
AUTHOR NAMES
Lande R.G.
AUTHOR ADDRESSES
(Lande R.G.) American Osteopathic Academy of Addiction Medicine, United
States.
CORRESPONDENCE ADDRESS
R. G. Lande, American Osteopathic Academy of Addiction Medicine, United
States.
SOURCE
Journal of Addictive Diseases (2010) 29:2 (277-278). Date of Publication:
April 2010
Women, Children and Addiction, Book Series Title:
ISSN
1055-0887
1545-0848 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
EMTREE DRUG INDEX TERMS
narcotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
continuing education
health care organization
medical education
osteopathic medicine
EMTREE MEDICAL INDEX TERMS
chronic pain
conference paper
cost
curriculum
functional assessment
Internet
medical school
organization and management
pain
policy
posttraumatic stress disorder
substance abuse
tobacco
United States
war
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2010243315
MEDLINE PMID
20407982 (http://www.ncbi.nlm.nih.gov/pubmed/20407982)
PUI
L358701128
DOI
10.1080/10550881003684947
FULL TEXT LINK
http://dx.doi.org/10.1080/10550881003684947
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1092
TITLE
Linguistic analysis to assess the effect of a mindfulness intervention on
self-change for adults in substance use recovery.
AUTHOR NAMES
Liehr P.
Marcus M.T.
Carroll D.
Granmayeh L.K.
Cron S.G.
Pennebaker J.W.
AUTHOR ADDRESSES
(Liehr P.) Christine E. Lynn College of Nursing, Florida Atlantic
University, Boca Raton, Florida 33431, USA.
(Marcus M.T.; Carroll D.; Granmayeh L.K.; Cron S.G.; Pennebaker J.W.)
CORRESPONDENCE ADDRESS
P. Liehr, Christine E. Lynn College of Nursing, Florida Atlantic University,
Boca Raton, Florida 33431, USA. Email: pliehr@fau.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2010) 31:2 (79-85). Date of
Publication: Apr 2010
ISSN
1547-0164 (electronic)
ABSTRACT
Substance use is a pervasive health problem. Therapeutic community (TC) is
an established substance abuse treatment but TC environments are stressful
and dropout rates are high. Mindfulness-based TC (MBTC) intervention was
developed to address TC stress and support self-change that could impact
treatment retention. Self-change was assessed through feeling and thinking
word-use in written stories of stress from 140 TC residents in a historical
control group and 253 TC residents in a MBTC intervention group. Data were
collected 5 times over a 9-month period. Linguistic analysis showed no
differences between the groups over time; however, over all time points, the
MBTC intervention group used fewer negative emotion words than the TC
control group. Also, negative emotion (P < .01) and anxiety (P < .01)
word-use decreased whereas positive emotion word-use increased (P < .05)
over time in both groups. Descriptive data from linguistic analyses
indicated that sustained self-change demands participation in mindfulness
behaviors beyond the instructor-guided MBTC intervention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
linguistics
meditation
self concept
EMTREE MEDICAL INDEX TERMS
adolescent
adult
anxiety
article
clinical trial
controlled clinical trial
controlled study
emotion
female
human
male
mental stress (therapy)
methodology
phase 1 clinical trial
psychological aspect
psychotherapy
therapeutic community
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20408059 (http://www.ncbi.nlm.nih.gov/pubmed/20408059)
PUI
L359391283
DOI
10.1080/08897071003641271
FULL TEXT LINK
http://dx.doi.org/10.1080/08897071003641271
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1093
TITLE
Pharmacist-enhanced medication reconciliation services at an outpatient
addiction medicine clinic
AUTHOR NAMES
Chan T.
Sproule B.
AUTHOR ADDRESSES
(Chan T.; Sproule B.) Centre for Addiction and Mental Health, Toronto,
Canada.
(Chan T.; Sproule B.) Faculty of Pharmacy, University of Toronto, Canada.
(Sproule B.) Dept of Psychiatry, University of Toronto, Canada.
CORRESPONDENCE ADDRESS
T. Chan, Centre for Addiction and Mental Health, Toronto, Canada.
SOURCE
Journal of Pharmacy Practice (2010) 23:2 (179). Date of Publication: April
2010
CONFERENCE NAME
13th Annual Meeting of the College of Psychiatric and Neurologic
Pharmacists, CPNP 2010
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-04-18 to 2010-04-21
ISSN
0897-1900
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Abstract Type: Innovative Practices. Background: Patients in treatment for
substance dependence who are taking multiple medications from multiple
providers are at risk for drug therapy problems. Medication reconciliation,
the process of obtaining a complete and accurate list of a patient's current
home medications, may enhance patient safety. Although there are no
published studies on medication reconciliation in an outpatient addictions
setting, opportunities exist for pharmacists to provide services in this
setting. Description of Innovative Service: This project took place at the
Centre for Addiction and Mental Health's outpatient Addiction Medicine
Clinic in Toronto, Canada. A pharmacist was embedded in the clinic for one
month to conduct medication histories with patients, identify drug therapy
problems, and report findings to the clinic team. The pharmacist and clinic
team targeted patients who would likely benefit from the service and
patients must have been currently taking a medication prescribed at the
clinic to be included. A retrospective review of the patient health record
for medication documentation in the past 6 months was also completed.
Discrepancies were defined as any omissions or errors in documentation of
drug, dose, or frequency when comparing the medication list the pharmacist
obtained to the medication list on the patient health record (if present).
Four independent clinicians (physician, nurse and 2 pharmacists) assessed
the potential impact of the discrepancies identified. Impact on Practice:
Thirty-two patients were interviewed by the pharmacist. These patients were
taking a mean of 7 + 4 medications in addition to their clinic-prescribed
medications. The pharmacist identified 34 discrepancy-related drug therapy
problems in 21 patients. The drug therapy problems were either actual or
potential drug interactions (73%) or adverse drug reactions (24%).
Clinicians classified the drug therapy problems as causing minimal (28.6%),
moderate (38.1%), or severe (33.3%) patient discomfort or clinical
deterioration. Conclusion: Patients attending specialty clinics are at risk
of drug therapy problems related to medication record discrepancies. From
the experience of this project, it has been identified that a formal
medication reconciliation process is needed in this specialty ambulatory
setting, a potentially valuable role for psychiatric pharmacists.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
college
hospital
medication therapy management
outpatient
pharmacist
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
Canada
deterioration
documentation
drug dose
drug interaction
drug therapy
health
mental health
nurse
patient
patient safety
physician
risk
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70465372
DOI
10.1177/0897190010365987
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190010365987
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1094
TITLE
Mindfulness-based therapies for substance use disorders: part 2.
AUTHOR NAMES
Zgierska A.
Marcus M.T.
AUTHOR ADDRESSES
(Zgierska A.; Marcus M.T.)
CORRESPONDENCE ADDRESS
A. Zgierska,
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2010) 31:2 (77-78). Date of
Publication: Apr 2010
ISSN
1547-0164 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
meditation
EMTREE MEDICAL INDEX TERMS
editorial
evaluation study
human
methodology
psychotherapy
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20408058 (http://www.ncbi.nlm.nih.gov/pubmed/20408058)
PUI
L359391282
DOI
10.1080/08897071003641248
FULL TEXT LINK
http://dx.doi.org/10.1080/08897071003641248
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1095
TITLE
Traditional healers in the treatment of common mental disorders in South
Africa
AUTHOR NAMES
Sorsdahl K.
Stein D.J.
Grimsrud A.
Seedat S.
Flisher A.
Williams D.
AUTHOR ADDRESSES
(Sorsdahl K.; Stein D.J.; Grimsrud A.; Flisher A.) University of Cape Town,
South Africa.
(Seedat S.) University of Stellenbosch, South Africa.
(Williams D.) University of Harvard, United States.
CORRESPONDENCE ADDRESS
K. Sorsdahl, University of Cape Town, South Africa.
SOURCE
Journal of Affective Disorders (2010) 122 SUPPL. 1 (S42). Date of
Publication: April 2010
CONFERENCE NAME
5th Biennial Meeting of the International Society for Affective Disorders,
ISAD
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2010-04-16 to 2010-04-19
ISSN
0165-0327
BOOK PUBLISHER
Elsevier
ABSTRACT
Background: South Africans who suffer from psychiatric disorders are treated
by both Western and alternative practitioners, including traditional healers
and religious or spiritual advisors. However there are limited data on the
frequency and predictors of such consultation.We examined the role of
alternative practitioners in mental health seeking behaviour within a
nationally representative sample of South African adults. Methods: A
national survey was conducted using the World Health Organization Composite
International Diagnostic Interview (CIDI) to generate diagnoses based on the
Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition
(DSM-IV). The survey included questions on treatment by Western and
alternative practitioners. The independent effects of participant
demographic characteristics on Western and alternative healers were assessed
using logistic regression. Results: A minority of participants with a
lifetime DSM-IV diagnosis obtained treatment from Western (29%) or
alternative (20%) practitioners. Traditional healers were consulted by 9% of
the respondents and 11% consulted a religious or spiritual advisor. Use of
alternative practitioner and traditional healer in the full sample was
predicted by older age, black race, unemployment, lower education and having
an anxiety or a substance use disorder. Conclusions: Alternative
practitioners including traditional healers play an important role in the
delivery of mental health care in South Africa. Although attention has
previously been paid to the need for Western practitioners to collaborate
with traditional healers in order to optimize health care in the country,
the data here also emphasize the potential importance of working with
religious and spiritual advisors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease
mood disorder
society
South Africa
traditional medicine
EMTREE MEDICAL INDEX TERMS
adult
anxiety
Black person
demography
diagnosis
Diagnostic and Statistical Manual of Mental Disorders
education
health care
interview
lifespan
logistic regression analysis
mental health
mental health care
physician
substance abuse
unemployment
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70140819
DOI
10.1016/j.jad.2010.02.027
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jad.2010.02.027
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1096
TITLE
Assessment of a hepatitis educational group for veterans with substance use
disorders
AUTHOR NAMES
Hagedorn H.
Leighton T.
Heim L.
AUTHOR ADDRESSES
(Hagedorn H.; Leighton T., hildi.hagedorn@va.gov; Heim L.) Substance Use
Disorders Quality Enhancement Research Initiative, Minneapolis Veteran
Affairs Medical Center, Minneapolis, MN, United States.
(Hagedorn H.) Department of Psychiatry, School of Medicine, University of
Minnesota, Minneapolis, MN, United States.
CORRESPONDENCE ADDRESS
T. Leighton, Minneapolis Veterans Affairs Medical Center, One Veterans Drive
(116A9), Minneapolis, MN 55417, United States. Email: hildi.hagedorn@va.gov
SOURCE
American Journal of Drug and Alcohol Abuse (2010) 36:1 (57-60). Date of
Publication: 2010
ISSN
0095-2990
1097-9891 (electronic)
BOOK PUBLISHER
Informa Healthcare, 69-77 Paul Street, London, United Kingdom.
ABSTRACT
Background: In 2005 the substance use disorders (SUD) clinic at the
Minneapolis Veterans Affairs Medical Center launched the Liver Health
Initiative in an effort to improve hepatitis education, screening,
prevention, and treatment referral services for veterans receiving SUD
services. One component of the Liver Health Initiative is an hour-long
educational group; the Healthy Liver Group. Objectives: After the Healthy
Liver Group was firmly established, an evaluation took place in order to
measure: 1) change in patient knowledge, 2) participant satisfaction, and 3)
attitudes toward hepatitis A and B vaccinations. Methods: From August 2007
to May 2008, 102 veterans filled out a paper survey before and after their
experience in the Healthy Liver Group. Significance and Conclusions: The
results of this survey show an increase in basic knowledge of hepatitis,
high levels of patient satisfaction, and strong acceptance of vaccinations
for hepatitis A and B. Overall, the survey indicates that the Healthy Liver
Group is providing an important service and is generally well accepted by
patients. © 2010 Informa Healthcare USA, Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
hepatitis A vaccine (drug therapy)
hepatitis B vaccine (drug therapy)
EMTREE DRUG INDEX TERMS
cannabis
cocaine
methamphetamine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
cannabis addiction
cocaine dependence
hepatitis A (drug therapy, drug therapy, prevention)
hepatitis B (drug therapy, drug therapy, prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
controlled study
disease surveillance
female
human
knowledge
male
patient satisfaction
vaccination
veteran
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010107270
MEDLINE PMID
20141398 (http://www.ncbi.nlm.nih.gov/pubmed/20141398)
PUI
L358292018
DOI
10.3109/00952990903572233
FULL TEXT LINK
http://dx.doi.org/10.3109/00952990903572233
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1097
TITLE
Addictive overeating: Lessons learned from medical students' perceptions of
overeaters anonymous
AUTHOR NAMES
Schroder R.
Sellman D.
Elmslie J.
AUTHOR ADDRESSES
(Schroder R., ria.schroder@otago.ac.nz; Elmslie J.) National Addiction
Centre, Department of Psychological Medicine, University of Otago,
Christchurch, New Zealand.
(Sellman D.) Department of Psychiatry and Addiction Medicine, Department of
Psychological Medicine, University of Otago, Christchurch, New Zealand.
CORRESPONDENCE ADDRESS
R. Schroder, National Addiction Centre, University of Otago, Christchurch,
Christchurch Mail Centre, PO Box 4345, Christchurch 8140, New Zealand.
Email: ria.schroder@otago.ac.nz
SOURCE
New Zealand Medical Journal (2010) 123:1311 (15-21). Date of Publication: 19
Mar 2010
ISSN
1175-8716 (electronic)
BOOK PUBLISHER
New Zealand Medical Association, 26 The Terrace, P.O. Box 156, Wellington,
New Zealand.
ABSTRACT
Aim: To explore medical students' perceptions of Overeaters Anonymous (OA).
Method: 72 fifth-year medical students' reports of their experiences of
attending OA meetings were analysed using thematic analysis. Students were
required to submit these reports in order to complete a compulsory component
of the Addiction Medicine run in their medical training at the University of
Otago, Christchurch during 2002-2007. Results: Analysis of the students'
reports highlights an emerging understanding of the concepts of addiction in
general and addictive overeating in particular. This understanding is
reflected in the students' acceptance of addictive overeating as a potential
disorder and their increased empathy and confidence in working with patients
with this disorder. Conclusions: Improving treatment for people with obesity
is a major contemporary health challenge. Addictive overeating could be a
critical element in understanding the nature of obesity but has not been the
subject of extensive research to date. Medical students in this study
discovered that addiction to food is not just a theoretical construct but
fits with the actual experience of people. The poignancy of these narratives
illustrates how such information can promote greater understanding of
medical and other life issues which may benefit their identification and
treatment. ©NZMA.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Overeaters Anonymous
overnutrition
rehabilitation care
EMTREE MEDICAL INDEX TERMS
article
attitude to mental illness
empathy
feeding behavior
human
medical education
medical practice
medical student
patient care
personal experience
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Rehabilitation and Physical Medicine (19)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010187019
MEDLINE PMID
20360792 (http://www.ncbi.nlm.nih.gov/pubmed/20360792)
PUI
L358511110
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1098
TITLE
Smoking cessation counselling: Impact of chart stickers and resident
training
AUTHOR NAMES
Von Garnier C.
Meyer M.
Leuppi J.
Battegay E.
Zeller A.
AUTHOR ADDRESSES
(Von Garnier C., christophe.vongarnier@insel.ch) Respiratory Medicine,
Inselspital, Bern University Hospital, CH-3010 Bern, Switzerland.
(Meyer M.; Battegay E.; Zeller A., zellera@uhbs.ch) Medical Outpatients
Department, Department of Medicine, Basel University Hospital, CH-4031
Basel, Switzerland.
(Leuppi J.) Department of Medicine, Basel University Hospital, Basel,
Switzerland.
(Battegay E.) Division of Internal Medicine, University Hospital Zürich,
Zürich, Switzerland.
CORRESPONDENCE ADDRESS
C. Von Garnier, Respiratory Medicine, Inselspital, Bern University Hospital,
CH-3010 Bern, Switzerland. Email: christophe.vongarnier@insel.ch
SOURCE
Swiss Medical Weekly (2010) 140:11-12 (175-180). Date of Publication: 19 Mar
2010
ISSN
1424-7860
BOOK PUBLISHER
EMH Swiss Medical Publishers Ltd., Steinentorstrasse 13, Basel, Switzerland.
ABSTRACT
Objectives: To assess the effect of a training program for smoking cessation
combined with chart stickers on resident's (physicians-in-training) practice
of counselling smoking patients. Setting: A single centre prospective
observational study at the Basel University Hospital Medical Outpatient
Department. Methods: 456 consecutive outpatients were contacted by phone
within 24 hours of their initial consultation. Information concerning
questions asked about smoking and/or cessation advice provided by the
resident to patients was collected and compared with a historical
pre-interventional cohort using the identical questionnaire and study
design. Results: Of 272 patients included, 106 (39%) were current smokers,
123 (45%) had never smoked, and 43 (16%) were former smokers. The mean age
was 43 ± 11 (range 16-87) years and 49% were male. Equal proportions of
participants were in the pre-contemplation (40%) and contemplation stages
(42%), 16% were preparing to quit and 2% had stopped in the previous 6
months. Results related to smoking cessation advice were compared to those
obtained during an identical survey one year earlier performed prior to the
intervention (pre-interventional). Residents questioned 82%
(pre-interventional 81%) of the patients about smoking and inquired about
smoking duration in 71% (pre-interventional 44%) of the patients. 46%
(pre-interventional 28%) of the patients received information on
smoking-related risks, whereas cessation was discussed with 32%
(pre-interventional 10%) and offered to 23% (pre-interventional 9%) of the
patients. Conclusion: Compared with a historical pre-interventional cohort,
the rates of patients receiving appropriate counselling approximately
doubled following the introduction of systematic training on smoking
cessation and chart labels. Extended regular training for physicians on
smoking-related issues may have a potentially beneficial effect in improving
counselling of smokers and meeting the global tobacco challenge.
EMTREE DRUG INDEX TERMS
nicotine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient counseling
residency education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
age distribution
aged
article
controlled study
educational status
female
human
information dissemination
interview
major clinical study
male
nicotine replacement therapy
outpatient
questionnaire
resident
sex difference
smoking habit
tobacco dependence (drug therapy)
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010182741
MEDLINE PMID
20131122 (http://www.ncbi.nlm.nih.gov/pubmed/20131122)
PUI
L358498075
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1099
TITLE
Addiction medicine: a model osteopathic medical school curriculum.
AUTHOR NAMES
Lande R.G.
Wyatt S.A.
Przekop Jr. P.R.
AUTHOR ADDRESSES
(Lande R.G.) American Osteopathic Academy of Addiction Medicine, 13826 Bison
Ct, Silver Spring, MD 20906-2000, USA.
(Wyatt S.A.; Przekop Jr. P.R.)
CORRESPONDENCE ADDRESS
R.G. Lande, American Osteopathic Academy of Addiction Medicine, 13826 Bison
Ct, Silver Spring, MD 20906-2000, USA. Email: rglande@act85.com
SOURCE
The Journal of the American Osteopathic Association (2010) 110:3 (127-132).
Date of Publication: Mar 2010
ISSN
1945-1997 (electronic)
ABSTRACT
The World Health Organization has identified nicotine, alcohol, and illicit
drugs as among the top 10 contributors of morbidity and mortality in the
world. Substance use disorders are preventable conditions that are major
contributors to poor health, family dysfunction, and various social problems
in the United States-problems that have a profound economic impact. The
American Osteopathic Academy of Addiction Medicine seeks to promote teaching
of addiction medicine at colleges of osteopathic medicine (COMs),
which-honoring the osteopathic concepts of holistic medicine and disease
prevention-are well poised to develop a model addiction medicine curriculum.
Educators and students at COMs can use guidelines from Project MAINSTREAM, a
core addiction medicine curriculum designed to improve education of health
professionals in substance abuse, for developing addiction medicine
curricula and for gauging their professional growth. These guidelines should
be incorporated into the first 2 years of osteopathic medical students'
basic science didactics. The authors encourage the development of addiction
medicine courses and curricula at all COMs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
clinical competence
curriculum
osteopathic medicine
EMTREE MEDICAL INDEX TERMS
article
attitude to health
economics
education
educational model
human
organization and management
primary health care
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20386021 (http://www.ncbi.nlm.nih.gov/pubmed/20386021)
PUI
L359227845
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1100
TITLE
Residents' attitudes toward clinical management of substance use
AUTHOR NAMES
Oscos-Sanchez M.A.
Leal-Castanon S.
Loffredo A.
Dunlap D.D.
Emko N.J.
Gomez L.R.
Kozlovsky K.
Schneegans S.
Williams J.
AUTHOR ADDRESSES
(Oscos-Sanchez M.A.; Leal-Castanon S.; Loffredo A.; Dunlap D.D.; Emko N.J.;
Gomez L.R.; Kozlovsky K.; Schneegans S.; Williams J.) University of Texas,
Health Science Center at San Antonio, United States.
CORRESPONDENCE ADDRESS
M.A. Oscos-Sanchez, University of Texas, Health Science Center at San
Antonio, United States.
SOURCE
Journal of Adolescent Health (2010) 46:2 SUPPL. 1 (S61). Date of
Publication: 2010
CONFERENCE NAME
Society for Adolescent Medicine Annual Meeting - Adolescent Clinical Care:
Integrating Art and Science
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2010-04-07 to 2010-04-10
ISSN
1054-139X
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose:Use of alcohol, tobacco, and other illicit substances begins in
adolescence and peaks in young adulthood. Because 80%percent of adolescents
and young adults have at least one outpatient clin-ical encounter each year,
Pediatricians and Family Physicians are uniquely poised to manage adolescent
substance use issues. In this study we examine pediatric and family medicine
residents' attitudes toward the clinical management of substance use.
Methods: In the spring of 2009, 71 pediatric and family medicine residents
at our institution completed confidential self-adminis-tered questionnaires.
The mean age of the participants was 31.4 years, 62% were pediatric
residents, 61% were residents of color (34% Latino, 26% Asian, 1% African
American), 39% were non-Latino white, and 75% were female. The outcome
variables exam-ined were current practice, self-efficacy, readiness to
change, belief in treatment, and optimistic attitude toward treatment.
T-tests and multivariate backward stepwise linear regression analyses were
conducted. Results: T-tests demonstrated that family medicine residents as
compared to pediatric residents (p < .004) and residents of color as
compared to non-Latino white residents (p < .038) had signifi-cantly higher
scores on 3 of the 5 outcome variables. In the multi-variate analysis,
specialty and race persisted as significant predictors after controlling for
other potential predictors such as personally knowing a person with a
substance use issue, previous training, clinical exposure, and previous
clinical experience. Family medicine residents reported higher levels of
currently managing substance use, greater self-efficacy, and greater
readiness to increase their management of substance use. Residents of color
re-ported greater readiness to increase their management of substance use,
greater belief in treatment, and a more optimistic attitude that treatment
would be successful. Conclusions: Residents' attitudes regarding the
clinical management of substance use differed based on specialty and race.
The findings suggest that to increase effectiveness in motivating and
training future physicians to address adolescent substance use, residency
programs should increase their understanding of trainee attitudes and tailor
educational interventions to address potential specialty and racial
differences.
EMTREE DRUG INDEX TERMS
alcohol
salicylate sodium
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
medicine
society
EMTREE MEDICAL INDEX TERMS
adolescence
adult
adulthood
African American
Asian
color
exposure
family medicine
female
general practitioner
Hispanic
linear regression analysis
outcome variable
outpatient
pediatrician
physician
questionnaire
race difference
self concept
student
Student t test
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70079514
DOI
10.1016/j.jadohealth.2009.11.147
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jadohealth.2009.11.147
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1101
TITLE
Teaching clinical opioid pharmacology with the Human Patient Simulator
AUTHOR NAMES
Hassan Z.
DiLorenzo A.
Sloan P.
AUTHOR ADDRESSES
(Hassan Z.; DiLorenzo A.; Sloan P.) Department of Anesthesiology, University
of Kentucky Medical Center, Lexington, KY, United States.
CORRESPONDENCE ADDRESS
Z. Hassan, Department of Anesthesiology, University of Kentucky Medical
Center, Lexington, KY, United States.
SOURCE
Journal of Opioid Management (2010) 6:2 (125-132). Date of Publication:
March-April 2010
ISSN
1551-7489
BOOK PUBLISHER
Weston Medical Publishing, 470 Boston Post Road, Weston, United States.
ABSTRACT
Objective: Postoperative pain should be aggressively treated to decrease the
development of chronic postsurgical pain. There has been an increase in the
use of Human Patient Simulator (HPS) for teaching advanced courses in
pharmacology to medical students, residents, and nurses. The aim of this
educational investigation was to pilot the HPS for the training of medical
students and surgical recovery room staff nurses in the pharmacology of
opioids for the management of postoperative pain. Methods: The computerized
HPS mannequin is fully monitored with appropriate displays and includes a
voice speaker mounted in the head. Medical students and Postanesthesia care
unit nurses, led by faculty in the Department of Anesthesiology in small
groups of 4-6, participated in a 2- to 3-hour HPS course on the use of
opioids for the management of acute postoperative pain. Trainees were asked
to treat the acute and severe postoperative pain of a simulated patient.
Opioid effects and side effects (such as respiratory depression) were
presented on the mannequin in real time to the participants. Side effects of
naloxone to reverse opioid depression were presented as a crisis in real
time to the participants. Participants completed a 10-item course evaluation
using a 5-point Likert scale (1 = strongly disagree; 5 = strongly agree).
Results: Twenty-two nurses and nine medical students completed the HPS
opioid pharmacology scenario. Almost all participants rated the HPS course
very highly and rated every item as either agree or strongly agree. Most
participants agreed that the simulator session improved their understanding
of opioid pharmacology including opioid side effects and management of
opioid complications. Course participants felt most strongly (median,
interquartile range) that the simulator session improved their understanding
of naloxone pharmacology (5, 0), simulators serve as a useful teaching tool
(5, 0), and that they would be pleased to participate in any additional HPS
teaching sessions (5, 0). Conclusions: The HPS provides a novel educational
format to teach essential information regarding opioid pharmacology for the
management of acute postoperative pain. The HPS provides a realistic format
to teach the pharmacology of acute opioid side effects and the management of
acute and life-threatening side effects of naloxone therapy. © 2010 Journal
of Opioid Management, All Rights Reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
naloxone (drug therapy, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacology
Human Patient Simulator
postoperative pain (drug therapy, drug therapy)
simulator
EMTREE MEDICAL INDEX TERMS
anesthesiology
article
automation
disease simulation
drug monitoring
human
medical education
medical student
nurse
postanesthesia care
respiration depression (drug therapy, side effect)
CAS REGISTRY NUMBERS
naloxone (357-08-4, 465-65-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Biophysics, Bioengineering and Medical Instrumentation (27)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010281785
MEDLINE PMID
20481177 (http://www.ncbi.nlm.nih.gov/pubmed/20481177)
PUI
L358834919
DOI
10.5055/jom.2010.0012
FULL TEXT LINK
http://dx.doi.org/10.5055/jom.2010.0012
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1102
TITLE
Successful recruitment and distance training of clinicians in an adolescent
smoking cessation pilot study in AAP PROS practices
AUTHOR NAMES
Klein J.
Sesselberg T.
Pbert L.
Steffes J.
Harris D.
Sutter E.
Gotlieb E.
Davis J.
Slora E.
Wasserman R.
AUTHOR ADDRESSES
(Slora E.) AAP Division of Primary Care Research, United States.
(Steffes J.; Davis J.) AAP PROS Network, United States.
(Harris D.; Gotlieb E.) American Academy of Pediatrics, United States.
(Wasserman R.) PROS, American Academy of Pediatrics, United States.
(Pbert L.) University of Massachusetts Medical School, United States.
(Sesselberg T.; Sutter E.) University of Rochester, United States.
(Klein J.) University of Rochester, AAP Julius B. Richmond Center, United
States.
CORRESPONDENCE ADDRESS
J. Klein, University of Rochester, AAP Julius B. Richmond Center, United
States.
SOURCE
Journal of Adolescent Health (2010) 46:2 SUPPL. 1 (S58-S59). Date of
Publication: 2010
CONFERENCE NAME
Society for Adolescent Medicine Annual Meeting - Adolescent Clinical Care:
Integrating Art and Science
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2010-04-07 to 2010-04-10
ISSN
1054-139X
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: Many adolescents who smoke cigarettes report wanting to quit.
However, evidence for cessation counseling for adolescents remains limited.
The purpose of our study was: (1) to recruit and train providers in smoking
cessation intervention using the Public Health Service 5As (Ask, Advise,
Assess, Assist, Arrange) using a distance learning curriculum, and assess
adherence to interven-tion; and (2) to establish whether primary care
pediatric practices can recruit adolescents to a tobacco intervention trial
without enrollment bias. Methods: We recruited 35 practitioners from the
AAP's practice-based research network - Pediatric Research in Office
Settings (PROS) - for a double-blind smoking cessation intervention pilot.
Practices were randomized to a brief cessation counseling interven-tion or
comparison condition. Both involved a 45-minute self-study clinician
training curriculum. Fidelity to protocols was assessed during teach-back
role-playing follow-up calls with clinicians. Practices recruited eligible
adolescents at well visits. Full study participants completed a baseline
survey at the visit. All smokers and a sample of nonsmokers completed
follow-up phone surveys; youth who initially refused were asked to provide
anonymous baseline data only to examine whether differential non-recruitment
of smokers affected study sample yield. Results: 23 (66%) of providers
completed training and met stan-dards for intervention delivery. Of 976
teens recruited for the full study and 150 teens for the anonymous survey,
no statistical differ-ences in smoking prevalence were observed between
these groups, with smoking rates of 5.7% and 6.6%, respectively (p = .65).
Follow-up surveys were conducted with 94 teens. Teens in the intervention
group were significantly more likely to report that their physician
discussed smoking (91% vs 72%; c(2) = 5.405, p = .02). Although not reaching
significance, more clinicians in the intervention group asked teens if they
smoke (90% vs 81%; p = .24), and asked if friends smoked (60% vs 49%; p =
.32). Smokers in the intervention group were more often asked if they wanted
to quit (55% vs 36%; p = .39) and given materials to help them quit (33% vs
14%; p = .42). Conclusions: This field pilot demonstrates successful
clinician training in delivery of smoking cessation counseling through
distance learning and recruitment of teens without differential
non-enrollment of smokers. Intervention clinicians were signifi-cantly more
likely to discuss smoking with teens, and while a lack of statistical power
precluded other significant findings, clinicians in the intervention group
delivered more cessation services than their control counterparts. A full
scale RCT is methodologically feasible and appears warranted to examine the
impact of brief counseling interventions on adolescent cessation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
adolescent smoking
medicine
pilot study
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
cigarette smoking
counseling
curriculum
follow up
friend
intervention study
juvenile
learning
pediatrics
physician
prevalence
primary medical care
public health service
role playing
smoke
smoking
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70079508
DOI
10.1016/j.jadohealth.2009.11.141
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jadohealth.2009.11.141
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1103
TITLE
Drug therapy problems in community-based resident facilities: Assessing
effectiveness of an educational intervention
AUTHOR NAMES
Peterson S.
Chui M.
Kieser M.
Johnson C.
AUTHOR ADDRESSES
(Peterson S., pete5734@umn.edu; Chui M.; Kieser M.) University of
Wisconsin-Madison, School of Pharmacy, United States.
(Johnson C.) Morton Pharmacy, United States.
CORRESPONDENCE ADDRESS
S. Peterson, University of Wisconsin-Madison, School of Pharmacy, United
States. Email: pete5734@umn.edu
SOURCE
Journal of the American Pharmacists Association (2010) 50:2 (225). Date of
Publication: March-April 2010
CONFERENCE NAME
APhA2010
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2010-03-12 to 2010-03-15
ISSN
1544-3191
BOOK PUBLISHER
American Pharmacists Association
ABSTRACT
Objective: To assess pharmacist knowledge acquisition and application
following a training session to identify and resolve drug therapy problems
(DTPs) found in community-based residential facilities (CBRFs; i.e.,
assisted living facilities). Methods: This project will be conducted in
three phases: identification of 50 CBRF patients with DTPs that will serve
as real-world examples for the training program, implementation of the
training program, and evaluation to determine to what extent pharmacists may
apply skills to resolve DTPs. First, of approximately 1,900 total beds
served, the resident via a review of the QS/1 pharmacy medication profiles
will identify a convenience sample of 50 patients with potential DTPs.
Potential DTPs will be categorized using criteria defined in Strand et al.
1990. Second, the resident will develop an active learning educational
presentation. The DTPs that were identified will be used as patient cases so
that the education session will have more credibility as real-world
scenarios. Pharmacists will be guided to review the cases and how to
identify DTPs and correct them. Tools (e.g., fax templates) that may be used
to communicate with the physician when a DTP is encountered will be
provided. Approximately 10 pharmacists who work with CBRFs will attend this
2-hour session and complete a test before and after the educational session
to assess whether they are better able to identify DTPs following the
training. Third, the resident will conduct profile reviews of the same 50
patients 2 and 4 months after the educational session to determine the
number of DTPs resolved. Results will provide descriptive statistics on the
extent that pharmacists improve the ability to identify and resolve DTPs
that they encounter during the normal dispensing process. This pilot project
will determine whether expanding this intervention may improve quality of
medication use among CBRF patients. Results: NA (research in progress).
Conclusion: NA (research in progress).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community
drug therapy
EMTREE MEDICAL INDEX TERMS
assisted living facility
convenience sample
education
fax
human
learning
patient
pharmacist
pharmacy
physician
pilot study
residential home
skill
statistics
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70480493
DOI
10.1331/JAPhA.2010.10511
FULL TEXT LINK
http://dx.doi.org/10.1331/JAPhA.2010.10511
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1104
TITLE
A mobile computer-assisted education system to promote smoking cessation for
hospitalized patients
AUTHOR NAMES
Knight A.
Finkelstein J.
Cha E.
Brotman D.
AUTHOR ADDRESSES
(Knight A.) Johns Hopkins Bayview Medical Center, Baltimore, United States.
(Finkelstein J.; Cha E.) Johns Hopkins University School of Medicine,
Baltimore, United States.
(Brotman D.) Johns Hopkins Hospital, Baltimore, United States.
CORRESPONDENCE ADDRESS
A. Knight, Johns Hopkins Bayview Medical Center, Baltimore, United States.
SOURCE
Journal of Hospital Medicine (2010) 5 SUPPL. 1 (43-44). Date of Publication:
March 2010
CONFERENCE NAME
2010 Annual Meeting of the Society of Hospital Medicine, SHM 2010
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2010-04-08 to 2010-04-11
ISSN
1553-5592
BOOK PUBLISHER
John Wiley and Sons Inc.
ABSTRACT
Background: Tobacco smoking is the leading preventable cause of death in the
United States. Most interventions for hospitalized smokers have used some
combination of physician advice to quit, behavioral counseling, and
self-help materials including booklets, audiotapes, and videotapes. Mobile
communication technology has the advantage of being interactive and can be
tailored to patients' preferred learning styles and disease experience;
however, it has not previously been systematically assessed in the hospital
setting. Methods: A previously developed curriculum about the hazards of
smoking was adapted for use in the computer-assisted education (CO-ED)
system. In the CO-ED system, brief educational statements about the effects
of smoking and the advantages of quitting are presented, each followed by a
multiple-choice question about the material. When the correct answer is
chosen, users are congratulated and directed to the next educational
statement. When the question is answered incorrectly, users are given an
opportunity to review the material and reattempt the question. For this
pilot study, inpatients at 2 urban academic hospitals were screened for
smoking status, and a sample of smokers was then approached to participate.
Participants completed a set of questions about demographics, prior
experience with mobile devices, and knowledge about the effects of smoking
before and after using the system. A research assistant provided patients
with a touch-screen tablet PC and trained them how to use the self-paced
CO-ED module. Patients spent up to 45 minutes using the system. Results: A
convenience sample of 17 hospitalized smokers used CO-ED. The mean age was
46 years, and 53% were women. The subjects had smoked an average of 13 ± 2.2
cigarettes per day for 24 ± 3.3 years. Although about 65% of the
participants had never used a computer or had only basic skills, 91%
reported that the mobile touch screen was not complicated at all. More than
90% responded that they gained a very significant amount of new information.
A pre-post comparison demonstrated significant improvement in the Knowledge
score, with an average increase of 3.5 ± 3.1 points (P = 0.002) of a
possible 35 points. Before using the system, 47%, 29%, and 24% of the
participants responded that they were thinking about quitting smoking within
the next 30 days, thinking about quitting within the next 6 months, or not
thinking about quitting, respectively. After using the system, 65% were
ready to quit within 30 days, 18% were ready to quit within 6 months, and
18% were still not thinking about quitting. Conclusions: The mobile
touch-screen system is a feasible way to educate patients about the hazards
of smoking. This system may also be effective in other chronic conditions
where patients can benefit from self-management of their illnesses. Further
research is needed regarding the cost-effectiveness and long-term effects of
this patient education method in the hospital setting.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiac resynchronization therapy device
computer
education
hospital medicine
hospital patient
human
smoking cessation
society
EMTREE MEDICAL INDEX TERMS
cause of death
convenience sample
cost effectiveness analysis
counseling
curriculum
devices
diseases
female
hazard
hospital
interpersonal communication
learning style
multiple choice test
patient
patient education
physician
pilot study
scientist
self care
self help
skill
smoking
tablet
technology
United States
videotape
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L71753162
DOI
10.1002/jhm.705
FULL TEXT LINK
http://dx.doi.org/10.1002/jhm.705
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 1105
TITLE
Dual diagnosis competency among addiction treatment staff: Training levels,
training needs and the link to retention
AUTHOR NAMES
Schulte S.J.
Meier P.S.
Stirling J.
Berry M.
AUTHOR ADDRESSES
(Schulte S.J., stahboubschulte@aus.edu; Meier P.S.; Stirling J.; Berry M.)
Manchester Metropolitan University, Department of Psychology, Elizabeth
Gaskell Campus, Manchester M13 0JA, United Kingdom.
CORRESPONDENCE ADDRESS
S. J. Schulte, Manchester Metropolitan University, Department of Psychology,
Elizabeth Gaskell Campus, Manchester M13 0JA, United Kingdom. Email:
stahboubschulte@aus.edu
SOURCE
European Addiction Research (2010) 16:2 (78-84). Date of Publication: March
2010
ISSN
1022-6877
BOOK PUBLISHER
S. Karger AG, Allschwilerstrasse 10, P.O. Box, Basel, Switzerland.
ABSTRACT
Background: Dually diagnosed clients are described as one of the most
challenging treatment populations, often leading to staff frustration,
helplessness and negative attitudes. As yet it is unclear whether dual
diagnosis (DD)-specific competency and therapeutic optimism among staff are
related to client outcomes. Methods: The study used a 3-month follow-up
design involving 124 DD clients starting treatment at 6 UK addiction
services. Practitioners (n = 46) treating these clients were assessed
regarding their DD specialisation levels. Cox regression analyses were
performed to examine predictors of clients' 3-month retention rates.
Results: Staff reported a median of 7 years work experience with DD clients,
and 80% had received co-morbidity-specific training. Practitioners provided
high average ratings on both the DD competency and the therapeutic optimism
scale. Nevertheless, 78% of the sample indicated additional support needs in
dealing with this client group. Higher levels of DD competencies among staff
predicted better client retention. Conclusion: The increased provision of
support packages for practitioners is vital for improving competency levels
in dealing with DD clients, which in turn may lead to improved client
outcomes. © 2010 S. Karger AG, Basel.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
professional competence
psychiatric diagnosis
staff training
EMTREE MEDICAL INDEX TERMS
adult
alcoholism
article
cocaine dependence
comorbidity
controlled study
drug dependence treatment
female
follow up
health personnel attitude
heroin dependence
human
major clinical study
male
medical staff
mood disorder
optimism
priority journal
United Kingdom
work experience
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010198983
MEDLINE PMID
20110712 (http://www.ncbi.nlm.nih.gov/pubmed/20110712)
PUI
L50781950
DOI
10.1159/000277657
FULL TEXT LINK
http://dx.doi.org/10.1159/000277657
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1106
TITLE
Course of psychiatric disorders following traumatic brain injury
AUTHOR NAMES
Gould K.
Ponsford J.
Johnston L.
Schönberger M.
AUTHOR ADDRESSES
(Gould K.; Ponsford J.; Schönberger M.) Monash University, Clayton,
Australia.
(Johnston L.) Monash-Epworth Rehabilitation Research Centre, Richmond,
Australia.
CORRESPONDENCE ADDRESS
K. Gould, Monash University, Clayton, Australia.
SOURCE
Brain Injury (2010) 24:3 (451-452). Date of Publication: March 2010
CONFERENCE NAME
8th World Congress on Brain Injury of the International Brain Injury
Association
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2010-03-10 to 2010-03-14
ISSN
0269-9052
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
Objectives: Psychiatric disorders are common and often debilitating
following traumatic Brain Injury (TBI). However, few studies examine when
individuals with TBI are most likely to develop a psychiatric disorder, and
how this timing differs between disorders. In addition, the influence of a
pre-injury psychiatric history on this development is unclear. The present
study aimed to examine the frequency and association between psychiatric
disorders prior to and following TBI, as well as examine the course of
psychiatric disorders post-injury. Method: Participants were 102 adults
(75.5% male) with TBI who were mean 34.63 years old at the time of the
injury (range 16-73). Psychiatric disorders were assessed using the
Structured Clinical Interview for DSM Disorders (SCID), a semistructured
interview administered by a trained clinician to determine DSM-IV Axis I
disorders. Participants were assessed for pre-injury and current disorders
soon after their injury, and prospectively re-assessed at three, six and
twelve months postinjury. Results: Over half of the participants (52.9%) met
criteria for one or more pre-injury psychiatric disorder; a third substance
use disorder, 22.5% mood disorder, and 21.6% anxiety disorder. Adjustment
disorders (7.8%), psychotic disorders (3.9%) and eating disorders (2.9%)
were also present. In the first year post-injury, 60.8% of participants had
one or more psychiatric disorder. The most frequent post-injury disorders
were anxiety (44.1%), mood (42.2%) and substance use disorders (11.8%).
Post-injury disorders were associated with presence of a pre-injury history
(p<0.01), with 74.5% of participants with a preinjury psychiatric history
having a post-injury disorder. However, 45.8% of participants without a
pre-injury history developed a novel psychiatric disorder in the first 12
months post-injury. Onset of psychiatric disorders was more common in the
first 6 months than in the second 6 month period post-injury (p<0.001).
There was a trend towards a significant association between timing of onset
of disorders and presence of a pre-injury psychiatric history (p=0.065),
with more participants with onset in the first six months having a
pre-injury history (70%), compared with those without a preinjury history
(30%). Anxiety disorders followed this course, but novel depressive
disorders were as likely to emerge in the first as in the second six month
period. Conclusions: Although there is evidence that many post-injury
psychiatric disorders represent the continuation of pre-existing disorders,
a significant number of people develop novel psychiatric disorders. This
study demonstrates that the timing of onset differs according to pre-injury
history and sheds some light onto the time individuals are most at risk for
experiencing or developing a psychiatric disorder. In addition, there appear
to be different trajectories for different classes of disorders. The lower
rates of substance use disorders may be due to doctors' instructions for
abstinence in the first year post-injury. Accordingly, participants are
prospectively followed-up yearly for five years.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain injury
mental disease
traumatic brain injury
EMTREE MEDICAL INDEX TERMS
abstinence
adjustment disorder
adult
anxiety
anxiety disorder
depression
eating disorder
injury
male
mood
mood disorder
physician
psychosis
risk
semi structured interview
Structured Clinical Interview for DSM Disorders
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70147873
DOI
10.3109/02699051003648227
FULL TEXT LINK
http://dx.doi.org/10.3109/02699051003648227
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1107
TITLE
Are we there yet? The four-year impact of a VA fellowship program on the
recovery orientation of rehabilitation programs.
AUTHOR NAMES
Kymalainen J.A.
Henze K.T.
Deluca M.
Mitton T.A.
Walton H.M.
Duffy P.
Kapungu C.
Lefebvre T.
Alexander W.H.
Pinsky J.
AUTHOR ADDRESSES
(Kymalainen J.A.; Henze K.T.; Deluca M.; Mitton T.A.; Walton H.M.; Duffy P.;
Kapungu C.; Lefebvre T.; Alexander W.H.; Pinsky J.) Edith Nourse Rogers
Memorial VA Medical Center, Bedford, MA 01730, USA.
CORRESPONDENCE ADDRESS
J.A. Kymalainen, Edith Nourse Rogers Memorial VA Medical Center, Bedford, MA
01730, USA. Email: Jennifer.Kymalainen@va.gov
SOURCE
Psychiatric rehabilitation journal (2010) 33:4 (320-327). Date of
Publication: 2010 Spring
ISSN
1095-158X
ABSTRACT
OBJECTIVE: This study represents the first program evaluation of the impact
of a Psychosocial Rehabilitation (PSR) fellowship program within the
Veterans Health Administration (VHA). Specifically, it examines the recovery
orientation of five mental health rehabilitation programs at the Edith
Nourse Rogers Memorial VA Medical Center (ENRM VAMC) in Bedford, MA by
comparing program stakeholder rating of the "recovery orientation" between
the initial data and the four-year follow-up during which the PSR fellowship
was in operation. The goal of this fellowship program is to increase the
VHA's fidelity to recovery-oriented best practice recommendations. METHOD:
Participants were mental health consumers and staff members within five key
psychiatric rehabilitation programs at the ENRM VAMC. Perception of
programs' recovery orientation was measured at the start of the fellowship
(Time 1) and after the fellowship was in place for four years (Time 2).
RESULTS: Results demonstrate that across the entire sample of stakeholders,
perceptions of recovery orientation significantly improved from Time 1 to
Time 2. Results also reveal a significant overall increase in program
recovery orientation over time in three out of the five rehabilitation
programs, with years of fellow involvement in particular programs
significantly and positively correlating with increases in ratings of
program recovery-orientation gains. DISCUSSION: Implications for using
fellowships as agents of program change, and specifically, recovery-oriented
change, are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
government
in service training
medical education
mental disease (rehabilitation)
patient care
social adaptation
veteran
vocational rehabilitation
EMTREE MEDICAL INDEX TERMS
adult
aged
article
comparative study
consumer
female
health services research
human
male
middle aged
multimodality cancer therapy
psychological aspect
treatment outcome
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20374990 (http://www.ncbi.nlm.nih.gov/pubmed/20374990)
PUI
L358847563
DOI
10.2975/33.4.2010.320.327
FULL TEXT LINK
http://dx.doi.org/10.2975/33.4.2010.320.327
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1108
TITLE
Life-long substance abuse and the management of comorbid medical illness
AUTHOR NAMES
Cleves-Bayon J.C.
Correa P.R.
Trevisan L.A.
AUTHOR ADDRESSES
(Cleves-Bayon J.C.; Correa P.R.; Trevisan L.A.) Yale University, School of
Medicine, New Haven, United States.
CORRESPONDENCE ADDRESS
J.C. Cleves-Bayon, Yale University, School of Medicine, New Haven, United
States.
SOURCE
American Journal of Geriatric Psychiatry (2010) 18:3 SUPPL. 1 (S25). Date of
Publication: March 2010
CONFERENCE NAME
2010 AAGP Annual Meeting
CONFERENCE LOCATION
Savannah, GA, United States
CONFERENCE DATE
2010-03-05 to 2010-03-08
ISSN
1064-7481
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Addiction specialists and organizations for the elderly anticipate a rapidly
increasing number of elderly patients needing help for addictions and their
medical sequelae. The Substance Abuse and Mental Health Administration
foresees 4.4 million older substance abusers by 2020, compared with 1.7
million in 2001. 83 percent of older addicts were 50-59, and the trailing
edge of this group, age 50-54, is the fastest growing older group. Elderly
substance abuse and its medical comorbid sequelae are becoming increasingly
important to internists, family practitioners and general, geriatric and
addiction psychiatrists. Special emphasis is placed on recognizing and
medically co-managing the often severe medical conditions accompanying
life-long substance abuse. Appropriate pharmacologic interventions involving
consideration of proper dosing and drug-drug interactions will be reviewed.
In addition, non-pharmacologic interventions, including the use of brief
interventions, psychosocial interventions and formal addiction treatment
will also be reviewed. Symposium learning objectives will be met by
demonstrating a systematic and evidence-based approach to evaluating and
treating substance abuse in the elderly. This will be accomplished through a
combination of several brief didactic presentations, videotaped interview
vignettes, and audience participation using a participatory discussion
format at strategic points in the clinical management of cases. Brief
didactic presentations will focus on epidemiology, assessment techniques
including use of standardized questionnaires, laboratory and medical
assessments, and specialized treatment approaches (pharmacologic,
psychotherapeutic and psychosocial). Special emphasis will be placed on the
most common medically co-morbid conditions associated with life long
substance abuse including: HIV disease, Liver disease/HCV, Cardiac disease,
Gastrointestinal and Pulmonary disease. This format is designed to educate
and help guide the participants in making decisions based on real-life
patient cases concerning identification of problems, making accurate
assessments and treatment interventions, and developing goals for substance
abuse treatment in the chronically medically ill elderly substance abusing
patient.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general aspects of disease
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
aged
drug dependence
drug interaction
epidemiology
evidence based practice
general practitioner
health care management
heart disease
Human immunodeficiency virus
interview
laboratory
learning
liver
lung disease
medical assessment
medical specialist
mental health
organization
patient
psychiatrist
questionnaire
vignette
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70350122
DOI
10.1097/01.JGP.0000369161.13792.ad
FULL TEXT LINK
http://dx.doi.org/10.1097/01.JGP.0000369161.13792.ad
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1109
TITLE
Stigma's relationship to substance abuse counselors' HIV medication
adherence counseling intention
AUTHOR NAMES
Bass M.
Linsk N.
AUTHOR ADDRESSES
(Bass M.; Linsk N.) University of Illinois, Chicago, Midwest AIDS Training
and Education Center, Chicago, United States.
CORRESPONDENCE ADDRESS
M. Bass, University of Illinois, Chicago, Midwest AIDS Training and
Education Center, Chicago, United States.
SOURCE
Journal of the International Association of Physicians in AIDS Care (2010)
9:1 (61-62). Date of Publication: 2010
CONFERENCE NAME
International Association of Physicians in AIDS Care, IAPAC Conference
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2009-11-29 to 2009-12-01
ISSN
1545-1097
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Stigma is a consideration when developing HIV medication adherence
intervention models. In this study, a randomly selected sample, 104 of 2798
certified substance abuse counselors (SACs) froma RyanWhite
eligiblemetropolitan area, responded to a mail survey. Utilizing a Theory of
Planned Behavior based model (Ajzen), the survey contained scalesmeasuring
personal and public stigma and another measuring SACs' behavioral intention
to performnon-prescriberHIVmedication adherence counseling tasks supporting
their clients. Methods: A modified stigma scale (Berger) was utilized to
determine SAC personal and their perception of public stigma regarding HIV
and substance use. Items were scored and ranked. Linear regression of scales
was conducted with a modified HIV medication adherence counseling scale
(Bentley) measuring SACs' willingness to perform ten different HIV
medication adherence counseling tasks. Results: During the last year 78% of
SACs reported counseling clients taking medications; 41% counseled HIV
affected persons; 64% reported their agency has HIV services. SACs reported
higher levels of public stigma than personal stigma. Linear regression
analysis indicates SACs' personal stigma significantly related to intention
to support client HIV medication adherence (β = -.41, P = .001), with lower
levels of stigma related to higher intention. While public stigma is not
significant (β = .19), it points to SACs who have greater public stigma
awareness having greater practice intention. Discussion: Findings suggest
SACs perceive greater amounts of stigma among the public about HIV and
substance use than personally. However, personal stigma, not public, has a
relationship to their willingness to support client HIV medication
adherence. Collaborative health care including substance abuse counseling
has been encouraged to increase HIV medication adherence among this hard to
reach population. The findings point to the need to include stigma when
planning HIV medication adherence interventions and training at substance
abuse treatment agencies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
counseling
Human immunodeficiency virus
patient compliance
physician
substance abuse
EMTREE MEDICAL INDEX TERMS
drug therapy
health care
linear regression analysis
model
planning
population
Theory of Planned Behavior
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70089853
DOI
10.1177/1545109709356933
FULL TEXT LINK
http://dx.doi.org/10.1177/1545109709356933
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1110
TITLE
Tobacco-related medical education and physician interventions with parents
who smoke: Survey of Canadian family physicians and pediatricians
AUTHOR NAMES
Victor J.C.
Brewster J.M.
Ferrence R.
Ashley M.J.
Cohen J.E.
Selby P.
AUTHOR ADDRESSES
(Victor J.C., charles.victor@ices.on.ca) Institute for Clinical Evaluative
Sciences, 2075 Bayview Ave, Toronto, ON M4N 3M5, Canada.
(Brewster J.M.) Dalla Lana School of Public Health, University of Toronto,
Canada.
(Ferrence R.; Cohen J.E.) Ontario Tobacco Research Unit, Canada.
(Ferrence R.) Centre for Addiction and Mental Health, Toronto, ON, Canada.
(Ferrence R.; Ashley M.J.; Cohen J.E.; Selby P.) Dalla Lana School of Public
Health, .
(Selby P.) Addictions Program, .
(Selby P.) Nicotine Dependence Clinic, Centre for Addiction and Mental
Health, .
CORRESPONDENCE ADDRESS
J. C. Victor, Institute for Clinical Evaluative Sciences, 2075 Bayview Ave,
Toronto, ON M4N 3M5, Canada. Email: charles.victor@ices.on.ca
SOURCE
Canadian Family Physician (2010) 56:2 (157-163). Date of Publication:
February 2010
ISSN
0008-350X
BOOK PUBLISHER
College of Family Physicians of Canada, 2630 Skymark Avenue, Mississauga
Ont., Canada.
ABSTRACT
OBJECTIVE: To examine the relationship between physicians' tobacco-related
medical training and physicians' confidence in their tobacco-related skills
and smoking-related interventions with parents of child patients. DESIGN:
Mailed survey. SETTING: Canada. PARTICIPANTS: The survey was mailed to 800
family physicians and 800 pediatricians across Canada, with a corrected
response rate of 65% (N = 900). MAIN OUTCOME MEASURES: Physicians'
self-reported tobacco-related education, knowledge, and skills, as well as
smoking-related interventions with parents of child patients.
Cochran-Mantel-Haenszel x (2) tests were used to examine relationships
between variables, controlling for tobacco-control involvement and physician
specialty. Data analysis was conducted in 2008. RESULTS: Physicians
reporting tobacco-related medical education were more likely to report being
"very confident" in advising parents about the effects of smoking and the
use of a variety of cessation strategies (P < .05). Furthermore, physicians
with tobacco-related training were more likely to help parents of child
patients quit smoking whether or not the children had respiratory problems
(P < .05). Physicians with continuing medical education in this area were
more likely to report confidence in their tobaccorelated skills and to
practise more smoking-related interventions than physicians with other forms
of training. CONCLUSION: There is a strong relationship between medical
education and physicians' confidence and practices in protecting children
from secondhand smoke. Physicians with continuing medical education training
are more confident in their tobacco-related skills and are more likely to
practise smoking-related interventions than physicians with other
tobacco-related training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
parental smoking
physician attitude
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
child
child health
clinical practice
continuing education
general practitioner
health education
health survey
human
parent counseling
passive smoking
pediatrician
professional knowledge
respiratory tract disease
self report
skill
tobacco
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2010152775
MEDLINE PMID
20154251 (http://www.ncbi.nlm.nih.gov/pubmed/20154251)
PUI
L358403997
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1111
TITLE
The use of concept mapping to determine educational needs for a primary care
opioid risk management course
AUTHOR NAMES
Chiauzzi E.
Zacharoff K.L.
Trudeau K.J.
Bond K.S.
Yiu E.C.
AUTHOR ADDRESSES
(Chiauzzi E., echiauzzi@inflexxion.com) Clinical Psychologist, Newton,
United States.
(Zacharoff K.L.; Trudeau K.J.; Yiu E.C.) Inflexxion, Inc., Old Field, United
States.
(Bond K.S.) Inflexxion, Inc, Newton, United States.
CORRESPONDENCE ADDRESS
E. Chiauzzi, Clinical Psychologist, Newton, United States. Email:
echiauzzi@inflexxion.com
SOURCE
Pain Medicine (2010) 11:2 (308). Date of Publication: February 2010
CONFERENCE NAME
26th Annual Meeting of the American Academy of Pain Medicine, AAPM
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-02-03 to 2010-02-06
ISSN
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Primary care physicians (PCPs) treat a high proportion of pain patients, but
often lack training in pain management, opioid prescribingprescribing, and
addiction medicine skills. This poster describes the formative evaluation
for an interactive CME course, focusing on managing pain patients when
opioids are the appropriate treatment. Materials and Methods: Three methods
determined the critical information needs for the proposed course: (1)
literature review, (2) expert interviews, and (3) concept mapping. Sixteen
pain management and addiction medicine specialists completed interviews and
concept mapping (sorting and rating items). The literature review and
interviews identified 90 PCP opioid risk assessment and addiction medicine
training topics. Concept mapping was administered through an online program,
which then generated a graphical analysis of conceptual clusters with
associated topics. The research protocol was approved by the New England
IRB. Results: Expert interviews indicated several key themes: (1) need for
goal-setting treatment plans, (2) importance of comorbid psychiatric
conditions, (3) identification of risk through opioid screening tools, and
(4) attention to motivational counseling. Concept mapping revealed 10
clusters, with the highest importance in: (1) How to Manage Chronic Pain in
Patients with Comorbid Conditions, (2) Formulating an Opioid Treatment Plan,
and (3) Understanding Aberrant Drug-Related Behavior. The poster will
illustrate the concept map clusters and topics with the highest ratings.
Conclusions: Concept mapping is an effective, time-effective technique to
assess learning needs for primary care CME. This investigation was able to
identify key informational clusters, as well as individual topics based on
perceived importance.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
concept mapping
pain
primary medical care
risk management
EMTREE MEDICAL INDEX TERMS
addiction
chronic pain
counseling
interview
learning
medical specialist
methodology
patient
physician
risk
risk assessment
screening
skill
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70212063
DOI
10.1111/j1526-4637.2009.00781.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j1526-4637.2009.00781.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1112
TITLE
The dual diagnosis physician-infrastructure assessment tool: Examining
physician attributes and dual diagnosis capacity
AUTHOR NAMES
Chambers R.A.
Connor M.C.
Boggs C.J.
Parker G.F.
AUTHOR ADDRESSES
(Chambers R.A., robchamb@iupui.edu; Parker G.F.) Institute of Psychiatric
Research, Department of Psychiatry, Indiana University School of Medicine,
791 Union Dr., Indianapolis, IN 46202, United States.
(Chambers R.A., robchamb@iupui.edu; Parker G.F.) Indiana Division of Mental
Health and Addiction, Indianapolis, IN, United States.
(Boggs C.J.) Indiana Family and Social Services Administration,
Indianapolis, IN, United States.
(Connor M.C.) Indiana State Department of Health, Indianapolis, IN, United
States.
CORRESPONDENCE ADDRESS
R. A. Chambers, Institute of Psychiatric Research, Department of Psychiatry,
Indiana University School of Medicine, 791 Union Dr., Indianapolis, IN
46202, United States. Email: robchamb@iupui.edu
SOURCE
Psychiatric Services (2010) 61:2 (184-188). Date of Publication: February
2010
ISSN
1075-2730
1557-9700 (electronic)
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
ABSTRACT
Objective: Inadequate physician training and involvement in addictions
treatment are barriers to integrating mental health and addiction services
in public behavioral health care. The authors designed and implemented the
Dual Diagnosis Physician-infrastructure Assessment Tool (DDPAT) to quantify
statewide dimensions of this workforce problem. Methods: The DDPAT examined
institutional dual diagnosis capability and physician workforce, training
backgrounds, and clinical roles across Indiana's 30 community mental health
centers (CMHCs), six psychiatric hospitals, and 13 addiction treatment
centers. Results: All treatment centers and 75% of physicians responded.
Sixty-nine percent of all treatment centers and 97% of CMHCs reported dual
diagnosis capability. However, 29% of physicians treated both mental illness
and addictions, and only 8% had certification in an addiction specialty.
Overall workforce shortages, particularly of younger psychiatrists,
contextualized these findings. Conclusions: The DDPAT identified multiple
deficiencies in the physician workforce with respect to dual diagnosis and
addictions care in Indiana. The DDPAT may be useful for characterizing
similar trends in other states.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
dual diagnosis physician infrastructure assessment tool
mental disease
questionnaire
EMTREE MEDICAL INDEX TERMS
adult
aged
article
certification
human
medical education
normal human
physician
professional competence
quantitative analysis
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010090762
MEDLINE PMID
20123825 (http://www.ncbi.nlm.nih.gov/pubmed/20123825)
PUI
L358242767
DOI
10.1176/appi.ps.61.2.184
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ps.61.2.184
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1113
TITLE
Perceived need for training and skills development related to addiction risk
for patients with pain
AUTHOR NAMES
Tanner T.B.
Rossie K.
AUTHOR ADDRESSES
(Tanner T.B., tanner@clinicaltools.com; Rossie K.) Clinical Tools, Inc.,
Chapel Hill, United States.
CORRESPONDENCE ADDRESS
T.B. Tanner, Clinical Tools, Inc., Chapel Hill, United States. Email:
tanner@clinicaltools.com
SOURCE
Pain Medicine (2010) 11:2 (332-333). Date of Publication: February 2010
CONFERENCE NAME
26th Annual Meeting of the American Academy of Pain Medicine, AAPM
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-02-03 to 2010-02-06
ISSN
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
The need for better skills training related to addiction risk associated
with pain treatment is understood (CASA, 2005; Merrill, 2002; Lin, 2007).
But data to guide such development so that it emphasizes the greatest need
is limited. Materials and Methods: We interviewed six primary care providers
about their concerns and challenges in prescribing opioids and treating pain
and addiction as well as their needs and preferences 333 regarding
continuing medical education (CME) courses on pain and addiction. Results:
The PCPS greatest concern when prescribing opioids to patients was the
potential for addiction. Their greatest challenges were: 1) diversion, 2)
cooccurring psychiatric disorder, and 3) inability of nonopioid treatments
to relieve pain. Some participants felt that additional training would help
address these challenges. For treating pain in alreadyaddicted patients,
they requested information on: 1) discerning drug-seeking behavior due to
addiction versus undertreated pain, 2) identifying relapse into addiction,
3) urine drug testing, 4) informed consent and treatment agreements, 5) how
to take an addiction history, and 6) referral resources and clinical tools
to help clinicians identify, interview, and manage addicted patients.
Participants expressed the most interest in back pain, fibromyalgia,
neuropathy, and osteoarthritis. Their greatest interest for practical skills
training was in screening for addiction or interviewing pain patients.
Conclusions: PCPs identify a need for education on the risk of addiction in
patients with pain. Meeting that need will require a comprehensive resource
addressing multiple skills deficits and tools to help the provider find
appropriate resources.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
pain
patient
risk
skill
EMTREE MEDICAL INDEX TERMS
backache
drug screening
education
fibromyalgia
informed consent
interview
medical education
mental disease
neuropathy
osteoarthritis
primary medical care
relapse
screening
urine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70212117
DOI
10.1111/j1526-4637.2009.00781.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j1526-4637.2009.00781.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1114
TITLE
Analysis of likely prescriber acceptance of elements of an opioid class risk
evaluation and mitigation strategy (REMS)
AUTHOR NAMES
Porada S.
AUTHOR ADDRESSES
(Porada S., sp@mededucators.com) Aventine Health Sciences, Montclair, United
States.
CORRESPONDENCE ADDRESS
S. Porada, Aventine Health Sciences, Montclair, United States. Email:
sp@mededucators.com
SOURCE
Pain Medicine (2010) 11:2 (330-331). Date of Publication: February 2010
CONFERENCE NAME
26th Annual Meeting of the American Academy of Pain Medicine, AAPM
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-02-03 to 2010-02-06
ISSN
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
The Food and Drug Administration (FDA) has requested that a REMS be
implemented for select Schedule II (CII) opioid analgesics to address
safety, misuse, and abuse. The level of acceptance of REMS elements and the
likelihood of practitioner participation in an assumed baseline REMS was
examined in a practitioner survey. Methods: This internet-based survey was
distributed to 2500 practitioners, and 538 unique visitors comAAPM 2010
Annual Meetings Abstracts 331 pleted it. Responses were studied related to
various REMS elements and a predefined REMS “model” designed specifically
for this survey. Results: Of respondents, 81.37% were prescribers of the
FDA-targeted CII opioid analgesics. Opinion was that the amount of education
acceptable under a REMS to maintain prescribing ability was: 1 hour or less,
40.5%; 1.1 to 1.5 hours, 14.3%; 1.6 to 2 hours, 19%; and 24 hours, 26.7%.
External patient safety messaging with confirmation of understanding for
prescription activation would be acceptable by 78% of participants. Assuming
a 1-hour education requirement, external patient messaging, and prescription
activation, 90% of respondents were likely to comply with the REMS, with 10%
likely to opt out of prescribing FDA-targeted opioids. Conclusions: The
majority of practitioners surveyed were willing to be educated in order to
maintain prescribing privileges for select CII opioid analgesics and are
willing to require their patients be engaged in a safety messaging continuum
for prescription activation. Any requirement imposed on practitioners to
maintain prescribing abilities of certain medications would no doubt result
in a segment of practitioners opting out and losing prescribing privileges
of these medications.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
narcotic analgesic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain
risk
EMTREE MEDICAL INDEX TERMS
abuse
drug therapy
education
food and drug administration
Internet
model
patient
patient safety
physician
prescription
safety
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70212112
DOI
10.1111/j1526-4637.2009.00781.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j1526-4637.2009.00781.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1115
TITLE
Stakeholders views on abuse and diversion in kentucky
AUTHOR NAMES
Peppin J.F.
Kirsh K.
Porada S.
Cole B.E.
AUTHOR ADDRESSES
(Peppin J.F., johnpeppin@msn.com; Cole B.E.) Pain Treatment Center of the
Bluegrass, Lexington, United States.
(Kirsh K.; Porada S.) Aventine HealthSciences, Montclair, United States.
CORRESPONDENCE ADDRESS
J.F. Peppin, Pain Treatment Center of the Bluegrass, Lexington, United
States. Email: johnpeppin@msn.com
SOURCE
Pain Medicine (2010) 11:2 (330). Date of Publication: February 2010
CONFERENCE NAME
26th Annual Meeting of the American Academy of Pain Medicine, AAPM
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-02-03 to 2010-02-06
ISSN
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Scheduled medication abuse and diversion of is a serious problem nationally
and particularly challenging in Kentucky. To date, few solutions for this
multifaceted problem have emerged. Stakeholders were gathered into a
committee comprised of law enforcement, regulatory, pharmacy, nursing,
physicians (addiction, internal medicine, pain medicine, family practice,
and palliative medicine), psychology, teen addiction, and education. A focus
group and partial Delphi method rank ordered multiple issues. These issues
were collated and initial questions were developed for an internet survey.
While ongoing, the first 50 responses to the survey were analyzed. When
asked to rank nine potential barriers to reducing diversion in Kentucky,
respondents rated lack of patient responsibility for their prescription
medications (average rank, AR = 2.81) and lack of appropriate pain
management education for prescribers and dispensers (AR = 3.09) as the two
most significant barriers. When asked to rank six sources of information,
which would help reduce diversion but were currently lacking, data on the
number of emergency room and hospital visits for controlled substances (AR =
2.81) and ways to identify the number of criminal activities ties to
controlled substances (AR = 3.05) were the top issues. Of existing
information, KASPER was reported as the single most important source of
data. Future recommendations included better training for healthcare
professionals and adoption of a requirement to show ID to pick up controlled
substance prescriptions. This survey is ongoing and will be reformatted for
a second iteration to help guide policy directions and targets for research
in this area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
pain
United States
EMTREE MEDICAL INDEX TERMS
addiction
Delphi study
drug therapy
education
emergency ward
general practice
health care personnel
hospital
information processing
internal medicine
Internet
law enforcement
nursing
offender
palliative therapy
patient
pharmacy
physician
policy
prescription
psychology
responsibility
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70212111
DOI
10.1111/j1526-4637.2009.00781.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j1526-4637.2009.00781.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1116
TITLE
Practice strategies to improve compliance and patient self-management
AUTHOR NAMES
Ruetsch C.
AUTHOR ADDRESSES
(Ruetsch C., Charles.Ruetsch@healthanalytic.com) Health Analytics, LLC, 9250
Bendix Rd. N., Ste. 240, Columbia, MD 21045, United States.
CORRESPONDENCE ADDRESS
C. Ruetsch, Health Analytics, LLC, 9250 Bendix Rd. N., Ste. 240, Columbia,
MD 21045, United States. Email: Charles.Ruetsch@healthanalytic.com
SOURCE
Journal of Managed Care Pharmacy (2010) 16:1 SUPPL. B (S26-S27). Date of
Publication: February 2010
ISSN
1083-4087
BOOK PUBLISHER
Academy of Managed Care Pharmacy (AMCP), 100 North Pitt St., Suite 400,
Alexandria, United States.
ABSTRACT
BACKGROUND: Failure in treating opioid dependence is costly to the patient,
the employer, managed care organizations, and the overall health care
system. Opioid dependent patients tend to be less productive at work and in
society and utilize a great many health care resources. Optimizing outcomes
is essential. OBJECTIVE: To introduce the benefit of integrated strategies
and patient support in the treatment of opioid dependence. SUMMARY: Health
Analytics is currently studying the benefit of HereToHelp, a behavioral
support program in which registered nurses or addiction treatment counselors
with specialized training in addiction education provide information and
encouragement to patients receiving pharmacologic treatment for opioid
dependence. A total of 470 physicians in 41 states have been enlisted to
participate in this patient support study. The study hypothesis is that
patients who receive behavioral support and encouragement will be more
compliant with their opioid replacement therapy, leading to better outcomes.
Additional treatment strategies are also being developed to minimize the
risk of abuse and diversion. Prodrugs and vaccines are also being
investigated. CONCLUSION: A coordinated team approach is essential in
treating pain patients and opioid-dependent patients. Offering behavior
modification in addition to pharmacotherapy and utilizing strategies such as
prescription monitoring programs, pain contracts, and screening are all
vital components necessary for positive outcomes. Copyright © 2010, Academy
of Managed Care Pharmacy. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
buprenorphine (drug therapy)
capsaicin
clonidine (adverse drug reaction)
dextromethorphan (drug therapy)
ipecac
ketamine (drug therapy)
lofexidine (adverse drug reaction, drug therapy)
memantine (drug therapy)
morphine sulfate (drug combination, drug therapy)
naltrexone (drug combination, drug therapy)
oxycodone (drug combination, drug therapy)
phencyclidine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction (drug therapy, side effect, drug therapy, side effect)
EMTREE MEDICAL INDEX TERMS
article
behavior modification
human
hypotension (side effect)
monitoring
nonhuman
pain (drug therapy)
patient compliance
physician
prescription
risk assessment
self care
treatment outcome
withdrawal syndrome (drug therapy)
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
capsaicin (404-86-4)
clonidine (4205-90-7, 4205-91-8, 57066-25-8)
dextromethorphan (125-69-9, 125-71-3)
ipecac (8012-96-2)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
lofexidine (31036-80-3)
memantine (19982-08-2, 41100-52-1, 51052-62-1)
morphine sulfate (23095-84-3, 35764-55-7, 64-31-3)
naltrexone (16590-41-3, 16676-29-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
phencyclidine (77-10-1, 956-90-1)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010228244
MEDLINE PMID
20146552 (http://www.ncbi.nlm.nih.gov/pubmed/20146552)
PUI
L358644604
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1117
TITLE
Treatment of neonatal abstinence syndrome with clonidine and chloral hydrate
AUTHOR NAMES
Esmaeili A.
Keinhorst A.K.
Schuster T.
Beske F.
Schlösser R.
Bastanier C.
AUTHOR ADDRESSES
(Esmaeili A., anoosh.esmaeili@kgu.de; Keinhorst A.K.; Schuster T.; Beske F.;
Bastanier C.) Department of Pediatrics, Pediatric Cardiology, Goethe
University, Hospital Frankfurt, Theodor-Stern-Kai 7, 60590 Frankfurt am
Main, Germany.
(Schlösser R.) Department of Neonatology, Goethe University, Hospital
Frankfurt, Frankfurt am Main, Germany.
CORRESPONDENCE ADDRESS
A. Esmaeili, Department of Pediatrics, Pediatric Cardiology, Goethe
University, Hospital Frankfurt, Theodor-Stern-Kai 7, 60590 Frankfurt am
Main, Germany. Email: anoosh.esmaeili@kgu.de
SOURCE
Acta Paediatrica, International Journal of Paediatrics (2010) 99:2
(209-214). Date of Publication: February 2010
ISSN
0803-5253
1651-2227 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aim: The objective of this retrospective study is to compare the medical
treatment of neonatal narcotic abstinence syndrome with clonidine and
chloral hydrate with the commonly used combination therapy of morphine and
phenobarbital. Methods: From 1998 to 2008, a total of 133 newborns suffering
from neonatal narcotic abstinence syndrome were treated at our clinic. All
of these patients were born to mothers who had received methadone
substitution for drug addiction during the course of pregnancy. Results:
Twenty-nine patients received clonidine and chloral hydrate, and 64 patients
were treated with morphine and phenobarbital for abstinence syndrome. The
duration of treatment was significantly shorter in the clonidine/chloral
hydrate group (median: 14 days vs. 35 days). Correspondingly, the period of
hospitalization was also considerably shorter in the clonidine/chloral
hydrate group (median: 32 days vs. 44 days). In addition, patients in the
clonidine/chloral hydrate group exhibited markedly reduced withdrawal
symptoms. Conclusion: This study suggests that a treatment of neonatal
abstinence syndrome with clonidine in omission of opiates is possible
without causing short-term adverse cardiovascular effects. Considering the
retrospective design of the study, controlled and prospective trials are
needed. © 2009 Foundation Acta Pædiatrica.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
chloral hydrate (drug combination, drug therapy, oral drug administration)
clonidine (adverse drug reaction, drug combination, drug dose, drug therapy,
intravenous drug administration)
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
morphine (drug combination, drug dose, drug therapy, oral drug
administration)
phenobarbital (drug combination, drug dose, drug therapy, oral drug
administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
withdrawal syndrome (drug therapy, drug therapy)
EMTREE MEDICAL INDEX TERMS
article
cardiovascular disease (side effect)
continuous infusion
drug dependence (drug therapy)
drug dose increase
drug dose reduction
drug effect
drug efficacy
female
human
length of stay
major clinical study
male
methadone treatment
newborn
priority journal
retrospective study
treatment duration
CAS REGISTRY NUMBERS
chloral hydrate (302-17-0)
clonidine (4205-90-7, 4205-91-8, 57066-25-8)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
phenobarbital (50-06-6, 57-30-7, 8028-68-0)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010046397
MEDLINE PMID
19839963 (http://www.ncbi.nlm.nih.gov/pubmed/19839963)
PUI
L358125173
DOI
10.1111/j.1651-2227.2009.01547.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1651-2227.2009.01547.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1118
TITLE
Trends in tobacco-dependence curricula in U.S. medical schools based on 1998
and 2008 surveys
AUTHOR NAMES
Stillman D.
Lee R.
Chu D.
Yu S.
AUTHOR ADDRESSES
(Stillman D.; Lee R.; Chu D.; Yu S.) Loma Linda Medical School, Loma Linda,
United States.
CORRESPONDENCE ADDRESS
D. Stillman, Loma Linda Medical School, Loma Linda, United States.
SOURCE
Journal of Investigative Medicine (2010) 58:1 (175). Date of Publication:
January 2010
CONFERENCE NAME
American Federation for Medical Research Western Regional Meeting, AFMR 2010
CONFERENCE LOCATION
Carmel, CA, United States
CONFERENCE DATE
2010-01-27 to 2010-01-30
ISSN
1081-5589
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Purpose of Study: Improvements in tobacco-dependence treatment in the US
from 1998 to 2008 include 2 revisions of the Public Health Service
Guidelines (2000, 2008), 3 new FDA-approved medications (bupropion &
nicotine nasal spray 1997; varenicline 2006) & regional stimuli provided by
the Tobacco Master Settlement Agreement (1998). Whether US medical schools'
curricula include these advancements is unknown. Methods Used: We faxed a
survey to all US medical schools (13 items, 1997-1998) & an online survey
(20 items, 2007-2008). Both surveys asked 9 comparable topical items. The
2008 survey added 11 items on the schools' curricular methods,
identification of key faculty & stop-smoking training sites. Mean national
curricular trends over 10 years will be assessed. In addition, curricular
changes for individual schools (2008) will be compared to their baseline
(1998). Summary of Results: We had a 70% initial response to the faxed
survey & 2 phone reminders (1998) with a 96.8% final response rate. The
emailed survey along with 2 reminders (2008) obtained a 49.6% (62/125)
initial response rate. In 2008, 88.3% of schools reported their curriculum
includes tobacco dependence. Although 79% (49/62) schools reported having
faculty experts in tobacco dependence, only 21% of schools identified a key
tobacco curriculum coordinator. By 2008, most schools adopted 3 new FDA
approved medications into the curriculum (< 85%). Required course hours for
tobaccodependence treatment skills doubled over 10 years for both categories
of <1-3 hours & 3-5 hours. More schools reported they require clinical
tobacco training (30.8% to 78.7%). Required clinical training increased in
“teaching settings without patients” (12.5% to 36.4%) & “clinical settings
with actual patients” (13.3% to 29.1%). Required performance evaluations
also increased (5% to 29.1%). Conclusions: Tobacco education in US medical
schools appears to have increased in hours of educational time in the last
decade, yet only 1/3 of schools require clinical training & skill
evaluation. Medical educational culture is slow to attain the aggressive
benchmark established by public health advancements in order to combat the
most deadly global epidemic.
EMTREE DRUG INDEX TERMS
amfebutamone
nicotine
nose spray
varenicline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical research
medical school
tobacco dependence
United States
EMTREE MEDICAL INDEX TERMS
drug therapy
education
epidemic
food and drug administration
human
patient
public health
public health service
school
skill
smoking cessation
stimulus
teaching
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70981664
DOI
10.231/JIM.0b013e3181c87db3
FULL TEXT LINK
http://dx.doi.org/10.231/JIM.0b013e3181c87db3
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 1119
TITLE
Health Sciences Online: An extraordinary opportunity for the democratization
of health sciences knowledge
AUTHOR NAMES
Frank E.
AUTHOR ADDRESSES
(Frank E., erica.frank@ubc.ca) School of Population and Public Health,
University of British Columbia, 5804 Fairview Avenue, Vancouver, BC, V6T
1E3, Canada.
CORRESPONDENCE ADDRESS
E. Frank, School of Population and Public Health, University of British
Columbia, 5804 Fairview Avenue, Vancouver, BC, V6T 1E3, Canada. Email:
erica.frank@ubc.ca
SOURCE
Cerebrospinal Fluid Research (2010) 7 SUPPL. 1. Date of Publication: 2010
CONFERENCE NAME
54th Annual Meeting of the Society for Research into Hydrocephalus and Spina
Bifida
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2010-07-07 to 2010-07-10
ISSN
1743-8454
BOOK PUBLISHER
BioMed Central Ltd.
ABSTRACT
According to the World Health Organization, health care requires more
innovative, trans-disciplinary and less-expensive training methods to
increase local education and service opportunities. We are addressing this
issue through Health Sciences Online (HSO) - a virtual learning centre for
comprehensive health professional education. HSO is a portal that provides
access to a collection of top-quality courses and references in medicine,
public health, nursing, dentistry and other health sciences disciplines.
These materials are donated, hosted and maintained by distinguished content
partners so anyone, anywhere in the world can access a free, current,
world-class education through the portal. Materials and methods: HSO
includes more than 50,000 learning objects from already-existing reliable
resource collections, and we are still growing. Material regarding
hydrocephalus and spina bifida is available, provided by medical specialty
societies, accredited continuing education organizations, governments and
universities (including the Centre for Genetics Education, the Canadian
Paediatric Society, and the University of Pittsburgh School of Medicine).
Results: As our next phase, we're beginning work with colleagues all over
the world in creating what we hope to be the largest, most accessible, and
one of the best health sciences universities - all done with distance
HSO-based didactics, local hands-on mentoring, and peer-to-peer distance
feedback. We plan to train many thousands of trainees at a time,
particularly in developing countries, with the students remaining in their
home environments (and thereby building capacity, instead of encouraging
brain drain). Examples of certificates currently under development are in 1)
Exercise and Health, in partnership with CDC, the American College of Sports
Medicine, the Fundacion Santa Fe Bogota Active Living Program, and the
Pedagogical University of Colombia, 2) Perinatal Care, in collaboration with
WHO, and piloting in Africa and South East Asia, 3) Emerging Infectious
Diseases, with WHO, and piloting in a rural community in Panama, 4)
Dermatology for Primary Care Providers, in collaboration with NATO and
Armenia's Yerevan State Medical University and 5) Addiction Medicine for
Medical Students and Residents, in collaboration with the Betty Ford
Institute and the Annenberg Physician Training Program in Addiction
Medicine. Conclusions: HSO is an extraordinary resource for medical
professionals around the world, and we hope to utilize this conference to
teach others about its origins, uses and goals.
EMTREE DRUG INDEX TERMS
iron
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health science
hydrocephalus
society
spinal dysraphism
EMTREE MEDICAL INDEX TERMS
addiction
Africa
Armenia
Asia
brain
college
Colombia
community health nursing
continuing education
dentistry
dermatology
developing country
education
exercise
feedback system
genetics
government
health
health care organization
health practitioner
home environment
hope
infection
learning
medical student
medicine
organization
Panama
perinatal care
physician
primary medical care
rural population
school
sports medicine
student
training
university
vocational education
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70330711
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1120
TITLE
Prevention of addictions amongst children and young people - Opinions of
first-year students of the National Vocational Medical Higher Education
School in Opole
ORIGINAL (NON-ENGLISH) TITLE
Profilaktyka uzaleznień wśród dzieci i młodziezy - Opinie studentów I roku
Państwowej Medycznej Wyzszej Szkoły Zawodowej w O polu
AUTHOR NAMES
Sochocka L.
Kurpas D.
AUTHOR ADDRESSES
(Sochocka L., l-sochocka@wp.pl; Kurpas D.) Panstwowa Medyczna Wyzsza Szkoła
Zawodowa w Opolu, Poland.
(Sochocka L., l-sochocka@wp.pl; Kurpas D.) Katedra i Zakład Medycyny
Rodzinnej Akademii Medycznej we Wrocławiu, Poland.
CORRESPONDENCE ADDRESS
L. Sochocka, Instytut Pielegniarstwa PMWSZ, ul. Katowicka 68, 45-060, Opole,
Poland. Email: l-sochocka@wp.pl
SOURCE
Family Medicine and Primary Care Review (2010) 12:1 (39-45). Date of
Publication: January-March 2010
ISSN
1734-3402
BOOK PUBLISHER
Wydawnictwo Continuo, ul.lelewela 4, Wroclaw woj.dolnoslaskie, Poland.
ABSTRACT
Background. The proposed solution is an integral prevention which takes into
account the overall situation of the pupil and provides for close
collaboration of various environments to shape children and adolescents
abstinence attitudes. Objectives. An aim of the study was assess the opinion
of first year students of a N ational Vocational Medical Higher Education
School in Opole on the subject of the prevention of addictions amongst
children and young people. Material and methods. The study was carried out
with by diagnostic survey amongst first-year students of the National
Vocational Medical Higher Education School in Opole. Results. 190 students
took part in the study, who understand the prevention aimed at limiting the
use of psychoactive substances by children and young people. This action, in
the opinion of 39.40% of respondents should be taken towards children as
young as 10 years old. A school educator should be an initiator of
prophylactic action in the opinion of 53.10%. The most effective methods of
prevention of addictions were: meeting with psychotherapists from the centre
of addictions treatment - 61% and the film - 54.20%. The ban on the
advertisement of alcohol is one of essential elements of the addictions
prevention in the TV according to 51.50% of the respondents. Conclusions. It
is worthwhile to popularize the model of the integral prevention amongst the
National Vocational Medical Higher Education School in Opole. Students have
their own opinion on the subject of the effectiveness of the realization of
action from the scope of the prevention of addictions. The definition and
implementation of subsequent programs should therefore be consulted with
young people, who are the target group. © Copyright by Wydawnictwo Continuo.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
EMTREE MEDICAL INDEX TERMS
alcoholism
article
clinical assessment
human
medical education
medical school
medical student
prophylaxis
psychotherapy
substance abuse
vocational education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Polish
LANGUAGE OF SUMMARY
English, Polish
EMBASE ACCESSION NUMBER
2010186519
PUI
L358510245
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1121
TITLE
Medical students and smoking: Determinants and associated factors
AUTHOR NAMES
Srivastava A.
Srivastava P.
Martolia D.S.
Keshri S.S.
Nigam S.
AUTHOR ADDRESSES
(Keshri S.S.) Departments of Community Medicine, Pharmacology and Pathology,
Rama Medical College, Hospital and Research Center, Kanpur, India.
(Srivastava A., dranurag77@yahoo.com; Srivastava P.; Martolia D.S.; Nigam
S.) Department of Community Medicine, GSVM Medical College, Kanpur, India.
CORRESPONDENCE ADDRESS
A. Srivastava, G-48 sanjay gandhi puram, faizabad road, Lucknow - 226016
Uttar pradesh, India. Email: dranurag77@yahoo.com
SOURCE
Biomedicine (2010) 30:1 (63-70). Date of Publication: January-March 2010
ISSN
0970-2067
BOOK PUBLISHER
Indian Association of Biomedical Scientists, Trivandrum, India.
ABSTRACT
Background &Objective: The aim of this study was to estimate the prevalence
of smoking among medical students of GSVM medical college of Kanpur city; to
evaluate determinants for the problem and to assess the students' knowledge
about the health effects of smoking. Materials and Methods: All medical
students at the GSVM medical college Kanpur (n=947) were subjected to a
English version of the World Health Organization (WHO) standard
questionnaire for young people (global youth tobacco survey) to study their
knowledge, attitudes and practices of smoking. Results:The study revealed
the following results among medical student of Kanpur city. Prevalence of
current smoking among this sample of medical students was 34.9% (49.1% among
males and only 6.1% among females, P < 0.0001). Prevalence of current
smoking increased significantly with age (P < 0.0001), income (P = 0.0059)
and with decreasing academic achievement. More than two third of smokers
believe that the smoking is stress relieving and providing pleasure. The
important reasons for smoking again after having some period of cessation in
232 students were stress, sadness or emotional problems (74.6%), peer
pressure (67.2%) and habitation (56.5%). There was a highly significant
correlation found between alcohol and smoking behaviour. Conclusion:The
study has brought out that there is high prevalence of smoking among medical
students mainly due to peer pressure directly or indirectly either by
friends, by role model or by parents. Hence measures such as advocacy and
societal norms, addressing these factors rather than isolated health
education on the ill effects of smoking, will check the rising trend of
young smokers in developing countries.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
knowledge
medical school
medical student
prevalence
EMTREE MEDICAL INDEX TERMS
academic achievement
adolescent
adult
article
attitude
female
groups by age
human
human experiment
India
male
pleasure
questionnaire
risk factor
smoking cessation
stress management
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011637790
PUI
L362956295
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1122
TITLE
Predictors of substance abuse treatment entry among rural illicit stimulant
users in Ohio, Arkansas, and Kentucky.
AUTHOR NAMES
Carlson R.G.
Sexton R.
Wang J.
Falck R.
Leukefeld C.G.
Booth B.M.
AUTHOR ADDRESSES
(Carlson R.G.) Boonshoft School of Medicine, Center for Interventions,
Treatment, and Addiction Research, Wright State University, Dayton, Ohio
45435, USA.
(Sexton R.; Wang J.; Falck R.; Leukefeld C.G.; Booth B.M.)
CORRESPONDENCE ADDRESS
R.G. Carlson, Boonshoft School of Medicine, Center for Interventions,
Treatment, and Addiction Research, Wright State University, Dayton, Ohio
45435, USA. Email: robert.carlson@wright.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2010) 31:1 (1-7). Date of
Publication: Jan 2010
ISSN
1547-0164 (electronic)
ABSTRACT
Illicit drug use in the rural United States is increasingly common, yet
little is known about drug users' treatment-seeking behaviors. This study
identifies predictors of substance abuse treatment entry over 24 months
among 710 illicit stimulant users in rural areas of Ohio, Arkansas, and
Kentucky. Active users of powdered cocaine, crack cocaine, and/or
methamphetamine (MA) were recruited using respondent-driven sampling.
Participants completed structured interviews at baseline and follow-up
questionnaires every 6 months for 24 months. Data were analyzed using the
Cox proportional hazards model. The paper is informed by the Anderson-Newman
Model. Overall, 18.7% of the sample entered treatment. Ohio or Kentucky
residence, perceived need for substance abuse treatment, higher Addiction
Severity Index (ASI) legal problem composite scores, prior substance abuse
treatment, and tranquilizer use were positively associated with treatment
entry. Nondaily crack cocaine users and marijuana users were less likely to
enter treatment. The findings can help inform rural substance abuse
treatment program development and outreach.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cocaine dependence
drug abuse
health service
patient attitude
rural population
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
psychological aspect
risk factor
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20391264 (http://www.ncbi.nlm.nih.gov/pubmed/20391264)
PUI
L359183900
DOI
10.1080/08897070903442459
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070903442459
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1123
TITLE
Institutional denial or minimization: substance abuse training in social
work education.
AUTHOR NAMES
Quinn G.
AUTHOR ADDRESSES
(Quinn G.) Collegiate Institute for Math & Science, Bronx, New York, USA.
CORRESPONDENCE ADDRESS
G. Quinn, Collegiate Institute for Math & Science, Bronx, New York, USA.
Email: GVQ1@columbia.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2010) 31:1 (8-11). Date of
Publication: Jan 2010
ISSN
1547-0164 (electronic)
ABSTRACT
Substance abuse in the United States has reached catastrophic proportions.
23.6 million people needed treatment for an illicit drug or alcohol use
problem (1). According to the National Association of Social Workers, 60% of
all mental health services are carried out by social workers (3). Therefore,
social workers are in a critical and unique position to address substance
abuse. This study examined the education and training new social workers
receive at 216 graduate programs accredited or in-candidacy for
accreditation by the Council of Social Work Education. An overwhelming
number did not have substance abuse courses as a requirement for all
students, and a significant number did not have one course dedicated to
substance abuse. These astounding deficiencies can only be described as an
institutional denial or minimization.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
curriculum
denial
health education
social work
EMTREE MEDICAL INDEX TERMS
article
education
human
methodology
professional competence
standard
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20391265 (http://www.ncbi.nlm.nih.gov/pubmed/20391265)
PUI
L359183901
DOI
10.1080/08897070903442475
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070903442475
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1124
TITLE
Factors associated with substance use among homeless young adults.
AUTHOR NAMES
Gomez R.
Thompson S.J.
Barczyk A.N.
AUTHOR ADDRESSES
(Gomez R.) School of Social Work, University of Texas at Austin, Austin,
Texas 78130, USA.
(Thompson S.J.; Barczyk A.N.)
CORRESPONDENCE ADDRESS
R. Gomez, School of Social Work, University of Texas at Austin, Austin,
Texas 78130, USA. Email: rgomez@mail.utexas.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2010) 31:1 (24-34). Date of
Publication: Jan 2010
ISSN
1547-0164 (electronic)
ABSTRACT
The purpose of this study was to investigate factors associated with
substance use among homeless young adults. Multinomial logistic regression
analyses examined the influence of social networks and economic factors
among a group of homeless young adults with differing levels of alcohol and
drug use. In addition, for those with an alcohol use disorder, the role of
future time expectancies was examined. A sample (n = 185) of homeless young
adults aged 18 to 23 were recruited from a community drop-in center and
interviewed utilizing self-report instruments. Findings suggest that social
networks, economic factors, and future expectancies are significant
predictors of the level of substance use among homeless young adults. Being
able to identify those areas that place homeless young adults at risk for
substance abuse and dependence has implications for effective intervention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
child behavior
homelessness
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
attitude to health
economics
female
human
male
psychological aspect
risk factor
social support
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20391267 (http://www.ncbi.nlm.nih.gov/pubmed/20391267)
PUI
L359183903
DOI
10.1080/08897070903442566
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070903442566
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1125
TITLE
How is substance use linked to psychosis? A study of the course and patterns
of substance dependence in psychosis.
AUTHOR NAMES
Saddichha S.
Sur S.
Sinha B.N.
Khess C.R.
AUTHOR ADDRESSES
(Saddichha S.) National Institute of Mental Health and Neurosciences
(NIMHANS), Bangalore, India.
(Sur S.; Sinha B.N.; Khess C.R.)
CORRESPONDENCE ADDRESS
S. Saddichha, National Institute of Mental Health and Neurosciences
(NIMHANS), Bangalore, India. Email: saddichha@gmail.com
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2010) 31:1 (58-67). Date of
Publication: Jan 2010
ISSN
1547-0164 (electronic)
ABSTRACT
Substance use in mentally ill patients is now a major problem that
influences the course and outcome of psychosis. With prevalence ranging up
to 60%, several theories were postulated to explain the link. It would be
interesting to know if substances have different effects in persons with
psychosis than in those without. This study aimed to explore patterns of
symptomatology of dependence and comorbid psychiatric illness by comparing
and contrasting it with a group suffering from pure substance dependence.
Consecutively admitted patients who were matched for age, sex, and tobacco
use were divided into 3 groups. These were substance dependence without any
comorbid psychiatric disorder (SD; n = 32), schizophrenia with substance
dependence (SC; n = 31), and bipolar disorder with substance dependence (BD;
n = 31). Patients were administered the Schedules for Clinical Assessment in
Neuropsychiatry (SCAN) and Mini International Neuropsychiatric Inventory
(MINI) to evaluate the chronology of criterion of International
Classification of Diseases (ICD)-10 dependence. Results showed that cannabis
was the most common substance used by both the SC (100%) and BD (80%)
groups. This was followed by alcohol as the most common substance used, with
prevalence of 87% in SC and 77% in BD groups. There was a significant
difference in the pattern of use of cannabis in patients with psychosis, who
developed tolerance much faster (P = .018) and had longer durations of
cannabis use (P = .001) than the SD group. The presence of "loss of control"
over drug use criterion seems to be a specific marker predicting development
of dependence and psychosis. Cannabis use is more strongly associated with
development of psychosis than any other substance.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, diagnosis)
bipolar disorder (complication, diagnosis)
disease course
schizophrenia (complication, diagnosis)
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
female
human
male
onset age
psychiatric diagnosis
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20391271 (http://www.ncbi.nlm.nih.gov/pubmed/20391271)
PUI
L359183907
DOI
10.1080/08897070903442699
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070903442699
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1126
TITLE
A survey of general practitioners' opinions and perceived competencies in
teaching undergraduate psychiatry.
AUTHOR NAMES
Thompson C.
Dogra N.
McKinley R.
AUTHOR ADDRESSES
(Thompson C.) Harplands Hospital, Hilton Road, Stoke on Trent ST4 6TH, UK.
(Dogra N.; McKinley R.)
CORRESPONDENCE ADDRESS
C. Thompson, Harplands Hospital, Hilton Road, Stoke on Trent ST4 6TH, UK.
Email: catherine.thompson@northstaffs.nhs.uk
SOURCE
Education for primary care : an official publication of the Association of
Course Organisers, National Association of GP Tutors, World Organisation of
Family Doctors (2010) 21:1 (20-24). Date of Publication: Jan 2010
ISSN
1473-9879
ABSTRACT
INTRODUCTION: There have been increasing numbers of suggestions that general
practitioners (GPs) should be more involved in undergraduate teaching. This
study looks at GPs' opinions regarding those best placed to deliver
undergraduate psychiatry teaching and what areas of the curriculum GPs feel
competent to teach. The study aims to inform decisions about the
contribution of GPs to the delivery of undergraduate teaching in psychiatry.
METHOD: A questionnaire asked GPs about teaching undergraduate psychiatry in
both general and specialist areas. RESULTS: The response rate was 61%. Over
a third of GPs felt competent to teach psychiatry to undergraduates in a
general practice setting, and the vast majority thought psychiatry should be
taught by a combination of GPs and psychiatrists. GPs felt least confident
about teaching child psychiatry and addiction. CONCLUSIONS: Many GPs would
like to be involved in teaching psychiatry and would welcome further
training. The study suggests that there is capacity for increasing teaching
in collaboration with GPs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
medical education
psychiatry
self concept
teaching
EMTREE MEDICAL INDEX TERMS
adult
aged
article
education
female
health personnel attitude
human
information processing
male
middle aged
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20202317 (http://www.ncbi.nlm.nih.gov/pubmed/20202317)
PUI
L358947325
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1127
TITLE
Prior substance abuse does not affect graft survival or patient mortality in
renal transplant recipients
AUTHOR NAMES
Powers B.D.
Coombs C.
Sifontis N.M.
Herrera A.
Constantinescu S.
Lee I.
Karachristos A.
Silva P.
Daller J.A.
AUTHOR ADDRESSES
(Powers B.D.; Coombs C.; Herrera A.; Constantinescu S.; Lee I.; Karachristos
A.; Silva P.; Daller J.A.) Abdominal Organ Transplant, Temple University
Hospital, Philadelphia, United States.
(Sifontis N.M.) Pharmacy Practice, Temple School of Pharmacy, Philadelphia,
United States.
CORRESPONDENCE ADDRESS
B.D. Powers, Abdominal Organ Transplant, Temple University Hospital,
Philadelphia, United States.
SOURCE
American Journal of Transplantation (2010) 10 SUPPL. 1 (64). Date of
Publication: January 2010
CONFERENCE NAME
American Society of Transplant Surgeons 10th Annual State of the Art Winter
Symposium
CONFERENCE LOCATION
Fort Lauderdale, FL, United States
CONFERENCE DATE
2010-01-15 to 2010-01-17
ISSN
1600-6135
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Objective: To analyze outcomes in renal transplant recipients with or
without a history of substance abuse. Method: Retrospective review of all
renal transplants performed at a teaching hospital between 11/2001 and
12/2007. Substance abuse history was defined as remote, recent or current
use of tobacco, alcohol, and/or intravenous drugs. All patients received
induction therapy with basiliximab or thymoglobulin. Maintenance
immunosuppression consisted of tacrolimus, MMF and corticosteroid therapy.
Primary outcomes included incidence of acute rejection (AR), graft (GS) and
patient survival (PS) at 1 year. Results: (Table presented) There was no
difference between the two groups except for gender, p<0.01. Though there
was a trend toward an increased incidence of acute rejection in the
substance abuse group this was not statistically significant. Graft and
patient survival was similar between the 2 groups. Conclusion: Patients
having histories of substance abuse did as well at 1 year as patients
without such histories with respect to these outcomes. While current
substance abuse remains a relative or absolute contraindication for renal
transplantation, this study does not support excluding prior substance
abusers from renal transplant when graft outcome and patient mortality are
used as outcome metrics.
EMTREE DRUG INDEX TERMS
alcohol
basiliximab
tacrolimus
thymocyte antibody
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
graft recipient
graft survival
kidney graft
mortality
patient
society
substance abuse
surgeon
transplantation
winter
EMTREE MEDICAL INDEX TERMS
acute graft rejection
corticosteroid therapy
gender
immunosuppressive treatment
kidney transplantation
survival
teaching hospital
therapy
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70073351
DOI
10.1111/j.1600-6143.2009.02977.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1600-6143.2009.02977.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1128
TITLE
Intravenous drug use: The predominant risk factors for hepatitis C virus
infection
AUTHOR NAMES
Fallahian F.
Najafi A.
Alavian S.M.
AUTHOR ADDRESSES
(Fallahian F., falahianfff@yahoo.com) Intensive Care Unit, Sina Hospital,
Tehran University of Medical Sciences, Tehran, Iran.
(Najafi A.) Department of Anesthesiology, Sina Hospital, Tehran University
of Medical Sciences, Tehran, Iran.
(Alavian S.M.) Baqiyatallah Research Center for Gastroenterology and Liver
Disease, Baqiyatallah University of Medical Sciences, Tehran, Iran.
CORRESPONDENCE ADDRESS
F. Fallahian, Intensive Care Unit, Sina Hospital, Tehran University of
Medical Sciences, Tehran, Iran. Email: falahianfff@yahoo.com
SOURCE
Shiraz E Medical Journal (2010) 11:4 (209-218). Date of Publication: October
2010
ISSN
1735-1391
BOOK PUBLISHER
Shiraz University of Medical Sciences, School of Medicine, 8th floor,,
Shiraz, Iran. semj@sums.ac.ir
ABSTRACT
This manuscript provides a literature review of prevalence and routes of
hepatitis C virus transmission, and prevention methods regarding its
prevalence in different populations. There is a great difference in the
frequency of hepatitis C virus infection of general population versus
injection drug users. Even in developing countries with unsafe therapeutic
injections and contaminated blood, the rate of disease is higher in
injecting drug usere. A literature review of published scientific reports on
HCV epidemiology, prevalence, and its relation to addiction in some
countries was performed. While different epidemiologic patterns of HCV
infection exist with seroprevalence of 0.4% to 1.1% and 9.6% to 20% in
general population in North America and some countries of North Africa;
respectively, the frequency of HCV infection in injection drug users is 48%
to 90%. Injection drug use seems the most important worldwide risk factor
for hepatitis C virus infection. Substance abuse, HCV infection and mental
illness frequently coexist and complicate HCV treatment. Implementing
effective measures for preventing injecting drug use by effective drug
education programs in school, research in behavioral/environmental addiction
predispositions, implement strict drug abuse policy, regular estimation of
addiction patterns, and to model prevention approaches according to every
certain situation is necessary. Copyright © 2010, Shiraz E Medical Journal.
All rights reserved.
EMTREE DRUG INDEX TERMS
antiretrovirus agent (drug therapy)
buprenorphine (drug interaction, pharmacokinetics)
efavirenz (drug interaction, pharmacokinetics)
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis C (drug therapy, drug therapy, epidemiology)
intravenous drug abuse
EMTREE MEDICAL INDEX TERMS
addiction
article
comorbidity
developing country
drug potentiation
education program
Hepatitis C virus
mental disease
opiate addiction (drug therapy)
risk factor
seroprevalence
virus transmission
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
efavirenz (154598-52-4)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010578269
PUI
L359789461
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 1129
TITLE
Efficacy of combined antiviral therapy with pegylated interferon alpha-2a
and ribavirin for chronic hepatitis C infection in intravenous drug users
AUTHOR ADDRESSES
SOURCE
Srpski arhiv za celokupno lekarstvo (2010) 138:1-2 (43-49). Date of
Publication: 2010 Jan-Feb
ISSN
0370-8179
ABSTRACT
INTRODUCTION: Hepatitis C Virus infection represents not just a medical, but
also a socio-economic problem. It is estimated that among 170 million
infected, 60% belongs to the category of intravenous drug users (IDUs).
OBJECTIVE: The aim of this paper was to compare the response to the combined
therapy of pegylated interferon alfa 2a and ribavirin, in the group of
patients with HCV infection who were intravenous drug users (IDUs) and in
patients who were identified in the other way of transmission of HCV. Also
to identify the influence of the therapy on diseases of addiction, during
the course of HCV infection and on the effects of the combined therapy of
pegylated interferon alfa 2a and ribavirin. METHODS: We conducted a
retrospective-prospective study, on 60 patients, treated with combined
antiviral therapy--pegylated interferon alfa 2a and ribavirin. 30 patients
were from the group of IDUs, and 30 patients from other epidemiological
groups. RESULTS: There were significant differences between the age of the
patients (30.2 +/- 7.1 vs. 39.3 +/- 11.2 years; p = 0.002), but no
significant difference in the duration of the HCV infection between the two
groups of patients (8.9 +/- 7.4 vs. 13.1 +/- 7.0 years; p > 0.05). A large
number of the patients in the group of IDUs had a problem with the
abstinence of the drug abuse. In this group, there was the influence of
alcohol (30%) and other substances with potential hepatotoxicity: marihuana
(23.3%) and psychoactive drugs (73.6%). Staging of the liver fibrosis was
not influenced by those two parameters and was similar in both groups (p >
0.05). The genotype 3a was dominant in intravenous drug users (50.0%) and
genotype 1b in the control group of the patients (76.6%). In both groups,
SVR was achieved at a higher percentage (86% vs. 70.00%; p > 0.05), but
among the intravenous drug users the relapses of HCV infection were at a
lower percentage (3.3% vs. 20.0%; p = 0.044). Side effects were noticed in
solitary cases in both of the examined groups, but severe side effects were
found only in the control group of the patients. Relapse of drug abuse was
noticed in 6.66% of cases. CONCLUSION: We have registered that the group of
intravenous drug users has the same or even better response to the antiviral
therapy than other epidemiological groups and that the use of drugs does not
change the course of HCV infection.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alpha2a interferon (drug administration)
antivirus agent (drug administration)
macrogol derivative (drug administration)
ribavirin (drug administration)
EMTREE DRUG INDEX TERMS
peginterferon alpha2a
peginterferon alpha2a
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis C (drug therapy, etiology)
substance abuse (complication)
EMTREE MEDICAL INDEX TERMS
adult
article
drug combination
female
human
male
middle aged
CAS REGISTRY NUMBERS
alpha2a interferon (76543-88-9)
peginterferon alpha2a (198153-51-4)
ribavirin (36791-04-5)
LANGUAGE OF ARTICLE
Serbian
MEDLINE PMID
20425908 (http://www.ncbi.nlm.nih.gov/pubmed/20425908)
PUI
L358821187
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1130
TITLE
Evaluation of depression in HIV/AIDS patients refering to behavioral
counselling center of Imam Khomeini Hospital
AUTHOR NAMES
Khochak H.E.
Noorifard M.
Kashi A.H.
Arbabi M.
Kheirandish P.
Badie B.M.
Rasoolinejad M.
AUTHOR ADDRESSES
(Khochak H.E.; Noorifard M.; Kashi A.H.; Arbabi M.; Kheirandish P.; Badie
B.M.; Rasoolinejad M., rasoline@tums.ac.ir) Iranian Research Center for
HIV/AIDS, School of Medicine, Tehran University of Medical Sciences, Tehran,
Iran.
CORRESPONDENCE ADDRESS
M. Rasoolinejad, Iranian Research Center for HIV/AIDS, School of Medicine,
Tehran University of Medical Sciences, Tehran, Iran. Email:
rasoline@tums.ac.ir
SOURCE
Acta Medica Iranica (2009) 47:3 (193-196). Date of Publication: 2009
ISSN
0044-6025
0044-6025 (electronic)
BOOK PUBLISHER
Medical Sciences University of Teheran, Enghelab Avenue, Teheran, Iran.
ABSTRACT
HIV/AIDS because of its transmission methods has cultural, social and
psychiatric impacts on patients especially in Islamic countries. We
investigated depression frequency in an Iranian referral center for HIV/AIDS
patients. All patients attending the counseling centre of Imam Khomeini
Hospital during 2006 and 2007 who agreed to participate were enrolled.
Depression was measured by Beck Depression Inventory-II (BDI-II)
questionnaire. Patients with score 15 and above were considered depressed.
199 patients (27 female; age 37.9 ± 9.5) filled the questionnaire. BDI-II
scores 13 and above and 15 and above were detected in 74/1% and 71/7% of
patients, respectively. We observed statistically significant relationship
between depression (as defined by BDI-II score≥ 15) and CD4 count, duration
of diagnosed seropositivity, history of depression in the patients and
his/her family, imprisonment, job status and education level. The
relationship between depression and addiction was not statistically
significant. The observed frequency of depression in our study (74%) is one
of the highest ever reported. we recommend regular psychiatric visits for
these patients in Islamic countries. © 2009 Tehran University of Medical
Sciences. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (diagnosis, epidemiology)
Human immunodeficiency virus infected patient
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
addiction
adult
article
Beck Depression Inventory
CD4 lymphocyte count
female
human
Human immunodeficiency virus infection
incidence
Iran
major clinical study
male
patient counseling
psychologic assessment
questionnaire
risk factor
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009641870
PUI
L355788089
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1131
TITLE
Movies as a vehicle to teach addiction medicine
AUTHOR NAMES
Cape G.
AUTHOR ADDRESSES
(Cape G., gavin.cape@stonebow.otago.ac.nz) Department of Psychological
Medicine, University of Otago, Dunedin, New Zealand.
CORRESPONDENCE ADDRESS
G. Cape, Department of Psychological Medicine, University of Otago, Dunedin,
New Zealand. Email: gavin.cape@stonebow.otago.ac.nz
SOURCE
International Review of Psychiatry (2009) 21:3 (213-217). Date of
Publication: 2009
ISSN
0954-0261
1369-1627 (electronic)
BOOK PUBLISHER
Informa Healthcare, 69-77 Paul Street, London, United Kingdom.
ABSTRACT
Dependence on a substance and the role of medical practitioners in this
health problem can be perceived as an enigma. Movies, as a tool for
teaching, can be a powerful means of engaging, clarifying and educating
students within the addiction medicine arena. Popular mythologies and
stereotypes of drug use (including alcohol) and users in cinema can be
explored within a learning environment aiding the understanding of this
complex topic, thereby improving the therapeutic commitment to addiction
medicine. There is a responsibility of the teacher to use this tool with
care so as not to perpetuate the mythologies of addiction as often portrayed
within commercial cinema. Tried and tested use of this potent educational
aid, with suggestions for further development, are outlined in this article.
© 2009 Institute of Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
audiovisual equipment
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholism
human
priority journal
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009570824
MEDLINE PMID
19459096 (http://www.ncbi.nlm.nih.gov/pubmed/19459096)
PUI
L355537429
DOI
10.1080/09540260902747094
FULL TEXT LINK
http://dx.doi.org/10.1080/09540260902747094
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1132
TITLE
Practical anti-tobacco intervention in education ability of undergraduates
of medical faculty
ORIGINAL (NON-ENGLISH) TITLE
Praktyczna interwencja antytytoniowa w edukacji studentów medycyny.
AUTHOR NAMES
Bielska D.
Trofimiuk E.
Kurpas D.
Wojtal M.
AUTHOR ADDRESSES
(Bielska D.) Zakład Medycyny Rodzinnej i Pielegniarstwa Srodowiskowego,
Uniwersytet Medyczny, Białystok.
(Trofimiuk E.; Kurpas D.; Wojtal M.)
CORRESPONDENCE ADDRESS
D. Bielska, Zakład Medycyny Rodzinnej i Pielegniarstwa Srodowiskowego,
Uniwersytet Medyczny, Białystok. Email: d.bielska1@wp.pl
SOURCE
Przegla̧d lekarski (2009) 66:10 (816-818). Date of Publication: 2009
ISSN
0033-2240
ABSTRACT
Minimal anti-tobacco intervention (MIA) is an efficient and inexpensive
method of smoking cessation intervention. The ability for practical use of
MIA could be acquired by a majority of physicians-practitioners in Poland
and other European Union countries. The objective of the work was to
establish a practical knowledge in the scope of anti-tobacco strategies of
senior students of the Medical Faculty of the Medical University of
Bialystok after six-year education. We also assessed the prevalence of
tobacco smoking among students of Medical Faculty. The percentage of tobacco
smokers between the last course students of Medical Faculty average at 15%
of women and 29% of men. Only 3 of all woman and half of men think they
could effectively help in smoking cessation, but most of the assessed
students have not acquired sufficient knowledge for an anti-tobacco
intervention as well as they don't know practical tools like Fagerstöm Test
for Nicotine Dependence or Schneider's Smoker Complaint Scale.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical education
medical school
smoking (epidemiology, prevention)
smoking cessation
student
EMTREE MEDICAL INDEX TERMS
adult
article
female
health survey
human
male
methodology
Poland (epidemiology)
prevalence
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
20301944 (http://www.ncbi.nlm.nih.gov/pubmed/20301944)
PUI
L359062392
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1133
TITLE
Substance use disorder among physicians
ORIGINAL (NON-ENGLISH) TITLE
Middelenmisbruik bij artsen
AUTHOR NAMES
Van Crombrugge L.
Matthys D.
Van Heeringen C.
AUTHOR ADDRESSES
(Van Crombrugge L., leen.vancrombrugge@ugent.be) Dienst Neus-, Keel- and
Oorziekten, Universitair Ziekenhuis, De Pintelaan 185, 9000 Gent, Belgium.
(Matthys D.) Commissie Medische Ethiek, Universitair Ziekenhuis Gent,
Belgium.
(Van Heeringen C.) Universitaire Dienst Psychiatrie, Universitair Ziekenhuis
Gent, Belgium.
CORRESPONDENCE ADDRESS
L. Van Crombrugge, Dienst Neus-, Keel- and Oorziekten, Universitair
Ziekenhuis, De Pintelaan 185, 9000 Gent, Belgium. Email:
leen.vancrombrugge@ugent.be
SOURCE
Tijdschrift voor Geneeskunde (2009) 65:19 (875-879). Date of Publication:
2009
ISSN
0371-683X
BOOK PUBLISHER
Tijdschrift voor Geneeskunde, De Pintelaan 185, Gent, Belgium.
ABSTRACT
Substance use disorder is the most important reason for physician
impairment. It constitutes an important society problem, as doctors are
responsible for the health of the general population. Literature data
indicate that 10-14% of all physicians are confronted with an addiction
problem during their career: this correlates with the prevalence among the
general population. Physicians however use more medication by prescription,
but less illegal drugs. Alcohol is the most often misused substance.
Differences do occur between the medical specialities regarding drug abuse:
psychiatrists, emergency doctors and anaesthesiologists are more at risk.
The personality of physicians, being exposed to a dysfunctional family
during childhood, a history of psychiatric diseases and of familial drug use
disorders are risk factors. The stress and occupational burden of physicians
are negatively influencing factors. Doctors believe that they are immune for
substance use disorders. During their education they learn as a defence
mechanism to neglect certain signals and emotions. They also disregard their
problem because they are afraid of the financial, social and legal
consequences. Several years pass before they search help. Once the clinical
performance of the physician apparently deteriorates, the substance use
disorder is often detected. Then it is already a long-standing problem. The
impaired physician will most of the time deny everything. It may be useful
to request an intervention team with a professional. The treatment of
addicted physicians does not differ from that of the general population,
including successively detoxification, abstinence, intensive education and
rehabilitation. Physicians however display a better outcome than the general
population. Up to 70% return to their work place. Between 70 and 90% reach
total abstinence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholism (epidemiology)
article
defense mechanism
drug dependence (epidemiology)
human
personality
physician
prescription
prevalence
risk factor
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Dutch
LANGUAGE OF SUMMARY
English, Dutch
EMBASE ACCESSION NUMBER
2010270841
PUI
L358791708
DOI
10.2143/TVG.65.19.2000619
FULL TEXT LINK
http://dx.doi.org/10.2143/TVG.65.19.2000619
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1134
TITLE
Opioid rotation in the home medical care service
AUTHOR NAMES
Sugimoto Y.
AUTHOR ADDRESSES
(Sugimoto Y.) Sugimoto Home Care Clinic.
CORRESPONDENCE ADDRESS
Y. Sugimoto, Sugimoto Home Care Clinic.
SOURCE
Gan to kagaku ryoho. Cancer & chemotherapy (2009) 36 Suppl 1 (89-91). Date
of Publication: Dec 2009
ISSN
0385-0684
ABSTRACT
Pain relief is a quite important subject for maintaining the home medical
care of patients with terminal cancer. Therefore, the opioid rotation should
be made in conjunction with an individual medical condition, which is of
growing importance in a proper pain management. We considered what opioid
rotation is desirable in the home medical care service by analyzing the
cases at our clinic. The most important thing in the opioid rotation at home
is to perform a rotation before exacerbation of pain becomes apparent. For
this purpose, morphine hydrochloride injection is thought to be the best
dosage form because it has advantages of: (1) quickness in varying the
amount, (2) immediate rescue efficacy, and (3) usefulness in case of
ingestion.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
morphine (drug administration, drug therapy)
narcotic analgesic agent (drug administration, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
home care
neoplasm (complication, therapy)
pain (drug therapy, etiology)
EMTREE MEDICAL INDEX TERMS
article
human
patient care
terminal care
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
LANGUAGE OF ARTICLE
Japanese
MEDLINE PMID
20443412 (http://www.ncbi.nlm.nih.gov/pubmed/20443412)
PUI
L358930137
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1135
TITLE
The students of Public Higher Medical Professional School in Opole spreading
anti-tobacco advice
ORIGINAL (NON-ENGLISH) TITLE
Studenci Państwowej Medycznej Wyzszej Szkoły Zawodowej w Opolu wobec
poradnictwa antytoniowego.
AUTHOR NAMES
Wojtal M.
Kurpas D.
Bielska D.
Steciwko A.
Szarowska K.
AUTHOR ADDRESSES
(Wojtal M.) Instytut Pielegniarstwa, Państwowa Medyczna Wyzsza Szkoła
Zawodowa, Opole.
(Kurpas D.; Bielska D.; Steciwko A.; Szarowska K.)
CORRESPONDENCE ADDRESS
M. Wojtal, Instytut Pielegniarstwa, Państwowa Medyczna Wyzsza Szkoła
Zawodowa, Opole. Email: mariola30@onet.eu
SOURCE
Przegla̧d lekarski (2009) 66:10 (813-815). Date of Publication: 2009
ISSN
0033-2240
ABSTRACT
Smoking tobacco in our society is the primary risk factor in the emergence
of many diseases, including cardiovascular and cancer, elevating the risk of
mortality before 65 years of age. Very important is the fact that this is a
removable, which can be completely eliminated. The smoker health could be in
better conditions and also other people from his environment. A man who is
messed up is the sick man who, while having the motivation to stop smoking,
need a comprehensive and specialized medical treatment. Respondents nursing
and midwifery students in Opole PMWSZ most important in providing advice to
patients students choose family doctors (34.1%) and internists (17.9%).
According to the respondents, patients who, despite a strong motivation to
stop smoking can not, should find help in specialized anti-tobacco clinic
(27.8%), substance abuse treatment clinic (16.5%), and psychological
counseling (11.4%). Half of the surveyed students (51.35%) declared the
ability to advice patients, while only 18.7% of respondents correctly
answered the question what is the minimum intervention of tobacco control,
56% of respondents claimed that it is information to the patient of the
consequences of smoking. Important in reducing the health effects of smoking
is to prepare health workers to diagnose the problem of addiction and
comprehensive professional treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking (prevention)
smoking cessation
student
EMTREE MEDICAL INDEX TERMS
adult
article
clinical competence
female
health promotion
human
male
methodology
midwife
nurse
organization and management
physician attitude
Poland
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
20301943 (http://www.ncbi.nlm.nih.gov/pubmed/20301943)
PUI
L359062391
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1136
TITLE
Acting in the framework of the nicotine addiction prevention--the level of
knowledge amongst 6th year students of Wroclaw Medical University
ORIGINAL (NON-ENGLISH) TITLE
Postepowanie w ramach profilaktyki uzaleznienia od nikotyny--poziom wiedzy
wśród studentów VI roku Akademii Medycznej we Wrocławiu.
AUTHOR NAMES
Kurpas D.
Wojtal M.
Bielska D.
Rogalska M.
Sapilak B.
Steciwko A.
AUTHOR ADDRESSES
(Kurpas D.) Katedra i Zakład Medycyny Rodzinnej, Akademia Medyczna, Wrocław.
(Wojtal M.; Bielska D.; Rogalska M.; Sapilak B.; Steciwko A.)
CORRESPONDENCE ADDRESS
D. Kurpas, Katedra i Zakład Medycyny Rodzinnej, Akademia Medyczna, Wrocław.
Email: dkurpas@hotmail.com
SOURCE
Przegla̧d lekarski (2009) 66:10 (819-821). Date of Publication: 2009
ISSN
0033-2240
ABSTRACT
It was stated explicitly that smoking was increasing the risk of the death
about 25-40% because of cardiovascular diseases, about 30-40% because of
malignant tumors and is causing about 70% of deaths from illness of the
respiratory system (no cancerous). It was also proved that basic means
increasing the effectiveness of taken attempts to limit the smoking were
useful and easy to apply by every doctor independently of the medical
specialty. An anonymous questionnaire containing questions on the subject of
the realization of problems connected with the tobacco addiction in the
route of medical studies was carried amongst 6th year students of the
Medical Department of Wroclaw Medical University in the academic year
2008/2009. 210 students took part in the study. 62% of examined came from
the provincial capital, the 11.4% from the town with the population above
100 hundred of inhabitants, 22.4% of towns with the population below 100
hundred of inhabitants and 3.8% of students--from country centers. Only 78%
of students is claiming that problems concerning nicotinism were being
brought up on the university. 56.7% of examined is judging that he is able
to give an anti-smoking advice to a patient. The correct answer in the
question about the Fagerströma test and describing physical addiction gave
47% of students, only 39.5% examined--in the question about the assessment
of motivation test (the Schneider scale), and 37.2% of students responded to
the question what is consists in minimum anti-tobacco intervention. An
insufficient frequency of bringing up the problem of smoking on medical
studies is visible harmfulness, a consequence is a lowering knowledge
amongst students. Little over 3 of students is confirming students that
problems concerning the nicotinism were being brought up during studies
(mainly during classes in the field of internal medicine), however every
sixth of examined students is declaring the knowledge in the case of the
patient addicted to the nicotine and every fourth has the knowledge. The
preparing graduates of the Medical Faculty for the participation in
realization of basic schedules of the promotion of the health and the
diseases prevention is developing unusually pessimistically towards above
data, the fight against the nicotine addiction is filling one of the
essential positions, independently on the medical specialty.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical school
student
tobacco dependence (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
classification
female
human
incidence
male
medicine
Poland (epidemiology)
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
20301945 (http://www.ncbi.nlm.nih.gov/pubmed/20301945)
PUI
L359062393
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1137
TITLE
Level of tobacco smoking amongst 6th year students of Wroclaw Medical
University
ORIGINAL (NON-ENGLISH) TITLE
Poziom palenia tytoniu wśród studentów VI roku Akademii Medycznej we
Wrocławiu.
AUTHOR NAMES
Kurpas D.
Wojtal M.
Bielska D.
Rogalska M.
Steciwko A.
AUTHOR ADDRESSES
(Kurpas D.) Katedra i Zakład Medycyny Rodzinnej, Akademia Medyczna, Wrocław.
(Wojtal M.; Bielska D.; Rogalska M.; Steciwko A.)
CORRESPONDENCE ADDRESS
D. Kurpas, Katedra i Zakład Medycyny Rodzinnej, Akademia Medyczna, Wrocław.
Email: dkurpas@hotmail.com
SOURCE
Przegla̧d lekarski (2009) 66:10 (714-715). Date of Publication: 2009
ISSN
0033-2240
ABSTRACT
Prevention of tobacco smoking amongst youths and young adult could limit
deaths because of illness tobacco related to 2050. The assessment of the
level of smoking was the aim of examinations amongst medical students. An
anonymous questionnaire containing questions on the subject of tobacco
smoking was carried amongst 6th year students of the Medical Department of
Wroclaw Medical University in the academic year 2008/2009. Two hundreds then
students took part in the study. 62% of examined came from the provincial
capital, the 11.4% from the town with the population above 100 hundred of
inhabitants, 22.4% of towns with the population below 100 hundred of
inhabitants and 3.8% of students--from country centers. 14.8 % respondents
admitted to smoking cigarettes, 75.2% were non-smoking persons, 10% were
smokers but ceased smoking cigarettes in the sequence of a few last years.
Amongst smokers--the most (59% of students and 71% of students) is smoking
to 5 cigarettes per day. The most students (56% of women and 60% of men)
began smoking in the secondary school. In studied group 67.6% (142) examined
is claiming that the anti-tobacco advice should give family doctors, and 43%
thinks that a patient which isn't able to cease the smoking in spite of
strong motivation should be seen by a family doctor. The percentage of
smokers amongst medical students didn't take turns in the sequence of two
last years, however amongst smokers--biggest percentage is smoking to 5
cigarettes per day. The students most often begin smoking in the secondary
school. The straight majority of the medical students is paying attention,
that family doctors should take up giving the anti-tobacco advice and
helping patients which isn't able to cease the smoking in spite of strong
motivation. The ones smoking the small number of cigarettes and which began
smoking in the secondary school are predominating amongst smokers.
Overbalancing percentage of examined is located anti-tobacco therapy into
competence of a family doctor.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical school
smoking (epidemiology, prevention)
student
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
Poland (epidemiology)
rural population
statistics
urban population
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
20301918 (http://www.ncbi.nlm.nih.gov/pubmed/20301918)
PUI
L359062366
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1138
TITLE
Spreading of smoking habit among students of the Public Medical Higher
Professional School in Opole in 2006-2009
ORIGINAL (NON-ENGLISH) TITLE
Rozpowszechnienie palenia tytoniu wśród studentów Państwowej Medycznej
Wyzszej Szkoły Zawodowej w Opolu w latach 2006-2009.
AUTHOR NAMES
Wojtal M.
Kurpas D.
Bielska D.
Steciwko A.
Wicha M.
AUTHOR ADDRESSES
(Wojtal M.) Instytut Pielegniarstwa, Państwowa Medyczna Wyzsza Szkoła
Zawodowa, Opole.
(Kurpas D.; Bielska D.; Steciwko A.; Wicha M.)
CORRESPONDENCE ADDRESS
M. Wojtal, Instytut Pielegniarstwa, Państwowa Medyczna Wyzsza Szkoła
Zawodowa, Opole. Email: mariola30@onet.eu
SOURCE
Przegla̧d lekarski (2009) 66:10 (702-704). Date of Publication: 2009
ISSN
0033-2240
ABSTRACT
Smoking is the most widespread addiction and for years is a basic addiction
hazard among youngsters. The beginning of nicotine addiction is occult,
during time runs as habit and biological nicotine addiction. The health
consequences are seen after time. Children have their first contact with
cigarettes in their own families and the problem of smoking is the
consequence of following adults' example. The risk of smoking addiction
rises because of negative influence of background and because of the need of
being approved among men of the same age. The objective of the study was the
analysis of spreading of smoking among students of PMWSZ in Opole during
years 2006-2009.688 students of nursery and obstetrics faculty were
investigated. Among them 175 (25.4%) were smokers and 513 (74.6%) were
non-smokers. More than half of smokers (61.2%) started smoking in secondary
grammar school. 110 (62.9%) of them tried to overcome their addiction. These
failed attempts confirm the necessity of multi-aspect anti-nicotine help
given by health professionals: doctors, psychologists, addiction
therapeutics and pedagogues.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking (epidemiology, prevention)
student
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
incidence
male
Poland (epidemiology)
smoking cessation
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
20301915 (http://www.ncbi.nlm.nih.gov/pubmed/20301915)
PUI
L359062363
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1139
TITLE
Attracting health professional students to substance abuse research
AUTHOR NAMES
Kalet A.
Gillespie C.
Naegle M.A.
More F.
AUTHOR ADDRESSES
(Kalet A., adina.kalet@nyumc.org) Section of Primary Care, New York, United
States.
(Kalet A., adina.kalet@nyumc.org) University School of Medicine, 550 First
Avenue, BCD D401, New York, NY 10016, United States.
(Gillespie C.; Naegle M.A.; More F.)
CORRESPONDENCE ADDRESS
A. Kalet, Section of Primary Care, New York, United States. Email:
adina.kalet@nyumc.org
SOURCE
Medical Education (2009) 43:11 (1094). Date of Publication: 2009
ISSN
0308-0110
1365-2923 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical research
health practitioner
substance abuse
EMTREE MEDICAL INDEX TERMS
curriculum
decision making
dentist
evaluation study
human
Internet
interview
short survey
student
substance abuse research education and training curriculum
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2009652911
MEDLINE PMID
19874512 (http://www.ncbi.nlm.nih.gov/pubmed/19874512)
PUI
L355817295
DOI
10.1111/j.1365-2923.2009.03479.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2923.2009.03479.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1140
TITLE
Competence of pharmacy students of the Jagiellonian University Medical
College, Department of Pharmacy in Cracow in the problem of tobacco
addiction
ORIGINAL (NON-ENGLISH) TITLE
Stan wiedzy studentów farmacji wydziału farmaceutycznego Uniwersytetu
Jagiellońskiego Collegium Medicum w Krakowie o uzaleznieniu od palenia
papierosów.
AUTHOR NAMES
Brandys J.
Panas M.
Skowron A.
Przybycień A.
AUTHOR ADDRESSES
(Brandys J.) Katedra i Zakład Toksykologii, Uniwersytet Jagielloński,
Collegium Medicum, Kraków.
(Panas M.; Skowron A.; Przybycień A.)
CORRESPONDENCE ADDRESS
J. Brandys, Katedra i Zakład Toksykologii, Uniwersytet Jagielloński,
Collegium Medicum, Kraków.
SOURCE
Przegla̧d lekarski (2009) 66:10 (709-713). Date of Publication: 2009
ISSN
0033-2240
ABSTRACT
Over 1.2 billion people in the world are addicted to tobacco products.
Tobacco smoke contributes to increased risk cardiovascular diseases,
respiratory diseases and development of cancers. A survey carried out in
lines of medical students was assessed prevalence of smoking and attitudes
toward the problem of smoking. This research has never been carried out with
departments of pharmaceutical students. The aim of this work was to assess
the level of knowledge of students Pharmaceutical Faculty of the
Jagiellonian University in Krakow addiction from smoking cigarettes, the
harmfulness of smoking, knowledge of preparations used in the course of
emergence from addiction and move topic dependence on tobacco smoking during
the study. Carried a voluntary and anonymous survey, allow for verify and
compare the knowledge of issues related to smoking, as well as some idea of
how many students smoke cigarettes. The study was performed in the group of
485 students, including 378 from the Pharmaceutical Faculty and 107 from
Medical Laboratory Department from all years. As is clear from the survey
conducted students from higher years to cope better with questions about
carcinogens, diseases caused by tobacco smoking and have bigger knowledge
about antinicotine preparations. Among students from IV and V years is also
the most people claiming that they can provide anti-smoking advice. It was
found the largest proportion of smoking students on the IV and V year. The
greatest knowledge of tobacco dependence Faculty of Pharmacy students
acquired in class with toxicology, physiology and biology. Universities have
a huge scope for action in conducting antinicotine programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
education
smoking (epidemiology, prevention)
student
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
female
health promotion
human
male
organization and management
Poland (epidemiology)
program development
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
20301917 (http://www.ncbi.nlm.nih.gov/pubmed/20301917)
PUI
L359062365
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1141
TITLE
Attitudes towards 12-step groups and referral practices in a 12-step naive
treatment culture; A survey of addiction professionals in Norway
AUTHOR NAMES
Vederhus J.-K.
Kristensen Ø.
Laudet A.
Clausen T.
AUTHOR ADDRESSES
(Vederhus J.-K., john-kare.vederhus@sshf.no; Kristensen Ø.,
oistein.kristensen@sshf.no) Addiction Unit, Sørlandet Hospital,
Kristiansand, Norway.
(Laudet A., alexandrelaudet@gmail.com) National Development and Research
Institutes, Inc. (NDRI), New York, United States.
(Clausen T., thomas.clausen@medisin.uio.no) Norwegian Centre for Addiction
Research (SERAF), Institute of Psychiatry, University of Oslo, Oslo, Norway.
CORRESPONDENCE ADDRESS
J.-K. Vederhus, Addiction Unit, Sørlandet Hospital, Kristiansand, Norway.
Email: john-kare.vederhus@sshf.no
SOURCE
BMC Health Services Research (2009) 9 Article Number: 147. Date of
Publication: 2009
ISSN
1472-6963 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom.
ABSTRACT
Background: Addressing substance use disorders effectively requires a
long-term approach. Substance abuse treatment is typically of short
duration; referring patients to Twelve Step based self-help groups (TSGs) -
e.g. Narcotics Anonymous, represents a promising complementary recovery
resource. Clinicians' attitudes and referral practices towards the TSGs have
mainly been studied in countries with high integration of the 12-step
philosophy in their substance abuse services and where the TSGs are widely
available, such as the US. In Norway, there are currently 294 weekly TSG
meetings (6 per 100,000 inhabitants). This study describes clinicians'
attitudes and referral practices to TSGs in Norway where health authorities
seek to promote self-help participation, but where the treatment culture is
unfamiliar with 12-step fellowships. Methods: Data collected by a
self-administered questionnaire, adapted from established US and UK
instruments. Information covered the attitudes, knowledge and referral
practices towards TSGs among addiction treatment professionals in Norway in
mid 2008. Results: The return rate was 79.7% (n = 291). Participants had
moderately positive attitude scores towards TSGs, but referral to these
groups among Norwegian addiction professionals was low, as was the level of
knowledge about TSGs. More than six out of ten did not refer any patients to
TSGs in the previous week. Local variation with more referrals to TSGs in
the county with the one established 12-step treatment facility was observed.
Respondents' integration of the 12-steps in their own treatment work, higher
self-efficacy for making a successful referral, and greater TSG knowledge
were associated with referring patients. Conclusion. Low referral rates to
TSGs point to the need for education and training to raise the awareness and
knowledge about it among addiction professionals unfamiliar with these
12-step fellowships. Training should focus on the usefulness of these groups
for all types of treatment models regardless of therapeutic orientation:
Increased knowledge is expected to lead to higher referral rates, which in
turn would maximize the likelihood of positive long-term patient outcomes. ©
2009 Vederhus et al; licensee BioMed Central Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
physician attitude
self help
EMTREE MEDICAL INDEX TERMS
article
controlled study
Norway
patient referral
questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009574366
MEDLINE PMID
19674454 (http://www.ncbi.nlm.nih.gov/pubmed/19674454)
PUI
L355551356
DOI
10.1186/1472-6963-9-147
FULL TEXT LINK
http://dx.doi.org/10.1186/1472-6963-9-147
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1142
TITLE
Inconsistencies in Self-Reporting of Sexual Activity Among Young People in
Nairobi, Kenya
AUTHOR NAMES
Beguy D.
Kabiru C.W.
Nderu E.N.
Ngware M.W.
AUTHOR ADDRESSES
(Beguy D., dbeguy@aphrc.org; Kabiru C.W.; Nderu E.N.; Ngware M.W.) African
Population and Health Research Center, Nairobi, Kenya.
CORRESPONDENCE ADDRESS
D. Beguy, African Population and Health Research Center, Nairobi, Kenya.
Email: dbeguy@aphrc.org
SOURCE
Journal of Adolescent Health (2009) 45:6 (595-601). Date of Publication:
December 2009
ISSN
1054-139X
BOOK PUBLISHER
Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Purpose: Accurate and reliable data on the prevalence of adolescents' sexual
behavior are paramount for effective sexual and reproductive health
intervention. Adolescents' sexual behavior has been widely studied. However,
scholars have raised concerns about the accuracy and reliability of
self-reported sexual behavior by adolescents. Previous research shows high
levels of adolescent sexual activity in urban informal settlements; yet, the
accuracy of self-reported sexual experience in these settings is
understudied. Methods: The objective of this article is to assess
consistency of self-reported sexual activity among 2324 adolescents living
in slum and nonslum settlements in Nairobi, Kenya. We examine two forms of
inconsistencies, namely, what we term "reborn virgins" and inconsistent
timing of sexual debut, during two rounds of survey. Factors influencing
inconsistent reporting are explored through logistic regression. Results: A
total of 469 (20%) adolescents gave inconsistent information on whether they
have ever had sex (n = 190) or timing of first intercourse (n = 279). Males,
slum residents, and adolescents attending school were more likely to give
inconsistent sexual information. Among inconsistent reporters, slum
residents, adolescents reporting substance use, and those with secondary
(vs. primary) education were more likely to reclaim virginity status than to
misreport the timing of first sex. However, older adolescents were less
likely to reclaim virginity status. Conclusions: We found significant
differences between adolescents who provide consistent reports and those who
misreport sexual behavior data. We argue that researchers should account for
biases stemming from misreporting of sensitive information among young
people and, in particular, should be cognizant of how reporting quality may
vary across demographic groups. © 2009 Society for Adolescent Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Kenya
self report
sexual behavior
EMTREE MEDICAL INDEX TERMS
adolescence
adolescent
adult
article
child
demography
female
health survey
human
information
male
prevalence
priority journal
quality adjusted life year
reliability
reproductive health
school child
sexual education
sexual intercourse
substance abuse
urban area
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009594146
MEDLINE PMID
19931832 (http://www.ncbi.nlm.nih.gov/pubmed/19931832)
PUI
L50533362
DOI
10.1016/j.jadohealth.2009.03.014
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jadohealth.2009.03.014
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1143
TITLE
Sexual risk behaviors among men who have sex with men using erectile
dysfunction medications
AUTHOR NAMES
Nettles C.D.
Benotsch E.G.
Uban K.A.
AUTHOR ADDRESSES
(Nettles C.D., cdnettle@gwu.edu) Department of Psychology, George Washington
University, 2125 G. St., NW, Washington, DC 20052, United States.
(Benotsch E.G.) Department of Psychology, Virginia Commonwealth University,
Richmond, VA, United States.
(Uban K.A.) Department of Pyschology, University of British Columbia,
Vancouver, BC, United States.
CORRESPONDENCE ADDRESS
C. D. Nettles, Department of Psychology, George Washington University, 2125
G. St., NW, Washington, DC 20052, United States. Email: cdnettle@gwu.edu
SOURCE
AIDS Patient Care and STDs (2009) 23:12 (1017-1023). Date of Publication: 1
Dec 2009
ISSN
1087-2914
BOOK PUBLISHER
Mary Ann Liebert Inc., 140 Huguenot Street, New Rochelle, United States.
ABSTRACT
This study examined relationships between use of the phosphodiesterase
type-5 (PDE-5) inhibitors (erectile dysfunction medications) sildenafil
(Viagra(®), Pfizer, New York, NY), tadalafil (Cialis (®), Eli Lily,
Indianapolis, IN), and/or vardenafil (Levitra (®), Bayer, Berlin, Germany),
substance use, perceptions of risk, and sexual behavior in men who have sex
with men (MSM). MSM (N = 342) attending a gay pride festival completed a
brief survey assessing sexual behavior, risk perceptions, and substance use,
including the use and the source of PDE-5 inhibitors. More than a quarter of
the sample (26.3%, n = 89) reported having ever used a PDE-5 inhibitor.
Those reporting use of PDE-5 inhibitors had higher rates of sexual risk
behaviors and differed in their assessment of the risk of HIV transmission
for unprotected anal sex. Users who received PDE-5 inhibitors from their
doctors did not report sexual behaviors that differed significantly from
those who received PDE-5 inhibitors from nonphysician sources. In a
sequential logistic regression analysis, recent PDE-5 inhibitor use was
associated with unprotected anal sex after accounting for the influence of
age, education, ethnic identity, and substance use. Many MSM users of
erectile dysfunction drugs report behaviors that may place their and others'
health at risk. Interventions to reduce risk among MSM PDE-5 inhibitor users
should be explored. © 2009 Mary Ann Liebert, Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
sildenafil
tadalafil
vardenafil
EMTREE DRUG INDEX TERMS
phosphodiesterase V inhibitor
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
erectile dysfunction
homosexual male
sexual behavior
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
disease transmission
education
ethnic difference
health survey
high risk behavior
human
Human immunodeficiency virus infection
logistic regression analysis
major clinical study
male
risk assessment
risk reduction
substance abuse
unsafe sex
CAS REGISTRY NUMBERS
sildenafil (139755-83-2)
tadalafil (171596-29-5)
vardenafil (224785-90-4, 224785-91-5, 224789-15-5)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010122690
MEDLINE PMID
19909171 (http://www.ncbi.nlm.nih.gov/pubmed/19909171)
PUI
L358329361
DOI
10.1089/apc.2009.0029
FULL TEXT LINK
http://dx.doi.org/10.1089/apc.2009.0029
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1144
TITLE
Demographic and pre-pregnancy risk factors for stillbirth: A
population-based study
AUTHOR NAMES
Saade G.R.
AUTHOR ADDRESSES
(Saade G.R.) Eunice Kennedy Shriver National Institute, Child Health and
Human Development, Stillbirth Collaborative Research Network (SCRN),
Bethesda, United States.
CORRESPONDENCE ADDRESS
G.R. Saade, Eunice Kennedy Shriver National Institute, Child Health and
Human Development, Stillbirth Collaborative Research Network (SCRN),
Bethesda, United States.
SOURCE
American Journal of Obstetrics and Gynecology (2009) 201:6 SUPPL. 1 (S17).
Date of Publication: December 2009
CONFERENCE NAME
2010 30th Annual Meeting of the Society for Maternal-Fetal Medicine, SMFM
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2010-02-01 to 2010-02-06
ISSN
0002-9378
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
OBJECTIVE: To explore potential demographic and pre-pregnancy factors
associated with stillbirth. STUDY DESIGN: Prospective, multicenter,
population-based case-control study of all stillbirths (fetal deaths >20
weeks) and a representative sample of live births enrolled at delivery in 5
geographic areas at 59 hospitals averaging > 80,000 deliveries/year.
Participants underwent a standardized protocol including maternal interview,
medical record abstraction, placental pathology, biospecimen testing, and,
in stillbirths, postmortem examinations. Analyses comparing stillbirths and
live births were weighted to account for oversampling in the design.
RESULTS: Of953 women with stillbirths eligible for the study, 126were not
approached, 164 refused and 663 (70%) consented to participate. A total of
3089 livebirth controls were eligible, and 1933 consented (63%). Compared
with all livebirths, the following pre-pregnancy maternal characteristics
were significantly more likely to be associated with stillbirth in
univariate analyses: age <20 or >39 years, black race, BMI < 18.5 or >24.9,
unmarried/cohabitating, stressful life event, B or AB blood type, illicit
drug addiction, nulliparity, previous stillbirth, <13 years education, no
private insurance, Rh + , hypertension, diabetes, and smoking. Results were
similar when compared to term controls. Results were similar after
additional weighting to account for differential consent. The first 9
factors above remained significant in multivariable analysis. Additional
subanalyses will be presented. CONCLUSION: To our knowledge, this is the
largest, population-based study of stillbirth with an extensive evaluation
of both cases and controls. Our findings are more generalizable than prior
hospital-based studies or studies with small sample sizes, less complete
ascertainment, non-standardized workup, or convenience sampling. Maternal
blood type is a novel risk factor not previously reported. The risks
associated with maternal age and BMI appear to be independent of preexisting
maternal disease.
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
population
pregnancy
risk factor
society
stillbirth
EMTREE MEDICAL INDEX TERMS
autopsy
Black person
blood
convenience sample
diabetes mellitus
drug dependence
education
female
fetus death
hospital
hypertension
insurance
interview
life event
live birth
maternal age
maternal blood
maternal disease
medical record
nullipara
pathology
population based case control study
risk
sample size
smoking
univariate analysis
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70128592
DOI
10.1016/j.ajog.2009.10.041
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ajog.2009.10.041
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1145
TITLE
Cluster-randomized controlled trial of dissemination strategies of an online
quality improvement programme for alcohol-related disorders
AUTHOR NAMES
Ruf D.
Berner M.
Kriston L.
Lohmann M.
Mundle G.
Lorenz G.
Niebling W.
Härter M.
AUTHOR ADDRESSES
(Ruf D., daniela.ruf@uniklinik-freiburg.de; Berner M.) Department of
Psychiatry and Psychotherapy, Section of Clinical Epidemiology and Health
Services Research, University Medical Centre Freiburg, Freiburg, Germany.
(Kriston L.; Härter M.) Department of Medical Psychology, University Medical
Centre Hamburg-Eppendorf, Hamburg, Germany.
(Lohmann M.; Mundle G.) Department of Psychiatry and Psychotherapy,
University Medical Centre Tübingen, Tübingen, Germany.
(Lorenz G.) Department of General Medicine, Medical University Tübingen,
Tübingen, Germany.
(Niebling W.) Department of General Medicine, Medical University Freiburg,
Freiburg, Germany.
CORRESPONDENCE ADDRESS
D. Ruf, Department of Psychiatry and Psychotherapy, Section of Clinical
Epidemiology and Health Services Research, University Medical Centre
Freiburg, Hauptstr. 5, D-79104 Freiburg, Germany. Email:
daniela.ruf@uniklinik-freiburg.de
SOURCE
Alcohol and Alcoholism (2010) 45:1 (70-78) Article Number: agp079. Date of
Publication: March 2010
ISSN
0735-0414
1464-3502 (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Aims: This project investigated different dissemination strategies of an
online quality improvement programme for alcohol-related disorders into
routine care in South Baden and South Württemberg in Germany. Methods: In a
cluster-randomized controlled trial, 112 general practices were randomized
into three groups. The first group (n=43) received access to the online
system and a training programme for the general practitioners (GPs). The
second group (n=42) additionally received education for the whole practice
team. The third group (n=27) acted as control and received only access to
the online system. Results: Two thousand six hundred and forty-seven
practitioners were asked to take part in the study, and it was possible to
randomize 112 (4%) practices. There were no significant differences
concerning the use of the system between the groups: 41.9% of the GPs in the
first group, 42.9% in the second group and 44.4% in the control group used
the system. In terms of only the system users, 55.6% of the GPs in the first
group, 33.3% in the second group and 8.3% in the control group used the
system six times or more (P=0.019). Diagnostic assessments made by the GPs
in the groups differed substantially: 72.2% of diagnoses in the first group
were correct, while this figure lay at 69.7% in the second group and 36.4%
in the control group (P=0.034). Conclusions: No effect of the additional
training on the primary outcome (acceptance) was identified, but on two of
the secondary outcomes. Further cost-effectiveness studies should
investigate whether the effort involved in providing training additionally
to the system is justifiable. © The Author 2009. Published by Oxford
University Press on behalf of the Medical Council on Alcohol.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
information dissemination
medical education
online system
total quality management
EMTREE MEDICAL INDEX TERMS
access to information
adult
aged
article
clinical trial
cluster analysis
controlled clinical trial
controlled study
female
general practice
general practitioner
Germany
health program
human
Internet
major clinical study
male
outcome assessment
priority journal
randomized controlled trial
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT00314067)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010165330
MEDLINE PMID
19889887 (http://www.ncbi.nlm.nih.gov/pubmed/19889887)
PUI
L358436652
DOI
10.1093/alcalc/agp079
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agp079
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1146
TITLE
Should anesthesia residents with a history of substance abuse be allowed to
continue training in clinical anesthesia? The results of a survey of
anesthesia residency program directors
AUTHOR NAMES
Bryson E.O.
AUTHOR ADDRESSES
(Bryson E.O., ethan.bryson@mountsinai.org) Department of Anesthesiology,
Mount Sinai Hospital, New York, NY 10029, United States.
CORRESPONDENCE ADDRESS
E.O. Bryson, Department of Anesthesiology, Mount Sinai Hospital, New York,
NY 10029, United States. Email: ethan.bryson@mountsinai.org
SOURCE
Journal of Clinical Anesthesia (2009) 21:7 (508-513). Date of Publication:
November 2009
ISSN
0952-8180
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Study Objective: To determine the experience, attitudes, and opinions of
program directors regarding the reintroduction of residents in recovery from
substance abuse into the clinical practice of anesthesiology. Design: Survey
instrument. Setting: Anesthesia residency training programs in the United
States. Measurements: After obtaining institutional review board approval, a
list of current academic anesthesia residency programs in the United States
was compiled. A survey was mailed to 131 program directors along with a
self-addressed stamped return envelope to ensure anonymity. Returned surveys
were reviewed and data compiled by hand, with categorical variables
described as frequency and percentages. Main Results: A total of 91 (69%)
surveys were returned, representing experience with 11,293 residents over
the ten-year period from July of 1997 through June of 2007. Fifty-six (62%)
program directors reported experience with at least one resident requiring
treatment for substance abuse. For residents allowed to continue with
anesthesia residency training after treatment, the relapse rate was 29%. For
those residents, death was the initial presentation of relapse in 10% of the
reported cases. 43% of the program directors surveyed believe residents in
recovery from addiction should be allowed to attempt re-entry while 30%
believe that residents in recovery from addiction should not. Conclusions:
The practice of allowing residents who have undergone treatment for
substance abuse to return to their training program in clinical anesthesia
remains highly controversial. They are often lost to follow-up, making it
difficult, if not impossible to determine if re-training in a different
medical specialty decreases their risk for relapse. A comprehensive
assessment of the outcomes associated with alternatives to re-entry into
clinical anesthesia training programs is needed. © 2009 Elsevier Inc. All
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
residency education
resident
substance abuse
EMTREE MEDICAL INDEX TERMS
article
clinical practice
health survey
priority journal
recurrence risk
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009631920
MEDLINE PMID
20006259 (http://www.ncbi.nlm.nih.gov/pubmed/20006259)
PUI
L355764923
DOI
10.1016/j.jclinane.2008.12.026
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jclinane.2008.12.026
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1147
TITLE
A preliminary report of knowledge translation: Lessons from taking screening
and brief intervention techniques from the research setting into regional
systems of care
AUTHOR NAMES
Bernstein E.
Topp D.
Shaw E.
Girard C.
Pressman K.
Woolcock E.
Bernstein J.
AUTHOR ADDRESSES
(Bernstein E., ebernste@bu.edu; Woolcock E.) Boston University School of
Medicine, Boston, MA, United States.
(Topp D.; Shaw E.; Bernstein J.) Boston University School of Public Health,
Boston, MA, United States.
(Girard C.) Bureau of Substance Abuse Services, Massachusetts Department of
Public Health, Boston, MA, United States.
(Pressman K.)
CORRESPONDENCE ADDRESS
E. Bernstein, Boston University School of Medicine, Boston, MA, United
States. Email: ebernste@bu.edu
SOURCE
Academic Emergency Medicine (2009) 16:11 (1225-1233). Date of Publication:
November 2009
ISSN
1069-6563
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
This article describes a limited statewide dissemination of an
evidence-based technology, screening, brief intervention, and referral to
treatment (SBIRT), and evaluation of the effects on emergency department
(ED) systems of care, utilizing the knowledge translation framework of
reach, effectiveness, adoption, implementation, and maintenance (RE-AIM),
using both quantitative and qualitative data sources. Screening and brief
intervention (SBI) can detect high-risk and dependent alcohol and drug use
in the medical setting, provide early intervention, facilitate access to
specialty treatment when appropriate, and improve quality of care. Several
meta-analyses demonstrate its effectiveness in primary care, and the federal
government has developed a well-funded campaign to promote physician
training and adoption of SBI. In the busy environment of the ED, with its
competing priorities, researchers have tested a collaborative approach that
relies on peer educators, with substance abuse treatment experience and
broad community contact, as physician extenders. The ED-SBIRT model of care
reflects clinician staff time constraints and resource limitations and is
designed for the high rates of prevalence and increased acuity typical of ED
patients. This report tracks services provided during dissemination of the
ED-SBIRT extender model to seven EDs across a northeastern state, in urban,
suburban, and rural community settings. Twelve health promotion advocates
(HPAs) were hired, trained, and integrated into seven ED teams. Over an
18-month start-up period, HPAs screened 15,383 patients; of those, 4,899
were positive for high risk or dependent drinking and ? or drug use. Among
the positive screens, 4,035 (82%) received a brief intervention, and 57% of
all positives were referred to the substance abuse treatment system and
other community resources. Standardized, confidential interviews were
conducted by two interviewers external to the program with 24 informants,
including HPAs and their supervisors, clinicians, nurse managers, and ED
directors across five sites. A detailed semistructured format was followed,
and results were coded for thematic material. Barriers, challenges, and
successes are described in the respondents' own words to convey their
experience of this demonstration of SBIRT knowledge translation. Five of
seven sites were sustained through the second year of the program, despite
cutbacks in state funding. The dissemination process provided a number of
important lessons for a large rollout. Successful implementation of the
ED-SBIRT HPA model depends on 1) external funding for start-up; 2) local ED
staff acting as champions to support the HPA role, resolve territorial
issues, and promote a cultural shift in the ED treatment of drug and alcohol
misuse from "treat and street" to prevention, based on a knowledge of the
science of addiction; 3) sustainability planning from the beginning
involving administrators, the billing and information technology
departments, medical records coders, community service providers, and
government agencies; and 4) creation and maintenance of a robust referral
network to facilitate patient acceptance and access to substance abuse
services. © 2009 by the Society for Academic Emergency Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency care
EMTREE MEDICAL INDEX TERMS
administrative personnel
alcohol abuse
conference paper
drug abuse
emergency medicine
emergency ward
evidence based medicine
funding
government
health care personnel
health care quality
health promotion
human
intervention study
medical education
medical research
medical technology
nurse manager
patient referral
prevalence
primary medical care
priority journal
screening
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010010255
MEDLINE PMID
20053242 (http://www.ncbi.nlm.nih.gov/pubmed/20053242)
PUI
L358030490
DOI
10.1111/j.1553-2712.2009.00516.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1553-2712.2009.00516.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1148
TITLE
Five-year longitudinal study of cannabis users in three remote aboriginal
communities in Arnhem Land, Northern Territory, Australia
AUTHOR NAMES
Lee K.S.K.
Conigrave K.M.
Clough A.R.
Dobbins T.A.
Jaragba M.J.
Patton G.C.
AUTHOR ADDRESSES
(Lee K.S.K., kylie.lee@usyd.edu.au; Clough A.R.) School of Public Health,
Tropical Medicine and Rehabilitation Sciences, James Cook University,
Cairns, Australia.
(Lee K.S.K., kylie.lee@usyd.edu.au; Conigrave K.M.) Faculty of Medicine,
University of Sydney, Sydney, Australia.
(Conigrave K.M.) Drug Health Services, Royal Prince Alfred Hospital, Sydney,
Australia.
(Clough A.R.) School of Indigenous Australian Studies, James Cook
University, Cairns, Australia.
(Dobbins T.A.) School of Public Health, University of Sydney, Sydney,
Australia.
(Jaragba M.J.) Top End Division of General Practice, Darwin, Australia.
(Patton G.C.) Centre for Adolescent Health, University of Melbourne,
Melbourne, Australia.
CORRESPONDENCE ADDRESS
K.S.K. Lee, Page Building, Royal Prince Alfred Hospital, Missenden Road,
Camperdown, NSW 2050, Australia. Email: kylie.lee@usyd.edu.au
SOURCE
Drug and Alcohol Review (2009) 28:6 (623-630). Date of Publication: November
2009
ISSN
0959-5236
1465-3362 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Introduction and Aims: To examine predictors of cannabis use at 5 year
follow up in an Australian Aboriginal cohort. Design and Methods: A
longitudinal study consisting of two waves of data collection 5 years apart
was conducted. Of the 100 Aboriginal residents (aged 13-36 years)
interviewed about cannabis use in 2001, 83 were re-interviewed in 2005-2006
from three remote communities in Arnhem Land, Northern Territory, Australia.
Self-reported cannabis use was categorised at each time point (none; former
use, quit ≥3 months; lighter use, <6 cones, 2-3 times weekly; daily use, ≥6
cones, daily) and summarised as any current use, heavy use, dependence or
cessation. Other substance use, employment and involvement in school or
training were also compiled. Results: Most respondents who reported cannabis
use at baseline again reported use at follow up. A history of petrol
sniffing predicted later heavy cannabis use (P < 0.05).Trends were evident
for men to have persisting cannabis use, and for employment and/or
engagement in school or training to be associated with cannabis cessation.
Discussion and Conclusions: Ongoing heavy cannabis use is commonplace in
this Aboriginal cohort and raises concerns for the physical, social and
psychiatric burden on these already vulnerable communities. Prevention,
treatment and intervention programs developed with communities are badly
needed. © 2009 Australasian Professional Society on Alcohol and other Drugs.
EMTREE DRUG INDEX TERMS
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cannabis addiction (therapy)
indigenous people
rural population
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Australia
cohort analysis
comparative study
ethnology
female
follow up
human
longitudinal study
male
psychological aspect
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19930015 (http://www.ncbi.nlm.nih.gov/pubmed/19930015)
PUI
L358316000
DOI
10.1111/j.1465-3362.2009.00067.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1465-3362.2009.00067.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1149
TITLE
Prevalence of cardiovascular manifestations in HIV/AIDS patients in Iran
AUTHOR NAMES
Hadadi A.
Moradmand Badie S.
Roham M.
Rasulinejad M.
Mirzai N.
AUTHOR ADDRESSES
(Hadadi A., hadadiaz@tums.ac.ir) Department of Infectious Diseases, Sina
Hospital, Tehran University of Medical Sciences, Iran.
(Moradmand Badie S.) Department of Cardiology, Amir Alam Hospital, Tehran
University of Medical Sciences, Iran.
(Roham M.; Rasulinejad M.; Mirzai N.) Department of Infectious Diseases,
Imam Khomeini Hospital, Tehran University of Medical Sciences, Iran.
CORRESPONDENCE ADDRESS
A. Hadadi, Sina Hospital, Hassan Abad Sq., Emam khomieni St., Tehran, Iran.
Email: hadadiaz@tums.ac.ir
SOURCE
Tehran University Medical Journal (2009) 67:8 (592-597). Date of
Publication: November 2009
ISSN
1683-1764
BOOK PUBLISHER
Tehran University of Medical Sciences (TUMS), No.59, Enayat Alley, Poursina
Ave., Ghods St.,Keshavarz Blv, Po Box: 14155-6447, 202 Amouzesh building,
Tehran, Iran.
ABSTRACT
Background: One of the clinical manifestations of Human Immunodeficiency
Virus (HIV) infected patients is cardiovascular disorder. The aim of this
study was to evaluate the prevalence of cardiovascular disorders in HIV
infected patients for the beginning treatment of these patients and reducing
mortality and morbidity in these patients. Methods: This cross-sectional
study was performed on 134 HIV infected patients who referred to Imam
Khomeini hospital, Tehran University of Medical sciences, Tehran Iran during
years 2007-2008. Demographic characteristics, history of smoking and opium
addiction, antiretroviral therapy, class of drugs and duration of
consumption were recorded. After completion of physical examination,
electrocardiography and echocardiography studies were done. Results: In this
study 98(73.1%) patients were male. The mean age of the patients was
36.5±10.3 years. The mean of the CD4 number were 296±181. Injection drug
users were 54.4% of the study patients. Cardiovascular disorders were found
in 84(62.7%) patients. Among patients with heart diseases, 75% were male.
The most Electrocardiographic change was the axis deviation of the heart
found in 32(23.7%) patients. Pericardial effusion and LVEF<50% were noted in
7(5.2%) and 23(17.2%) patients respectively. The involvement of the mitral
valve in 59(44%), tricuspid valve in 21(15.7%) and aortic valve in 6(4.5%)
patients were noted. Myocardial dysfunctions existed in 10(7.4%) patients.
Conclusions: Our results showed a high prevalence of cardiovascular disorder
in HIV infected patients. We recommend the evaluation of the cardiovascular
system in all HIV infected patients even if they are symptom free.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
cardiovascular disease (epidemiology)
Human immunodeficiency virus infection
EMTREE MEDICAL INDEX TERMS
adult
article
CD4 lymphocyte count
cigarette smoking
echocardiography
electrocardiography
female
heart infarction (epidemiology)
heart left ventricle ejection fraction
highly active antiretroviral therapy
human
Iran
major clinical study
male
mitral valve disease (epidemiology)
morbidity
mortality
opiate addiction
pericardial effusion
physical examination
prevalence
tricuspid valve
tricuspid valve disease (epidemiology)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Immunology, Serology and Transplantation (26)
LANGUAGE OF ARTICLE
Arabic
LANGUAGE OF SUMMARY
English, Arabic
EMBASE ACCESSION NUMBER
2010073335
PUI
L358194719
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1150
TITLE
Simon Chapman. Interview by Stephen Pincock.
AUTHOR NAMES
Chapman S.
AUTHOR ADDRESSES
(Chapman S.)
CORRESPONDENCE ADDRESS
S. Chapman,
SOURCE
Lancet (2009) 374:9697 (1233). Date of Publication: 10 Oct 2009
ISSN
1474-547X (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mass medium
medical school
public health
publishing
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
Australia
human
interview
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19819379 (http://www.ncbi.nlm.nih.gov/pubmed/19819379)
PUI
L355509026
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1151
TITLE
A survey of tobacco cessation interventions in the dental setting in Japan:
Nicotine replacement therapy, attitudes towards tobacco cessation education,
and barriers to cessation counseling
AUTHOR NAMES
Nakao H.
Yoshimi I.
Fukuda Y.
Sata F.
Imai H.
AUTHOR ADDRESSES
(Nakao H.; Yoshimi I.; Sata F.; Imai H.) National Institute of Public
Health, Wako-shi, Saitama, Japan.
(Fukuda Y.) Yamaguchi University, Ube, Yamaguchi, Japan.
CORRESPONDENCE ADDRESS
H. Nakao, National Institute of Public Health, Wako-shi, Saitama, Japan.
SOURCE
Value in Health (2009) 12:7 (A307-A308). Date of Publication: October 2009
CONFERENCE NAME
ISPOR 12th Annual European Congress
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2009-10-24 to 2009-10-27
ISSN
1098-3015
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
OBJECTIVES: Tobacco has been identified as a major risk factor for lung
cancer, heart disease, and respiratory disease. Adults rarely visit their
physicians for preventive care. But surveys have shown that more than half
of adult smokers see a dentist each year for preventive care. This may put
dentists in a better position to implement tobacco cessation interventions.
The aim of the study was to investigate the tobacco cessation interventions
conducted by dental practitioners in Japan. METHODS: The study used a survey
mailed to dentists (n = 1489) in three prefectures (Tokyo, Iwate, Yamanashi)
asking about the practitioners' tobacco cessation activities, patient
demographic characteristics, barriers to counseling, and attitudes towards
tobacco in 2008. RESULTS: The response rate was 57% (n = 847). Dentists
advised 22% of patients to cease tobacco. More than half of them used a
pamphlet or other printed materials. However, nicotine replacement therapy
was prescribed infrequently (nicotine patches in 3.2% and nicotine gum in
2.2% of patients). Asked whether dentists should perform tobacco cessation
interventions in their offices, 76% said yes. The main barrier to cessation
counseling was insufficient time, followed by a lack of knowledge and
tobacco cessation specialists to whom to refer patients. 85% of respondents
had no education or training in promoting tobacco cessation. Twenty-two
percent of all respondents were smokers. CONCLUSIONS: Few dentists perform
tobacco cessation interventions in their offices. Nicotine replacement
therapy was hardly prescribed at all. Dentists have a positive attitude
towards tobacco cessation interventions and appear amenable to education and
a more active role in performing tobacco cessation interventions in their
offices.
EMTREE DRUG INDEX TERMS
nicotine gum
nicotine patch
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
education
Japan
nicotine replacement therapy
tobacco
EMTREE MEDICAL INDEX TERMS
adult
demography
dentist
heart disease
lung cancer
medical specialist
patient
physician
respiratory tract disease
risk factor
smoking
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70002403
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1152
TITLE
A randomized trial comparing two models of web-based training in
cognitive-behavioral therapy for substance abuse counselors
AUTHOR NAMES
Weingardt K.R.
Cucciare M.A.
Bellotti C.
Lai W.P.
AUTHOR ADDRESSES
(Weingardt K.R., ken.weingardt@va.gov; Cucciare M.A.; Bellotti C.; Lai W.P.)
Center for Health Care Evaluation, VA Palo Alto Health Care System, Stanford
University School of Medicine, Palo Alto, CA, United States.
CORRESPONDENCE ADDRESS
K.R. Weingardt, Center for Health Care Evaluation, VA Palo Alto Health Care
System, Stanford University School of Medicine, Palo Alto, CA, United
States. Email: ken.weingardt@va.gov
SOURCE
Journal of Substance Abuse Treatment (2009) 37:3 (219-227). Date of
Publication: October 2009
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
This study compared training outcomes obtained by 147 substance abuse
counselors who completed eight self-paced online modules on
cognitive-behavioral therapy (CBT) and attended a series of four weekly
group supervision sessions using Web conferencing software. Participants
were randomly assigned to two conditions that systematically varied the
degree to which they explicitly promoted adherence to the CBT protocol and
the degree of control that they afforded participants over the sequence and
relative emphasis of the training curriculum. Outcomes were assessed at
baseline and immediately following training. Counselors in both conditions
demonstrated similar improvements in CBT knowledge and self-efficacy.
Counselors in the low-fidelity condition demonstrated greater improvement on
one of three measures of job-related burnout when compared to the
high-fidelity condition. The study concludes that it is feasible to
implement a technology-based training intervention with a geographically
diverse sample of practitioners, that two training conditions applied to
these samples of real-world counselors do not produce statistically or
clinically significant differences in knowledge or self-efficacy, and that
further research is needed to evaluate how a flexible training model may
influence clinician behavior and patient outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognitive therapy
educational technology
substance abuse
training
EMTREE MEDICAL INDEX TERMS
adult
article
burnout
controlled study
female
human
intermethod comparison
male
priority journal
professional knowledge
psychotherapist
self concept
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009458108
MEDLINE PMID
19339136 (http://www.ncbi.nlm.nih.gov/pubmed/19339136)
PUI
L50467234
DOI
10.1016/j.jsat.2009.01.002
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2009.01.002
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1153
TITLE
A method for educating patients and documenting smoking status in an
electronic medical record
AUTHOR NAMES
Ragucci K.R.
Shrader S.P.
AUTHOR ADDRESSES
(Ragucci K.R., raguccik@musc.edu) Clinical Pharmacy and Outcome
Sciences/Family Medicine, .
(Ragucci K.R., raguccik@musc.edu) Graduate Pharmacy Education, South
Carolina College of Pharmacy, Medical University of South Carolina Campus,
Charleston, SC, United States.
(Shrader S.P.) Clinical Pharmacy and Outcome Sciences/Family Medicine, South
Carolina College of Pharmacy, Medical University of South Carolina Campus, .
CORRESPONDENCE ADDRESS
K. R. Ragucci, South Carolina College of Pharmacy, Medical University of
South Carolina Campus, MSC 192, 295 Calhoun St., Charleston, SC 29425,
United States. Email: raguccik@musc.edu
SOURCE
Annals of Pharmacotherapy (2009) 43:10 (1616-1620). Date of Publication:
October 2009
ISSN
1060-0280
BOOK PUBLISHER
Harvey Whitney Books Company, 8044 Montgomery Road, Suite 415, Cincinnati,
United States.
ABSTRACT
BACKGROUND: Published evidence demonstrates benefit from pharmacist smoking
cessation interventions; however, there is limited research evaluating the
impact of a template within an electronic medical record used at pharmacy
disease state management visits. OBJECTIVE: To determine the rates of
smoking cessation and movement along the transtheoretical model of change
after implementation of a template into existing pharmacy-related progress
notes within the electronic medical record. METHODS: Patients who were
routinely followed by clinical pharmacists for anticoagulation and diabetes
mellitus education at 3 clinics at the Medical University of South Carolina
were included. At each visit, the pharmacist would document patient smoking
information in a newly designed template within the existing progress note.
In addition, pharmacists would educate patients on the benefits of smoking
cessation and pharmacologic options that may be available to them. Data were
collected between April 2007 and March 2008. Baseline demographic data and
smoking cessation rates and products were compared using descriptive
statistics. The McNemar χ(2) test was used to compare the groups of patients
achieving smoking cessation pre- and postintervention. RESULTS: Of the 90
current smokers, 38 (42%) achieved smoking cessation postintervention.
Movement along the transtheoretical model of change was also seen, with 52
(58%) patients progressing to at least the next stage. Thirty-four patients
in the contemplation/preparation stage and 4 patients in the
precontemplation stage moved to the action or maintenance stage by the end
of the study period (p = 0.03). A variety of pharmacologic therapies were
used in individuals who stopped smoking, although varenicline was most
common. Thirty-nine percent of the patients used no medications to achieve
cessation. CONCLUSIONS: Incorporating a smoking cessation template into
existing progress notes and providing education during existing pharmacy
referral visits is a simple and effective method to assist patients in
achieving smoking cessation.
EMTREE DRUG INDEX TERMS
amfebutamone
nicotine
varenicline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
electronic medical record
patient education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
anticoagulation
article
demography
diabetes mellitus
female
human
major clinical study
male
nicotine replacement therapy
outpatient department
patient information
patient referral
pharmacy
priority journal
theoretical model
United States
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
nicotine (54-11-5)
varenicline (249296-44-4, 375815-87-5)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Hematology (25)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish, French
EMBASE ACCESSION NUMBER
2009591949
MEDLINE PMID
19737992 (http://www.ncbi.nlm.nih.gov/pubmed/19737992)
PUI
L355626072
DOI
10.1345/aph.1M301
FULL TEXT LINK
http://dx.doi.org/10.1345/aph.1M301
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1154
TITLE
Special communication: China's first historic efforts to develop a tobacco
control advocacy workforce via schools of public health
AUTHOR NAMES
Yang T.
Yang X.
Lv Q.
Zhao Q.
Ke X.
AUTHOR ADDRESSES
(Yang T.; Lv Q.; Zhao Q.; Ke X.) Center for Tobacco Control Research,
Zhejiang University School of Medicine, China.
(Yang X.) Department of Sociology, Zhejiang University, China.
CORRESPONDENCE ADDRESS
T. Yang, Center for Tobacco Control Research, Zhejiang University School of
Medicine, China.
SOURCE
Tobacco Control (2009) 18:5 (422-424). Date of Publication: October 2009
ISSN
0964-4563
1468-3318 (electronic)
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
China
curriculum
education
human
methodology
organization and management
public health
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19622521 (http://www.ncbi.nlm.nih.gov/pubmed/19622521)
PUI
L355407664
DOI
10.1136/tc.2009.031815
FULL TEXT LINK
http://dx.doi.org/10.1136/tc.2009.031815
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1155
TITLE
Is depersonalization disorder initiated by illicit drug use any different? A
survey of 394 adults
AUTHOR NAMES
Simeon D.
Kozin D.S.
Segal K.
Brenna L.
AUTHOR ADDRESSES
(Simeon D., dsimeon@chpnet.org; Kozin D.S.; Segal K.; Brenna L.) Department
of Psychiatry, Mount Sinai School of Medicine, New York, NY, United States.
CORRESPONDENCE ADDRESS
D. Simeon, Family Center for Bipolar Disorder, Fierman Hall, 5-13A, Beth
Israel Medical Center, 317 East 17th Street, New York, NY 10003, United
States. Email: dsimeon@chpnet.org
SOURCE
Journal of Clinical Psychiatry (2009) 70:10 (1358-1364). Date of
Publication: October 2009
ISSN
0160-6689
BOOK PUBLISHER
Physicians Postgraduate Press Inc., P.O. Box 752870, Memphis, United States.
ABSTRACT
Objective: Previous studies have documented that in a substantial minority
of individuals with depersonalization disorder, onset is first triggered by
illicit drug ingestion. The goal of this study was to systematically compare
a large sample of individuals with drug-initiated (D) versus
non-drug-initiated (ND) chronic depersonalization. Method: We conducted an
internet survey of 394 adults endorsing DSM-IV-TR depersonalization and/or
derealization symptoms. Sixty-four questions were utilized to inquire about
demographic and clinical characteristics, illness course, substance use
history, and treatment response. The Cambridge Depersonalization Scale (CDS)
was administered. The study was conducted from September 2005 to January
2006. Results: Compared to the ND group (n = 198), the D group (n = 196)
included more male and younger individuals. The 2 most common precipitating
drugs were cannabis and hallucinogens, followed by ecstasy. The majority of
participants had modest use histories prior to onset and never ingested
subsequently. The 2 groups endorsed similar illness course, impairment,
suicidality, and limited treatment response. The D group showed
significantly greater improvement over time than the ND group (P = .002),
although the groups did not differ in reported psychotherapy or
pharmacotherapy effectiveness. The groups did not differ in CDS total score
or on the 4 subscale scores of unreality of self, perceptual alterations,
unreality of surroundings, and temporal disintegration. On the numbing
subscale of the CDS, the ND group scored higher (P = .009) only prior to
controlling for age and gender. Conclusion: The study strongly supports a
uniform syndrome for chronic depersonalization/derealization regardless of
precipitant. © Copyright 2009 Physicians Postgraduate Press, Inc.
EMTREE DRUG INDEX TERMS
cannabis
psychedelic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depersonalization (therapy)
EMTREE MEDICAL INDEX TERMS
adult
aged
article
controlled study
Diagnostic and Statistical Manual of Mental Disorders
disease course
drug abuse
female
health survey
human
Internet
major clinical study
male
priority journal
psychotherapy
scoring system
structured questionnaire
suicide attempt
treatment response
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010000692
MEDLINE PMID
19538903 (http://www.ncbi.nlm.nih.gov/pubmed/19538903)
PUI
L358004082
DOI
10.4088/JCP.08m04370
FULL TEXT LINK
http://dx.doi.org/10.4088/JCP.08m04370
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1156
TITLE
Predictive values of psychiatric symptoms for internet addiction in
adolescents: A 2-year prospective study
AUTHOR NAMES
Ko C.-H.
Yen J.-Y.
Chen C.-S.
Yeh Y.-C.
Yen C.-F.
AUTHOR ADDRESSES
(Ko C.-H.; Yen J.-Y.; Chen C.-S.; Yeh Y.-C.; Yen C.-F.,
chfaye@cc.kmu.edu.tw) Department of Psychiatry, Kaohsiung Medical University
Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
(Ko C.-H.; Yen J.-Y.; Chen C.-S.) Graduate Institute of Medicine, Kaohsiung
Medical University, Kaohsiung City, Taiwan.
(Ko C.-H.; Yen J.-Y.; Chen C.-S.; Yen C.-F., chfaye@cc.kmu.edu.tw)
Department of Psychiatry, Kaohsiung Medical University, Kaohsiung City,
Taiwan.
(Ko C.-H.) College of Medicine, Center of Excellence for Environmental
Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan.
(Yen J.-Y.) Department of Psychiatry, Kaohsiung Municipal Hsiao-Kang
Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
CORRESPONDENCE ADDRESS
C.-F. Yen, Department of Psychiatry, Kaohsiung Medical University Hospital,
Kaohsiung Medical University, Kaohsiung City, Taiwan. Email:
chfaye@cc.kmu.edu.tw
SOURCE
Archives of Pediatrics and Adolescent Medicine (2009) 163:10 (937-943). Date
of Publication: October 2009
ISSN
1072-4710
1538-3628 (electronic)
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Objectives: To evaluate the predictive values of psychiatric symptoms for
the occurrence of Internet addiction and to determine the sex differences in
the predictive value of psychiatric symptoms for the occurrence of Internet
addiction in adolescents. Design: Internet addiction, depression,
attention-deficit/hyperactivity disorder, social phobia, and hostility were
assessed by self-reported questionnaires. Participants were then invited to
be assessed for Internet addiction 6, 12, and 24 months later (the second,
third, and fourth assessments, respectively). Setting: Ten junior high
schools in southern Taiwan. Participants: A total of 2293 (1179 boys and
1114 girls) adolescents participated in the initial investigation. Main
Exposure: The course of time. Main Outcome Measure: Internet addiction as
assessed using the Chen Internet Addiction Scale. Results: Depression,
attention-deficit/hyperactivity disorder, social phobia, and hostility were
found to predict the occurrence of Internet addiction in the 2-year
followup, and hostility and attention-deficit/hyperactivity disorder were
the most significant predictors of Internet addiction in male and female
adolescents, respectively. Conclusions: These results suggest that
attention-deficit/hyperactivity disorder, hostility, depression, and social
phobia should be detected early on and intervention carried out to prevent
Internet addiction in adolescents. Also, sex differences in psychiatric
comorbidity should be taken into consideration when developing prevention
and intervention strategies for Internet addiction. ©2009 American Medical
Association. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internet addiction (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
article
attention deficit disorder (epidemiology)
clinical assessment
comorbidity
controlled study
depression (epidemiology)
female
follow up
hostility
human
male
mental disease
mental patient
prediction and forecasting
priority journal
sex difference
social phobia (epidemiology)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009529663
MEDLINE PMID
19805713 (http://www.ncbi.nlm.nih.gov/pubmed/19805713)
PUI
L355385589
DOI
10.1001/archpediatrics.2009.159
FULL TEXT LINK
http://dx.doi.org/10.1001/archpediatrics.2009.159
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1157
TITLE
Cardiovascular disease and hypertension among adults with bipolar I disorder
in the United States
AUTHOR NAMES
Goldstein B.I.
Fagiolini A.
Houck P.
Kupfer D.J.
AUTHOR ADDRESSES
(Goldstein B.I., benjamin.goldstein@sunnybrook.ca; Fagiolini A.; Houck P.;
Kupfer D.J.) Western Psychiatric Institute and Clinic, University of
Pittsburgh School of Medicine, Pittsburgh, PA, United States.
(Goldstein B.I., benjamin.goldstein@sunnybrook.ca) Department of Psychiatry,
Sunnybrook Health Sciences Centre, University of Toronto, 2079 Bayview
Avenue, Toronto, ON M4N 3M5, Canada.
(Fagiolini A.) Department of Neuroscience, Division of Psychiatry,
University of Siena School of Medicine, Siena, Italy.
CORRESPONDENCE ADDRESS
B.I. Goldstein, Department of Psychiatry, Sunnybrook Health Sciences Centre,
2079 Bayview Avenue, Toronto, ON M4N 3M5, Canada. Email:
benjamin.goldstein@sunnybrook.ca
SOURCE
Bipolar Disorders (2009) 11:6 (657-662). Date of Publication: 2009
ISSN
1398-5647
1399-5618 (electronic)
BOOK PUBLISHER
Blackwell Munksgaard, 1 Rosenorns Alle, P.O. Box 227, Copenhagen V, Denmark.
ABSTRACT
Objective: Despite ample evidence of excess cardiovascular mortality in
bipolar disorder (BD), few studies have demonstrated increased prevalence of
cardiovascular disease (CVD) and/or hypertension (HTN) in BD. We therefore
examined this topic in a representative epidemiologic sample. Method: The
2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions
was used to determine whether prevalence of physician-diagnosed CVD and HTN
is elevated among subjects with lifetime bipolar I disorder (BD-I), and
whether CVD and HTN are prevalent at earlier ages among subjects with BD-I.
Results: The age-, race-, and sex-adjusted prevalence of CVD was
significantly greater among subjects with BD-I versus controls [odds ratio
(OR) = 4.95, 95% confidence interval (CI): 4.27-5.75] and versus subjects
with major depressive disorder [(MDD); OR = 1.80, 95% CI: 1.52-2.14], as was
the prevalence of HTN (OR = 2.38, 95% CI: 2.16-2.62 versus controls, OR =
1.44, 95% CI: 1.30-1.61 versus MDD; p<0.0001 for all). Controlling
additionally for marital status, education, income, obesity, smoking,
anxiety disorders, and substance use disorders did not substantially alter
these findings. The mean age of BD-I subjects with CVD and HTN was 14 and 13
years younger, respectively, than controls with CVD and HTN. Conclusions:
Adults with BD-I are at increased risk of CVD and HTN, prevalent over a
decade earlier than non-BD adults. Strategies are needed to prevent
excessive and premature cardiovascular burden in BD-I. © 2009 The Authors
Journal compilation © 2009 John Wiley & Sons A/S.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bipolar I disorder (epidemiology)
cardiovascular disease (epidemiology, etiology)
hypertension (epidemiology, etiology)
EMTREE MEDICAL INDEX TERMS
adult
age distribution
anxiety disorder
article
cardiovascular risk
controlled study
disease association
educational status
ethnicity
female
human
income
major clinical study
male
marriage
obesity
prevalence
priority journal
risk assessment
smoking
substance abuse
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009429871
MEDLINE PMID
19689508 (http://www.ncbi.nlm.nih.gov/pubmed/19689508)
PUI
L355096301
DOI
10.1111/j.1399-5618.2009.00735.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1399-5618.2009.00735.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1158
TITLE
Postgraduate medical education on tobacco and smoking cessation in Europe
AUTHOR NAMES
Kralikova E.
Bonevski B.
Stepankova L.
Pohlova L.
Mladkova N.
AUTHOR ADDRESSES
(Kralikova E.; Stepankova L.; Pohlova L.; Mladkova N.) Institute of Hygiene
and Epidemiology, The 3rd Medical Department First Medical Faculty, Charles
University, Prague, Czech Republic.
(Bonevski B., billie.bonevski@newcastle.edu.au) Centre for Health Research
and Psycho-oncology (CHeRP), Cancer Council NSW and the University of
Newcastle, Newcastle, Australia.
CORRESPONDENCE ADDRESS
B. Bonevski, Centre for Health Research and Psycho-oncology (CHeRP), David
Maddison Building, Room 230A, Level 2, Callaghan, NSW 2308, Australia.
Email: billie.bonevski@newcastle.edu.au
SOURCE
Drug and Alcohol Review (2009) 28:5 (474-483). Date of Publication:
September 2009
ISSN
0959-5236
1465-3362 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Issues: Smoking prevalence in European countries is high. Adequately trained
physicians can play a key role in reducing smoking rates in Europe. This
paper provides an overview of postgraduate smoking cessation training for
physicians in Europe. Approach: Two methods were used: (i) a review of the
Europe-based published and grey literature between 1999 and 2009 on
postgraduate education programs for physicians in smoking cessation; and
(ii) a survey of key informants identified through two European tobacco
control list serves. Key Findings: A total of nine relevant articles were
identified through the literature search which showed over 170 postgraduate
training programs offered in Europe in smoking cessation. The survey
resulted in a 100% response rate from 38 key informants from 28 European
countries. Respondents from all countries except Latvia reported knowledge
of the existence of smoking cessation training programs. Course content
included brief intervention training (93%), pharmacotherapy (96%),
motivational interviewing skills (85%) and training in the stages of change
(89%). Participation by physicians in these courses was reported to be low
(ranging in total participation estimates from 15 to 1100 per country).
Implications: The study showed numerous training opportunities for
physicians in Europe. However, postgraduate training in smoking cessation
might not be reaching physicians and might not be rigorously evaluated.
Conclusions: It is imperative that the effectiveness of the programs in
changing provider practices and patient smoking outcomes is adequately
evaluated. Further research is also indicated for methods of disseminating
effective educational activities throughout Europe with the intention of
increasing participation. © 2009 Australasian Professional Society on
Alcohol and other Drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
physician
smoking cessation
tobacco dependence (epidemiology, prevention, therapy)
EMTREE MEDICAL INDEX TERMS
article
Europe (epidemiology)
human
information processing
methodology
physician attitude
smoking (prevention, therapy)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19737206 (http://www.ncbi.nlm.nih.gov/pubmed/19737206)
PUI
L358319862
DOI
10.1111/j.1465-3362.2009.00104.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1465-3362.2009.00104.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1159
TITLE
Teaching about tobacco in medical schools: A worldwide study
AUTHOR NAMES
Richmond R.
Zwar N.
Taylor R.
Hunnisett J.
Hyslop F.
AUTHOR ADDRESSES
(Richmond R., r.richmond@unsw.edu.au; Zwar N.; Taylor R.; Hunnisett J.;
Hyslop F.) School of Public Health and Community Medicine, University of
NSW, Kensington, Australia.
CORRESPONDENCE ADDRESS
R. Richmond, School of Public Health and Community Medicine, University of
NSW, Kensington NSW 2052, Australia. Email: r.richmond@unsw.edu.au
SOURCE
Drug and Alcohol Review (2009) 28:5 (484-497). Date of Publication:
September 2009
ISSN
0959-5236
1465-3362 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Introduction and Aims: As medical practitioners of the future, medical
students should be taught about tobacco control strategies and smoking
cessation interventions. By including education about tobacco in the medical
curricula, they can be informed about the health effects of tobacco use and
learn to assist smokers to quit. Our study aimed to estimate the extent of
teaching about tobacco and smoking cessation techniques in medical schools
worldwide and compare with results we reported 10 years ago, to determine
the content of curricula and range of teaching formats and to identify
barriers to teaching about tobacco in medical schools and solutions. Design
and Methods. A cross-sectional survey of all existing medical schools (n =
2090) in 171 countries was conducted. A questionnaire was designed,
translated and sent to all medical schools. Main outcome measures included
whether and how tobacco is taught; comparisons with the survey conducted 10
years ago; tobacco content in the curriculum; format of teaching; and
barriers to teaching and solutions. Results: 665 medical schools from 109
countries completed the full questionnaire, with a response rate of 31.8%
from medical schools and 64% of countries and consisting of 39% of medical
schools in developed and 28% in less developed countries. A further 67
medical schools responded to a single question on whether they taught about
tobacco. The total response rate was 35%. Of 561 medical schools responding
to questions on teaching options, 27% of medical schools taught a specific
module on tobacco compared with only 11% in our survey of medical schools
conducted a decade ago; 77% integrated teaching on tobacco with other topics
compared with 40% 10 years ago; 31% taught about tobacco informally as the
topic arose (vs. 58%) and 4% did not teach about tobacco (vs. 12%). Most
common topics taught were: health effects of smoking (94%), health effects
of passive smoking (84.5%), epidemiology of tobacco use (81%), nicotine
dependence (78%) and taking a smoking history (75%). Most popular method of
teaching was by lectures (78%), case study discussions and problem-based
learning exercises (51%), class readings 46%, in the clinical setting with
real patients (45%), special projects and assignments (45%) and
patient-centred teaching approaches, such as role plays (31%).
Significantly, more barriers to teaching were identified by less developed
countries (>60%) including: lack of available teaching time in the medical
program, limited organisational ability to include new subjects, lack of
staff resources to teach, lack of current plans to introduce a tobacco
curriculum, lack of a key person to champion and organise teaching, lack of
financial resources and lack of incentives or advantages to teach. A
majority described solutions to these problems. A case study of education on
tobacco throughout the medical curriculum is presented. Discussion and
Conclusions.We found an encouraging increase in the extent of teaching on
tobacco in medical schools over 10 years.We report that although progress
has been made to address the teaching of tobacco in medical schools
worldwide, there is a great deal more effort required so that education on
tobacco is an ongoing part of medical curricula. The teaching content is
generally based on evidence-based smoking cessation guidelines. © 2009
Australasian Professional Society on Alcohol and other Drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
health
medical school
tobacco dependence (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
article
comparative study
cross-sectional study
human
international cooperation
medical student
methodology
smoking cessation
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19737207 (http://www.ncbi.nlm.nih.gov/pubmed/19737207)
PUI
L358319863
DOI
10.1111/j.1465-3362.2009.00105.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1465-3362.2009.00105.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1160
TITLE
Postgraduate education for doctors in smoking cessation
AUTHOR NAMES
Zwar N.A.
Richmond R.L.
Davidson D.
Hasan I.
AUTHOR ADDRESSES
(Zwar N.A., n.zwar@unsw.edu.au; Richmond R.L.; Hasan I.) School of Public
Health and Community Medicine, University of New South Wales, Sydney,
Australia.
(Davidson D.) Department of Family Medicine, University of Ottawa, Ottawa,
Canada.
CORRESPONDENCE ADDRESS
N.A. Zwar, School of Public Health and Community Medicine, University of New
South Wales, Sydney, NSW 2052, Australia. Email: n.zwar@unsw.edu.au
SOURCE
Drug and Alcohol Review (2009) 28:5 (466-473). Date of Publication:
September 2009
ISSN
0959-5236
1465-3362 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Introduction and Aims: Smoking cessation advice from doctors helps improve
quit rates but the opportunity to provide this advice is often missed.
Postgraduate education is one strategy to improve the amount and quality of
cessation support provided. This paper describes a sample of postgraduate
education programs for doctors in smoking cessation and suggests future
directions to improve reach and quality. Design and Methods: Survey of key
informants identified through tobacco control listserves supplemented by a
review of the published literature on education programs since 2000.
Programs and publications from Europe were not included as these are covered
in another paper in this Special Issue. Results: Responses were received
from only 21 key informants from eight countries.Two further training
programs were identified from the literature review. The following
components were present in the majority of programs: 5 As (Ask, Advise,
Assess, Assist and Arrange) approach (72%), stage of change (64%),
motivational interviewing (72%), pharmacotherapies (84%). Reference to
clinical practice guidelines was very common (84%).The most common model of
delivery of training was face to face. Lack of interest from doctors and
lack of funding were identified as the main barriers to uptake and
sustainability of training programs. Discussion and Conclusions: Identifying
programs proved difficult and only a limited number were identified by the
methods used.There was a high level of consistency in program content and a
strong link to clinical practice guidelines. Key informants identified
limited reach into the medical profession as an important issue. New
approaches are needed to expand the availability and uptake of postgraduate
education in smoking cessation. [Zwar NA, Richmond RL, Davidson D, Hasan I.
Postgraduate education for doctors in smoking cessation. © 2009 Australasian
Professional Society on Alcohol and other Drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
physician
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
doctor patient relation
human
information processing
methodology
patient education
smoking (prevention, therapy)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19737205 (http://www.ncbi.nlm.nih.gov/pubmed/19737205)
PUI
L358319861
DOI
10.1111/j.1465-3362.2009.00103.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1465-3362.2009.00103.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1161
TITLE
Faculty development in tobacco cessation: Training health professionals and
promoting tobacco control in developing countries
AUTHOR NAMES
Muramoto M.L.
Lando H.
AUTHOR ADDRESSES
(Muramoto M.L., myram@u.arizona.edu) Department of Family and Community
Medicine, University of Arizona College of Medicine, Tucson, United States.
(Lando H.) Division of Epidemiology, University of Minnesota School of
Public Health, Minneapolis, United States.
CORRESPONDENCE ADDRESS
M.L. Muramoto, University of Arizona, Department of Family and Community
Medicine, 1450 N. Cherry Avenue, Tucson, AZ 85719, United States. Email:
myram@u.arizona.edu
SOURCE
Drug and Alcohol Review (2009) 28:5 (498-506). Date of Publication:
September 2009
ISSN
0959-5236
1465-3362 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Issues: Cessation programs are essential components of comprehensive tobacco
control. Health-care providers, especially physicians, have major
responsibility for role modeling and promoting cessation. For successful,
sustainable cessation training programs, countries need health-care
professionals with knowledge and skills to deliver and teach tobacco
cessation. Approach: Review literature relevant to faculty development in
tobacco cessation and discuss its strategic potential in tobacco control.
Key Findings: Faculty development is essential for sustainable tobacco
cessation training programs, and a potentially powerful strategy to shift
professional and societal norms towards cessation and support of
comprehensive tobacco control in countries with normative tobacco use and
underdeveloped tobacco control programs. Implications: Medical faculty are
in a key position to influence tobacco cessation and control programs
because of their roles as educators and researchers, receptivity to
innovation and, influence on competencies and standards for medical
education and practice. Faculty development programs must consider the
number and type of faculty, and tobacco cessation curricula needed. Faculty
development fosters the ability to institutionalise cessation education for
students and community practitioners. Academic faculty are often leaders in
their professional disciplines, influential in establishing clinical
practice standards, and technical experts for government and other key
health organisations. Conclusion: Training health-care professional faculty
to become knowledgeable and committed to tobacco cessation opens
opportunities to promote cessation and shift professional and societal norms
away from tobacco use. © 2009 Australasian Professional Society on Alcohol
and other Drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
developing country
health care personnel
medical school
smoking cessation
tobacco dependence (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
article
education
human
methodology
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19737208 (http://www.ncbi.nlm.nih.gov/pubmed/19737208)
PUI
L358319864
DOI
10.1111/j.1465-3362.2009.00106.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1465-3362.2009.00106.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1162
TITLE
Prevalence of cigarette smoking and khat chewing among Aden university
medical students and their relationship to BP and body mass index.
AUTHOR NAMES
Laswar A.K.
Darwish H.
AUTHOR ADDRESSES
(Laswar A.K.) Director General of Health Affairs, Aden, Associate Professor
of Surgery, Aden, Yemen.
(Darwish H.)
CORRESPONDENCE ADDRESS
A.K. Laswar, Director General of Health Affairs, Aden, Associate Professor
of Surgery, Aden, Yemen. Email: alkhaderlaswar@yahoo.com
SOURCE
Saudi journal of kidney diseases and transplantation : an official
publication of the Saudi Center for Organ Transplantation, Saudi Arabia
(2009) 20:5 (862-866). Date of Publication: Sep 2009
ISSN
1319-2442
ABSTRACT
To evaluate the smoking and khat chewing habits in male Aden University
medical students and correlate them with blood pressure (BP), body mass
index (BMI), and year of training, we randomly selected 100 students of
different levels of training and measured their BP, height, and weight, and
evaluated their cigarette smoking and khat chewing habits. The mean age of
the whole group was 31.8 years. The mean BMI was 23.24 with a range from
22.6 in the in first year medical students to 24.7 (4.4) in 5 th year
medical students (P= 0.127). The mean SBP, DBP, and MBP were 120.35, 70.47
and 87.1 mmHg, respectively, and did not change over the years of training.
Preva-lence of smoking increased from 20% to 40% and khat chewing from 35%
to 90% over the 5 years of training (P= 0.0003). There was a tendency for
positive correlation between age and weight, BMI and frequency of khat
chewing, and BMI and MBP. We found high prevalence of smoking and khat
chewing among the medical students at Aden University and their prevalence
increases with student seniority with no significant changes in BMI, SBP,
DBP or MBP. There was a weak positive correlation between BMI with SBP, MBP
and frequency of Khat chewing.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
plant medicinal product (adverse drug reaction, drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
blood pressure
body mass
Catha edulis
lifestyle
mastication
medical student
smoking (adverse drug reaction, epidemiology)
university
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cross-sectional study
drug effect
habit
human
male
plant leaf
prevalence
statistical model
statistics
Yemen (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19736493 (http://www.ncbi.nlm.nih.gov/pubmed/19736493)
PUI
L355903569
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1163
TITLE
Comorbidity and comortality
AUTHOR NAMES
Baldacchino A.
Crome I.
AUTHOR ADDRESSES
(Baldacchino A.) University of Dundee, Dundee, United Kingdom.
(Crome I.) Academic Psychiatry Unit, Keele University Medical School, Stoke
on Trent, United Kingdom.
CORRESPONDENCE ADDRESS
A. Baldacchino, University of Dundee, Dundee, United Kingdom.
SOURCE
European Psychiatry (2009) 24 SUPPL. 1 (S29). Date of Publication: 2009
CONFERENCE NAME
17th European Psychiatric Association, EPA Congress
CONFERENCE LOCATION
Lisbon, Portugal
CONFERENCE DATE
2009-01-24 to 2009-01-28
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Aims: To analyse the nature and extent of data extracted from case files of
deceased individuals in contact with health, social care and criminal
justice services six months prior to their drug deaths in Scotland during
2003. Methods: A cross-sectional descriptive analysis of 317 case notes of
237 individuals who had drug related deaths, using a data linkage process,
was undertaken. All contacts made with services in the six months prior to
death were identified. Information on clinical and social circumstances
obtained from case records of social care services, specialist drug
treatment, mental health and non-statutory services and the Scottish Prison
Service and Criminal Records Office were collated using the Centre for
Addiction Research and Education Scotland (CARES) Clinical and Social
Circumstances Data Collection Form. Findings: More than 50% (n=237) were
seen six months prior to their drug death. Sociodemographic details were
reported much more frequently than medical problems. While there was
information available on ethnicity (49%), living accommodation (66%),
education and income (52%), and dependent children (73%), medical and
psychiatric history was recorded in only 12%, blood-borne viral status in
17%, and life events in 26%. This paucity of information was also a feature
of the treatment plans and progress recorded for these individuals.
Conclusions: The 237 drug deaths were not a population unknown to services.
Highly relevant data about the six-month period prior to death were missing.
Improved training to promote in-depth recording, and effective monitoring
may result in better understanding and reduction of drug deaths.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
comorbidity
EMTREE MEDICAL INDEX TERMS
accommodation
addiction
blood
brain depth recording
child
criminal justice
death
drug therapy
education
ethnicity
health
income
information processing
life event
medical specialist
mental health
monitoring
offender
population
prison
social care
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70255873
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1164
TITLE
The misuse and diversion of prescribed ADHD medications by college students
AUTHOR NAMES
Rabiner D.L.
Anastopoulos A.D.
Costello E.J.
Hoyle R.H.
McCabe S.E.
Swartzwelder H.S.
AUTHOR ADDRESSES
(Rabiner D.L., drabiner@duke.edu; Costello E.J.; Hoyle R.H.; Swartzwelder
H.S.) Duke University, United States.
(Anastopoulos A.D.) University of North Carolina, Greensboro, United States.
(McCabe S.E.) University of Michigan Substance Abuse Research Center, United
States.
CORRESPONDENCE ADDRESS
D. L. Rabiner, Box 90545, Durham, NC 27707, United States. Email:
drabiner@duke.edu
SOURCE
Journal of Attention Disorders (2009) 13:2 (144-153). Date of Publication:
September 2009
ISSN
1087-0547
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
Objective: This study assesses the misuse and diversion of prescribed
attention-deficit/hyperactivity disorder (ADHD) medications. Method: One
hundred fifteen students, attending two universities, with prescriptions for
ADHD medications completed a Web survey in spring 2007. Results: Eighty-nine
of 115 students (69%) used their ADHD medications as prescribed, whereas 36
(31%) had misused during college by taking larger or more frequent doses
than prescribed or by using someone else's medication. Nine students (8%)
reported intranasal use during the previous 6 months, and 30 (26%) had
diverted medications to peers. Misuse was associated with impulsivity and
with other substance use. Enhancing the ability to study outside of class
was students' primary motive for misuse, but nonacademic reasons were also
reported. Students who misused ADHD medications generally felt that doing so
was helpful. Conclusions: Although most students use their ADHD medication
as prescribed, misuse and diversion is not uncommon. Because enhancing
academic performance was the primary motive for misuse, the results raise
questions about whether undergraduates with ADHD perceive their treatment as
adequate and the extent to which physicians and students communicate about
issues related to medication adjustments. (J. of Att. Dis. 2009; 13(2)
144-153). © 2009 SAGE Publications.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
central stimulant agent (adverse drug reaction, drug administration)
prescription drug (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology)
attention deficit disorder (diagnosis, drug therapy, epidemiology)
student
EMTREE MEDICAL INDEX TERMS
achievement
adolescent
adult
article
attention
comorbidity
comparative study
cross-sectional study
dose response
drinking behavior (epidemiology)
drug administration
drug effect
female
health survey
human
intranasal drug administration
male
motivation
patient compliance
peer group
psychological aspect
social environment
statistics
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19448150 (http://www.ncbi.nlm.nih.gov/pubmed/19448150)
PUI
L355286247
DOI
10.1177/1087054708320414
FULL TEXT LINK
http://dx.doi.org/10.1177/1087054708320414
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1165
TITLE
Challenges for medical models of addicton
AUTHOR NAMES
Sullivan J.
Kincaid H.
AUTHOR ADDRESSES
(Sullivan J.) Neurobiology/Philosophy, University of Alabama at Birmingham,
Birmingham, United States.
(Kincaid H.) Philosophy/Preventive Medicine, University of Alabama at
Birmingham, Birmingham, United States.
CORRESPONDENCE ADDRESS
J. Sullivan, Neurobiology/Philosophy, University of Alabama at Birmingham,
Birmingham, United States.
SOURCE
European Psychiatry (2009) 24 SUPPL. 1 (S433). Date of Publication: 2009
CONFERENCE NAME
17th European Psychiatric Association, EPA Congress
CONFERENCE LOCATION
Lisbon, Portugal
CONFERENCE DATE
2009-01-24 to 2009-01-28
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
It is standard in current neurobiological research on addiction to describe
addiction as a chronic disease. Working from this perspective, much effort
has gone into characterizing the symptomology of addiction and the brain
changes that underlie them. Evidence for involvement of dopamine
transmission changes in the ventral tagament area and nucleus accumbens have
received the greatest attention. Kaur and Malenka (2007) put it well: “drugs
of abuse can co-opt synaptic plasticity mechanisms in brain circuits
involved in reinforcement and reward processing”. Our goal in this paper is
to provide an explicit description of the assumptions of medical models, the
different forms they may take, and the challenges they face in providing
explanations of addiction with solid evidence. We first spell out the
requirements of disease models and use them to point out ambiguities in the
claims of those who defend medical models. After that, we ask to what extent
DSM categorization is suitable to medical models and what aspects of the
life course of addiction medical models are supposed to explain. In the
third section, we note that a primary aim of the neurobiology of addiction
is to localize the causes of addiction to cellular and molecular pathways in
the brain's reward system. We investigate how well current neurobiological
approaches approximate towards such a unified causal account of addiction,
and what challenges current approaches still face. We finish with a survey
of some of the important social processes in addiction and the challenges
they raise for medical models.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
model
EMTREE MEDICAL INDEX TERMS
abuse
addiction
ambiguity
brain
chronic disease
disease model
dopaminergic transmission
nerve cell plasticity
neurobiology
nucleus accumbens
processing
reinforcement
reward
solid
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70256277
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1166
TITLE
Challenges for medical models of addicton
AUTHOR NAMES
Sullivan J.
Kincaid H.
AUTHOR ADDRESSES
(Sullivan J.) Neurobiology/Philosophy, University of Alabama at Birmingham,
Birmingham, United States.
(Kincaid H.) Philosophy/Preventive Medicine, University of Alabama at
Birmingham, Birmingham, United States.
CORRESPONDENCE ADDRESS
J. Sullivan, Neurobiology/Philosophy, University of Alabama at Birmingham,
Birmingham, United States.
SOURCE
European Psychiatry (2009) 24 SUPPL. 1 (S345). Date of Publication: 2009
CONFERENCE NAME
17th European Psychiatric Association, EPA Congress
CONFERENCE LOCATION
Lisbon, Portugal
CONFERENCE DATE
2009-01-24 to 2009-01-28
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
It is standard in current neurobiological research on addiction to describe
addiction as a chronic disease. Working from this perspective, much effort
has gone into characterizing the symptomology of addiction and the brain
changes that underlie them. Evidence for involvement of dopamine
transmission changes in the ventral tagament area and nucleus accumbens have
received the greatest attention. Kaur and Malenka (2007) put it well: “drugs
of abuse can co-opt synaptic plasticity mechanisms in brain circuits
involved in reinforcement and reward processing”. Our goal in this paper is
to provide an explicit description of the assumptions of medical models, the
different forms they may take, and the challenges they face in providing
explanations of addiction with solid evidence. We first spell out the
requirements of disease models and use them to point out ambiguities in the
claims of those who defend medical models. After that, we ask to what extent
DSM categorization is suitable to medical models and what aspects of the
life course of addiction medical models are supposed to explain. In the
third section, we note that a primary aim of the neurobiology of addiction
is to localize the causes of addiction to cellular and molecular pathways in
the brain's reward system. We investigate how well current neurobiological
approaches approximate towards such a unified causal account of addiction,
and what challenges current approaches still face. We finish with a survey
of some of the important social processes in addiction and the challenges
they raise for medical models.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
model
EMTREE MEDICAL INDEX TERMS
abuse
addiction
ambiguity
brain
chronic disease
disease model
dopaminergic transmission
nerve cell plasticity
neurobiology
nucleus accumbens
processing
reinforcement
reward
solid
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70256189
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1167
TITLE
Training health care providers in the treatment of tobacco use and
dependence: Pre- and post-training results
AUTHOR NAMES
Sheffer C.E.
Barone C.P.
Anders M.E.
AUTHOR ADDRESSES
(Sheffer C.E., cesheffer@uams.edu) Department of Health Behavior and Health
Education, University of Arkansas for Medical Sciences 4301, West Markham St
#820, Little Rock, AR 72205-7199, United States.
(Barone C.P.) College of Nursing, University of Arkansas, Little Rock, AR,
United States.
(Anders M.E.) Department of Respiratory and Surgical Technology, College of
Health Related Professions, University of Arkansas, Little Rock, AR, United
States.
CORRESPONDENCE ADDRESS
C. E. Sheffer, Department of Health Behavior and Health Education,
University of Arkansas for Medical Sciences 4301, West Markham St #820,
Little Rock, AR 72205-7199, United States. Email: cesheffer@uams.edu
SOURCE
Journal of Evaluation in Clinical Practice (2009) 15:4 (607-613). Date of
Publication: August 2009
ISSN
1356-1294
1365-2753 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Rationale Health care providers have an extended reach into the population
of tobacco users. Increasing the number and variety of health care providers
that deliver the evidence-based, brief interventions for tobacco use
prescribed by the Public Health Service Clinical Practice Guideline is
likely to result in more tobacco users exposed to evidence-based treatments
and more successful quit attempts. Effective training is key to increasing
provider performance and proficiency in this regard. Method A 1-hour
didactic training was delivered to 1286 health care providers (185
physicians, 359 nurses, 75 dental providers and 667 other health-related
professions). Pre- and post-training tests assessed provider attitudes,
knowledge and behaviours. Paired samples t-tests were used to compare pre-
and post-test results. Analysis of variance was used to test for significant
differences among professional groups. Results Prior to training, physicians
engaged in more interventions and reported more knowledge and more positive
attitudes towards treating tobacco use than the other professions.
Post-training, differences among physicians, nurses and dental providers
were minimal. All professions reported significantly more knowledge and more
positive attitudes on nearly all measures. Conclusions A large potential
benefit can be garnered from a brief, targeted, 1-hour training in the
brief, evidence-based interventions for treating tobacco use and dependence.
Increases in perceived knowledge and positive attitudes towards treatment
among the professional groups suggest that trainees will perform
interventions at higher frequency post-training. Overall gains were highest
for dental providers and nurses. © 2009 Blackwell Publishing Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
cigarette smoking
health care personnel
health personnel attitude
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009416887
MEDLINE PMID
19674215 (http://www.ncbi.nlm.nih.gov/pubmed/19674215)
PUI
L355066974
DOI
10.1111/j.1365-2753.2008.01058.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2753.2008.01058.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1168
TITLE
Psychiatry resident training in office-based treatment of opioid dependence
(OBOT): A new method of addiction training and early results
AUTHOR NAMES
McCance-Katz E.
AUTHOR ADDRESSES
(McCance-Katz E.) University of California,San Francisco, American Academy
of Addiction Psychiatry, .
CORRESPONDENCE ADDRESS
E. McCance-Katz, University of California, San Francisco, American Academy
of Addiction Psychiatry, .
SOURCE
American Journal on Addictions (2009) 18:4 (322). Date of Publication: July
2009
CONFERENCE NAME
AAAP 19th Annual Meeting and Symposium
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
The Center for Substance Abuse Treatment (CSAT) provided a grant to the
American Academy of Addiction Psychiatry (AAAP) to provide a novel training
program in OBOT to psychiatry residents at the PGY 3 and 4 level. A novel
method for training developed at AAAP that includes four hours of self study
with an examination followed by four hours of face-to-face training by a
qualified trainer who practices OBOT has been offered to psychiatry
residency programs that have an accredited Addiction Psychiatry residency
program. Completion of this course provides the training necessary for
residents to become waivered to practice OBOT (when fully licensed and
having obtained a DEA registration). The structure of this program, topics
presented, and participation to date will be presented. This novel training
intervention may be generalizable to other residency training programs and
offers a means of providing the underpinnings of addiction medicine to
physicians-in-training.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
psychiatry
residency education
EMTREE MEDICAL INDEX TERMS
examination
physician
registration
substance abuse
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70022120
DOI
10.1080/10550490902928197
FULL TEXT LINK
http://dx.doi.org/10.1080/10550490902928197
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1169
TITLE
The interface between substance abuse and chronic pain management in primary
care: A curriculum for medical residents
AUTHOR NAMES
Gunderson E.W.
Coffin P.O.
Chang N.
Polydorou S.
Levin F.R.
AUTHOR ADDRESSES
(Gunderson E.W., erikgunderson@virginia.edu) University of Virginia Health
System, Box 800623, Charlottesville, VA 22908, United States.
(Gunderson E.W., erikgunderson@virginia.edu; Coffin P.O.; Chang N.;
Polydorou S.; Levin F.R.) Columbia University, College of Physicians and
Surgeons, New York, NY, United States.
CORRESPONDENCE ADDRESS
E. W. Gunderson, University of Virginia Health System, Box 800623,
Charlottesville, VA 22908, United States. Email: erikgunderson@virginia.edu
SOURCE
Substance Abuse (2009) 30:3 (253-260). Date of Publication: July 2009
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Objectives: To develop and assess a housestaff curriculum on opioid and
other substance abuse among patients with chronic noncancer pain (CNCP).
Methods: The two-hour, case-based curriculum delivered to small groups of
medical housestaff sought to improve assessment and management of
opioid-treated CNCP patients, including those with a substance use disorder.
A two-page pre-post survey was administered to assess self-efficacy change
on a scale from 1 (strongly disagree) to 5 (strongly agree). Results: Of
47/50 (94%) respondents, self-efficacy significantly improved across all
items (mean pre vs. post ratings, P <.001). Housestaff were more prepared to
manage patients on chronic opioid medication (2.8 vs. 3.8), including those
with substance use disorders (2.3 vs. 3.4). They felt more prepared to
identify opioid dependence (2.8 vs. 3.9) and overall rated the curriculum
favorably (4.2). Conclusions: The brief curriculum was well received and
appears effective. Further study is needed to determine practice impact.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy, disease management, drug therapy)
opiate addiction
primary medical care
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
medical education
patient care
prescription
rating scale
resident
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009583569
MEDLINE PMID
19591063 (http://www.ncbi.nlm.nih.gov/pubmed/19591063)
PUI
L355585137
DOI
10.1080/08897070903041277
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070903041277
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1170
TITLE
Motivational enhancement therapy to increase resident physician engagement
in substance abuse education
AUTHOR NAMES
Hettema J.E.
Sorensen J.L.
Uy M.
Jain S.
AUTHOR ADDRESSES
(Hettema J.E., jhettema@virginia.edu) Department of Psychiatry and
Neurobehavioral Sciences, University of Virginia, Charlottesville, VA,
United States.
(Sorensen J.L.; Uy M.) Department of Psychiatry, San Francisco General
Hospital, University of California San Francisco, San Francisco, CA, United
States.
(Jain S.) Department of Medicine, San Francisco General Hospital, University
of California San Francisco, San Francisco, CA, United States.
CORRESPONDENCE ADDRESS
J. E. Hettema, UVA CARE Richmond, 2821 North Parham Road, Richmond, VA
23294, United States. Email: jhettema@virginia.edu
SOURCE
Substance Abuse (2009) 30:3 (244-247). Date of Publication: July 2009
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Rates of screening, brief intervention, and referral to treatment (SBIRT)
for alcohol and drug use by physicians remain low, despite evidence of
efficacy. Motivational enhancement therapy (MET) may be a promising means to
help physicians resolve ambivalence about intervening with alcohol and drug
users and take advantage of educational opportunities. In the present study,
9 internal medicine residents received brief MET prior to standard education
in SBIRT. Residents' self-reported SBIRT attitudes and behaviors were
measured before the intervention and at a 5-week follow-up point. Changes in
SBIRT attitudes and behaviors all occurred in the expected direction,
although, due to the small sample size, none reached statistical
significance. Results suggest that MET may enhance educational opportunities
and lead to changes in SBIRT behavior.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
motivation
motivational enhancement therapy
resident
therapy
EMTREE MEDICAL INDEX TERMS
article
health personnel attitude
human
medical education
patient care
patient counseling
physician
residency education
screening
self report
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009583565
MEDLINE PMID
19591061 (http://www.ncbi.nlm.nih.gov/pubmed/19591061)
PUI
L355585133
DOI
10.1080/08897070903041210
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070903041210
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1171
TITLE
Interactive online learning for medical students about opioid abuse and
treatment
AUTHOR NAMES
Tanner T.B.
Metcalf M.P.
AUTHOR ADDRESSES
(Metcalf M.P.)
(Tanner T.B.) Clinical Tools Inc., Chapel Hill, United States.
CORRESPONDENCE ADDRESS
T.B. Tanner, Clinical Tools Inc., Chapel Hill, United States.
SOURCE
American Journal on Addictions (2009) 18:4 (323). Date of Publication: July
2009
CONFERENCE NAME
AAAP 19th Annual Meeting and Symposium
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
Background: Opioid dependence is not a standard part of medical school
curricula. At the same time medical schools are being asked to teach more
students, and via buprenorphine, primary care doctors can potentially be
more involved in addiction treatment. The gap in medical school education
can and should be addressed. Methods: We developed an Internet based
educational module on opioid use and conducted a small pilot study (n = 22)
to assess effectiveness and acceptability. Participants included medical
students in Yr 1-3 from multiple institutions. A pre/post test was used to
assess knowledge, a retrospective pre/post to assess attitude and
self-efficacy, and a post-test for intended behavior. The increase in
knowledge observed from pre-test to post-test was statistically significant
(p < .001). Each item assessing attitude, self-efficacy, and intended
behavior showed a statistically significant pre/post increase. Although the
small sample size did not permit extensive analysis, no significant
differences among students by year were seen. Satisfaction was high.
Conclusion: The prototype module showed promise for increasing knowledge as
well as improving attitude towards treatment and intended behavior. Students
are receptive to learning about addiction topics. Based on these findings,
curriculum plans for a suite of modules are being developed with feedback
from experts in the field and funding from NIDA. The use of online modules
may allow medical schools to better prepare their students to be active
participants in addiction treatment without additionally burdening current
faculty.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
buprenorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
learning
medical student
EMTREE MEDICAL INDEX TERMS
addiction
curriculum
education
feedback system
funding
Internet
medical school
physician
pilot study
primary medical care
sample size
satisfaction
self concept
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70022123
DOI
10.1080/10550490902928197
FULL TEXT LINK
http://dx.doi.org/10.1080/10550490902928197
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1172
TITLE
Addiction medicine is an attractive field for young physicians - A call for
a european initiative for the training in addiction medicine: Letters to the
Editor
AUTHOR NAMES
De Jong C.A.J.
Van De Wetering B.J.M.
AUTHOR ADDRESSES
(De Jong C.A.J., c.dejong@acsw.ru.nl) Nijmegen Institute for
Scientist-Practitioners in Addiction (NISPA), PO Box 9104, 6500 HE Nijmegen,
Netherlands.
(Van De Wetering B.J.M.) Mental Health Center, Rotterdam, Netherlands.
CORRESPONDENCE ADDRESS
C. A. J. De Jong, Nijmegen Institute for Scientist-Practitioners in
Addiction (NISPA), PO Box 9104, 6500 HE Nijmegen, Netherlands. Email:
c.dejong@acsw.ru.nl
SOURCE
Addiction (2009) 104:7 (1258-1259). Date of Publication: July 2009
ISSN
0965-2140
1360-0443 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical education
EMTREE MEDICAL INDEX TERMS
clinical practice
curriculum
health care policy
leadership
letter
medical society
Netherlands
teaching
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2009280118
MEDLINE PMID
19563568 (http://www.ncbi.nlm.nih.gov/pubmed/19563568)
PUI
L354703213
DOI
10.1111/j.1360-0443.2009.02606.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.2009.02606.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1173
TITLE
Tobacco education in medical schools: Survey among primary care physicians
in Bahrain
AUTHOR NAMES
Fadhil I.
AUTHOR ADDRESSES
(Fadhil I., ifadhil@hotmail.com) Chronic Diseases Unit, Ministry of Health,
Manama, Bahrain.
CORRESPONDENCE ADDRESS
I. Fadhil, Chronic Diseases Unit, Ministry of Health, Manama, Bahrain.
Email: ifadhil@hotmail.com
SOURCE
Eastern Mediterranean Health Journal (2009) 15:4 (969-975). Date of
Publication: July-August 2009
ISSN
1020-3397
BOOK PUBLISHER
World Health Organization, P.O. Box 1517, Alexandria, Egypt.
ABSTRACT
This cross-sectional study assessed the extent of tobacco education and
intervention skills training among primary care physicians in Bahrain. Out
of 217 family physicians in the country, 120 (55%) answered a
self-administered questionnaire. A total of 24% were current smokers and 10%
were ex-smokers. Inadequate education at medical school about tobacco use
and interventions was reported by the majority of physicians. The subject of
smoking-related diseases, psychology of tobacco use and management of
tobacco dependence were inadequately covered in medical schools. Training in
smoking cessation was particularly neglected, with only 4% of physicians
receiving training about tobacco cessation interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
medical education
tobacco
EMTREE MEDICAL INDEX TERMS
adult
Bahrain
continuing education
cross-sectional study
female
human
male
medical school
questionnaire
review
skill
smoking
tobacco dependence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Arabic, French
EMBASE ACCESSION NUMBER
2010007722
MEDLINE PMID
20187549 (http://www.ncbi.nlm.nih.gov/pubmed/20187549)
PUI
L358025311
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1174
TITLE
Interprofessional education: a nurse practitioner impacts family medicine
residents' smoking cessation counselling experiences.
AUTHOR NAMES
Mitchell J.
Brown J.B.
Smith C.
AUTHOR ADDRESSES
(Mitchell J.) Byron Family Medical Centre, London, Ontario, Canada.
(Brown J.B.; Smith C.)
CORRESPONDENCE ADDRESS
J. Mitchell, Byron Family Medical Centre, London, Ontario, Canada. Email:
Joan.Mitchell@lhsc.on.ca
SOURCE
Journal of interprofessional care (2009) 23:4 (401-409). Date of
Publication: Jul 2009
ISSN
1469-9567 (electronic)
ABSTRACT
This qualitative research paper describes a successful example of
interprofessional education with family medicine residents (FMR) by a nurse
practitioner (NP) colleague. The educational impact of the NP role in regard
to smoking cessation counselling is revealed by the analysis of 16
semi-structured interviews using a phenomenological approach. The key themes
depicted the NP as an educator and mentor, encourager and referral resource.
Outcomes of improved knowledge, skills, and motivation towards providing
smoking cessation counselling are described. This research provides some
understanding of how professional students' learning and practice can be
affected by a member of another profession through direct and indirect
approaches. The experiences identified how interprofessional education and
collaborative clinical practice can affect FMRs' attitudes, knowledge and
behaviours. This learning can guide us in enhancing the quality of education
provided to all health care professionals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
directive counseling
general practice
interdisciplinary communication
medical education
nurse practitioner
patient care
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
attitude to health
Canada
clinical competence
education
educational status
health personnel attitude
human
organization and management
qualitative research
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19242852 (http://www.ncbi.nlm.nih.gov/pubmed/19242852)
PUI
L355899523
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1175
TITLE
Smoking cessation--a "must have" in medical curricula. The European HERMES
project--a supportive argument
ORIGINAL (NON-ENGLISH) TITLE
Consilierea în vederea renunţarii la fumat--un "must have" al curriculei
medicale. Proiectul european "Hermes": un argument pro.
AUTHOR NAMES
Trofor A.
Mihǎescu T.
AUTHOR ADDRESSES
(Trofor A.; Mihǎescu T.) Clinica Pneumologicǎ Iaşi, Universitatea de
Medicinǎ şi Farmacie "Gr.T.Popa", Iaşi, România.
CORRESPONDENCE ADDRESS
A. Trofor, Clinica Pneumologicǎ Iaşi, Universitatea de Medicinǎ şi Farmacie
"Gr.T.Popa", Iaşi, România. Email: atrofor@yahoo.com
SOURCE
Pneumologia (Bucharest, Romania) (2009) 58:3 (159-162). Date of Publication:
2009 Jul-Sep
ABSTRACT
Respiratory Medicine is a complex domain of activity, moreover has enlarged
its content in last decades by numerous areas of expertise, among which also
smoking cessation, a field aiming to assist individuals to quit or prevent
tobacco use. Introducing routinely this preoccupation in Romanian doctors'
work is supposed to legitimate nicotine dependence as a disease, as already
classified by world medical organizations. In agreement with HERMES project,
an European Respiratory Society initiative to harmonize education in
respiratory medicine across Europe, we recommend smoking cessation to be
mandatory in Romanian medical curricula. Thus, students will earn
theoretical, practical and behavioral skills to approach health effects of
tobacco use, treatment and approach of smokers. Yet, considering real life
situation in our country, for actual generations of practitioners we suggest
intensive training in two modules: a basic one to cover lack of elementary
knowledge during previous years and an advanced module for specialists. To
future generations, a continuous, more coherent approach is to be settled,
aiming to create brief advice expertise during medical university years of
study. When graduating, future doctors willing to become smoking cessation
experts will be provided postgraduate training to achieve this degree.
Hopefully, within next two generations, many Romanian doctors will become
capable to routinely deliver smoking cessation interventions, at European
standards.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
pulmonology
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
consumer health information
counseling
education
European Union
human
methodology
organization and management
pilot study
Romania
standard
LANGUAGE OF ARTICLE
Romanian
MEDLINE PMID
19817311 (http://www.ncbi.nlm.nih.gov/pubmed/19817311)
PUI
L355659349
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1176
TITLE
Educational needs of medical psychiatric residents concerning the assessment
of alcohol problems among psychiatric outpatients in Brazil
AUTHOR NAMES
Furtado E.
Corradi-Webster C.M.
Laprega M.R.
AUTHOR ADDRESSES
(Corradi-Webster C.M.; Laprega M.R.)
(Furtado E.) University of São Paulo, Ribeirão Preto, Brazil.
CORRESPONDENCE ADDRESS
E. Furtado, University of São Paulo, Ribeirão Preto, Brazil.
SOURCE
American Journal on Addictions (2009) 18:4 (328). Date of Publication: July
2009
CONFERENCE NAME
AAAP 19th Annual Meeting and Symposium
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
Context and objective: The use of alcohol by patients undergoing psychiatric
treatment can lead to many negative consequences. This study aimed to
identify problematic alcohol use among psychiatric outpatients and to verify
the level of screening assessment provided by medical psychiatric residents.
Design and setting: Observational, transversal study, carried out at the
Psychiatric Outpatient Service of the University Medical Center of the
Medical School of Ribeirão Preto - USP. Method: Clinical sample consisting
of 127 psychiatric outpatients. Instruments: semi-structured interview for
sociodemographic data, short screening questionnaire for alcohol abuse
(CAGE) and a protocol for data from the patient records. Results: At the
cutoff point of CAGE equal or higher than 1, 33.9% has been found positive
(n = 43). 60.5% of the patients (n = 26) with a positive CAGE had none
report of alcohol use in their records (X(2) = 20.12; p < 0.001). At CAGE
equal or higher than 2, 16.5% were CAGE positive (n = 21). In 38.1% (n = 8)
of these cases, alcohol use was not documented in their records (X(2) =
29.10; p < 0.001). Conclusion: The number of cases in which alcohol use was
not registered was unexpectedly high. Topics related to early screening and
brief intervention for alcohol problems should be included in the training
curricula of medical psychiatric residents.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Brazil
outpatient
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcohol consumption
curriculum
medical record
medical school
outpatient care
patient
psychiatric treatment
questionnaire
screening
semi structured interview
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70022137
DOI
10.1080/10550490902928197
FULL TEXT LINK
http://dx.doi.org/10.1080/10550490902928197
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1177
TITLE
Physician training is never a failure
AUTHOR NAMES
Gordon A.J.
Liberto J.
Granda S.
Salmon-Cox S.
Andree T.
McNicholas L.
AUTHOR ADDRESSES
(Gordon A.J., adam.gordon@va.gov; Salmon-Cox S.; Andree T.) Mental Illness
Research, Education, and Clinical Center, Center for Health Equity Research
and Promotion, VA Pittsburgh Healthcare System, 7180 Highland Drive,
Pittsburgh, PA 15206.
(Gordon A.J., adam.gordon@va.gov) Center for Health Equity Research and
Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA.
(Gordon A.J., adam.gordon@va.gov) Center for Research on Health Care,
University of Pittsburgh, Pittsburgh, PA.
(Gordon A.J., adam.gordon@va.gov) University of Pittsburgh, School of
Medicine, Pittsburgh, PA.
(Liberto J.) VA Maryland Healthcare System, Baltimore, MD.
(Liberto J.) University of Maryland, School of Medicine, Baltimore, MD.
(Granda S.) Department of Psychology, Saint Louis University, St. Louis, MO.
(McNicholas L.) Philadelphia VA Medical Center, Philadelphia, PA.
CORRESPONDENCE ADDRESS
A. J. Gordon, Mental Illness Research, Education, and Clinical Center,
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare
System, 7180 Highland Drive, Pittsburgh, PA 15206. Email: adam.gordon@va.gov
SOURCE
American Journal on Addictions (2009) 18:4 (337-338). Date of Publication:
July 2009
ISSN
1055-0496
1521-0391 (electronic)
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy, sublingual drug administration)
EMTREE DRUG INDEX TERMS
opiate (drug dose, drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
opiate addiction (drug therapy, drug therapy)
EMTREE MEDICAL INDEX TERMS
ambulatory care
certification
drug efficacy
education program
follow up
government
health care
human
law
letter
medical information
mental health service
methadone treatment
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2009384624
PUI
L354992808
DOI
10.1080/10550490902931373
FULL TEXT LINK
http://dx.doi.org/10.1080/10550490902931373
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1178
TITLE
Poster Abstracts from the AAAP 19th Annual Meeting and Symposium
AUTHOR ADDRESSES
SOURCE
American Journal on Addictions (2009) 18:4. Date of Publication: July 2009
CONFERENCE NAME
AAAP 19th Annual Meeting and Symposium
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
The proceedings contain 27 papers. The topics discussed include: seeking
safety therapy for veterans: a preliminary analysis of outcome data; CMOT -
inhibitors may be a promising tool in treatment of marijuana addiction;
psychiatry resident training in office-based treatment of opioid dependence
(OBOT): a new method of addiction training and early results; premature
death in older opiate addicts in methadone maintenance treatment and medical
co-morbidities as risk factors; interactive online learning for medical
students about opioid abuse and treatment; insomnia in dual diagnosis
patients; myoclonus cases associated with tiagabine treatment for cocaine
and opioid dependent patients; the medication use for nicotine dependence at
a treatment program in Rio de Janeiro, Brazil; and the limits of the
clinical ethics while treating an adolescent with substance abuse problem
and his family.
EMTREE DRUG INDEX TERMS
cannabis
cocaine
opiate
tiagabine
EMTREE MEDICAL INDEX TERMS
abuse
addiction
adolescent
Brazil
death
diagnosis
drug therapy
insomnia
learning
maintenance therapy
medical ethics
medical student
methadone treatment
morbidity
myoclonus
opiate addiction
patient
psychiatry
residency education
risk factor
safety
substance abuse
therapy
tobacco dependence
veteran
LANGUAGE OF ARTICLE
English
PUI
L70022145
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1179
TITLE
Virtual reality skills training for health care professionals in alcohol
screening and brief intervention
AUTHOR NAMES
Fleming M.
Olsen D.
Stathes H.
Boteler L.
Grossberg P.
Pfeifer J.
Schiro S.
Banning J.
Skochelak S.
AUTHOR ADDRESSES
(Fleming M., mike.fleming@fammed.wisc.edu; Pfeifer J.; Schiro S.; Skochelak
S.) Department of Family Medicine, University of Wisconsin Madison, School
of Medicine and Public Health, 1100 Delaplaine Court, Madison, WI 53715,
United States.
(Grossberg P.) Department of Pediatrics, University of Wisconsin, Madison,
WI, United States.
(Banning J.) Clinical Teaching and Assessment Center, University of
Wisconsin, Madison, WI, United States.
(Schiro S.; Skochelak S.) School of Medicine and Public Health, University
of Wisconsin, Madison, WI, United States.
(Olsen D.; Stathes H.; Boteler L.) SIMmersion, LLC, Columbia, MD, United
States.
CORRESPONDENCE ADDRESS
M. Fleming, Department of Family Medicine, University of Wisconsin Madison,
School of Medicine and Public Health, 1100 Delaplaine Court, Madison, WI
53715, United States. Email: mike.fleming@fammed.wisc.edu
SOURCE
Journal of the American Board of Family Medicine (2009) 22:4 (387-398). Date
of Publication: July-August 2009
ISSN
1557-2625
1558-7118 (electronic)
BOOK PUBLISHER
American Board of Family Medicine, 2228 Young Drive, Lexington, United
States.
ABSTRACT
Background: Educating physicians and other health care professionals about
the identification and treatment of patients who drink more than recommended
limits is an ongoing challenge. Methods: An educational randomized
controlled trial was conducted to test the ability of a standalone training
simulation to improve the clinical skills of health care professionals in
alcohol screening and intervention. The "virtual reality simulation"
combined video, voice recognition, and nonbranching logic to create an
interactive environment that allowed trainees to encounter complex social
cues and realistic interpersonal exchanges. The simulation included 707
questions and statements and 1207 simulated patient responses. Results: A
sample of 102 health care professionals (10 physicians; 30 physician
assistants or nurse practitioners; 36 medical students; 26 pharmacy,
physican assistant, or nurse practitioner students) were randomly assigned
to a no training group (n = 51) or a computer-based virtual reality
intervention (n = 51). Professionals in both groups had similar pretest
standardized patient alcohol screening skill scores: 53.2 (experimental) vs
54.4 (controls), 52.2 vs 53.7 alcohol brief intervention skills, and 42.9 vs
43.5 alcohol referral skills. After repeated practice with the simulation
there were significant increases in the scores of the experimental group at
6 months after randomization compared with the control group for the
screening (67.7 vs 58.1; P < .001) and brief intervention (58.3 vs 51.6; P <
.04) scenarios. Conclusions: The technology tested in this trial is the
first virtual reality simulation to demonstrate an increase in the alcohol
screening and brief intervention skills of health care professionals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
medical education
EMTREE MEDICAL INDEX TERMS
article
automatic speech recognition
health care personnel
medical practice
scoring system
videorecording
virtual reality
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009369593
MEDLINE PMID
19587253 (http://www.ncbi.nlm.nih.gov/pubmed/19587253)
PUI
L354959016
DOI
10.3122/jabfm.2009.04.080208
FULL TEXT LINK
http://dx.doi.org/10.3122/jabfm.2009.04.080208
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1180
TITLE
The future of endocannabinoid-oriented clinical research after CB (1)
antagonists
AUTHOR NAMES
Le Foll B.
Gorelick D.A.
Goldberg S.R.
AUTHOR ADDRESSES
(Le Foll B., bernard_lefoll@camh.net) Translational Addiction Research
Laboratory, Centre for Addiction and Mental Health, University of Toronto,
33 Russell Street, Toronto, ON M5S 2S1, Canada.
(Gorelick D.A.) Department of Health and Human Services, National Institute
on Drug Abuse, National Institutes of Health, Baltimore, MD, United States.
(Goldberg S.R.) Department of Health and Human Services, National Institute
on Drug Abuse, Behavioral Neuroscience Research Branch, Baltimore, MD,
United States.
CORRESPONDENCE ADDRESS
B. Le Foll, Translational Addiction Research Laboratory, Centre for
Addiction and Mental Health, University of Toronto, 33 Russell Street,
Toronto, ON M5S 2S1, Canada. Email: bernard_lefoll@camh.net
SOURCE
Psychopharmacology (2009) 205:1 (171-174). Date of Publication: July 2009
ISSN
0033-3158
1432-2072 (electronic)
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
ABSTRACT
Introduction: Great interest has been shown by the medical community and the
public in the cannabinoid CB(1) receptor antagonists, such as rimonabant,
for treatment of obesity, metabolic syndrome, and possibly drug addiction.
Discussion: This novel class of drug has therapeutic potential for other
disorders, as the endocannabinoid system is involved in various health
conditions. However, rimonabant, the first clinically available member of
this class of drugs, has been linked to increased risk of anxiety,
depression, and suicidality. Due to those risks, the European Medicines
Agency called for its withdrawal from the market in October, 2008. Shortly
after this decision, several pharmaceutical companies (Sanofi-aventis,
Merck, Pfizer, Solvay) announced that they would stop further clinical
research on this class of drug. Here, we provide an overview of those events
and make several suggestions for continuing such clinical research, while
safeguarding the safety of patients and clinical trial subjects. © 2009
Springer-Verlag.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabinoid 1 receptor
cannabinoid 1 receptor antagonist (drug development, pharmacology)
rimonabant (adverse drug reaction, drug therapy, pharmacology)
EMTREE DRUG INDEX TERMS
alcohol
cannabis
endocannabinoid (endogenous compound)
fatty acid amidase (endogenous compound)
nicotine
opiate
psychostimulant agent
taranabant (pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (drug therapy, drug therapy)
drug safety
obesity (drug therapy, drug therapy)
tobacco dependence (drug therapy, drug therapy)
EMTREE MEDICAL INDEX TERMS
addiction (drug therapy)
anxiety
arthritis
body weight gain
cannabis addiction (drug therapy)
clinical research
coronary artery disease
depression (side effect)
diabetes mellitus (drug therapy)
drug indication
drug industry
drug selectivity
drug targeting
drug withdrawal
dyslipidemia (drug therapy)
Europe
food and drug administration
gastrointestinal disease
human
hypertension
liver disease
metabolic syndrome X (drug therapy)
nonhuman
note
priority journal
risk benefit analysis
side effect (side effect)
smoking cessation
spontaneous abortion
suicidal behavior (side effect)
DRUG TRADE NAMES
acomplia Sanofi Aventis
DRUG MANUFACTURERS
Sanofi Aventis
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
fatty acid amidase (153301-19-0)
nicotine (54-11-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
rimonabant (158681-13-1, 168273-06-1)
taranabant (605678-99-7, 701977-00-6, 701977-08-4, 701977-09-5)
EMBASE CLASSIFICATIONS
Clinical and Experimental Pharmacology (30)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009317713
MEDLINE PMID
19300982 (http://www.ncbi.nlm.nih.gov/pubmed/19300982)
PUI
L50476086
DOI
10.1007/s00213-009-1506-7
FULL TEXT LINK
http://dx.doi.org/10.1007/s00213-009-1506-7
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1181
TITLE
MUSC'S Drug Abuse Research Trainng (DART) program: A model for training
addiction physician-scientists
AUTHOR NAMES
Book S.W.
Back S.E.
Santos A.B.
Uhde T.W.
Brady K.T.
AUTHOR ADDRESSES
(Book S.W.; Back S.E.; Santos A.B.; Uhde T.W.; Brady K.T.) Department of
Psychiatry and Behavioral Sciences, Medical University of South Carolina,
Charleston, United States.
CORRESPONDENCE ADDRESS
S.W. Book, Department of Psychiatry and Behavioral Sciences, Medical
University of South Carolina, Charleston, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2009) 33 SUPPL. 1 (282A).
Date of Publication: June 2009
CONFERENCE NAME
Texas Research Society On Alcoholism - 19th Annual Scientific Meeting
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2009-02-20 to 2009-02-20
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
The number of psychiatric residents entering addiction research careers is
rapidly declining. This decrease in well-trained addiction
physician-scientists is in contrast to the rapidly advancing field of basic
scientific discovery, and creates a growing gap between basic science
findings and the need for medical specialists able to translate them into
clinical practice. A panel of experts convened by the Institute of Medicine
(IOM, 2003) to address this problem recommends the development of
educational programs that incorporate research into psychiatric residency
training and that involve senior investigators as well as academic
departmental leadership. The Medical University of South Carolina's (MUSC)
Drug Abuse Research Training (DART) Program was established in 2005 to
expose PGY3 and PGY4 psychiatric residents to cutting-edge research and to
support and encourage their pursuit of research careers. The primary
components of the DART program include 1) a weekly didactic seminar series
(on topics such as, research ethics, statistics, recruitment and retention,
and grant writing), 2) pilot research projects, and 3) ongoing,
individually-tailored faculty mentorship. To date, 11 psychiatry residents
have participated in the DART program. This talk will outline the structure
and accomplishments of the DART program and trainees.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
drug abuse
model
physician
scientist
society
United States
EMTREE MEDICAL INDEX TERMS
clinical practice
leadership
medical specialist
psychiatry
research ethics
residency education
statistics
student
teacher
training
university
writing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70026879
DOI
10.1111/j.1530-0277.2009.00948.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2009.00948.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1182
TITLE
Evaluating outcomes of educational programs in medical schools: The AMSP
model
AUTHOR NAMES
Neufeld K.J.
Hernandez-Avila C.A.
Guschwan M.
Gregg M.
Schuckit M.A.
AUTHOR ADDRESSES
(Neufeld K.J.; Hernandez-Avila C.A.; Guschwan M.; Gregg M.; Schuckit M.A.)
UCSD/VA San Diego Healthcare System, San Diego, United States.
CORRESPONDENCE ADDRESS
K.J. Neufeld, UCSD/VA San Diego Healthcare System, San Diego, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2009) 33 SUPPL. 1 (282A).
Date of Publication: June 2009
CONFERENCE NAME
Texas Research Society On Alcoholism - 19th Annual Scientific Meeting
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2009-02-20 to 2009-02-20
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
The Alcohol Medical Scholars Program (AMSP), established in 1999, mentors
full-time junior faculty by focusing on teaching skills and academic
performance, while helping each scholar to develop alcohol and other
substance use disorder education at their respective medical schools. Over
the past 10 years, approximately 50 scholars from over 45 medical schools in
the US and Canada have participated in AMSP. This presentation reviews the
findings of the most recent survey of these graduates. In brief, the results
demonstrate that each graduate has developed an average of 5 new substance
related lectures since involvement in AMSP, has more than doubled the time
spent lecturing in this subject area, and that the vast majority of
graduates remain in an academic setting. Graduates reported that AMSP was
considerably or extremely useful in their career advancement. The AMSP model
is an important and innovative approach for enhancing medical school
education and supporting careers of faculty interested in the treatment of
substance use disorders throughout North America.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical school
model
society
United States
EMTREE MEDICAL INDEX TERMS
academic achievement
Canada
education
graduate
North America
skill
substance abuse
teacher
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70026880
DOI
10.1111/j.1530-0277.2009.00948.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2009.00948.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1183
TITLE
Infusing alcohol research into medical education: A perspective from NIAAA
AUTHOR NAMES
Murray P.
AUTHOR ADDRESSES
(Murray P.) National Institute on Alcohol Abuse And Alcoholism, .
CORRESPONDENCE ADDRESS
P. Murray, National Institute on Alcohol Abuse And Alcoholism, .
SOURCE
Alcoholism: Clinical and Experimental Research (2009) 33 SUPPL. 1 (281A).
Date of Publication: June 2009
CONFERENCE NAME
Texas Research Society On Alcoholism - 19th Annual Scientific Meeting
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2009-02-20 to 2009-02-20
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Specific Aims: 1) To improve the content of existing medical education on
the prevention and treatment of alcohol use disorders in U.S. and
international undergraduate, residency training, and continuing medical
education programs; and 2) to disseminate NIAAA funded alcohol research
findings to the medical community. Methods: Since 1994, NIAAA has developed,
disseminated and evaluated materials aimed at undergraduate medical
education, residency training programs, and continuing medical education
programs for practicing clinicians in primary care and emergency medicine
specialties, both in the U.S. and internationally. Some of these materials
have been developed and disseminated directly by the Institute, while other
materials have been developed, disseminated and evaluated extramurally
through the NIH R-25 mechanism, Alcohol Education Project Grants. Many of
the initiatives involved intensive face to face training of medical school
faculty and residency training directors, practicing physicians and
residents, while others were delivered through on line continuing medical
education courses and lectures. Four initiatives included rigorous follow-up
evaluations and two reported on patient outcomes as a result of physician
training; however, most relied on pre/post tests of knowledge, attitudes,
and self reports of behavior. Results: Over the fifteen year period,
approximately $3.3 million was invested in medical education initiatives -
80% through extramural grant funding. A total of 1,341 physicians (the
majority of whom were faculty) received face to face training, and 4,469
received CME credits for on line courses. An additional number of
individuals have accessed the materials on the web. While course evaluations
indicated that the programs were well received and participants improved in
content knowledge, confidence in teaching, and, alcohol-related teaching and
practice, little is known about the long term impact of these trainings on
medical education either in the U.S. or the other countries. Conclusions:
Investment in medical education appears to be a rational strategy to improve
clinician knowledge about the detection, treatment, and prevention of
alcohol disorders and disseminate alcohol research findings. Future efforts
should include more focus on objective indicators of change in faculty and
clinician behavior and sustainable increase in medical education content.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
society
United States
EMTREE MEDICAL INDEX TERMS
alcohol consumption
community
course evaluation
education
education program
emergency medicine
follow up
funding
investment
medical school
patient
physician
prevention
primary medical care
residency education
self report
teaching
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70026877
DOI
10.1111/j.1530-0277.2009.00948.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2009.00948.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1184
TITLE
A mentor-mentee collabortive care network pilot study for management of
chronic pain
AUTHOR NAMES
Macdougall P.
AUTHOR ADDRESSES
(Macdougall P.) Anesthesia, Dalhousie University, Halifax, Canada.
CORRESPONDENCE ADDRESS
P. Macdougall, Anesthesia, Dalhousie University, Halifax, Canada.
SOURCE
Canadian Journal of Anesthesia (2009) 56 SUPPL. 1 (S134). Date of
Publication: June 2009
CONFERENCE NAME
2009 CAS Annual Meeting
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2009-06-26 to 2009-06-30
ISSN
0832-610X
BOOK PUBLISHER
Canadian Anaesthetists' Society
ABSTRACT
Introduction: Ensuring timely access to pain manaegement is difficult (1).A
mentor-mentee collaborative care network for the managment of chronic pain
in the community has been launched as a pilot project. It was launched one
health care district. This mentor-mentee network of pain experts and primary
care practitioners (PCP's) is designed to provide a clinical resource and
continuing professional development (CPD). Quality assurance and research is
integral to the program. In order to determine the effect of this type of
program on the participants, the health care system and the patients we have
conducted a case control pilot study in 2 communities. Methods: After
obtaining REB approval, 22 PCP's were recruited in the chosen District
Health Authority. This district was chosen as there were no chronic pain
services in the district. The PCP's were divided into 2 groups based on
location. Both groups have access to CPD activities and the treatment group
had access to the network for 8 months at which time both groups had access
to the network. PCP needs assessment was carried out by focus group. PCP
impact data was obtained by questionnaire. Each PCP was responsible to
provide the names of 5 patients who had consented to take part in the study.
The patients were asked to provide basic demographic data and complete the
SF-36 and Profile of Mood States (POMS) at the beginning and end of the
study. Results: Response rate to the PCP questionnaire was 77%. The average
number of patients presenting per day with chronic pain was 36, and average
time per patient was recorded as 20 minutes. An average 12.8 minutes was
considered to be non-compensated. Physician comfort levels for chronic pain
management and opiate prescribing on a Likert scale were 2.7/5 and 3.2/5
respectively. An average of 6 patients per month were screened are screened
for aberrant opiate behavior and 3 were suspected of aberrant opiate
behavior. Focus group needs assessment data indicated access to significant
adjunct resources for pain management including physiotherapy and mental
health services. Palliative care was available in one community. Members of
both groups requested increased interventional pain management and access to
knowledge of new therapies. CPD needs included requests for education about
addictions, new treatments for chronic pain and navigation of the workers
compensation system. Physician recruitment of patients for the SF-36 and
POMS questionnaires was 40%. Logistic issues hampering data collection
include economics, distance and communications. Discussion: This is the
first time that the treatment effect of a mentor-mentee network has been
measured in both recipient physicians and the patients in their care. In
addition we have identified a number of logistic issues that must be
overcome in order to expand the network across the province.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
pilot study
teacher
EMTREE MEDICAL INDEX TERMS
addiction
community
economics
education
health
health care
health care system
information processing
interpersonal communication
mental health service
needs assessment
pain
palliative therapy
patient
physician
physiotherapy
primary medical care
professional development
Profile of Mood States
quality control
questionnaire
recipient
therapy
workman compensation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70078801
DOI
10.1007/s12630-009-9235-2
FULL TEXT LINK
http://dx.doi.org/10.1007/s12630-009-9235-2
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1185
TITLE
Update on analytic methods and clinical utility of %CDT in screening and
monitoring of heavy drinking
AUTHOR NAMES
Anton R.
AUTHOR ADDRESSES
(Anton R.) Department of Psychiatry and Behavioral Sciences, Medical
University of South Carolina, Charleston, United States.
CORRESPONDENCE ADDRESS
R. Anton, Department of Psychiatry and Behavioral Sciences, Medical
University of South Carolina, Charleston, United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2009) 33 SUPPL. 1 (304A).
Date of Publication: June 2009
CONFERENCE NAME
Texas Research Society On Alcoholism - 19th Annual Scientific Meeting
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2009-02-20 to 2009-02-20
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
It has been almost 20 years since the discovery of abnormal serum
transferrin deglycosylated isoforms (carbohydrate deficient transferrin -
CDT) being associated with heavy alcohol consumption. Methods of detecting
CDT as a fraction of normal transferrin have evolved and we now have a
clearer understanding of what is being measured and the cause of both false
positives and negatives. Presently, an international effort is ongoing to
standardize the specific isoform of CDT being measured. The gold standard
assay (reference assay) is currently an HPLC-UV detection method in which
all salient isoforms of tranferrin can be measured with great accuracy and
sensitivity. This method allows for detection of genetic variants and might
be able to detect effects of liver dysfunction in its interaction with the
transferrin isoforms. Concurrent to these technical/analytic developments,
%CDT is being more widely used in various clinical settings, e.g. surgical
trauma and medical clinics for screening, and in addiction programs for
screening and monitoring. Ongoing studies in alcohol related cancers and
liver disease, in comparison to newer markers, are being conducted. This
presentation will overview the different methodologies currently in use and
present data on how the HPLC method can detect genetic and other variants.
New data on work in various medical populations and its clinical utility in
addiction programs will be highlighted. Methods of educating health care
professionals leading to appropriate use of this lab test will also be
discussed.
EMTREE DRUG INDEX TERMS
alcohol
carbohydrate deficient transferrin
marker
transferrin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
analytic method
drinking
monitoring
screening
society
United States
EMTREE MEDICAL INDEX TERMS
addiction
alcohol consumption
assay
genetic variability
gold standard
health care personnel
high performance liquid chromatography
hospital
liver disease
liver dysfunction
methodology
neoplasm
population
surgical injury
transferrin blood level
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70026966
DOI
10.1111/j.1530-0277.2009.00948.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2009.00948.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1186
TITLE
Why don't they just quit?
AUTHOR NAMES
McNaughton C.A.
AUTHOR ADDRESSES
(McNaughton C.A.) Department of Psychiatry, Sanford School of Medicine of
The University of South Dakota, USA.
CORRESPONDENCE ADDRESS
C.A. McNaughton, Department of Psychiatry, Sanford School of Medicine of The
University of South Dakota, USA.
SOURCE
South Dakota medicine : the journal of the South Dakota State Medical
Association (2009) Spec No (40-42). Date of Publication: 2009
ISSN
0038-3317
ABSTRACT
There has been increased emphasis on intervention by physicians with their
patients concerning smoking and smoking cessation. Yet, many patients do not
quit. This article reviews some of the reasons why they don't just quit. The
physiologic effects of nicotine addiction, conditioned stimulus-response
learning, mood disorders, personality traits and individual genetics impact
cessation rates. Guidelines are presented for increasing cessation rates.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
smoking
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
human
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19363893 (http://www.ncbi.nlm.nih.gov/pubmed/19363893)
PUI
L354599985
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1187
TITLE
Short-, intermediate-, and long-term outcomes of Pennsylvania's continuum of
tobacco education pilot project
AUTHOR NAMES
Leone F.T.
Evers-Casey S.
Veloski J.
Patkar A.A.
Kanzleiter L.
AUTHOR ADDRESSES
(Leone F.T., frank.leone@jefferson.edu; Evers-Casey S.; Veloski J.)
Jefferson Medical College, Thomas Jefferson University, 834 Walnut Street,
Philadelphia, PA 19107, United States.
(Patkar A.A.) Duke University School of Medicine, Duke University, Durham,
NC, United States.
(Kanzleiter L.) The Pennsylvania Area Health Education Centers, Milton S.
Hershey School of Medicine, Pennsylvania State University, Hershey, PA,
United States.
(Leone F.T., frank.leone@jefferson.edu) Center for Tobacco Research and
Treatment, Thomas Jefferson University, 834 Walnut Street, Philadelphia, PA
19107, United States.
CORRESPONDENCE ADDRESS
F.T. Leone, Center for Tobacco Research and Treatment, Thomas Jefferson
University, 834 Walnut Street, Philadelphia, PA 19107, United States. Email:
frank.leone@jefferson.edu
SOURCE
Nicotine and Tobacco Research (2009) 11:4 (387-393). Date of Publication:
2009
ISSN
1462-2203
1469-994X (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Introduction: The most effective time to introduce formal tobacco use
treatment training for physicians is during the medical school experience.
However, few medical schools have adopted standardized curricula, missing an
important opportunity to influence future physician behavior. The
Pennsylvania Continuum of Tobacco Education pilot project was undertaken
from spring 2003 through summer 2005 to evaluate a generalizable method of
improving students' knowledge, attitudes, and behaviors related to tobacco
use treatment. Methods: Intervention methods included a 1-day intensive
multiformat seminar, followed by a reinforcement session 4 weeks later,
within an internal medicine clerkship. Outcome measures included changes in
students' attitudes, rates of 'ask' and 'advise' behaviors during clinical
encounters, and performance on end-of-year clinical skills examinations.
Results: Short, intermediate, and long-term outcomes related to both smoking
assessment and counseling improved as a result of the intervention. The
percentage of students who obtained tobacco histories and counseled patients
in clerkships increased following the seminar compared with the baseline.
Nearly, all students demonstrated relevant skills during a clinical skills
assessment at the end of the third year. Discussion: The introduction of a
standardized tobacco curriculum into medical school training is both
feasible and effective. Results were sustained following the intervention,
and the effects were reflected across several valid outcomes. © The Author
2009. Published by Oxford University Press on behalf of the Society for
Research on Nicotine and Tobacco. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
education program
smoking
EMTREE MEDICAL INDEX TERMS
article
clinical competence
clinical practice
human
medical student
patient counseling
priority journal
student attitude
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009216574
MEDLINE PMID
19351786 (http://www.ncbi.nlm.nih.gov/pubmed/19351786)
PUI
L354564311
DOI
10.1093/ntr/ntp017
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/ntp017
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1188
TITLE
The status of tobacco use and knowledge, and attitudes relating to smoking
among female students in a Bengbu medical school
AUTHOR NAMES
Qi Y.
Mei C.
AUTHOR ADDRESSES
(Qi Y., qiyulong@ahedu.gov.cn) Department of Psychology, Bengbu Medical
College, Bengbu, 233030, China.
(Mei C.) Department of Epidemiology and Sratistics, Bengbu Medical College,
Bengbu, 233030, China.
CORRESPONDENCE ADDRESS
Y. Qi, Department of Psychology, Bengbu Medical College, Bengbu, 233030,
China. Email: qiyulong@ahedu.gov.cn
SOURCE
Journal of Nanjing Medical University (2009) 23:3 (189-193). Date of
Publication: May 2009
ISSN
1007-4376
BOOK PUBLISHER
Elsevier (Singapore) Pte Ltd, 3 Killiney Road, 08-01, Winsland House I,
Singapore, Singapore.
ABSTRACT
Objective: To learn the status of tobacco use, and the knowledge, attitudes,
and behaviors among female students in Bengbu Medical College. Methods: In a
cross-sectional survey, questionnaires were completed by 634 female students
in the medical college in 2007, including the prevalence of current smoking,
their knowledge of the effects of tobacco use on health, and attitudes
towards the smoking behaviors of young women. Results: Only 6.9% of female
medical students were former smokers, and 4.9% of them were current smokers.
There was no significant difference in the current smoking rate among the
students from each department surveyed. Female students from urban areas
were more likely to be current or attempted smokers than those from rural
areas. The proportion of the students who were aware of the health risks of
smoking was less than 45%. The students from the Department of Nursing had
more knowledge regarding the harmful health effects of smoking than those
from the other departments. There was no significant difference in attitudes
towards the smoking behaviors of young women among the students from each
department. Compared with female students from rural areas, the female
students from urban areas were significantly more likely to think that a
young woman who smoked was cool, mature and charming. Conclusion: The
smoking prevalence of the female students in Bengbu Medical College is high.
They are not aware of the smoking related risks and have erroneous beliefs
and perceptions about female smoking behaviors. © 2009 The Editorial Board
of Journal of Nanjing Medical University.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
knowledge
medical school
smoking
student attitude
tobacco
EMTREE MEDICAL INDEX TERMS
adult
article
China
cross-sectional study
female
health behavior
health hazard
human
prevalence
priority journal
questionnaire
rural area
urban area
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009631661
PUI
L355764730
DOI
10.1016/S1007-4376(09)60053-8
FULL TEXT LINK
http://dx.doi.org/10.1016/S1007-4376(09)60053-8
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1189
TITLE
North Carolina dental hygiene students' opinions about tobacco cessation
education and practices in their programs.
AUTHOR NAMES
Harris J.L.
Patton L.L.
Wilder R.S.
Peterson C.A.
Curran A.E.
AUTHOR ADDRESSES
(Harris J.L.; Patton L.L.; Wilder R.S.; Peterson C.A.; Curran A.E.) Clayton
State University, Morrow, Georgia, USA.
CORRESPONDENCE ADDRESS
J.L. Harris, Clayton State University, Morrow, Georgia, USA.
SOURCE
Journal of dental education (2009) 73:5 (539-549). Date of Publication: May
2009
ISSN
1930-7837 (electronic)
ABSTRACT
Inadequate training in tobacco cessation counseling (TCC) is a recognized,
but mutable, barrier to implementation of tobacco cessation education (TCE)
and intervention strategies in dental practice. The objective of this study
was to identify the opinions and practices of senior dental hygiene (DH)
students in North Carolina regarding their didactic training in TCE and
integration of TCE into their clinical curricula. A pilot-tested
questionnaire designed by the authors was administered to a cross-sectional,
non-random convenience sample of 241 graduating senior DH students enrolled
in all twelve North Carolina DH educational programs. Response rate was 65
percent (n=156). Of the respondents, 99 percent agreed that hygienists
should be trained to provide TCE. Nearly all respondents (99 percent) had
one or more patients who smoked, and 81 percent had one or more patients who
used spit tobacco. Eighty-nine percent had one or more patients who had
expressed a desire to quit. Most students were comfortable providing TCC to
both smokers (92 percent) and spit tobacco users (93 percent); however, 26
percent reported that they were not comfortable providing quit messages to
patients unwilling to quit. Enhancements to TCE in DH curricula may increase
hygienists' incorporation of TCE into their future practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dental assistant
health personnel attitude
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
counseling
cross-sectional study
curriculum
education
female
human
male
medical personnel
psychological aspect
questionnaire
United States
vocational education
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19433529 (http://www.ncbi.nlm.nih.gov/pubmed/19433529)
PUI
L354641737
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1190
TITLE
Necessity of scientific evaluation at the issuance of certificate for the
medical fitness to occupations with disqualifying clause against alcoholism
and drug abuse
AUTHOR NAMES
Noda H.
Fukuda E.
Miwa Y.
AUTHOR ADDRESSES
(Noda H.; Fukuda E.; Miwa Y.) 21 Research Institute of Health and Medical,
RIEBE, Tokyo, Japan.
CORRESPONDENCE ADDRESS
H. Noda, 21 Research Institute of Health and Medical, RIEBE, Tokyo, Japan.
Email: hd-noda@lapis.plala.or.jp
SOURCE
Sangyō eiseigaku zasshi = Journal of occupational health (2009) 51:3
(33-34). Date of Publication: May 2009
ISSN
1349-533X (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
alcoholism (diagnosis)
certification
occupation
occupational medicine
EMTREE MEDICAL INDEX TERMS
article
human
occupational health
physician
questionnaire
LANGUAGE OF ARTICLE
Japanese
MEDLINE PMID
19359817 (http://www.ncbi.nlm.nih.gov/pubmed/19359817)
PUI
L355141240
DOI
10.1539/sangyoeisei.wadai8003
FULL TEXT LINK
http://dx.doi.org/10.1539/sangyoeisei.wadai8003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1191
TITLE
Medical students lack basic knowledge about smoking: Findings from two
European medical schools
AUTHOR NAMES
Raupach T.
Shahab L.
Baetzing S.
Hoffmann B.
Hasenfuss G.
West R.
Andreas S.
AUTHOR ADDRESSES
(Raupach T., raupach@med.uni-goettingen.de; Baetzing S.; Hasenfuss G.) Georg
August University of Göttingen, University Clinic, Department of Cardiology
and Pneumology, D-37099 Göttingen, Germany.
(Shahab L.; West R.) CRUK Health Behaviour Research Centre, Department of
Epidemiology and Public Health, University College London, London, United
Kingdom.
(Hoffmann B.) Institute for Medical Informatics, Biometry and Epidemiology
(IMIBE), Essen, Germany.
(Andreas S.) Specialist Clinic for Lung Diseases, Immenhausen, Germany.
CORRESPONDENCE ADDRESS
T. Raupach, Georg August University of Göttingen, University Clinic,
Department of Cardiology and Pneumology, D-37099 Göttingen, Germany. Email:
raupach@med.uni-goettingen.de
SOURCE
Nicotine and Tobacco Research (2009) 11:1 (92-98). Date of Publication: 2009
ISSN
1462-2203
1469-994X (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Introduction: Prevention of smoking-related disease is a major challenge to
medicine. Although interventions delivered by clinicians can reduce smoking
rates, the teaching of smoking cessation methods is not a top priority in
most medical curricula. Methods: Medical students from Göttingen, Germany (n
= 1,435), and London (n = 656) were asked to complete a questionnaire on
smoking-related mortality and the effectiveness of different approaches to
smoking cessation. In addition, students' perceived competence to counsel
smokers was assessed. Results: Smoking-related mortality was underestimated
by students from both study sites. The data suggest that smoking medical
students greatly overestimated the chances of reaching old age as a smoker.
A substantial number of students falsely assumed that nicotine causes
coronary artery disease. Overall knowledge of the long-term effectiveness of
smoking cessation methods was poor. For example, medical students from
Göttingen considered "willpower alone" more effective than comprehensive
group cessation programs. Less than a third of medical students from both
study sites felt competent to counsel smoking patients. This finding was
constant across different stages of medical education. Discussion: Students
in both countries lacked relevant information about smoking and health and
the effectiveness of cessation methods. Given the importance of smoking in
practically all aspects of medicine and the role of clinicians in advising
patients on and aiding cessation, this problem urgently needs to be
addressed. © The Author 2009. Published by Oxford University Press on behalf
of the Society for Research on Nicotine and Tobacco. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
article
Europe
health program
human
medical school
medical student
mortality
patient counseling
priority journal
questionnaire
smoking cessation
smoking habit
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009168953
MEDLINE PMID
19246446 (http://www.ncbi.nlm.nih.gov/pubmed/19246446)
PUI
L354438676
DOI
10.1093/ntr/ntn007
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/ntn007
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1192
TITLE
Evaluation of a substance abuse curriculum for internal medicine residents
AUTHOR NAMES
Stein M.R.
Kunins H.V.
Parish S.J.
Arnsten J.H.
AUTHOR ADDRESSES
(Stein M.R.; Kunins H.V.; Parish S.J.; Arnsten J.H.) Albert Einstein College
of Medicine, Montefiore Medical Center, .
CORRESPONDENCE ADDRESS
M.R. Stein, Albert Einstein College of Medicine, Montefiore Medical Center,
.
SOURCE
Substance Abuse (2009) 30:2 (202). Date of Publication: April 2009
CONFERENCE NAME
2007 AMERSA National Meeting
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc.
ABSTRACT
Objectives: We designed, implemented, and evaluated a substance abuse
curriculum for firstyear internal medicine residents. Abstract: Our 8-hour
curriculum includes experiential elements (standardized patient exercise on
screening and assessing alcohol abuse, discussion with a member of
Alcoholics Anonymous, and illicit drug use presentation by trained
patient-teachers) and didactic elements (three 1- hour lectures on cocaine
and stimulant abuse, opioid dependence treatment, and substance abuse
neurobiology). First-year residents participate during their ambulatory
rotation. Program Evaluation: Modifying a validated questionnaire, we
surveyed resident self-assessed responsibility and confidence in screening
and counseling about drug use (11 Likert type items on 5-point scale) and
attitudes towards drug users and treatment (8 Likert type items on 5-point
scale) before and after participation. Changes in median responses were
assessed using the Wilcoxon signed ranks test. Eleven true-false and 3
multiple choice questions evaluated knowledge; changes were assessed using
the McNemar test. Forty-one interns participated in the curriculum.
Thirty-two completed pre- and post-test questionnaires (response rate =
78%). Perceived responsibility for counseling about drugs (median score 4.0
vs. 5.0, p =.01), resident self-confidence in discussing drugs of abuse
(median score 3.5 vs. 4.0, p =.01), counseling about drugs (median score 3.0
vs. 3.5, p =.00), and initiating change in patients' drug use (median score
2.5 vs. 4.0, p =.00) improved significantly. At baseline, resident attitudes
towards drug users were positive and level of knowledge was high; we did not
detect changes at post-test. Conclusions: Although we did not demonstrate a
change in knowledge or attitudes, participants demonstrated an increase in
self-reported confidence and sense of responsibility for counseling patients
with substance abuse disorders.
EMTREE DRUG INDEX TERMS
central stimulant agent
cocaine
illicit drug
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
internal medicine
substance abuse
EMTREE MEDICAL INDEX TERMS
abuse
alcohol abuse
alcoholics anonymous
counseling
drug use
exercise
health care quality
McNemar test
multiple choice test
neurobiology
patient
questionnaire
responsibility
screening
teacher
Wilcoxon signed ranks test
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70042648
DOI
10.1080/08897070902802133
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070902802133
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1193
TITLE
Review of undergraduate medical education in addiction medicine using a
curricular template keyed to ACGME competency domains
AUTHOR NAMES
Savage S.
West D.
AUTHOR ADDRESSES
(Savage S.; West D.) Dartmouth Medical School, .
CORRESPONDENCE ADDRESS
S. Savage, Dartmouth Medical School, .
SOURCE
Substance Abuse (2009) 30:2 (201-202). Date of Publication: April 2009
CONFERENCE NAME
2007 AMERSA National Meeting
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc.
ABSTRACT
Objectives: 1. Present an addiction medicine curriculum for undergraduate
medical education that is keyed to ACGME competency domains. 2. Share a
simple approach to review of existing medical school curricula with respect
to addiction medicine content. 3. Consider strategies for enriching the
addiction medicine content of existing curricula. Abstract: Six competency
domains are utilized by ACGME to assure that medical education in a
designated subject area adequately addresses the multidimensional learning
needs of emerging physicians in a complex healthcare environment. This
abstract presents a curriculum in addiction medicine, keyed to the ACGME
competency domains, that can be used to review existing undergraduate
medical curricula to assure that appropriate knowledge and skills in
addiction medicine are integrated into the curriculum. Dartmouth Medical
School (DMS) recently developed the curricular template as a way to review
its own curriculum with respect to adequacy of training in addiction
medicine. The literature was searched for relevant curricula in addiction
medicine as a basis for curricular review. Three published addiction
medicine curricula were selected, and elements of these were compared and
integrated to form a list of curricular inclusions. The inclusions were then
sorted by the ACGME six domains of competency (knowledge, skills for patient
care, interpersonal and communication skills, practice based learning and
improvement, systems based practice, professionalism), redundant items were
fused or eliminated, and needed items added to assure each competency was
adequately addressed. An inventory of the Dartmouth curriculum with respect
to items in the target curriculum was then performed using three
complementary methods. Areas of omission or need for enrichment were
identified and strategies formulated to address them.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
communication skill
curriculum
environment
health care
learning
medical school
patient care
physician
professionalism
skill
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70042647
DOI
10.1080/08897070902802133
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070902802133
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1194
TITLE
On-line medical student training on buprenorphine and opioid dependence
AUTHOR NAMES
Buchanan A.R.
Prince-Elcan M.C.
AUTHOR ADDRESSES
(Buchanan A.R.; Prince-Elcan M.C.) Clinical Tools, Inc., Chapel Hill, United
States.
CORRESPONDENCE ADDRESS
A.R. Buchanan, Clinical Tools, Inc., Chapel Hill, United States.
SOURCE
Substance Abuse (2009) 30:2 (212). Date of Publication: April 2009
CONFERENCE NAME
2007 AMERSA National Meeting
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc.
ABSTRACT
Objectives: 1. Continue development of educational modules based on the
curriculum plan and Phase I findings. 2. Complete a summative evaluation of
all modules with 80 medical students using a pre/post standardized patient
interview. Abstract: A suite of Internet-based educational modules is being
developed to teach medical students about buprenorphine treatment and opioid
addiction. These topics are not part of the standard medical school
curriculum despite the growing problem of opioid dependence in the United
States and related public health issues such as HIV, and Hepatitis B and C.
Program Description: Opioid dependence and treatment with buprenorphine are
topics well suited to teaching medical students since explanation of these
topics leads to discussion of the role of practicing physicians in substance
abuse treatment, raises complicated multi-disciplinary treatment issues,
involves understanding complex biological and social basis of addictions,
and leads to the discussion of how new treatments are developed and moved
into practice. Program Evaluation Outcome: We will evaluate the modules'
effect on attitudes toward substance abuse patients, clinical practice,
selfefficacy, and knowledge. A randomized study will compare subjects using
the buprenorphine modules to subjects using modules on a topic unrelated to
substance abuse. Clinical practice changes will be measured using interviews
with simulated patients who are trained to bring up issues related to opioid
use or treatment. Pilot testing of the prototype module showed a significant
increase in knowledge, attitude, self-efficacy and intended behavior from
pre to post-course. Conclusions: After the value of the courses has been
scientifically demonstrated, we will work with medical schools throughout
the United States that are interested in adding the modules to their
curriculum. If successful, the training will expand the capabilities of
medical students and prepare them for the challenges they will face as
practicing physicians.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
EMTREE MEDICAL INDEX TERMS
addiction
clinical practice
curriculum
health care quality
hepatitis B
Human immunodeficiency virus
Internet
interview
medical school
patient
physician
public health
self concept
substance abuse
teaching
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70042669
DOI
10.1080/08897070902802133
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070902802133
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1195
TITLE
Innovations in chemical dependency and chronic pelvic pain clinical teaching
for medical students and residents
AUTHOR NAMES
Christensen C.
Raymond M.
AUTHOR ADDRESSES
(Christensen C.; Raymond M.) Wayne State University, Detroit, United States.
(Christensen C.; Raymond M.) Association of American Medical Colleges,
Washington, United States.
CORRESPONDENCE ADDRESS
C. Christensen, Wayne State University, Detroit, United States.
SOURCE
Substance Abuse (2009) 30:2 (211). Date of Publication: April 2009
CONFERENCE NAME
2007 AMERSA National Meeting
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc.
ABSTRACT
Objectives: Patients with chemical dependency (CD) are often considered
“morally defective” by students and residents. Patients with Chronic Pain
Syndrome (CPS) are also often labeled as “crazy” or “drug seeking”. Chemical
dependency (CD), pregnancy, and chronic pain syndrome (CPS) are often
interrelated and must be dealt with together to relieve addiction or pain
symptoms. Program Description: The clinical teaching program at the Eleonore
Hutzel Recovery Center (EHRC) is an academic, resident/student driven clinic
staffed by an ASAM certified addictionist, using evidence based techniques
to provide comprehensive prenatal care for pregnant, addicted women while
educating medical students and residents about best care practices regarding
these dual diagnoses. CPS is also treated using ASAM based recommendations.
Its design creates a positive learning environment to educate trainees about
these often little understood and complex medical problems. Our objective is
to propose this curriculum as an innovative model for participants to
utilize and compare with their clinical and teaching practices for women
diagnosed with CD, CPS and pregnancy. Methods: The program's history is
reviewed to include design issues/curriculum, target patient
population/types of problems addressed, and strategies for creating a
positive learning environment. Key barriers to teaching about chemical
dependency and chronic pain are identified. Outcome: Outcomes can be seen
through the portrayal of a typical case study. This study exemplifies the
positive learning environment and how trainees directly intervene with the
patients, and the curriculum design/implementation. Conclusions: Primary
lessons learned with respect to a key tip, program design technique, new
knowledge gained, and an idea about how this program can be used at home
sites are listed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
medical student
pelvis pain syndrome
EMTREE MEDICAL INDEX TERMS
addiction
case study
chronic pain
curriculum
diagnosis
evidence based practice
female
hospital
learning environment
model
pain
patient
pregnancy
prenatal care
student
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70042666
DOI
10.1080/08897070902802133
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070902802133
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1196
TITLE
Online training of primary care providers in pain and addiction
AUTHOR NAMES
Tanner T.
Metcalf M.
Rossie K.
Coulehan M.
AUTHOR ADDRESSES
(Tanner T.; Metcalf M.; Rossie K.; Coulehan M.) Clinical Tools, Inc, Chapel
Hill, United States.
CORRESPONDENCE ADDRESS
T. Tanner, Clinical Tools, Inc, Chapel Hill, United States.
SOURCE
Journal of Pain (2009) 10:4 SUPPL. 1 (S19). Date of Publication: April 2009
CONFERENCE NAME
28th Annual Scientific Meeting of the American Pain Society, APS
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2009-05-07 to 2009-05-09
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
The majority of primary care providers in the pain practice community have
not fully incorporated evidence-based and clinical consensus recommendations
for preventing, recognizing, and managing addiction in pain patients.
Existing interventions based on conferring knowledge or providing prompts
are limited in effect. With support from NIDA, we are designing an online
training experience for pain management providers that focuses on skills
training. We surveyed addiction specialists (n = 9) to better understand the
needs and limitations of primary care providers. All addiction specialists
identified a need for additional training in: 1) Detecting Substance Use
Disorders in Pain Patients at Initial Evaluation, 2) Preventing Substance
Use Disorders When Prescribing Opioids to Pain Patients, 3) Managing
Addiction Issues in Ongoing Treatment of Chronic Pain Patients, and 4)
Preventing and Detecting Diversion of Pain Medications [listed in the
respondents' order of priority]. When asked about supplementary disease
focused training in addiction issues, they highlighted back pain as the top
priority followed by headache, osteoarthritis, and fibromyalgia/neuropathy
[tied]. All addiction expert participants expressed interest in
participating in features such as an online forum and an “Ask the Expert”
forum. A survey of pain specialists (n = 5) ranked the four topics similarly
and also identified back pain as the most important topic. A survey of
primary care physicians (n = 9) revealed that all would consider taking a
course with an Standardized Patient component; the most preferred modality
was online chat. Most preferred a short SP experience that would more
closely mimic the clinic encounter. With expert and target audience input,
we have outlined a skills training experience based on the topics above and
which uses virtual (i.e., Internet chat-based) Standardized Patients as well
as interactive clinical cases with multiple questions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
pain
primary medical care
society
EMTREE MEDICAL INDEX TERMS
backache
chronic pain
community
consensus
drug therapy
evidence based practice
headache
hospital
Internet
medical specialist
osteoarthritis
patient
physician
skill
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70176874
DOI
10.1016/j.jpain.2009.01.080
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2009.01.080
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1197
TITLE
Learning about smoking during medical school: Are we still missing
opportunities?
AUTHOR NAMES
Chatkin J.
Chatkin G.
AUTHOR ADDRESSES
(Chatkin J., jmchatkin@pucrs.br) Faculdade de Medicina, Pontifícia
Universidade Católica do Rio Grande sul (PUCRS), Porto Alegre, Brazil.
(Chatkin G.) Hospital São Lucas da PUCRS, Porto Alegre, Brazil.
(Chatkin J., jmchatkin@pucrs.br) Graduate Office, Hospital São Lucas da
PUCRS, Av Ipiranga 6690, Porto Alegre, 90610-000, Brazil.
CORRESPONDENCE ADDRESS
J. Chatkin, Graduate Office, Hospital São Lucas da PUCRS, Av Ipiranga 6690,
Porto Alegre, 90610-000, Brazil. Email: jmchatkin@pucrs.br
SOURCE
International Journal of Tuberculosis and Lung Disease (2009) 13:4
(429-437). Date of Publication: April 2009
ISSN
1027-3719
BOOK PUBLISHER
International Union against Tubercul. and Lung Dis., 68 boulevard
Saint-Michel, Paris, France.
ABSTRACT
Despite the accumulation of evidence about the risks of tobacco use in
recent decades, smoking remains an important public health problem. Although
significant advances for its control have been achieved, the role of health
care workers, especially physicians, is still less than ideal, as smoking
cessation could provide great benefits to their patients. In many countries,
these professionals fail to be proactive in promoting smoking cessation:
they do not motivate their patients, offer options for quitting smoking or
help prevent smoking initiation among adolescents. This reluctance clearly
signifies lost opportunities in the fight against smoking, much as in the
days before the harmful effects of smoking were well-defined. Given that
about 70% of smokers seek medical assistance over the course of a year due
to problems both related and unrelated to smoking, the percentage of wasted
possibilities remains significant. This may occur because physicians feel
insecure in addressing the various problems when communicating with smokers.
The aim of this article is to review the reasons for insufficient commitment
of some physicians to this fight. We attribute part of the problem to
deficiencies in medical school education, insufficient training, not
adapting medical school curricula to the rapid changes occurring in this
area and a lack of transdisci- plinary vision regarding smoking. All are
possibilities that can explain such lost opportunities in treating smokers.
© 2009 The Union.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
medical school
physician
priority journal
review
smoking cessation
tobacco
world health organization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French, Spanish
EMBASE ACCESSION NUMBER
2009181643
MEDLINE PMID
19335946 (http://www.ncbi.nlm.nih.gov/pubmed/19335946)
PUI
L354469151
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1198
TITLE
Assessing residents' skills in managing heroin addiction using objective
structured clinical exams (OSCEs)
AUTHOR NAMES
Parish S.J.
Stein M.R.
Hahn S.R.
Goldberg U.
Arnsten J.H.
AUTHOR ADDRESSES
(Parish S.J.; Stein M.R.; Hahn S.R.; Goldberg U.; Arnsten J.H.) Albert
Einstein College of Medicine, .
CORRESPONDENCE ADDRESS
S.J. Parish, Albert Einstein College of Medicine, .
SOURCE
Substance Abuse (2009) 30:2 (205-206). Date of Publication: April 2009
CONFERENCE NAME
2007 AMERSA National Meeting
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc.
ABSTRACT
Objectives: Heroin addiction is a significant and challenging problem in
medical settings. One set of objectives for our five station substance abuse
OSCE for internal and family medicine residents was to teach about heroin
addiction and identify the management of specific tasks that are most
challenging. Program Description: In this OSCE, actors portrayed
standardized patients (SPs) with various substance abuse disorders and
readiness to change stages. The heroin addicted patient was a 23-year-old
pre-contemplative injector in acute withdrawal. Station tasks were to
diagnose and explain opioid withdrawal and counsel an active injection drug
user. Faculty observers completed a 17- item instrument assessing three
domains (six communication, six assessment, and three management items) and
two global items (general organization and overall performance). All items
were rated on four-point Likert scales. SPs commented on residents'
strengths and areas needing improvement. Program Evaluation Outcome: From
2003-2006, 180 residents participated during PGY-3 ambulatory rotations.
Residents performed better in communication (3.16 ± 0.48) than either
assessment (2.77 ± 0.60) or management (2.55 ± 0.73) and better in
assessment than management (p < 0.001 for all comparisons). Residents'
scores for assessing specific high risk behaviors were lower than the other
five assessment items (p < 0.01), and their scores for recommending
appropriate treatment, including harm reduction, were lower than the two
other management items (p < 0.05). SPs' comments reflected the same
weaknesses in assessment and management skills. Conclusions: Assessment and
management of heroin addiction were more challenging for residents than
general communication skills. Faculty and SP agreement about residents'
needs to improve in discussing high risk behaviors and counseling about harm
reduction identified these challenging skills as areas for curricular
enhancement.
EMTREE DRUG INDEX TERMS
diamorphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
heroin dependence
skill
EMTREE MEDICAL INDEX TERMS
communication skill
counseling
drug use
family medicine
harm reduction
health care quality
high risk behavior
injection
interpersonal communication
patient
substance abuse
weakness
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70042655
DOI
10.1080/08897070902802133
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070902802133
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1199
TITLE
A pilot study of rapid opioid rotation and titration of oxymorphone
AUTHOR NAMES
Korkmazsky M.
Skinner D.
Thomas V.
Ghandehari J.
Kosharskyy B.
Serban S.
Lin H.
Hossain S.
Sanchez A.
Bobb D.
Pappagallo M.
AUTHOR ADDRESSES
(Korkmazsky M.; Skinner D.; Thomas V.; Ghandehari J.; Kosharskyy B.; Serban
S.; Lin H.; Hossain S.; Sanchez A.; Bobb D.; Pappagallo M.) Mount Sinai
Medical Center, New York City, United States.
CORRESPONDENCE ADDRESS
M. Korkmazsky, Mount Sinai Medical Center, New York City, United States.
SOURCE
Journal of Pain (2009) 10:4 SUPPL. 1 (S47). Date of Publication: April 2009
CONFERENCE NAME
28th Annual Scientific Meeting of the American Pain Society, APS
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2009-05-07 to 2009-05-09
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
Opioid rotation is indicated in most chronic pain patients administered
opioid therapy long-term but may entail management complexities requiring
multiple visits to a pain specialist. This study assessed the feasibility of
using a 24 hour intravenous patient-controlled-analgesia (IVPCA) to achieve
rapid opioid rotation and titration (RORT). Outcomes were patient-rated
scores on the Patient's Global Impression of Change (PGIC) Activity and
Status scales at 6, 12, and 24 hours of IVPCA and 2 weeks thereafter (study
exit); and the Brief Pain Inventory (BPI) Average Daily Pain (0 = no pain,
10 = worst imaginable) and Interference (0 = no interference, 10 = complete
interference) scales pre- and postIVPCA. Twelve opioid-experienced patients
with chronic noncancer pain (≥ 4/ 10) underwent a 24 hour IVPCA from
morphine or oxycodone (baseline morphine equivalent doses of 45-510 mg/day)
to oxymorphone. The IVPCA RORT was followed by a 2 week further titration of
extended release oral oxymorphone. Activity scores improved significantly at
24 hours (OR = 0.49, P = 0.04) and 2 weeks (OR = 0.21, P = 0.01) vs 6 hours.
Status scores improved significantly at 12 hours (OR = 0.19, P < 0.001), 24
hours (OR = 0.23, P = 0.001), and 2 weeks (OR = 0.14, P = 0.001) vs 6 hours.
BPI scores improved postIVPCA vs preIVPCA for average daily pain (-1.51, SE
= 0.62, P = 0.02) and interference (-1.27, SE = 1.06, P = 0.24). At 2-weeks,
7/10 patients reported a clinically significant decrease in average daily
pain. All patients tolerated RORT to oxymorphone well with no serious AEs.
These preliminary data suggest that RORT can be performed successfully in
<24 hours. Further investigation is needed to confirm RORT potential as an
outpatient procedure in pain practice.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
oxymorphone
EMTREE DRUG INDEX TERMS
morphine
oxycodone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain
pilot study
society
titrimetry
EMTREE MEDICAL INDEX TERMS
Brief Pain Inventory
chronic pain
medical specialist
outpatient
patient
patient controlled analgesia
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70176989
DOI
10.1016/j.jpain.2009.01.200
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2009.01.200
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1200
TITLE
Tobacco education in US physician assistant programs
AUTHOR NAMES
Houston L.N.
Warner M.
Corelli R.L.
Fenlon C.M.
Hudmon K.S.
AUTHOR ADDRESSES
(Fenlon C.M.; Hudmon K.S., khudmon@purdue.edu) Purdue University, San
Francisco.
(Corelli R.L.; Hudmon K.S., khudmon@purdue.edu) University of California,
San Francisco.
(Houston L.N.; Warner M.; Hudmon K.S., khudmon@purdue.edu) Yale University,
.
(Hudmon K.S., khudmon@purdue.edu) Department of Pharmacy Practice, School of
Pharmacy and Pharmaceutical Sciences, Purdue University, 1001 W. 10th
Street, Indianapolis, IN 46202.
CORRESPONDENCE ADDRESS
K. S. Hudmon, Department of Pharmacy Practice, School of Pharmacy and
Pharmaceutical Sciences, Purdue University, 1001 W. 10th Street,
Indianapolis, IN 46202. Email: khudmon@purdue.edu
SOURCE
Journal of Cancer Education (2009) 24:2 (107-113). Date of Publication:
April 2009
ISSN
0885-8195
BOOK PUBLISHER
Springer Publishing Company, 11 West 42nd Street, 15th Floor, New York,
United States.
ABSTRACT
Background. Few health degree programs incorporate sufficient tobacco
cessation education in core curricula. Methods. A national survey of 132 PA
programs assessed the extent to which tobacco is addressed, educational
methods, perceived importance and adequacy of tobacco education, and
perceived barriers to enhancing tobacco-related content. Results. Surveys (n
= 99; 75%) revealed a median of 150 minutes of tobacco education throughout
the degree program. Key barriers to enhancing training are lack of
curriculum time and lack of access to comprehensive, evidence-based
resources. Two-thirds expressed interest in participating in a nationwide
effort to enhance tobacco cessation training. Conclusions. Similar to other
disciplines, enhanced tobacco education is needed in PA programs to
adequately prepare graduates to address the primary known cause of
preventable death in the United States. © AACE and EACE.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
cigarette smoking
curriculum development
education program
evidence based medicine
patient counseling
priority journal
scoring system
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009382169
MEDLINE PMID
19431026 (http://www.ncbi.nlm.nih.gov/pubmed/19431026)
PUI
L354986137
DOI
10.1080/08858190902854475
FULL TEXT LINK
http://dx.doi.org/10.1080/08858190902854475
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1201
TITLE
Developing and evaluating training for community pharmacists to deliver
interventions on alcohol issues
AUTHOR NAMES
Fitzgerald N.
Watson H.
McCaig D.
Stewart D.
AUTHOR ADDRESSES
(Fitzgerald N.) Create Consultancy, Glasgow, G51 3BA, United Kingdom.
(Fitzgerald N.; McCaig D.; Stewart D., d.stewart@rgu.ac.uk) School of
Pharmacy, Robert Gordon University, Schoolhill, Aberdeen AB10 1FR, United
Kingdom.
(Watson H.) School of Nursing, Midwifery and Community Health, Glasgow
Caledonian University, Glasgow G40BA, United Kingdom.
CORRESPONDENCE ADDRESS
D. Stewart, School of Pharmacy, Robert Gordon University, Schoolhill,
Aberdeen AB10 1FR, United Kingdom. Email: d.stewart@rgu.ac.uk
SOURCE
Pharmacy World and Science (2009) 31:2 (149-153). Date of Publication: April
2009
ISSN
0928-1231
BOOK PUBLISHER
Springer Netherlands, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
Objective To evaluate community pharmacists' readiness to provide brief
interventions on alcohol and to use study findings to develop training to
enable them to screen for hazardous or harmful drinking and intervene
appropriately. Setting Community pharmacies in Scotland. Method Eight
community pharmacies in Greater Glasgow, Scotland were purposively selected
on the basis of pharmacy (independent, multiple), population deprivation
index, location (rural, urban, suburban), and local level of hospital
admissions for alcohol misuse. Baseline pharmacist telephone interviews
covered: current practice; attitudes towards a proactive role; and perceived
training needs. A two-day course was designed focusing on: consequences of
problem alcohol use; attitudes; sensible drinking; familiarity with client
screening using the Fast Alcohol Screening Tool; brief interventions and
motivational interviewing. Main Outcome Measures Knowledge of problem
alcohol use and brief interventions; attitudes; competence. Results
Participants felt it was feasible for trained pharmacists to provide brief
interventions. Core training needs centred on communication and alcohol
related knowledge. The training course was positively evaluated and led to
increases in knowledge, attitudinal scores and self related competence.
Conclusion A training programme for pharmacists to deliver brief
interventions to problem drinkers was successfully delivered resulting in
enhanced knowledge, attitudinal scores and self related competence. © 2009
Springer Science+Business Media B.V.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
medical education
EMTREE MEDICAL INDEX TERMS
article
attitude
competence
controlled study
human
knowledge
pharmacist
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pharmacy (39)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009147451
MEDLINE PMID
19199073 (http://www.ncbi.nlm.nih.gov/pubmed/19199073)
PUI
L50422055
DOI
10.1007/s11096-009-9284-1
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-009-9284-1
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1202
TITLE
Substance abuse treatment for high risk chronic pain patients on opioid
therapy
AUTHOR NAMES
Jamison R.
Wasan A.
Michna E.
Ross E.
Chen L.
Holcomb C.
Edwards R.
AUTHOR ADDRESSES
(Jamison R.; Wasan A.; Michna E.; Ross E.; Chen L.; Holcomb C.; Edwards R.)
Brigham and Women's Hospital, Boston, United States.
CORRESPONDENCE ADDRESS
R. Jamison, Brigham and Women's Hospital, Boston, United States.
SOURCE
Journal of Pain (2009) 10:4 SUPPL. 1 (S62). Date of Publication: April 2009
CONFERENCE NAME
28th Annual Scientific Meeting of the American Pain Society, APS
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2009-05-07 to 2009-05-09
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
Chronic pain patients who show aberrant drug-related behavior often are
tapered off opioids and discharged from pain clinics when they are
noncompliant with their use of opioids instead of being offered measures to
improve their compliance. The purpose of this study was to conduct a
randomized trial of patients prescribed opioids for noncancer back pain who
showed risk potential of substance misuse to see if close monitoring and
cognitive behavioral substance abuse counseling could increase overall
compliance with opioids. Sixty-one patients with back pain were enrolled for
this 6-month study. Patients considered to be high risk (SOAPP-R>18 or
history of prescription opioid misuse) were randomized to one of two
treatment arms: High Risk Experimental (N = 21), and High Risk Control (N =
20). All patients were screened for active addiction disorder. Those
assigned to the experimental group completed monthly urine screens,
compliance checklists, and participated in individual and group sessions of
motivational counseling. The group and individual sessions were designed to
offer support and training for substance abuse awareness and recovery. A
third group of Low-Risk Controls (N = 20) were also recruited and followed
for 6 months. All patients completed pre- and post-study questionnaires and
monthly electronic diaries. Outcomes consisted of the percent with a
positive Aberrant Drug Behavior Index (ADBI) that consisted of self-reported
drug misuse (Prescription Drug Use Questionnaire), physician-reported abuse
behavior (Addiction Behavior Checklist), and abnormal urine toxicology
results. Results showed that High-Risk Experimental patients showed a 20%
ADBI compared with 57% in the High-Risk Control and 5% in the Low- Risk
Control groups (p<0.05). These preliminary results support the use of
identification of substance misuse potential, frequent urine screen
monitoring, self-report compliance checklists, and substance abuse
motivational counseling to improve compliance of chronic pain patients at
risk for prescription opioid misuse.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
pain
patient
risk
society
substance abuse
therapy
EMTREE MEDICAL INDEX TERMS
abuse
addiction
arm
backache
checklist
control group
counseling
drug misuse
drug use
monitoring
pain clinic
physician
prescription
questionnaire
self monitoring
self report
toxicology
urine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70177001
DOI
10.1016/j.jpain.2009.01.214
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2009.01.214
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1203
TITLE
Mindfulness-Based Stress Reduction in therapeutic community treatment:
Preliminary report
AUTHOR NAMES
Marcus M.T.
Moeller F.G.
Schmitz J.M.
Liehr P.
Swank P.
Cron S.
Granmayeh L.K.
Carroll D.D.
AUTHOR ADDRESSES
(Marcus M.T.; Moeller F.G.; Schmitz J.M.; Liehr P.; Swank P.; Cron S.;
Granmayeh L.K.; Carroll D.D.) University of Texas Health Science Center,
Florida Atlantic University, .
CORRESPONDENCE ADDRESS
M.T. Marcus, University of Texas Health Science Center, Florida Atlantic
University, .
SOURCE
Substance Abuse (2009) 30:2 (194-195). Date of Publication: April 2009
CONFERENCE NAME
2007 AMERSA National Meeting
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc.
ABSTRACT
Objectives: To provide preliminary data on the effect of MBSR on stress of
residents in therapeutic community treatment. Purpose: Therapeutic
communities provide structured social learning environments for individuals
in recovery from substance use disorders. Studies of other similar
restrictive environments document high degrees of stress. Stress may
negatively impact progress and retention in the TC environment. The purpose
of this study was to assess the effect of a Mindfulness-Based Stress
Reduction (MBSR) intervention on the stress of residents in therapeutic
community (TC) treatment. Method: The study used an historical control
design. The Symptoms of Stress Inventory (SOSI) was used to gather stress
data on admission to the TC, one month later and three months later. During
the second phase, intervention participants received the MBSR program,
tailored specifically for the TC setting, and stress data were gathered at
the same intervals. Data were analyzed using repeated measures with a mixed
models method. Both groups are being followed for a total of nine months as
part of a larger study of stress, progression and retention in TC treatment.
Results: Of the 144 subjects enrolled in the control group, 77.08% were male
and 22.92% were female. There were 283 subjects in the intervention group,
85.51% male and 14.49% female. The scores on the 94-item SOSI decreased
significantly over time for both groups but the rate of decease was
significantly greater for the MBSR intervention group (p = 0.0346).
Conclusion: Preliminary results indicate that MBSR added to standard TC
treatment increases the rate of stress reduction in the first three months
of treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
group therapy
therapeutic community
EMTREE MEDICAL INDEX TERMS
control group
environment
female
learning environment
male
model
social learning
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70042633
DOI
10.1080/08897070902802133
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070902802133
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1204
TITLE
Teaching the physician-manager role to psychiatric residents: development
and implementation of a pilot curriculum
AUTHOR NAMES
Stergiopoulos V.
Maggi J.
Sockalingam S.
AUTHOR ADDRESSES
(Stergiopoulos V., stergiopoulosv@smh.toronto.on.ca; Maggi J.; Sockalingam
S.) Department of Psychiatry, University of Toronto, Toronto, ON.
(Stergiopoulos V., stergiopoulosv@smh.toronto.on.ca) St. Michael's Hospital,
Mental Health Services, 30 Bond St., Toronto, ON M5B 1W8, Canada.
CORRESPONDENCE ADDRESS
V. Stergiopoulos, St. Michael's Hospital, Mental Health Services, 30 Bond
St., Toronto, ON M5B 1W8, Canada. Email: stergiopoulosv@smh.toronto.on.ca
SOURCE
Academic Psychiatry (2009) 33:2 (125-130). Date of Publication: March-April
2009
ISSN
1042-9670
BOOK PUBLISHER
American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite
1825,Arlington, United States.
ABSTRACT
Objective: The authors describe a pilot physician-manager curriculum
designed to address the learning needs of psychiatric residents in
administrative psychiatry and health systems. Methods: The pilot curriculum
includes a junior and a senior toolkit of four workshops each. The junior
toolkit introduces postgraduate-year two (PGY-2) residents to the principles
of teamwork, conflict resolution, quality improvement, and program planning
and evaluation. The senior toolkit exposes PGY-4 residents to leadership and
change management, organizational structures, mental health and addictions
reform, and self and career development. Following curriculum implementation
at the University of Toronto, residents rated the importance and clinical
relevance of curriculum objectives and commented on the strengths and
weaknesses of the workshops and areas needing improvement. Results: The
pilot curriculum was successfully introduced at the University of Toronto in
2006. Residents rated the curriculum very highly and commented that
interactive learning and contex-tually relevant topics are essential in
meeting their needs. Conclusion: It is possible to successfully introduce a
physician-manager curriculum early during psychiatric residency training, to
match the specific needs of clinical rotations. Interactive techniques and
clinical illustrations may be crucial in facilitating teaching and learning
the physician-manager role. The authors discuss barriers, facilitators, and
critical success factors in implementing such a curriculum. Copyright © 2009
Academic Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum development
manager
physician
resident
teaching
EMTREE MEDICAL INDEX TERMS
article
career planning
health care
health care quality
human
leadership
learning
management style
mental health
normal human
organizational structure
postgraduate education
program development
residency education
teamwork
total quality management
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009228862
MEDLINE PMID
19398625 (http://www.ncbi.nlm.nih.gov/pubmed/19398625)
PUI
L354593126
DOI
10.1176/appi.ap.33.2.125
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.33.2.125
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1205
TITLE
What do psychiatric residents think of addiction psychiatry as a career?
AUTHOR NAMES
Rentier J.A.
Karam-Hage M.
Levinson M.
Craig T.
Eld B.
AUTHOR ADDRESSES
(Rentier J.A., John.Renner@va.gov) Division of Psychiatry, Boston
University, Boston.
(Karam-Hage M.) Department of Psychiatry, MD Anderson Hospital, Houston.
(Levinson M.) Department of Child and Adolescent Psychiatry, St.
Luke's-Roosevelt Hospital Center, New York.
(Craig T.; Eld B.) American Psychiatric Association, Arlington, VA.
(Rentier J.A., John.Renner@va.gov) VA Outpatient Clinic, 251 Causeway St.,
Boston, MA 02114.
CORRESPONDENCE ADDRESS
J. A. Rentier, VA Outpatient Clinic, 251 Causeway St., Boston, MA 02114.
Email: John.Renner@va.gov
SOURCE
Academic Psychiatry (2009) 33:2 (139-142). Date of Publication: March-April
2009
ISSN
1042-9670
BOOK PUBLISHER
American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite
1825,Arlington, United States.
ABSTRACT
Objective: The authors attempt to better understand the recent decline in
the number of applicants to addiction psychiatry training. Methods: The
Corresponding Committee on Training and Education in Addiction Psychiatry
ofAPA 's Council on Addiction Psychiatry sent out a 14-question anonymous
e-mail survey to all postgraduate-year 2 (PGY-2) through PGY-4 APA
Membersin-Training. Tlie questions explored residents' beliefs and attitudes
toward addiction psychiatry and sought their opinion on how training in
addiction psychiatry can be made more attractive to them. Results: Of 2, 511
eligible psychiatric residents surveyed nationally, 276 (10.6%) residents
responded to the survey. Residents who responded had a generally positive
impression of addiction psychiatrists but expressed much less favorable
attitudes toward the practice of addiction psychiatry. Respondents provided
three major subsets of suggestions: employment security and compensation,
optimize PGY-1-4 addiction training, and fellowship training issues.
Conclusion: These findings may be used to improve addiction psychiatry
training and recruitment. Copyright © 2009 Academic Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
career
resident
EMTREE MEDICAL INDEX TERMS
article
clinical practice
controlled study
e-mail
employment status
human
job security
medical society
normal human
postgraduate education
psychiatrist
questionnaire
residency education
student attitude
workman compensation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009228865
MEDLINE PMID
19398628 (http://www.ncbi.nlm.nih.gov/pubmed/19398628)
PUI
L354593129
DOI
10.1176/appi.ap.33.2.139
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.33.2.139
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1206
TITLE
Critical incidents in acute pain and the opioid dependent patient:
Introduction of a pain teaching module
AUTHOR NAMES
Kalbag A.
Gilfillan N.
Graham B.
Stranix N.
Townsend R.
Bourne N.
AUTHOR ADDRESSES
(Kalbag A.; Gilfillan N.; Graham B.; Stranix N.) Imperial College,
Anaesthetics, London, United Kingdom.
(Townsend R.; Bourne N.) Imperial College, London, United Kingdom.
CORRESPONDENCE ADDRESS
A. Kalbag, Imperial College, Anaesthetics, London, United Kingdom.
SOURCE
Pain Practice (2009) 9 SUPPL. 1 (53). Date of Publication: March 2009
CONFERENCE NAME
5th World Congress - World Institute of Pain
ISSN
1530-7085
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Background and Aims: The safe and effective management of acute pain
requires the appropriate education and training in the delivery of pain
relief. Misunderstandings in the terminology related to substance abuse,
tolerance, addiction and physical dependence may lead to inappropriate pain
management (American Acad Pain Med 2004). Accurate nursing/carer knowledge
about pain assessment and intervention is critical to effective pain
management. (Loeb 1999). The aims of this audit were to identify whether
introduction of an acute pain teaching module for junior anaesthetists made
any difference to the number and type of critical incidents being reported.
Methods: Our teaching programme was conducted on a weekly basis. It
consisted of 6 presentations followed by group discussion. Critical
incidents reported on our database were categorized by type of incident and
if they were nursing or physician related. The number of opioid dependent
patients needing a PCA between August 2006 and August 2008 was documented.
Results: The physician related incidents were higher than the nursing
related incidents over the period of August 2006-February 2008. However,
following this period, no such incidents were reported. (Figure Presented).
Conclusions: Introduction of an acute pain teaching module for anaesthetic
trainees along with dissemination of guidelines for PCA use in the opioid
dependent patient reduced the number and type of such incidents occurring,
thereby improving overall patient care.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
anesthetic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain
patient
teaching
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
clinical audit
data base
drug dependence
education
nursing
pain assessment
patient care
physician
student
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70207069
DOI
10.1111/j.1533-2500.2009.00266.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1533-2500.2009.00266.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1207
TITLE
Integrating case topics in medical school curriculum to enhance multiple
skill learning: Using fetal alcohol spectrum disorders as an exemplary case
AUTHOR NAMES
Paley B.
O'Connor M.J.
Baillie S.J.
Guiton G.
Stuber M.L.
AUTHOR ADDRESSES
(Paley B., bpaley@mednet.ucla.edu; O'Connor M.J.; Stuber M.L.) Department of
Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine,
University of California, Los Angeles.
(Baillie S.J.) Department of Medicine, David Geffen School of Medicine,
UCLA, .
(Guiton G.) Department of Medicine, University of Colorado, School of
Medicine.
(Paley B., bpaley@mednet.ucla.edu) David Geffen School of Medicine, UCLA,
Psychiatry and Biobehavioral Sciences, 760 Westwood Plaza, Los Angeles, CA
90024.
CORRESPONDENCE ADDRESS
B. Paley, David Geffen School of Medicine, UCLA, Psychiatry and
Biobehavioral Sciences, 760 Westwood Plaza, Los Angeles, CA 90024. Email:
bpaley@mednet.ucla.edu
SOURCE
Academic Psychiatry (2009) 33:2 (143-148). Date of Publication: March-April
2009
ISSN
1042-9670
BOOK PUBLISHER
American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite
1825,Arlington, United States.
ABSTRACT
Objectives: This article describes the use of fetal alcohol spectrum
disorders (FASDs) as a theme to connect the learning of basic neurosciences
with clinical applications across the age span within a systems-based,
integrated auricular structure that emphasizes problem-based learning.
Methods: In collaboration with the Centers for Disease Control and.
Prevention (CDC) and the National Organization on Fetal Alcohol Syndrome,
the Western Regional Training Center for Fetal Alcohol Exposure at UCLA
developed and integrated educational materials on FASDs into the curriculum
for first-year medical students. Results: Quantitative and qualitative
evaluations suggested materials were effective in enhancing student
knowledge and skills related to FASDs, as well as embryology, brain
development, substance abuse, developmental psychopathology; and medical
ethics. Conclusion: The use of a unifying theme integrating basic science
and clinical information and skills is effective for medical student
training in the prevention and treatment of common medical problems.
Copyright © 2009 Academic Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
fetal alcohol syndrome
medical school
problem based learning
skill
EMTREE MEDICAL INDEX TERMS
article
brain development
clinical evaluation
clinical practice
curriculum development
embryology
human
knowledge
medical ethics
medical information system
medical society
medical student
mental disease
neuroscience
normal human
substance abuse
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009228866
MEDLINE PMID
19398629 (http://www.ncbi.nlm.nih.gov/pubmed/19398629)
PUI
L354593130
DOI
10.1176/appi.ap.33.2.143
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.33.2.143
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1208
TITLE
Baby boomers and substance abuse: Epidemiology, assessment and evidence
based treatment
AUTHOR NAMES
Barnas M.E.
Khatkhate G.P.
Trevisan L.A.
AUTHOR ADDRESSES
(Barnas M.E.) Veteran's Administration, New Jersey Medical School, East
Orange, United States.
(Khatkhate G.P.) Hines VA Hospital, Hines, United States.
(Trevisan L.A.) Yale University, School of Medicine, West Haven, United
States.
CORRESPONDENCE ADDRESS
M.E. Barnas, Veteran's Administration, New Jersey Medical School, East
Orange, United States.
SOURCE
American Journal of Geriatric Psychiatry (2009) 17 SUPPL. 13 (A23-A24). Date
of Publication: March 2009
CONFERENCE NAME
AAGP Annual Meeting 2009
CONFERENCE LOCATION
Honolulu, HI, United States
CONFERENCE DATE
2009-03-05 to 2009-03-08
ISSN
1064-7481
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Addiction specialists and organizations for the elderly anticipate a tidal
wave of baby boomers needing help for addictions, often for different
substances and with different attitudes toward treatment than the generation
that came before them. Federal data shows the shifting demographics: In
2005, of the 184,000 Americans who were admitted to drug treatment
programs-roughly 10 percent of the total-were over 50, up from 143,000, or 8
percent of the total, in 2001. The Substance Abuse and Mental Health
Administration foresees 4.4 million older substance abusers by 2020,
compared with 1.7 million in 2001 - numbers that are likely to swamp the
current system. According to the federal report, 83 percent of older addicts
were 50-59, and the trailing edge of the baby boomers, age 50-54, is the
fastest growing older group. Elderly substance abuse is becoming
increasingly important to general, geriatric and addiction psychiatrists.
The workshop will focus on involving participants in an active decision
making process. Based on case presentations, participants will learn to
better identify problematic substance abuse using knowledge of risk factors,
differential diagnostic systems and available screening tools. Pharmacologic
interventions involving consideration of dose and drug-drug interactions
will be reviewed. In addition, non-pharmacologic interventions, including
the use of brief interventions, psychosocial interventions and formal
addiction treatment will also be reviewed. Impact on the current delivery of
mental health care services will be reviewed. Symposium learning objectives
will be met by demonstrating a systematic and evidence-based approach to
evaluating and treating substance abuse in this aging group of baby boomers.
This will be accomplished through a combination of several didactic
presentations, videotaped interview vignettes, and audience participation
using a participatory discussion format at strategic points in the clinical
management of cases. Didactic presentations will focus on epidemiology,
impact on the healthcare system, assessment techniques including use of
standardized questionnaires, laboratory and medical assessments, and
specialized treatment approaches (pharmacologic, psychotherapeutic and
psychosocial). This format is designed to educate and help guide the
participants in making decisions based on real-life patient cases concerning
identification of problems, making accurate assessments and treatment
interventions, and developing goals for substance abuse treatment in the
aging baby boomer/geriatric patient.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
baby boomer
epidemiology
evidence based practice
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
aged
aging
baby
decision making
diagnosis
drug dependence
drug interaction
drug therapy
health care management
health care system
health service
interview
laboratory
learning
medical assessment
medical specialist
mental health
mental health care
organization
patient
psychiatrist
questionnaire
risk factor
screening
swamp
tsunami
vignette
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70079184
DOI
10.1097/01.JGP.0000346964.46544.ec
FULL TEXT LINK
http://dx.doi.org/10.1097/01.JGP.0000346964.46544.ec
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1209
TITLE
Development of a substance abuse consultation and referral service in an
academic medical center: Challenges, achievements and dissemination
AUTHOR NAMES
Murphy M.K.
Chabon B.
Delgado A.
Newville H.
Nicolson S.E.
AUTHOR ADDRESSES
(Murphy M.K., mmurphy@aecom.yu.edu) Department of Emergency Medicine, Albert
Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467, United
States.
(Chabon B., bchabon@montefiore.org; Delgado A.; Newville H.; Nicolson S.E.)
Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center,
Addiction Psychiatry Service, Bronx, NY, United States.
CORRESPONDENCE ADDRESS
M.K. Murphy, Department of Emergency Medicine, Albert Einstein College of
Medicine, 111 East 210th Street, Bronx, NY 10467, United States. Email:
mmurphy@aecom.yu.edu
SOURCE
Journal of Clinical Psychology in Medical Settings (2009) 16:1 (77-86). Date
of Publication: March 2009
Integrated Care, Book Series Title:
ISSN
1068-9583
BOOK PUBLISHER
Springer New York, 233 Springer Street, New York, United States.
ABSTRACT
Approximately 25% of US hospital beds are occupied by individuals with
active substance use disorders (SUD). Acute medical hospitalization provides
an opportunity to address SUDs and provide patient-centered intervention and
referral for treatment. Nationally, some hospitals have developed substance
abuse consultation departments to improve the care of hospitalized substance
users. In this paper we describe the Addiction Psychiatry Service (APS) in a
large urban hospital which provides bed-side SUD consultation, screening,
intervention and referral to treatment. APS utilizes the multiple
disciplines of psychology, social work and medicine to integrate substance
abuse services throughout the hospital and educate future generations of
medical and psychology trainees. We conclude with how the APS service is
informing the development of similar programs in other academic departments
within our hospital and best practice recommendations to further disseminate
this service model. © Springer Science+Business Media, LLC 2009.
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
consultation
drug dependence (drug therapy, drug therapy)
mental health service
patient referral
university hospital
EMTREE MEDICAL INDEX TERMS
article
clinical psychology
cross training
drug dependence treatment
education program
health care distribution
health care quality
health personnel attitude
health program
human
integrated health care system
medical education
mental health care
participatory management
priority journal
professional knowledge
program development
psychiatrist
rehabilitation care
social work
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Rehabilitation and Physical Medicine (19)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009154353
MEDLINE PMID
19219627 (http://www.ncbi.nlm.nih.gov/pubmed/19219627)
PUI
L50426936
DOI
10.1007/s10880-009-9149-8
FULL TEXT LINK
http://dx.doi.org/10.1007/s10880-009-9149-8
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1210
TITLE
Constructive conflict and staff consensus in substance abuse treatment
AUTHOR NAMES
Melnick G.
Wexler H.K.
Chaple M.
Cleland C.M.
AUTHOR ADDRESSES
(Melnick G., melnick@ndri.org; Wexler H.K.; Chaple M.; Cleland C.M.) Center
for the Integration of Research and Practice (CIRP), National Development
and Research Institutes, Inc., (NDRI), New York, NY 10010, United States.
CORRESPONDENCE ADDRESS
G. Melnick, Center for the Integration of Research and Practice (CIRP),
National Development and Research Institutes, Inc., (NDRI), New York, NY
10010, United States. Email: melnick@ndri.org
SOURCE
Journal of Substance Abuse Treatment (2009) 36:2 (174-182). Date of
Publication: March 2009
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Previous studies demonstrated the relationship between consensus among both
staff and clients with client engagement in treatment and between client
consensus and 1-year treatment outcomes. The present article explores the
correlates of staff consensus, defined as the level of agreement among staff
as to the importance of treatment activities in their program, using a
national sample of 80 residential substance abuse treatment programs.
Constructive conflict resolution had the largest effect on consensus. Low
client-to-staff ratios, staff education, and staff experience in substance
abuse treatment were also significantly related to consensus. Frequency of
training, an expected correlate of consensus, was negatively associated with
consensus, whereas frequency of supervision was not a significant correlate.
The implications of the findings for future research and program improvement
are discussed. © 2009.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
EMTREE MEDICAL INDEX TERMS
article
conflict
consensus
health program
medical staff
priority journal
staff training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009030383
MEDLINE PMID
18657943 (http://www.ncbi.nlm.nih.gov/pubmed/18657943)
PUI
L50219811
DOI
10.1016/j.jsat.2008.05.002
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2008.05.002
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1211
TITLE
Well-being of medical students and their awareness on substance misuse: A
cross-sectional survey in Pakistan
AUTHOR NAMES
Yousafzai A.W.
Ahmer S.
Syed E.
Bhutto N.
Iqbal S.
Siddiqi M.N.
Zaman M.
AUTHOR ADDRESSES
(Yousafzai A.W., wahab.yousafzai@aku.edu; Ahmer S., syed.ahmer@aku.edu; Syed
E., ehsan.syed@aku.edu; Bhutto N., naila.bhutto@aku.edu; Iqbal S.,
aman.iqbal@aku.edu; Siddiqi M.N., naim.siddiqi@aku.edu; Zaman M.,
mohammed.zaman@aku.edu) Department of Psychiatry, Aga Khan University,
Karachi 74800, Pakistan.
CORRESPONDENCE ADDRESS
A.W. Yousafzai, Department of Psychiatry, Aga Khan University, Karachi
74800, Pakistan. Email: wahab.yousafzai@aku.edu
SOURCE
Annals of General Psychiatry (2009) 8 Article Number: 8. Date of
Publication: 19 Feb 2009
ISSN
1744-859X (electronic)
BOOK PUBLISHER
BioMed Central Ltd., 34 - 42 Cleveland Street, London, United Kingdom.
ABSTRACT
Objective: To investigate psychological well-being and substance abuse among
medical students in Pakistan. Methods: A cross-sectional questionnaire-based
survey was conducted in six medical colleges across Pakistan. Final-year
medical students were interviewed by either a postgraduate trainee in
psychiatry or a consultant psychiatrist. Results: A total of 540 medical
students were approached; 342 participated and the response rate was 64.5%.
Mean age was 23.73 years (SD 2.45 years); 52.5% were male and 90% single.
Two out of every five respondents reported that work/study at medical school
affected their personal health and well-being. A considerable proportion of
students were aware of alcohol and smoking as coping strategies for stress
in medical students. The main factors causing stress were heavy workload
(47.4%), relationship with colleagues (13.5%) and staff (11.9%). A total of
30% reported a history of depression and 15% among them had used an
antidepressant. More than half were aware of depression in colleagues. The
majority of respondents said that teaching provided on substance misuse in
the areas of alcohol and illegal drugs, management/treatment of addiction,
and models of addiction was poor. There was significant association (p =
0.044) between stress and awareness about alcohol as a coping strategy for
stress among medical students. A significant negative association was also
found between medical colleges in public sector (p = 0.052), female gender
(p = 0.003) and well-being. Conclusion: The majority of the medical students
reported a negative impact of heavy workload on their psychological
well-being. Significant numbers of medical students think that substance
misuse is a coping strategy for stress. Teaching on addiction/addictive
substances is poor at undergraduate level in Pakistani medical colleges. ©
2009 Yousafzai et al; licensee BioMed Central Ltd.
EMTREE DRUG INDEX TERMS
alcohol
antidepressant agent
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
psychological well-being
student attitude
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
coping behavior
cross-sectional study
depression
female
health survey
human
job stress
male
medical student
Pakistan
public relations
questionnaire
smoking
workload
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009158535
PUI
L354407425
DOI
10.1186/1744-859X-8-8
FULL TEXT LINK
http://dx.doi.org/10.1186/1744-859X-8-8
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1212
TITLE
Penn/VA center for studies of addiction
AUTHOR NAMES
O'Brien C.P.
McLellan A.T.
Childress A.R.
Woody G.E.
AUTHOR ADDRESSES
(O'Brien C.P., obrien@mail.trc.upenn.edu; Childress A.R.) University of
Pennsylvania, Treatment Research Center, 3900 Chestnut Street, Philadelphia,
PA 19104-6178, United States.
(McLellan A.T.; Woody G.E.) Treatment Research Institute, 600 Public Ledger
Building, 150 S. Independence Mall West, Philadelphia, PA 19106-3475, United
States.
CORRESPONDENCE ADDRESS
C.P. O'Brien, University of Pennsylvania, Treatment Research Center, 3900
Chestnut Street, Philadelphia, PA 19104-6178, United States. Email:
obrien@mail.trc.upenn.edu
SOURCE
Neuropharmacology (2009) 56:SUPPL. 1 (44-47). Date of Publication: 2009
ISSN
0028-3908
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
The Penn/VA Center was founded in 1971 because of great concern over the
number of Vietnam veterans returning home addicted to heroin. At that time
little was known about the science of addiction, so our program from the
very beginning was designed to gather data about the nature of addiction and
measure the effects of available treatments. In other words, the goals were
always a combination of treatment and research. This combination has
continued to the present day. A human laboratory for the study of addiction
phenomena such as conditioned responses was also founded in 1971. The key
clinician investigators in this group have remained in the Center since the
1970s with most of the research staff continuing to work together. Important
new investigators have been added over the years. Treatment was empirically
based with randomized, controlled clinical trials as the gold standard for
determining evidence-based treatment. The patients coming to treatment do
not distinguish between abuse of alcohol and other drugs, so the treatment
and research programs have always focused on all drugs including ethyl
alcohol and the combination of ethyl alcohol with other drugs such as
cocaine and opioids. Most of the patients coming for treatment also suffered
from additional psychiatric disorders such as depression, anxiety, bipolar
disorder or schizophrenia. Thus, the addiction treatment program in 1980
absorbed the rest of the VA Psychiatry Service into the Substance Abuse
Program forming a new Behavioral Health Service with responsibility for over
9000 patients. The integration of substance abuse treatment with overall
mental health care was the most efficient way to handle patients with
complicated combinations of disorders. While this continues to be the best
way to treat patients, it has proven difficult in practice. The main reason
for this difficulty is that most mental health therapists whether they are
psychiatrists, psychologists or social workers feel very inadequate to
handle substance abuse problems. Unless they have had specialized training
in addictive disorders, therapists are likely to be uncomfortable if
substance abuse is one of the diagnoses while they may be quite comfortable
treating other complex disorders such as schizophrenia. This lack of
education of clinicians remains a major problem for our field. Some of the
findings that came out of both the Penn/VA laboratory and clinical studies
are now widely accepted and form the basis of standard clinical practice.
These concepts and evidence will be briefly reviewed below.
EMTREE DRUG INDEX TERMS
alcohol
amantadine (drug therapy)
buprenorphine (drug therapy)
cocaine
cyclazocine (drug therapy, pharmacology)
diamorphine
methadone (drug therapy)
modafinil (drug therapy)
naloxone (drug therapy)
naltrexone (drug therapy)
opiate
propranolol (drug therapy)
topiramate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
veteran
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcoholism (drug therapy)
anxiety disorder
bipolar disorder
clinical practice
cocaine dependence (drug therapy)
depression
disease severity
drug dependence treatment
evidence based medicine
human
mental health care
opiate addiction (drug therapy)
priority journal
psychiatrist
psychologist
review
schizophrenia
social worker
substance abuse
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amantadine (665-66-7, 768-94-5)
buprenorphine (52485-79-7, 53152-21-9)
cocaine (50-36-2, 53-21-4, 5937-29-1)
cyclazocine (3572-80-3)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
modafinil (68693-11-8)
naloxone (357-08-4, 465-65-6)
naltrexone (16590-41-3, 16676-29-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
propranolol (13013-17-7, 318-98-9, 3506-09-0, 4199-09-1, 525-66-6)
topiramate (97240-79-4)
EMBASE CLASSIFICATIONS
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009000489
MEDLINE PMID
18625251 (http://www.ncbi.nlm.nih.gov/pubmed/18625251)
PUI
L50223994
DOI
10.1016/j.neuropharm.2008.06.030
FULL TEXT LINK
http://dx.doi.org/10.1016/j.neuropharm.2008.06.030
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1213
TITLE
Why should addiction medicine be an attractive field for young physicians?
AUTHOR NAMES
Soyka M.
Gorelick D.A.
AUTHOR ADDRESSES
(Soyka M.) Psychiatric Hospital, University of Munich, Munich, Germany.
(Soyka M.) Private Hospital Meiringen, Meiringen, Switzerland.
(Gorelick D.A., dgorelic@intra.nida.nih.gov) Intramural Research Program,
National Institute on Drug Abuse, National Institutes of Health, Baltimore,
MD, United States.
(Gorelick D.A., dgorelic@intra.nida.nih.gov) Intramural Research Program,
National Institute on Drug Abuse, National Institutes of Health, 251 Bayview
Blvd., Baltimore, MD 21224, United States.
CORRESPONDENCE ADDRESS
D. A. Gorelick, Intramural Research Program, National Institute on Drug
Abuse, National Institutes of Health, 251 Bayview Blvd., Baltimore, MD
21224, United States. Email: dgorelic@intra.nida.nih.gov
SOURCE
Addiction (2009) 104:2 (169-172). Date of Publication: February 2009
ISSN
0965-2140
1360-0443 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aims: The clinical practice and science of addiction are increasingly active
fields, which are attracting professionals from diverse disciplines such as
psychology and neurobiology. Our scientific knowledge of the pathophysiology
of addiction is rapidly growing, along with the variety of effective
treatments available to clinicians. Yet, we believe that the medical
specialties of addiction medicine/psychiatry are not attracting the interest
and enthusiasm of young physicians. What can be done? Methods: We offer the
opinions of two experience addiction psychiatrists. Results: In the US,
there has been a decline in the number of psychiatrists seeking training or
board certification in addiction psychiatry; about one-third of graduates
with such training are not practicing in an addiction psychiatry setting.
There is widespread neglect of addiction medicine/psychiatry among the
medical profession, academia and national health authorities. This neglect
is unfortunate, given the enormous societal costs of addiction (3-5% of the
gross domestic product in some developed countries), the substantial unmet
need for addiction treatment, and the highly favourable benefit to cost
yield (at least 7:1) from treatment. Conclusions: We believe that addiction
medicine/psychiatry can be made more attractive for young physicians.
Helpful steps include widening acceptance as a medical specialty or
subspecialty, reducing the social stigma against people with substance use
disorders, expanding insurance coverage and increasing the low rates of
reimbursement for physicians. These steps would be easier to take with
broader societal (and political) recognition of substance use disorders as a
major cause of premature death, morbidity and economic burden. © 2008 The
Authors.
EMTREE DRUG INDEX TERMS
acamprosate (drug therapy)
buprenorphine (drug therapy)
disulfiram (drug therapy)
methadone (drug therapy)
naltrexone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
physician
EMTREE MEDICAL INDEX TERMS
alcoholism (drug therapy)
article
clinical practice
cost benefit analysis
cost of illness
developing country
drug dependence (drug therapy)
graduate student
health care cost
health care organization
medical education
medical profession
medical psychology
medical specialist
national health service
psychiatrist
reimbursement
stigma
substance abuse
CAS REGISTRY NUMBERS
acamprosate (77337-73-6)
buprenorphine (52485-79-7, 53152-21-9)
disulfiram (97-77-8)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
naltrexone (16590-41-3, 16676-29-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009032330
MEDLINE PMID
18778386 (http://www.ncbi.nlm.nih.gov/pubmed/18778386)
PUI
L354082099
DOI
10.1111/j.1360-0443.2008.02330.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.2008.02330.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1214
TITLE
An international survey of training programs for treating tobacco dependence
AUTHOR NAMES
Rigotti N.A.
Bitton A.
Richards A.E.
Reyen M.
Wassum K.
Raw M.
AUTHOR ADDRESSES
(Rigotti N.A., nrigotti@partners.org; Richards A.E.; Reyen M.) Tobacco
Research and Treatment Center, General Medicine Division, Massachusetts
General Hospital, Boston, MA, United States.
(Bitton A.) Division of General Medicine and Primary Care, Brigham and
Women's Hospital, Boston, MA, United States.
(Rigotti N.A., nrigotti@partners.org; Bitton A.) Department of Medicine,
Harvard Medical School, Boston, MA, United States.
(Wassum K.) Free and Clear, Inc., Seattle, WA, United States.
(Raw M.) Division of Epidemiology and Public Health, University of
Nottingham, Nottingham, United Kingdom.
(Rigotti N.A., nrigotti@partners.org) Tobacco Research and Treatment Center,
Massachusetts General Hospital, 50 Staniford Street, Boston, MA 02114,
United States.
CORRESPONDENCE ADDRESS
N. A. Rigotti, Tobacco Research and Treatment Center, Massachusetts General
Hospital, 50 Staniford Street, Boston, MA 02114, United States. Email:
nrigotti@partners.org
SOURCE
Addiction (2009) 104:2 (288-296). Date of Publication: February 2009
ISSN
0965-2140
1360-0443 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aims: The World Health Organization (WHO) Framework Convention on Tobacco
Control (FCTC) requires countries to implement tobacco dependence treatment
programs. To provide treatment effectively, a country needs trained
individuals to deliver these services. We report on the global status of
programs that train individuals to provide tobacco dependence treatment.
Design: Cross-sectional web-based survey of tobacco treatment training
programs in a stratified convenience sample of countries chosen to vary by
WHO geographic region and World Bank income level. Participants: Key
informants in 48 countries; 70% of 69 countries who were sent surveys
responded. Measurements: Program prevalence, frequency, duration and size;
background of trainees; content (adherence to pre-defined core
competencies); funding sources; challenges. Findings: We identified 61
current tobacco treatment training programs in 37 (77%) of 48 countries
responding to the survey. Three-quarters of them began in 2000 or later, and
40% began after 2003, when the FCTC was adopted. Programs estimated training
14 194 individuals in 2007. Training was offered to a variety of
professionals and paraprofessionals, but most often to physicians and
nurses. Median program duration was 16 hours, but programs' duration,
intensity and size varied widely. Most programs used evidence-based
guidelines and reported adherence to core tobacco treatment competencies.
Training programs were less frequent in low-income countries and in Africa.
Securing funding was the major challenge for most programs; current funding
sources were government (58%), non-government organizations (23%),
pharmaceutical companies (17%) and, in one case, the tobacco industry.
Conclusion: Training programs for tobacco treatment providers are diverse
and growing. Most upper- and middle-income countries have programs, and most
programs appear to be evidence-based. However, funding is a major challenge.
In particular, more programs are needed for non-physicians and for
low-income countries. © 2009 The Authors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health program
tobacco dependence
training
EMTREE MEDICAL INDEX TERMS
Africa
article
convenience sample
cross-sectional study
drug industry
evidence based practice
funding
geography
government
health care personnel
health care planning
health survey
human
lowest income group
major clinical study
medical student
practice guideline
prevalence
tobacco industry
vocational education
world health organization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009032342
MEDLINE PMID
19149826 (http://www.ncbi.nlm.nih.gov/pubmed/19149826)
PUI
L354082111
DOI
10.1111/j.1360-0443.2008.02442.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.2008.02442.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1215
TITLE
The Alcohol Use Disorders Identification Test revisited: Establishing its
structure using nonlinear factor analysis and identifying subgroups of
respondents using latent class factor analysis
AUTHOR NAMES
Rist F.
Glöckner-Rist A.
Demmel R.
AUTHOR ADDRESSES
(Rist F., rist@psy.uni-muenster.de; Demmel R.) Department of Clinical
Psychology, University of Münster, Fliednerstr. 21, 48149 Münster, Germany.
(Glöckner-Rist A.) German Social Science Infrastructure Services, B1 15,
68072 Mannheim, Germany.
CORRESPONDENCE ADDRESS
F. Rist, Department of Clinical Psychology, University of Münster,
Fliednerstr. 21, 48149 Münster, Germany. Email: rist@psy.uni-muenster.de
SOURCE
Drug and Alcohol Dependence (2009) 100:1-2 (71-82). Date of Publication: 1
Feb 2009
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Background: Previous research used principal components as well as
exploratory and confirmatory factor analysis to establish continuous
dimensions underlying answers to the 10-items of the Alcohol Use Disorders
Identification Test (AUDIT). The majority of these studies conclude that one
consumption dimension and an adverse consequences dimension explain the
answers to the AUDIT sufficiently. However, most of the methods used
presuppose normal answer distributions and linear relations between
indicators and constructs, which are unrealistic assumptions for AUDIT
answer. Objectives: First, to investigate the continuous factor analytic
structure underlying the answers to all AUDIT items. Second and third, to
assess the impact of consumption as well as age and gender on AUDIT
consequences dimension. Fourth and fifth, to categorize respondents into
subgroups based on the AUDIT consequences items and adjusting the subgroups
for differences in consumption, age and gender. Sixth, to describe the
subgroups with respect to further adverse consequences of drinking. Methods:
Nonlinear factor and latent class factor analyses models were applied to the
AUDIT answers of N = 6259 patients of 26 general practitioners in a city
area in Germany. Consumption items as well as age and gender were included
as predictors of answers to the AUDIT consequences items. Results: Nonlinear
factor analyses suggested two continuous correlated factors reflecting the
adverse consequences of alcohol use: (1) harmful alcohol use, (2) alcohol
dependence (aim 1). Consumption items did not prove to be reasonable
construct indicators, but adverse consequences were predicted by consumption
(aim 2), and also by age and gender (aim 3). Latent class factor analysis
identified four subgroups based on the AUDIT consequences items (aim 4): one
not affected (66%), and three subgroups defined by either harmful (15%) or
dependent (9%), or combined harmful and dependent use (10%). These groups
differed also with respect to further alcohol use consequences. Adjusting
the subgroups for differences in consumption, age and gender (aim 5) reduced
the non-affected subgroup and increased the subgroup with harmful and
dependent use. Conclusions: The AUDIT items cover three separable domains,
i.e. consumption, harmful and dependent use, as originally intended. Hence,
assessment of alcohol use does not substitute for assessing adverse
consequences, as assumed in short versions of the AUDIT comprising only the
AUDIT consumption items. Further, the dimensional as well as the LCFA
subgroup solution imply that the respondents cannot be ordered along a
single severity dimension without loss of information. © 2008 Elsevier
Ireland Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Alcohol Use Disorders Identification Test
alcoholism
EMTREE MEDICAL INDEX TERMS
adult
age
alcohol consumption
article
Drinker Inventory of Consequences
factor analysis
female
general practitioner
Germany
human
item response theory
major clinical study
male
priority journal
psychometry
screening test
sex difference
statistical analysis
theory
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008595127
MEDLINE PMID
19026497 (http://www.ncbi.nlm.nih.gov/pubmed/19026497)
PUI
L50337535
DOI
10.1016/j.drugalcdep.2008.09.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2008.09.008
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1216
TITLE
A 4-year curriculum on substance use disorders for psychiatry residents
AUTHOR NAMES
Iannucci R.
Sanders K.
Greenfield S.F.
AUTHOR ADDRESSES
(Iannucci R., sgreenfield@mclean.harvard.edu) Department of Psychiatry,
Berkshire Medical Center, Pittsfield.
(Sanders K.) Department of Psychiatry, Massachusetts General Hospital,
McLean Hospital, Belmont.
(Greenfield S.F.) Alcohol and Drug Abuse Treatment Program, McLean Hospital,
Belmont.
(Sanders K.; Greenfield S.F.) Department of Psychiatry, Harvard Medical
School, Boston.
(Iannucci R., sgreenfield@mclean.harvard.edu) McLean Hospital/Harvard, 115
Mill St., Belmont, MA 02478.
CORRESPONDENCE ADDRESS
R. Iannucci, McLean Hospital/Harvard, 115 Mill St., Belmont, MA 02478.
Email: sgreenfield@mclean.harvard.edu
SOURCE
Academic Psychiatry (2009) 33:1 (60-66). Date of Publication:
January-February 2009
ISSN
1042-9670
BOOK PUBLISHER
American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite
1825,Arlington, United States.
ABSTRACT
Objective: The authors describe an addiction psychiatry curriculum
integrated in a general psychiatry training program to demonstrate
comprehensive and practical approaches to educating general psychiatric
residents on the recognition and treatment of substance use disorders.
Methods: The Massachusetts General Hospital/McLean Hospital adult
psychiatric residency training program provides training in addiction
psychiatry in multiple treatment settings during the 4 years of residency.
Addiction specialists, nonspecialty psychiatrists, and residents and fellows
provide training. Results: Adult psychiatric residencies can provide
comprehensive addiction psychiatry training that spans multiple treatment
settings and postgraduate years by training general staff psychiatrists,
senior residents, and fellows to assist core addiction faculty in providing
addiction psychiatry education. Conclusion: Substance use disorders are
common among patients presenting to general psychiatry treatment settings,
and thus it is important that all psychiatric residents be well trained in
the screening, diagnosis, and treatment of outpatients with these problems.
Copyright © 2009 Academic Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
residency education
resident
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
article
education program
postgraduate education
psychiatrist
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009176395
MEDLINE PMID
19349447 (http://www.ncbi.nlm.nih.gov/pubmed/19349447)
PUI
L354457143
DOI
10.1176/appi.ap.33.1.60
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.33.1.60
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1217
TITLE
Promoting substance use education among generalist physicians: An evaluation
of the Chief Resident Immersion Training (CRIT) program
AUTHOR NAMES
Alford D.P.
Bridden C.
Jackson A.H.
Saitz R.
Amodeo M.
Barnes H.N.
Samet J.H.
AUTHOR ADDRESSES
(Alford D.P., dan.alford@bmc.org; Bridden C.; Jackson A.H.; Saitz R.; Samet
J.H.) Department of Medicine, Boston Medical Center, Boston University
School of Medicine, Boston, MA, United States.
(Saitz R.) Youth Alcohol Prevention Center, Department of Epidemiology,
Boston University School of Public Health, Boston, MA, United States.
(Amodeo M.) Center for Addictions Research and Services, Boston University
School of Social Work, Boston, MA, United States.
(Barnes H.N.) Department of Medicine, Cambridge Health Alliance, Harvard
Medical School, Boston, MA, United States.
(Samet J.H.) Department of Social and Behavioral Sciences, Boston University
School of Public Health, Boston, MA, United States.
(Alford D.P., dan.alford@bmc.org) Department of Medicine, Boston Medical
Center, Boston University School of Medicine, 801 Massachusetts Avenue,
Boston, MA 02118-2393, United States.
CORRESPONDENCE ADDRESS
D. P. Alford, Department of Medicine, Boston Medical Center, Boston
University School of Medicine, 801 Massachusetts Avenue, Boston, MA
02118-2393, United States. Email: dan.alford@bmc.org
SOURCE
Journal of General Internal Medicine (2009) 24:1 (40-47). Date of
Publication: January 2009
ISSN
0884-8734
1525-1497 (electronic)
BOOK PUBLISHER
Springer New York, 233 Springer Street, New York, United States.
ABSTRACT
BACKGROUND: Education about substance use (SU) disorders remains inadequate
in medical training. OBJECTIVE: To describe the Chief Resident Immersion
Training (CRIT) program in addiction medicine and to evaluate its impact on
chief resident (CR) physicians' substance use knowledge, skills, clinical
practice, and teaching. DESIGN: A controlled educational study of CRIT
programs (2003, 2004, and 2005) for incoming CRs in generalist disciplines.
Intervention CRs were trained to diagnose, manage, and teach about SU. The
control CRs sought but did not receive the intervention. PARTICIPANTS:
Eighty-six CR applicants to the CRIT program. MEASUREMENTS: Baseline and
6-month questionnaires assessing substance use knowledge, skills, clinical
practice, and teaching. Outcomes were compared within groups from baseline
to follow-up and between groups at follow-up. RESULTS: The intervention (n =
64) and control (n = 22) CRs were similar demographically. At 6-month
follow-up, the intervention CRs reported a significant increase in SU
knowledge, confidence, and preparedness to diagnose, manage, and teach and
an increase in SU clinical and teaching practices compared to their baseline
and control CRs. CONCLUSIONS: This intensive training for chief residents
(CRs) improved knowledge, confidence, and preparedness to diagnose, manage,
and teach about substance use (SU), affecting both the CRs' SU clinical and
teaching practices. The CRIT program was an effective model for
dissemination of SU knowledge and skills to educators in a key position to
share this training with a broader audience of medical trainees. This model
holds potential to address other high priority medical, yet under-addressed,
content areas as well. © 2008 Society of General Internal Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
residency education
training
EMTREE MEDICAL INDEX TERMS
article
controlled study
diagnostic procedure
drug dependence
drug use
follow up
general practitioner
health care management
outcome assessment
questionnaire
resident
teaching
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009007431
MEDLINE PMID
18937015 (http://www.ncbi.nlm.nih.gov/pubmed/18937015)
PUI
L50307804
DOI
10.1007/s11606-008-0819-2
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-008-0819-2
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1218
TITLE
Educational needs analysis regarding co-morbid pain and substance abuse
AUTHOR NAMES
Tanner T.B.
Metcalf M.P.
Rossie K.
AUTHOR ADDRESSES
(Tanner T.B., tanner@clinicaltools.com; Metcalf M.P.; Rossie K.) Clinical
Tools, Inc., Chapel Hill, United States.
CORRESPONDENCE ADDRESS
T.B. Tanner, Clinical Tools, Inc., Chapel Hill, United States. Email:
tanner@clinicaltools.com
SOURCE
Pain Medicine (2009) 10:1 (269). Date of Publication: January-February 2009
CONFERENCE NAME
25th Annual Meeting of the American Academy of Pain Medicine, AAPM
CONFERENCE LOCATION
Honolulu, HI, United States
CONFERENCE DATE
2009-01-27 to 2009-01-31
ISSN
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Introduction/Statement of the Problem: Successful treatment modalities for
patients with co-morbid pain and substance abuse problems have been
developed. However, the practice community is ill-equipped to incorporate
such evidence-based recommendations or strong clinical consensus opinions
due to a lack of knowledge and training in this area. Materials and
Methods:Using funding from NIDA, this project is surveying and interviewing
primary care physicians (PCP(s)), primary care residents, and nurse
practitioners (NP(s)), to determine educational needs and learning
preferences. We also inquired about interest in an educational experience
involving Internet-based Standardized Patients (SP(s)) to mirror the
challenges and variability of interviewing live patients. Exempt research
determined by the Clinical Tools' IRB involved opt-in subjects who were
contacted by email about participating in online surveys (n = 9 for each
group). Results: Each group prioritized training need as follows: 1)
treating patients in recovery, 2) treating patients actively using
substances, 3) treating patients at risk for substance abuse. With respect
to conventional online, case-based educational courses, each group preferred
a format using multiple short cases (>75%). They differed slightly in terms
of how to best integrate cases and factual content but all preferred
interactive questions/answer pairs on every page. The majority of each group
expressed interest in learning by interviewing a virtual SP. For the SP
experience, a chat-based interview was preferred to a video-based interview.
Practicing physicians want very flexible hours and quick response time.
Residents and NPs are more willing to wait for a response. Conclusions:
PCPs, residents and NPs identify a need to learn more about co-morbid
substance abuse and pain. They are interested in online education solutions,
especially those that employ multiple cases as the learning modality and
interactive questions. They are willing to engage with virtual SP via chat.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain
substance abuse
EMTREE MEDICAL INDEX TERMS
community
consensus
e-mail
education
evidence based practice
funding
Internet
interview
learning
nurse practitioner
patient
physician
primary medical care
response time
risk
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70205020
DOI
10.1111/j.1526-4637.2008.00537.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1526-4637.2008.00537.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1219
TITLE
Evaluating and training substance abuse counselors: A pilot study assessing
standardized patients as authentic clients
AUTHOR NAMES
Fussell H.E.
Lewy C.S.
McFarland B.H.
AUTHOR ADDRESSES
(Fussell H.E.) Department of Public Health and Preventive Medicine, Oregon
Health and Science University, Portland, OR, United States.
(Lewy C.S.) Department of Psychiatry, Oregon Health and Science University,
Portland, OR, United States.
(McFarland B.H.) Department of Public Health and Preventive Medicine,
Department of Psychiatry, Oregon Health and Science University, Portland,
OR, United States.
(Fussell H.E.) Department of Public Health and Preventive Medicine, Oregon
Health and Science University, Mail Code CB-669, 3181 SW Sam Jackson Park
Road, Portland, OR 97239-3098, United States.
CORRESPONDENCE ADDRESS
H. E. Fussell, Department of Public Health and Preventive Medicine, Oregon
Health and Science University, Mail Code CB-669, 3181 SW Sam Jackson Park
Road, Portland, OR 97239-3098, United States.
SOURCE
Substance Abuse (2009) 30:1 (47-60). Date of Publication: January 2009
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Clinician training and supervision are needed to transfer evidence-based
practices to community-based treatment organizations. Standardized patients
(SPs) are used for clinician training and evaluating. However, to be
effective for substance abuse counselors, SPs must realistically portray
substance abuse treatment clients. The current study assessed authenticity
of SPs as substance abuse treatment clients. Twenty-one substance abuse
counselors interviewed SP(s) with differing profiles. Counselors provided
quantitative and qualitative ratings of SP authenticity. Counselor responses
to the study procedures were analyzed as well. Quantitative results include
high-authenticity ratings for the SPs but counselors' subjective responses
varied. Counselor's rated the experience of participating in the study
positively and provided constructive comments for future applications of
this methodology. Results support future work on SPs as teaching and
evaluation tools in substance abuse counseling. Findings also illustrate the
need to refine definitions of authenticity for SPs as substance abuse
clients. Copyright © Taylor & Francis Group, LLC.
EMTREE DRUG INDEX TERMS
methamphetamine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical practice
patient
standard
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
case report
female
human
male
medical assessment
medical education
patient assessment
patient counseling
physician
pilot study
rating scale
validity
CAS REGISTRY NUMBERS
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009111085
MEDLINE PMID
19197781 (http://www.ncbi.nlm.nih.gov/pubmed/19197781)
PUI
L354265555
DOI
10.1080/08897070802606360
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070802606360
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1220
TITLE
Implementing smokeless tobacco instruction into medical student education:
Addressing the gap
AUTHOR NAMES
Spangler J.
Foley K.L.
Crandall S.
Lane C.
Walker K.
MacRae M.
Vaden K.
Marion G.
AUTHOR ADDRESSES
(Spangler J., jspangle@wfubmc.edu; Crandall S.; Lane C.; Walker K.; MacRae
M.; Vaden K.; Marion G.) Department of Family and Community Medicine, Wake
Forest University School of Medicine, Winston-Salem, NC, United States.
(Foley K.L.) Public Health Sciences, Wake Forest University School of
Medicine, Winston-Salem, NC, United States.
(Spangler J., jspangle@wfubmc.edu) Department of Family and Community
Medicine, Wake Forest University School of Medicine, Medical Center Blvd,
Winston-Salem, NC 27157, United States.
CORRESPONDENCE ADDRESS
J. Spangler, Department of Family and Community Medicine, Wake Forest
University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157,
United States. Email: jspangle@wfubmc.edu
SOURCE
Teaching and Learning in Medicine (2009) 21:1 (33-37). Date of Publication:
January 2009
ISSN
1040-1334
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
Background: Despite the unique health and epidemiological aspects of
smokeless tobacco use, medical education regarding this topic is virtually
lacking. Description: The purpose of this study is to develop a
comprehensive tobacco curriculum that includes smokeless tobacco education.
A thorough review of the literature was carried out to develop includes 8
modules in basic and clinical sciences that are evaluated by
pretest/posttest increases in knowledge as well as standardized patient
encounters and process evaluation. Evaluation: Pretest/posttest data
indicate that students increased knowledge on specific smokeless tobacco
questions. Students also scored well on interactions with standardized
patients using the Tobacco Intervention Risk Factor Interview Scale, a
validated instrument to assess medical students' tobacco counseling skills.
Process evaluation data indicate that modules were generally well received.
Conclusions: This Web-based, comprehensive curriculumthe only curriculum we
are aware of treating the topic of smokeless tobacco useappears to be
effective and well received. Smokeless tobacco should be included in medical
education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
curriculum
medical student
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
education
female
human
Internet
male
medical education
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19130384 (http://www.ncbi.nlm.nih.gov/pubmed/19130384)
PUI
L354252626
DOI
10.1080/10401330802573944
FULL TEXT LINK
http://dx.doi.org/10.1080/10401330802573944
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1221
TITLE
A comparison of substance use disorder severity and course in American
Indian male and female veterans
AUTHOR NAMES
Westermeyer J.
Canive J.
Thuras P.
Thompson J.
Crosby R.D.
Garrard J.
AUTHOR ADDRESSES
(Westermeyer J., weste010@umn.edu; Thuras P.) Departments of Mental Health
Services and Psychiatry, Minneapolis VAMC, Minneapolis, MN, United States.
(Westermeyer J., weste010@umn.edu) Department of Psychiatry, University of
Minnesota, Minneapolis, MN, United States.
(Westermeyer J., weste010@umn.edu) Department of Anthropology, University of
Minnesota, Minneapolis, MN, United States.
(Canive J.) Department of Psychiatry Research, Behavioral Health Care Line,
Albuquerque VAMC, Albuquerque, NM, United States.
(Canive J.) Department of Psychiatry, University of New Mexico, Albuquerque,
NM, United States.
(Thompson J.) Department of Psychiatry, University of Maryland, College
Park, MD, United States.
(Thompson J.) Delaware Tribe of Oklahoma, Anadarko, OK, United States.
(Crosby R.D.) Biomedical Statistics, Neuropsychiatric Research Institute,
Fargo, ND, United States.
(Crosby R.D.) Department of Neuroscience, University of North Dakota School
of Medicine, Grand Forks, ND, United States.
(Garrard J.) Department of Public Health, University of Minnesota,
Minneapolis, MN, United States.
(Thompson J.) Glen Cover Hospital, New York, NY, United States.
(Westermeyer J., weste010@umn.edu) # 116A, 1 Veterans Drive, Minneapolis, MN
55417, United States.
CORRESPONDENCE ADDRESS
J. Westermeyer, # 116A, 1 Veterans Drive, Minneapolis, MN 55417, United
States. Email: weste010@umn.edu
SOURCE
American Journal on Addictions (2009) 18:1 (87-92). Date of Publication:
January 2009
ISSN
1055-0496
1521-0391 (electronic)
BOOK PUBLISHER
Wiley-Blackwell, 350 Main Street, Malden, United States.
ABSTRACT
The purpose of this analysis was to compare substance use disorder (SUD)
diagnoses, severity, comorbidity, and course in 362 American Indian
veterans. The sample was drawn from communities in the north central and
southwestern areas of the United States, structured to over-sample women and
to include half-rural/half-urban residents. Instruments used in the study
included current demography, military history, the Diagnostic Interview
Schedule/Quick Version, Michigan Alcoholism Screening Test modified to
include alcohol and drugs (MAST/AD), Brief Symptom Inventory, Posttraumatic
Checklist, and a treatment algorithm. Univariate analyses showed that women
had lower scores on the MAST/AD, reported lower symptom levels on the
Posttraumatic Checklist, and were less apt to use VA mental health services,
but were more willing to seek mental health treatment if needed (with
probabilities of.01 to.001). At borderline probabilities (.02 to.05), women
were younger and had more education, whereas men had more drug-related
diagnoses and more combat exposure. On binary logistic regression, women
were less apt to have a drug diagnosis and had lower MAST/AD scores; the
other differences were not significant. Female American Indian veterans with
SUD manifested many of the same gender-related differences as women in the
population at large, but with some exceptions (eg, comorbidity). Trauma,
PTSD, and continuing posttraumatic symptoms occurred frequently in both male
and female veterans of American Indian heritage. VA facilities should
out-reach to American Indian women, who report a willingness to seek mental
health services but may avoid VA care. Copyright © American Academy of
Addiction Psychiatry.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
drug dependence (diagnosis)
tobacco dependence (diagnosis)
EMTREE MEDICAL INDEX TERMS
adult
algorithm
American Indian
army
article
Brief Symptom Inventory
checklist
community
comorbidity
comparative study
controlled study
demography
Diagnostic Interview Schedule
disease course
disease severity
education
female
history
human
inheritance
injury
logistic regression analysis
male
mental health
mental health service
population
posttraumatic stress disorder
probability
rural area
sample
screening test
sex difference
substance abuse
symptom
United States
univariate analysis
urban area
veteran
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009086560
MEDLINE PMID
19219670 (http://www.ncbi.nlm.nih.gov/pubmed/19219670)
PUI
L354201656
DOI
10.1080/10550490802544912
FULL TEXT LINK
http://dx.doi.org/10.1080/10550490802544912
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1222
TITLE
A descriptive study on emergency department doctors' and nurses' knowledge
and attitudes concerning substance use and substance users
AUTHOR NAMES
Kelleher S.
Cotter P.
AUTHOR ADDRESSES
(Kelleher S., s.kelleher@ucc.ie) School of Nursing and Midwifery, Brookfield
Health Sciences Complex, University College Cork, Ireland.
(Cotter P., Patrick.Cotter@hse.ie) Cork University Hospital, Wilton, Cork,
Ireland.
CORRESPONDENCE ADDRESS
S. Kelleher, School of Nursing and Midwifery, Brookfield Health Sciences
Complex, University College Cork, Ireland. Email: s.kelleher@ucc.ie
SOURCE
International Emergency Nursing (2009) 17:1 (3-14). Date of Publication:
January 2009
ISSN
1755-599X
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Aim: The aim of this study was to determine emergency department doctors'
and nurses' knowledge and attitudes regarding problematic substance use and
substance users. Methods: Data were collected using an adapted survey
questionnaire and the Substance Abuse Attitude Survey (SAAS). By means of
convenience/opportunistic sampling all emergency department doctors and
nurses (N = 145) working in three university teaching hospitals in Ireland
were asked to fill out the knowledge and attitudes questionnaire. Results: A
response rate of 46%, N = 66 was achieved. Results indicate that
participants' current level of knowledge about alcohol and drug misuse in
general, is satisfactory. A particular knowledge deficit in relation to
intervention strategies, and other substances was identified. The majority
of participants have never received any specific training regarding
substance use and this suggests that substance using patients are managed
inadequately. The SAAS results indicate that participants exhibited
near-optimal attitudes for constructive working with substance using
patients. Conclusion: There is an urgent need for further in-service
training programmes and the development of standard protocols/guidelines for
the identification and management of substance using patients who present in
the emergency department. © 2008 Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
attitude to health
emergency health service
health personnel attitude
medical staff
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
article
clinical competence
drug use
education
emergency medicine
emergency nursing
empathy
female
health service
human
Ireland
male
middle aged
nursing methodology research
organization and management
practice guideline
professional standard
psychological aspect
questionnaire
social psychology
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19135010 (http://www.ncbi.nlm.nih.gov/pubmed/19135010)
PUI
L50297689
DOI
10.1016/j.ienj.2008.08.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ienj.2008.08.003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1223
TITLE
Utah's education campaign for prescription opioids
AUTHOR NAMES
Johnson E.
Rolfs R.T.
Sauer B.C.
Porucznik C.A.
AUTHOR ADDRESSES
(Johnson E., erjohnso@utah.gov; Rolfs R.T.) Utah Department of Health, Salt
Lake City, United States.
(Sauer B.C.) VA IDEAS Center, Salt Lake City, United States.
(Porucznik C.A.) Family and Preventive Medicine, University of Utah, Salt
Lake City, United States.
CORRESPONDENCE ADDRESS
E. Johnson, Utah Department of Health, Salt Lake City, United States. Email:
erjohnso@utah.gov
SOURCE
Pain Medicine (2009) 10:1 (272-273). Date of Publication: January-February
2009
CONFERENCE NAME
25th Annual Meeting of the American Academy of Pain Medicine, AAPM
CONFERENCE LOCATION
Honolulu, HI, United States
CONFERENCE DATE
2009-01-27 to 2009-01-31
ISSN
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Introduction: In 2007, the Utah Department of Health began a program to
educate providers, patients, and the general public about safe use of
prescription opioids. This program was developed under legislative mandate
in response to the increase in deaths in Utah related to prescription
opioids. Methods: Providers: Academic detailing (small group, one-on-one
presentations) will be implemented during 2008-2009. Despite being time and
labor intensive, this approach is proven to have the most impact on provider
behavior change. Large group presentations and webinars will also be done
throughout the state. Evaluations will be done to assess the extent of
behavior change attributable to each of these interventions. Patients and
general public: A statewide media campaign has been launched under the name
“Use Only As Directed”. The campaign highlights 6 key messages for safe use
of opioids. Materials developed include a TV and radio spot, bookmarks,
pamphlets and posters (for doctor's offices and pharmacies). The impact of
the various media tools is being monitored in order to see the overall
impact the media campaign has had during 2008. Collaboration Methods: Utah
has convened a steering committee and advisory committee with over 100
participants representing the partners and stakeholders involved in this
important issue. The advisory committee is divided further into work groups
that meet on the topics of: patient and community education, provider
behavior change, guideline recommendations, guideline tools, and
data/research. Conclusion: Utah is using a multi-pronged approach to
prescription opioid education, reaching out to physicians, patients, and the
general public in order to increase knowledge about potential dangers of
prescription pain medication. Many lessons have been learned during the
content development as well as from the distribution of the materials. By
collaborating with local and state organizations, the materials have been
well-accepted and dispersed throughout the state.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
pain
prescription
United States
EMTREE MEDICAL INDEX TERMS
advisory committee
behavior change
community
death
drug therapy
health
organization
patient
pharmacy
physician
telecommunication
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70205027
DOI
10.1111/j.1526-4637.2008.00537.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1526-4637.2008.00537.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1224
TITLE
A novel CBT web course for the substance abuse workforce: Community
counselors' perceptions
AUTHOR NAMES
Larson M.J.
Amodeo M.
Storti S.A.
Steketee G.
Blitzman G.
Smith L.
AUTHOR ADDRESSES
(Larson M.J., larson@brandeis.edu) Institute for Behavioral Health/Heller
School, Brandeis University, MA, United States.
(Amodeo M.) Center for Addictions Research and Services, Boston University
School of Social Work, Boston, MA, United States.
(Storti S.A.) Synergy Enterprises, Cranston, RI, United States.
(Steketee G.) Boston University School of Social Work, Boston, MA, United
States.
(Blitzman G.) New England Growth Associates, Watertown, MA, United States.
(Smith L.) New England Research Institutes, Inc., Watertown, MA, United
States.
(Larson M.J., larson@brandeis.edu) Institute for Behavioral Health/Heller
School, Brandeis University, MS035, 415 South Street, Waltham, MA
02454-9110, United States.
CORRESPONDENCE ADDRESS
M. J. Larson, Institute for Behavioral Health/Heller School, Brandeis
University, MS035, 415 South Street, Waltham, MA 02454-9110, United States.
Email: larson@brandeis.edu
SOURCE
Substance Abuse (2009) 30:1 (26-39). Date of Publication: January 2009
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
This article describes (a) a Web-based course for substance abuse counselors
on cognitive behavioral therapy (CBT), and (b) the evaluation of a prototype
module from the Web-based course to determine the feasibility of the
e-learning program for a community-based counselor audience. The course is
part of a unique study that trains counselor-supervisor teams to increase
the transfer of learned skills to the agency. Following curriculum design,
the authors sought counselor reactions to the prototype module on
strengths/limitations of the design, functionality, and effectiveness.
Results showed that counselors learned new information, found this format
effective compared to other training, and wanted to complete a full CBT Web
course. Counselors' evaluation led to content and technology changes: the
authors added and segmented material aimed at the advanced, more
theoretically oriented counselor, and housed these topics behind an
"advanced concept" graphics button; added seven screens to accommodate text
broken into smaller units; and increased the difficulty of the end-of-module
quiz. Copyright © Taylor & Francis Group, LLC.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognitive therapy
Internet
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
curriculum development
human
learning theory
online system
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009111084
MEDLINE PMID
19197779 (http://www.ncbi.nlm.nih.gov/pubmed/19197779)
PUI
L354265554
DOI
10.1080/08897070802611741
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070802611741
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1225
TITLE
Reducing Health Disparities Through a Culturally Centered Mentorship Program
for Minority Faculty: The Southwest Addictions Research Group (SARG)
Experience
AUTHOR NAMES
Viets V.L.
Baca C.
Verney S.P.
Venner K.
Parker T.
Wallerstein N.
AUTHOR ADDRESSES
(Viets V.L.; Baca C.; Verney S.P.; Venner K.) Department of Psychology,
Center on Alcoholism, University of New Mexico, Albuquerque, NM, United
States.
(Parker T.) Department of Family and Community Medicine, Center for Native
American Health, University of New Mexico, Albuquerque, NM, United States.
(Wallerstein N., nwallerstein@salud.unm.edu) Department of Family and
Community Medicine, School of Medicine, University of New Mexico,
Albuquerque, NM, United States.
(Wallerstein N., nwallerstein@salud.unm.edu) MSC 09 5060, 1 University of
New Mexico, Albuquerque, NM 87131, United States.
CORRESPONDENCE ADDRESS
N. Wallerstein, MSC 09 5060, 1 University of New Mexico, Albuquerque, NM
87131, United States. Email: nwallerstein@salud.unm.edu
SOURCE
Academic Medicine (2009) 84:8 (1118-1126). Date of Publication: August 2009
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
PURPOSE: Ethnic minority faculty members are vastly underrepresented in
academia. Yet, the presence of these individuals in academic institutions is
crucial, particularly because their professional endeavors often target
issues of health disparities. One promising way to attract and retain ethnic
minority faculty is to provide them with formal mentorship. This report
describes a culturally centered mentorship program, the Southwest Addictions
Research Group (SARG, 2003-2007), at the University of New Mexico (UNM) that
trained a cadre of minority researchers dedicated to reducing health
disparities associated with substance abuse. METHOD: The SARG was based at
UNM's School of Medicine's Institute for Public Health, in partnership with
the UNM's Center on Alcoholism, Substance Abuse, and Addictions. The program
consisted of regular research meetings, collaboration with the Community
Advisory Board, monthly symposia with renowned professionals, pilot
projects, and conference support. The authors collected data on mentee
research productivity as outcomes and conducted separate mentee and mentor
focus-group interviews to assess the strengths and weaknesses of the SARG
program. RESULTS: The SARG yielded positive outcomes as evidenced by mentee
increase in grant submissions, publications, and professional presentations.
Focus-group qualitative data highlighted program and institutional barriers
as well as successes that surfaced during the program. Based on this
evaluation, a Culturally Centered Mentorship Model (CCMM) emerged.
CONCLUSIONS: The CCMM can help counter institutional challenges by valuing
culture, community service, and community-based participatory research to
support the recruitment and advancement of ethnic minority faculty members
in academia.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
ethnicity
health disparity
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
article
education program
ethnic group
human
medical research
medical school
outcome assessment
priority journal
teacher
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009441126
MEDLINE PMID
19638783 (http://www.ncbi.nlm.nih.gov/pubmed/19638783)
PUI
L355126530
DOI
10.1097/ACM.0b013e3181ad1cb1
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0b013e3181ad1cb1
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1226
TITLE
Incidence and documentation of cognitive impairment among older adults with
severe mental Illness in a community mental health setting
AUTHOR NAMES
MacKin R.S.
Areán P.A.
AUTHOR ADDRESSES
(MacKin R.S., scottm@lppi.ucsf.edu; Areán P.A.) Department of Psychiatry,
University of California, San Francisco, CA.
(MacKin R.S., scottm@lppi.ucsf.edu) Department of Psychiatry, Langley Porter
Psychiatric Institute, University of California, San Francisco, 401
Parnassus Avenue, San Francisco 94143-0984, CA.
CORRESPONDENCE ADDRESS
R. S. MacKin, Department of Psychiatry, Langley Porter Psychiatric
Institute, University of California, San Francisco, 401 Parnassus Avenue,
San Francisco 94143-0984, CA. Email: scottm@lppi.ucsf.edu
SOURCE
American Journal of Geriatric Psychiatry (2009) 17:1 (75-82). Date of
Publication: January 2009
ISSN
1064-7481
1545-7214 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
OBJECTIVE:: Cognitive impairments among older adults are commonly linked to
poor medical and psychiatric treatment adherence, increased disability, and
poor health outcomes. Recent investigations suggest that cognitive
impairments are frequently not recognized by healthcare providers and are
often poorly documented in medical records. Older adults utilizing services
at community mental health centers have numerous risk factors for developing
cognitive impairment. Few studies have explored the incidence and
documentation of cognitive impairments in this patient population. METHODS::
Data were collected from 52 ethnically diverse older adults with severe
mental illness who were participating in treatment at a large community
mental health center. Cognitive impairment was diagnosed by
neuropsychologists utilizing the Mattis Dementia Rating Scale-2 (DRS).
Measures of depression severity and substance abuse history were also
obtained. An age and education corrected DRS total score falling at or below
the tenth percentile was used as the criteria for diagnosing cognitive
impairment. A medical chart review was subsequently conducted to determine
the documentation of cognitive impairments among this patient population.
RESULTS:: Cognitive impairment was exhibited by 60% of participants and
documented in medical charts for 17% of the sample. CONCLUSIONS::
Preliminary data suggests that cognitive impairment is common in individuals
with severe mental illness treated at community mental health centers, but
these cognitive impairments are not well recognized or documented. The
impact of cognitive impairment on psychiatric treatment and case management
among community mental health patients is therefore poorly understood. ©
2008 American Association for Geriatric Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognitive defect
mental disease
mental health
mental hospital
EMTREE MEDICAL INDEX TERMS
adult
aged
anamnesis
article
depression
disease severity
documentation
education
ethnic group
female
human
incidence
information processing
major clinical study
male
mattis dementia rating scale
medical record review
medical specialist
neuropsychological test
psychiatric treatment
rating scale
scoring system
substance abuse
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009310395
MEDLINE PMID
19092314 (http://www.ncbi.nlm.nih.gov/pubmed/19092314)
PUI
L354790472
DOI
10.1097/JGP.0b013e31818cd3e5
FULL TEXT LINK
http://dx.doi.org/10.1097/JGP.0b013e31818cd3e5
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1227
TITLE
Buprenorphine: A review
AUTHOR NAMES
Wakhlu S.
AUTHOR ADDRESSES
(Wakhlu S.) Psychiatry, UT Southwestern Medical Center, Dallas, TX, United
States.
CORRESPONDENCE ADDRESS
S. Wakhlu, Psychiatry, UT Southwestern Medical Center, Dallas, TX, United
States.
SOURCE
Journal of Opioid Management (2009) 5:1 (59-64). Date of Publication:
January-February 2009
ISSN
1551-7489
BOOK PUBLISHER
Weston Medical Publishing, 470 Boston Post Road, Weston, United States.
ABSTRACT
A significant breakthrough in the treatment of opioid addiction occurred
with the passage of the Data Addiction Treatment Act of 2000 (DATA 2000),
(1) signed into law by President Clinton, which allowed physicians for the
first time in more than eight decades to prescribe opioid medications for
the treatment of opioid addiction in the normal course of their practice.
Two years later, on October 8, 2002, Suboxone (Buprenorphine/Naloxone) and
Subutex (Buprenorphine) received FDA approval for the treatment of opioid
addiction. Prior to DATA 2000, opioid maintenance treatment was available
through highly regulated methadone clinics. This article discusses opioid
addiction in the United States today and the principles of buprenorphine
therapy.
EMTREE DRUG INDEX TERMS
buprenorphine (adverse drug reaction, drug administration, drug dose, drug
therapy, intramuscular drug administration, intravenous drug administration,
parenteral drug administration, pharmaceutics, pharmacokinetics,
pharmacology, sublingual drug administration, transdermal drug
administration)
buprenorphine plus naloxone (drug therapy)
diamorphine
fentanyl (pharmacokinetics)
hydromorphone (pharmacokinetics)
methadone (drug therapy, pharmacokinetics)
naloxone (drug therapy, pharmacokinetics, sublingual drug administration)
norbuprenorphine
opiate (drug therapy)
sertraline (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction (drug therapy, drug therapy, rehabilitation, therapy)
EMTREE MEDICAL INDEX TERMS
analgesia
chronic pain (drug therapy)
constipation (side effect)
depression (drug therapy)
drug bioavailability
drug detoxification
drug dose increase
drug dose reduction
drug half life
drug metabolism
drug protein binding
drug receptor binding
health care cost
heroin dependence (disease management, epidemiology)
human
intravenous drug abuse
nausea (side effect)
nonhuman
pain (drug therapy)
psychosocial care
review
side effect (side effect)
sustained drug release
United States
urine retention (side effect)
vomiting (side effect)
withdrawal syndrome (drug therapy)
DRUG TRADE NAMES
dolophine
DRUG MANUFACTURERS
Reckitt Benckiser
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
diamorphine (1502-95-0, 561-27-3)
fentanyl (437-38-7)
hydromorphone (466-99-9, 71-68-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
naloxone (357-08-4, 465-65-6)
norbuprenorphine (78715-23-8)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
sertraline (79617-96-2)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Pharmacy (39)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009379377
MEDLINE PMID
19344049 (http://www.ncbi.nlm.nih.gov/pubmed/19344049)
PUI
L354982535
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1228
TITLE
Improving care for the treatment of alcohol and drug disorders
AUTHOR NAMES
McCarty D.
Gustafson D.
Capoccia V.A.
Cotter F.
AUTHOR ADDRESSES
(McCarty D., mccartyd@ohsu.edu) Department of Public Health and Preventive
Medicine, Oregon Health and Science University, CB669, 3181 S.W. Sam Jackson
Park Road, Portland, OR 97239-3098, United States.
(Gustafson D., dhgustaf@facstaff.wisc.edu) NIATx National Program Office,
University of Wisconsin, 610 Walnut Street, Madison, WI 53726, United
States.
(Capoccia V.A., vcapoccia@sorosny.org) Open Society Institute-Baltimore, 201
North Charles Street #1300, Baltimore, MD 21201, United States.
(Cotter F., frances.cotter@samhsa.hhs.gov) Center for Substance Abuse
Treatment, Substance Abuse and Mental Health Services Administration, 1
Choke Cherry Road, Rockville, MD 20857, United States.
CORRESPONDENCE ADDRESS
D. McCarty, Department of Public Health and Preventive Medicine, Oregon
Health and Science University, CB669, 3181 S.W. Sam Jackson Park Road,
Portland, OR 97239-3098, United States. Email: mccartyd@ohsu.edu
SOURCE
Journal of Behavioral Health Services and Research (2009) 36:1 (52-60). Date
of Publication: January 2009
ISSN
1094-3412
BOOK PUBLISHER
Springer New York, 233 Springer Street, New York, United States.
ABSTRACT
The Network for the Improvement of Addiction Treatment (NIATx) teaches
alcohol and drug treatment programs to apply process improvement strategies
and make organizational changes that improve quality of care. Participating
programs reduce days to admission, increase retention in care, and spread
the application of process improvement within their treatment centers. More
generally, NIATx provides a framework for addressing the Institute of
Medicine's six dimensions of quality care (i.e., safe, effective,
patient-centered, efficient, timely, and equitable) in treatments for
alcohol, drug, and mental health disorders. NIATx and its extensions
illustrate how the behavioral health field can respond to the demand for
higher quality treatment services. © 2008 National Council for Community
Behavioral Healthcare.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug therapy
EMTREE MEDICAL INDEX TERMS
addiction
health
mental health
patient
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009085865
MEDLINE PMID
18259871 (http://www.ncbi.nlm.nih.gov/pubmed/18259871)
PUI
L50059806
DOI
10.1007/s11414-008-9108-4
FULL TEXT LINK
http://dx.doi.org/10.1007/s11414-008-9108-4
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1229
TITLE
Study of smoking behavior and smoking-related attitudes among preclinical
medical students
ORIGINAL (NON-ENGLISH) TITLE
Preklinikai orvostanhallgatók dohányzásának és dohányzással kapcsolatos
attitudjeinek vizsgálata
AUTHOR NAMES
Pikó B.
AUTHOR ADDRESSES
(Pikó B., pikobettina@yahoo.com) Szegedi Tudományegyetem, Általános
Orvostudományi Kar, Magatartás-tudományi Intézet, Szeged, Hungary.
(Pikó B., pikobettina@yahoo.com) Szentháromság u. 5, Szeged 6722, Hungary.
CORRESPONDENCE ADDRESS
B. Pikó, Szentháromság u. 5, Szeged 6722, Hungary. Email:
pikobettina@yahoo.com
SOURCE
Orvosi Hetilap (2008) 149:52 (2471-2478). Date of Publication: 28 Dec 2008
ISSN
0030-6002
1788-6120 (electronic)
BOOK PUBLISHER
Akademiai Kiado Zrt., H-1117 Budapest, Prielle Kornelia u. 19/D., Hungary.
ABSTRACT
Despite the well-known fact that smoking is the most important cause of
premature death, prevention of smoking in young people is still an
unresolved public health problem. Smoking among medical students in
particular should receive a special attention since smoking-related
attitudes among health care professionals may act as role models among the
patients. Objective: The main goal of the present study was to detect
preclinical (year 1 and year 2) medical students' smoking status, smoking
frequencies and smoking-related attitudes in Szeged. Method: The whole
sample consisted of 212 students, approximately 50% of the grades reported
on their smoking status and smoking-related attitudes. Attitudes were
measured by using a scale of The Students' Health and Lifestyle Study, The
University of Western Ontario (Canada) that previously had been adapted.
Results: The data show that frequency of smokers did not decrease but
slightly increased as compared to the research results from the 1990s.
Neither year 1 nor year 2 students showed gender differences according to
their smoking status. More nonsmoking students accepted their own role
model. Conclusions: Besides interdisciplinary courses on the addictions,
more practice-oriented and patient-centered courses are also needed to get
the students familiar with basic principles of devices for smoking
cessation. In addition, there is also a need for a program helping smoking
medical students stop smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking
student attitude
EMTREE MEDICAL INDEX TERMS
article
curriculum
education program
female
health care personnel
health education
health program
human
male
medical student
normal human
public health
questionnaire
sex difference
smoking cessation program
smoking habit
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Hungarian
LANGUAGE OF SUMMARY
Hungarian, English
EMBASE ACCESSION NUMBER
2009040649
MEDLINE PMID
19087915 (http://www.ncbi.nlm.nih.gov/pubmed/19087915)
PUI
L354099972
DOI
10.1556/OH.2008.28516
FULL TEXT LINK
http://dx.doi.org/10.1556/OH.2008.28516
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 1230
TITLE
Training physicians to treat substance use disorders
AUTHOR NAMES
Polydorou S.
Gunderson E.W.
Levin F.R.
AUTHOR ADDRESSES
(Polydorou S.; Gunderson E.W., eg2009@columbia.edu; Levin F.R.) Columbia
University Medical Center, New York State Psychiatric Institute, 1051
Riverside Drive, New York, NY 10032, United States.
CORRESPONDENCE ADDRESS
E.W. Gunderson, Columbia University Medical Center, New York State
Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, United
States. Email: eg2009@columbia.edu
SOURCE
Current Psychiatry Reports (2008) 10:5 (399-404). Date of Publication: 2008
ISSN
1523-3812
BOOK PUBLISHER
Current Medicine Group LLC, 400 Market St,, Ste 700 Philadelphia, United
States.
ABSTRACT
The importance of training physicians to effectively assess and manage
substance use disorders has become increasingly recognized. Studies
highlighting the effort to enhance curricula are described and common
practices identified. Preferable curricula incorporate interactive teaching
methods along with experiential and didactic components. Addiction
specialists serve an important role in training programs designed for
medical students and residents (ie, role models) and practicing physicians
(ie, clinical support). Further integration of online training into current
programs may expand and enhance training opportunities. © Current Medicine
Group LLC 2008.
EMTREE DRUG INDEX TERMS
buprenorphine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
alcoholism
certification
clinical practice
curriculum
curriculum development
drug dependence
drug use
education program
experiential learning
halfway house
human
medical school
medical student
opiate addiction (disease management, drug therapy)
patient compliance
physician attitude
practice guideline
prescription
primary medical care
professional knowledge
reimbursement
residency education
resident
review
tobacco dependence
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009040543
MEDLINE PMID
18803913 (http://www.ncbi.nlm.nih.gov/pubmed/18803913)
PUI
L354099733
DOI
10.1007/s11920-008-0064-8
FULL TEXT LINK
http://dx.doi.org/10.1007/s11920-008-0064-8
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1231
TITLE
An iGen approach to teaching medical students.
AUTHOR NAMES
Metcalf M.P.
Tanner T.B.
AUTHOR ADDRESSES
(Metcalf M.P.; Tanner T.B.) Clinical Tools, Inc., Chapel Hill, NC, USA.
CORRESPONDENCE ADDRESS
M.P. Metcalf, Clinical Tools, Inc., Chapel Hill, NC, USA.
SOURCE
AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
(2008) (1055). Date of Publication: 2008
ISSN
1942-597X (electronic)
ABSTRACT
Medical school class sizes are set to increase, yet resources are not. The
use of Internet based supplemental education modules and standardized
patients (SP) is one answer to this imbalance. We have prototyped and
assessed Internet modules and an SP on the topic of substance abuse.
Effectiveness is supported by a small pilot study. A larger study is in
process during 2008.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
computer interface
Internet
medical education
teaching
EMTREE MEDICAL INDEX TERMS
article
human
methodology
pilot study
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18998971 (http://www.ncbi.nlm.nih.gov/pubmed/18998971)
PUI
L550288908
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1232
TITLE
The nicotinism question in the light of education on Medical and Nursing
Faculties of the Medical University of Bialystok
ORIGINAL (NON-ENGLISH) TITLE
Problem nikotynizmu w swietle edukacji na Wydziale Lekarskim i Wydziale
Pielegniarstwa Uniwersytetu Medycznego w Białymstoku.
AUTHOR NAMES
Bielska D.
Trofimiuk E.
Kurpas D.
AUTHOR ADDRESSES
(Bielska D.; Trofimiuk E.; Kurpas D.) Zakład Medycyny Rodzinnej i
Pielegniarstwa Srodowiskowego, Uniwersytet Medyczny w Białymstoku.
CORRESPONDENCE ADDRESS
D. Bielska, Zakład Medycyny Rodzinnej i Pielegniarstwa Srodowiskowego,
Uniwersytet Medyczny w Białymstoku. Email: d.bielska1@wp.pl
SOURCE
Przegla̧d lekarski (2008) 65:10 (568-571). Date of Publication: 2008
ISSN
0033-2240
ABSTRACT
Within the framework of "Schedule of health care, economic and social policy
pursuing to reduction of tobacco consumption" involving numerous
institutions including universities, educated persons will be responsible
for the treatment and prophylaxis of tobacco smoking-evoked diseases. The
aim of this study was assessment of the tobacco smoking prevalence among
undergraduates of last-year course of Medical Faculty and Nursing Faculty of
Medical University of Bialystok and evaluation of theirs attitude in the
face of the nicotinism question after 5 years of occupation. The percentage
of tobacco smokers on Medical Faculty average out 27.7% and 17.8% on Nursing
Faculty. Students of both faculties opined that nicotinism in Poland was a
heavyweight issue (8 points in decagrade scale). Our data shown that about
one third of assessed students have not to do with a nicotinism theme and
were not acquired sufficient knowledge to help tobacco smoking patients.
Thus, continuation of nictonism issue education within the framework of
seminaries and classes of family medicine course in both faculties will be
purposeful action.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical school
nursing education
smoking (epidemiology)
student
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
educational status
female
human
male
middle aged
Poland (epidemiology)
prevalence
sex ratio
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
19189550 (http://www.ncbi.nlm.nih.gov/pubmed/19189550)
PUI
L354300099
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1233
TITLE
Psychoactive substance use among Medicine students from Espirito Santo
Federal University
ORIGINAL (NON-ENGLISH) TITLE
Uso de substâncias psicoativas entre universitários de medicina da
Universidade Federal do Espírito Santo
AUTHOR NAMES
Pereira D.S.
De Souza R.S.
Buaiz V.
De Siqueira M.M.
AUTHOR ADDRESSES
(Pereira D.S., dsoprani.ufes@hotmail.com; De Souza R.S.) Departamento de
Enfermagem, Nucleo de Estudos Sobre Alcool e Outras Drogas da Universidade
Federal do Espirito Santo (NEAD-UFES), .
(Buaiz V.; De Siqueira M.M.) Departamento de Clínica Médica, Nucleo de
Estudos Sobre Alcool e Outras Drogas da Universidade Federal do Espirito
Santo (NEAD-UFES), .
(Pereira D.S., dsoprani.ufes@hotmail.com) Rua Ametista, 12, Cariacica -
29146-717 - São Geraldo, ES.
CORRESPONDENCE ADDRESS
D. S. Pereira, Rua Ametista, 12, Cariacica - 29146-717 - São Geraldo, ES.
Email: dsoprani.ufes@hotmail.com
SOURCE
Jornal Brasileiro de Psiquiatria (2008) 57:3 (188-195). Date of Publication:
2008
ISSN
0047-2085
1982-0208 (electronic)
BOOK PUBLISHER
Editora Cientifica Nacional Ltda, Rua da Gloria 366, 3o andar, P.O. Box 590,
Rio de Janeiro, Brazil.
ABSTRACT
Objective: To describe the profile of the psychoactive substances used among
the college students from the Medicine course in the Center of Health
Sciences in, Espirito Santo Federal University. Methods: It is a
exploratory, descriptive, transversal and quantitative study developed
within 168 college students of Medicine from the first to the last year of
the course. The instrument used to collect data was the Questionnaire on
Drug Abuse, an adaptation from the questionnaire proposed by WHO(1). The
data had been tabulated through the Social Science Program Statistical
Package (SPSS) (2). Results: Overall, 54.8% of the college students are
females, 76.8%, from 17 to 22 years and 50% belonging to social class "B".
As for the use of psychoactive substances, a high prevalence of alcohol was
founded (86.9%), followed by tobacco (22.0%), solvents (15.5%), amphetamines
(10.1%), cannabis (9.5%), hallucinogens (1.8%) and barbiturates (0.6%).
Conclusion: It is necessary to prevent the psychoative substance abuse among
college students, introducing curricular disciplines on the theme or
specific programs to attend these students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
adult
alcohol consumption
article
college student
controlled study
drug abuse
female
human
information processing
major clinical study
male
prevalence
quantitative study
questionnaire
tobacco dependence
university student
world health organization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Portuguese
LANGUAGE OF SUMMARY
English, Portuguese
EMBASE ACCESSION NUMBER
2008529385
PUI
L352642748
DOI
10.1590/S0047-20852008000300006
FULL TEXT LINK
http://dx.doi.org/10.1590/S0047-20852008000300006
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1234
TITLE
Doctors' health. Medical students and alcohol.
AUTHOR NAMES
Utku F.
Checinski K.
AUTHOR ADDRESSES
(Utku F.; Checinski K.)
CORRESPONDENCE ADDRESS
F. Utku,
SOURCE
BMJ (Clinical research ed.) (2008) 337 (a2798). Date of Publication: 2008
ISSN
1468-5833 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
curriculum
health behavior
letter
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19050025 (http://www.ncbi.nlm.nih.gov/pubmed/19050025)
PUI
L550075071
DOI
10.1136/bmj.a2798
FULL TEXT LINK
http://dx.doi.org/10.1136/bmj.a2798
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1235
TITLE
The nursing students of Public Higher Medical Professional School in Opole
spreading non-smoking lifestyle
ORIGINAL (NON-ENGLISH) TITLE
Studenci pielegniarstwa Państwowej Medycznej Wyzszej Szkoły Zawodowej w
Opolu wobec promowania niepalenia.
AUTHOR NAMES
Wojtal M.
Kurpas D.
Bielska D.
Steciwko A.
AUTHOR ADDRESSES
(Wojtal M.; Kurpas D.; Bielska D.; Steciwko A.) Zakład Pielegniarstwa
Ogólnego, Państwowa Medyczna Wyzsza Szkoła Zawodowa w Opolu.
CORRESPONDENCE ADDRESS
M. Wojtal, Zakład Pielegniarstwa Ogólnego, Państwowa Medyczna Wyzsza Szkoła
Zawodowa w Opolu. Email: mariola30@onet.eu
SOURCE
Przegla̧d lekarski (2008) 65:10 (588-590). Date of Publication: 2008
ISSN
0033-2240
ABSTRACT
The promotion of health is a science and art of helping people to change
their environment and lifestyle to a health friendly one, in order to
strengthen and build up their wellbeing. Smoking cigarettes is a most
disadvantageous element of a lifestyle. Important elements of promotion of
non-smoking lifestyle, by our students, as future Health Service members,
are: promoting of smoke-free environment, encouraging of non-smoking
fashion, education of health consequences of smoking cigarettes, motivation
to quit smoking, advisement in the field of smoking addiction treatment.
Public health and health promotion, these are classes where smoking
cigarettes' problem has been discussed mostly. Over 90% of students'
respondents claim that were able to give a nonsmoking advice to any patient.
Because of the awareness of health threats caused by smoking cigarettes and
because of the role of education in prevention and addiction fighting, over
82.4% of students were convinced that every doctor should ask every patient,
about his/her attitude towards smoking cigarettes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
nursing student
risk reduction
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
female
health survey
human
male
methodology
organization and management
Poland
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
19189555 (http://www.ncbi.nlm.nih.gov/pubmed/19189555)
PUI
L354300104
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1236
TITLE
Proceedings from the 2006 annual meeting of the ISAM (International Society
of Addiction Medicine), Oporto, Portugal.
AUTHOR ADDRESSES
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2008) 29:3 (1-102). Date of
Publication: 2008
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
EMTREE MEDICAL INDEX TERMS
conference paper
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19117077 (http://www.ncbi.nlm.nih.gov/pubmed/19117077)
PUI
L550076562
DOI
10.1080/08897070802218091
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070802218091
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1237
TITLE
Detection of drugs abuse among Medicine students in a private university
ORIGINAL (NON-ENGLISH) TITLE
Detecção do uso de drogas de abuso por estudantes de medicina de uma
universidade privada
AUTHOR NAMES
Tockus D.
Gonçalves P.S.
AUTHOR ADDRESSES
(Tockus D.) Departamento de Medicina, Universidade Positivo (UP), Curitiba,
PR.
(Gonçalves P.S., prisago@up.edu.br) Departamento de Farmacologia, Curso de
Medicina, UP, .
(Gonçalves P.S., prisago@up.edu.br) Rua Affonso Drulla, 90, CIC, 81280-310 -
Curitiba, PR.
CORRESPONDENCE ADDRESS
P. S. Gonçalves, Rua Affonso Drulla, 90, CIC, 81280-310 - Curitiba, PR.
Email: prisago@up.edu.br
SOURCE
Jornal Brasileiro de Psiquiatria (2008) 57:3 (184-187). Date of Publication:
2008
ISSN
0047-2085
1982-0208 (electronic)
BOOK PUBLISHER
Editora Cientifica Nacional Ltda, Rua da Gloria 366, 3o andar, P.O. Box 590,
Rio de Janeiro, Brazil.
ABSTRACT
Drug abuse among universitarians is an increasing issue. Rates of alcohol
and illegal drugs abuse can be higher in the universitarian population than
in the general one. Objective: This research aims to detect what drugs are
used by Medicine students of Positivo University (Universidade Positivo) and
to correlate associated caracteristics. Method: It was applied a virtual
adaptation of the ASSIST (Alcohol, Smoking and Substance Involvement
Screening Test) questionnaire to all (209) Medicine students during 106 days
in 2006. Results: Eighty-eight (42%) of the students took part in it. Most
were single (88%) between 17 and 25 years old (85%). Seventy-eight percent
consumed alcohol at least once; the use of tobacco was of 38,64%; cannabis
got 26,14% of use, inhalants were used for 21,59% and stimulants for 11,36%.
Discussion: The results found match studies from other universities and also
showed a high number of drug users, especially for alcohol. It's a worrying
situation and points out the importance of having proper education in
preventing drug addiction. Conclusions: The University enviroment clearly
influenciates drug abuse and new prevention strategies are needed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
alcohol consumption
article
cannabis smoking
cigarette smoking
controlled study
female
human
major clinical study
male
questionnaire
screening test
university
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Portuguese
LANGUAGE OF SUMMARY
English, Portuguese
EMBASE ACCESSION NUMBER
2008529384
PUI
L352642747
DOI
10.1590/S0047-20852008000300005
FULL TEXT LINK
http://dx.doi.org/10.1590/S0047-20852008000300005
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1238
TITLE
The attitude of the nursing students of Public Higher Medical Professional
School in Opole towards the smoking problems in Poland
ORIGINAL (NON-ENGLISH) TITLE
Postawy studentów pielegniarstwa Państwowej Medycznej Wyzszej Szkoły
Zawodowej w Opolu wobec problematyki palenia tytoniu w Polsce.
AUTHOR NAMES
Wojtal M.
Kurpas D.
Bielska D.
Steciwko A.
AUTHOR ADDRESSES
(Wojtal M.; Kurpas D.; Bielska D.; Steciwko A.) Zakład Pielegniarstwa
Ogólnego, Państwowa Medyczna Wyzsza Szkoła Zawodowa w Opolu.
CORRESPONDENCE ADDRESS
M. Wojtal, Zakład Pielegniarstwa Ogólnego, Państwowa Medyczna Wyzsza Szkoła
Zawodowa w Opolu. Email: mariola30@onet.eu
SOURCE
Przegla̧d lekarski (2008) 65:10 (585-587). Date of Publication: 2008
ISSN
0033-2240
ABSTRACT
Cigarette smoking has been main reason of the Polish society health hazard
and one of the most widespread unhealthy element of the human life style.
Aim of the study is to evaluate the attitude of the nursing students of
Public Higher Medical Professional School in Opole towards the smoking
problems in Poland. Most of respondents considered the nicotinism problem in
Poland as very important--3 of them evaluate importance of problem on the
scale of 0 - 10, estimated it from 8, 9 and 10 points. 74.3% of respondents
support the opinion to put the total injunction from smoking at public areas
into practice. According to respondents, the most effective forms to express
a non-smoking lifestyle is to promote the idea of the total injunction from
smoking at public areas and the promotion of the nonsmoking people at the
mass media.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
health promotion
nursing student
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
female
health survey
human
male
organization and management
Poland
risk reduction
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
19189554 (http://www.ncbi.nlm.nih.gov/pubmed/19189554)
PUI
L354300103
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1239
TITLE
An epidemiological study on infant mortatity and factors affecting it in
rural areas of Birjand, Iran
AUTHOR NAMES
Sharifzadeh G.R.
Namakin K.
Mehrjoofard H.
AUTHOR ADDRESSES
(Sharifzadeh G.R., rezamood@yahoo.com) Department of Social Medicine,
Birjand University of Medical Sciences, Ghafary Ave., Birjand, Iran.
(Namakin K.) Department of Pediatrics, Birjand University of Medical
Sciences, Birjand, Iran.
(Mehrjoofard H.) Birjand University of Medical Sciences, Birjand, Iran.
CORRESPONDENCE ADDRESS
G.R. Sharifzadeh, Birjand University of Medical Sciences, Ghafary Ave.,
Birjand, Iran. Email: rezamood@yahoo.com
SOURCE
Iranian Journal of Pediatrics (2008) 18:4 (335-342). Date of Publication:
2008
ISSN
1018-4406
BOOK PUBLISHER
Tehran University of Medical Sciences (TUMS), No. 31, Poursina St. Ghods
Ave, Tehran, Iran.
ABSTRACT
Objective: Infant mortality rate is one of the most expressive indicators of
development in all countries. The aim of this study was to determine the
cause of infant mortality and risk factors in rural areas of Birjand in
Iran. Methods: This population based case-control study covered 156 infants
who died when aged less than one-year in health houses of Birjand between
January 2004 and December 2005. For each case, two controls were selected
matching one-to-one to the case considering variables of residency and their
date of birth. The data was collected through interview with mothers and
reviewing infant's files in health houses. Findings: 57.7 percent of deaths
in under one year old infants happened during the first month of their
lives. The most important causes of death in neonates were prematurity and
low birth weight (44.4%) later gastroenteritis (30.3%). In addition, the
study showed that 9.6 percent of infants had died because of narcotic
toxicosis. Moreover, the study showed a significant relationship between
infant mortality and parents' level of education, mother's addiction, age of
mother in the first pregnancy, prematurity, low birth weight, type of
delivery and exclusive breast feeding. Conclusion: Special attention to
infantile period and special care for infants born to at-risk mothers, as
well as providing special health education can cause a dramatic reduction in
infants' mortality rate.
EMTREE DRUG INDEX TERMS
narcotic agent
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
infant mortality
EMTREE MEDICAL INDEX TERMS
academic achievement
age distribution
article
asphyxia
birthplace
breast feeding
cause of death
child
congenital disorder
controlled study
drug intoxication
gastroenteritis
gestational age
human
infant
Iran
low birth weight
major clinical study
meconium aspiration
meningitis
newborn infection
obstetric procedure
population based case control study
prematurity
residential home
respiratory tract infection
risk factor
rural area
time of death
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009145953
PUI
L354370600
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1240
TITLE
Evaluation of an evidence-based tobacco treatment curriculum for psychiatry
residency training programs
AUTHOR NAMES
Prochaska J.J.
Fromont S.C.
Leek D.
Hudmon K.S.
Louie A.K.
Jacobs M.H.
Hall S.M.
AUTHOR ADDRESSES
(Prochaska J.J., JProchaska@ucsf.edu) Department of Psychiatry, University
of California, San Francisco.
(Fromont S.C.) Alta Bates Summit Medical Center, Berkeley, CA.
(Hudmon K.S.) Purdue University, School of Pharmacy Pharmaceutical Sciences,
West Lafayette, IN.
(Prochaska J.J., JProchaska@ucsf.edu) University of California, San
Francisco, 401 Parnassus Ave. - TRC 0984, San Francisco, CA 94143-0984.
(Leek D.; Louie A.K.; Jacobs M.H.; Hall S.M.)
CORRESPONDENCE ADDRESS
J. J. Prochaska, University of California, San Francisco, 401 Parnassus Ave.
- TRC 0984, San Francisco, CA 94143-0984. Email: JProchaska@ucsf.edu
SOURCE
Academic Psychiatry (2008) 32:6 (484-492). Date of Publication:
November-December 2008
ISSN
1042-9670
BOOK PUBLISHER
American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite
1825,Arlington, United States.
ABSTRACT
Objective: Smokers with mental illness and addictive disorders account for
nearly one in two cigarettes sold in the United States and are at high risk
for smoking-related deaths and disability. Psychiatry residency programs
provide a unique arena for disseminating tobacco treatment guidelines,
influencing professional norms and increasing access to tobacco cessation
services among smokers with mental illness. The current study evaluated the
Rx for Change in Psychiatry curriculum, developed for psychiatry residency
programs and focused on identifying and ttreat-ing tobacco dependence among
individuals with mental illness. Methods: The 4-hour curriculum emphasized
evidence-based, patient-oriented cessation treatments relevant for all
tobacco users, including those not yet ready to quit. The curriculum was
informed by comprehensive literature review consultation with an expert
advisory group, faculty interviews, and a focus group with psychiatry
residents. This study reports on evaluation of the curriculum in 2005-2006,
using a quasi-experimental design, with 55 residents in three psychiatry
residency training programs in Northern California. Results: The curriculum
was associated with improvements in psychiatry residents' knowledge,
attitudes, confidence, andcoun-seling behaviors for treating tobacco use
among their patients with initial changes from pre-to posttraining sustained
at 3- months' follow-up. Residents' self-reported changes in treating
patients' tobacco use were substantiated through systematic chart review.
Conclusion: The evidence-based Rx for Change in Psychiatry curriculum is
offered as a model tobacco treatment curriculum that can be implemented in
psychiatry residency training programs and disseminated widely, thereby
effectively reaching a vulnerable and costly population of smokers.
Copyright © 2008 Academic Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
evidence based practice
psychiatry
residency education
tobacco
training
EMTREE MEDICAL INDEX TERMS
cigarette smoking
consultation
death
disability
experimental design
follow up
information processing
interview
medical record review
mental disease
model
patient
population
risk
smoking
tobacco dependence
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009072498
MEDLINE PMID
19190293 (http://www.ncbi.nlm.nih.gov/pubmed/19190293)
PUI
L354168257
DOI
10.1176/appi.ap.32.6.484
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.32.6.484
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1241
TITLE
Outcomes of DATA 2000 certification trainings for the provision of
buprenorphine treatment in the veterans health administration
AUTHOR NAMES
Gordon A.J.
Liberto J.
Granda S.
Salmon-Cox S.
Andrée T.
McNicholas L.
AUTHOR ADDRESSES
(Gordon A.J., adam.gordon@va.gov; Salmon-Cox S.; Andrée T.) Mental Illness
Research, Education, and Clinical Center, VA Pittsburgh Healthcare System,
Pittsburgh, PA, United States.
(Gordon A.J., adam.gordon@va.gov) Center for Health Equity Research and
Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, United States.
(Gordon A.J., adam.gordon@va.gov) Center for Research on Health Care,
University of Pittsburgh, Pittsburgh, PA, United States.
(Gordon A.J., adam.gordon@va.gov) University of Pittsburgh School of
Medicine, Pittsburgh, PA, United States.
(Liberto J.) VA Maryland Healthcare System, Baltimore, MD, United States.
(Liberto J.) University of Maryland School of Medicine, Baltimore, MD,
United States.
(Granda S.) Department of Psychology, Saint Louis University, St Louis, MO,
United States.
(McNicholas L.) Philadelphia VA Medical Center, Philadelphia, PA, United
States.
(Gordon A.J., adam.gordon@va.gov) Mental Illness Research, Education, and
Clinical Center, Center for Health Equity Research and Promotion, VA
Pittsburgh Healthcare System, 7180 Highland Drive, Pittsburgh, PA 15206,
United States.
CORRESPONDENCE ADDRESS
A. J. Gordon, Mental Illness Research, Education, and Clinical Center,
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare
System, 7180 Highland Drive, Pittsburgh, PA 15206, United States. Email:
adam.gordon@va.gov
SOURCE
American Journal on Addictions (2008) 17:6 (459-462). Date of Publication:
November 2008
ISSN
1055-0496
1521-0391 (electronic)
BOOK PUBLISHER
Wiley-Blackwell, 350 Main Street, Malden, United States.
ABSTRACT
Despite the high numbers of veterans with opioid dependence, few receive
pharmacologic treatment for this disorder. The adoption of buprenorphine
treatment within the Veterans Health Administration (VHA) has been slow. To
expand capacity for buprenorphine treatment, the VHA sponsored two
eight-hour credentialing courses for the Drug Addiction Treatment Act of
2000. We sought to describe the outcomes of such training. Following the
training sessions, 29 participants (18 physicians) were highly satisfied
with course content and affirmed their intention to prescribe buprenorphine;
after nine-month follow-up, two physicians were prescribing. We conclude
that providing credentialing courses, while popular, did not markedly
promote the prescription of buprenorphine. Copyright © American Academy of
Addiction Psychiatry.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
certification
outcome assessment
EMTREE MEDICAL INDEX TERMS
accreditation
article
follow up
government
human
narcotic dependence (drug therapy)
physician
prescription
training
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008571954
MEDLINE PMID
19034736 (http://www.ncbi.nlm.nih.gov/pubmed/19034736)
PUI
L352766187
DOI
10.1080/10550490802408613
FULL TEXT LINK
http://dx.doi.org/10.1080/10550490802408613
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1242
TITLE
Smoking cessation advice: Swiss physicians lack training
AUTHOR NAMES
von Garnier C.
Kochuparackal S.
Miedinger D.
Leuppi J.D.
Tamm M.
Battegay E.
Zeller A.
AUTHOR ADDRESSES
(von Garnier C., christophe.vongarnier@insel.ch; Miedinger D.; Leuppi J.D.;
Tamm M.) Respiratory Medicine, Department of Medicine, Basel University
Hospital, 4031 Basel, Switzerland.
(Kochuparackal S.; Battegay E.; Zeller A., ZellerA@uhbs.ch) Medical
Outpatient Department, Department of Medicine, Basel University Hospital,
4031 Basel, Switzerland.
CORRESPONDENCE ADDRESS
C. von Garnier, Respiratory Medicine, Department of Medicine, Basel
University Hospital, 4031 Basel, Switzerland. Email:
christophe.vongarnier@insel.ch
SOURCE
Cancer Detection and Prevention (2008) 32:3 (209-214). Date of Publication:
2008
ISSN
0361-090X
1525-1500 (electronic)
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Objectives: To assess the use and appropriateness of medical advice for
smoking cessation provided by registrars in a General Medicine Outpatient
Department to an unselected patient population in Switzerland. Methods: A
prospective observational study in which 314 consecutive outpatients were
contacted by phone within 24 h after their consultation. Questions and
information concerning smoking asked and/or provided by the registrar to
patients were collected. Results: Eleven registrars (mean age 34 years
(range 29-40), 54% females, mean of 5 years (range 3.5-6 years) postgraduate
medical training) worked in the Basel University Hospital Medical Outpatient
Department during the study period from 01.01.2006 to 31.03.2006. In total
314 participants (mean 48 years, age range 16-71 years, 50% females)
completed the study. Registrars queried 81% of the patients about smoking,
but inquired about smoking duration only in 44% of the patients.
Twenty-eight percent of the patients received information about the risks
related to smoking, whereas cessation was discussed only with 10% and
offered to 9% of the patients. Conclusion: Though most junior physicians in
the survey asked about smoking, they failed to appropriately address
tobacco-related health issues and offer cessation advice in the majority of
cases. Extended regular training for physicians on smoking-related issues
will be necessary in order to improve counselling of smokers and meet the
global tobacco challenge. © 2008 Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
patient counseling
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
consultation
controlled study
female
health hazard
human
major clinical study
male
medical education
medical information
medical practice
priority journal
questionnaire
smoking habit
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008458758
MEDLINE PMID
18789608 (http://www.ncbi.nlm.nih.gov/pubmed/18789608)
PUI
L50267637
DOI
10.1016/j.cdp.2008.08.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cdp.2008.08.001
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1243
TITLE
The patients in recovery (PIR) perspective: Teaching physicians about
methamphetamine
AUTHOR NAMES
Walley A.Y.
Phillips K.A.
Gordon A.J.
AUTHOR ADDRESSES
(Walley A.Y., awalley@bu.edu) Clinical Addictions Research and Education
Unit, Section of General Internal Medicine, Boston Medical Center, Boston,
MA, United States.
(Phillips K.A.) Division of General Internal Medicine, Johns Hopkins School
of Medicine, Baltimore, MD, United States.
(Gordon A.J.) Mental Illness Research Education and Clinical Center, VISN 4,
VA Pittsburgh Healthcare System, Pittsburgh, PA, United States.
(Gordon A.J.) Center for Health Equity Research and Promotion, VA Pittsburgh
Healthcare System, Pittsburgh, PA, United States.
(Gordon A.J.) Center for Research on Health Care, University of Pittsburgh,
Pittsburgh, PA, United States.
(Walley A.Y., awalley@bu.edu) Boston Medical Center, 801 Massachusetts
Avenue, Boston, MA 02218, United States.
CORRESPONDENCE ADDRESS
A. Y. Walley, Boston Medical Center, 801 Massachusetts Avenue, Boston, MA
02218, United States. Email: awalley@bu.edu
SOURCE
Substance Abuse (2008) 29:4 (61-64). Date of Publication: 21 Oct 2008
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Methamphetamine dependence is an emerging epidemic confronting physicians.
In an effort to improve understanding of its impact, the authors presented
an educational workshop at a national meeting for general internists
featuring small group discussions with patients in recovery (PIR) from
methamphetamine dependence. Participants rated the workshop highly, stating
it would lead to concrete change in their teaching, research, or patient
care practices and they would invite the workshop to their institution for
presentation. Direct interaction with PIR was the most valued aspect of the
workshop. Lessons learned included patient's fear of being turned in limits
disclosure of methamphetamine use to physicians; active users have little
insight into methamphetamine- related changes in physical appearance; and a
sense of productivity reinforces ongoing methamphetamine use. Workshops that
include small group discussions between physicians and PIR are an
innovative, practical, and acceptable method to teach physicians about their
role in helping patients with substance dependence. © 2008 by The Haworth
Press. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
drug dependence
EMTREE MEDICAL INDEX TERMS
article
clinical practice
clinical research
fear
general practitioner
human
interpersonal communication
physical parameters
productivity
substance abuse
CAS REGISTRY NUMBERS
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009344391
MEDLINE PMID
19042199 (http://www.ncbi.nlm.nih.gov/pubmed/19042199)
PUI
L354886282
DOI
10.1080/08897070802418493
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070802418493
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1244
TITLE
Improving acceptance of naltrexone in community addiction treatment centers:
A pilot study
AUTHOR NAMES
Thomas S.E.
Miller P.M.
Randall P.K.
Book S.W.
AUTHOR ADDRESSES
(Thomas S.E., thomass@musc.edu; Miller P.M.; Randall P.K.; Book S.W.) Center
for Drug and Alcohol Programs, Charleston Alcohol Research Center,
Department of Psychiatry and Behavioral Sciences, Charleston, SC 29425,
United States.
CORRESPONDENCE ADDRESS
S.E. Thomas, Center for Drug and Alcohol Programs, Charleston Alcohol
Research Center, Department of Psychiatry and Behavioral Sciences,
Charleston, SC 29425, United States. Email: thomass@musc.edu
SOURCE
Journal of Substance Abuse Treatment (2008) 35:3 (260-268). Date of
Publication: October 2008
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Alcoholism pharmacotherapies are underused in community addiction treatment
settings, in part because individuals who practice in these
settings-nonmedical addiction counselors and administrators-lack knowledge
about and confidence in the value of adjunctive alcohol pharmacotherapies.
We developed and tested an intervention to improve knowledge and attitudes
about naltrexone. A team of researchers, physicians, addiction treatment
counselors, and administrators collaborated to develop a naltrexone
educational intervention designed for nonmedical addiction professionals.
The intervention was compared with a control condition in a pilot study with
6 addiction treatment agencies (3 agencies per group). Participants
(counselors and administrators, N = 84) were assessed before and 6 months
after the intervention. Results revealed that the intervention significantly
improved naltrexone knowledge, and participants who received the
intervention reported greater satisfaction with the education they received,
as well as greater use of the information. The effect of the intervention on
attitudes about naltrexone was encouraging but did not to reach statistical
significance. This study is the first reported attempt to develop and test
an intervention specifically to improve acceptance of adjunctive medications
for alcoholism among nonmedical addiction professionals. © 2008 Elsevier
Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naltrexone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence treatment
medical education
EMTREE MEDICAL INDEX TERMS
administrative personnel
adult
article
controlled study
female
health personnel attitude
human
knowledge
male
physician attitude
pilot study
priority journal
satisfaction
treatment outcome
CAS REGISTRY NUMBERS
naltrexone (16590-41-3, 16676-29-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008424129
MEDLINE PMID
18329227 (http://www.ncbi.nlm.nih.gov/pubmed/18329227)
PUI
L50086503
DOI
10.1016/j.jsat.2007.11.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2007.11.001
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1245
TITLE
Tobacco world: evaluation of a tobacco cessation training program for
third-year medical students.
AUTHOR NAMES
Leong S.L.
Lewis P.R.
Curry W.J.
Gingrich D.L.
AUTHOR ADDRESSES
(Leong S.L.; Lewis P.R.; Curry W.J.; Gingrich D.L.) Penn State College of
Medicine, 500 University Drive H-154, Hershey, PA 17033-0850, USA.
CORRESPONDENCE ADDRESS
S.L. Leong, Penn State College of Medicine, 500 University Drive H-154,
Hershey, PA 17033-0850, USA. Email: sleong@hmc.psu.edu
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(2008) 83:10 Suppl (S25-28). Date of Publication: Oct 2008
ISSN
1938-808X (electronic)
ABSTRACT
BACKGROUND: Training in tobacco cessation counseling is deficient in medical
schools. Tobacco World, a tobacco cessation training program, was
implemented in a family medicine clerkship and subsequently evaluated.
METHOD: In the pilot year, students were assigned to either standard
clerkship training (comparison group) or a group that also received Tobacco
World training (intervention group). All students received intervention
training in the second year of the study. A 35-item questionnaire was
administered before and after the four-week clerkship to assess knowledge,
attitude, and confidence regarding tobacco cessation counseling. RESULTS:
Intervention training was highly rated. Students in the intervention group
from both years demonstrated significant improvements in some key
measurements of knowledge, attitude, confidence, and increased frequency of
tobacco cessation counseling. CONCLUSIONS: This smoking cessation training
program addresses an underrepresented area of medical school education and
has the potential to translate into improved smoking cessation counseling by
future physicians.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
curriculum
directive counseling
general practice
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
clinical competence
education
evaluation study
health care quality
health personnel attitude
human
physician attitude
pilot study
self concept
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18820494 (http://www.ncbi.nlm.nih.gov/pubmed/18820494)
PUI
L550060602
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1246
TITLE
Adolescents' and young adults' perceptions on their emercency care
AUTHOR NAMES
Hicks C.F.
Ward M.J.
Platt S.L.
AUTHOR ADDRESSES
(Hicks C.F.; Platt S.L.) Pediatrics and Emergency Medicine, New York
Presbyterian Hospital, New York, United States.
(Ward M.J.) Pediatrics, Weill Cornell Medical College, New York, United
States.
CORRESPONDENCE ADDRESS
C.F. Hicks, Pediatrics and Emergency Medicine, New York Presbyterian
Hospital, New York, United States.
SOURCE
Pediatric Emergency Care (2008) 24:10 (732). Date of Publication: October
2008
CONFERENCE NAME
American Academy of Pediatrics, Section on Emergency Medicine, Scientific
Abstract Presentations, AAP National Conference and Exhibition
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2008-10-10 to 2008-10-10
ISSN
0749-5161
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Purpose: Adolescents and young adults are at risk based on health and
lifestyle practice. There is no national consensus on age limits for care in
pediatric emergency departments (PED). This study examines youth opinions on
emergency care. Methods: We conducted prospective interviews on a
convenience sample of patients in a PED, age 15Y21 years, and an adult ED
(AED), age 21Y25 years. Patients conveyed opinions on optimal age for
transition from PED to AED, appropriateness of their assigned ED site,
having a primary provider (PMD), contacting PMD prior to ED visit, ED doctor
(MD) understanding psychosocial needs and addressing HEADSS (home,
education, activity, depression, sexuality, substance use) topics during ED
visit. Data were analyzed with SPSS for Windows (v15.0) using t-test and
Uncertainty coefficients. Results: We enrolled 200 patients; 65% female,
mean age 20.5 years (SD 3), mean education 12.5 years (range 6Y18), ED site
54% PED, 46% AED. Optimal age for transition to AED: mean 18.5 years (SD
2.1); bimodal peaks age 18 (49%) and 21 (20%). Only 4.5% of patients chose
an age older than 21 years. Comparisons between ED sites reveal statistical
differences, but may be clinically similar (Table 7). Patients identified a
PMD 87% in PED vs. 68% in AED (P < 0.05). Only 24% of patients with a PMD
contacted the PMD before ED visit, regardless of ED site. Only 14% of
patients reported >3 HEADSS topics were addressed during the ED visit, and
28% reported no HEADSS assessment, similarly across ED sites. Conclusion:
Adolescents and young adults consider 18 years optimal for transition to an
AED and very few chose an age above 21. Patients seen in the PED more often
identified a PMD, though patients at both sites rarely contacted the PMD
before the ED visit. Patients perceived MDs as understanding their
psychosocial needs, though ED providers rarely addressed HEADSS topics.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
adult
emergency medicine
pediatrics
EMTREE MEDICAL INDEX TERMS
consensus
convenience sample
education
emergency care
emergency ward
female
health
interview
juvenile
lifestyle
patient
physician
risk
sexuality
Student t test
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
PUI
L70021813
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 1247
TITLE
Body mass index, waist to hip ratio and waist/height in adult Polish women
in relation to their education, place of residence, smoking and alcohol
consumption
AUTHOR NAMES
Skrzypczak M.
Szwed A.
Pawlińska-Chmara R.
Skrzypulec V.
AUTHOR ADDRESSES
(Skrzypczak M., maskrz@amu.edu.pl; Szwed A.) Department of Human Biological
Development, Institute of Anthropology, Faculty of Biology, Umultowska 89,
61-614 Poznań, Poland.
(Pawlińska-Chmara R.) Department of Biotechnology and Molecular Biology,
Opole University, Kard. B. Kominka 4, 45-035 Opole, Poland.
(Skrzypulec V.) Health Care Faculty, Department of Women's Disease
Prevention and Sexuology, Medical University of Silesia, Medyków 12, 40-752
Katowice, Poland.
CORRESPONDENCE ADDRESS
M. Skrzypczak, Department of Human Biological Development, Institute of
Anthropology, Faculty of Biology, Umultowska 89, 61-614 Poznań, Poland.
Email: maskrz@amu.edu.pl
SOURCE
HOMO- Journal of Comparative Human Biology (2008) 59:4 (329-342). Date of
Publication: 22 Sep 2008
ISSN
0018-442X
BOOK PUBLISHER
Urban und Fischer Verlag Jena, P.O. Box 100537, Jena, Germany.
ABSTRACT
Obesity is a complex, multifactorial disorder that develops from genotype
and environmental interactions. The aim of this study is to describe the
variability of body mass index (BMI), waist to hip ratio (WHR) and waist to
height (W/Ht) in adult Polish women, and to determine relationships between
these variables and factors such as education, place of residence, smoking
and alcohol drinking. The tested group consisted of 10,254 women aged 25-95
years, who voluntarily filled in questionnaires and participated in
anthropometric measurements (body height and mass, waist and hip
circumferences). The BMI, WHR and W/Ht values were calculated based on these
measurements. The participants were differentiated in terms of education,
residence and lifestyle (smoking, alcohol drinking). Chi-squared test,
product-moment correlations, ANOVA, multiple correspondence analysis (MCA)
and logistic regression with backward elimination were used to evaluate
associations between social and lifestyle factors and BMI, WHR and W/Ht. The
results confirm (1) the relationship between low social status and the risk
of overweight and obesity as observed in developed countries; (2) higher
susceptibility to environmental factors such as education, place of
residence, smoking and alcohol drinking in younger (premenopausal) women;
(3) the usefulness of simple and practical anthropometric indicators such as
WHR and W/Ht for the identification of the higher risk of future metabolic
diseases in obese people and those with a normal body mass. Abstrakcyjny: Na
przestrzeni ostatnich lat gwałtownie wzrasta odsetek osób z nadwaga{ogonek}
oraz otyłych, zarówno wśród dzieci, młodzieży, osób dorosłych oraz
starszych. Problem otyłości, nazywanej cze{ogonek}sto choroba{ogonek} XXI
wieku, staje sie{ogonek} jednym z ważniejszych problemów zdrowotnych na
Świecie, zarówno w krajach rozwinie{ogonek}tych jak i rozwijaja{ogonek}cych
sie{ogonek}. Wskazuje sie{ogonek} na wieloczynnikowe uwarunkowania
wysta{ogonek}pienia problemów z nadwaga{ogonek} ba{ogonek}dź
otyłościa{ogonek}, podkreślaja{ogonek}c udział czynników zarówno
genetycznych jak i środowiskowych. Głównym celem niniejszej pracy było
opisanie zróżnicowania wartości wskaźników BMI (wskaźnik wzgle{ogonek}dnej
masy ciała), WHR (wskaźnik talia/biodra) oraz W/Ht (wskaźnik talia/wysokość
ciała) u dorosłych Polek, oraz określenie zależności pomie{ogonek}dzy tymi
wskaźnikami a czynnikami takimi jak: wykształcenie, miejsce zamieszkania,
palenie papierosów oraz picie alkoholu. Badana{ogonek} grupe{ogonek}
stanowiło 10254 kobiet w wieku 25-95 lat, które dobrowolnie wypełniały
ankiete{ogonek} oraz uczestniczyły w pomiarach antropometrycznych wysokości,
masy ciała, obwodu pasa oraz bioder. Na podstawie wykonanych pomiarów
określano wskaźniki BMI, WHR oraz W/Ht. Kobiety różniły sie{ogonek} poziomem
wykształcenia, miejscem zamieszkania oraz stylem życia (palenie papierosów,
picie alkoholu). Do określania analizowanych zależności wykorzystano wyniki:
testu chi-kwadrat, analizy wariancji, analizy korespondencji oraz regresji
logistycznej krokowej. Uzyskane wyniki wskazały na: (1) zależności
pomie{ogonek}dzy niskim statusem społecznym a wyższym ryzykiem
wysta{ogonek}pienia nadwagi i otyłości, jak to jest obserwowane w krajach
rozwinie{ogonek}tych; (2) wie{ogonek}ksza{ogonek} wrażliwość młodszych
kobiet (przed menopauza{ogonek}) na czynniki środowiskowe takie jak:
wykształcenie, miejsce zamieszkania, palenie papierosów i picie alkoholu;
(3) przydatność prostych i praktycznych wskaźników antropometrycznych,
takich jak: WHR oraz W/Ht, dla predykowania ryzyka wysta{ogonek}pienia
chorób metabolicznych, zarówno wśród kobiet otyłych, jak i tych z
prawidłowa{ogonek} masa ciała. © 2008 Elsevier GmbH. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
body height
body mass
obesity (etiology)
waist hip ratio
EMTREE MEDICAL INDEX TERMS
adult
aged
article
drinking behavior
educational status
female
human
middle aged
pathology
Poland
questionnaire
smoking
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18675976 (http://www.ncbi.nlm.nih.gov/pubmed/18675976)
PUI
L50225602
DOI
10.1016/j.jchb.2008.06.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jchb.2008.06.003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1248
TITLE
Effect of smoke-free medical school on smoking behavior of medical students
AUTHOR NAMES
Nakashima M.
Miura K.
Morikawa Y.
Nishijo M.
Nakanishi Y.
Sakurai M.
Nakagawa H.
AUTHOR ADDRESSES
(Nakashima M.; Miura K.; Morikawa Y.; Nishijo M.; Nakanishi Y.; Sakurai M.;
Nakagawa H.) Department of Health Care for Students, Kanazawa Medical
University.
CORRESPONDENCE ADDRESS
M. Nakashima, Department of Health Care for Students, Kanazawa Medical
University.
SOURCE
[Nippon kōshū eisei zasshi] Japanese journal of public health (2008) 55:9
(647-654). Date of Publication: Sep 2008
ISSN
0546-1766
ABSTRACT
PURPOSE: The purpose of this study was to investigate the effect of
designating a medical school environment as smoke-free on the smoking
behavior of medical students. METHODS: The total environment of a medical
school in Japan was designated as smoke-free in 2004. Smoking behavior was
surveyed among approximately 640 students in each year during the period
2001-2007 (response rate 91.2%). Smoking rates were also monitored among
each year's freshmen during their time at the school, before and after 2004.
Attitudes to smoking among both current smokers and those who had quit
smoking were also investigated. RESULTED: Smoking rates among all students
declined after the medical school was declared smoke-free in 2004; the rates
were highest in 2002 (41.2%) and lowest in 2007 (22.1%) among men. Smoking
rates among each year's freshmen tended to increase as the school year
progressed before 2004, but they tended to decrease after 2004. Comparison
of smoking rates among identical students showed a decline from 36.0% in
2003 to 25.6% in 2004 (P < 0.05). The rate of smokers wishing to quit
smoking increased significantly from 39.1% in 2003 to 60.2% in 2004 (P <
0.01). 20.8% of students who had quit smoking and 50.0% of students who had
continued to smoke felt that they would not be confident about educating
their patients in smoking cessation (P < 0.01). CONCLUSIONS: Making a
medical school environment smoke-free could be very effective means to
motivating medical students to change their attitudes to smoking and to
quit.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
medical student
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
article
female
human
Japan
legal aspect
male
psychological aspect
LANGUAGE OF ARTICLE
Japanese
MEDLINE PMID
19044004 (http://www.ncbi.nlm.nih.gov/pubmed/19044004)
PUI
L550084096
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1249
TITLE
Doctor, heal thyself!
AUTHOR NAMES
Ray S.B.
AUTHOR ADDRESSES
(Ray S.B.) Department of Anatomy, All India Institute of Medical Sciences,
Ansari Nagar, New Delhi, India.
CORRESPONDENCE ADDRESS
S.B. Ray, Department of Anatomy, All India Institute of Medical Sciences,
Ansari Nagar, New Delhi, India.
SOURCE
National Medical Journal of India (2008) 21:5 (261). Date of Publication:
September/October 2008
ISSN
0970-258X
BOOK PUBLISHER
All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
human
incidence
letter
medical student
student attitude
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2009092562
MEDLINE PMID
19320331 (http://www.ncbi.nlm.nih.gov/pubmed/19320331)
PUI
L354221048
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1250
TITLE
Impairment in Anesthesiology: Awareness and Education
AUTHOR NAMES
Lineberger C.K.
AUTHOR ADDRESSES
(Lineberger C.K., lineb001@mc.duke.edu) Duke University, Durham, NC.
(Lineberger C.K., lineb001@mc.duke.edu) Department of Anesthesiology, Duke
University, Durham, NC.
CORRESPONDENCE ADDRESS
C. K. Lineberger, Department of Anesthesiology, Duke University, Durham, NC.
Email: lineb001@mc.duke.edu
SOURCE
International Anesthesiology Clinics (2008) 46:4 (151-160). Date of
Publication: Fall 2008
ISSN
0020-5907
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
EMTREE DRUG INDEX TERMS
opiate (drug toxicity)
propofol (drug toxicity)
sevoflurane (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (disease management)
anesthesiology
awareness
intellectual impairment (disease management)
medical education
EMTREE MEDICAL INDEX TERMS
aftercare
article
convalescence
health care policy
human
medical practice
medical specialist
medical student
mental disease
occupational hazard
priority journal
professional secrecy
professionalism
residency education
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
propofol (2078-54-8)
sevoflurane (28523-86-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2009259831
MEDLINE PMID
18849741 (http://www.ncbi.nlm.nih.gov/pubmed/18849741)
PUI
L354656553
DOI
10.1097/AIA.0b013e3181773baa
FULL TEXT LINK
http://dx.doi.org/10.1097/AIA.0b013e3181773baa
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1251
TITLE
Behavioural interventions in primary care: An implementation trial
AUTHOR NAMES
Bilsker D.
Anderson J.
Samra J.
Goldner E.
David S.
AUTHOR ADDRESSES
(Bilsker D.; Samra J.; Goldner E.) Simon Fraser University, Vancouver, BC.
(Anderson J.) University of Victoria, British Columbia.
(David S.) Department of Psychiatry, University of Toronto, ON.
CORRESPONDENCE ADDRESS
D. Bilsker, Simon Fraser University, Vancouver, BC.
SOURCE
Canadian Journal of Community Mental Health (2008) 27:2 (179-189). Date of
Publication: Fall 2008
ISSN
0713-3936
BOOK PUBLISHER
Wilfrid Laurier University Press, 75 University Avenue West, Waterloo,
Ontario, Canada.
ABSTRACT
Developing effective strategies to keep health care providers' practice
current with best practice guidelines has proven to be challenging. This
trial was conducted to determine the potential for using brief educational
sessions to generate significant change in physician delivery of mental
health and substance use interventions in primary care. A 1-hour educational
session outlining interventions for depression and risky alcohol use was
delivered to a sample of 85 family physicians. The interventions used a
supported self-management approach and included free patient access to
appropriate self- management resources. The study initially evaluated
physicians' implementation of these interventions over a 2-month period.
Physician uptake of the depression intervention was significantly greater
than uptake of the risky-drinking intervention (32% versus 10%). A follow-up
at 6-months posttraining (depression intervention only) demonstrated fairly
good maintenance of intervention delivery. Implications of these findings
are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior therapy
primary medical care
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
depression (therapy)
female
general practitioner
human
male
medical practice
mental health service
practice guideline
self care
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2009132104
PUI
L354328393
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1252
TITLE
Substance abuse issues among women in domestic violence programs: Findings
from North Carolina
AUTHOR NAMES
Martin S.L.
Moracco K.E.
Chang J.C.
Council C.L.
Dulli L.S.
AUTHOR ADDRESSES
(Martin S.L.) University of North Carolina, Chapel Hill, NC, United States.
(Moracco K.E.) Pacific Institute for Research and Evaluation, .
(Chang J.C.) University of Pittsburgh, .
(Council C.L.) RTI International, .
(Dulli L.S.) Family Health International, .
CORRESPONDENCE ADDRESS
S. L. Martin, University of North Carolina, Chapel Hill, NC, United States.
SOURCE
Violence Against Women (2008) 14:9 (985-997). Date of Publication: September
2008
ISSN
1077-8012
1552-8448 (electronic)
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
This article discusses the results of a survey of North Carolina domestic
violence programs that found that substance abuse problems are common among
program clients, yet only half of the programs had policies concerning
substance-abusing clients, and one fourth had memoranda of agreement with
substance abuse treatment providers. Most programs with shelters asked
clients about substance use; however, one third of the shelters would not
admit women if they were noticeably under the influence of substances while
seeking shelter residence, instead referring them to substance abuse
programs. Approximately one tenth of the domestic violence programs did not
have any staff or volunteers with training in substance abuse issues.
Implications are discussed. © 2008 Sage Publications.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, therapy)
battered woman
drug dependence treatment
housing
women's health
EMTREE MEDICAL INDEX TERMS
adult
aged
article
community care
female
health care quality
health service
human
middle aged
needs assessment
organization and management
socioeconomics
standard
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18703771 (http://www.ncbi.nlm.nih.gov/pubmed/18703771)
PUI
L352176679
DOI
10.1177/1077801208322103
FULL TEXT LINK
http://dx.doi.org/10.1177/1077801208322103
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1253
TITLE
Assessment and treatment of co-occurring eating disorders in publicly funded
addiction treatment programs
AUTHOR NAMES
Gordon S.M.
Johnson J.A.
Greenfield S.F.
Cohen L.
Killeen T.
Roman P.M.
AUTHOR ADDRESSES
(Gordon S.M., sgordon@seabrookhouse.org) Research Department, Seabrook
House, 133 Polk Ln., Seabrook, NJ 08302-5055, United States.
(Johnson J.A.; Roman P.M.) Institute for Behavioral Research, University of
Georgia, Athens, GA, United States.
(Greenfield S.F.) Department of Psychiatry, Harvard Medical School, Boston,
MA, United States.
(Cohen L.) School of Social Work, Columbia University, New York City, NY,
United States.
(Killeen T.) Clinical Neuroscience Division, Institute of Psychiatry,
Medical University of South Carolina, Charleston, SC, United States.
CORRESPONDENCE ADDRESS
S. M. Gordon, Research Department, Seabrook House, 133 Polk Ln., Seabrook,
NJ 08302-5055, United States. Email: sgordon@seabrookhouse.org
SOURCE
Psychiatric Services (2008) 59:9 (1056-1059). Date of Publication: September
2008
ISSN
1075-2730
1557-9700 (electronic)
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
ABSTRACT
Objective: Publicly funded addiction treatment programs were surveyed to
increase understanding of treatment options for persons with co-occurring
eating and substance use disorders. Methods: Data were collected between
2002 and 2004 from face-to-face interviews with program directors of a
nationally representative sample of 351 addiction treatment programs.
Results: Half of the programs screen patients for eating disorders; 29%
admit all persons with eating disorders, and 48% admit persons with eating
disorders of low severity. Few programs attempt to treat eating disorders.
Programs that admit and treat patients with eating disorders are more likely
to emphasize a medical-psychiatric model of addiction, use psychiatric
medications, admit patients with other psychiatric disorders, and have a
lower caseload of African-American patients. Conclusions: Generally,
patients with co-occurring eating and substance use disorders do not appear
to receive structured assessment or treatment for eating disorders in
addiction treatment programs. These results highlight the need for education
of addiction treatment professionals in assessment of eating disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (epidemiology)
drug dependence treatment
eating disorder (epidemiology)
health program
EMTREE MEDICAL INDEX TERMS
African American
article
disease severity
female
funding
human
interview
major clinical study
male
psychological model
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008416828
MEDLINE PMID
18757602 (http://www.ncbi.nlm.nih.gov/pubmed/18757602)
PUI
L352265045
DOI
10.1176/appi.ps.59.9.1056
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ps.59.9.1056
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1254
TITLE
Doctors' health and fitness to practise: Treating addicted doctors
AUTHOR NAMES
Marshall E.J.
AUTHOR ADDRESSES
(Marshall E.J., jane.marshall@slam.nhs.uk) National Addiction Centre,
Institute of Psychiatry, King's College London, London, United Kingdom.
CORRESPONDENCE ADDRESS
E.J. Marshall, National Addiction Centre, Institute of Psychiatry, King's
College London, London, United Kingdom. Email: jane.marshall@slam.nhs.uk
SOURCE
Occupational Medicine (2008) 58:5 (334-340). Date of Publication: 2008
ISSN
0962-7480
1471-8405 (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
The literature describing the diagnostic process in the addicted doctor is
scant. Figures from North America indicate that the prevalence of alcohol
problems in doctors may be no higher than in the population as a whole,
whereas high rates of prescription drug use have been recognized. This
practice of self-treatment with controlled drugs is a 'unique concern' for
doctors. The development of substance misuse problems in doctors cannot be
reduced to a single factor: Anxiety and depression, personality problems,
stress at work, family stress, bereavement, an injury or accident at work,
pain and a non-specific drift into drinking have been implicated. Early
diagnosis is critical because doctors are often reluctant to seek help and
colleagues reluctant to intervene. Medical schools and continuing medical
education programmes must give greater emphasis to addiction and substance
misuse in doctors with a view to reducing the incidence of 'impaired
physicians' and promoting and encouraging early treatment and
rehabilitation. The relationship between the addiction psychiatrist and the
occupational physician is key given that these problems occur at the
interface between occupational health and regulatory systems. The need for
individually tailored back to work programmes requires careful coordination
and monitoring and may be difficult to implement without their involvement.
Generally, the prognosis for doctors' recovery is good and it is possible to
predict which doctors will 'make it'. © The Author 2008. Published by Oxford
University Press on behalf of the Society of Occupational Medicine. All
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
occupational health
physician attitude
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol rehabilitation
alcoholism (diagnosis)
anxiety
bereavement
clinical practice
continuing education
convalescence
depression
drinking behavior
drug abuse
drug dependence (diagnosis, rehabilitation)
drug dependence treatment
drug misuse (diagnosis, rehabilitation)
early diagnosis
early intervention
education program
family stress
health care system
health status
human
incidence
individualization
job stress
medical literature
medical school
North America
occupational accident
occupational health service
occupational physician
pain
patient care
patient monitoring
personality disorder
prediction
prescription
prevalence
priority journal
prognosis
psychiatrist
review
self care
treatment outcome
treatment planning
work resumption
EMBASE CLASSIFICATIONS
Rehabilitation and Physical Medicine (19)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008389369
MEDLINE PMID
18676427 (http://www.ncbi.nlm.nih.gov/pubmed/18676427)
PUI
L352161562
DOI
10.1093/occmed/kqn081
FULL TEXT LINK
http://dx.doi.org/10.1093/occmed/kqn081
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1255
TITLE
A review of systems for continued education and training in the substance
abuse field
AUTHOR NAMES
Uchtenhagen A.
Stamm R.
Huber J.
Vuille R.
AUTHOR ADDRESSES
(Uchtenhagen A., uchtenhagen@isgf.uzh.ch) Research Institute for Public
Health and Addiction, Zurich University, Konradstr. 32, CH-8005 Zurich.
(Stamm R.) Unit for Quality and Education, Schwarztorstr. 96, Bern, CH-3007.
(Huber J.) Expert Committee on Continuing Training, Monbijoustr. 70, CH-3000
Bern 23.
(Vuille R.) Association of Swiss Labour Exchange Offices, VSAA, Bern.
CORRESPONDENCE ADDRESS
A. Uchtenhagen, Research Institute for Public Health and Addiction, Zurich
University, Konradstr. 32, CH-8005 Zurich. Email: uchtenhagen@isgf.uzh.ch
SOURCE
Substance Abuse (2008) 29:3 (95-102). Date of Publication: 4 Aug 2008
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Continued education of professionals is a major factor for service
improvement and evidence-based good practice. This project explores the
strategies used for this purpose across countries (CET = continued education
and training in the substance abuse field). A structured questionnaire was
circulated internationally by an expert committee of the Swiss Federal
Office of Public Health. Reports from 11 countries were collected in 2005.
The following review is based on these reports and structured according to
the questionnaire (questions in italics). The authors of the reports are
listed in the acknowledgements. The countries are Australia, Austria,
Finland, France, Germany, Greece, Italy, The Netherlands, Scotland,
Switzerland, and the United States. As a result of this project, an
international think tank on continued education and training was established
and is briefly described. © 2008 by The Haworth Press.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
training
EMTREE MEDICAL INDEX TERMS
Australia
Austria
Finland
France
Germany
Greece
health care quality
human
Italy
Netherlands
public health
review
structured questionnaire
Switzerland
United Kingdom
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009346429
MEDLINE PMID
19042211 (http://www.ncbi.nlm.nih.gov/pubmed/19042211)
PUI
L354894714
DOI
10.1080/08897070802219263
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070802219263
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1256
TITLE
One approach to the return to residency for anesthesia residents recovering
from opioid addiction
AUTHOR NAMES
Bryson E.O.
Levine A.
AUTHOR ADDRESSES
(Bryson E.O., ethan.bryson@msnyuhealth.org; Levine A.) Department of
Anesthesiology, The Mount Sinai Medical Center, PO Box 1010, New York, NY
10029-6574, United States.
CORRESPONDENCE ADDRESS
E.O. Bryson, Department of Anesthesiology, The Mount Sinai Medical Center,
PO Box 1010, New York, NY 10029-6574, United States. Email:
ethan.bryson@msnyuhealth.org
SOURCE
Journal of Clinical Anesthesia (2008) 20:5 (397-400). Date of Publication:
August 2008
ISSN
0952-8180
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Study Objective: There is a high rate of relapse among anesthesia residents
attempting to re-enter clinical anesthesia training programs after
completing treatment for opioid addiction. Individuals may return to
clinical practice after a short period of treatment only to relapse into
active addiction, and for the opioid addicted anesthesia resident, this
often results in death. The objective of this study was to determine weather
or not a period of time away from clinical practice after treatment would
reduce the rate of relapse by allowing the individual to concentrate on
recovery in the critical first year after treatment, during which the
majority of relapses occur. Design: 5 residents identified as being addicted
to a controlled substance were removed from residency training and offered
treatment. Prior to returning to residency training they were required to
complete a post-treatment program involving no less than 12 months of work
in the anesthesia simulator, followed by a graded re-introduction into the
clinical practice of anesthesia. Setting: Academic anesthesia practice in a
large teaching hospital. Results: Of the 5 residents who participated in the
program, 3 (60%) successfully completed their residency program and their 5
year monitoring contract, and entered the anesthesia workforce as attending
anesthesiologists. Conclusions: The treatment of addicted physicians can be
successful, and return of the highly motivated individual to the clinical
practice of Anesthesiology is a realistic goal, but this reintroduction must
be undertaken in a careful, stepwise fashion. A full understanding of the
disease process, the potential for relapse, and the implications of too
rapid a return to practice must be taken into careful consideration. © 2008
Elsevier Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
fentanyl
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesia
opiate addiction
EMTREE MEDICAL INDEX TERMS
anesthesist
article
clinical practice
human
priority journal
relapse
residency education
simulator
teaching hospital
CAS REGISTRY NUMBERS
fentanyl (437-38-7)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008404384
MEDLINE PMID
18761254 (http://www.ncbi.nlm.nih.gov/pubmed/18761254)
PUI
L352217928
DOI
10.1016/j.jclinane.2007.10.011
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jclinane.2007.10.011
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1257
TITLE
The pediatric residency training on tobacco project: Four-year parent
outcome findings
AUTHOR NAMES
Hymowitz N.
Pyle S.A.
Haddock C.K.
Schwab J.V.
AUTHOR ADDRESSES
(Hymowitz N., hymowitz@umdnj.edu) Department of Psychiatry, UMDNJ-New Jersey
Medical School, Behavioral Health Sciences Bldg. F-1534, 183 South Orange
Avenue, Newark, NJ 07103, United States.
(Pyle S.A.) Department of Preventive Medicine, Kansas City University of
Medicine and Biosciences, Kansas City, MO 64106-1453, United States.
(Pyle S.A.) Department of Family Medicine, Kansas City University of
Medicine and Biosciences, Kansas City, MO 64106-1453, United States.
(Haddock C.K.) Department of Informatic Medicine and Personalized Health,
School of Medicine, University of Missouri at Kansas City, MO 64108, United
States.
(Schwab J.V.) Department of Pediatrics, UMDNJ-New Jersey Medical School,
Newark, NJ 07103, United States.
CORRESPONDENCE ADDRESS
N. Hymowitz, Department of Psychiatry, UMDNJ-New Jersey Medical School,
Behavioral Health Sciences Bldg. F-1534, 183 South Orange Avenue, Newark, NJ
07103, United States. Email: hymowitz@umdnj.edu
SOURCE
Preventive Medicine (2008) 47:2 (221-224). Date of Publication: August 2008
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Objective: To assess parent behavioral change and perception of resident
intervention on tobacco. Methods: In a long-term study of the efficacy of
training pediatric residents to address tobacco conducted at the New Jersey
Medical School, sixteen pediatric training programs were assigned randomly
to either special or standard training conditions. Parent surveys were
administered in the fall of 2001 and 2005 in order to assess the effects of
resident intervention on parent behavior, as well as parent perceptions of
resident intervention. Results: The percent of parents who smoke at sites
associated with the special training condition, but not of those at sites
associated with standard training, who reported that residents advised them
to stop smoking, offered to help them quit, and provided quit smoking
materials increased significantly from baseline to year 4. The percent of
parents in the special training condition who reported quitting smoking in
the past year also increased, although the increase was not statistically
significant. A majority of the parents associated with each training
condition reported receiving intervention for second hand smoke (SHS). For
each training condition, the level of intervention to prevent exposure of
infants and children to SHS exposure was similar at baseline and year 4, as
was the percent of parents who reported having a smoke-free household.
Conclusion: The results support the efficacy of the special training program
and underscore the importance of preparing pediatric residents to address
tobacco. © 2008 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
residency education
EMTREE MEDICAL INDEX TERMS
article
parental behavior
priority journal
smoking
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008357598
MEDLINE PMID
18585771 (http://www.ncbi.nlm.nih.gov/pubmed/18585771)
PUI
L50190616
DOI
10.1016/j.ypmed.2008.05.011
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2008.05.011
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1258
TITLE
Reentry of anesthesiology residents after treatment of chemical
dependency-is it rational?
AUTHOR NAMES
Tetzlaff J.E.
Collins G.B.
AUTHOR ADDRESSES
(Tetzlaff J.E., tetzlaj@ccf.org) Anesthesiology Institute Cleveland Clinic
Lerner College of Medicine, Case Western Reserve University, Cleveland, OH,
United States.
(Tetzlaff J.E., tetzlaj@ccf.org) Anesthesiology Institute, The Cleveland
Clinic Foundation, Cleveland, OH 44195, United States.
(Collins G.B.) Department of Psychiatry and Psychology, Alcohol and Drug
Recovery, The Cleveland Clinic Foundation, Cleveland, OH 44195, United
States.
CORRESPONDENCE ADDRESS
J.E. Tetzlaff, Anesthesiology Institute Cleveland Clinic Lerner College of
Medicine, Case Western Reserve University, Cleveland, OH, United States.
Email: tetzlaj@ccf.org
SOURCE
Journal of Clinical Anesthesia (2008) 20:5 (325-327). Date of Publication:
August 2008
ISSN
0952-8180
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
EMTREE DRUG INDEX TERMS
anesthetic agent
fentanyl (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
residency education
EMTREE MEDICAL INDEX TERMS
anesthesia
anesthesist
decision making
drug misuse
editorial
human
incidence
medical practice
mortality
occupational safety
priority journal
professional practice
relapse
risk assessment
risk factor
self esteem
self medication
United States
CAS REGISTRY NUMBERS
fentanyl (437-38-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Occupational Health and Industrial Medicine (35)
Toxicology (52)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2008404390
MEDLINE PMID
18761237 (http://www.ncbi.nlm.nih.gov/pubmed/18761237)
PUI
L352217934
DOI
10.1016/j.jclinane.2008.04.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jclinane.2008.04.001
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1259
TITLE
Statewide Adoption and Initial Implementation of Contingency Management for
Substance-Abusing Adolescents
AUTHOR NAMES
Henggeler S.W.
Chapman J.E.
Rowland M.D.
Halliday-Boykins C.A.
Randall J.
Shackelford J.
Schoenwald S.K.
AUTHOR ADDRESSES
(Henggeler S.W., henggesw@musc.edu; Chapman J.E.; Rowland M.D.;
Halliday-Boykins C.A.; Randall J.; Shackelford J.; Schoenwald S.K.) Family
Services Research Center, Department of Psychiatry and Behavioral Sciences,
Medical University of South Carolina, .
CORRESPONDENCE ADDRESS
S.W. Henggeler, Family Services Research Center, Department of Psychiatry
and Behavioral Sciences, Medical University of South Carolina, . Email:
henggesw@musc.edu
SOURCE
Journal of Consulting and Clinical Psychology (2008) 76:4 (556-567). Date of
Publication: August 2008
ISSN
0022-006X
BOOK PUBLISHER
American Psychological Association Inc., 750 First Street NE, Washington,
United States.
ABSTRACT
Four hundred thirty-two public sector therapists attended a workshop in
contingency management (CM) and were interviewed monthly for the following 6
months to assess their adoption and initial implementation of CM to treat
substance-abusing adolescent clients. Results showed that 58% (n = 131) of
the practitioners with at least one substance-abusing adolescent client (n =
225) adopted CM. Rates of adoption varied with therapist service sector
(mental health vs. substance abuse), educational background, professional
experience, and attitudes toward treatment manuals and evidence-based
practices. Competing clinical priorities and client resistance were most
often reported as barriers to adopting CM, whereas unfavorable attitudes
toward and difficulty in implementing CM were rarely cited as barriers. The
fidelity of initial CM implementation among adopters was predicted by
organizational characteristics as well as by several demographic,
professional experience, attitudinal, and service sector characteristics.
Overall, the findings support the amenability of public sector practitioners
to adopt evidence-based practices and suggest that the predictors of
adoption and initial implementation are complex and multifaceted. © 2008
American Psychological Association.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
evidence based practice
psychotherapist
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
clinical practice
education
female
human
interview
male
normal human
physician attitude
professional practice
work experience
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008368204
MEDLINE PMID
18665685 (http://www.ncbi.nlm.nih.gov/pubmed/18665685)
PUI
L352090557
DOI
10.1037/0022-006X.76.4.556
FULL TEXT LINK
http://dx.doi.org/10.1037/0022-006X.76.4.556
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1260
TITLE
A review of barriers and facilitators of HIV treatment among injection drug
users
AUTHOR NAMES
Wood E.
Kerr T.
Tyndall M.W.
Montaner J.S.
AUTHOR ADDRESSES
(Wood E., uhri@cfenet.ubc.ca; Kerr T.; Tyndall M.W.; Montaner J.S.) British
Columbia Centre for Excellence in HIV/AIDS, St. Pauls Hospital, Providence
Healthcare, Vancouver, Canada.
(Wood E., uhri@cfenet.ubc.ca; Kerr T.; Tyndall M.W.; Montaner J.S.) Division
of AIDS, Department of Medicine, University of British Columbia, Vancouver,
Canada.
(Wood E., uhri@cfenet.ubc.ca) BC Centre for Excellence in HIV/AIDS, 6671081
Burrard Street, Vancouver, BC V6Z 1Y6, Canada.
CORRESPONDENCE ADDRESS
E. Wood, BC Centre for Excellence in HIV/AIDS, 6671081 Burrard Street,
Vancouver, BC V6Z 1Y6, Canada. Email: uhri@cfenet.ubc.ca
SOURCE
AIDS (2008) 22:11 (1247-1256). Date of Publication: 11 Jul 2008
ISSN
0269-9370
1473-5571 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Globally, injection drug use continues to account for a substantial
proportion of HIV infections. There have not, however, been any
evidence-based reviews of the barriers and facilitators of HIV treatment
among injection drug users. For this review, published studies were
extracted from nine academic databases, with no language or date specified
in the search criteria. Existing evidence demonstrates that, although
injection drug users often have worse outcomes from HIV treatment than
non-injection drug users, major antiretroviral-associated survival gains
still have been observed among this population. Inferior outcomes are
explained by a range of barriers to antiretroviral access and adherence,
which often stem from the negative influences of illicit drug policies, as
well as issues within medical systems, including lack of physician education
about substance abuse. Evidence demonstrates that several under-utilized
interventions and novel antiretroviral delivery modalities have helped to
greatly address these barriers in several settings, and there is sufficient
evidence to support immediate scale-up of these programmes. These
interventions include coupling antiretroviral therapy with opioid
substitution therapies as well as directly administered antiretroviral
therapy programmes. Of particular interest for future evaluation is the
coupling of HIV treatment programmes within comprehensive services, which
also provide low-threshold (harm reduction) HIV prevention programmes.
Scale-up of evidence-based HIV treatment and prevention to injection drug
users, however, will require increasing political will among both national
policy-makers and international public health agencies. © 2008 Wolters
Kluwer Health / Lippincott Williams & Wilkins.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antiretrovirus agent (drug therapy)
illicit drug
proteinase inhibitor (drug therapy)
EMTREE DRUG INDEX TERMS
buprenorphine (drug therapy)
methadone (drug therapy, pharmacokinetics)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
highly active antiretroviral therapy
Human immunodeficiency virus infected patient
Human immunodeficiency virus infection (drug therapy, disease management,
drug therapy, etiology)
intravenous drug abuse
EMTREE MEDICAL INDEX TERMS
cause of death
CD4+ T lymphocyte
clinical assessment
comorbidity
cost of illness
data base
drug dependence (drug therapy)
drug metabolism
evidence based medicine
evidence based practice
financial management
harm reduction
health care availability
health care policy
health program
health service
hepatitis C
HIV education
homelessness
human
maintenance therapy
mental disease
patient compliance
physician attitude
politics
poverty
priority journal
prison
public health
review
social aspect
substance abuse
substitution therapy
virotherapy
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
proteinase inhibitor (37205-61-1)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Internal Medicine (6)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009258757
MEDLINE PMID
18580603 (http://www.ncbi.nlm.nih.gov/pubmed/18580603)
PUI
L354655370
DOI
10.1097/QAD.0b013e3282fbd1ed
FULL TEXT LINK
http://dx.doi.org/10.1097/QAD.0b013e3282fbd1ed
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1261
TITLE
Medical students: Abuse of psychoactive substances and sexuality aspects
AUTHOR NAMES
Carvalho K.A.M.
Sant'Anna M.J.C.
Coates V.
Omar H.A.
AUTHOR ADDRESSES
(Carvalho K.A.M.; Sant'Anna M.J.C.; Coates V.) Adolescent Clinical Unit,
Department of Pediatrics, Santa Casa of São Paulo Faculty of Medical
Sciences, São Paulo, Brazil.
(Omar H.A., haomar2@uky.edu) Division of Adolescent Medicine, Department of
Pediatrics, University of Kentucky, Lexington, KY 40536, United States.
CORRESPONDENCE ADDRESS
H.A. Omar, Adolescent Medicine and Young Parent Programs, Kentucky Clinic,
University of Kentucky, Lexington, KY 40536, United States. Email:
haomar2@uky.edu
SOURCE
International Journal of Adolescent Medicine and Health (2008) 20:3
(321-328). Date of Publication: July/September 2008
ISSN
0334-0139
BOOK PUBLISHER
Freund Publishing House Ltd, 61 Nachmani Street, P.O. Box 35010, Tel Aviv,
Israel.
ABSTRACT
University students aged 17 to 24 years of age are prone to many risk
factors. Objectives: Identify risk factors related to exploring sexuality
and characteristics of consumption of psychoactive substances in students
attending medical school. Methods: 465 Medical students from Santa Casa of
São Paulo Faculty of Medical Sciences (FCMSCSP) were prospectively and
transversely evaluated during 2005. An anonymous, semi-structured,
self-filling questionnaire was used. The average age of the students was
21.5 years, 43% females. 76.2% preferred alcohol, and 11.1% tobacco
consumption; chloroethane (lança-perfume) consumption occurred in 22.6% and
15.3% consumption of other types of illicit drugs, with marijuana as the
most used one (94%). 70.3%, of the parents drink alcohol and 30.5% smoke
tobacco. As for the students' sexuality, 85.3% have already had sexual
intercourses, starting at average age of 17. 88.8% used condom during the
first sexual intercourse, however, 35.6% did not use it regularly; 5.4% had
already had some type of DST. 79.8% of the females preferred having used
contraceptive methods; however, 28.1% had a suspicion of pregnancy, which
was confirmed in 7.9% of the cases. 9.9% of the students had ideas of
abortion, 12.5% have effectively attempted it. 85% found medical school
stressing and to relieve tension, 33.8% practiced sports; 6.9% preferred
either licit or illicit drug consumption, and 5% used tranquilizers. The
results showed risk behaviors: unsafe sex and the use of licit and illicit
drugs indicated the need to establish guidance programs on reproductive
health, improving self-esteem, and prevention during medical education.
©Freund Publishing House Ltd.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
chloroethane
illicit drug
tranquilizer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
sexuality
substance abuse
EMTREE MEDICAL INDEX TERMS
abortion
adolescent
adult
alcohol consumption
article
Brazil
cannabis smoking
condom
contraception
controlled study
female
high risk behavior
human
major clinical study
male
medical school
medical student
parental behavior
pregnancy
prospective study
questionnaire
school stress
self esteem
sexual intercourse
smoking
sport
unsafe sex
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
chloroethane (75-00-3)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008569782
MEDLINE PMID
19097570 (http://www.ncbi.nlm.nih.gov/pubmed/19097570)
PUI
L352761289
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1262
TITLE
Working with patients with alcohol problems: A controlled trial of the
impact of a rich media web module on medical student performance
AUTHOR NAMES
Lee J.D.
Triola M.
Gillespie C.
Gourevitch M.N.
Hanley K.
Truncali A.
Zabar S.
Kalet A.
AUTHOR ADDRESSES
(Lee J.D., joshua.lee@med.nyu.edu; Triola M.; Gillespie C.; Gourevitch M.N.;
Hanley K.; Truncali A.; Zabar S.; Kalet A.) Division of General Internal
Medicine, New York University School of Medicine, New York, NY, United
States.
(Lee J.D., joshua.lee@med.nyu.edu) Division of General Internal Medicine,
New York University School of Medicine, VAMC, 423 E. 23rd St., 15156N, New
York, NY 10010, United States.
CORRESPONDENCE ADDRESS
J. D. Lee, Division of General Internal Medicine, New York University School
of Medicine, VAMC, 423 E. 23rd St., 15156N, New York, NY 10010, United
States. Email: joshua.lee@med.nyu.edu
SOURCE
Journal of General Internal Medicine (2008) 23:7 (1006-1009). Date of
Publication: July 2008
ISSN
0884-8734
1525-1497 (electronic)
BOOK PUBLISHER
Springer New York, 233 Springer Street, New York, United States.
ABSTRACT
INTRODUCTION/AIMS: We designed an interactive web module to improve medical
student competence in screening and interventions for hazardous drinking. We
assessed its impact on performance with a standardized patient (SP) vs.
traditional lecture. SETTING: First year medical school curriculum. PROGRAM
DESCRIPTION: The web module included pre/posttests, Flash©, and text
didactics. It centered on videos of two alcohol cases, each contrasting a
novice with an experienced physician interviewer. The learner free-text
critiqued each clip then reviewed expert analysis. PROGRAM EVALUATION: First
year medical students conveniently assigned to voluntarily complete a web
module (N=82) or lecture (N=81) were rated by a SP in a later alcohol case.
Participation trended higher (82% vs. 72%, p<.07) among web students, with
an additional 4 lecture-assigned students crossing to the web module. The
web group had higher mean scores on scales of individual components of brief
intervention (assessment and decisional balance) and a brief intervention
composite score (1-13 pt.; 9 vs. 7.8, p<.02) and self-reported as better
prepared for the SP case. CONCLUSIONS: A web module for alcohol use
interview skills reached a greater proportion of voluntary learners and was
associated with equivalent overall performance scores and higher brief
intervention skills scores on a standardized patient encounter. © 2008
Society of General Internal Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
medical student
web module
EMTREE MEDICAL INDEX TERMS
article
competence
controlled study
drinking behavior
human
lecture
normal human
screening
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008330184
MEDLINE PMID
18612733 (http://www.ncbi.nlm.nih.gov/pubmed/18612733)
PUI
L351960246
DOI
10.1007/s11606-008-0557-5
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-008-0557-5
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1263
TITLE
Accuracy of Data Collected by Surgical Residents
AUTHOR NAMES
Shetty V.
Murphy D.A.
Zigler C.
Resell J.
Yamashita D.D.
AUTHOR ADDRESSES
(Shetty V., vshetty@ucla.edu) Section of Oral and Maxillofacial Surgery,
University of California at Los Angeles, Los Angeles, CA, United States.
(Murphy D.A.) Health Risk Reduction Projects, Integrated Substance Abuse
Programs, Department of Psychiatry, University of California at Los Angeles,
Los Angeles, CA, United States.
(Zigler C.) Section of Oral and Maxillofacial Surgery, University of
California at Los Angeles, Los Angeles, CA, United States.
(Resell J.) Health Risk Reduction Projects, Integrated Substance Abuse
Programs, Department of Psychiatry, University of California at Los Angeles,
Los Angeles, CA, United States.
(Yamashita D.D.) Department of Oral and Maxillofacial Surgery, University of
Southern California, Los Angeles, CA, United States.
CORRESPONDENCE ADDRESS
V. Shetty, Section of Oral and Maxillofacial Surgery, University of
California at Los Angeles, Los Angeles, CA, United States. Email:
vshetty@ucla.edu
SOURCE
Journal of Oral and Maxillofacial Surgery (2008) 66:7 (1335-1342). Date of
Publication: July 2008
ISSN
0278-2391
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Purpose: Clinician records are the primary information source for assessing
the quality of facial injury care, billing, risk management, planning of
health services, and health-system management and reporting. Inaccuracies
obscure outcomes assessment and affect the planning of health services. We
sought to determine the accuracy of the clinician collected data by
comparing them to similar information elicited by professional interviewers.
Materials and Methods: We abstracted admissions data from the medical
records of 185 patients treated for orofacial injury between January 2005
and January 2007. Clinician data on sociodemographics and substance use were
compared with similar information elicited by trained research staff as part
of a prospective study. Results: The accuracy of the clinician data sets
varied considerably depending on the variable. Concordance with the
interviewer data sets was highest for age (paired t test P = .09), gender (κ
= 1), and ethnicity (κ = .84) but dropped off considerably for marital
status (κ = .22) and alcohol (κ = .18) and drug use (κ = .16). The missing
data per variable ranged from 4.5% (gender) to 46.9% (employment and
education). Conclusions: Although more research is needed to evaluate the
cause of inaccuracies and the relative contributions of patient, provider,
and system level effects, it seems that significant inaccuracies in
administrative data are common. In particular, patient information collected
by surgical residents under-reports substance use behaviors. Interventions
aimed at identifying the sources and correcting these errors are necessary.
© 2008 American Association of Oral and Maxillofacial Surgeons.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
information processing
maxillofacial injury (surgery)
EMTREE MEDICAL INDEX TERMS
adult
article
clinical trial
controlled study
drug use
female
health care personnel
human
interview
major clinical study
male
marriage
maxillofacial surgery
patient information
prospective study
residency education
statistical significance
Student t test
EMBASE CLASSIFICATIONS
Otorhinolaryngology (11)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008289458
MEDLINE PMID
18571014 (http://www.ncbi.nlm.nih.gov/pubmed/18571014)
PUI
L351833133
DOI
10.1016/j.joms.2008.01.065
FULL TEXT LINK
http://dx.doi.org/10.1016/j.joms.2008.01.065
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1264
TITLE
Perceptions of drugs benefits and barriers to quit by undergraduate health
students
ORIGINAL (NON-ENGLISH) TITLE
Percepción de los beneficios del consumo de drogas y barreras para su
abandono entre estudiantes del área de salud
AUTHOR NAMES
Henriquéz P.C.
De Carvalho A.M.P.
AUTHOR ADDRESSES
(Henriquéz P.C.) University of Concepción, Chile.
(De Carvalho A.M.P., anacar@eerp.usp.br) University of São Paulo at Ribeirão
Preto, College of Nursing, WHO Collaborating Centre for Nursing Research
Development, Brazil.
CORRESPONDENCE ADDRESS
P. C. Henriquéz, University of Concepción, Chile.
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (621-626). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
Several studies have exposed the consumption of drugs by undergraduate
students in the health area, who are supposed to be examples of behavior and
health educators. This descriptive correlation study aimed to relate the
benefits of tobacco consumption and barriers to quit according to the
perception of undergraduate students. Eighty third-year students, In three
different courses, answered a self-applied questionnaire. The studied
variables were: consumption conditions, barriers and benefits regarding drug
consumption, family and personal characteristics. One-third of the students
reported tobacco use; 5% reported the use of marijuana; 15% alcohol and 6%
tranquilizers, more than once a month; 18% reported the consumption of
tobacco and 13% reported the use of alcohol even before the age of 15. The
perceived benefits were: relaxation, pleasure and social acceptance, whereas
barriers for quitting were: habituation and addiction. According to the
results, promoting self-responsibility of these future health professionals
is recommended in their educational context.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude
medical education
medical student
nursing student
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
questionnaire
statistics
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709285 (http://www.ncbi.nlm.nih.gov/pubmed/18709285)
PUI
L352188214
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1265
TITLE
Undergraduate students' motivations for the consumption of legal drugs
ORIGINAL (NON-ENGLISH) TITLE
Motivaciones del estudiante universitario para el consumo de drogas legales
AUTHOR NAMES
Rodriguez V.M.H.
Scherer Z.A.P.
AUTHOR ADDRESSES
(Rodriguez V.M.H., covetojo@yahoo.com) University Autonoma of Querétaro,
School of Nursing, Mexico.
(Scherer Z.A.P., scherer@eerp.usp.br) University of São Paulo at Ribeirao
Preto, College of Nursing, WHO Collaborating Centre for Nursing Research
Development, Brazil.
CORRESPONDENCE ADDRESS
V. M. H. Rodríguez, University Autonoma of Querétaro, School of Nursing,
Mexico. Email: covetojo@yahoo.com
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (572-576). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
This qualitative research aimed at identifying conceptions held by
undergraduate students regarding the term motivation, and motives leading
them to the consumption of legal drugs. Data were collected through a
questionnaire with four open questions, applied to 15 students of a public
university in the central region of Mexico. In order to perform the data
analysis, answers were classified in two categories: a) Undergraduate
students' conceptions regarding the term motivation and b) Undergraduate
students' conceptions regarding the motives for consumption. Such analysis
indicated that students identify two types of motivations: external and
internal. The external motivation includes family, mass media and friends;
whereas internal motivation includes personal characteristics, need of
belonging, curiosity, pleasure and idleness.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
medical education
motivation
nursing student
EMTREE MEDICAL INDEX TERMS
article
drug therapy
human
psychological aspect
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709277 (http://www.ncbi.nlm.nih.gov/pubmed/18709277)
PUI
L352193750
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1266
TITLE
Comparing credentialing requirements of substance abuse treatment staff by
funding source
AUTHOR NAMES
Kubiak S.P.
Arfken C.L.
AUTHOR ADDRESSES
(Kubiak S.P., spk@msu.edu) Michigan State University, College of Social
Science, East Lansing, MI 48824, United States.
(Arfken C.L.) Wayne State University, Detroit, MI, United States.
CORRESPONDENCE ADDRESS
S.P. Kubiak, Michigan State University, College of Social Science, East
Lansing, MI 48824, United States. Email: spk@msu.edu
SOURCE
Journal of Substance Abuse Treatment (2008) 35:1 (93-98). Date of
Publication: July 2008
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Studies have found that clinicians with higher education and/or attainment
of national certification have a more favorable outlook regarding the
adoption of evidence-based practices. However, staff hiring decisions may be
based on a multitude of factors, including available resources and demands
stemming from different funders. Using a mixed-methods case study approach
with 34 agencies within one state, we assessed administrators' perspectives
of the most important funding source, views on clinical hiring practices,
and current staffing. We found that funding source predicted views and
actual staff level of credentialing and education. Those agencies citing a
criminal justice entity as the most important funder had the lowest
requirements for credentialing and education. As the substance abuse
treatment delivery system evolves and expands, we must ensure that
vulnerable groups have access to more highly-rather than less-skilled
workers to assess and facilitate recovery. © 2008 Elsevier Inc. All rights
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
accreditation
drug dependence treatment
funding
EMTREE MEDICAL INDEX TERMS
administrative personnel
article
clinical practice
comparative study
criminal justice
health education
medical staff
prediction
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008255127
MEDLINE PMID
17931822 (http://www.ncbi.nlm.nih.gov/pubmed/17931822)
PUI
L351734597
DOI
10.1016/j.jsat.2007.08.007
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2007.08.007
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1267
TITLE
Doctors with difficulties: Why so few women?
AUTHOR NAMES
Firth-Cozens J.
AUTHOR ADDRESSES
(Firth-Cozens J., jfirth-cozens@londondeanery.ac.uk) London Deanery, Stewart
House, 32 Russell Square, London WC1B 5DN, United Kingdom.
CORRESPONDENCE ADDRESS
J. Firth-Cozens, London Deanery, Stewart House, 32 Russell Square, London
WC1B 5DN, United Kingdom. Email: jfirth-cozens@londondeanery.ac.uk
SOURCE
Postgraduate Medical Journal (2008) 84:992 (318-320). Date of Publication:
June 2008
ISSN
0032-5473
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
ABSTRACT
The National Clinical Assessment Service (NCAS), an NHS organisation that
assesses doctors and dentists referred to them because of perceived
difficulties, has produced a report describing data arising from its first 4
years, showing that male doctors were referred to the service considerably
more often than female doctors. Despite women accounting for 42% of the
general practitioner medical workforce and 37% of the medical hospital and
community (H&C) workforce in 2004, only 13% of GPs and 20% of H&C NCAS
referrals were women. When the H&C data were split into specialties, women
were underrepresented proportionally in all specialties. This paper offers a
review of possible reasons for these gender differences and in doing so
contributes to the debates concerning problems in performance and also the
costs of employing a growing proportion of women doctors. Firstly, it
hypothesises that the NCAS data may be nonrepresentative of similar agency
data, but finds that in disciplinary organisations of various types around
the world, men are consistently over-represented. Secondly, it suggests that
perhaps men are referred to such agencies more often than women because
their employers are more lenient on women. There is no evidence for this,
and it requires primary research to investigate it further. Finally, it
considers gender differences in the attributes, beyond technical skills,
that underpin a good doctor-patient relationship and finds that, on these
attributes, women usually excel over men. In addition, far fewer women are
disciplined for addiction. The implications of this for education and
rehabilitation are considered. It concludes that any analysis of the
economic costs of employing a greater proportion of female doctors must take
into account the higher costs of men's litigation, discipline and
retraining.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
physician attitude
EMTREE MEDICAL INDEX TERMS
communication skill
doctor patient relation
emotional intelligence
medical education
medical research
medical service
mental health
personality
sex difference
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008380151
MEDLINE PMID
18644923 (http://www.ncbi.nlm.nih.gov/pubmed/18644923)
PUI
L352130759
DOI
10.1136/pgmj.2008.068478
FULL TEXT LINK
http://dx.doi.org/10.1136/pgmj.2008.068478
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1268
TITLE
Relevance of the 5-HTTLPR polymorphism and childhood abuse to increased
psychiatric comorbidity in women with bulimia-spectrum disorders
AUTHOR NAMES
Richardson J.
Steiger H.
Schmitz N.
Joober R.
Bruce K.R.
Israel M.
Gauvin L.
Anestin A.S.
Dandurand C.
Howard H.
De Guzman R.
AUTHOR ADDRESSES
(Richardson J., Jodie.richardson@mail.mcgill.ca; Steiger H.; Bruce K.R.;
Israel M.; Anestin A.S.; Dandurand C.) Eating Disorders Program, Montreal,
QC, Canada.
(Steiger H.; Schmitz N.; Joober R.; Bruce K.R.; Israel M.; Howard H.; De
Guzman R.) Research Centre, Montreal, QC, Canada.
(Steiger H.; Schmitz N.; Joober R.; Bruce K.R.; Israel M.) Douelas Mental
Health University Institute, Psychiatry Department, Montreal, QC, Canada.
(Richardson J., Jodie.richardson@mail.mcgill.ca; Steiger H.) Psychology
Department, Montreal, QC, Canada.
(Gauvin L.) McGill University, Department of Social and Preventive Medicine,
University of Montreal, Montreal, QC, Canada.
(Joober R.) Speakers/Advisory Boards, Pfizer and Janssen Ortho, .
(Richardson J., Jodie.richardson@mail.mcgill.ca) Eating Disorders Program,
Douglas Mental Health University Institute, 6605 LaSalle Blvd., Borough of
Verdun, Montreal, QC H4H 1R3.
CORRESPONDENCE ADDRESS
J. Richardson, Eating Disorders Program, Douglas Mental Health University
Institute, 6605 LaSalle Blvd., Borough of Verdun, Montreal, QC H4H 1R3.
Email: Jodie.richardson@mail.mcgill.ca
SOURCE
Journal of Clinical Psychiatry (2008) 69:6 (981-990). Date of Publication:
June 2008
ISSN
0160-6689
BOOK PUBLISHER
Physicians Postgraduate Press Inc., P.O. Box 752870, Memphis, United States.
ABSTRACT
Objective: Individuals with bulimia nervosa have been shown to display
heterogeneous profiles of co-morbid psychiatric disturbance, possibly due to
varying degrees of genetic and environmental vulnerability. Using
information about comorbid psychiatric disturbances, we developed an
empirically based classification of individuals with bulimia-spectrum
disorders, and then explored whether or not the resulting phenotypes
corresponded to variations in the serotonin transporter promoter
polymorphism (5-HTTLPR) and exposure to childhood abuse. Method: Eighty-nine
women aged 17 to 49 years with DSM-IV bulimia-spectrum disorders completed
questionnaires assessing eating and general psychopathologic symptoms,
participated in interviews assessing Axis I. disorders and childhood abuse,
and provided blood samples for genotyping. Data on lifetime Axis I disorders
were analyzed using latent class analysis, and resulting classes were
compared on eating and psychopathologic symptoms, 5-HTTLPR genotype, and
childhood abuse. The study was conducted from June 2002 to October 2006.
Results: The analysis yielded a model with 2 classes: a first class labeled
low comorbidity (N = 59, 66%), characterized by a high likelihood of major
depressive disorder, and another class labeled high comorbidity (N = 30,
34%), characterized by a high likelihood of major depressive disorder,
anxiety disorder, and substance-use disorders. The high-comorbidity class
displayed significantly higher dieting preoccupations and conduct problems,
and showed a greater likelihood of carrying the 5-HTTLPR S allele and of
childhood abuse than did the low-comorbidity class. Conclusion: The present
results are consistent with previous findings identifying a subgroup of
individuals with bulimia characterized by high psychiatric comorbidity and
suggest that the 5-HTTLPR polymorphism and childhood trauma may both be
pertinent to explaining the presence of greater psychiatric comorbidity in
bulimia-spectrum disorders. © copyright 2008 physicians postgraduate press,
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bulimia
child abuse
DNA polymorphism
mental disease
promoter region
serotonin transporter linked polymorphic region
EMTREE MEDICAL INDEX TERMS
adolescent
adult
allele
anxiety disorder
article
comorbidity
Diagnostic and Statistical Manual of Mental Disorders
feeding behavior
female
genetic variability
genotype
human
major clinical study
major depression
obsessive compulsive disorder
phenotype
priority journal
psychological model
substance abuse
EMBASE CLASSIFICATIONS
Human Genetics (22)
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008323741
MEDLINE PMID
18505306 (http://www.ncbi.nlm.nih.gov/pubmed/18505306)
PUI
L351944954
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1269
TITLE
Training seminar in substance use management for medical professionals:
Implementation and evaluation
AUTHOR NAMES
Kokkevi A.
Malliori M.
Kokkolis K.
Soldatos C.
AUTHOR ADDRESSES
(Kokkevi A., kokkevi@hol.gr; Malliori M.; Kokkolis K.; Soldatos C.)
Department of Psychiatry, Medical School, University of Athens, Athens,
Greece.
(Kokkevi A., kokkevi@hol.gr) Department of Psychiatry, Eginition Hospital,
74 Vassilissis Sofias Ave., GR-115 28 Athens, Greece.
CORRESPONDENCE ADDRESS
A. Kokkevi, Department of Psychiatry, Eginition Hospital, 74 Vassilissis
Sofias Ave., GR-115 28 Athens, Greece. Email: kokkevi@hol.gr
SOURCE
Archives of Hellenic Medicine (2008) 25:3 (373-383). Date of Publication:
May/June 2008
ISSN
1105-3992
BOOK PUBLISHER
BETA Medical Publishers Ltd, 23 Meandrou Street, Athens, Greece.
ABSTRACT
This paper presents the rationale, targets and features of a training
seminar on the management of individuals with alcohol and other drug use
problems, and its evaluation. The seminar was organized by the Department of
Psychiatry of Athens University Medical School with the aim of contributing
towards filling the gap in the education of health professionals in this
field. The seminar was attended by 20 generalists and graduates of the
Medical School waiting to start specialization in general medicine, and its
duration was 55 hours. It was based on the training methodology and active
participatory approach of a training manual published by the European
Addiction Training Institute (EATI) in Amsterdam, developed from the
initiative and preparatory work of a team of experts and university
professors from seven EU countries. The evaluation of the seminar was
exhaustive and included all the stages of the seminar - preparation,
implementation and outcome. It was carried out with the participation of
those involved, that is, the students and the trainers, based on predefined
criteria and employing several methods such as questionnaires, observation
and group discussions. In this way the strong and weak aspects of the
seminar were revealed. In general, the trainees reported that the seminar
had provided them with new and necessary knowledge and skills for the
diagnosis and management of individuals with alcohol and drug use problems.
They proposed continuing education on the topic. The trainers, acknowledging
the seminar's positive impact on the trainees, proposed its extension to a
greater number of physicians throughout the country. The evaluation of the
seminar assisted in the formulation of proposals that were submitted to the
appropriate public authorities. These proposals focused on the extension of
training in Greece and on the ways that this could be achieved with the
optimum cost/benefit relationship. Up to the present there has been no
response from the relevant public bodies. Copyright © Athens Medical
Society.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
human
medical profession
medical school
medical student
physician
questionnaire
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Greek
LANGUAGE OF SUMMARY
English, Greek
EMBASE ACCESSION NUMBER
2008356411
PUI
L352048902
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1270
TITLE
Understanding illicit substance use in the real world
AUTHOR NAMES
Ciccarone D.
Jain S.
Bourgois P.
AUTHOR ADDRESSES
(Ciccarone D., ciccaron@fcm.ucsf.edu) Department of Family and Community
Medicine, Department of Anthropology, History and Social Medicine,
University of California San Francisco, 500 Parnassus, PO Box 0900, San
Francisco, CA 94143, United States.
(Jain S.; Bourgois P.)
CORRESPONDENCE ADDRESS
D. Ciccarone, Department of Family and Community Medicine, Department of
Anthropology, History and Social Medicine, University of California San
Francisco, 500 Parnassus, PO Box 0900, San Francisco, CA 94143, United
States. Email: ciccaron@fcm.ucsf.edu
SOURCE
Medical Education (2008) 42:5 (532). Date of Publication: May 2008
ISSN
0308-0110
1365-2923 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
clinical practice
community care
ethnography
medical education
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2008184214
MEDLINE PMID
18412911 (http://www.ncbi.nlm.nih.gov/pubmed/18412911)
PUI
L351533509
DOI
10.1111/j.1365-2923.2008.03074.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2923.2008.03074.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1271
TITLE
2008 update on addiction medicine/psychiatry in the State of Connecticut.
Part II of II.
AUTHOR NAMES
Kraus M.L.
AUTHOR ADDRESSES
(Kraus M.L.) Yale University School of Medicine, USA.
CORRESPONDENCE ADDRESS
M.L. Kraus, Yale University School of Medicine, USA.
SOURCE
Connecticut medicine (2008) 72:5 (281-285). Date of Publication: May 2008
ISSN
0010-6178
ABSTRACT
No other health or social problem impacts our society so widely and
profoundly as substance abuse. Investment in Connecticut's substance abuse
service system is an investment in improved health and wellness its cities
as well as its citizens. Since 2004 Connecticut's addiction treatment and
recovery community have worked together to reduce the pain and suffering of
those individuals with addiction disorders. The State of Connecticut is a
national leader in addiction medicine scientific research and education,
emergencyroom care, and public policy; and the Community of Addiction
Recovery (CCAR) has emerged as a national leader for the recovery movement.
As Chairperson ofthe CSMS's Committee on Alcohol and Other Drug Dependency
Education, I am proud of the accomplishments of the Committee and the work
of our statewide addiction medicine/psychiatryleaders and recovery
community. I am equally proud and appreciative of the ongoing relationship
of the CSMS, the addiction treatment and recovery community with DMHAS.
Under the leadership of Commissioner Thomas Kirk, DMHAS has opened its arms
to embrace the communities' providers. The work of these leaders is
presented here to give readers an update on Addiction Medicine/Psychiatry in
the State of Connecticut 2008.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, rehabilitation, therapy)
community care
mental health service
EMTREE MEDICAL INDEX TERMS
article
health education
health promotion
human
injury (etiology, prevention)
insurance
organization and management
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18593064 (http://www.ncbi.nlm.nih.gov/pubmed/18593064)
PUI
L352374813
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1272
TITLE
Harm-reduction for unwanted pregnancies and unwanted addictions: An
instructive analogy
ORIGINAL (NON-ENGLISH) TITLE
Reducción de daños en embarazos no deseados y de adicciones no deseadas: Una
instructiva analogía
AUTHOR NAMES
Brewer C.
AUTHOR ADDRESSES
(Brewer C., cbrewer@doctors.net.uk) Stapleford Centre, London.
(Brewer C., cbrewer@doctors.net.uk) Stapleford Centre, London. SW1W 9NP,
United Kingdom.
CORRESPONDENCE ADDRESS
C. Brewer, Stapleford Centre, London. SW1W 9NP, United Kingdom. Email:
cbrewer@doctors.net.uk
SOURCE
Adicciones (2008) 20:1 (5-13). Date of Publication: 2008
ISSN
0214-4840
BOOK PUBLISHER
Edita Socidrogalcohol, C/. Rambla 15, 2a 3a, Palma de Mallorca, Spain.
ABSTRACT
Addiction treatment aims to reduce the harm that addiction causes to
individuals and society. However, many clinics, especially in the private
sector, have ideological objections to using medico-pharmacological
treatments and are often critical of other services that do offer
pharmacological treatments. This situation contrasts sharply with the
attitude of family planning (FP) clinics, even though they too aim to reduce
harm. Ironically, the most anti-pharmacological clinics are often those
which proclaim most loudly that addiction is a 'disease', while avoiding
unwanted pregnancy, which is not usually seen as a disease, is widely and
effectively achieved with medical techniques. FP clinics typically consider
widely varying patterns of sexual behaviour, social contexts and patient
attitudes in devising individual treatment plans, while addiction clinics
commonly have a one-size-fits-all, take-it-or-leave-it approach. Addiction
services could learn some useful clinical and ideological lessons from FP
clinics.
EMTREE DRUG INDEX TERMS
alcohol
antidepressant agent (drug therapy)
cocaine
disulfiram (drug therapy)
methadone (clinical trial, drug dose, drug therapy)
naltrexone (clinical trial, drug therapy, oral drug administration)
nicotine
opiate
phencyclidine
psychotropic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (drug therapy, therapy)
opiate addiction (drug therapy, therapy)
unwanted pregnancy
EMTREE MEDICAL INDEX TERMS
attitude to health
clinical trial
family planning
harm reduction
human
low drug dose
patient attitude
patient counseling
psychosocial care
review
sexual behavior
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cocaine (50-36-2, 53-21-4, 5937-29-1)
disulfiram (97-77-8)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
naltrexone (16590-41-3, 16676-29-2)
nicotine (54-11-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
phencyclidine (77-10-1, 956-90-1)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Spanish, English
LANGUAGE OF SUMMARY
English, Spanish
EMBASE ACCESSION NUMBER
2008170570
MEDLINE PMID
18299776 (http://www.ncbi.nlm.nih.gov/pubmed/18299776)
PUI
L351498023
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1273
TITLE
2008 update on addiction medicine/psychiatry in the state of Connecticut.
Part I of II.
AUTHOR NAMES
Kraus M.L.
AUTHOR ADDRESSES
(Kraus M.L.) Yale University School of Medicine, USA.
CORRESPONDENCE ADDRESS
M.L. Kraus, Yale University School of Medicine, USA.
SOURCE
Connecticut medicine (2008) 72:4 (215-221). Date of Publication: Apr 2008
ISSN
0010-6178
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, rehabilitation, therapy)
community care
health promotion
medical society
mental health service
EMTREE MEDICAL INDEX TERMS
article
government
health education
human
medical education
organization and management
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18478988 (http://www.ncbi.nlm.nih.gov/pubmed/18478988)
PUI
L351894318
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1274
TITLE
Introduction to www.alkohol-leitlinie.de - Evaluation of a computer-based
training on alcohol-related disorders for general practitioners and practice
nurses
ORIGINAL (NON-ENGLISH) TITLE
Einführung in www.alkohol-leitlinie.de - Evaluation einer computergestützten
fortbildung für hausärzte und arzthelferinnen zur diagnostik und behandlung
alkoholbezogener störungen"
AUTHOR NAMES
Egidi G.
AUTHOR ADDRESSES
(Egidi G.) FA Allgemeinmedizin, Huchtinger Heerstr. 41, 28259 Bremen.
CORRESPONDENCE ADDRESS
G. Egidi, FA Allgemeinmedizin, Huchtinger Heerstr. 41, 28259 Bremen.
SOURCE
Zeitschrift fur Allgemeinmedizin (2008) 84:4 (142-143). Date of Publication:
April 2008
ISSN
0937-6801
BOOK PUBLISHER
Georg Thieme Verlag, Rudigerstrasse 14, Stuttgart, Germany.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
EMTREE MEDICAL INDEX TERMS
evaluation study
general practitioner
letter
nurse practitioner
software
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
2008305146
PUI
L351878395
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1275
TITLE
Medical student judgments of adolescents with alcohol use disorders (AUD)
AUTHOR NAMES
Lee C.S.
Abrantes A.M.
Colby S.M.
López S.R.
Jordan T.J.
AUTHOR ADDRESSES
(Lee C.S., Christina_Lee@Brown.edu) Department of Community Health, Center
for Alcohol and Addiction Studies, Brown Medical School, Providence, RI,
United States.
(Abrantes A.M.) Department of Psychiatry and Human Behavior, Butler
Hospital, Brown Medical School, Providence, RI, United States.
(Colby S.M.) Department of Psychiatry and Human Behavior, Brown Medical
School, Brown University, Providence, RI, United States.
(López S.R.) Department of Psychology, Psychiatry, and Chicana/o Studies,
University of California at Los Angeles, Los Angeles, CA, United States.
(Jordan T.J.) Department of Applied Psychology, New York University, New
York, NY, United States.
(Lee C.S., Christina_Lee@Brown.edu) Center for Alcohol and Addiction
Studies, Brown University, Box G-S121-5, Providence, RI 02912, United
States.
CORRESPONDENCE ADDRESS
C. S. Lee, Center for Alcohol and Addiction Studies, Brown University, Box
G-S121-5, Providence, RI 02912, United States. Email:
Christina_Lee@Brown.edu
SOURCE
Substance Use and Misuse (2008) 43:5 (709-721). Date of Publication: April
2008
ISSN
1082-6084
1532-2491 (electronic)
BOOK PUBLISHER
Informa Healthcare, 69-77 Paul Street, London, United Kingdom.
ABSTRACT
The clinical encounter presents opportunities for detection and intervention
of adolescent alcohol use disorders (AUDs). Aims: Investigate (a)
identification rate of AUDs, (b) whether AUD identification predicts
clinical judgment, and (c) patient characteristics influences on clinical
judgment. Medical students (n = 123) read a case study and completed
questions on diagnosis and clinical judgment. Twenty-five percent of
participants identified AUD adolescents, who were more negatively rated than
non-AUD adolescents. Prior clinical experience and addiction training
predicted AUD identification. Patient race and gender influenced clinical
judgment ratings. Addictions training is needed to improve identification
rates. Study limitations are noted. Copyright © 2008 Informa Healthcare USA,
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
controlled study
ethnicity
female
human
major clinical study
male
medical student
priority journal
sex difference
Student t test
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French, Spanish
EMBASE ACCESSION NUMBER
2008174874
MEDLINE PMID
18393085 (http://www.ncbi.nlm.nih.gov/pubmed/18393085)
PUI
L351507741
DOI
10.1080/10826080701202791
FULL TEXT LINK
http://dx.doi.org/10.1080/10826080701202791
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1276
TITLE
'Race' matters: Racialization and egalitarian discourses involving
Aboriginal people in the Canadian health care context
AUTHOR NAMES
Tang S.Y.
Browne A.J.
AUTHOR ADDRESSES
(Tang S.Y., sytang@interchange.ubc.ca; Browne A.J.) School of Nursing,
University of British Columbia, Vancouver, BC, Canada.
CORRESPONDENCE ADDRESS
S. Y. Tang, School of Nursing, University of British Columbia, Vancouver,
BC, Canada. Email: sytang@interchange.ubc.ca
SOURCE
Ethnicity and Health (2008) 13:2 (109-127). Date of Publication: April 2008
ISSN
1355-7858
1465-3419 (electronic)
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
The major purpose of this paper is to examine how 'race' and racialization
operate in health care. To do so, we draw upon data from an ethnographic
study that examines the complex issues surrounding health care access for
Aboriginal people in an urban center in Canada. In our analysis, we
strategically locate our critical examination of racialization in the
'tension of difference' between two emerging themes, namely the health care
rhetoric of 'treating everyone the same,' and the perception among many
Aboriginal patients that they were 'being treated differently' by health
care providers because of their identity as Aboriginal people, and because
of their low socio-economic status. Contrary to the prevailing discourse of
egalitarianism that paints health care and other major institutions as
discrimination-free, we argue that 'race' matters in health care as it
intersects with other social categories including class, substance use, and
history to organize inequitable access to health and health care for
marginalized populations. Specifically, we illustrate how the ideological
process of racialization can shape the ways that health care providers
'read' and interact with Aboriginal patients, and how some Aboriginal
patients avoid seeking health care based on their expectation of being
treated differently. We conclude by urging those of us in positions of
influence in health care, including doctors and nurses, to critically
reflect upon our own positionality and how we might be complicit in
perpetuating social inequities by avoiding a critical discussion of
racialization. © 2008 Taylor & Francis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care
racism
EMTREE MEDICAL INDEX TERMS
article
Canada
clinical article
ethnographic research
health care access
health care personnel
human
indigenous people
male
patient care
race
social class
social status
substance abuse
urban area
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008193453
MEDLINE PMID
18425710 (http://www.ncbi.nlm.nih.gov/pubmed/18425710)
PUI
L351563074
DOI
10.1080/13557850701830307
FULL TEXT LINK
http://dx.doi.org/10.1080/13557850701830307
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1277
TITLE
A systematic review of delay in the diagnosis and treatment of tuberculosis
AUTHOR NAMES
Storla D.G.
Yimer S.
Bjune G.A.
AUTHOR ADDRESSES
(Storla D.G., dgstorla@online.no; Yimer S., yimsolo@yahoo.com; Bjune G.A.,
g.a.bjune@samfunnsmed.uio.no) Department of International Health, Institute
of General Practice and Community Medicine, University of Oslo, Blindern,
N-0318 Oslo, Norway.
(Storla D.G., dgstorla@online.no) Competence Centre for Imported and
Tropical Diseases, Ullevål University Hospital, Oslo, Norway.
CORRESPONDENCE ADDRESS
D. G. Storla, Department of International Health, Institute of General
Practice and Community Medicine, University of Oslo, Blindern, N-0318 Oslo,
Norway. Email: dgstorla@online.no
SOURCE
BMC Public Health (2008) 8 Article Number: 15. Date of Publication: 2008
ISSN
1471-2458 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., 34 - 42 Cleveland Street, London, United Kingdom.
ABSTRACT
Background. Early diagnosis and immediate initiation of treatment are
essential for an effective tuberculosis (TB) control program. Delay in
diagnosis is significant to both disease prognosis at the individual level
and transmission within the community. Most transmissions occur between the
onset of cough and initiation of treatment. Methods. A systematic review of
58 studies addressing delay in diagnosis and treatment of TB was performed.
We found different definitions of, for example, debut of symptoms, first
appropriate health care provider, time to diagnosis, and start of treatment.
Rather than excluding studies that failed to meet strict scientific criteria
(like in a meta-analysis), we tried to extract the "solid findings" from all
of them to arrive on a more global understanding of diagnostic delay in TB.
Results. The main factors associated with diagnostic delay included human
immunodeficiency virus; coexistence of chronic cough and/or other lung
diseases; negative sputum smear; extrapulmonary TB; rural residence; low
access (geographical or sociopsychological barriers); initial visitation of
a government low-level healthcare facility, private practitioner, or
traditional healer; old age; poverty; female sex; alcoholism and substance
abuse; history of immigration; low educational level; low awareness of TB;
incomprehensive beliefs; self-treatment; and stigma. Conclusion. The core
problem in delay of diagnosis and treatment seemed to be a vicious cycle of
repeated visits at the same healthcare level, resulting in nonspecific
antibiotic treatment and failure to access specialized TB services. Once
generation of a specific diagnosis was in reach, TB treatment was initiated
within a reasonable period of time. © 2008 Storla et al; licensee BioMed
Central Ltd.
EMTREE DRUG INDEX TERMS
antibiotic agent (drug therapy)
tuberculostatic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
tuberculosis (diagnosis, drug therapy, epidemiology)
EMTREE MEDICAL INDEX TERMS
academic achievement
alcoholism
attitude
awareness
coughing
delayed diagnosis
extrapulmonary tuberculosis
health care facility
health care personnel
human
Human immunodeficiency virus
immigration
lung disease
poverty
private practice
review
risk factor
rural area
self care
senescence
sex difference
social psychology
socioeconomics
sputum analysis
stigma
substance abuse
symptom
systematic review
therapy delay
traditional medicine
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008120746
MEDLINE PMID
18194573 (http://www.ncbi.nlm.nih.gov/pubmed/18194573)
PUI
L351357309
DOI
10.1186/1471-2458-8-15
FULL TEXT LINK
http://dx.doi.org/10.1186/1471-2458-8-15
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1278
TITLE
Jordanian nurses' and physicians' learning needs for promoting smoking
cessation.
AUTHOR NAMES
Shishani K.
Nawafleh H.
Sivarajan Froelicher E.
AUTHOR ADDRESSES
(Shishani K.; Nawafleh H.; Sivarajan Froelicher E.) Faculty of Nursing, The
Hashemite University, PO Box 150459, Zarqa, 13115 Jordan.
CORRESPONDENCE ADDRESS
K. Shishani, Faculty of Nursing, The Hashemite University, PO Box 150459,
Zarqa, 13115 Jordan. Email: kawkab.shishani@gmail.com
SOURCE
Progress in cardiovascular nursing (2008) 23:2 (79-83). Date of Publication:
2008 Spring
ISSN
0889-7204
ABSTRACT
Smoking causes many health problems, including myocardial infarction,
stroke, and peripheral vascular disease, and has devastating effects on the
cardiovascular system. This study was performed to assess: (1) the
prevalence of smoking among Jordanian nurses and physicians, (2) the
differences in prevalence of smoking by sex, and 3) nurses' and physicians'
learning needs for promoting smoking cessation. A descriptive
cross-sectional design was used. Five Jordanian hospitals were randomly
selected; 164 nurses (65.3%) and 87 physicians (34.7%) participated in the
study. Prevalence of smoking among nurses and physicians was 41.5% (n = 66)
and 43.6% (n = 38), respectively, and significantly more men than women
smoked (odds ratio, 5.45; confidence interval, 2.52-11.74 [P = .00]). Many
Jordanian nurses and physicians do not recognize the addictive aspect of
smoking, and health professionals receive no formal training in smoking
cessation approaches to use with patients. Most nurses and physicians
recognize that University curricula must include information about smoking
cessation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
health promotion
medical staff
needs assessment
nursing staff
smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adult
aged
article
attitude to health
chi square distribution
clinical competence
cross-sectional study
education
female
human
Jordan (epidemiology)
male
middle aged
multivariate analysis
nursing methodology research
organization and management
prevalence
psychological aspect
questionnaire
self concept
sex ratio
smoking cessation
statistical model
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18843829 (http://www.ncbi.nlm.nih.gov/pubmed/18843829)
PUI
L352595105
DOI
10.1111/j.1751-7117.2008.07745.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1751-7117.2008.07745.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1279
TITLE
Impact of a brief training on medical resident screening for alcohol misuse
and illicit drug use
AUTHOR NAMES
Gunderson E.W.
Levin F.R.
Owen P.
AUTHOR ADDRESSES
(Gunderson E.W., eg2009@columbia.edu) Department of Medicine, Columbia
University College of Physicians and Surgeons, New York, NY, United States.
(Gunderson E.W., eg2009@columbia.edu; Levin F.R.) Division on Substance
Abuse, Department of Psychiatry, Columbia University College of Physicians
and Surgeons, New York, NY, United States.
(Gunderson E.W., eg2009@columbia.edu; Levin F.R.) New York State Psychiatric
Institute, New York, NY, United States.
(Owen P.) Hazelden Foundation, Center City, MN, United States.
(Gunderson E.W., eg2009@columbia.edu) New York State Psychiatric Institute,
1051 Riverside Drive, New York, NY 10032, United States.
CORRESPONDENCE ADDRESS
E. W. Gunderson, New York State Psychiatric Institute, 1051 Riverside Drive,
New York, NY 10032, United States. Email: eg2009@columbia.edu
SOURCE
American Journal on Addictions (2008) 17:2 (149-154). Date of Publication:
March 2008
ISSN
1055-0496
1521-0391 (electronic)
BOOK PUBLISHER
Wiley-Blackwell, 350 Main Street, Malden, United States.
ABSTRACT
Educational initiatives are needed to improve primary care substance use
screening. This study assesses the impact on 24 medical residents of a
2.5-day curriculum combining experiential and manual-based training on
screening for alcohol misuse and illicit drug use. A retrospective chart
review of new primary care outpatients demonstrated that nearly all were
asked about current alcohol use before and after curriculum participation.
Adherence to national screening guidelines on quantification of alcohol
consumption modestly improved (p < .05), as did inquiry about current
illicit drug use (p < .05). Continued efforts are needed to enhance
educational initiatives for primary care physicians. Copyright © American
Academy of Addiction Psychiatry.
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
EMTREE MEDICAL INDEX TERMS
adult
aged
alcohol consumption
article
clinical article
controlled study
female
human
male
medical record review
practice guideline
primary medical care
residency education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008174867
MEDLINE PMID
18393059 (http://www.ncbi.nlm.nih.gov/pubmed/18393059)
PUI
L351507734
DOI
10.1080/10550490701861144
FULL TEXT LINK
http://dx.doi.org/10.1080/10550490701861144
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1280
TITLE
Evolutional pattern of drug use by medical students
AUTHOR NAMES
Da Silveira D.X.
Rosa-Oliveira L.
Di Pietro M.
Niel M.
Doering-Silveira E.
Jorge M.R.
AUTHOR ADDRESSES
(Da Silveira D.X., dartiu@terra.com.br; Rosa-Oliveira L.; Di Pietro M.; Niel
M.; Doering-Silveira E.; Jorge M.R.) Addiction Unit (PROAD), Department of
Psychiatry, Federal University of Sao Paulo (UNIFESP), Brazil.
CORRESPONDENCE ADDRESS
D.X. Da Silveira, Addiction Unit (PROAD), Department of Psychiatry, Federal
University of Sao Paulo (UNIFESP), Brazil. Email: dartiu@terra.com.br
SOURCE
Addictive Behaviors (2008) 33:3 (490-495). Date of Publication: March 2008
ISSN
0306-4603
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Recent use of psychoactive substances among 456 medical students throughout
the six grades was surveyed by way of a self-report questionnaire using
World Health Organisation criteria. Among male medical students, the most
frequently used substances were alcohol (80.5%), cannabis (25.3%), solvents
(25.2%), and tobacco (25.2%), whereas among female students the most
frequently used drugs were alcohol (72.6%), tobacco (14.6%), solvents
(10.5%), and tranquillizers (7.5%). Switch from illegal to legal drugs were
observed only among female medical students. Male students tend to alternate
cannabis and solvents throughout college years. Interventions aiming to
influence patterns of drug consumption among medical students must consider
both gender differences and evolutional patterns of substance use throughout
medical course. © 2007.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine derivative
barbituric acid derivative
cannabis
cholinergic receptor blocking agent
cocaine
illicit drug
opiate derivative
organic solvent
psychedelic agent
psychotropic agent
sedative agent
tranquilizer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
cannabis addiction
cocaine dependence
controlled study
drug dependence
evolution
female
human
major clinical study
male
self report
sex difference
tobacco dependence
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008005545
MEDLINE PMID
18068309 (http://www.ncbi.nlm.nih.gov/pubmed/18068309)
PUI
L50008911
DOI
10.1016/j.addbeh.2007.10.005
FULL TEXT LINK
http://dx.doi.org/10.1016/j.addbeh.2007.10.005
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1281
TITLE
Research- and community-based clinicians' attitudes on treatment manuals
AUTHOR NAMES
Barry D.T.
Fulgieri M.D.
Lavery M.E.
Chawarski M.C.
Najavits L.M.
Schottenfeld R.S.
Pantalon M.V.
AUTHOR ADDRESSES
(Barry D.T., Declan.Barry@yale.edu; Fulgieri M.D.; Lavery M.E.; Chawarski
M.C.; Schottenfeld R.S.; Pantalon M.V.) Department of Psychiatry, Yale
University, School of Medicine, New Haven, CT, United States.
(Najavits L.M.) Department of Psychiatry, Harvard Medical School, Cambridge,
MA, United States.
(Barry D.T., Declan.Barry@yale.edu) Yale University, School of Medicine,
CMHC/SAC, 34 Park St, New Haven, CT 06519, United States.
CORRESPONDENCE ADDRESS
D. T. Barry, Yale University, School of Medicine, CMHC/SAC, 34 Park St, New
Haven, CT 06519, United States. Email: Declan.Barry@yale.edu
SOURCE
American Journal on Addictions (2008) 17:2 (145-148). Date of Publication:
March 2008
ISSN
1055-0496
1521-0391 (electronic)
BOOK PUBLISHER
Wiley-Blackwell, 350 Main Street, Malden, United States.
ABSTRACT
We assessed the attitudes of 18 research- and 22 community-based substance
abuse clinicians on treatment manuals. Research and community clinicians
exhibited favorable attitudes toward manuals, and the majority (72% and 77%,
respectively) reported an interest in learning more about substance use
disorder (SUD) treatment manuals. Among community clinicians, greater years
of experience was significantly associated with less favorable attitudes
toward treatment manuals. Research clinicians endorsed significantly higher
ratings for the importance attached to "theoretical rationale/overview" and
"main session points to address" than community clinicians. Findings suggest
that community SUD clinicians are already familiar with and have positive
attitudes toward manuals, but specific subgroups have concerns that should
be addressed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
clinical research
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
community care
controlled study
female
health personnel attitude
human
male
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008174866
MEDLINE PMID
18393058 (http://www.ncbi.nlm.nih.gov/pubmed/18393058)
PUI
L351507733
DOI
10.1080/10550490701860880
FULL TEXT LINK
http://dx.doi.org/10.1080/10550490701860880
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1282
TITLE
A critical review of candidacy for orthotopic liver transplantation in
alcoholic liver disease
AUTHOR NAMES
Kotlyar D.S.
Burke A.
Campbell M.S.
Weinrieb R.M.
AUTHOR ADDRESSES
(Kotlyar D.S.) University of Pennsylvania School of Medicine, Philadelphia,
PA, United States.
(Burke A.; Campbell M.S.) Division of Gastroenterology, Department of
Medicine, University of Pennsylvania Health System, Philadelphia, PA, United
States.
(Weinrieb R.M.) Department of Psychiatry, University of Pennsylvania Health
System, Philadelphia, PA, United States.
(Weinrieb R.M.) Department of Psychiatry, University of Pennsylvania, 11
Founders, 3400 Spruce St., Philadelphia, PA 19104, United States.
CORRESPONDENCE ADDRESS
R. M. Weinrieb, Department of Psychiatry, University of Pennsylvania, 11
Founders, 3400 Spruce St., Philadelphia, PA 19104, United States.
SOURCE
American Journal of Gastroenterology (2008) 103:3 (734-743). Date of
Publication: March 2008
ISSN
0002-9270
1572-0241 (electronic)
BOOK PUBLISHER
Nature Publishing Group, Houndmills, Basingstoke, Hampshire, United Kingdom.
ABSTRACT
The majority of candidates with end-stage alcoholic liver disease (ESALD) in
the United States who are eligible for referral for liver transplantation
(LT) are not being referred. There is a lack of firm consensus for the
duration of abstinence from alcohol as well as what constitutes good
psychosocial criteria for listing for LT. Evidence shows that the general
public and the practicing physicians outside the transplant community
perceive that patients with a history of alcohol abuse will make poor
transplant candidates. However, physicians in the transplant community
perceive selected patients with ESALD as good candidates. When considering
patients for listing for LT, 3 months of alcohol abstinence may be more
ideal than 6 months. Patients with a lack of social support, active smoking,
psychotic or personality disorders, or a pattern of nonadherence should be
listed only with reservation. Those who have a diagnosis of alcohol abuse as
opposed to alcohol dependence may make better transplant candidates.
Patients who have regular appointments with a psychiatrist or psychologist
in addictions treatment training also seem to do more favorably. © 2008 by
Am. Coll. of Gastroenterology.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol liver disease (surgery)
liver transplantation
EMTREE MEDICAL INDEX TERMS
alcohol abstinence
alcohol abuse
alcoholic beverage
alcoholism (therapy)
anamnesis
clinical practice
drinking behavior
human
patient referral
personality disorder
physician
postoperative period
preoperative period
priority journal
psychosis
relapse
review
smoking
social psychology
social support
surgical mortality
surgical patient
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Surgery (9)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008137120
MEDLINE PMID
18081918 (http://www.ncbi.nlm.nih.gov/pubmed/18081918)
PUI
L351405998
DOI
10.1111/j.1572-0241.2007.01691.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1572-0241.2007.01691.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1283
TITLE
A randomized trial investigating training in motivational interviewing for
behavioral health providers
AUTHOR NAMES
Moyers T.B.
Manuel J.K.
Wilson P.G.
Hendrickson S.M.L.
Talcott W.
Durand P.
AUTHOR ADDRESSES
(Moyers T.B., tmoyers@unm.edu; Manuel J.K.; Hendrickson S.M.L.) University
of New Mexico, Albuquerque, NM, United States.
(Wilson P.G.) Elmendorf Air Force Base, United States.
(Talcott W.) Lackland Air Force Base, United States.
(Durand P.) North Florida/South Georgia Veterans Health System, .
(Moyers T.B., tmoyers@unm.edu) Department of Psychology, Center on
Alcoholism, Substance Abuse and Addictions, University of New Mexico,
Albuquerque, NM 87131-1161, United States.
CORRESPONDENCE ADDRESS
T. B. Moyers, Department of Psychology, Center on Alcoholism, Substance
Abuse and Addictions, University of New Mexico, Albuquerque, NM 87131-1161,
United States. Email: tmoyers@unm.edu
SOURCE
Behavioural and Cognitive Psychotherapy (2008) 36:2 (149-162). Date of
Publication: March 2008
ISSN
1352-4658
1469-1833 (electronic)
BOOK PUBLISHER
Cambridge University Press, Shaftesbury Road, Cambridge, United Kingdom.
ABSTRACT
Evidence indicates that workshop training, personalized feedback, and
individual consultation can increase competence in motivational interviewing
(MI) among highly motivated and skilled substance abuse counselors. Little
is known, however, about the translational value of these training
strategies for counselors with fewer counseling skills and less stated
motivation to learn MI. This study presents evidence from a randomized,
controlled trial of 129 behavioral health providers assigned to receive
workshop training and enrichments to learn MI. A diverse group of Air Force
behavioral health providers working in substance abuse treatment programs
were trained in MI and subsequently observed in clinical sessions at 4, 8
and 12 months after training. Results indicate that training was effective
in increasing the skill level of these clinicians; however, these gains had
decreased by the 4-month follow-up point. Training enrichments in the form
of personalized feedback and consultation phone calls did not have an
expected, additive effect on clinician skill level. The results of this
study lend support to the hypothesis that a greater investment of resources
and incentives may be necessary to achieve gains in MI skills for counselors
with relatively lower baseline skills than those commonly participating in
research studies. © 2007 British Association for Behavioural and Cognitive
Psychotherapies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior
health care personnel
interview
motivation
motivational interviewing
training
EMTREE MEDICAL INDEX TERMS
adult
air force
article
clinical trial
consultation
controlled clinical trial
controlled study
feedback system
female
follow up
human
hypothesis
male
medical research
physician
priority journal
randomized controlled trial
skill
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008190053
PUI
L351550698
DOI
10.1017/S1352465807004055
FULL TEXT LINK
http://dx.doi.org/10.1017/S1352465807004055
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 1284
TITLE
Are narghile smokers different from cigarette smokers?
ORIGINAL (NON-ENGLISH) TITLE
Les fumeurs de narghilé sont-ils différents des fumeurs de cigarettes?
AUTHOR NAMES
Riachy M.
Rehayem C.
Khoury C.
Safi J.
Khayat G.
Aoun-Bacha Z.
Saade-Riachy C.
Kouche N.
Geahchan N.
AUTHOR ADDRESSES
(Riachy M., riachy@dm.net.lb; Rehayem C.; Khoury C.; Safi J.; Khayat G.;
Aoun-Bacha Z.; Saade-Riachy C.; Geahchan N.) Département de Santé Publique,
Faculté de Médecine, Université Saint Joseph, Beyrouth, Lebanon.
(Kouche N.) Directeur Général de la Fondation Hariri, Beyrouth, Lebanon.
(Riachy M., riachy@dm.net.lb) Faculté de Médecine de l'Université Saint
Joseph, Service de Pneumologie et de Réanimation Médicale, Hôtel Dieu de
France, rue Alfred Naccache, Achrafieh, Beyrouth, Lebanon.
CORRESPONDENCE ADDRESS
M. Riachy, Faculté de Médecine de l'Université Saint Joseph, Service de
Pneumologie et de Réanimation Médicale, Hôtel Dieu de France, rue Alfred
Naccache, Achrafieh, Beyrouth, Lebanon. Email: riachy@dm.net.lb
SOURCE
Revue des Maladies Respiratoires (2008) 25:3 (313-318). Date of Publication:
March 2008
ISSN
0761-8425
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France.
ABSTRACT
Background: The extent of smoking related health and economic problems is
causing increasing alarm throughout the world. In the last few years a great
number of subjects, especially in the developing world, have been smoking
narghile and epidemiological studies on narghile smoking are an essential
subject for investigation. The objectives of this study are to describe the
social and cultural characteristics of narghile smokers in Lebanon compared
to tobacco smokers. Materials and methods: Our sample is based on the data
of 37579 subjects who consulted a non-governmental organisation (NGO), the
Hariri Foundation, between 2003 and 2005. This NGO comprises 22 specialised
centres distributed throughout Lebanon. The following data concerning
exclusive narghile and cigarette smokers were collected: age, sex, the type
and duration of tobacco addiction and the level of education. Results: 13776
subjects (36.6% of the sample) were smokers of whom 88% smoked mostly
cigarettes.1529 subjects (11.1%) smoked narghile exclusively, a prevalence
of 4.06%. The narghile smokers were younger than the cigarette smokers with
a mean age of 36.2±8.63 years compared to 45.52±1.87 years. The majority of
narghile smokers were women (56.57%) giving a male/female ratio of 0.77. A
large number of narghile smokers were recent consumers with an exposure of
less than 5 years. They differed from the cigarette smokers of whom the
majority (72.2%) had smoked for more than 10 years. The proportion of
illiterate subjects was greater among the narghile smokers (36.2%) than the
cigarette smokers (24.2%). Conclusion: The consumption of tobacco is a real
and frequent problem in Lebanon. The consumption of narghile is scourge that
is gaining popularity, notably among women and the young. This problem is
becoming a public health issue that needs to be taken into account within
the framework of an anti-smoking policy in Lebanon. © 2008 SPLF. Édité par
Elsevier Masson SAS.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
narghile smoking
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
cultural anthropology
educational status
female
health care organization
human
Lebanon
male
medical specialist
prevalence
public health problem
sex difference
tobacco
tobacco dependence
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2008245616
MEDLINE PMID
18449097 (http://www.ncbi.nlm.nih.gov/pubmed/18449097)
PUI
L351704768
DOI
10.1016/S0761-8425(08)71550-X
FULL TEXT LINK
http://dx.doi.org/10.1016/S0761-8425(08)71550-X
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1285
TITLE
Medical students' experiences with addicted patients: A web-based survey
AUTHOR NAMES
Midmer D.
Kahan M.
Wilson L.
AUTHOR ADDRESSES
(Midmer D.) Department of Family and Community Medicine, University of
Toronto, Toronto, ON, Canada.
(Kahan M.) Addiction Medicine Service, St. Joseph's Health Centre, Toronto,
Canada.
(Wilson L.) Department of Family Medicine, St. Joseph's Health Centre,
Toronto, Canada.
CORRESPONDENCE ADDRESS
D. Midmer, Department of Family and Community Medicine, University of
Toronto, Toronto, ON, Canada.
SOURCE
Substance Abuse (2008) 29:1 (25-32). Date of Publication: 28 Feb 2008
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Project CREATE was an initiative to strengthen undergraduate medical
education in addictions. As part of a needs assessment, forty-six medical
students at Ontario's five medical schools completed a bi-weekly,
interactive web-based survey about addiction-related learning events. In
all, 704 unique events were recorded, for an average of 16.7 entries per
student. The most commonly discussed topic was alcohol withdrawal and the
complications of alcohol use. The most common learning venues were lectures
and clinical encounters in the emergency department or hospital. The
proportion of advice-related topics (e.g., advice to drinkers and smokers)
to advice plus non-advice related topics (e.g., medical complications) was
greater for outpatient and community settings than for acute care and
didactic settings (ratio 1.29, chi sq 15.85, p 0.01). Students reacted
strongly to the psychosocial impact of addictions on patients, yet they
viewed addiction as a personal choice, not an illness. Conclusion: Medical
students are not being trained to diagnose addiction or provide advice and
counseling. Medical schools need to provide students with positive clinical
experiences supervised by physicians experienced in addictions. 2008 by The
Haworth Press. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
experience
health survey
medical student
EMTREE MEDICAL INDEX TERMS
alcohol consumption
alcohol withdrawal syndrome
article
Canada
chi square test
counseling
curriculum development
drinking behavior
emergency care
emergency ward
human
medical education
medical school
outpatient
physician
psychosocial care
smoking
social psychology
social work
substance abuse
web browser
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009343731
MEDLINE PMID
19042316 (http://www.ncbi.nlm.nih.gov/pubmed/19042316)
PUI
L354885600
DOI
10.1300/J465v29n01_04
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v29n01_04
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1286
TITLE
Treatment and prevention of pain due to vaso-occlusive crises in adults with
sickle cell disease: An educational void
AUTHOR NAMES
Solomon L.R.
AUTHOR ADDRESSES
(Solomon L.R., lawrence.solomon@yale.edu) Section of Hematology, Department
of Medicine, Yale University School of Medicine, New Haven, CT, United
States.
(Solomon L.R., lawrence.solomon@yale.edu) Hematology Section, Department of
Medicine, Yale University School of Medicine, 403 www; 333 Cedar St, New
Haven, CT 06520-8021, United States.
CORRESPONDENCE ADDRESS
L.R. Solomon, Hematology Section, Department of Medicine, Yale University
School of Medicine, 403 www; 333 Cedar St, New Haven, CT 06520-8021, United
States. Email: lawrence.solomon@yale.edu
SOURCE
Blood (2008) 111:3 (997-1003). Date of Publication: 2/1/2008
ISSN
0006-4971
0006-4971 (electronic)
BOOK PUBLISHER
American Society of Hematology, 1900 M Street, Suite 2000, Washington,
United States.
ABSTRACT
Pain due to vaso-occlusive crisis is the major cause of hospital use in
sickle cell disease. Although available guidelines provide recommendations
for opioid administration in this setting, only 4 (21%) of 19 medical
textbooks present treatment regimens that are consistent with them.
Moreover, only 7 texts (37%) note that addiction is infrequent in this
population, while 11 (92%) of 12 texts provide such reassurance for
cancer-related pain (P < .005). Finally, hydroxyurea use to decrease the
frequency of vasoocclusive crises is completely defined only in 2 textbooks.
Thus, most medical texts provide neither adequate information for the
treatment or prevention of pain due to vaso-occlusive crisis in sickle cell
disease nor reassurance of the unlikelihood of addiction in this population.
In contrast, treatment recommendations for less common hematologic disorders
are consistent with current standards in 53% to 84% of appropriate texts (P
< .05). Limited knowledge regarding the principles and appropriateness of
opioid therapy; a lack of evidence-based research on pain control; and
misconceptions and prejudices about drug abuse and addiction contribute to
this educational void. Thus, research and training on pain control in sickle
cell disease are needed to parallel studies of environmental and genetic
factors contributing to the known clinical heterogeneity of this disorder. ©
2008 by The American Society of Hematology.
EMTREE DRUG INDEX TERMS
hydromorphone (drug therapy)
hydroxyurea (drug therapy)
morphine (drug dose, drug therapy, intravenous drug administration)
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain (complication, drug therapy, prevention)
sickle cell anemia (drug therapy)
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
article
cancer pain
emergency care
evidence based medicine
hematologic disease (epidemiology)
hospital care
human
loading drug dose
medical research
peripheral occlusive artery disease
practice guideline
priority journal
substance abuse
treatment planning
CAS REGISTRY NUMBERS
hydromorphone (466-99-9, 71-68-1)
hydroxyurea (127-07-1)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Hematology (25)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008068664
MEDLINE PMID
17940207 (http://www.ncbi.nlm.nih.gov/pubmed/17940207)
PUI
L351213376
DOI
10.1182/blood-2007-07-089144
FULL TEXT LINK
http://dx.doi.org/10.1182/blood-2007-07-089144
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1287
TITLE
Different pathways to knowledge about different pathways to recovery: A
comment on the people awakening study
AUTHOR NAMES
Tucker J.A.
AUTHOR ADDRESSES
(Tucker J.A., jtucker@uab.edu) Department of Health Behavior, University of
Alabama at Birmingham, School of Public Health, 1665 University Boulevard,
Birmingham, AL 35294, United States.
CORRESPONDENCE ADDRESS
J.A. Tucker, Department of Health Behavior, University of Alabama at
Birmingham, School of Public Health, 1665 University Boulevard, Birmingham,
AL 35294, United States. Email: jtucker@uab.edu
SOURCE
Addiction (2008) 103:2 (216-217). Date of Publication: February 2008
ISSN
0965-2140
1360-0443 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
alcohol abstinence
alcohol abuse
clinical study
cultural factor
drinking behavior
health care policy
health program
health service
medical documentation
medical literature
note
qualitative research
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2008024596
MEDLINE PMID
18199299 (http://www.ncbi.nlm.nih.gov/pubmed/18199299)
PUI
L351074042
DOI
10.1111/j.1360-0443.2007.02106.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.2007.02106.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1288
TITLE
HIV risks among gay- and non-gay-identified migrant money boys in Shanghai,
China
AUTHOR NAMES
Wong F.Y.
Huang Z.J.
He N.
Smith B.D.
Ding Y.
Fu C.
Young D.
AUTHOR ADDRESSES
(Wong F.Y., fyw@georgetown.edu; Huang Z.J.; Smith B.D.; Young D.) Department
of International Health, Georgetown University Nursing and Health Studies,
Washington, DC, United States.
(He N.; Ding Y.; Fu C.) Department of Epidemiology, Fudan University School
of Public Health, Shanghai, China.
(He N.; Ding Y.; Fu C.) Key Labouratory for Public Health Safety, Ministry
of Education, China.
(Wong F.Y., fyw@georgetown.edu) Department of International Health,
Georgetown University Nursing and Health Studies, Box 571107, 3700 Reservoir
Road, Washington, DC 20057, United States.
CORRESPONDENCE ADDRESS
F. Y. Wong, Department of International Health, Georgetown University
Nursing and Health Studies, Box 571107, 3700 Reservoir Road, Washington, DC
20057, United States. Email: fyw@georgetown.edu
SOURCE
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV (2008) 20:2
(170-180). Date of Publication: February 2008
ISSN
0954-0121
1360-0451 (electronic)
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
Men having sex with men (MSM) now account for 7% of all HIV/AIDS cases in
China and there is growing awareness that internal rural-to-urban migration
might shift the HIV epidemic within China by broadening social and sexual
mixing. About 70% of HIV/AIDS infections are among rural residents, of whom
80% are males and 60% aged 16-29. This young, male, rural-to-urban migrant
population has been identified as the 'tipping point' for the AIDS epidemic
in China. A subgroup of these migrants is the 'money boy' population, i.e.
those who engage in same-sex transactional sex for economic survival.
However, the literature addressing money boys is very limited. The present
study aims to elucidate factors for preventing substance abuse and HIV among
two types of money boys 'gay-identified' and 'non-gay-identified' living in
the Shanghai metropolitan area. This work is conceptually underpinned by
Chng et al.'s (2003) tripartite model, which postulates that risk behaviors
(e.g. substance abuse) engaged in by transient or non-native individuals are
often shaped and regulated by factors in the home environment, migration
experience and current environment. Results reveal gay and non-gay money
boys were not significantly different in age, income, marriage status and
education. Both groups shared similar patterns of substance use. Both groups
had high self-reported depressive symptoms and low HIV knowledge. However,
sexual orientation differentially predicted HIV testing, with gay money boys
more likely to be tested for HIV. Non-gay money boys showed fewer sexual
risks. HIV prevention targeting MSM (including money boys) within rapidly
changing China is discussed, as are methodologies and outreach strategies
most effective for particular subgroups of MSM. © 2008 Taylor & Francis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
homosexual male
Human immunodeficiency virus infection (diagnosis, etiology)
EMTREE MEDICAL INDEX TERMS
adult
article
China
depression
environmental factor
experience
high risk behavior
high risk population
human
infection risk
knowledge
major clinical study
male
migrant bird
migration
prediction
priority journal
prostitution
risk assessment
risk factor
rural area
self report
substance abuse
urban area
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008225911
MEDLINE PMID
18293125 (http://www.ncbi.nlm.nih.gov/pubmed/18293125)
PUI
L351651268
DOI
10.1080/09540120701534707
FULL TEXT LINK
http://dx.doi.org/10.1080/09540120701534707
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1289
TITLE
Putting 'addiction' back into psychiatry: The RANZCP Section of Addiction
Psychiatry
AUTHOR NAMES
Lubman D.
Jurd S.
Baigent M.
Krabman P.
AUTHOR ADDRESSES
(Lubman D.) ORYGEN Research Centre, Department of Psychiatry, University of
Melbourne, Melbourne, VIC, Australia.
(Jurd S.) Department of Psychiatry, University of Sydney, Northern Sydney
Central Coast Health, Sydney, NSW, Australia.
(Baigent M.) Department of Psychiatry, Flinders Medical Centre, Flinders
University, Adelaide, SA, Australia.
(Krabman P.) Coral Tree Family Service, Sydney, NSW, Australia.
CORRESPONDENCE ADDRESS
D. Lubman, ORYGEN Research Centre, Department of Psychiatry, University of
Melbourne, Melbourne, VIC, Australia.
SOURCE
Australasian Psychiatry (2008) 16:1 (39-43). Date of Publication: February
2008
ISSN
1039-8562
1440-1665 (electronic)
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
Objective: The aim of this paper is to provide an overview of the history
and activities of the RANZCP Section of Addiction Psychiatry, as well as its
current challenges and opportunities. Conclusions: From initial exclusion to
an active and growing membership, the Section of Addiction Psychiatry
continues to ensure that problematic substance use and gambling remain core
issues within Australasian psychiatry. In addition to commenting and
contributing to ongoing clinical and policy initiatives, the Section has
recently introduced an advanced training curriculum and maintains a strong
partnership with the relatively new Australasian Chapter of Addiction
Medicine. Its active input into education, training, media and policy
development within the College guarantees that psychiatry is represented
within the addiction field, and that tomorrow's psychiatrists are competent
to assess and treat comorbid addiction issues.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
psychiatry
EMTREE MEDICAL INDEX TERMS
Australia
clinical competence
comorbidity
curriculum
health care access
health care policy
history of medicine
human
mass medium
medical education
pathological gambling
review
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008043781
MEDLINE PMID
18202932 (http://www.ncbi.nlm.nih.gov/pubmed/18202932)
PUI
L351146861
DOI
10.1080/10398560701760227
FULL TEXT LINK
http://dx.doi.org/10.1080/10398560701760227
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1290
TITLE
Substance use in emergency medicine training programs
AUTHOR NAMES
McBeth B.D.
Ankel F.K.
Ling L.J.
Asplin B.R.
Mason E.J.
Flottemesch T.J.
McNamara R.M.
AUTHOR ADDRESSES
(McBeth B.D., bmcbeth@sfghed.ucsf.edu) Department of Emergency Medicine, San
Francisco General Hospital/University of California, San Francisco, CA,
United States.
(Ankel F.K.; Asplin B.R.; Mason E.J.; Flottemesch T.J.) Department of
Emergency Medicine, Regions Hospital, St. Paul, MN, United States.
(Ling L.J.) Department of Emergency Medicine, Hennepin County Medical
Center, Minneapolis, MN, United States.
(McNamara R.M.) Department of Emergency Medicine, Temple University Medical
Center, Philadelphia, PA, United States.
CORRESPONDENCE ADDRESS
B. D. McBeth, Department of Emergency Medicine, San Francisco General
Hospital/University of California, San Francisco, CA, United States. Email:
bmcbeth@sfghed.ucsf.edu
SOURCE
Academic Emergency Medicine (2008) 15:1 (45-53). Date of Publication:
January 2008
ISSN
1069-6563
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Objectives: To explore the prevalence of substance use among emergency
medicine (EM) residents and compare to a prior study conducted in 1992.
Methods: A voluntary, anonymous survey was distributed in February 2006 to
EM residents nationally in the context of the national in-service
examination. Data regarding 13 substances, demographics, and perceptions of
personal patterns of substance use were collected. Results: A total of 133
of 134 residencies distributed the surveys (99%). The response rate was 56%
of the total EM residents who took the in-service examination (2,397 /
4,281). The reported prevalence of most illicit drug use, including cocaine,
heroin, amphetamines, and other opioids, among EM residents are low.
Although residents reporting past marijuana use has declined (52.3% in 1992
to 45.0% in 2006; p < 0.001), past-year use (8.8%-11.8%; p < 0.001) and
past-month use (2.5%-4.0%; p < 0.001) have increased. Alcohol use appears to
be increasing, including an increase in reported daily drinkers from 3.3% to
4.9% (p < 0.001) and an increase in number of residents who indicate that
their consumption of alcohol has increased during residency (from 4% to
12.6%; p < 0.001). Conclusions: Self-reported use of most street drugs
remains uncommon among EM residents. Marijuana and alcohol use, however, do
appear to be increasing. Educators should be aware of these trends, and this
may allow them to target resources for impaired and at-risk residents. ©
2008 by the Society for Academic Emergency Medicine.
EMTREE DRUG INDEX TERMS
alcohol (drug toxicity)
amphetamine derivative (drug toxicity)
caffeine
cannabis (drug toxicity)
cocaine (drug toxicity)
diamorphine (drug toxicity)
illicit drug (drug toxicity)
opiate (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency physician
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
cocaine dependence (epidemiology)
demography
drinking behavior
female
health survey
heroin dependence (epidemiology)
high risk population
human
major clinical study
male
opiate addiction (epidemiology)
prevalence
priority journal
self report
tobacco
CAS REGISTRY NUMBERS
alcohol (64-17-5)
caffeine (30388-07-9, 58-08-2)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008562059
MEDLINE PMID
18211313 (http://www.ncbi.nlm.nih.gov/pubmed/18211313)
PUI
L352745536
DOI
10.1111/j.1553-2712.2007.00008.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1553-2712.2007.00008.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1291
TITLE
Title VII innovations in american medical and dental education: Responding
to 21st century priorities for the health of the American public
AUTHOR NAMES
Reynolds P.P.
AUTHOR ADDRESSES
(Reynolds P.P., ppr8q@virginia.edu) Department of Medicine, University of
Virginia, Center for Biomedical Ethics and Humanities, Charlottesville, VA,
United States.
(Reynolds P.P., ppr8q@virginia.edu) PO Box 800761, Charlottesville, VA
22908, United States.
CORRESPONDENCE ADDRESS
P. P. Reynolds, PO Box 800761, Charlottesville, VA 22908, United States.
Email: ppr8q@virginia.edu
SOURCE
Academic Medicine (2008) 83:11 (1015-1020). Date of Publication: November
2008
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
The Title VII Training in Primary Care Medicine and Dentistry grant program
has been an engine for innovation by providing funds to develop and
implement new curricula, new models of care delivery, and new methods of
fellowship and faculty development. During period one, 1963-1975, the
disciplines of family medicine and physicians assistants (PAs) first
received funding to establish residency programs in family medicine and
student training for PAs. Other innovations included interdisciplinary
training and curricula in substance abuse and nutrition. During period two,
1976-1991, Title VII funds supported implementation of general dental
residency programs. In family medicine, general internal medicine, and
general pediatrics, ambulatory care training was expanded with a focus on
community-oriented primary care and preventive medicine, as well as
curricula in ethics, distance learning, behavioral health, and what is now
called evidence-based medicine. During period two, Title VII also helped
build the infrastructure of primary care through funding to recruit faculty,
to expand training sites into community settings, and to incorporate topics
relevant to primary care. During period three, 1992-present, innovations
shifted to areas of clinical relevance or national priority, training in the
care of vulnerable populations, and design of educational strategies to
eliminate health disparities, often through collaborative partnerships
between medicine, dentistry, and public health. This article focuses on
three areas that reflect much of the current work of Title VII grantees:
clinical skills and practice improvement, interdisciplinary models of
training and patient care, and care of vulnerable and underserved
populations. This article is part of a theme issue of Academic Medicine on
the Title VII health professions training programs. © 2008 Association of
American Medical Colleges.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dental education
medical education
EMTREE MEDICAL INDEX TERMS
ambulatory care
cultural competence
family medicine
geriatric care
health
health care delivery
health care quality
health program
human
interdisciplinary education
medical genetics
nutrition
palliative therapy
patient care
patient safety
preventive medicine
priority journal
public health
residency education
review
skill
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009388585
PUI
L355000880
DOI
10.1097/ACM.0b013e3181892966
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0b013e3181892966
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1292
TITLE
Proposal for a medical master class system of medical education for common
complex medical entities
AUTHOR NAMES
Kale S.A.
Barkin R.L.
AUTHOR ADDRESSES
(Kale S.A., Kaledoc@aol.com) Rush North Hospital, Skokie, IL, United States.
(Kale S.A., Kaledoc@aol.com) Resurrection St. Joseph Hospital, Chicago, IL,
United States.
(Barkin R.L.) Rush University Medical College, Anesthesiology, Rush Pain
Center of Rush University Medical Center, Chicago, IL, United States.
(Barkin R.L.) Anesthesiology, North Shore Pain Center, Rush North Shore
Medical Center, Skokie, IL, United States.
(Kale S.A., Kaledoc@aol.com) 30 South Michigan Ave., Chicago, IL 60603,
United States.
CORRESPONDENCE ADDRESS
S.A. Kale, 30 South Michigan Ave., Chicago, IL 60603, United States. Email:
Kaledoc@aol.com
SOURCE
American Journal of Therapeutics (2008) 15:1 (92-96). Date of Publication:
January-February 2008
ISSN
1075-2765
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
It is imperative that the management of complex outpatient medical problems
be taught using an apprentice system of education. The implementation of
highly experienced and outcome successful "master physicians" to train
outpatient practicing clinicians will provide a powerful frame of reference
and a highly imitatable model on which clinicians can base their
presentations of information and medications to patients with complex
medical problems such as type 2 diabetes, cardiovascular disease, chronic
pain, obesity, or tobacco addiction. Because doctors have always learned by
observation, we must ensure that those who they observe will be "worth
watching" and that those watched can provide skills of patient management
currently not taught in the Flexnor-styled medical educational system, which
effectively ended the apprentice system of training. The reintroduction of a
carefully crafted apprentice system will foreseeably improve patient care
and reduce morbidity, mortality, medical errors, and medical expenses. ©
2008 Lippincott Williams & Wilkins, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
EMTREE MEDICAL INDEX TERMS
health care policy
health care quality
human
medical error
medical practice
medical society
morbidity
mortality
outpatient care
physician attitude
postgraduate education
priority journal
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008048174
MEDLINE PMID
18223360 (http://www.ncbi.nlm.nih.gov/pubmed/18223360)
PUI
L351161188
DOI
10.1097/MJT.0b013e31815fa680
FULL TEXT LINK
http://dx.doi.org/10.1097/MJT.0b013e31815fa680
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1293
TITLE
Do medical students know enough about smoking to help their future patients?
Assessment of new york city fourth-year medical students' knowledge of
tobacco cessation and treatment for nicotine addiction
AUTHOR NAMES
Springer C.M.
Tannert Niang K.M.
Matte T.D.
Miller N.
Bassett M.T.
Frieden T.R.
AUTHOR ADDRESSES
(Springer C.M.) Adelphi University, Derner Institute of Advanced
Psychological Studies, Garden City, NY, United States.
(Tannert Niang K.M., ktannert@health.nyc.gov; Miller N.) New York City
Department of Health and Mental Hygiene, Bureau of Tobacco Control, New
York, NY, United States.
(Matte T.D.) New York City Department of Health and Mental Hygiene, Division
of Health Promotion and Disease Prevention, Research Surveillance and
Evaluation, New York, NY, United States.
(Bassett M.T.) New York City Department of Health and Mental Hygiene,
Division of Health Promotion and Disease Prevention, New York, NY, United
States.
(Frieden T.R.) New York City Department of Health and Mental Hygiene, New
York, NY, United States.
CORRESPONDENCE ADDRESS
K. M. Tannert Niang, New York City Department of Health and Mental Hygiene,
Bureau of Tobacco Control, New York, NY, United States. Email:
ktannert@health.nyc.gov
SOURCE
Academic Medicine (2008) 83:10 (982-989). Date of Publication: October 2009
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
PURPOSE: Practicing physicians underutilize U.S. Department of Health and
Human Services evidence-based approaches to nicotine addiction and
treatment. Few studies have assessed medical student knowledge in this area.
This study examined New York City fourth-year medical students' knowledge of
tobacco cessation and treatment of nicotine addiction. METHOD: The authors
conducted a Web-based survey, comprising 27 closed- and open-ended
questions, of six of seven New York City medical schools in the spring of
2004. They drew questions from international, national, and local surveys on
tobacco and health, U.S. Department of Health and Human Services tobacco
treatment guidelines, and prior studies. Primary outcome measures were
knowledge of the epidemiology of smoking, benefits of cessation and
treatment of nicotine addiction, clinical cessation practices, and students'
use of tobacco and intentions to stop smoking. RESULTS: Of 943 fourth-year
medical students, 469 (50%) completed an online survey. Students had good
knowledge of the epidemiology of smoking, including its prevalence and
health effects, with most responding correctly to relevant questions (mean
correct response 79%; SD = 9.4). Students demonstrated a fair understanding
of the benefits of cessation (mean correct response, 67%; SD = 19.2) and
treatment of nicotine addiction (mean correct response, 61%; SD = 13.2).
Three hundred students (64%) rated their own preparation to assist patients
to quit as less than adequate. CONCLUSIONS: Fourth-year medical students at
the participating schools in New York City understood the harms of smoking
but needed more information on the benefits of stopping smoking and
treatment of nicotine addiction. © 2008 Association of American Medical
Colleges.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
nicotine replacement therapy
professional knowledge
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
Internet
medical care
open-ended questionnaire
outcome assessment
practice guideline
prevalence
priority journal
smoking
structured questionnaire
tobacco dependence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009394796
MEDLINE PMID
18820533 (http://www.ncbi.nlm.nih.gov/pubmed/18820533)
PUI
L355012021
DOI
10.1097/ACM.0b013e3181850b68
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0b013e3181850b68
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1294
TITLE
Towards increased alcohol intervention activity in Swedish occupational
health services
AUTHOR NAMES
Holmqvist M.
Hermansson U.
Nilsen P.
AUTHOR ADDRESSES
(Holmqvist M., mahol@ihs.liu.se; Nilsen P.) Linköping University, Department
of Medical and Health Sciences, Linköping, Sweden.
(Hermansson U.) Swedish National Institute of Public Health, Östersund,
Sweden.
(Holmqvist M., mahol@ihs.liu.se) Department of Medical and Health Sciences,
Division of Social Medicine and Public Health Science, Linköping University,
SE-581 83 Linköping, Sweden.
CORRESPONDENCE ADDRESS
M. Holmqvist, Department of Medical and Health Sciences, Division of Social
Medicine and Public Health Science, Linköping University, SE-581 83
Linköping, Sweden. Email: mahol@ihs.liu.se
SOURCE
International Journal of Occupational Medicine and Environmental Health
(2008) 21:2 (179-187). Date of Publication: 1 Jan 2008
ISSN
1232-1087
BOOK PUBLISHER
Nofer Institute of Occupational Medicine
ABSTRACT
Objectives: To investigate the extent to which Swedish occupational
physicians and nurses discuss alcohol issues with their patients, their
reasons for and against addressing these issues, their amount of education
in handling risky drinking, and factors that they believe could facilitate
increased alcohol intervention activity in OHS. Methods: All Swedish
physicians and nurses in OHS were surveyed with a postal questionnaire. The
questionnaire was returned by 313 physicians (response rate 54%) and 759
nurses (response rate 69%). Results: As much as 70% of the physicians and
85% of the nurses reported that they "frequently" discussed alcohol problems
with their patients. The majority of both physicians (81%) and nurses (69%)
admitted participating in a maximum of a half-day training in handling risky
drinking. Among the physicians, the most common reason for asking patients
about their alcohol consumption was the clinical relevance (57%).
Seventy-three per cent of the nurses initiated discussions about alcohol on
the basis of questionnaire responses. Both the physicians (72%) and nurses
(90%) said that the knowledge about counselling techniques to use when
alcohol-related symptoms are evident was the most important facilitator to
increased intervention activity. Conclusions: OHS professionals usually
discuss alcohol-related issues with their patients. Nonetheless, they are
interested in gaining further education and knowledge in this respect. The
study results indicate that OHS is an important setting for alcohol
prevention.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
health education
medical education
occupational health service
EMTREE MEDICAL INDEX TERMS
article
drinking behavior
health care personnel
lifestyle
patient counseling
questionnaire
risk factor
Sweden
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008401666
MEDLINE PMID
18715842 (http://www.ncbi.nlm.nih.gov/pubmed/18715842)
PUI
L352209966
DOI
10.2478/v10001-008-0012-1
FULL TEXT LINK
http://dx.doi.org/10.2478/v10001-008-0012-1
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1295
TITLE
The pediatric residency training on tobacco project: Four-year resident
outcome findings
AUTHOR NAMES
Hymowitz N.
Schwab J.V.
Haddock C.K.
Pyle S.A.
Schwab L.M.
AUTHOR ADDRESSES
(Hymowitz N., Hymowitz@umdnj.edu) Department of Psychiatry, UMDNJ-New Jersey
Medical School, F1510, 183 South Orange Ave., Newark, NJ 07103, United
States.
(Schwab J.V.) Department of Pediatrics, UMDNJ-New Jersey Medical School,
Newark, NJ 07103, United States.
(Haddock C.K.) Department of Informatic Medicine and Personalized Health,
School of Medicine, University of Missouri at Kansas City, Kansas City, MO
64108, United States.
(Pyle S.A.) Departments of Preventive Medicine and Family Medicine, Kansas
City University of Medicine and Biosciences, Kansas City, MO 64106-1453,
United States.
(Schwab L.M.) Department of Basic Medical Science, School of Medicine,
University of Missouri at Kansas City, Kansas City, MO 64108-2792, United
States.
CORRESPONDENCE ADDRESS
N. Hymowitz, Department of Psychiatry, UMDNJ-New Jersey Medical School,
F1510, 183 South Orange Ave., Newark, NJ 07103, United States. Email:
Hymowitz@umdnj.edu
SOURCE
Preventive Medicine (2007) 45:6 (481-490). Date of Publication: December
2007
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Objective: To evaluate the efficacy of a special program for training
pediatric residents to address tobacco. Methods: In a study conducted at the
New Jersey Medical School, sixteen pediatric residency training programs in
the New York/New Jersey metropolitan area were assigned randomly to either
special or standard training conditions. All of the residents were invited
to take part in the training. Only second- and third-year residents
participated in data collection activities (baseline and follow-up tobacco
surveys and objective structured clinical examinations [OSCEs]). Baseline
data were collected in the spring of 2001, and follow-up data were collected
annually through the spring of 2005. Special training consisted of a hybrid
website/CD-ROM training program on tobacco, a seminar series, companion
intervention material, and clinic mobilization. Standard training residents
participated in the seminar series and utilized standard educational and
self-help material. Results: The percent of residents in special training,
but not of those in standard training, who provided assistance for modifying
environmental tobacco smoke, preventing use, and helping patients and
parents stop smoking increased significantly from baseline to year 4 of
training, as did the percent who felt prepared to address tobacco.
Performance on the OSCEs was consistent with survey outcomes as special
training residents revealed mastery of key interviewing and intervention
skills. Conclusion: The special training program, with Solutions for Smoking
as its centerpiece, was found to be effective for training pediatric
residents to address tobacco, and it may serve as a model for pediatric
residency training programs. Ways of improving the program are discussed. ©
2007 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
clinical examination
controlled study
female
follow up
health survey
human
human experiment
male
medical school
priority journal
residency education
tobacco
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007584707
MEDLINE PMID
17707898 (http://www.ncbi.nlm.nih.gov/pubmed/17707898)
PUI
L350193306
DOI
10.1016/j.ypmed.2007.07.024
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2007.07.024
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1296
TITLE
Primary care doctors' perception of treatment demand and need for training
in drug addiction issues
AUTHOR NAMES
Latorre J.M.
López-Torres J.
Sanchez-Nuñez T.
Serrano J.P.
Montañés J.
Escobar F.
AUTHOR ADDRESSES
(Latorre J.M., Jose.Latorre@uclm.es; Sanchez-Nuñez T.; Serrano J.P.;
Montañés J.) Department of Psychology, University of Castilla-La Mancha,
Spain.
(Latorre J.M., Jose.Latorre@uclm.es; López-Torres J.; Escobar F.) Department
of Medical Sciences, University of Castilla-La Mancha, Spain.
(Latorre J.M., Jose.Latorre@uclm.es; Serrano J.P.) Biomedical Investigations
Regional Center (CRIB), Castilla-La Mancha, Spain.
(López-Torres J.; Escobar F.) Castilla-La Mancha Health Service, Spain.
(López-Torres J.; Serrano J.P.; Escobar F.) Castilla-La Mancha University
Medical School, Spain.
CORRESPONDENCE ADDRESS
J.M. Latorre, Departamento de Psicología, Facultad de Medicina, C/Almansa,
14, 02006 Albacete, Spain. Email: Jose.Latorre@uclm.es
SOURCE
Primary Care and Community Psychiatry (2007) 12:1 (33-41). Date of
Publication: 2007
ISSN
1746-8841
BOOK PUBLISHER
Librapharm, Venture West, New Greenham Park, Newbury, Berks., United
Kingdom.
ABSTRACT
Aim: To learn the opinion of primary care physicians (PCPs) on healthcare
provision for the drug addict population and to determine their knowledge
and needs as regards to continuing training and their attitudes towards drug
addiction. Methods: We conducted a cross-sectional survey of 301 PCPs in
Castilla-La Mancha, Spain using a questionnaire designed to elicit
physician's opinions about drug addiction. Results: The response rate was
85.0% (256 cases). 84.2% of the doctors considered that 10% of patient
visits to primary care centres were related to drug addiction. The doctors
frequently experienced difficulty in: the diagnosis and treatment of organic
diseases associated with addiction (18.4%), the assessment of the situation
and level of dependence (36.7%), support to treatment of some aspects of
drug addiction (51.3%) and, above all, the treatment of these addictions
(62.9%). Of all respondents, 53.8% reported they had received some form of
postgraduate training in drug addiction issues. Only 28.5% considered they
had received sufficient information on specialised drug addiction services.
Conclusions: As regards to PCPs' attitudes to drug addiction, we observed a
positive attitude regarding the needs of those who abuse drugs, and the
development of intervention programmes. PGPs believe that addicts deserve
treatment, that there should be more treatment programmes and that primary
healthcare centres should establish links with specialised services. © 2007
Informa UK Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
drug dependence
human
physician
primary medical care
EMTREE MEDICAL INDEX TERMS
abuse
diagnosis
diseases
general practitioner
health care
patient
population
postgraduate education
questionnaire
Spain
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012749175
PUI
L366321616
DOI
10.1080/09513590701592738
FULL TEXT LINK
http://dx.doi.org/10.1080/09513590701592738
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 1297
TITLE
Basic skills for working with smokers: A pilot test of an online course for
medical students
AUTHOR NAMES
White M.J.
Ewy B.M.
Ockene J.
Mcintosh S.
Zapka J.
Powers C.A.
Geller A.
AUTHOR ADDRESSES
(White M.J., maryjo.white@umassmed.edu; Ewy B.M.; Ockene J.) University of
Massachusetts Medical School, Worcester, MA, United States.
(Mcintosh S.) University of Rochester School of Medicine and Dentistry,
Rochester, NY, United States.
(Zapka J.) Medical University of South Carolina, Charleston, SC, United
States.
(Powers C.A.; Geller A.) Boston University School of Medicine, Boston, MA,
United States.
(White M.J., maryjo.white@umassmed.edu) University of Massachusetts Medical
School, H8-536, 55 Lake Avenue North, Worcester, MA 01655, United States.
CORRESPONDENCE ADDRESS
M.J. White, University of Massachusetts Medical School, H8-536, 55 Lake
Avenue North, Worcester, MA 01655, United States. Email:
maryjo.white@umassmed.edu
SOURCE
Journal of Cancer Education (2007) 22:4 (254-258). Date of Publication:
Winter 2007
ISSN
0885-8195
BOOK PUBLISHER
Springer Publishing Company, 11 West 42nd Street, 15th Floor, New York,
United States.
ABSTRACT
Background. Online learning can be an excellent method for presenting
clinical skills to address health behaviors. Methods. Medical students pilot
tested a skills-building course consisting of an online component and a
practical application. Results. A total of 38 students were registered, 25
(66%) completed the online component, and 22 (58%) completed both course
components. Students reported they were adequately trained to administer the
brief 5A intervention to patients who smoke and they intended to deliver the
intervention routinely. Conclusions. Online skills-building courses can have
a positive effect on students' knowledge and skills and can be used across
health behaviors promote healthy lifestyles.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
article
education program
health education
human
medical student
online system
pilot study
priority journal
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008033401
MEDLINE PMID
18067439 (http://www.ncbi.nlm.nih.gov/pubmed/18067439)
PUI
L351114199
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 1298
TITLE
The role of schools in combating illicit substance abuse
AUTHOR NAMES
Frankowski B.
Gereige R.
Grant L.
Hyman D.
Magalnick H.
Mears C.J.
Monteverdi G.
Murray R.D.
Pattishall E.
Roland M.
Young T.L.
Taras H.
Li S.S.
Joffe A.
Behnke M.
Knight J.R.
Kokotailo P.
Sims T.H.
Williams J.F.
Jacobs E.
Smith K.
AUTHOR ADDRESSES
(Frankowski B.; Gereige R.; Grant L.; Hyman D.; Magalnick H.; Mears C.J.;
Monteverdi G.; Murray R.D.; Pattishall E.; Roland M.; Young T.L.; Taras H.;
Li S.S.; Joffe A.; Behnke M.; Knight J.R.; Kokotailo P.; Sims T.H.; Williams
J.F.; Jacobs E.; Smith K.)
SOURCE
Pediatrics (2007) 120:6 (1379-1384). Date of Publication: December 2007
ISSN
0031-4005
0210-5721 (electronic)
BOOK PUBLISHER
American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk
Grove Village, United States.
ABSTRACT
Disturbingly high levels of illicit drug use remain a problem among American
teenagers. As the physical, social, and psychological "home away from home"
for most youth, schools naturally assume a primary role in substance abuse
education, prevention, and early identification. However, the use of random
drug testing on students as a component of drug prevention programs requires
additional, more rigorous scientific evaluation. Widespread implementation
should await the result of ongoing studies to address the effectiveness of
testing and evaluate possible inadvertent harm. If drug testing on students
is conducted, it should never be implemented in isolation. A comprehensive
assessment and therapeutic management program for the student who tests
positive should be in place before any testing is performed. Schools have
the opportunity to work with parents, health care professionals, and
community officials to use programs with proven effectiveness, to identify
students who show behavioral risks for drug-related problems, and to make
referrals to a student's medical home. When use of an illicit substance is
detected, schools can foster relationships with established health care
experts to assist them. A student undergoing individualized intervention for
using illicit substances merits privacy. This requires that awareness of the
student's situation be limited to parents, the student's physician, and only
those designated school health officials with a need to know. For the
purposes of this statement, alcohol, tobacco, and inhalants are not
addressed. Copyright © 2007 by the American Academy of Pediatrics.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
school health service
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
awareness
clinical effectiveness
community care
health care personnel
health education
health program
high risk behavior
human
medical expert
parent
patient referral
physician
preventive medicine
priority journal
professional practice
psychology
review
screening
social interaction
tobacco dependence
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007596036
MEDLINE PMID
18055689 (http://www.ncbi.nlm.nih.gov/pubmed/18055689)
PUI
L350223691
DOI
10.1542/peds.2007-2905
FULL TEXT LINK
http://dx.doi.org/10.1542/peds.2007-2905
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 1299
TITLE
Personal drug selection: problem-based learning in pharmacology: experience
from a medical school in Nepal.
AUTHOR NAMES
Shankar P.R.
Palaian S.
Gyawali S.
Mishra P.
Mohan L.
AUTHOR ADDRESSES
(Shankar P.R.; Palaian S.; Gyawali S.; Mishra P.; Mohan L.) Department of
Pharmacology, Manipal College of Medical Sciences, Pokhara, Nepal.
CORRESPONDENCE ADDRESS
P.R. Shankar, Department of Pharmacology, Manipal College of Medical
Sciences, Pokhara, Nepal. Email: ravi.dr.shankar@gmail.com
SOURCE
PloS one (2007) 2:6 (e524). Date of Publication: 2007
ISSN
1932-6203 (electronic)
ABSTRACT
BACKGROUND: At the Manipal College of Medical Sciences, Pokhara, Nepal,
Pharmacology is taught during the first four semesters of the undergraduate
medical course. Personal or P-drug selection is an important exercise. The
present study was carried out to obtain student opinion about the P-drug
learning sessions, the assessment examinations, and on the small group
dynamics. METHOD: The practical sessions on P-drug selection are carried out
in small groups. Student feedback about the session was obtained using focus
group discussions. The focus groups were selected to represent both genders
and the three main nationalities, Nepalese, Indians, and Sri Lankans. There
were four Nepalese, five Indians, and three Sri Lankans. Within each
nationality and gender category the students were randomly selected. The
respondents were explained the objectives of the study and were invited to
participate. Written informed consent was obtained. The discussion lasted
around two hours and was conducted in the afternoon in two groups of six
students each. The first author (PRS) acted as a facilitator. The responses
were recorded and analyzed qualitatively. RESULTS: The overall student
opinion was positive. Around 25% (3 respondents) of respondents were
confused about whether P-drugs were for a disease or a patient. Group
consensus was commonly used to give numerical values for the different
criteria. The large number of brands created problems in calculating cost.
The students wanted more time for the exercise in the examination. Formative
assessment during the learning sessions may be considered. The group members
usually got along well. Absenteeism was a problem and not all members put in
their full effort. The physical working environment should be improved.
CONCLUSIONS: Based on what the students say, the sessions on P-drugs should
be continued and strengthened. Modifications in the sessions are required.
Sessions during the clinical years and internship training can be
considered.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacology
drug screening
medical education
medical student
problem based learning
EMTREE MEDICAL INDEX TERMS
article
education
female
human
male
medical school
methodology
Nepal
psychological aspect
standard
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17565377 (http://www.ncbi.nlm.nih.gov/pubmed/17565377)
PUI
L350359018
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1300
TITLE
A first-year community-based service learning elective: design,
implementation, and reflection.
AUTHOR NAMES
Averill N.J.
Sallee J.M.
Robinson J.T.
McFarlin J.M.
Montgomery A.A.
Burkhardt G.A.
Schulz-Burton M.D.
Elam C.L.
AUTHOR ADDRESSES
(Averill N.J.; Sallee J.M.; Robinson J.T.; McFarlin J.M.; Montgomery A.A.;
Burkhardt G.A.; Schulz-Burton M.D.; Elam C.L.) University of Kentucky
College of Medicine, Lexington, Kentucky 40536-0298, USA.
CORRESPONDENCE ADDRESS
N.J. Averill, University of Kentucky College of Medicine, Lexington,
Kentucky 40536-0298, USA. Email: njaver2@uky.edu
SOURCE
Teaching and learning in medicine (2007) 19:1 (47-54). Date of Publication:
2007 Winter
ISSN
1040-1334
ABSTRACT
BACKGROUND: Medical schools have increasingly begun to incorporate service
learning practices into their curricula. DESCRIPTION: As part of a
community-based service learning elective, 7 first-year medical students
designed and implemented a health behavior education program for residents
of a women's substance abuse recovery facility. The resulting program, Start
Small, Feel Better, emphasized setting and accomplishing small goals to
promote healthy lifestyle modifications. EVALUATION: We present personal
reflections from the students, impressions of the participants, and
qualitative data on the short-term effects of this intervention.
CONCLUSIONS: Start Small, Feel Better represents a model of how a service
learning project could be put into practice and positively impact both
medical students and the broader community.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
health care planning
medical education
medical school
program development
public relations
EMTREE MEDICAL INDEX TERMS
article
health care quality
human
methodology
organization and management
problem based learning
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17330999 (http://www.ncbi.nlm.nih.gov/pubmed/17330999)
PUI
L47003148
DOI
10.1207/s15328015tlm1901_9
FULL TEXT LINK
http://dx.doi.org/10.1207/s15328015tlm1901_9
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1301
TITLE
Students of the Faculty of Medicine and of the Division of Public Health of
Medical University of Bialystok towards nicotine addiction against the
background of the National Health Program in Poland
ORIGINAL (NON-ENGLISH) TITLE
Studenci Wydziałów Lekarskiego i Zdrowia Publicznego AM w Białymstoku wobec
nikotynizmu na tle Narodowego Programu Zdrowia w Polsce.
AUTHOR NAMES
Bielska D.
Litwiejko A.
Trofimiuk E.
Kurpas D.
AUTHOR ADDRESSES
(Bielska D.; Litwiejko A.; Trofimiuk E.; Kurpas D.) Zakład Medycyny
Rodzinnej i Pielegniarstwa Srodowiskowego, Akademii Medycznej w Białymstoku.
CORRESPONDENCE ADDRESS
D. Bielska, Zakład Medycyny Rodzinnej i Pielegniarstwa Srodowiskowego,
Akademii Medycznej w Białymstoku. Email: d.bielska1@wp.pl
SOURCE
Przegla̧d lekarski (2007) 64:10 (777-780). Date of Publication: 2007
ISSN
0033-2240
ABSTRACT
In the years 1998-2005 in Poland a National Health Program was being
implemented. One of its chief guidelines was to reduce the popularity of
tobacco smoking, recognised as a proven, single factor influencing the
etiology and the course of many diseases. The objective of the work was to
establish whether the program's guidelines were reflected in individual
attitudes of senior students of the Faculty of Medicine and of the Division
of Public Health of Medical University of Bialystok. The research was
conducted with the use of an anonymous questionnaire, filled in by the
students before the classes dedicated to the issues of nicotine addiction
within the framework of the family medicine thematic block. The analysis of
the results did not show a decrease in the number of student smokers in
comparison to the previous years; however, it was observed that more than a
half of the current smokers had tried and was going to try to give up
smoking, and the non-smokers strongly objected to passive smoking.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical student
public health
student
tobacco dependence
EMTREE MEDICAL INDEX TERMS
addiction
adult
article
comparative study
female
human
male
passive smoking (prevention)
Poland
questionnaire
smoking (prevention)
smoking cessation
CAS REGISTRY NUMBERS
nicotine (54-11-5)
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
18409307 (http://www.ncbi.nlm.nih.gov/pubmed/18409307)
PUI
L351727239
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1302
TITLE
The knowledge level of smoking harm in the students of Wroclaw Medical
University, Bialystok Medical University and the Public Higher Medical
Professional School in Opole
ORIGINAL (NON-ENGLISH) TITLE
Poziom wiedzy na temat szkodliwości palenia tytoniu wśród studentów Akademii
Medycznej we Wrocławiu, Akademii Medycznej w Białymstoku i Państwowej
Medycznej Zawodowej Szkole w Opolu.
AUTHOR NAMES
Kurpas D.
Jasińska A.
Bielska D.
Seń M.
Wojtal M.
Sochocka L.
Steciwko A.
AUTHOR ADDRESSES
(Kurpas D.; Jasińska A.; Bielska D.; Seń M.; Wojtal M.; Sochocka L.;
Steciwko A.) Katedra i Zakład Medycyny Rodzinnej, Akademii Medycznej we
Wrocławiu.
CORRESPONDENCE ADDRESS
D. Kurpas, Katedra i Zakład Medycyny Rodzinnej, Akademii Medycznej we
Wrocławiu. Email: dkurpas@hotmail.com
SOURCE
Przegla̧d lekarski (2007) 64:10 (797-799). Date of Publication: 2007
ISSN
0033-2240
ABSTRACT
The main aim of health promotion and diseases prophylactic is a struggle
with smoking, which is a well known factor in many disorders, i.e. malignant
carcinomas, noncarcinomatous diseases of respiratory system and
cardiovascular diseases. The aim of the study was the analysis of the
knowledge level of smoking harm and its consequences in 1051 students of
Wroclaw Medical University, Bialystok Medical University and the Public
Higher Medical Professional School in Opole. The respondents answered to the
anonymous, voluntary questionnaire. The little percentage of students in all
centres gave correct answer to the subject of amount of carcinogens
contained in the tobacco and the tobacco smoke still correct answers
concerning concrete carcinogens were rare. Students aren't also convinced
that the smoking can cause so strong psychophysical addiction, like taking
drugs: heroine and cocaine. Majority polled is confirming that the smoking
is a cause of the cancer of larynx, vascular diseases or chronic bronchitis,
as well as an influence on a birth weight in newborn babies. Depending on
the examined centre--convincing that smoking is the risk factor of bladder
cancer isn't already so universal, the similar situation is taking place at
examining the knowledge on the subject of association between smoking and
osteoporosis. Admittedly the knowledge on the subject of nicotine substitute
therapy isn't alien to students, they have the difficulty with correct
giving available preparations on the Polish market. The knowledge of
students is also scarce on the subject of changes in the total number of
smokers in Poland.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
health promotion
medical student
smoking (adverse drug reaction, prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
Poland
questionnaire
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
18409312 (http://www.ncbi.nlm.nih.gov/pubmed/18409312)
PUI
L351727244
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1303
TITLE
Neighborhood and individual factors in marijuana and other illicit drug use
in a sample of low-income women
AUTHOR NAMES
Sunder P.K.
Grady J.J.
Wu Z.H.
AUTHOR ADDRESSES
(Sunder P.K., sunder@bcm.tmc.edu) Baylor College of Medicine, One Baylor
Plaza, Houston, TX 77030, United States.
(Grady J.J., jjgrady@utmb.edu) Office of Biostatistics, Department of
Preventive Medicine and Community Health, University of Texas Medical
Branch, 301 University Boulevard, Galveston, TX, United States.
(Wu Z.H., zhwu@utmb.edu) Department of Obstetrics and Gynecology, University
of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0587,
United States.
CORRESPONDENCE ADDRESS
Z.H. Wu, Department of Obstetrics and Gynecology, University of Texas
Medical Branch, 301 University Boulevard, Galveston, TX 77555-0587, United
States. Email: zhwu@utmb.edu
SOURCE
American Journal of Community Psychology (2007) 40:3-4 (167-180). Date of
Publication: December 2007
ISSN
0091-0562
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
Few studies have systematically evaluated whether contextual variables
differ in their ability to explain the use of different drugs in the same
sample. Our objective was to examine correlates of use for different illicit
drugs at the individual and neighborhood level in a tri-ethnic sample of
low-income women, an underrepresented sample in drug research. Women 18-31
were recruited from a low-cost family planning clinic in southeast Texas
from December 2001 to May 2003. Neighborhood level indicators of
disadvantage, family structure, and nativity status from U.S. Census 2000
were linked with individual survey data. Multilevel logistic regression was
used to examine the effect of individual and neighborhood level measures on
lifetime use of marijuana only and of other illicit drugs in 594 women. Only
individual level variables (younger age, non-Hispanic White ethnicity, not
being married, greater peer acceptance of substance use) increased odds of
exclusive marijuana use, controlling for neighborhood level factors.
However, both neighborhood and individual level variables significantly
predicted other illicit drug use. Residence in less disadvantaged
neighborhoods, non-Hispanic White ethnicity, higher levels of education,
greater acceptance of substance use by peers, and a larger number of
perceived neighborhood problems increased odds of illicit drug use. Use of
other illicit drugs with or without marijuana may be more closely tied to
area level factors whereas factors driving exclusive marijuana use may not
rely on localized structures to the same extent. Thus, community-level
interventions may need to customize their approaches according to the type
of drug use targeted. The implication of using neighborhood level variables
in substance use research is also discussed. © 2007 Springer
Science+Business Media, LLC.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cannabis addiction (epidemiology)
demography
social environment
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
human
psychology
risk factor
rural population
socioeconomics
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17924186 (http://www.ncbi.nlm.nih.gov/pubmed/17924186)
PUI
L350068102
DOI
10.1007/s10464-007-9135-y
FULL TEXT LINK
http://dx.doi.org/10.1007/s10464-007-9135-y
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1304
TITLE
HEPACOM: Multicenter, observational prospective study of outcome and
monitoring of HCV positive antiviral-naïve patients managed in the French
health care system
AUTHOR NAMES
Agostini H.
Castera L.
Melin P.
Cattan L.
Roudot-Thoraval F.
AUTHOR ADDRESSES
(Agostini H.) Seillans Conseils, Paris, France.
(Agostini H.) Hôpital Antoine-Béclère, Unité de Recherche Clinique
Paris-Sud, Clamart, France.
(Castera L.) Service d'Hépatogastroentérologie, Hôpital Haut-Lévêque, CHU
Bordeaux, Pessac, France.
(Melin P.) Hôpital Général de Saint-Dizier, Saint-Dizier, France.
(Cattan L.)
(Roudot-Thoraval F., francoise.roudot-thoraval@hmn.aphp.fr) Hôpital
Henri-Mondor, Service de Santé Publique, Créteil, France.
(Roudot-Thoraval F., francoise.roudot-thoraval@hmn.aphp.fr) Service de Santé
Publique, Hôpital Henri-Mondor, 94010 Créteil Cedex, France.
CORRESPONDENCE ADDRESS
F. Roudot-Thoraval, Service de Santé Publique, Hôpital Henri-Mondor, 94010
Créteil Cedex, France. Email: francoise.roudot-thoraval@hmn.aphp.fr
SOURCE
Gastroenterologie Clinique et Biologique (2007) 31:12 (1074-1080). Date of
Publication: December 2007
ISSN
0399-8320
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France.
ABSTRACT
Objective - To study management practices in the French health care system
for antiviral-naïve patients with chronic hepatitis C virus (HCV) infection.
Methods and patients - Two groups of general practitioners, group I (special
training and experience in drug addiction) and group II (other general
practitioners) enrolled untreated HCV positive patients and noted management
practices for a 12-month period. Results - Amoung 4660 enrolled patients,
2038 enrolled by 462 general practitioners in group I and 1756 enrolled by
588 general practitioners in group II were retained for analysis. These
patients were adults, aged 42±14 years, who were naïve to antiviral
treatment. The male/female ratio was 1: 7. Ten percent were coinfected with
HIV, 12% had excessive alcohol intake, and 61% were current drug users, 75%
of whom (45% of the total population) were taking replacement therapy.
Minimal hepatic lesions (stage 30 g pure ethanol per day for men and >20 g of pure ethanol
per day for women). We calculated sensitivity, specificity, positive and
negative predictive values and Receiver Operator Characteristic curves.
Finally, we compared the ability of AUDIT to accurately detect "alcohol
abuse/dependence" with that of CAGE and MAST Results: 1207 patients
presenting to outpatient clinics (Switzerland, n = 580) or general
practitioners' (France, n = 627) successively completed CAGE, MAST and AUDIT
self-administered questionnaires, and were independently interviewed by a
trained addiction specialist. AUDIT showed a good capacity to discriminate
dependent patients (with AUDIT ≥13 for males, sensitivity 70.1%, specificity
95.2%, PPV 85.7%, NPV 94.7% and for females sensitivity 94.7%, specificity
98.2%, PPV 100%, NPV 99.8%); and hazardous drinkers (with AUDIT ≥7, for
males sensitivity 83.5%, specificity 79.9%, PPV 55.0%, NPV 82.7% and with
AUDIT ≥6 for females, sensitivity 81.2%, specificity 93.7%, PPV 64.0%, NPV
72.0%). AUDIT gives better results than MAST and CAGE for detecting "Alcohol
abuse/dependence" as showed on the comparative ROC curves Conclusions: The
AUDIT questionnaire remains a good screening instrument for French-speaking
primary care. Copyright © 2005 by the Research Society on Alcoholism.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
Alcohol Use Disorders Identification Test
alcoholism
primary medical care
questionnaire
EMTREE MEDICAL INDEX TERMS
adult
aged
alcohol consumption
article
comparative study
diagnostic accuracy
Diagnostic and Statistical Manual of Mental Disorders
diagnostic value
drinking behavior
female
France
general practitioner
hazard assessment
human
major clinical study
male
medical specialist
outpatient department
priority journal
psychologic test
psychometry
receiver operating characteristic
reliability
sensitivity and specificity
Switzerland
validation process
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005572029
MEDLINE PMID
16340457 (http://www.ncbi.nlm.nih.gov/pubmed/16340457)
PUI
L41790838
DOI
10.1097/01.alc.0000187034.58955.64
FULL TEXT LINK
http://dx.doi.org/10.1097/01.alc.0000187034.58955.64
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1439
TITLE
Substance use among medical residents in Tehran, Iran
AUTHOR NAMES
Sadeghi M.
Navidi M.
AUTHOR ADDRESSES
(Sadeghi M., Sadeghmj@sina.tums.ac.ir) School of Medicine, Tehran University
of Medical Sciences, Iranian National Center for Addiction Studies (INCAS),
South Kargar Ave, Tehran, Iran.
(Sadeghi M., Sadeghmj@sina.tums.ac.ir; Navidi M.) Roozbeh Hospital, Tehran,
Iran.
(Sadeghi M., Sadeghmj@sina.tums.ac.ir) Department of Psychiatry, Tehran
University of Medical Sciences, Roozbeh Hospital, South Kargar Ave, Tehran,
Iran.
CORRESPONDENCE ADDRESS
M. Sadeghi, Department of Psychiatry, Tehran University of Medical Sciences,
Roozbeh Hospital, South Kargar Ave, Tehran, Iran. Email:
Sadeghmj@sina.tums.ac.ir
SOURCE
Addictive Disorders and their Treatment (2005) 4:3 (121-124). Date of
Publication: 2005
ISSN
1531-5754
ABSTRACT
The aim of this study was to obtain an estimate of the prevalence of various
substance use among resident doctors of medical universities in Tehran,
Iran. A 43-item questionnaire was distributed among 1795 residents of 3 main
medical universities in Tehran. Response rate was 68.2%. Alcohol was the
most widely used substance, although the rate was much less frequent than
the rates reported in Western countries. Opium, cannabis, and heroin use
were in the next order, whereas opium was the most frequently reported
substance for daily use. Recreation was the main reason for the substance
use. The majority of substance users had started their use in general
medical training. Substance use was correlated positively to male gender and
a positive family history of any substance use and negatively to having
religious beliefs and practices. Although the study showed that most cases
of substance use were limited to casual use, high figures of lifetime use
mandates the implementation of training, psychoeducation, and preventive
programs, especially in the general medical training period. Copyright ©
2005 by Lippincott Williams & Wilkins.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
cannabis
diamorphine
lysergide
opiate
psychedelic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
resident
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
alcoholism (diagnosis)
article
cannabis addiction (diagnosis)
family history
female
heroin dependence (diagnosis)
human
Iran
major clinical study
male
medical personnel
opiate addiction (diagnosis)
physician
priority journal
questionnaire
religion
residency education
sex difference
training
university
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
diamorphine (1502-95-0, 561-27-3)
lysergide (50-37-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Internal Medicine (6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005411131
PUI
L41285690
DOI
10.1097/01.adt.0000156875.10778.d2
FULL TEXT LINK
http://dx.doi.org/10.1097/01.adt.0000156875.10778.d2
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1440
TITLE
Funding announced for pharmacists to undertake management of drug misuse
training
AUTHOR ADDRESSES
SOURCE
Pharmaceutical Journal (2005) 275:7370 (435). Date of Publication: 8 Oct
2005
ISSN
0031-6873
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse (drug therapy)
financial management
medical education
pharmacy
EMTREE MEDICAL INDEX TERMS
general practitioner
health care organization
human
note
opiate addiction (drug therapy)
pharmacist
practice guideline
primary health care
professional practice
United Kingdom
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005473583
PUI
L41489090
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1441
TITLE
Collaboration between general practitioners and pharmacists in the
management of patients on high-dosage buprenorphine treatment: Prescribers'
practices
ORIGINAL (NON-ENGLISH) TITLE
Collaboration entre médecins et pharmaciens pour le suivi des patients sous
buprénorphine haut dosage: Pratiques des médecins prescripteurs
AUTHOR NAMES
Feroni I.
Aubisson S.
Bouhnik A.-D.
Paraponaris A.
Masut A.
Coudert C.
Obadia Y.
AUTHOR ADDRESSES
(Feroni I., feroni@marseille.inserm.fr; Paraponaris A.) Inserm U 379,
Marseille (13), France.
(Aubisson S.; Paraponaris A.; Obadia Y.) ORS PACA, Marseille (13), France.
(Bouhnik A.-D.; Masut A.; Coudert C.) Échelon Local du Service Médical de
l'Assurance Maladie (CNAMTS), Marseille (13), France.
(Paraponaris A.) UFR Sciences Économiques et de Gestion, Université de la
Méditerranée, Marseille (13), France.
(Feroni I., feroni@marseille.inserm.fr) Université de Nice, Sofia-Antipolis
(06), France.
(Feroni I., feroni@marseille.inserm.fr) Inserm U 379/ORS Paca, 23 rue
Stanislas Torrents, 13006 Marseille, France.
CORRESPONDENCE ADDRESS
I. Feroni, Inserm U 379/ORS Paca, 23 rue Stanislas Torrents, 13006
Marseille, France. Email: feroni@marseille.inserm.fr
SOURCE
Presse Medicale (2005) 34:17 (1213-1219). Date of Publication: 8 Oct 2005
ISSN
0755-4982
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France.
ABSTRACT
Objectives: This paper examines the collaboration between general
practitioners (GPs) and pharmacists in the outpatient management of patients
on high-dosage buprenorphine (HDB) treatment. Methods: A telephone survey of
a sample of HDB prescribers in southeastern France questioned them about
their knowledge, practices, and opinions about HDB treatment in October
2002; data from the national health insurance fund and the national
statistic institute completed the study. Logistic regression was used to
investigate factors associated with collaboration with pharmacists. GPs'
practices were compared to assess their correlation, if any, with this
collaboration. Results: 345 GPs participated in the study. Only 54% reported
collaborating with dispensing pharmacists in managing patients on HDB,
despite official guidelines encouraging it. Collaboration was independently
related to training in addiction treatment, a favorable opinion of
maintenance treatment by GPs, long experience in HDB prescription, and
participation in a specialized medical network. Conclusion: Implementation
of recommendations on physician-pharmacist collaboration requires additional
training in addiction medicine for GPs and the encouragement of their
participation in medical networks. On the other hand, increasing the
constraints on GPs may negatively affect patients' access to care. © 2005,
Masson, Paris.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug dose)
EMTREE MEDICAL INDEX TERMS
controlled study
drug megadose
general practitioner
health insurance
human
logistic regression analysis
outpatient department
pharmacist
practice guideline
prescription
professional practice
review
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Pharmacy (39)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2005467488
MEDLINE PMID
16230961 (http://www.ncbi.nlm.nih.gov/pubmed/16230961)
PUI
L41462981
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1442
TITLE
Training psychiatrists to diagnose and treat substance abuse disorders
AUTHOR NAMES
Renner Jr. J.A.
Quinones J.
Wilson A.
AUTHOR ADDRESSES
(Renner Jr. J.A., john.renner@med.va.gov) VA Outpatient Clinic, 251 Causeway
Street, Boston, MA 02114, United States.
(Quinones J.; Wilson A.)
CORRESPONDENCE ADDRESS
J.A. Renner Jr., VA Outpatient Clinic, 251 Causeway Street, Boston, MA
02114, United States. Email: john.renner@med.va.gov
SOURCE
Current Psychiatry Reports (2005) 7:5 (352-359). Date of Publication:
October 2005
ISSN
1523-3812
BOOK PUBLISHER
Current Science Ltd, 34-42 Cleveland Street, London, United Kingdom.
ABSTRACT
Addiction training in psychiatric residency programs needs expansion.
Epidemiology research has shown that patients with substance use disorders
and co-occurring mental health disorders are the norm in nearly all clinical
settings. Unfortunately, traditional training approaches built around brief
rotations on detoxification or intensive substance abuse rehabilitation
units do not adequately train psychiatrists in long-term management skills,
and may reinforce misperceptions that these patients do not respond to
treatment. An enhanced addiction curriculum coupled with an extended
outpatient clinic rotation is an ideal model for teaching the skills needed
to successfully care for these patients. Training must include an adequate
knowledge base, an opportunity to cultivate positive attitudes toward these
patients, and recognition that psychiatrists must take responsibility for
treating the addiction problem and any co-occurring psychiatric disorders.
The program developed at Boston University Medical Center successfully
integrates expanded addiction psychiatry training into the general
psychiatry residency. Copyright © 2005 by Current Science Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
medical education
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
clinical practice
comorbidity
competence
curriculum
drug dependence treatment
education program
human
leadership
learning
mental disease
physician attitude
psychiatrist
resident
responsibility
review
screening test
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005534160
MEDLINE PMID
16216153 (http://www.ncbi.nlm.nih.gov/pubmed/16216153)
PUI
L41684182
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1443
TITLE
Tobacco use among public health professionals in Beijing: The relationship
between smoking and education level [2]
AUTHOR NAMES
Smith D.R.
Zhang X.
Zheng Y.
Wang R.-S.
AUTHOR ADDRESSES
(Smith D.R., smith@niih.go.jp; Wang R.-S.) National Institute of Industrial
Health, 6-21-1 Nagao, Tama-Ku, Kawasaki 214-8585, Japan.
(Zhang X.; Zheng Y.) Chinese Center for Disease Control and Prevention,
China.
CORRESPONDENCE ADDRESS
D.R. Smith, Department of Hazard Assessment, National Institute of
Industrial Health, 6-21-1 Nagao, Tama-Ku, Kawasaki 214-8585, Japan. Email:
smith@niih.go.jp
SOURCE
Australian and New Zealand Journal of Public Health (2005) 29:5 (488-489).
Date of Publication: October 2005
ISSN
1326-0200
BOOK PUBLISHER
Public Health Association of Australia Inc., PO Box 319, Curtin, Australia.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
health practitioner
medical education
EMTREE MEDICAL INDEX TERMS
age distribution
career
chi square test
China
health promotion
human
letter
logistic regression analysis
prevalence
public health
sex difference
smoking cessation
smoking habit
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005488034
MEDLINE PMID
16255455 (http://www.ncbi.nlm.nih.gov/pubmed/16255455)
PUI
L41535958
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1444
TITLE
Ordering and interpretation of urine toxicology specimens in patients
treated with opioids
AUTHOR NAMES
Sorensen J.A.
Fanciullo G.J.
AUTHOR ADDRESSES
(Sorensen J.A., Julie.A.Sorensen@Hitchcock.org; Fanciullo G.J.) Department
of Anesthesiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United
States.
(Sorensen J.A., Julie.A.Sorensen@Hitchcock.org) Pain Management Center,
Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH
03756, United States.
CORRESPONDENCE ADDRESS
J.A. Sorensen, Pain Management Center, Dartmouth-Hitchcock Medical Center,
One Medical Center Drive, Lebanon, NH 03756, United States. Email:
Julie.A.Sorensen@Hitchcock.org
SOURCE
Techniques in Regional Anesthesia and Pain Management (2005) 9:4 (228-234).
Date of Publication: Oct 2005
Opiate Addiction, Opiate Diversion and Pain Management, Book Series Title:
ISSN
1084-208X
ABSTRACT
We come from the perspective that opioids are efficacious in the management
of nonterminal chronic pain. Responsible care within such a model requires
that pain management physicians are adequately familiar with the broad
ordering and interpretation of urine toxicology specimens, and especially
with interpretation specific to issues of opiate use, addiction, and
diversion as commonly seen in the course of clinical care, including risk
assessment. This article provides an overview of these and related concerns.
© 2005 Elsevier Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (adverse drug reaction, drug analysis, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy)
opiate addiction (diagnosis, side effect)
toxicity testing
EMTREE MEDICAL INDEX TERMS
analgesia
behavior
devices
drug efficacy
drug screening
human
laboratory test
micturition
patient compliance
patient monitoring
physician
practice guideline
responsibility
review
risk assessment
screening test
self medication
urinalysis
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005584758
PUI
L41832394
DOI
10.1053/j.trap.2005.10.009
FULL TEXT LINK
http://dx.doi.org/10.1053/j.trap.2005.10.009
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1445
TITLE
Charting a course for health services research at the National Institute on
Drug Abuse
AUTHOR NAMES
Compton W.M.
Stein J.B.
Robertson E.B.
Pintello D.
Pringle B.
Volkow N.D.
AUTHOR ADDRESSES
(Compton W.M.; Stein J.B., jstein1@nida.nih.gov; Robertson E.B.; Pintello
D.; Pringle B.; Volkow N.D.) National Institute on Drug Abuse, Bethesda, MD,
United States.
(Stein J.B., jstein1@nida.nih.gov) Division of Epidemiology, Services and
Prevention Research National Institute on Drug Abuse, NSC 9589, 6001
Executive Boulevard, Besthesda, MD 20892-9589, United States.
CORRESPONDENCE ADDRESS
J.B. Stein, Division of Epidemiology, Services and Prevention Research
National Institute on Drug Abuse, NSC 9589, 6001 Executive Boulevard,
Besthesda, MD 20892-9589, United States. Email: jstein1@nida.nih.gov
SOURCE
Journal of Substance Abuse Treatment (2005) 29:3 (167-172). Date of
Publication: October 2005
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Through research, we continue to develop and refine an array of safe and
efficacious interventions to prevent and treat drug abuse; however, these
interventions have not led to widespread improvements in prevention and
treatment services in nonresearch settings. In addition,
investigator-initiated research rarely examine or refine interventions that
practitioners have found relevant and that are widely practiced. To address
these problems, the National Institute on Drug Abuse convened a blue ribbon
task force to examine its health services research program. The report
served as a catalyst for the institute to promote a vigorous program of
research that seeks to examine prevention and treatment intervention
delivery systems and policies that facilitate provision of effective care in
a range of real world settings. Findings from this research should help
address the translational bottleneck of bringing evidence-based
interventions into the community. © 2005 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
education program
health service
EMTREE MEDICAL INDEX TERMS
article
community care
drug efficacy
drug safety
evidence based medicine
general practitioner
health care delivery
health care policy
human
medical research
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005439393
MEDLINE PMID
16183465 (http://www.ncbi.nlm.nih.gov/pubmed/16183465)
PUI
L41383829
DOI
10.1016/j.jsat.2005.05.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2005.05.008
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1446
TITLE
Neurobehavioral performance of residents after heavy night call vs after
alcohol ingestion
AUTHOR NAMES
Arnedt J.T.
Owens J.
Crouch M.
Stahl J.
Carskadon M.A.
AUTHOR ADDRESSES
(Arnedt J.T., tarnedt@med.umich.edu; Owens J.; Carskadon M.A.) Department of
Psychiatry and Human Behavior, Brown Medical School, Providence, RI, United
States.
(Owens J.; Crouch M.; Stahl J.) Division of Ambulatory Pediatrics, Rhode
Island Hospital, Providence, RI, United States.
(Carskadon M.A.) Sleep and Chronobiology Research Laboratory, E. P. Bradley
Hospital, Providence, RI, United States.
(Arnedt J.T., tarnedt@med.umich.edu) Sleep and Chronophysiology Laboratory,
Department of Psychiatry, University of Michigan, Ann Arbor, MI, United
States.
(Arnedt J.T., tarnedt@med.umich.edu) Sleep and Chronophysiology Laboratory,
Department of Psychiatry, University of Michigan, 2101 Commonwealth Blvd,
Ann Arbor, MI 48105, United States.
CORRESPONDENCE ADDRESS
J.T. Arnedt, Sleep and Chronophysiology Laboratory, Department of
Psychiatry, University of Michigan, 2101 Commonwealth Blvd, Ann Arbor, MI
48105, United States. Email: tarnedt@med.umich.edu
SOURCE
Journal of the American Medical Association (2005) 294:9 (1025-1033). Date
of Publication: 7 Sep 2005
ISSN
0098-7484
1538-3598 (electronic)
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Context: Concern exists about the effect of extended resident work hours;
however, no study has evaluated training-related performance impairments
against an accepted standard of functional impairment. Objectives: To
compare post-call performance during a heavy call rotation (every fourth or
fifth night) to performance with a blood alcohol concentration of 0.04 to
0.05 g% (per 100 mL of blood) during a light call rotation, and to evaluate
the association between self-assessed and actual performance. Design,
Setting, and Participants: A prospective 2-session within-subject study of
34 pediatric residents (18 women and 16 men; mean age, 28.7 years) in an
academic medical center conducted between October 2001 and August 2003, who
were tested under 4 conditions: light call, light call with alcohol, heavy
call, and heavy call with placebo. Interventions: Residents attended a test
session during the final week of a light call rotation (non-post-call) and
during the final week of a heavy call rotation (post-call). At each session,
they underwent a 60-minute test battery (light and heavy call conditions),
ingested either alcohol (light call with alcohol condition) or placebo
(heavy call with placebo condition), and repeated the test battery.
Performance self-evaluations followed each test. Main Outcome Measures:
Sustained attention, vigilance, and simulated driving performance measures;
and self-report sleepiness, performance, and effort measures. Results:
Participants achieved the target blood alcohol concentration. Compared with
light call, heavy call reaction times were 7% slower (242.5 vs 225.9
milliseconds, P<.001); commission errors were 40% higher (38.2% vs 27.2%,
P<.001); and lane variability (7.0 vs 5.5 ft, P<.001) and speed variability
(4.1 vs 2.4 mph, P<.001) on the driving simulator were 27% and 71% greater,
respectively. Speed variability was 29% greater in heavy call with placebo
than light call with alcohol (4.2 vs 3.2 mph, P=.01), and reaction time,
lapses, omission errors, and off-roads were not different. Correlation
between self-assessed and actual performance under heavy call was
significant for commission errors (r=-0.45, P=.01), lane variability
(r=-0.76, P<.001), and speed variability (r=-0.71, P<.001), but not for
reaction time. Conclusions: Post-call performance impairment during a heavy
call rotation is comparable with impairment associated with a 0.04 to 0.05
g% blood alcohol concentration during a light call rotation, as measured by
sustained attention, vigilance, and simulated driving tasks. Residents'
ability to judge this impairment may be limited and task-specific. ©2005
American Medical Association. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
cognition
residency education
EMTREE MEDICAL INDEX TERMS
academic achievement
adult
alcohol blood level
alertness
article
attention
driving ability
error
evaluation study
female
human
human experiment
male
measurement
medical specialist
normal human
performance
priority journal
prospective study
self report
somnolence
statistical significance
stimulation
task performance
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005402006
MEDLINE PMID
16145022 (http://www.ncbi.nlm.nih.gov/pubmed/16145022)
PUI
L41248443
DOI
10.1001/jama.294.9.1025
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.294.9.1025
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1447
TITLE
Evidence base presented - and expanding - for investment in tobacco
dependence curricula for osteopathic medical education [2]
AUTHOR NAMES
Montalto N.J.
Priester T.
AUTHOR ADDRESSES
(Montalto N.J.) Robert C. Byrd Health Sciences Center, Charleston Division,
West Virginia University School of Medicine, Charleston, WV, United States.
(Priester T.) Mayo Clinic, Rochester, MN, United States.
CORRESPONDENCE ADDRESS
N.J. Montalto, Robert C. Byrd Health Sciences Center, Charleston Division,
West Virginia University School of Medicine, Charleston, WV, United States.
SOURCE
Journal of the American Osteopathic Association (2005) 105:9 (402-403). Date
of Publication: September 2005
ISSN
0098-6151
0098-6151 (electronic)
BOOK PUBLISHER
American Osteopathic Association, 142 East Ontario Street, Chicago, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
tobacco dependence
EMTREE MEDICAL INDEX TERMS
evidence based medicine
health care personnel
letter
medical school
medical student
postgraduate education
smoking cessation
statistical significance
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005510381
MEDLINE PMID
16239488 (http://www.ncbi.nlm.nih.gov/pubmed/16239488)
PUI
L41603441
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1448
TITLE
Opioid contract use is associated with physician training level and practice
specialty.
AUTHOR NAMES
Touchet B.K.
Yates W.R.
Coon K.A.
AUTHOR ADDRESSES
(Touchet B.K.; Yates W.R.; Coon K.A.) The University of Oklahoma College of
Medicine-Tulsa, USA.
CORRESPONDENCE ADDRESS
B.K. Touchet, The University of Oklahoma College of Medicine-Tulsa, USA.
SOURCE
Journal of opioid management (2005) 1:4 (195-200). Date of Publication: 2005
Sep-Oct
ISSN
1551-7489
ABSTRACT
Opioid contracts are widely used to manage opioid prescribing in the
treatment of pain conditions, but they are not well studied. A notable gap
in our knowledge of opioid contracts involves the factors that determine
their use. As an initial inquiry, this study evaluated the responses of a
Web-based survey of trainees and faculty in an academic medical training
context to determine correlates of opioid contract use. All paid faculty,
third- and fourth-year medical students, and residents in The University of
Oklahoma College of Medicine were invited via email to participate in a
Web-based survey of their attitudes and prescribing practices related to
controlled prescription drugs. Respondents composing a subgroup of those who
replied to the survey were identified by their prescription of opioids and
by their designation that pain was the most likely diagnosis for which they
would prescribe a controlled drug. Chi-square analysis was used to determine
any correlation between contract use and respondents' demographic variables
and categorical survey responses. Analysis of variance was used to determine
any correlation between contract use and survey responses that involved
continuous variables. Our results showed that opioid contract use was
significantly associated with resident status, primary care specialty,
participant estimation of alcohol and illicit drug abuse by patients, and
the participant's assessment of the risks in general of prescribing
controlled drugs. A majority of contract users reported that the use of this
tool increased their sense of mastery and comfort with prescribing
controlled drugs. The factors associated with opioid contract use found in
this study suggest there are significant prescriber-specific determinants of
the use of the tool, including training level, medical specialty, and risk
appraisals. Opioid contracts' effects on mastery and comfort of the
physician with prescribing opioids suggest that they may play an important
role in facilitating appropriate pain management with opioids. Further study
is needed to elucidate environmental and patient-specific factors that may
influence opioid contract use.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
contract
medical education
medicine
pain (drug therapy)
EMTREE MEDICAL INDEX TERMS
article
human
information processing
questionnaire
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17315546 (http://www.ncbi.nlm.nih.gov/pubmed/17315546)
PUI
L46428804
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1449
TITLE
Preserving a sense of wonder: The integration of an ego-supportive
psychodynamic approach to supervision in an AIDS psychiatry fellowship
AUTHOR NAMES
Dorell K.
Cohen M.A.
AUTHOR ADDRESSES
(Dorell K.) Mount Sinai School of Medicine, .
(Cohen M.A., macohen@nyc.rr.com) AIDS Psychiatry, Mount Sinai School of
Medicine, New York City, NY, United States.
(Cohen M.A., macohen@nyc.rr.com) Mount Sinai Medical Center, Box 1009, One
Gustave L. Levy Place, New York, NY 10029, United States.
CORRESPONDENCE ADDRESS
M.A. Cohen, Mount Sinai Medical Center, Box 1009, One Gustave L. Levy Place,
New York, NY 10029, United States. Email: macohen@nyc.rr.com
SOURCE
Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry
(2005) 33:3 (453-463). Date of Publication: Fall 2005
ISSN
1546-0371
1546-0371 (electronic)
BOOK PUBLISHER
Guilford Publications, 72 Spring Street, New York, United States.
ABSTRACT
For multifactorial reasons, our program, which provides comprehensive care
for over 2,000 persons with AIDS (of whom approximately 1,500 are also
substance dependent), does not have trained substance abuse counselors or
personnel on site to join us in our care. The addiction care of our patients
remains highly marginalized, primarily in methadone maintenance programs
that are run in assembly-line fashion and tend to be impersonal with a
one-size-fits-all philosophy. All psychotropic medications are frowned on
and must be justified. Benzodiazepines are not considered acceptable. And
yet, although withdrawal from opioids is uncomfortable, it is never lethal,
whereas withdrawal from benzodiazepines can have devastating and potentially
lethal consequences with withdrawal seizures and status epilepticus similar
to the withdrawal from alcohol, which involves the same gamma amino butyric
acid (GABA) receptor sites. A comprehensive program of treatment needs to
include drug treatment and benzodiazepine maintenance for those patients who
cannot tolerate detoxification. Working on this complex clinical, political,
and ethical problem with a sensitive and receptive supervisee catalyzed a
new way of conceptualizing the problem, inspiring both to the supervisor and
supervisee. We have presented a psychodynamic, ego-supportive approach to
the supervision of the psychiatric care of a severely medically and mentally
ill and addicted person with HIV infection. The traumas, deprivations, and
losses of our patients in the face of severe illness may place demands on
the trainee that make caring and empathy difficult. The nurturing process of
ego-supportive supervision is helpful in preserving a sense of wonder and
providing both competent care and empathy for patients with complex medical
illness.
EMTREE DRUG INDEX TERMS
4 aminobutyric acid receptor
benzodiazepine (drug therapy)
methadone (drug therapy)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
ego psychology
psychodynamics
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
addiction (drug therapy)
adult
alcohol withdrawal syndrome
anamnesis
caregiver
case report
counter transference
drug dependence
drug withdrawal
empathy
epileptic state
harm reduction
hepatitis C
highly active antiretroviral therapy
human
Human immunodeficiency virus
integration
male
medical care
mental disease
mental health care
mental patient
patient care
psychiatric diagnosis
psychiatric treatment
psychiatry
psychotherapy
review
seizure
social support
stress
substance abuse
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005502863
MEDLINE PMID
16238473 (http://www.ncbi.nlm.nih.gov/pubmed/16238473)
PUI
L41577183
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1450
TITLE
Barriers and facilitators to primary care or human immunodeficiency virus
clinics providing methadone or buprenorphine for the management of opioid
dependence
AUTHOR NAMES
Turner B.J.
Laine C.
Lin Y.-T.
Lynch K.
AUTHOR ADDRESSES
(Turner B.J., bturner@mail.med.upenn.edu; Lin Y.-T.) Division of General
Internal Medicine, Department of Medicine, University of Pennsylvania School
of Medicine, Philadelphia, PA, United States.
(Lynch K.) Department of Psychiatry, University of Pennsylvania, School of
Medicine, Philadelphia, PA, United States.
(Laine C.) Division of Internal Medicine, Center for Research in Medical
Education and Health Care, Thomas Jefferson University, Philadelphia, PA,
United States.
(Turner B.J., bturner@mail.med.upenn.edu) University of Pennsylvania, School
of Medicine, 1123 Blockley Hall, 423 Guardian Dr, Philadelphia, PA
19104-6021, United States.
CORRESPONDENCE ADDRESS
B.J. Turner, University of Pennsylvania, School of Medicine, 1123 Blockley
Hall, 423 Guardian Dr, Philadelphia, PA 19104-6021, United States. Email:
bturner@mail.med.upenn.edu
SOURCE
Archives of Internal Medicine (2005) 165:15 (1769-1776). Date of
Publication: 22 Aug 2005
ISSN
0003-9926
1538-3679 (electronic)
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Background: Federal initiatives aim to increase office-based treatment of
opioid dependence, but, to our knowledge, factors associated with
willingness to deliver this care have not been defined. The objective of
this study was to describe clinics' willingness to provide methadone
hydrochloride or buprenorphine hydrochloride for opioid dependence. Methods:
The design of the study was a survey conducted in New York State. Two
hundred sixty-one directors of primary care and/or human immunodeficiency
virus specialty clinics (response rate, 61.1%) that serve Medicaid enrollees
were questioned. Outcomes were willingness to provide methadone and
buprenorphine. Predictors included clinic characteristics, attitudes about
drug users and their treatment, and reported barriers and facilitators to
treatment. Results: Clinics were more willing to provide buprenorphine than
methadone treatment (59.8% vs 32.6%; P<.001). Clinics offering human
immunodeficiency virus specialty care (adjusted odds ratio [AOR], 2.16; 95%
confidence interval [CI], 1.18-3.95) or a safe location to store narcotics
(AOR, 2.99; 95% CI, 1.57-5.70) were more willing to prescribe buprenorphine
and more willing to provide methadone. Willingness was positively associated
with continuing medical education credits for training, but negatively
associated with greater concern about medication abuse. Immediate telephone
access to an addiction expert was associated with willingness to provide
buprenorphine (AOR, 2.08; 95% CI, 1.15-3.76). Greater willingness to provide
methadone was associated with a belief that methadone-treated patients
should be seen along with other patients (AOR, 6.20; 95% CI, 1.78-21.64),
methadone program affiliation (AOR, 4.76; 95% CI, 1.64-13.82), and having
more patients with chronic pain in the clinic (AOR, 2.80; 95% CI,
1.44-5.44). Conclusions: These clinics serving Medicaid enrollees were more
receptive to buprenorphine than methadone treatment. Willingness to provide
this care was greater in clinics offering human immunodeficiency virus
services, treating more chronic pain, or affiliated with methadone programs.
Accessible addiction experts and continuing medical education for training
may facilitate adoption of this care. ©2005 American Medical Association.
All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy)
methadone (drug therapy)
opiate
EMTREE DRUG INDEX TERMS
narcotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care access
health care delivery
opiate addiction (drug therapy)
primary medical care
EMTREE MEDICAL INDEX TERMS
article
attitude
chronic pain
confidence interval
continuing education
controlled study
drug use
health program
health survey
human
Human immunodeficiency virus
intermethod comparison
medicaid
medical education
outpatient department
prediction
prescription
priority journal
risk assessment
safety
sample size
telephone
United States
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005369644
MEDLINE PMID
16087826 (http://www.ncbi.nlm.nih.gov/pubmed/16087826)
PUI
L41138966
DOI
10.1001/archinte.165.15.1769
FULL TEXT LINK
http://dx.doi.org/10.1001/archinte.165.15.1769
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1451
TITLE
Drug and alcohol use in emergency medicine residency: An impaired resident's
perspective
AUTHOR NAMES
Milling T.J.
AUTHOR ADDRESSES
(Milling T.J., tjmilling@yahoo.com) New York Methodist Hospital, Emergency
Medicine, Brooklyn, NY, United States.
(Milling T.J., tjmilling@yahoo.com) New York Methodist Hospital, Emergency
Medicine, 506 6th St, Brooklyn, NY 11215, United States.
CORRESPONDENCE ADDRESS
T.J. Milling, New York Methodist Hospital, Emergency Medicine, 506 6th St,
Brooklyn, NY 11215, United States. Email: tjmilling@yahoo.com
SOURCE
Annals of Emergency Medicine (2005) 46:2 (148-151). Date of Publication:
August 2005
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
We share the personal experience of an impaired resident who successfully
completed rehabilitation and is about to graduate from an emergency medicine
program and perform a brief literature review on drug and alcohol abuse in
emergency medicine residencies. Residents in general are less likely than
their same-age peers to abuse drugs, but a significant minority starts using
drugs during residency. Emergency medicine residents have higher rates of
substance use than residents in other specialties and are more likely to
report current use of cocaine and marijuana. Copyright © 2005 by the
American College of Emergency Physicians.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
cannabis addiction
cocaine dependence
residency education
EMTREE MEDICAL INDEX TERMS
alcohol consumption
drug abuse
drug use
experience
human
medical education
priority journal
resident
review
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005334882
MEDLINE PMID
16046944 (http://www.ncbi.nlm.nih.gov/pubmed/16046944)
PUI
L41039010
DOI
10.1016/j.annemergmed.2005.03.012
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2005.03.012
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1452
TITLE
Alcohol use and HIV risk behaviors among HIV-infected hospitalized patients
in St. Petersburg, Russia
AUTHOR NAMES
Krupitsky E.M.
Horton N.J.
Williams E.C.
Lioznov D.
Kuznetsova M.
Zvartau E.
Samet J.H.
AUTHOR ADDRESSES
(Krupitsky E.M.; Lioznov D.; Kuznetsova M.; Zvartau E.) St. Petersburg
Scientific-Research Center of Addictions and Psychopharmacology, St.
Petersburg State Pavlov Medical University, St. Petersburg, 197089, Russian
Federation.
(Horton N.J.) Smith College, Department of Mathematics, Northampton, MA
01063, United States.
(Williams E.C.; Samet J.H., jsamet@bu.edu) Department of Medicine, Boston
Medical Center, Boston University School of Medicine, Boston, MA 02118,
United States.
(Samet J.H., jsamet@bu.edu) Department of Social and Behavioral Sciences,
Boston University, School of Public Health, 91 East Concord Street, Boston,
MA 02118, United States.
(Williams E.C.) Department of Medicine, University of Washington, School of
Medicine, Seattle, WA 98195, United States.
(Williams E.C.) Health Services Research and Development, Center of
Excellence in Substance Abuse Treatment and Education, VA Puget Sound Health
Care System, Seattle, WA 98108, United States.
CORRESPONDENCE ADDRESS
J.H. Samet, Department of Medicine, Boston Medical Center, Boston University
School of Medicine, Boston, MA 02118, United States. Email: jsamet@bu.edu
SOURCE
Drug and Alcohol Dependence (2005) 79:2 (251-256). Date of Publication: 1
Aug 2005
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Purpose: Russia has high per capita alcohol consumption and an
injection-drug-use-driven HIV epidemic. However, the role of alcohol in the
spread of HIV infection in Russia is largely unexplored. Thus, we assessed
recent alcohol use and associated HIV risk behaviors among HIV-infected
persons in St. Petersburg, Russia. Methods: We recruited HIV-infected
hospitalized patients from the Botkin Infectious Disease Hospital between
June 2001 and March 2002. Interviewers assessed alcohol and drug use with
the addiction severity index (ASI) and sex- and drug-risk behaviors with the
risk assessment battery (RAB). Lifetime abuse or dependence diagnoses for
alcohol and drugs were established by a physician with addiction medicine
training. Results: Among 201 subjects, diagnoses of abuse or dependence
(AB/DEP) were common: 9% (19/201) had only alcohol AB/DEP; 39% (78/201) had
alcohol and drug AB/DEP; 47% (95/201) had only drug AB/DEP; and 4% (9/201)
had no diagnosis of alcohol or drug AB/DEP. Sex- and drug-risk behaviors
varied significantly by substance use diagnosis. Subjects with any alcohol
AB/DEP had higher sex-risk RAB scores than those with drug only AB/DEP (6.1
versus 3.9, p < .0001). Among subjects with any diagnosis of drug AB/DEP,
having in addition an alcohol diagnosis was associated with unclean needle
use in the last six months (33% (26/78) versus 21% (20/95), p = 0.08).
Conclusions: Lifetime alcohol diagnoses of abuse or dependence were present
in nearly one-half of hospitalized HIV-infected patients in St. Petersburg,
Russia and were associated with significantly higher sex-risk behaviors and
borderline significantly higher drug-risk behaviors. As HIV infection
spreads rapidly in Russia and Eastern Europe, these data support the need
for HIV risk-reduction interventions in alcohol abusing populations and
raise the potential of benefit by addressing alcohol use in HIV-infected
populations. © 2005 Elsevier Ireland Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
Human immunodeficiency virus infection (epidemiology)
EMTREE MEDICAL INDEX TERMS
addiction
adult
alcohol abuse
alcoholism
article
behavior
comparative study
controlled study
disease severity
drug use
female
hospital patient
human
infection risk
interview
major clinical study
male
medical education
physician
priority journal
risk assessment
Russian Federation
time series analysis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005303910
MEDLINE PMID
16002034 (http://www.ncbi.nlm.nih.gov/pubmed/16002034)
PUI
L40942115
DOI
10.1016/j.drugalcdep.2005.01.015
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2005.01.015
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1453
TITLE
The pediatric residency training on tobacco project: Baseline findings from
the patient tobacco survey
AUTHOR NAMES
Hymowitz N.
Schwab J.
Haddock C.K.
Pyle S.
Meshberg S.
AUTHOR ADDRESSES
(Hymowitz N., hymowitz@umdnj.edu; Meshberg S.) Department of Psychiatry,
UMDNJ-New Jersey Medical School, Behavioral Health Sciences Building, 183
South Orange Avenue, Newark, NJ 07103, United States.
(Schwab J.) Department of Pediatrics, UMDNJ-New Jersey Medical School,
Newark, NJ 07103, United States.
(Haddock C.K.; Pyle S.) Department of Psychology, University of
Missouri-Kansas City, Kansas City, MO 64110, United States.
(Haddock C.K.) Mid America Heart Institute, St. Luke's Hospital, Kansas
City, MO 64111, United States.
CORRESPONDENCE ADDRESS
N. Hymowitz, Department of Psychiatry, UMDNJ-New Jersey Medical School,
Behavioral Health Sciences Building, 183 South Orange Avenue, Newark, NJ
07103, United States. Email: hymowitz@umdnj.edu
SOURCE
Preventive Medicine (2005) 41:1 (159-166). Date of Publication: July 2005
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Few pediatricians address tobacco in the patients they treat,
and pediatric residency training programs are not preparing them to meet the
tobacco challenge. The Pediatric Residency Training on Tobacco Project is a
4-year randomized prospective study of the effectiveness of training
pediatric residents to intervene on tobacco in patients and parents. In the
present report, we present findings from the Baseline Patient Tobacco
Survey. Methods. Fifteen pediatric residency-training programs were assigned
randomly to Special and Standard Training Conditions. The Baseline Patient
Tobacco Survey, which was administered to a representative sample of
patients, ages 12-21, at the start of the study, addressed background
characteristics, family and peer smoking behavior, rules about smoking in
the home and elsewhere, patient smoking behavior, attitudes towards
quitting, other forms of tobacco use, knowledge and beliefs about smoking,
and resident intervention on tobacco. Results. Patients associated with the
Special and Standard Training sites were similar with respect to demographic
characteristics, smoking behavior, attitudes and knowledge, and receipt of
resident intervention on ETS, prevention of smoking onset, and smoking
cessation. About 60% of the patients indicated that their resident asked
about smoking, 44% indicated their resident talked with them about not
starting to smoke, and 23% of the current smokers indicated that their
resident offered to help them stop smoking. Conclusion. The findings from
the Baseline Patient Tobacco Survey describe the characteristics of the
population under study, indicate that the two experimental groups were
similar at the start of the program, and underscore the need to prepare
pediatric residents to address tobacco. © 2004 Elsevier Inc. All rights
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health survey
residency education
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cigarette smoking
clinical trial
comparative study
controlled clinical trial
controlled study
demography
education
family
female
health behavior
health program
home
human
major clinical study
male
pediatrics
priority journal
randomized controlled trial
school child
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005244275
MEDLINE PMID
15917007 (http://www.ncbi.nlm.nih.gov/pubmed/15917007)
PUI
L40755077
DOI
10.1016/j.ypmed.2004.09.037
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2004.09.037
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1454
TITLE
The pediatric resident training on tobacco project: Baseline findings from
the Parent/Guardian Tobacco Survey
AUTHOR NAMES
Hymowitz N.
Schwab J.
Haddock C.K.
Pyle S.
Moore G.
Meshberg S.
AUTHOR ADDRESSES
(Hymowitz N., hymowitz@umdnj.edu; Moore G.; Meshberg S.) Department of
Psychiatry, UMDNJ-New Jersey Medical School, Newark, NJ 07103, United
States.
(Schwab J.) Department of Pediatrics, UMDNJ-New Jersey Medical School,
Newark, NJ 07103, United States.
(Haddock C.K.; Pyle S.) Department of Psychology, University of
Missouri-Kansas City, Kansas City, MO 64110, United States.
(Haddock C.K.) Mid America Heart Institute, St. Luke's Hospital, Kansas
City, MO 64134, United States.
CORRESPONDENCE ADDRESS
N. Hymowitz, Department of Psychiatry, UMDNJ-New Jersey Medical School,
Newark, NJ 07103, United States. Email: hymowitz@umdnj.edu
SOURCE
Preventive Medicine (2005) 41:1 (334-341). Date of Publication: July 2005
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Pediatricians have an important and unique role to play in the
anti-tobacco arena. They may prevent relapse to smoking in women who stopped
smoking during pregnancy, encourage parents to protect infants and young
children from environmental tobacco smoke (ETS), prevent the onset of
smoking in children and adolescents, and help patients and parents who smoke
or use other forms of tobacco to quit. Unfortunately, few pediatricians
intervene on tobacco use or ETS, and few pediatric residency training
programs prepare residents to address tobacco. The Pediatric Residency
Training on Tobacco Project is a 4-year randomized prospective study of the
effectiveness of training pediatric residents to intervene on tobacco in
patients and parents. In this paper, we present findings from the Baseline
Parent/Guardian Tobacco Survey. Methods. Fifteen pediatric residency
training programs participated in the Pediatric Residency Training on
Tobacco Project, and they were assigned randomly to special and standard
training conditions. The Baseline Parent/Guardian Tobacco Survey was
administered to 1770 participants, a minimum of 100 from each site. The
Parent/Guardian Survey was designed to describe the population under study.
It addressed demographic information, family tobacco use, rules concerning
smoking in the home and elsewhere, smoking behavior and beliefs, and
parent/guardian reports of resident intervention on tobacco. Data analyses
described the population served by Continuity Clinics associated with the
pediatric residency training programs and determined the degree to which
residents addressed tobacco in parents/guardians. Results. The
parents/guardians were primarily low-income African American and Hispanic
females. Approximately 20% reported that they smoked cigarettes, and about
60% prohibited smoking in their home. Seventy percent of the parents
reported that the resident asked about cigarette smoking, and about half
indicated that the resident talked with them about ETS. However, only about
10% of the smokers stated that the doctor offered to help them stop smoking,
and just 25% of all parents/guardians indicated that the doctor offered to
help them stop exposing their children to ETS in the home or elsewhere.
Conclusions. Parents of children brought to Continuity Clinic may benefit
from advice and assistance on quitting cigarette smoking and protecting
their children from ETS. While pediatric residents offer advice and
encouragement, few provide the assistance parents require. These findings
underscore the importance of training pediatric residents to address tobacco
with the parents/guardians of the patients they serve. © 2005 Elsevier Inc.
All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
tobacco
EMTREE MEDICAL INDEX TERMS
adult
article
cigarette smoking
data analysis
demography
female
health survey
human
lowest income group
male
parent
pediatrics
priority journal
smoking cessation
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005244296
MEDLINE PMID
15917030 (http://www.ncbi.nlm.nih.gov/pubmed/15917030)
PUI
L40755098
DOI
10.1016/j.ypmed.2004.11.019
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2004.11.019
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1455
TITLE
The trial of simple gas analysis of tobacco smoke that can be used for
medical education
AUTHOR NAMES
Katsumata M.
Hirata K.
Nakadai A.
Inagaki H.
Kawada T.
AUTHOR ADDRESSES
(Katsumata M.; Hirata K.; Nakadai A.; Inagaki H.; Kawada T.) Department of
Hygiene and Public Health, Nippon Medical School, Tokyo, Japan.
CORRESPONDENCE ADDRESS
M. Katsumata, Department of Hygiene and Public Health, Nippon Medical
School, Tokyo, Japan. Email: masao-k@nms.ac.jp
SOURCE
Nippon eiseigaku zasshi. Japanese journal of hygiene (2005) 60:3 (355-361).
Date of Publication: Jul 2005
ISSN
0021-5082
ABSTRACT
OBJECTIVE: The purpose of this study was to check a simple sampling and easy
gas analysis of tobacco smoke for effective tobacco intervention in medical
education. METHODS: The mainstream of tobacco smoke was sampled by a syringe
(50 ml) at five, ten and twenty seconds. The extracted mainstream was moved
to a commercial PET bottle (2000 ml), and measured with gas detector tubes.
The sidestream, which rises from the tip of the cigarette, was collected
into a commercial PET bottle for a duration of 30 or 60 seconds.
Formaldehyde, acetaldehyde, ammonia, hydrogen cyanide, and nitrogen oxides
(NO, NO2) in the tobacco smoke were measured. Then, these gasses in the
tobacco smoke of four brands of cigarettes were compared. This trial was
conducted in third-year medical students, and the changes in attitudes to
smokers and tobacco itself were investigated. RESULTS: The method of
sampling 50 ml for 5 seconds produced the highest concentration of each gas
in the mainstream. The gas concentration in the sidestream increased as the
sampling time increased. The gas concentration in mainstream of "Lucia" was
the highest of the used four brands, and the gas concentrations in the
sidestream of "Mild Seven Prime" were higher than those of the other brands.
Many medical students obtained knowledge about the toxicity of smoking by
this experiment study. CONCLUSION: We studied a simple sampling method of
tobacco smoke, and gas analysis with gas detector tubes. This method is
recommended for tobacco education and intervention in medical education.
EMTREE DRUG INDEX TERMS
acetaldehyde (drug analysis)
ammonia (drug analysis)
formaldehyde (drug analysis)
hydrogen cyanide (drug analysis)
nitrogen oxide (drug analysis)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
indoor air pollution (drug analysis)
EMTREE MEDICAL INDEX TERMS
article
comparative study
medical education
CAS REGISTRY NUMBERS
acetaldehyde (75-07-0)
ammonia (14798-03-9, 51847-23-5, 7664-41-7)
formaldehyde (50-00-0)
hydrogen cyanide (74-90-8)
nitrogen oxide (11104-93-1)
LANGUAGE OF ARTICLE
Japanese
MEDLINE PMID
16130910 (http://www.ncbi.nlm.nih.gov/pubmed/16130910)
PUI
L41307722
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1456
TITLE
The prevalence of alcohol, cigarette and illicit drug use and problems among
dentists
AUTHOR NAMES
Kenna G.A.
Wood M.D.
AUTHOR ADDRESSES
(Kenna G.A., George_Kenna@Brown.edu) Center for Alcohol and Addiction
Studies, Box G-BH, Brown University, Providence, RI 02908, United States.
(Wood M.D.) University of Rhode Island, Department of Psychology, Cancer
Prevention Research Center, Kingston, RI, United States.
CORRESPONDENCE ADDRESS
G.A. Kenna, Center for Alcohol and Addiction Studies, Box G-BH, Brown
University, Providence, RI 02908, United States. Email:
George_Kenna@Brown.edu
SOURCE
Journal of the American Dental Association (2005) 136:7 (1023-1032). Date of
Publication: July 2005
ISSN
0002-8177
BOOK PUBLISHER
American Dental Association
ABSTRACT
Background. Primarily on the basis of qualitative data, use of alcohol and
illicit drugs has been speculated to be higher among dentists. The authors
conducted a study to assess self-reported substance use by dentists and
compare these data with those regarding physicians and the general
population (GP). Methods. A total of 113 dentists (65.3 percent) and 104
physicians (63.4 percent) from a northeastern state responded to a
seven-page self-report survey during the summer of 2002. The survey assessed
health care professionals' alcohol, cigarette and drug use; consequences of
use; disciplinary occurrences and treatment; and professional and social
influences. Results. Although about twice as many physicians as dentists
reported heavy alcohol use, a greater number of dentists reported heavy
episodic alcohol use over the past year and past month, as well as having
more alcohol-use problems than physicians. Roughly twice as many physicians
and three times the GP reported using anxiolytics than did dentists. More
dentists than physicians reported past-year, but not past-month, minor
opiate use. While more dentists reported being in social situations in which
they were offered alcohol, more physicians reported being offered alcohol by
pharmaceutical companies at various functions. Conclusions. Contrary to
previous speculation, there is little evidence from the prevalence data the
authors analyzed for this report to suggest that dentists are at a greater
risk of developing alcohol- or other drug-use problems than is the GP.
Practice Implications. While the findings of this study do not suggest that
substance use is more prevalent among dentists, educational institutions and
state organizations still must be vigilant in educating, monitoring and
encouraging dentists to voluntarily receive treatment.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug (adverse drug reaction)
EMTREE DRUG INDEX TERMS
anxiolytic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
alcoholism (epidemiology)
dentist
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
human
malpractice
middle aged
opiate addiction (epidemiology)
physician
prevalence
public relations
social environment
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16060477 (http://www.ncbi.nlm.nih.gov/pubmed/16060477)
PUI
L41018476
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1457
TITLE
Barriers to accessing HIV/AIDS care in North Carolina: Rural and urban
differences
AUTHOR NAMES
Reif S.
Golin C.E.
Smith S.R.
AUTHOR ADDRESSES
(Reif S., sreif@hpolicy.duke.edu) Duke University Center for Health Policy,
Law and Management, Charlotte, NC, United States.
(Golin C.E.; Smith S.R.) Center for AIDS Research, University of North
Carolina, Chapel Hill, NC, United States.
(Golin C.E.; Smith S.R.) Cecil G. Sheps Center for Health Services Research,
United States.
(Golin C.E.; Smith S.R.) Department of Health Behavior and Health Education,
University of North Carolina School of Public Health, United States.
(Golin C.E.; Smith S.R.) Division of General Internal Medicine and
Epidemiology, Department of Medicine, University of North Carolina School of
Medicine, United States.
(Smith S.R.) Division of Pharmaceutical Policy and Evaluative Sciences,
University of North Carolina at Chapel Hill School of Pharmacy, Chapel Hill,
NC, United States.
(Reif S., sreif@hpolicy.duke.edu) Duke University Center for Health Policy,
Law and Management, 1509 Biltmore Drive, Charlotte, NC 28207, United States.
CORRESPONDENCE ADDRESS
S. Reif, Duke University Center for Health Policy, Law and Management, 1509
Biltmore Drive, Charlotte, NC 28207, United States. Email:
sreif@hpolicy.duke.edu
SOURCE
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV (2005) 17:5
(558-565). Date of Publication: July 2005
ISSN
0954-0121
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
Many HIV-positive individuals face multiple barriers to care and therefore
frequently experience unmet medical and support services needs. Rural areas
often lack the infrastructure to support the delivery of comprehensive HIV
services; however, few studies have examined service barriers faced by rural
residents with HIV/AIDS, particularly in the South where two-thirds of
people living with HIV/AIDS in rural areas reside. We surveyed North
Carolina HIV/AIDS case managers (N = 111) employed at state-certified
agencies regarding barriers to medical and support services that influence
medication adherence for their rural and urban-living clients. For each of
the seven barriers assessed (long travel for care, HIV-related stigma, and a
lack of transportation; HIV-trained medical practitioners; housing; mental
health services and substance abuse treatment), a substantial proportion of
case managers (29-67%) reported it was a 'major problem'. For five of the
seven barriers, rural case managers were significantly more likely to
identify the barrier as a 'major problem'. Multivariate analysis revealed
that rural case managers and case managers with more female clients reported
a greater number of barriers. Because unmet medical and support service
needs may result in poorer outcomes for HIV-positive individuals, barriers
to these services must be identified and addressed, particularly in rural
areas which may be highly underserved. © 2005 Taylor & Francis Group Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome (epidemiology)
Human immunodeficiency virus infection (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
female
geographic distribution
health care quality
health survey
human
major clinical study
male
outcomes research
patient transport
priority journal
rural area
social adaptation
support group
training
travel
United States
urban area
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Immunology, Serology and Transplantation (26)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005316188
MEDLINE PMID
16036242 (http://www.ncbi.nlm.nih.gov/pubmed/16036242)
PUI
L40979464
DOI
10.1080/09540120412331319750
FULL TEXT LINK
http://dx.doi.org/10.1080/09540120412331319750
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1458
TITLE
Language-learning disorders and youth incarceration
AUTHOR NAMES
Linares-Orama N.
AUTHOR ADDRESSES
(Linares-Orama N., nlin@tld.net) FILIUS Inst. Disability Rehab. Res.,
University of Puerto Rico, Speech-Lang.-Pathology and Audiology, GPO Box
364984, San Juan, 00936-5067, Puerto Rico.
CORRESPONDENCE ADDRESS
N. Linares-Orama, FILIUS Inst. Disability Rehab. Res., University of Puerto
Rico, Speech-Lang.-Pathology and Audiology, GPO Box 364984, San Juan,
00936-5067, Puerto Rico. Email: nlin@tld.net
SOURCE
Journal of Communication Disorders (2005) 38:4 SPEC. ISS. (311-319). Date of
Publication: July/August 2005
ISSN
0021-9924
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Many speech-language pathologists are serving delinquent boys with
language-learning disorders who are both current and former residents of
correctional institutions. These youngsters demonstrate personal
maladjustments that have a negative impact on school performance and
socialization. Those boys within chaotic families are at risk of poverty,
institutionalization, and substance abuse. Boys with language-learning
disorders, who have encountered the law, need to be provided with services
through collaborative and individualized efforts toward improving language
skills, learning, and re-incorporating them into society. Further
investigations are needed in order to clarify how the elements of personal,
family, neighborhood, school and service conditions serve as either
protective or risk factors for a life of incarceration in these individuals.
Learning outcomes: As a result of this presentation, the reader will
understand the complex relationship among language-learning disorders,
poverty, poor school performance, and delinquency in boys. The reader will
become aware of the elements that should be present in school and
correctional services in order to prevent recidivism in boys with
language-learning disorders who have had problems with the law. © 2005
Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
juvenile delinquency
language disability
learning disorder
prison
EMTREE MEDICAL INDEX TERMS
conference paper
family life
human
institutionalization
language
learning
poverty
school
socialization
substance abuse
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Otorhinolaryngology (11)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005206155
MEDLINE PMID
15862813 (http://www.ncbi.nlm.nih.gov/pubmed/15862813)
PUI
L40615982
DOI
10.1016/j.jcomdis.2005.02.006
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jcomdis.2005.02.006
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1459
TITLE
Perceptions of substance use, treatment options and training needs among
Iranian primary care physicians
AUTHOR NAMES
Shakeshaft A.
Nassirimanesh B.
Day C.
Dolan K.A.
AUTHOR ADDRESSES
(Shakeshaft A., a.shakeshaft@unsw.edu.au; Dolan K.A., k.dolan@unsw.edu.au)
Program of International Research and Training (PIRT), National Drug and
Alcohol Research Centre (NDARC), University of New South Wales, Sydney, NSW,
Australia.
(Nassirimanesh B., bijan@ahrn.net) Building 19, S. Al., M. Alley, B.-H. St,
R. Blvd., Tehran, Iran.
(Day C., cday@nchecr.unsw.edu.au) National Health and Medical Research
Centre Fellow, National Centre in HIV Epidemiology and Clinical Research,
University of New South Wales, Sydney, NSW, Australia.
CORRESPONDENCE ADDRESS
K.A. Dolan, Program of International Research and Training (PIRT), National
Drug and Alcohol Research Centre (NDARC), University of New South Wales,
Sydney, NSW, Australia. Email: k.dolan@unsw.edu.au
SOURCE
International Journal for Equity in Health (2005) 4 Article Number: 7. Date
of Publication: 15 Jun 2005
ISSN
1475-9276
1475-9276 (electronic)
ABSTRACT
In order to be optimally effective, continuing training programmes for
health-care professionals need to be tailored so that they target specific
knowledge deficits, both in terms of topic content and appropriate
intervention strategies. A first step in designing tailored treatment
programmes is to identify the characteristics of the relevant health-care
professional group, their current levels of content and treatment knowledge,
the estimated prevalence of drug and alcohol problems among their patients
and their preferred options for receiving continuing education and training.
This study reports the results of a survey of 53 primary care physicians
working in Iran. The majority were male, had a mean age of 44 years and saw
approximately 94 patients per week. In terms of their patients' drug use,
primary care physicians thought most patients with a substance use problem
were male, women were most likely to use tobacco (52%), opium (32%) and
marijuana/hashish and young people were most likely to use tobacco, alcohol,
marijuana and heroin. Counselling and nicotine patches were the treatments
most commonly provided. Although the majority (55%) reported referring
patients to other services, more than a third did not. Most primary care
physicians reported being interested in attending further training on
substance abuse issues. The implications of these data for ongoing education
and training of primary care physicians in Iran are discussed. © 2005
Shakeshaft et al; licensee BioMed Central Ltd.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
diamorphine
nicotine (drug therapy, transdermal drug administration)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
aged
alcoholism (therapy)
article
cannabis addiction (therapy)
female
health service
health survey
heroin dependence (therapy)
human
Iran
male
manipulative medicine
medical education
nicotine replacement therapy
opiate addiction (therapy)
patient counseling
patient referral
physician
primary medical care
psychopharmacotherapy
psychosocial care
recreation
self concept
sport
tobacco dependence (drug therapy, therapy)
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
diamorphine (1502-95-0, 561-27-3)
nicotine (54-11-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005351219
PUI
L41095989
DOI
10.1186/1475-9276-4-7
FULL TEXT LINK
http://dx.doi.org/10.1186/1475-9276-4-7
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1460
TITLE
Medical education in substance abuse: from student to practicing osteopathic
physician.
AUTHOR NAMES
Wyatt S.A.
Vilensky W.
Manlandro Jr. J.J.
Dekker 2nd. M.A.
AUTHOR ADDRESSES
(Wyatt S.A.; Vilensky W.; Manlandro Jr. J.J.; Dekker 2nd. M.A.) American
Osteopathic Academey of Addiction Medicine (AOAAM), USA.
CORRESPONDENCE ADDRESS
S.A. Wyatt, American Osteopathic Academey of Addiction Medicine (AOAAM),
USA. Email: sawyatt@adelphia.net
SOURCE
The Journal of the American Osteopathic Association (2005) 105:6 Suppl 3
(S18-25). Date of Publication: Jun 2005
ISSN
0098-6151
ABSTRACT
Substance use disorders (SUDs) have had a major impact on the health of the
US population during the past decade. Osteopathic physicians have an
important role among those who can make a positive impact on this problem.
This article reviews the nature of the problem, how the osteopathic medical
profession is currently addressing it, and a current strategy for
improvement endorsed by the American Osteopathic Academy of Addiction
Medicine. Early in 2004, the Office of National Drug Control Policy-backed
by the US Surgeon General, the Center for Substance Abuse Treatment, the
National Institute on Drug Abuse, the National Institute on Alcohol Abuse
and Alcoholism, and the National Highway Traffic Safety Administration-has
requested improvement in physician education on this health problem. This
request culminated in the Office of National Drug Control Policy's
establishing the Leadership Conference on Medical Education in Substance
Abuse in December 2004. The osteopathic medical profession is represented in
this critical review and formulation of recommendations for improving
education on substance use disorders for the undergraduate, graduate, and
practicing physician.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
medical education
osteopathic medicine
EMTREE MEDICAL INDEX TERMS
education
human
methodology
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16118358 (http://www.ncbi.nlm.nih.gov/pubmed/16118358)
PUI
L41299369
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1461
TITLE
Statewide evaluation of a tobacco cessation curriculum for pharmacy students
AUTHOR NAMES
Corelli R.L.
Kroon L.A.
Chung E.P.
Sakamoto L.M.
Gundersen B.
Fenlon C.M.
Hudmon K.S.
AUTHOR ADDRESSES
(Corelli R.L.; Kroon L.A.; Hudmon K.S., karen.hudmon@yale.edu) Department of
Clinical Pharmacy, School of Pharmacy, University of California, San
Francisco, United States.
(Chung E.P.) Department of Pharmacy Practice, W. University of Health
Sciences, College of Pharmacy, United States.
(Sakamoto L.M.) Department of Clinical Pharmacy, University of Southern
California, School of Pharmacy, United States.
(Gundersen B.) Department of Pharmacy Practice, University of the Pacific,
Thomas J. Long Sch. Pharm. Hlth. S., United States.
(Fenlon C.M.; Hudmon K.S., karen.hudmon@yale.edu) Dept. of Epidemiol. and
Pub. Health, Yale University, School of Medicine, 60 College Street, New
Haven, CT 06520, United States.
CORRESPONDENCE ADDRESS
K.S. Hudmon, Dept. of Epidemiol. and Pub. Health, Yale University, School of
Medicine, 60 College Street, New Haven, CT 06520, United States. Email:
karen.hudmon@yale.edu
SOURCE
Preventive Medicine (2005) 40:6 (888-895). Date of Publication: June 2005
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Previous studies suggest that healthcare professionals are
inadequately trained to treat tobacco use and dependence. Because even brief
interventions from clinicians improve patient quit rates, widespread
implementation of effective tobacco cessation training programs for health
professional students is needed. Methods. Pharmacy students received 7-8 h
of comprehensive tobacco cessation training. Participants completed pre- and
post-program surveys assessing perceived overall abilities for cessation
counseling, skills for key facets of cessation counseling (Ask, Advise,
Assess, Assist, Arrange), and self-efficacy for counseling. Results. A total
of 493 students (82.3%) completed linkable pre- and post-training
evaluations. Self-reported abilities, measured on a five-point scale,
increased significantly from 1.89 ± 0.89 to 3.53 ± 0.72 (P < 0.001).
Twenty-two percent of students rated their overall counseling abilities as
good, very good, or excellent before the training versus 94% of students
after the training. Eighty-seven percent of students indicated the training
will increase the number of patients that they counsel; 97% believed it will
increase the quality of their cessation counseling. Conclusions.
Comprehensive training significantly improved pharmacy students' perceived
confidence and ability to provide tobacco cessation counseling. The
curriculum is applicable to other health professional training programs and
currently is being used to train pharmacy, medical, nursing, and dental
students. © 2004 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
education program
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
controlled study
evaluation study
health care delivery
health care personnel
health care quality
health program
health survey
human
medical education
medical school
medical student
patient counseling
preventive medicine
priority journal
self report
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005197279
MEDLINE PMID
15850892 (http://www.ncbi.nlm.nih.gov/pubmed/15850892)
PUI
L40591854
DOI
10.1016/j.ypmed.2004.10.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2004.10.003
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1462
TITLE
SMART UK: The substance misuse acupuncture register and training
AUTHOR NAMES
Deadman P.
Cox S.
Wager K.
AUTHOR ADDRESSES
(Deadman P.; Cox S., sue.cox@smartuk.demon.co.uk; Wager K.) Smart UK, United
Kingdom.
CORRESPONDENCE ADDRESS
Smart UK, United Kingdom.
SOURCE
Journal of Chinese Medicine (2005) :78 (52-72). Date of Publication: Jun
2005
ISSN
0143-8042
ABSTRACT
The Substance Misuse Acupuncture Register and Training (SMART UK) teaches
people who work in the substance misuse field the application of a five
point auricular acupuncture formula treatment as part of their approach to
substance misuse. Over the last nine years it has trained three thousand
people in the technique which is used to enhance already existing recovery
programmes. The SMART programme is now being used in around four hundred
community drug and alcohol treatment centres and hospital units and
eighty-seven prisons. The protocol is widely accepted for its supportive
role in the treatment of addiction and has boosted the profile of
acupuncture throughout the world. The course is accredited by the UK's
National Health Service and the Home Office.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acupuncture
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
Chinese medicine
community care
drug dependence
health practitioner
health program
hospital
human
life expectancy
postgraduate education
prison
register
skill
United Kingdom
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005292078
PUI
L40903237
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1463
TITLE
Class A drug abuse: An ophthalmologist's problem?
AUTHOR NAMES
Firth A.Y.
AUTHOR ADDRESSES
(Firth A.Y., a.firth@sheffield.ac.uk) Academic Unit of Ophthalmology and
Orthoptics, University of Sheffield, Sheffield, United Kingdom.
CORRESPONDENCE ADDRESS
A.Y. Firth, Academic Unit of Ophthalmology and Orthoptics, University of
Sheffield, Sheffield, United Kingdom. Email: a.firth@sheffield.ac.uk
SOURCE
Eye (2005) 19:6 (609-610). Date of Publication: June 2005
ISSN
0950-222X
BOOK PUBLISHER
Nature Publishing Group, Houndmills, Basingstoke, Hampshire, United Kingdom.
EMTREE DRUG INDEX TERMS
anesthetic agent (adverse drug reaction)
cocaine (adverse drug reaction, drug toxicity, intranasal drug
administration)
diamorphine (drug toxicity)
illicit drug
lysergide (drug toxicity)
midomafetamine (drug toxicity)
naltrexone (drug toxicity)
quinine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
eye disease (side effect)
EMTREE MEDICAL INDEX TERMS
adnexa disease
amblyopia
brain hemorrhage
closed angle glaucoma
convergent strabismus
cornea disease (side effect)
cornea ulcer (side effect)
diplopia
disease exacerbation (side effect)
drug abuse
drug classification
editorial
general practitioner
health survey
human
lacrimal duct occlusion
medical specialist
myasthenia gravis
nerve paralysis
ophthalmology
optic nerve disease
orbit cellulitis
punctate keratitis (side effect)
retina hemorrhage
retinopathy
United Kingdom
visual acuity
visual disorder
visual field defect
visual impairment
CAS REGISTRY NUMBERS
3,4 methylenedioxymethamphetamine (42542-10-9)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
lysergide (50-37-3)
naltrexone (16590-41-3, 16676-29-2)
quinine (130-89-2, 130-95-0, 14358-44-2, 549-48-4, 549-49-5, 60-93-5,
7549-43-1)
EMBASE CLASSIFICATIONS
Ophthalmology (12)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005288960
MEDLINE PMID
15937513 (http://www.ncbi.nlm.nih.gov/pubmed/15937513)
PUI
L40895470
DOI
10.1038/sj.eye.6701624
FULL TEXT LINK
http://dx.doi.org/10.1038/sj.eye.6701624
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1464
TITLE
Medical boards and qualifications in addiction medicine - A disturbed
relationship
ORIGINAL (NON-ENGLISH) TITLE
Ärzteschaft und sucht-medizinische qualifikation - Ein getrübtes verhältnis
AUTHOR NAMES
Gastpar M.
AUTHOR ADDRESSES
(Gastpar M., m.gastpar@uni-essen.de) Klinik für Psychiatrie und
Psychotherapie, Rheinische Kliniken Essen, Virchowstr. 174, 45147 Essen,
Germany.
CORRESPONDENCE ADDRESS
M. Gastpar, Klinik für Psychiatrie und Psychotherapie, Rheinische Kliniken
Essen, Virchowstr. 174, 45147 Essen, Germany. Email: m.gastpar@uni-essen.de
SOURCE
Sucht (2005) 51:3 (187). Date of Publication: Jun 2005
ISSN
0939-5911
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
certification
drug dependence
medicine
EMTREE MEDICAL INDEX TERMS
human
letter
psychiatry
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
2005321059
PUI
L40991594
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1465
TITLE
Screening and intervention for alcohol and illicit drug abuse: A survey of
internal medicine housestaff
AUTHOR NAMES
Gunderson E.W.
Levin F.R.
Smith L.
AUTHOR ADDRESSES
(Gunderson E.W., eg2009@columbia.edu; Levin F.R.) Department of Psychiatry,
Division on Substance Abuse, Columbia Univ. Coll. of Phys./Surgs., New York,
NY, United States.
(Smith L.) Department of Medicine, Mount Sinai School of Medicine, New York,
NY, United States.
(Gunderson E.W., eg2009@columbia.edu) NYSPI, 1051 Riverside Drive, New York,
NY 10032, United States.
CORRESPONDENCE ADDRESS
E.W. Gunderson, NYSPI, 1051 Riverside Drive, New York, NY 10032, United
States. Email: eg2009@columbia.edu
SOURCE
Journal of Addictive Diseases (2005) 24:2 (1-18). Date of Publication: 2005
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
This study attempts to determine how internal medicine housestaff screen and
intervene for problematic alcohol and illicit drug use, as well as identify
factors correlating with favorable practices. A cross-sectional survey was
administered to 93 medical housestaff. Of 64 (69%) respondents, 94% reported
routinely screening new patients for alcohol or illicit drug use, while only
52% routinely quantified alcohol consumption and 28% routinely used a
screening instrument. Housestaff were unfamiliar with national guidelines
and felt unprepared to diagnose substance use disorders, particularly
prescription drug abuse. Most routinely counseled patients with alcohol
(89%) or illicit-drug problems (91%), although only a third of these
patients were referred for formal treatment. More thorough screening
practices were associated with greater treatment optimism, while favorable
referral practices were associated with greater optimism about 12-step
program benefit and difficulty with management. These findings suggest areas
to be addressed in residency curricula on substance abuse. © 2005 by The
Haworth Press, Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, epidemiology)
drug dependence (diagnosis, epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
alcohol consumption
clinical practice
counseling
curriculum
devices
female
health care personnel
health survey
human
male
medical education
patient referral
prevalence
residency education
resident
review
screening
substance abuse
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005202655
MEDLINE PMID
15784519 (http://www.ncbi.nlm.nih.gov/pubmed/15784519)
PUI
L40604647
DOI
10.1300/J069v24n02_01
FULL TEXT LINK
http://dx.doi.org/10.1300/J069v24n02_01
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1466
TITLE
Training pediatric residents to provide smoking cessation counseling to
parents.
AUTHOR NAMES
Collins R.L.
D'Angelo S.
Stearns S.D.
Campbell L.R.
AUTHOR ADDRESSES
(Collins R.L.; D'Angelo S.; Stearns S.D.; Campbell L.R.) Department of
Pediatrics, University of Kentucky Chandler Medical Center, Lexington, KY,
USA.
CORRESPONDENCE ADDRESS
R.L. Collins, Department of Pediatrics, University of Kentucky Chandler
Medical Center, Lexington, KY, USA. Email: rlcoll2@uky.edu
SOURCE
TheScientificWorldJournal (2005) 5 (410-419). Date of Publication: 13 May
2005
ISSN
1537-744X (electronic)
ABSTRACT
The objective was to assess the effectiveness of a smoking cessation
educational program on pediatric residents' counseling. Residents were
randomly selected to receive the intervention. Residents who were trained
were compared to untrained residents. Self-reported surveys and patient
chart reviews were used. Measures included changes in self-reported
knowledge, attitudes and behaviors of residents, and differences in chart
documentation and caretaker-reported physician counseling behaviors. The
intervention was multidimensional including a didactic presentation, a
problem-solving session, clinic reminders, and provision of patient
education materials. Results showed that residents who were trained were
more likely to ask about tobacco use in their patients' households. They
were also more likely to advise caretakers to cut down on or to quit
smoking, to help set a quit date, and to follow up on the advice given at a
subsequent visit. Trained residents were more likely to record a history of
passive tobacco exposure in the medical record. These residents also
reported improved confidence in their counseling skills and documented that
they had done such counseling more often than did untrained residents.
Caretakers of pediatric patients who smoke seen by intervention residents
were more likely to report that they had received tobacco counseling.
Following this intervention, pediatric residents significantly improved
their behaviors, attitudes, and confidence in providing smoking cessation
counseling to parents of their pediatric patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
medical education
parent
pediatrics
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
clinical trial
controlled clinical trial
controlled study
demography
education
female
human
male
patient education
randomized controlled trial
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15915295 (http://www.ncbi.nlm.nih.gov/pubmed/15915295)
PUI
L41875014
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1467
TITLE
Educating medical students about tobacco
AUTHOR NAMES
Saloojee Y.
Steyn K.
AUTHOR ADDRESSES
(Saloojee Y., ysaloojee@iafrica.com) National Council Against Smoking, PO
Box 1242, Houghton 2041, South Africa.
(Steyn K.) Chronic Diseases of Lifestyle Unit, Medical Research Council,
Tygerberg, W Cape, South Africa.
CORRESPONDENCE ADDRESS
Y. Saloojee, National Council Against Smoking, PO Box 1242, Houghton 2041,
South Africa. Email: ysaloojee@iafrica.com
SOURCE
South African Medical Journal (2005) 95:5 (330-331). Date of Publication:
May 2005
ISSN
0256-9574
BOOK PUBLISHER
South African Medical Association, Private Bag X1, Pinelands, South Africa.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
competence
consultation
eating disorder
editorial
education program
general practitioner
government regulation
health behavior
health practitioner
human
legal aspect
lifestyle
medical student
patient attitude
patient counseling
physician attitude
prevalence
smoking cessation
tobacco dependence (therapy)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005246323
MEDLINE PMID
15931446 (http://www.ncbi.nlm.nih.gov/pubmed/15931446)
PUI
L40767033
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1468
TITLE
The OSCE as a formative evaluation tool for substance abuse teaching.
AUTHOR NAMES
Stein M.R.
Parish S.J.
Arnsten J.H.
AUTHOR ADDRESSES
(Stein M.R.; Parish S.J.; Arnsten J.H.) Hub 2 Clinic, Bronx, New York, New
York 10455, USA.
CORRESPONDENCE ADDRESS
M.R. Stein, Hub 2 Clinic, Bronx, New York, New York 10455, USA. Email:
mstein@montefriore.org
SOURCE
Medical education (2005) 39:5 (529-530). Date of Publication: May 2005
ISSN
0308-0110
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
education
medical education
teaching
EMTREE MEDICAL INDEX TERMS
article
methodology
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15842715 (http://www.ncbi.nlm.nih.gov/pubmed/15842715)
PUI
L40857209
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1469
TITLE
Medical examinations at entry to treatment for drug abuse as an opportunity
to initiate care for hepatitis C virus infection
AUTHOR NAMES
Hagan H.
Strauss S.M.
Astone J.M.
Des Jarlais D.C.
AUTHOR ADDRESSES
(Hagan H., holly.hagan@ndri.org; Strauss S.M.; Astone J.M.; Des Jarlais
D.C.) Center for Drug Use and HIV Research, Natl. Devmt. and Research
Institutes, Beth Israel Medical Center, New York, NY, United States.
(Des Jarlais D.C.) Baron Edmund Rothschild Chem. D., Beth Israel Medical
Center, New York, NY, United States.
(Hagan H., holly.hagan@ndri.org) Center for Drug Use and HIV Research, Natl.
Devmt. and Research Institutes, 71 West 23rd St., New York, NY 10010, United
States.
CORRESPONDENCE ADDRESS
H. Hagan, Center for Drug Use and HIV Research, Natl. Devmt. and Research
Institutes, 71 West 23rd St., New York, NY 10010, United States. Email:
holly.hagan@ndri.org
SOURCE
Clinical Infectious Diseases (2005) 40:SUPPL. 5 (S297-S303). Date of
Publication: 15 Apr 2005
ISSN
1058-4838
BOOK PUBLISHER
University of Chicago Press, 1427 E. 60th Street, Chicago, United States.
ABSTRACT
Over the course of addiction, a substantial proportion of drug users enter
drug abuse treatment programs. Data from a cross-sectional survey of drug
abuse treatment programs in the United States were analyzed to describe the
scope of the medical examination performed at admission to such programs.
All of the methadone programs (n = 95) and 50% of drug-free programs (80 of
161) required a medical examination at entry. Most examinations included
screening for signs and symptoms of liver disease and liver function
testing. Nearly all methadone programs (97%) provided referral to medical
care or support for patients with test results positive for antibody to
hepatitis C virus (HCV), compared with 75% of drug-free programs (P < .01).
Drug-free programs requiring medical examinations provided education about
HCV and testing for HCV to a larger proportion of their patients (P < .05).
With high dropout rates in the early stages of treatment for drug addiction,
these medical visits may be an important opportunity for further monitoring
and care for HCV infection and other conditions. © 2005 by the Infectious
Diseases Society of America. All rights reserved.
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
virus antibody
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (drug therapy)
hepatitis C (etiology)
medical examination
methadone treatment
EMTREE MEDICAL INDEX TERMS
conference paper
controlled study
drug dependence treatment
health education
health program
health survey
Hepatitis C virus
human
liver function test
major clinical study
medical care
patient care
patient education
patient referral
priority journal
screening test
United States
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005164937
MEDLINE PMID
15768338 (http://www.ncbi.nlm.nih.gov/pubmed/15768338)
PUI
L40490215
DOI
10.1086/427444
FULL TEXT LINK
http://dx.doi.org/10.1086/427444
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1470
TITLE
Tobacco education in U.S. schools of pharmacy
AUTHOR NAMES
Hudmon K.S.
Bardel K.
Kroon L.A.
Fenlon C.M.
Corelli R.L.
AUTHOR ADDRESSES
(Hudmon K.S., karen.hudmon@yale.edu; Fenlon C.M.) Department of Epidemiology
and Public Health, School of Medicine, Yale University, 60 College Street,
New Haven, CT 06520, United States.
(Bardel K.; Kroon L.A.; Corelli R.L.) Department of Clinical Pharmacy,
School of Pharmacy, University of California, San Francisco, CA, United
States.
CORRESPONDENCE ADDRESS
K.S. Hudmon, Yale University School of Medicine, Department of Epidemiology
and Public Health, 60 College Street, New Haven, CT 06520, United States.
Email: karen.hudmon@yale.edu
SOURCE
Nicotine and Tobacco Research (2005) 7:2 (225-232). Date of Publication:
April 2005
ISSN
1462-2203
1469-994X (electronic)
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
This study is the first to characterize tobacco-related content in pharmacy
school curricula in the United States. A national survey mailed to 83 U.S.
schools of pharmacy assessed the extent to which tobacco is addressed in
required coursework, educational methods of instruction, perceived
importance of addressing tobacco in the doctor of pharmacy degree program,
perceived adequacy of current levels of tobacco education in curricula, and
perceived barriers to enhancing the tobacco-related content. A total of 82
surveys (98.8% response) revealed a median of 170 min of tobacco education
throughout the doctor of pharmacy program. The most heavily emphasized
topics are aids for cessation, assisting patients with quitting, nicotine
pharmacology and principles of addiction, and drug interactions with
smoking, yet more than 40% of respondents believed that each of these topics
was covered inadequately. Key barriers to enhancing tobacco training are
lack of curriculum time and lack of clinical clerkship sites focusing on
tobacco interventions. Pharmacy faculty members perceive tobacco cessation
training to be important, yet a mismatch exists between the perceived
importance and the perceived adequacy of current levels of training in
pharmacy school curricula. The results of this study will serve as a
baseline measure against which future, parallel assessments will be compared
as faculty at schools of pharmacy across the United States work together
toward enhancing the tobacco cessation training of student pharmacists. ©
2005 Society for Research on Nicotine and Tobacco.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
medical education
tobacco
EMTREE MEDICAL INDEX TERMS
article
controlled study
curriculum
education program
health survey
human
human experiment
medical school
medical student
pharmacist
pharmacy
priority journal
rating scale
smoking cessation
smoking habit
statistical analysis
statistical significance
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005276232
MEDLINE PMID
16036279 (http://www.ncbi.nlm.nih.gov/pubmed/16036279)
PUI
L40852149
DOI
10.1080/14622200500055392
FULL TEXT LINK
http://dx.doi.org/10.1080/14622200500055392
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1471
TITLE
Lack of training as a central barrier to the promotion of smoking cessation:
A survey among general practitioners in Germany
AUTHOR NAMES
Twardella D.
Brenner H.
AUTHOR ADDRESSES
(Brenner H., brenner@dzfa.uni-heidelberg.de) Department of Epidemiology,
German Centre for Research on Ageing, Heidelberg, Germany.
(Brenner H., brenner@dzfa.uni-heidelberg.de) Department of Epidemiology,
German Centre for Research on Ageing, Bergheimer Str. 20, 69115 Heidelberg,
Germany.
(Twardella D.)
CORRESPONDENCE ADDRESS
H. Brenner, Department of Epidemiology, German Centre for Research on
Ageing, Bergheimer Str. 20, 69115 Heidelberg, Germany. Email:
brenner@dzfa.uni-heidelberg.de
SOURCE
European Journal of Public Health (2005) 15:2 (140-145). Date of
Publication: April 2005
ISSN
1101-1262
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Background: General practitioners (GPs) can contribute substantially to the
promotion of smoking cessation in the general population. However,
engagement of GPs in helping their patients to quit remains very limited in
many countries, including Germany. Therefore, new strategies to foster
implementation of evidence-based methods in smoking cessation assistance
have to be identified, and data for current practice of and barriers against
smoking cessation promotion in general practice are needed. Methods: A
cross-sectional survey among all 657 general practitioners practising in the
Rhein-Neckar Region of Germany was conducted in spring 2002 using a postal
questionnaire (response rate 48%). Results: The majority (54%) of GPs
reported having treated less than 10 patients for smoking cessation (by any
means including mere advice to quit) within the last three months, 23% of
GPs never received any education or training in smoking cessation promotion,
and only one-third of GPs rated their training as adequate. The factor most
strongly associated with low activity in smoking cessation promotion
(defined as having treated less than 10 patients within the last three
months) was perceived lack of training (odds ratio 2.70, 95% confidence
interval 1.68-4.32), followed by perceived lack of demonstration material
(2.10, 1.31-3.39) and perceived lack of time (1.65, 1.02-2.66). Furthermore,
there was a clear dose-response relationship between the time spent on
training and the activity in smoking cessation promotion. Conclusion:
Adequate training may be a key factor to enhance engagement of general
practitioners in the promotion of smoking cessation. © The Author 2005.
Published by Oxford University Press on behalf of the European Public Health
Association. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amfebutamone (drug therapy)
nicotine (drug administration, drug therapy, intranasal drug administration,
oral drug administration, transdermal drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
smoking cessation
tobacco dependence (drug therapy, epidemiology, prevention, therapy)
EMTREE MEDICAL INDEX TERMS
acupuncture
addiction (drug therapy, epidemiology, prevention, therapy)
education program
general practice
Germany
group therapy
health care policy
health promotion
human
hypnosis
patient counseling
patient education
physician
priority journal
psychotherapy
questionnaire
review
social support
time
training
DRUG TRADE NAMES
zyban
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005271379
MEDLINE PMID
15941758 (http://www.ncbi.nlm.nih.gov/pubmed/15941758)
PUI
L40835258
DOI
10.1093/eurpub/cki123
FULL TEXT LINK
http://dx.doi.org/10.1093/eurpub/cki123
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1472
TITLE
Medical boards and qualifications in addiction medicine - A disturbed
relationship
ORIGINAL (NON-ENGLISH) TITLE
Ärzteschaft und suchtmedizinische qualifikationen - Ein getrübtes
verhältnis!
AUTHOR NAMES
Fleischmann H.
AUTHOR ADDRESSES
(Fleischmann H., heribert.fleischmann@medbo.de) Bezirkskrankenhaus
Wöllershof, Postfach 1180, 92656 Neustadt a. d. Waldnaab, Germany.
CORRESPONDENCE ADDRESS
H. Fleischmann, Bezirkskrankenhaus Wöllershof, Postfach 1180, 92656 Neustadt
a. d. Waldnaab, Germany. Email: heribert.fleischmann@medbo.de
SOURCE
Sucht (2005) 51:2 (68-69). Date of Publication: Apr 2005
ISSN
0939-5911
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
diamorphine
methadone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
certification
EMTREE MEDICAL INDEX TERMS
abstinence
accreditation
curriculum
editorial
education program
Germany
human
medical education
methadone treatment
opiate addiction
psychiatry
quality control
CAS REGISTRY NUMBERS
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
2005243868
PUI
L40754624
DOI
10.1463/2005.02.01
FULL TEXT LINK
http://dx.doi.org/10.1463/2005.02.01
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1473
TITLE
Medical education for the management of drug abusers and the development of
a new health care habitus
ORIGINAL (NON-ENGLISH) TITLE
A formação de profissionais para a assistência de usuários de drogas e a
constituição de um novo habitus de cuidado
AUTHOR NAMES
Santos Cruz M.
Da Silva Filho J.F.
AUTHOR ADDRESSES
(Santos Cruz M., marceloscruz@terra.com.br; Da Silva Filho J.F.) Instituto
de Psiquiatria, Universidade Federal do Rio de Janeiro, .
(Santos Cruz M., marceloscruz@terra.com.br) Av. Afranio de Melo Franco
85/202, 22430-060 - Rio de Janeiro-RJ, Brazil.
CORRESPONDENCE ADDRESS
M. Santos Cruz, Av. Afranio de Melo Franco 85/202, 22430-060 - Rio de
Janeiro-RJ, Brazil. Email: marceloscruz@terra.com.br
SOURCE
Jornal Brasileiro de Psiquiatria (2005) 54:2 (120-126). Date of Publication:
Apr 2005
ISSN
0047-2085
ABSTRACT
Objective: To identify deficiencies in medical education on drug abuse
treatment and strategies developed by doctors to solve those difficulties.
Methods: This is a qualitative case study. Six medical doctors receiving
post-graduation education in two academic drug abuse treatment institutions
were interviewed, both individually and in focal groups. Categories
identified in the interview material were grouped by themes and models
privileged in formal education, difficulties found in assistance practice
and strategies used to solve those difficulties. Results: Biological model
is privileged in formal medical education, what results in huge obstacles in
this practice, as the difficulties to make early diagnosis, to deal with
relapses, the inconsistent demand for treatment, the aggressiveness, the
comorbidities and the clinical problems. Conclusions: Graduation medical
education on drug abuse treatment is considered insufficient by doctors
interviewed. They are compelled to make use of strategies that includes the
search for references of medical knowledge and procedures that have worked
in other occasions are essayed in this practice. Progressively, a new health
care habitus is developed while assistance practice makes possible the
integration of formal academic education upon each professional individual
characteristics.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical education
EMTREE MEDICAL INDEX TERMS
adult
aggressiveness
article
case report
comorbidity
female
health care need
human
interview
male
medical practice
physician
postgraduate education
relapse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Portuguese
LANGUAGE OF SUMMARY
English, Portuguese
EMBASE ACCESSION NUMBER
2005399710
PUI
L41243018
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1474
TITLE
Implementing alcohol screening and intervention in a family medicine
residency clinic
AUTHOR NAMES
Seale J.P.
Shellenberger S.
Tillery W.K.
Boltri J.
Vogel R.
Barton B.
McCauley M.
AUTHOR ADDRESSES
(Seale J.P., seale.paul@mccg.org; Shellenberger S.; Tillery W.K.; Boltri J.;
Barton B.; McCauley M.) Department of Family Medicine, Medical Center of
Central Georgia, Mercer University School of Medicine, Macon, GA, United
States.
(Vogel R.) Center for Biostatistics, Georgia Southern University,
Statesboro, GA, United States.
(Seale J.P., seale.paul@mccg.org) Family Health Center, 3780 Eisenhower
Parkway, Macon, GA 31206, United States.
CORRESPONDENCE ADDRESS
J.P. Seale, Family Health Center, 3780 Eisenhower Parkway, Macon, GA 31206,
United States. Email: seale.paul@mccg.org
SOURCE
Substance Abuse (2005) 26:1 (23-31). Date of Publication: March 2005
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
The purpose of this study was to evaluate the impact of simultaneous systems
interventions and clinician training on management of hazardous and harmful
drinking in a residency clinic. Systems interventions included forming a
multi-disciplinary implementation team, training registration clerks to
distribute health risk questionnaires using the AUDIT-C alcohol screen, and
training nurses to score the AUDIT-C and administer the AUDIT to
screen-positive patients. Clinicians were trained to perform brochure-based
interventions on screen-positive patients. Research staff provided
compliance feedback. Over 12 months, 8.0% (241/3014) of patients screened
positive and 3.8% (115/3014) received brief interventions. For
screen-positive patients, comparisons with baseline measurements found
increased rates of alcohol assessment (50% vs. 0%, p < .0001) and
intervention (48.1% vs. 9.4%, p < .0001). Clinicians intervened more often
when prompted with completed AUDITs (72% vs. 23%, p < .0001). Program
modifications resulted in progressive increases in numbers of patients
screened. This model shows promise for use in other residency programs. ©
2005 by The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
residency education
screening
EMTREE MEDICAL INDEX TERMS
article
data analysis
family medicine
health hazard
human
information processing
medical education
prevalence
questionnaire
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006175393
MEDLINE PMID
16492660 (http://www.ncbi.nlm.nih.gov/pubmed/16492660)
PUI
L43560644
DOI
10.1300/J465v26n01_03
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v26n01_03
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1475
TITLE
Chronic pain and ultrarapid opioid detoxification
AUTHOR NAMES
Kaye A.D.
Banister R.E.
Hoover J.M.
Baluch A.R.
Jacobs S.
Shah R.V.
AUTHOR ADDRESSES
(Kaye A.D., akaye@lsuhsc.edu) Department of Anesthesiology, Rapid
Detoxification Center, .
(Kaye A.D., akaye@lsuhsc.edu) Louisiana State University School of Medicine,
New Orleans, LA, United States.
(Kaye A.D., akaye@lsuhsc.edu) Department of Pharmacology, Texas Tech.
University School of Medicine, Lubbock, TX, United States.
(Banister R.E.; Hoover J.M.; Baluch A.R.; Jacobs S.; Shah R.V.) Department
of Anesthesiology, Texas Tech. University School of Medicine, Lubbock, TX,
United States.
(Kaye A.D., akaye@lsuhsc.edu) LSU School of Medicine, Department of
Anesthesiology, Rapid Detoxification Center, 1542 Tulane Ave., New Orleans,
LA 70112, United States.
CORRESPONDENCE ADDRESS
A.D. Kaye, LSU School of Medicine, Department of Anesthesiology, Rapid
Detoxification Center, 1542 Tulane Ave., New Orleans, LA 70112, United
States. Email: akaye@lsuhsc.edu
SOURCE
Pain Practice (2005) 5:1 (33-42). Date of Publication: Mar 2005
ISSN
1530-7085
1533-2500 (electronic)
ABSTRACT
Availability of opiate substances through physicians and on the street has
led to a rise in dependence and in addiction resulting in countless numbers
of people hooked on these drugs. Long-term use of these agents results in
reduction of endogenous supply of opiate replaced by these exogenous
compounds. A technique known as Ultrarapid Detoxification (UROD) has been
developed and appears more promising than conventional modalities. UROD has
been modified over 3 decades resulting in a safe and an effective general
anesthetic that results in hemodynamically stable withdrawal without
manifestation of central nervous system hyperarousal. A cornerstone of this
technique involves clonidine, which stimulates reuptake of catecholamines
and allows for large doses of opioid antagonist to be delivered without
significant changes in heart rate or blood pressure, displacing the opiate.
Though techniques vary from center to center, safety should be paramount
with the technique performed in an intensive care unit with trained
professional anesthesiologists. Psychosocial issues should be evaluated by a
trained addictionalist and most people will succeed from the UROD procedure
without experiencing the horrible withdrawal syndrome. Patients must have
realistic goals and be prepared to deal with psychosocial issues
post-procedure. © 2005 World Institute of Pain.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
alpha 2 adrenergic receptor stimulating agent (drug combination, drug
therapy, oral drug administration, pharmacology)
antihistaminic agent
barbituric acid derivative (drug therapy, parenteral drug administration)
buprenorphine
catecholamine derivative
clonidine (drug combination, drug therapy, oral drug administration,
pharmacology)
hydromorphone
ketorolac (drug therapy)
levacetylmethadol
lofexidine (drug therapy, pharmacology)
loperamide (drug therapy)
melatonin (oral drug administration)
methadone (drug combination, drug therapy, pharmacokinetics, pharmacology)
methohexital (drug therapy, pharmacology)
midazolam
nalmefene (drug comparison, drug interaction, parenteral drug
administration, pharmacology)
naloxone (drug comparison, drug interaction, intravenous drug
administration, pharmacology)
naltrexone (drug comparison, drug concentration, drug interaction, oral drug
administration, pharmacology)
nonsteroid antiinflammatory agent (drug therapy)
octreotide (pharmacology)
ondansetron (drug therapy, pharmacology)
opiate agonist (drug comparison, pharmacology)
propofol (drug therapy, parenteral drug administration, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
drug detoxification
EMTREE MEDICAL INDEX TERMS
anesthesist
blood pressure
central nervous system
diarrhea (drug therapy)
drug antagonism
drug blood level
drug half life
drug substitution
drug withdrawal
heart rate
human
low back pain (drug therapy)
opiate addiction (drug therapy)
patient selection
physician
review
withdrawal syndrome (drug therapy)
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
clonidine (4205-90-7, 4205-91-8, 57066-25-8)
hydromorphone (466-99-9, 71-68-1)
ketorolac (74103-06-3)
levacetylmethadol (34433-66-4)
lofexidine (31036-80-3)
loperamide (34552-83-5, 53179-11-6)
melatonin (73-31-4)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
methohexital (151-83-7, 309-36-4)
midazolam (59467-70-8)
nalmefene (55096-26-9)
naloxone (357-08-4, 465-65-6)
naltrexone (16590-41-3, 16676-29-2)
octreotide (83150-76-9)
ondansetron (103639-04-9, 116002-70-1, 99614-01-4)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
propofol (2078-54-8)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005527958
PUI
L41664183
DOI
10.1111/j.1533-2500.2005.05105.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1533-2500.2005.05105.x
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1476
TITLE
Smoking habits among students in a Norwegian medical school
ORIGINAL (NON-ENGLISH) TITLE
Røykevaner blant medisinstudenter i Bergen
AUTHOR NAMES
Valaker T.
Jonassen T.
Bakke P.
AUTHOR ADDRESSES
(Valaker T.; Jonassen T.; Bakke P., per.bakke@helse-bergen.no) Institutt for
Indremedisin, Universitetet i Bergen, Haukeland Universitetssjukehus, 5021
Bergen, Norway.
CORRESPONDENCE ADDRESS
T. Valaker, Institutt for Indremedisin, Universitetet i Bergen, Haukeland
Universitetssjukehus, 5021 Bergen, Norway.
SOURCE
Tidsskrift for den Norske Laegeforening (2005) 125:3 (276-277). Date of
Publication: 3 Feb 2005
ISSN
0029-2001
BOOK PUBLISHER
Norwegian Medical Association, P.O. Box 1152 Sentrum, Oslo, Norway.
ABSTRACT
Background. The objective of this study was to examine smoking habits among
the students in a Norwegian medical school and to assess how smoking habits
vary by sex, age and class seniority. Method. The study was performed by
handing out to all students during plenum lectures a questionnaire on
smoking habits. Students not present were sent the questionnaire by mail.
Results. 866 of 894 students (97%) responded; 8 questionnaires were excluded
from the study. Among the remaining 858 students, 53% stated that they had
never smoked, 14% were ex-smokers, 28% were occasional smokers, and 5%
reported that they smoked regularly. No differences were found with respect
to age, sex and seniority. Interpretation. The percentage of daily smokers
among medical students was low, but the high percentage of occasional
smokers may indicate that the prevalence of smoking among Norwegian doctors
could increase.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
medical student
smoking habit
EMTREE MEDICAL INDEX TERMS
adult
age
article
female
gender
human
male
normal human
Norway
physician
prevalence
questionnaire
social class
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Norwegian
LANGUAGE OF SUMMARY
English, Norwegian
EMBASE ACCESSION NUMBER
2005188637
MEDLINE PMID
15702145 (http://www.ncbi.nlm.nih.gov/pubmed/15702145)
PUI
L40568483
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1477
TITLE
DO questions evidence for including tobacco dependence curricula [1]
(multiple letters)
AUTHOR NAMES
Shatsky M.L.
Allen T.W.
AUTHOR ADDRESSES
(Shatsky M.L.) Deaconess Fam. Med. Residency Prog., Evansville, IN, United
States.
(Allen T.W.) American Osteopathic Association, .
(Allen T.W.) Oklahoma State University, College of Osteopathic Medicine,
Tulsa, OK, United States.
CORRESPONDENCE ADDRESS
M.L. Shatsky, Deaconess Fam. Med. Residency Prog., Evansville, IN, United
States.
SOURCE
Journal of the American Osteopathic Association (2005) 105:2 (52-53). Date
of Publication: February 2005
ISSN
0098-6151
BOOK PUBLISHER
American Osteopathic Association, 142 East Ontario Street, Chicago, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
tobacco dependence
EMTREE MEDICAL INDEX TERMS
clinical education
clinical practice
health promotion
human
letter
manipulative medicine
medical education
medical student
patient counseling
physician
skill
smoking cessation
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005128956
MEDLINE PMID
15784926 (http://www.ncbi.nlm.nih.gov/pubmed/15784926)
PUI
L40381613
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1478
TITLE
Implementation of a smoking cessation counseling module in a preceptorship
program
AUTHOR NAMES
Nieman L.Z.
Velasquez M.M.
Groff J.Y.
Cheng L.
Foxhall L.E.
AUTHOR ADDRESSES
(Nieman L.Z., linda.z.nieman@uth.tmc.edu; Velasquez M.M.; Groff J.Y.; Cheng
L.; Foxhall L.E.) Dept. of Fam. and Community Medicine, Univ. of Texas
Health Science Center, Houston, TX, United States.
(Nieman L.Z., linda.z.nieman@uth.tmc.edu) University of Texas at Houston,
Dept. of Fam. and Community Medicine, 6431 Fannin Street, Houston, TX 77030,
United States.
CORRESPONDENCE ADDRESS
L.Z. Nieman, University of Texas at Houston, Dept. of Fam. and Community
Medicine, 6431 Fannin Street, Houston, TX 77030, United States. Email:
linda.z.nieman@uth.tmc.edu
SOURCE
Family Medicine (2005) 37:2 (105-111). Date of Publication: February 2005
ISSN
0742-3225
BOOK PUBLISHER
Society of Teachers of Family Medicine, Ste 540, Leawood, United States.
ABSTRACT
Background: Family medicine preceptorships are underused opportunities for
learning smoking cessation counseling skills. To prepare students for their
future roles in preventing health problems in patients who use tobacco, we
implemented a patient-centered instructional module within the elective
Texas Statewide Family Practice Preceptorship Program. Methods:
Seventy-eight preclinical medical students learned to screen for tobacco use
and perform smoking cessation counseling using brief motivational methods.
Students practiced these skills under the supervision of community
preceptors. Program evaluation included measurement of the percentage of
students who documented that they could screen for tobacco use, their
increase in knowledge and sense of self efficacy in conducting smoking
cessation counseling, and performance of appropriate and time-efficient
interventions. Results: Fifty-four of 78 students screened 1,891 patients
and documented 593 current tobacco users. The students provided appropriate
smoking cessation intervention for 539 (91%) of these patients. Each
intervention session took approximately 5 to 10 minutes. There was a more
than 50% increase in the proportion of students who "agreed" or "strongly
agreed" to having increased their knowledge and confidence in conducting
smoking cessation counseling between the orientation and the end of their
summer preceptorship. Conclusions: With focused training, preclinical
medical students can successfully learn and practice patient-centered
screening and smoking cessation counseling skills in a community
preceptorship setting that fits the needs of busy preceptors and prepares
students for their future roles in tobacco control.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
teaching
EMTREE MEDICAL INDEX TERMS
article
community care
education program
health care quality
human
medical student
motivation
orientation
patient counseling
self concept
tobacco
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005068838
MEDLINE PMID
15690250 (http://www.ncbi.nlm.nih.gov/pubmed/15690250)
PUI
L40207496
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1479
TITLE
Management and treatment of injection drug users with hepatitis C virus
(HCV) infection and HCV/human immunodeficiency virus coinfection
AUTHOR NAMES
Dore G.J.
Thomas D.L.
AUTHOR ADDRESSES
(Dore G.J., gdore@nchecr.unsw.edu.au) Natl. Ctr. HIV Epidemiol. Clin. Res.,
University of New South Wales, 376 Victoria Street, Darlinghurst, NSW 2010,
Australia.
(Dore G.J., gdore@nchecr.unsw.edu.au) Viral Hepatitis Program, Natl. Ctr.
HIV Epidemiol. Clin. Res., University of New South Wales, Sydney, NSW,
Australia.
(Dore G.J., gdore@nchecr.unsw.edu.au) HIV/Immunol./Infect. Dis. Clin. S.,
St. Vincent's Hospital, Darlinghurst, NSW, Australia.
(Thomas D.L.) Department of Medicine, Johns Hopkins Univ. Sch. of Medicine,
Baltimore, MD, United States.
CORRESPONDENCE ADDRESS
G.J. Dore, Natl. Ctr. HIV Epidemiol. Clin. Res., University of New South
Wales, 376 Victoria Street, Darlinghurst, NSW 2010, Australia. Email:
gdore@nchecr.unsw.edu.au
SOURCE
Seminars in Liver Disease (2005) 25:1 (18-32). Date of Publication: February
2005
ISSN
0272-8087
BOOK PUBLISHER
Thieme Medical Publishers, Inc., 333 7th Avenue, New York, United States.
ABSTRACT
Injection drug use is the major mode of hepatitis C virus (HCV) transmission
in developed countries. Despite this, relatively few current and recovering
injection drug users (IDUs) have received HCV treatment. Studies among
individuals with a recent history of injection drug use or those receiving
drug dependency treatment have provided evidence that these groups can be
successfully treated for chronic HCV infection. These studies have provided
the impetus to change guidelines for treatment of current and recovering
IDUs, with a move toward individualized HCV treatment assessment and the
removal of defined periods of illicit drug use abstinence. Strategies to
improve access to HCV treatment for current and recovering IDUs include drug
dependency treatment education and training for hepatologists and other HCV
treatment physicians, HCV treatment education and training for addiction
medicine physicians, development of multidisciplinary clinics, and
peer-based eduction and support for individuals considering and receiving
HCV treatment. Copyright © 2005 by Thieme Medical Publishers, Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy)
interferon (adverse drug reaction, drug combination, drug therapy)
methadone (drug therapy)
naltrexone (drug therapy)
ribavirin (adverse drug reaction, drug combination, drug therapy)
EMTREE DRUG INDEX TERMS
alpha2a interferon (adverse drug reaction, drug combination, drug therapy)
alpha2b interferon (adverse drug reaction, drug combination, drug therapy)
peginterferon alpha2a (drug combination, drug therapy)
peginterferon alpha2b (drug combination, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
comorbidity
drug dependence (disease management, drug therapy, epidemiology, therapy)
hepatitis C (disease management, drug therapy, epidemiology)
Human immunodeficiency virus infection (disease management, drug therapy,
epidemiology)
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
disease classification
drug detoxification
drug efficacy
drug safety
drug withdrawal
health care access
human
medical education
mental disease
mental health
patient compliance
patient education
practice guideline
priority journal
psychotherapy
side effect (side effect)
social support
treatment outcome
virus transmission
CAS REGISTRY NUMBERS
alpha2a interferon (76543-88-9)
alpha2b interferon (99210-65-8)
buprenorphine (52485-79-7, 53152-21-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
naltrexone (16590-41-3, 16676-29-2)
peginterferon alpha2a (198153-51-4)
peginterferon alpha2b (215647-85-1)
ribavirin (36791-04-5)
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005109123
MEDLINE PMID
15731995 (http://www.ncbi.nlm.nih.gov/pubmed/15731995)
PUI
L40322348
DOI
10.1055/s-2005-864779
FULL TEXT LINK
http://dx.doi.org/10.1055/s-2005-864779
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1480
TITLE
Intoxication and dependence - A neglected topic in the education of health
professionals
ORIGINAL (NON-ENGLISH) TITLE
Rus og avhengighet - Et forsømt tema i undervisningen i helsefagene
AUTHOR NAMES
Rossow I.
AUTHOR ADDRESSES
(Rossow I., ir@sirus.no) Statens Inst. for Rusmiddelforskning, Postboks 565
Sentrum, 0105 Oslo, Norway.
CORRESPONDENCE ADDRESS
I. Rossow, Statens Inst. for Rusmiddelforskning, Postboks 565 Sentrum, 0105
Oslo, Norway. Email: ir@sirus.no
SOURCE
Tidsskrift for den Norske Laegeforening (2005) 125:1 (54-55). Date of
Publication: 6 Jan 2005
ISSN
0029-2001
BOOK PUBLISHER
Norwegian Medical Association, P.O. Box 1152 Sentrum, Oslo, Norway.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
drug intoxication
medical education
EMTREE MEDICAL INDEX TERMS
curriculum
education program
health care personnel
human
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Norwegian
LANGUAGE OF SUMMARY
Norwegian
EMBASE ACCESSION NUMBER
2005188699
MEDLINE PMID
15643467 (http://www.ncbi.nlm.nih.gov/pubmed/15643467)
PUI
L40568545
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1481
TITLE
Impact of education on smoking cessation counseling by surgical residents
AUTHOR NAMES
Steinemann S.
Roytman T.
Chang J.
Holzman J.
Hishinuma E.
Nagoshi M.
Tam E.
Murakami S.
Wong J.
AUTHOR ADDRESSES
(Steinemann S., steine@hawaii.edu; Roytman T.; Chang J.; Holzman J.;
Hishinuma E.; Nagoshi M.; Tam E.; Murakami S.; Wong J.) University of
Hawaii, John A. Burns School of Medicine, Department of Surgery, 1356
Lusitana St., Honolulu, HI 96813, United States.
CORRESPONDENCE ADDRESS
S. Steinemann, University of Hawaii, John A. Burns School of Medicine,
Department of Surgery, 1356 Lusitana St., Honolulu, HI 96813, United States.
Email: steine@hawaii.edu
SOURCE
American Journal of Surgery (2005) 189:1 (44-46). Date of Publication:
January 2005
ISSN
0002-9610
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Background: Surgeons infrequently provide smoking cessation counseling for
patients, in part because they lack training to do so. We investigated the
efficacy of 2 methods of teaching smoking cessation counseling to surgical
residents. Methods: Residents' knowledge and attitude toward smoking
cessation counseling were assessed by written test. Counseling skills were
assessed with standardized patients. Residents were randomized for smoking
cessation education: a "Role-play" group received a 1-hour lecture plus an
hour of role-playing. An evidence-based medicine (EBM) group attended a 1-
hour EBM journal club on related articles. Changes in residents' knowledge,
attitude, and skills were assessed after education. Results: Sixteen
residents completed the study. After either form of education, residents
demonstrated significant improvements in knowledge, attitude, and skills in
smoking cessation counseling. There was no significant difference in
improvement between the EBM and Role-play groups. Conclusions: A brief
educational intervention can significantly improve residents' knowledge,
attitude, and counseling skills for smoking cessation. © 2005 Excerpta
Medica Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
attitude
awareness
controlled study
counseling
evidence based medicine
female
human
male
medical literature
priority journal
randomization
resident
skill
standardization
statistical significance
surgeon
EMBASE CLASSIFICATIONS
Surgery (9)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005071413
MEDLINE PMID
15701489 (http://www.ncbi.nlm.nih.gov/pubmed/15701489)
PUI
L40215503
DOI
10.1016/j.amjsurg.2004.03.016
FULL TEXT LINK
http://dx.doi.org/10.1016/j.amjsurg.2004.03.016
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1482
TITLE
Promoting smoking cessation in the community: Module evaluation
AUTHOR NAMES
Osonnaya C.
Sanderson I.R.
Ugwu M.
Gillison F.
AUTHOR ADDRESSES
(Osonnaya C., c.osonnoy@qmul.ac.uk; Sanderson I.R.) Epidemiology and
Education Unit, Queen Mary's School of Medicine and Dentistry, Pre-Clinical
Bldg., Walden Street, London E1 2AL, United Kingdom.
(Ugwu M.) Smoking Cessation Unit, Newham Health Care NHS Trust, London,
United Kingdom.
(Gillison F.) Smoking Cessation Clinic, Royal London Hospital, London,
United Kingdom.
CORRESPONDENCE ADDRESS
C. Osonnaya, Epidemiology and Education Unit, Centre for Adult and
Paediatrics Gastroenterology, Queen Mary's School of Medicine and Dentistry,
Pre-Clinical Bldg., Walden Street, London E1 2AL, United Kingdom. Email:
c.osonnoy@qmul.ac.uk
SOURCE
International Journal of Medicine (2005) 7:1 (48-52). Date of Publication:
Jan 2005
ISSN
1468-3814
ABSTRACT
Objective- To describe the design and evaluation of the community-based
Promoting Smoking Cessation Programme. Design- Module Evaluation using
quantitative research method. Setting- Barts and the London, Queen Mary's
School of Medicine and dentistry, University of London, London, UK.
Materials and methods- The two-week programme consists of eight sessions of
clinical skills teaching where students are attached to various community
clinics, seven sessions medical school teaching, consisting of
multiprofessional facilitated introductory sessions, workshops, small group
work, role-play, problem-solving exercises with case reports and student
presentation; and fostering student-centred learning by the use of efficient
teaching, assessment and evaluation methods, and tutor training. Results-
Between March 2000 to June 2003, 72 students completed their promoting
smoking cessation module. 67 (93%) returned their student evaluation
questionnaires. Evaluation data from the components of the module showed
that the majority of students rated the module as useful; community clinical
attachments being the highest rated and received the most attention. The
midwifeled community smoking cessation clinic was a good source of
counselling and obstetrics practice. Students were exposed to the clinical
and communication skills of dealing with smoking and tobacco consumption
problems in the community. The Programme average teaching score was 4.4
(where a teaching score of 4 demonstrated good teaching skills). A module
average of 4.2 was obtained from these scores (1=not at all and
5=significantly). Students also learnt about the organisation of health care
in the community, teamwork and the majority of students gained basic
understanding of how Primary, Secondary and Community Care work together in
promoting the health of the society. Conclusion- Student evaluations of the
module demonstrate that its aim are being met. The evaluation results
suggest that some components of a health promotion subject such as smoking
cessation can be taught successfully in the community. Students benefited
from learner-centred teaching that concentrated in the acquisition of
important clinical skills and gaining knowledge of the normal and community
aspects of smoking and tobacco consumption problems; and treatment of
patients inter smoking habits in a multi-cultural society.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
clinical research
community care
counseling
health care
health program
human
medical school
medical student
methodology
questionnaire
smoking
teaching
United Kingdom
workshop
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005440579
PUI
L41387404
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1483
TITLE
French general practitioners' prescribing high-dosage buprenorphine
maintenance treatment: Is the existing training (good) enough?
AUTHOR NAMES
Feroni I.
Peretti-Watel P.
Masut A.
Coudert C.
Paraponaris A.
Obadia Y.
AUTHOR ADDRESSES
(Feroni I.; Peretti-Watel P., peretti@marseille.inserm.fr; Paraponaris A.;
Obadia Y.) Inst. Natl. de la Rech. Méd., U 379, 23 Rue Stanislas Torrents,
13006, Marseilles, France.
(Masut A.; Coudert C.) Caisse Natl. d'Assur. Malad. B., 56 Chemin Joseph
Aiguier, Marseilles, France.
CORRESPONDENCE ADDRESS
P. Peretti-Watel, Inst. Natl. de la Rech. Méd., U 379, 23 Rue Stanislas
Torrents, 13006, Marseilles, France. Email: peretti@marseille.inserm.fr
SOURCE
Addictive Behaviors (2005) 30:1 (187-191). Date of Publication: January 2005
ISSN
0306-4603
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
In France, since 1996, any general practitioner (GP) can prescribe
high-dosage buprenorphine maintenance treatment (BMT) for opioid-dependent
patients. The health authorities initially provided mandatory specific
training, but since 1998, such training is only delivered by specialized
networks and the pharmaceutical industry. Among a random sample of GPs from
southeastern France (N=345), we found that many untrained GPs, as well as a
significant minority of trained GPs, were likely to prescribe an ineffective
dosage of buprenorphine or a potentially dangerous treatment (BMT+a short
half-life benzodiazepine). These results highlight the necessity to edit
clear guidelines, especially concerning situations of polyaddiction and
psychiatric comorbidity, and to extend and improve BMT training in France
with a renewed involvement of health authorities for quality control of such
training. They even suggest that GPs' participation to specialized training
sessions should become a mandatory prerequisite for prescribing BMT. © 2004
Elsevier Ltd. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug combination, drug dose, drug therapy)
EMTREE DRUG INDEX TERMS
benzodiazepine (drug combination, drug therapy, pharmacokinetics)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practice
medical education
opiate addiction (drug therapy)
prescription
EMTREE MEDICAL INDEX TERMS
adult
article
authority
controlled study
drug half life
drug industry
drug megadose
female
France
general practitioner
human
maintenance therapy
major clinical study
male
morbidity
practice guideline
quality control
randomization
sampling
DRUG TRADE NAMES
subutex
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
buprenorphine (52485-79-7, 53152-21-9)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004504633
MEDLINE PMID
15561460 (http://www.ncbi.nlm.nih.gov/pubmed/15561460)
PUI
L39550450
DOI
10.1016/j.addbeh.2004.04.019
FULL TEXT LINK
http://dx.doi.org/10.1016/j.addbeh.2004.04.019
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1484
TITLE
A resident clerkship that combines inpatient and outpatient training in
substance abuse and HIV care
AUTHOR NAMES
Rastegar D.A.
Fingerhood M.I.
Jasinski D.R.
AUTHOR ADDRESSES
(Rastegar D.A., drastega@jhmi.edu; Fingerhood M.I.; Jasinski D.R.) Division
of Chemical Dependence, Johns Hopkins Bayview Medical Center, Baltimore, MD,
United States.
(Rastegar D.A., drastega@jhmi.edu) Division of Chemical Dependence, Johns
Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224,
United States.
CORRESPONDENCE ADDRESS
D.A. Rastegar, Division of Chemical Dependence, Johns Hopkins Bayview
Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224, United States.
Email: drastega@jhmi.edu
SOURCE
Substance Abuse (2004) 25:4 (11-15). Date of Publication: December 2004
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
Substance abuse and HIV infection are important medical problems that
receive comparatively little attention in residency training programs and
residents often feel unprepared to deal with them. We developed a month-long
rotation that combined outpatient care for patients with HIV infection and
addiction, with inpatient care for medically-ill patients on a
detoxification unit. At the end of the rotation, residents reported greater
comfort with caring for these patients and improved self-rated competence.
They also rated the rotation highly. Our experience shows that a rotation
combining inpatient and outpatient substance abuse and HIV care was valued
by residents and increased their comfort and proficiency with caring for
these underserved and stigmatized populations. © 2004 by The Haworth Press,
Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
Human immunodeficiency virus infection
patient care
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
competence
controlled study
detoxification
hospital care
hospital patient
human
outpatient care
self concept
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005514897
MEDLINE PMID
16172088 (http://www.ncbi.nlm.nih.gov/pubmed/16172088)
PUI
L41617681
DOI
10.1300/J465v25n04_02
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v25n04_02
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1485
TITLE
The influence of environmental factors and education on tobacco smoking
among students of the Faculty of Nursing, Medical University of Lublin.
AUTHOR NAMES
Kalinowski P.
Karwat I.D.
AUTHOR ADDRESSES
(Kalinowski P.; Karwat I.D.) Chair and Department of Epidemiology,
Skubiszewski Medical University of Lublin.
CORRESPONDENCE ADDRESS
P. Kalinowski, Chair and Department of Epidemiology, Skubiszewski Medical
University of Lublin.
SOURCE
Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina (2004)
59:2 (124-128). Date of Publication: 2004
ISSN
0066-2240
ABSTRACT
Tobacco smoking among medical personnel is a problem concerning not only our
country. Nurses and midwives in their work have a close contact with
patients allowing influence on their health behaviours. Positive own example
is indispensable in this field. Formation of proper attitudes and healthy
behaviours should be one of the main goals of academic education of nurses
and midwives. The aim of the study was an attempt at analysing the problem
of tobacco smoking among the students of the Faculty of Nursing, Medical
University of Lublin. The material consisted of 152 anonymous questionnaires
filled in by the students in the academic year 2001/2002. There was applied
the method of standardized interview using an interview questionnaire. The
material was analysed by means of descriptive statistics methods. Women were
more prevalent among the respondents (143 persons out of 152), the mean age
equalled 29.4 years. The majority were students of nursing (109 persons) and
43 represented midwifery. Twenty-seven percent of all students declared
tobacco smoking, 13% quitted the habit and 60% never smoked. The studies
proved that medical education and knowledge of harmfulness of tobacco
smoking are the main reasons of non-smoking habits of the analysed group of
students. The decision about taking up smoking is mostly influenced by
smoking peers. This testifies to the need of further educational actions
during nursing studies that would promote proper health behaviours in this
field.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
nursing student
smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
environment
female
health behavior
human
prevalence
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16146063 (http://www.ncbi.nlm.nih.gov/pubmed/16146063)
PUI
L41307765
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1486
TITLE
Evaluation of current tobacco curriculum at 12 US medical schools
AUTHOR NAMES
Powers C.A.
Zapka J.G.
Bognar B.
Dubé C.
Ferry L.H.
Ferguson K.J.
O'Donnell J.F.
Rigotti N.
Thomson C.C.
White M.
Wilkerson L.
Geller A.C.
McIntosh S.
AUTHOR ADDRESSES
(Powers C.A., powersoz@bu.edu; Geller A.C.) Boston University School of
Medicine, Boston, MA, United States.
(Zapka J.G.) Medical University of South Carolina, Charleston, SC, United
States.
(Bognar B.) Univ. of S. Florida Coll. of Med., .
(Dubé C.) Brown University Medical School, .
(Ferry L.H.) Loma Linda School of Medicine, .
(Ferguson K.J.) Carver College of Medicine, University of Iowa, Iowa City,
IA, United States.
(O'Donnell J.F.) Dartmouth College Medical School, .
(Rigotti N.; Thomson C.C.) Harvard University Medical School, .
(White M.) Univ. of Massachusetts Med. School, .
(Wilkerson L.) David Geffen School of Medicine, Univ. of California, Los
Angeles, Los Angeles, CA, United States.
(McIntosh S.) Univ. of Rochester Sch. of Medicine, .
(Powers C.A., powersoz@bu.edu) Boston University School of Medicine, DOB
801A, 720 Harrison Ave., Boston, MA 02118, United States.
CORRESPONDENCE ADDRESS
C.A. Powers, Boston University School of Medicine, DOB 801A, 720 Harrison
Ave., Boston, MA 02118, United States. Email: powersoz@bu.edu
SOURCE
Journal of Cancer Education (2004) 19:4 (212-219). Date of Publication:
Winter 2004
ISSN
0885-8195
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
Background. Training medical students in tobacco prevention and treatment
skills is critical if we are to have competent physicians prepared to
address the grave levels of morbidity and mortality associated with tobacco
use. Tobacco Prevention and Cessation Education at US Medical Schools
(PACE), a National Cancer Institute funded project, was launched to assess
and improve curriculum content and teaching at 12 US medical schools.
Methods. The 2003 survey was completed by faculty and administrators. The
survey was divided into four main sections: tobacco content and skills,
curricular evaluation, faculty perceptions of barriers and promoters, and
educational vision. Results. Thirty-six percent of all medical school
courses had some tobacco-related content. Five schools provided a total of
between 4 and 8 hours of teaching, 5 schools provided 10-13 hours, and 2
schools provided 17 and 18 hours of teaching. Of the 12 schools, 8 had fewer
hours devoted to tobacco teaching in the clerkships than during the 1st-year
courses. Only 2 schools noted any tobacco content for Obstetrics/Gynecology
clerkships, and only 4 schools provided teaching in the pediatric setting
(range 5-201 minutes). Conclusion. In comparison to earlier studies, it
appears that more tobacco content is now integrated into medical school
courses. More improvement is necessary, however, particularly in tobacco use
prevention. Institutions need to examine the role of faculty in prioritizing
tobacco information and promoting a culture that builds competency in
tobacco control and treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
education program
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
cancer research
clinical education
evaluation study
health promotion
medical school
medical student
patient counseling
preventive medicine
priority journal
skill
smoking
United States
university
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005089497
MEDLINE PMID
15725638 (http://www.ncbi.nlm.nih.gov/pubmed/15725638)
PUI
L40271009
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1487
TITLE
Faculty development in small-group teaching skills associated with a
training course on office-based treatment of opioid dependence
AUTHOR NAMES
Wong J.G.
Holmboe E.S.
Jara G.B.
Martin J.
Becker W.C.
Fiellin D.A.
AUTHOR ADDRESSES
(Wong J.G., wong@musc.edu; Holmboe E.S.; Becker W.C.; Fiellin D.A.) Yale
University School of Medicine, New Haven, CT, United States.
(Jara G.B.) American Society of Addiction Medicine, .
(Martin J.) 14th Street Clinic, Oakland, CA, United States.
(Wong J.G., wong@musc.edu) MUSC, CSB, 96 Jonathan Lucas Street, Charleston,
SC 29425, United States.
CORRESPONDENCE ADDRESS
J.G. Wong, MUSC, CSB, 96 Jonathan Lucas Street, Charleston, SC 29425, United
States. Email: wong@musc.edu
SOURCE
Substance Abuse (2004) 25:4 (35-40). Date of Publication: December 2004
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
The Drug Addiction Treatment Act of 2000 (DATA-2000) allows qualified
physicians to treat opioid-dependent patients with schedule III-V
medications, such as buprenorphine, in practices separate from licensed,
accredited opioid treatment programs. Physicians may attain this
qualification by completing 8-hours of training in treating opioid
dependence. This paper describes the evaluation of a faculty development
workshop designed to enhance teaching skills of small-group facilitators
involved with DATA-2000 training sessions. This workshop coached the
facilitators on their teaching roles in the DATA-2000 session through
experiential practice of patient-case discussions related to treatment of
opioid-dependence. Descriptive questionnaires evaluated the value of the
workshop. Twenty-six facilitators participated in the workshops. Paired mean
score responses for specific teaching skill abilities demonstrated
statistically significant improvement in all categories. Evaluation of the
DATA-2000 training session small-group facilitators was uniformly positive.
This faculty development workshop was successful in improving teaching
skills for our small-group faculty facilitators. © 2004 by The Haworth
Press, Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
methadone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
medical education
opiate addiction
teaching
EMTREE MEDICAL INDEX TERMS
adult
aged
article
evaluation study
human
medical school
questionnaire
skill
statistical significance
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005514900
MEDLINE PMID
16172091 (http://www.ncbi.nlm.nih.gov/pubmed/16172091)
PUI
L41617684
DOI
10.1300/J465v25n04_05
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v25n04_05
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1488
TITLE
Emergent discourses in addictions education and training in Southern
Australia and Northern Aotearoa/New Zealand
AUTHOR NAMES
McGowan V.M.
AUTHOR ADDRESSES
(McGowan V.M.) Addictions Counselling Program, School of Health Sciences,
University of Lethbridge, 4401 University Drive, Lethbridge, Alta. T1K 3M4,
Canada.
(McGowan V.M.) Addictions Research Centre, P.O. Box 1360, Montague, PEI C0A
1R0, Canada.
CORRESPONDENCE ADDRESS
V.M. McGowan, Addictions Research Centre, P.O. Box 1360, Montague, PEI C0A
1R0, Canada.
SOURCE
Journal of Ethnicity in Substance Abuse (2004) 3:4 (47-60). Date of
Publication: 2004
ISSN
1533-2640
ABSTRACT
In a global project of self-determination and cultural revitalization,
indigenous peoples are demanding recognition of distinct values, traditions
and experiences in the design and delivery of health and social programs.
Within the addictions field in southern Australia and northern Aotearoa/New
Zealand, alternative approaches to education and training initiatives,
informed by and inclusive of indigenous paradigms, are emerging in response
to hegemonies of power, knowledge and practice. Questioning received
understandings about the etiology and resolution of addictive behaviours,
emergent discourses draw attention to the roles of colonialism,
neo-colonialism, and cultural oppression in addiction and recovery.
Moreover, although supported by social and virtual networks, emergent
discourses are complicated-at times, fractured-by vigorous debate
surrounding critical issues and complex identity positions. © 2004 by The
Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (epidemiology, prevention)
medical education
EMTREE MEDICAL INDEX TERMS
article
attitude
Australia
convalescence
cultural factor
cultural oppression
education program
ethnic group
human
ideology
manpower
neocolonialism
New Zealand
political system
priority journal
social psychology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005354558
PUI
L41102136
DOI
10.1300/J233v03n04_04
FULL TEXT LINK
http://dx.doi.org/10.1300/J233v03n04_04
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1489
TITLE
Continuing Education Quiz: Dialectical behavior therapy for substance
abusers adapted for persons living with HIV/AIDS with substance use
diagnoses and borderline personality disorder (Wagner et al., pp. 202-212)
AUTHOR ADDRESSES
SOURCE
Cognitive and Behavioral Practice (2004) 11:2 (257-259). Date of
Publication: 2004
ISSN
1077-7229
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior therapy
substance abuse
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome (disease management)
borderline state (diagnosis, disease management, therapy)
conflict
highly active antiretroviral therapy
human
Human immunodeficiency virus infection (disease management)
language
note
patient counseling
priority journal
psychotherapist
psychotherapy
questionnaire
EMBASE CLASSIFICATIONS
Immunology, Serology and Transplantation (26)
Psychiatry (32)
Health Policy, Economics and Management (36)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005091032
PUI
L40278155
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1490
TITLE
The need for health promotion of medical students and proposal for
prevention of addiction
ORIGINAL (NON-ENGLISH) TITLE
Potrzeba ochrony zdrowia studentów kierunków medycznych i propozycja
programu profilaktyki uzaleznień.
AUTHOR NAMES
Krupa A.
Szczyrba B.
Bargiel-Matusiewicz K.
AUTHOR ADDRESSES
(Krupa A.; Szczyrba B.; Bargiel-Matusiewicz K.) Z Zakładu Psychologii
Slaskiej Akademii Medycznej w Katowicach.
CORRESPONDENCE ADDRESS
A. Krupa, Z Zakładu Psychologii Slaskiej Akademii Medycznej w Katowicach.
SOURCE
Wiadomości lekarskie (Warsaw, Poland : 1960) (2004) 57 Suppl 1 (170-173).
Date of Publication: 2004
ISSN
0043-5147
ABSTRACT
Alcohol, drug addiction or any other addiction to psychoactive drugs
constitutes one of the most serious social problems in Poland. Despite
systematic and more professional addiction prophylaxis, increased
consumption of psychoactive drugs can be observed among children and youth.
Prophylaxis is often limited to giving information on what must not be done
and it does not include suggestions connected with constructive ways of
coping with problems or of getting satisfaction. The problem of using
psychoactive drugs by medical students is often neglected. Only few authors
deal with this problem. The aim of the presented project is to educate
medical students how to cope with difficult situations, form mutual
reliability in a group, better self evaluate and wide the range of learning
techniques.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (etiology, prevention)
health education
health promotion
medical student
mental stress (etiology, prevention)
EMTREE MEDICAL INDEX TERMS
health care quality
health personnel attitude
human
Poland
psychological aspect
review
standard
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
15884232 (http://www.ncbi.nlm.nih.gov/pubmed/15884232)
PUI
L41034792
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1491
TITLE
The impact of an urban outreach teaching project: Developing cultural
competence
AUTHOR NAMES
Ott C.H.
Doyle L.H.
Tarantino S.-L.
AUTHOR ADDRESSES
(Ott C.H., carolott@uwm.edu; Tarantino S.-L., sft@uwm.edu) University of
Wisconsin, Milwaukee, WI, United States.
(Doyle L.H., ldoyle@odu.edu) Old Dominion University, .
CORRESPONDENCE ADDRESS
C.H. Ott, University of Wisconsin, Milwaukee, WI, United States. Email:
carolott@uwm.edu
SOURCE
International Journal of Nursing Education Scholarship (2004) 1:1 Article
Number: 22. Date of Publication: 2004
ISSN
1548-923X
1548-923X (electronic)
ABSTRACT
The purpose of this study was to explore the development of cultural
competence in a group of university nursing students in the context of an
interactive substance abuse prevention project attached to a health
promotion course with 414 racially diverse high school students. The project
provided opportunities for contact, interaction, and reflection. A
descriptive approach was utilized to elicit the meaning attached to the
experience. Data included written content from an exit survey, field notes
from onsite debriefings, transcriptions of a focus group interview, and an
analysis of theoretical papers. Findings indicate that when university
students participate in an urban teaching project under conditions of
diminishing anxiety and are given opportunities for reflection, they not
only increase cultural competence but they also develop a sense of advocacy.
Recommendations are made for building community partnerships to enhance
cultural competence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
competence
nursing education
EMTREE MEDICAL INDEX TERMS
adult
article
female
health program
health promotion
human
information processing
interview
male
medical personnel
substance abuse
teaching
urban area
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005107453
PUI
L40317909
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1492
TITLE
Prenatal patients' views of prenatal care services: A medical center-based
assessment of knowledge and intent to use support services
AUTHOR NAMES
Nicholson W.K.
Brickhouse B.
Powe N.R.
Bronner Y.
AUTHOR ADDRESSES
(Nicholson W.K., wnichol@jhmi.edu; Brickhouse B.) Women's/Children's Hth.
Policy Ctr., Dept. of Pop./Family Health Sciences, Baltimore, MD, United
States.
(Powe N.R.) Dept. of Health Policy/Management, Baltimore, MD, United States.
(Nicholson W.K., wnichol@jhmi.edu) J. Hopkins Sch. of Hyg./Publ. Health,
Department of Gynecology/Obstetrics, 600 North Wolfe Street, Baltimore, MD
21287, United States.
(Powe N.R.) Department of Medicine, Welch Ctr. Prev. Epidem./Clin. Res., The
Johns Hopkins School of Medicine, Baltimore, MD, United States.
(Bronner Y.) Morgan State University, Public Health Program, Baltimore, MD,
United States.
CORRESPONDENCE ADDRESS
W. Nicholson, Department of Gynecology/Obstetrics, 600 North Wolfe Street,
Baltimore, MD 21287, United States. Email: wnichol@jhmi.edu
SOURCE
Ethnicity and Disease (2004) 14:1 (13-20). Date of Publication: Winter 2004
ISSN
1049-510X
BOOK PUBLISHER
ISHIB, 157 Summit View Drive, McDonough, United States.
ABSTRACT
Background: Our objective was to ascertain the priority of prenatal support
services from the perspective of high-risk patients. The relationship
between patients' needs, and both knowledge of and intent to use services,
was examined, while documenting factors associated with the intent to use
available support services. Methods: The authors of this study conducted a
cross-sectional survey of 102 African-American women at a
university-affiliated, urban-health center. Patients' priority support needs
were compared to their knowledge of and intent to use support services using
chi-square statistics. Logistic regression was used to determine factors
independently associated with patients' intent to use 5 support services
(substance abuse counseling, community referrals, health education,
nutrition services, and social work services), while adjusting for potential
socioeconomic confounding variables, knowledge, and need for services.
Results: Knowledge of existing services was independently associated with
patient intent to use one or more support services (odds ratio 3.6;
confidence interval 1.4-9.4). With each one-unit increase in parity, a 30%
less odds (odds ratio 0.7; confidence interval 0.4-0.9) of using one or more
support services occurred. Conclusions: Physicians should ensure prenatal
patients' knowledge of support services at healthcare centers. Multiparity
is inversely related to women's intent to use support services, independent
of their knowledge of service availability.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care need
maternal care
prenatal care
EMTREE MEDICAL INDEX TERMS
adult
African American
article
controlled study
female
health center
health education
health service
health survey
high risk patient
human
intermethod comparison
logistic regression analysis
major clinical study
multipara
nutritional support
patient counseling
patient referral
social support
social work
socioeconomics
substance abuse
urban area
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004096971
MEDLINE PMID
15002918 (http://www.ncbi.nlm.nih.gov/pubmed/15002918)
PUI
L38262741
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1493
TITLE
Forensic and medical legal issues in addiction psychiatry
AUTHOR NAMES
Gendel M.H.
AUTHOR ADDRESSES
(Gendel M.H., mhgendel@aol.com) Univ. of Colorado Hlth. Sci. Center,
Colorado Physician Health Program, 3300 E. First Ave., Suite 590, D., .
CORRESPONDENCE ADDRESS
Univ. of Colorado Hlth. Sci. Center, Colorado Physician Health Program, 3300
E. First Ave., Suite 590, D., . Email: mhgendel@aol.com
SOURCE
Psychiatric Clinics of North America (2004) 27:4 (611-626). Date of
Publication: December 2004
Addictive Disorders, Book Series Title:
ISSN
0193-953X
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
There is a broad range of forensic issues in addiction psychiatry. For many
psychiatrists, what is most challenging about addressing these issues is
their origin in the law, which is a system and a way of thinking that may
feel foreign to the medical practitioner. To address forensic issues,
addiction psychiatrists should learn and understand the specific legal
questions that arise in each forensic context. They should become familiar
with the relevant definitions, criteria, and legal requirements that apply
in each specific area of their practice, rather than assume that clinical
definitions and reasoning will carry them. If they perform forensic
evaluations, addiction psychiatrists must distance themselves from the wish
to help the examinee, focusing on the role of neutral examiner. Comfort and
effectiveness with forensic issues require familiarity with, knowledge of,
and ultimately respect for the forensic contexts of addiction psychiatric
practice.
EMTREE DRUG INDEX TERMS
alcohol
benzodiazepine derivative
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
forensic psychiatry
medicolegal aspect
psychiatry
EMTREE MEDICAL INDEX TERMS
child abuse
clinical examination
comparative study
confidentiality
consultation
custodial care
disability
fitness
government
human
involuntary commitment
law
legal liability
malpractice
medical practice
nomenclature
pregnancy
priority journal
prison
psychiatric diagnosis
responsibility
review
social security
suicide
CAS REGISTRY NUMBERS
alcohol (64-17-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004499585
MEDLINE PMID
15550283 (http://www.ncbi.nlm.nih.gov/pubmed/15550283)
PUI
L39535119
DOI
10.1016/j.psc.2004.06.001
FULL TEXT LINK
http://dx.doi.org/10.1016/j.psc.2004.06.001
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1494
TITLE
Preparing pharmacists for participating in health promotion programs as
exemplified by the smoking prevention program
ORIGINAL (NON-ENGLISH) TITLE
Przygotowanie farmaceutów do udziału w programach promocji zdrowia na
przykładzie prewencji palenia tytoniu.
AUTHOR NAMES
Panas M.
Brandys J.
AUTHOR ADDRESSES
(Panas M.; Brandys J.) Katedra Toksykologii Collegium Medicum Uniwersytetu
Jagiellońskiego w Krakowie.
CORRESPONDENCE ADDRESS
M. Panas, Katedra Toksykologii Collegium Medicum Uniwersytetu
Jagiellońskiego w Krakowie. Email: mfpanas@cyf-kr.edu.pl
SOURCE
Przegla̧d lekarski (2004) 61:10 (1203-1205). Date of Publication: 2004
ISSN
0033-2240
ABSTRACT
Health promotion is an interdisciplinary subject which glue together such
sciences as medicine, psychology, sociology, social politics and many
others. It appears to be the most interesting theme for the pharmacists. One
of the most important problem carried in the drug-stores is the fight
against the nicotine dependency, which gives the pharmacists a large field
to show his knowledge and competence in helping people with the smoking
problem. To make the pharmacist-patient cooperation happen, we need to
instruct chemists at pre-, and postgradual courses about treating the
nicotine addiction. We cannot underestimate the pharmacists' role in the
whole fighting nicotine dependency process. Modern pharmacist is fully
qualified to give tips or guide patient who get to finish his addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
health promotion
pharmacist
pharmacy
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
human
human relation
manpower
review
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
15794290 (http://www.ncbi.nlm.nih.gov/pubmed/15794290)
PUI
L40947755
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1495
TITLE
The bipolar spectrum: Diagnostic and pharmacologic considerations
AUTHOR NAMES
Möller H.-J.
Curtis V.A.
AUTHOR ADDRESSES
(Möller H.-J., hans-juergen.moeller@psy.med.uni-muenchen.de) Psychiatric
Department, University of Munich, Nussbaumstr 7, D-80336 Munich, Germany.
(Curtis V.A., v.curtis@iop.kcl.ac.uk) Institute of Psychiatry, Maudsley
Hospital, P.O. Box 63, London SE5 8AF, United Kingdom.
CORRESPONDENCE ADDRESS
H.-J. Möller, Psychiatric Department, University of Munich, Nussbaumstr 7,
D-80336 Munich, Germany. Email: hans-juergen.moeller@psy.med.uni-muenchen.de
SOURCE
Expert Review of Neurotherapeutics (2004) 4:6 SUPPL. 2 (S3-S8). Date of
Publication: 2004
ISSN
1473-7175
BOOK PUBLISHER
Expert Reviews Ltd., 2 Albert Place, London, United Kingdom.
ABSTRACT
Bipolar disorder represents a clinically challenging, episodic, lifelong
medical illness that is both disabling and dangerous to the patient and is
associated with a high risk of suicide. The prognosis for bipolar patients
is likely to worsen with delays in accurate diagnosis and treatment as time
is allowed for more extensive complications and morbidity to accrue and for
alcohol or other substance use comorbidity to complicate the course of the
illness. Physicians face several challenges when diagnosing bipolar
disorder, including overlapping symptomatology and comorbidity with other
disorders, as well as the somewhat restrictive and categorical approach
taken by the Diagnostic and Statistical Manual of Mental Disorders, Fourth
Edition (DSM-IV) and the International Statistical Classification of
Diseases, 10th Revision (ICD-10) diagnostic criteria. As a result, bipolar
disorder is frequently unrecognized and misdiagnosed with considerable
clinical and prognostic consequences for the patient. The accuracy of
diagnosis of bipolar disorder could be improved through the introduction of
a refined procedure for the identification and evaluation of a broader range
of symptoms, and by careful attention to the presence of subthreshold
symptomatology. A conceptual shift toward acceptance of a 'spectrum' model
of bipolar disorder and the development of appropriate clinical diagnostic
tools should assist physicians in differentiating bipolar disorder from
other Axis I, Axis II, and personality disorders, as well as ensuring early
diagnosis and therapeutic intervention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bipolar disorder
EMTREE MEDICAL INDEX TERMS
alcohol abuse
bipolar I disorder
bipolar II disorder
comorbidity
conference paper
cyclothymia
Diagnostic and Statistical Manual of Mental Disorders
disease severity
early diagnosis
human
International Classification of Diseases
personality disorder
prognosis
substance abuse
symptomatology
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004484231
MEDLINE PMID
16279864 (http://www.ncbi.nlm.nih.gov/pubmed/16279864)
PUI
L39482258
DOI
10.1586/14737175.4.6.S3
FULL TEXT LINK
http://dx.doi.org/10.1586/14737175.4.6.S3
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1496
TITLE
How to train residents to identify and treat dual diagnosis patients
AUTHOR NAMES
Renner Jr. J.A.
AUTHOR ADDRESSES
(Renner Jr. J.A.) Division of Psychiatry, Boston University School of
Medicine, Boston, MA, United States.
(Renner Jr. J.A.) Veterans Affairs Outpatient Clinic, 251 Causeway Street,
Boston, MA, United States.
CORRESPONDENCE ADDRESS
J.A. Renner Jr., Division of Psychiatry, Boston University School of
Medicine, Boston, MA, United States.
SOURCE
Biological Psychiatry (2004) 56:10 (810-816). Date of Publication: 15 Nov
2004
ISSN
0006-3223
BOOK PUBLISHER
Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Medical training has failed to address the needs of patients with comorbid
substance use and psychiatric disorders. Addiction teaching is limited and
often fails to change the negative attitudes of many physicians. In many
psychiatry residencies, addiction training occurs on inpatient or
detoxification units and the focus is on screening, detoxification, and
referral. Most residents do not gain adequate experience in the long-term
management of dual-diagnosis patients. Successful clinical care is based on
three critical elements (the "clinician's triad"): an adequate knowledge
base, a positive attitude toward the patient and the benefits of treatment,
and a sense of responsibility for the clinical problem. The Boston
University Psychiatry Residency has designed an addiction training program
to address these three issues. In addition to a comprehensive addiction
seminar series, there are several unique features. The required clinical
rotation occurs in an outpatient dual-diagnosis clinic and permits residents
to follow a caseload of patients for 12 months. Extensive experience is
gained in motivational interviewing, cognitive behavioral therapy, and
pharmacotherapy. Self-directed learning approaches are used to maximize the
educational experience on services that lack addiction faculty. Guidelines
are provided for establishing a similar program and for more effective
approaches to resident teaching.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
residency education
EMTREE MEDICAL INDEX TERMS
attitude
behavior therapy
cognitive therapy
comorbidity
curriculum
drug dependence
drug detoxification
drug screening
experience
health care planning
hospital patient
human
leadership
learning
long term care
medical school
mental disease
mental health service
motivation
outpatient department
patient care
patient referral
physician
practice guideline
priority journal
psychopharmacotherapy
relapse (prevention)
resident
responsibility
review
science
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004501391
MEDLINE PMID
15556127 (http://www.ncbi.nlm.nih.gov/pubmed/15556127)
PUI
L39539840
DOI
10.1016/j.biopsych.2004.04.003
FULL TEXT LINK
http://dx.doi.org/10.1016/j.biopsych.2004.04.003
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1497
TITLE
The need for substance abuse training among mental health professionals
AUTHOR NAMES
Harwood H.J.
Kowalski J.
Ameen A.
AUTHOR ADDRESSES
(Harwood H.J., rick.harwood@lewin.com) The Lewin Group, 3130 Fairview Park
Drive, Falls Church, VA 22042., .
(Kowalski J.; Ameen A.) The Lewin Group, .
CORRESPONDENCE ADDRESS
The Lewin Group, 3130 Fairview Park Drive, Falls Church, VA 22042., . Email:
rick.harwood@lewin.com
SOURCE
Administration and Policy in Mental Health (2004) 32:2 (189-205). Date of
Publication: November 2004
ISSN
0894-587X
BOOK PUBLISHER
Kluwer Academic/Human Sciences Press Inc., 233 Spring Street, New York,
United States.
ABSTRACT
This study examines substance abuse as encountered by practitioners in six
major mental health professions, from private practice to organizational
settings. Respective national professional associations surveyed
representative samples of their members, including psychiatrists,
psychologists, professional counselors, social workers, marriage and family
therapists, and substance abuse counselors. About one in five clients seen
in private practice of mental health professionals had substance abuse
disorders, with somewhat higher rates in organized mental health treatment
settings. For a large majority of clients, substance abuse was secondary to
a mental disorder. A significant minority of these practitioners reported
having little or no training to address substance abuse, either from formal
graduate education, internships, or continuing education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health practitioner
substance abuse
EMTREE MEDICAL INDEX TERMS
article
continuing education
family therapy
health program
hospitalization
human
medical education
mental disease
mental health care
postgraduate education
priority journal
psychiatrist
psychotherapist
training
vocational guidance
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004414695
MEDLINE PMID
15586850 (http://www.ncbi.nlm.nih.gov/pubmed/15586850)
PUI
L39287301
DOI
10.1023/B:APIH.0000042746.79349.64
FULL TEXT LINK
http://dx.doi.org/10.1023/B:APIH.0000042746.79349.64
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1498
TITLE
Pharmacology of opiate analgesics for chronic pain management
ORIGINAL (NON-ENGLISH) TITLE
La gestione del dolore cronico: Farmacologia degli analgesici oppiacei
AUTHOR NAMES
Romualdi P.
Candeletti S.
AUTHOR ADDRESSES
(Romualdi P., patrizia.romualdi@unibo.it; Candeletti S.) Dipartimento di
Farmacologia, Università di Bologna, via Irnerio 48, 40126 Bologna, Italy.
CORRESPONDENCE ADDRESS
P. Romualdi, Dipartimento di Farmacologia, Università di Bologna, via
Irnerio 48, 40126 Bologna, Italy. Email: patrizia.romualdi@unibo.it
SOURCE
Giornale di Gerontologia (2004) 52:5 (253-258). Date of Publication: Oct
2004
ISSN
0017-0305
ABSTRACT
The opiate analgesic drugs currently represent the most powerful instrument
in pain therapy and elicit their therapeutic action mimicking endogenous
substances, the opioid peptides, natural ligands of the opioid receptors.
They interact with specific receptors, physiologically present in the CNS
and in periphery, where they modulate different functions. Beside the well
known function related to nociceptive transmission modulation, this system
is also involved in the regulation of gastrointestinal, endocrine and
autonomic functions, as well as in the mechanisms underlying reward,
addiction and in memory and learning processes. Opiates are more and more
diffusing in pain therapy and physicians should be able to control pain
before this becomes intractable. The recent discovery of new opioid
endogenous systems, like the nociceptin one, the development of alternative
administration routes and of new drugs with less abuse liability, will allow
better scientific understanding, better targeted therapy and a safer use of
opiate drugs for the pharmacological control of pain. The goals in this
field of research are important and future knowledges will be able to help
physicians to use therapeutic tools in the control of pain, before it
becomes intractable.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy, pharmacology)
EMTREE DRUG INDEX TERMS
delta opiate receptor (endogenous compound)
fentanyl (drug therapy)
G protein coupled receptor (endogenous compound)
kappa opiate receptor (endogenous compound)
morphine (drug therapy)
morphine 6 glucuronide (drug therapy)
nalorphine (drug therapy)
nociceptin derivative (drug development)
opiate peptide (drug therapy)
opiate receptor (endogenous compound)
pentapeptide (endogenous compound)
sufentanil (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy)
EMTREE MEDICAL INDEX TERMS
analgesia
article
central nervous system
drug abuse
drug receptor binding
drug research
drug safety
drug targeting
human
neuromodulation
CAS REGISTRY NUMBERS
fentanyl (437-38-7)
morphine 6 glucuronide (20290-10-2)
morphine (52-26-6, 57-27-2)
nalorphine (1041-90-3, 57-29-4, 62-67-9)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
sufentanil (56030-54-7)
EMBASE CLASSIFICATIONS
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
Italian
LANGUAGE OF SUMMARY
English, Italian
EMBASE ACCESSION NUMBER
2005430678
PUI
L41357531
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1499
TITLE
Opioid prescribing for chronic nonmalignant pain in primary care: challenges
and solutions.
AUTHOR NAMES
Olsen Y.
Daumit G.L.
AUTHOR ADDRESSES
(Olsen Y.; Daumit G.L.) Division of General Internal Medicine, Department of
Medicine, Johns Hopkins University School of Medicine, Baltimore, Md. 21287,
USA.
CORRESPONDENCE ADDRESS
Y. Olsen, Division of General Internal Medicine, Department of Medicine,
Johns Hopkins University School of Medicine, Baltimore, Md. 21287, USA.
Email: yolsen@jhsph.edu
SOURCE
Advances in psychosomatic medicine (2004) 25 (138-150). Date of Publication:
2004
ISSN
0065-3268
ABSTRACT
Evaluating and treating patients with chronic nonmalignant pain, especially
with opioid medications, often causes discomfort on the part of primary care
physicians. A number of patient-, physician-, and system-related issues
converge to make treating chronic pain a complex matter. Patient-related
issues include an inability to define a clear anatomic cause for patients'
pain, comorbid psychiatric conditions, and past and current substance abuse.
Physicians lack training on the appropriate evaluation and treatment of
chronic nonmalignant pain, fear creating addicts, and often face intense
pharmaceutical industry pressure to prescribe medications. A paucity of
practical clinical practice guidelines, controversy over the effectiveness
of opioids on chronic nonmalignant pain, and concern about potential legal
and regulatory ramifications add to the complexity of caring for these
patients. Possible multifaceted solutions exist to minimize provider
discomfort and improve their ability to treat patients appropriately.
Examples include comprehensive, practical multidimensional guidelines on the
evaluation and treatment of chronic nonmalignant pain, Web-based
teleconferenced consultations with subspecialists, reduced pharmaceutical
pressure, enhanced continuing medical education and pregraduate training,
multispecialty coordinated care of patients with adequate reimbursement for
such care, and physician access to state-based systems to track opioid
prescriptions.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain (drug therapy)
prescription
primary health care
EMTREE MEDICAL INDEX TERMS
chronic disease
criminal law
human
legal aspect
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15248372 (http://www.ncbi.nlm.nih.gov/pubmed/15248372)
PUI
L39211705
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1500
TITLE
Addiction training scale: Pilot study of a self-report evaluation tool for
psychiatry residents
AUTHOR NAMES
Sattar S.P.
Madison J.
Markert R.J.
Bhatia S.C.
Petty F.
AUTHOR ADDRESSES
(Sattar S.P., syed.sattar@med.va.gov; Madison J.; Bhatia S.C.; Petty F.)
Department of Psychiatry, Creighton Univ. School of Medicine, Omaha, NE,
United States.
(Sattar S.P., syed.sattar@med.va.gov) Omaha VA Medical Center, Omaha, NE,
United States.
(Markert R.J.) Department of Medical Education, Center for Medical
Education, Creighton Univ. School of Medicine, Omaha, NE, United States.
(Bhatia S.C.) Dept. of Mental Hlth./Behav. Sci., Omaha VA Medical Center,
Omaha, NE, United States.
(Petty F.) Deparment of Psychiatric Research, Omaha VA Medical Center,
Omaha, NE, United States.
(Sattar S.P., syed.sattar@med.va.gov) 3528 Dodge Street, Omaha, NE 68131,
United States.
CORRESPONDENCE ADDRESS
S.P. Sattar, 3528 Dodge Street, Omaha, NE 68131, United States. Email:
syed.sattar@med.va.gov
SOURCE
Academic Psychiatry (2004) 28:3 (204-208). Date of Publication: Fall 2004
ISSN
1042-9670
BOOK PUBLISHER
American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite
1825,Arlington, United States.
ABSTRACT
Objective: Alcohol and drug dependence disorders have become common public
health hazards. Psychiatrists encounter these problems in a major portion of
their patients. However, recent data suggest that their training does not
provide them the confidence to treat these disorders. Current methods of
evaluating residents fail to adequately ascertain the lack of confidence in
substance abuse training. Here, we present the Addiction Training Scale
(ATS) that we developed to help trainers identify deficits in residents'
substance abuse training. Method: We developed the ATS and conducted a pilot
study with the psychiatry residents at the Creighton University Department
of Psychiatry, to test the validity of the ATS as a self-report evaluation
tool to measure the level of psychiatry residents' preparedness in treating
substance abuse disorders. Results: Our results suggest that the ATS is
related to the confidence and preparedness that residents express in their
ability to treat substance abuse problems. Conclusion: The ATS may be
beneficial in assessing psychiatry residents' substance abuse training and
identifying deficits, which may be addressed during training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
residency education
EMTREE MEDICAL INDEX TERMS
article
evaluation study
health hazard
human
pilot study
psychiatrist
resident
self report
substance abuse
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004446505
MEDLINE PMID
15507555 (http://www.ncbi.nlm.nih.gov/pubmed/15507555)
PUI
L39382845
DOI
10.1176/appi.ap.28.3.204
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.28.3.204
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1501
TITLE
The Pediatric Residency Training on Tobacco Project: Baseline findings from
the resident tobacco survey and observed structured clinical examinations
AUTHOR NAMES
Hymowitz N.
Schwab J.
Haddock C.K.
Burd K.M.
Pyle S.
AUTHOR ADDRESSES
(Hymowitz N., hymowitz@umdnj.edu; Burd K.M.) Department of Psychiatry,
UMDNJ-New Jersey Medical School, Newark, NJ, United States.
(Schwab J.) Department of Pediatrics, UMDNJ-New Jersey Medical School,
Newark, NJ, United States.
(Haddock C.K.; Pyle S.) Department of Psychology, University of
Missouri-Kansas City, Kansas City, MO, United States.
(Haddock C.K.) Mid America Heart Institute, St. Luke's Hospital, Kansas
City, MO, United States.
(Hymowitz N., hymowitz@umdnj.edu) Department of Psychiatry, New Jersey
Medical School, Behav. Hlth. Sci. Bldg., Rm. F., .
CORRESPONDENCE ADDRESS
N. Hymowitz, Department of Psychiatry, UMDNJ-New Jersey Medical School,
Newark, NJ, United States. Email: hymowitz@umdnj.edu
SOURCE
Preventive Medicine (2004) 39:3 (507-516). Date of Publication: September
2004
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Residency training is an ideal time to prepare pediatricians to
address tobacco, although few programs provide the necessary training.
Barriers to training include competing priorities, lack of resources, and
unavailability of expertise. Solutions for Smoking, a hybrid CD-ROM and web
site training program for pediatric residents, may enable training directors
to overcome these barriers and to include training on tobacco in their
curriculum. The Pediatric Residency Training on Tobacco Project is a 4-year
randomized prospective study that compares the effectiveness of a special
training program, with Solutions for Smoking as the main teaching tool, to a
standard training program in 15 pediatric residency-training programs.
Methods. Fifteen pediatric residency-training programs were assigned
randomly to special and standard training conditions. Evaluation instruments
include baseline and follow-up resident tobacco surveys and observed
structured clinical examinations (OSCEs), patient tobacco surveys, and
parent or guardian tobacco surveys. Results. The present report describes
the Pediatric Residency Training on Tobacco Project, the special and
standard training conditions, and Solutions for Smoking, a hybrid CD-ROM and
web site training program on tobacco for pediatric residents. Data from the
baseline resident tobacco survey and OSCEs also are presented. While
residents believed that pediatricians should play a leadership role in
tobacco prevention and control, few had formal training in tobacco
intervention, most were skeptical about the efficacy of intervention, and
they were more likely to ask about tobacco and advise change than to help
patients and parents to modify their behavior. Conclusions. The baseline
findings underscore the importance of the proposed research, and the special
training program may serve as a useful model for training pediatric
residents to address tobacco in the future. © 2004 The Institute For Cancer
Prevention and Elsevier Inc. All rights reserved.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical examination
pediatrician
residency education
smoking habit
EMTREE MEDICAL INDEX TERMS
adult
compact disk
controlled study
female
follow up
health survey
human
Internet
male
nicotine replacement therapy
priority journal
review
smoking cessation
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004353687
MEDLINE PMID
15313090 (http://www.ncbi.nlm.nih.gov/pubmed/15313090)
PUI
L39093906
DOI
10.1016/j.ypmed.2004.02.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2004.02.008
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1502
TITLE
Knowing how and showing how: Interdisciplinary collaboration on substance
abuse skill OSCEs for medical, nursing and social work students
AUTHOR NAMES
Baez A.
Eckert-Norton M.
Morrison A.
AUTHOR ADDRESSES
(Baez A.) Lehman College, City University of New York, Bronx, NY, United
States.
(Baez A.) Counseling Center, MAINSTREAM Faculty, .
(Eckert-Norton M.) MAINSTREAM Faculty, SUNY Downstate, .
(Morrison A.) Department of Medicine, University of New Mexico, MAINSTREAM
Faculty, .
(Baez A.) Lehman College, City University of New York, 250 Bedford Park
Boulevard West, Bronx, NY 10468, United States.
CORRESPONDENCE ADDRESS
A. Baez, Lehman College, City University of New York, 250 Bedford Park
Boulevard West, Bronx, NY 10468, United States.
SOURCE
Substance Abuse (2004) 25:3 (33-37). Date of Publication: September 2004
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical examination
medical education
nursing
social work
substance abuse
EMTREE MEDICAL INDEX TERMS
article
feedback system
human
interpersonal communication
learning
medical personnel
medical specialist
medical student
physical examination
procedures
reliability
self evaluation
skill
social worker
standardization
validation process
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005527800
MEDLINE PMID
16150679 (http://www.ncbi.nlm.nih.gov/pubmed/16150679)
PUI
L41663094
DOI
10.1300/J465v25n03_05
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v25n03_05
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1503
TITLE
Check-out my bottle collection: Assisting medical trainees in taking a
better alcohol-use history [1]
AUTHOR NAMES
Welsh C.
AUTHOR ADDRESSES
(Welsh C., cwelsh@psych.umaryland.edu) University of Maryland School of
Medicine, Department of Psychiatry, Division of Alcohol and Drug Abuse, 22
South Greene Street, Baltimore, MD 21201, United States.
CORRESPONDENCE ADDRESS
C. Welsh, University of Maryland School of Medicine, Department of
Psychiatry, Division of Alcohol and Drug Abuse, 22 South Greene Street,
Baltimore, MD 21201, United States. Email: cwelsh@psych.umaryland.edu
SOURCE
Substance Abuse (2004) 25:3 (27-28). Date of Publication: September 2004
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
anamnesis
medical education
EMTREE MEDICAL INDEX TERMS
beer
college student
container
human
letter
liquid
medical personnel
medical student
residency education
wine
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005527798
MEDLINE PMID
16150677 (http://www.ncbi.nlm.nih.gov/pubmed/16150677)
PUI
L41663092
DOI
10.1300/J465v25n03_03
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v25n03_03
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1504
TITLE
Thomas de quincey, confessions of an english opium eater. London: Taylor and
Hessey, 1822
AUTHOR NAMES
Humphreys K.
AUTHOR ADDRESSES
(Humphreys K.) Veterans Affairs, Stanford University Medical Centers, Palo
Alto, CA, United States.
CORRESPONDENCE ADDRESS
K. Humphreys, Veterans Affairs, Stanford University Medical Centers, Palo
Alto, CA, United States.
SOURCE
Addiction (2004) 99:9 (1221-1222). Date of Publication: Sep 2004
ISSN
0965-2140
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
medical education
professional practice
EMTREE MEDICAL INDEX TERMS
cost benefit analysis
drug abuse
drug abuse pattern
human
opiate addiction
publication
short survey
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2004393684
PUI
L39215285
DOI
10.1111/j.1360-0443.2004.00872.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.2004.00872.x
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1505
TITLE
Interdisciplinary collaboration on substance abuse skill OSCEs [2]
AUTHOR NAMES
Baez A.
Eckert-Norton M.
Morrison A.
AUTHOR ADDRESSES
(Baez A.) Lehman College, City University of New York, Bronx, NY, United
States.
(Baez A.) Counseling Center, MAINSTREAM Faculty, .
(Eckert-Norton M.) MAINSTREAM Faculty, SUNY Downstate, .
(Morrison A.) Department of Medicine, University of New Mexico, MAINSTREAM
Faculty, .
(Baez A.) Lehman College, City University of New York, 250 Bedford Park
Boulevard West, Bronx, NY 10468, United States.
CORRESPONDENCE ADDRESS
A. Baez, Lehman College, City University of New York, 250 Bedford Park
Boulevard West, Bronx, NY 10468, United States.
SOURCE
Substance Abuse (2004) 25:3 (29-31). Date of Publication: September 2004
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical examination
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
certification
curriculum
evaluation study
experience
human
letter
medical practice
medical school
medical staff
medical student
nurse practitioner
patient care
performance
simulation
skill
social work
standardization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005527799
MEDLINE PMID
16150678 (http://www.ncbi.nlm.nih.gov/pubmed/16150678)
PUI
L41663093
DOI
10.1300/J465v25n03_04
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v25n03_04
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1506
TITLE
Erratum: Tobacco dependence curricula in undergraduate osteopathic medical
education (Journal of the American Osteopathic Association)
AUTHOR NAMES
Montalto N.J.
Ferry L.H.
Stanhiser T.
AUTHOR ADDRESSES
(Montalto N.J., nmontalto@hsc.wvu.edu; Ferry L.H.; Stanhiser T.)
CORRESPONDENCE ADDRESS
Email: nmontalto@hsc.wvu.edu
SOURCE
Journal of the American Osteopathic Association (2004) 104:9 (368). Date of
Publication: Sep 2004
ISSN
0098-6151
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
error
EMTREE MEDICAL INDEX TERMS
erratum
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2004419586
PUI
L39299577
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1507
TITLE
Tobacco dependence curricula in undergraduate osteopathic medical education
AUTHOR NAMES
Montalto N.J.
Ferry L.H.
Stanhiser T.
AUTHOR ADDRESSES
(Montalto N.J., nmontalto@wvu.edu) Western Virginia University, .
(Ferry L.H.; Stanhiser T.) Loma Linda Univ. School of Medicine, .
(Montalto N.J., nmontalto@wvu.edu) Family Medicine Center, 1201 Washington
St East, Charleston, WV 25314-1850, United States.
CORRESPONDENCE ADDRESS
N.J. Montalto, Family Medicine Center, 1201 Washington St East, Charleston,
WV 25314-1850, United States. Email: nmontalto@wvu.edu
SOURCE
Journal of the American Osteopathic Association (2004) 104:8 (317-323). Date
of Publication: August 2004
ISSN
0098-6151
BOOK PUBLISHER
American Osteopathic Association, 142 East Ontario Street, Chicago, United
States.
ABSTRACT
Context: Tobacco use has been identified as the primary preventable cause of
premature deaths and disability, yet results of a previous survey show that
undergraduate allopathic medical schools do not adequately address this
topic. Objective: To assess the content and extent of tobacco education and
intervention skills in osteopathic medical schools' curricula. Design: A
mailed survey with 19 questions similar to one used for allopathic medical
schools. Setting: Nineteen osteopathic medical schools. Participants:
Responses were obtained from each associate dean for medical education or
representative. Main Outcome Measures: Curriculum in seven basic science and
six clinical science content areas (elective or required), hours of tobacco
use intervention education, and resource materials used to design curricula.
Results: Average number of total content areas covered was 10.2 (6 ± 1.6
basic science areas, 4.17 ± 1.54 clinical areas) with a range of 2 to 13.
Nine (47%) schools reported covering all seven basic science areas, and one
school reported covering none. Eleven (64.7%) of seventeen schools reported
less than 3 hours of training in tobacco dependence treatment techniques
during all 4 years. Sixty percent of schools do not require clinical
training in smoking cessation techniques. Thirty-six percent require
clinical training in an artificial setting without patients. None of the
schools require clinical training with live patients. The schools founded
after 1920 covered an average of almost twice as many content areas as those
founded before 1920 (11.1 vs 6.6; P = .018). Conclusions: Most US
osteopathic medical school graduates are not being adequately educated to
treat nicotine dependence as recommended by the National Cancer Institute
expert panel and the Public Health Service Clinical Practice Guideline.
Specifically, osteopathic medical education is deficient in clinical
nicotine dependence treatment during the third and fourth years.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
curriculum
manipulative medicine
medical education
EMTREE MEDICAL INDEX TERMS
clinical practice
continuing education
counseling
drug dependence treatment
medical school
physical disability
practice guideline
responsibility
review
smoking cessation
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004358286
MEDLINE PMID
15345701 (http://www.ncbi.nlm.nih.gov/pubmed/15345701)
PUI
L39100934
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1508
TITLE
Evaluation of the influence of medical education on the smoking attitudes of
future doctors
ORIGINAL (NON-ENGLISH) TITLE
Evaluación de la influencia que ejerce la facultad de medicina en los
futuros médicos respecto al tabaquismo
AUTHOR NAMES
Nerín I.
Guillén D.
Mas A.
Crucelaegui A.
AUTHOR ADDRESSES
(Nerín I., isabelne@posta.unizar.es) Depto. de Medicina y Psiquiatria,
Facultad de Medicina, Universidad de Zaragoza, Zaragoza, Spain.
(Guillén D.; Mas A.; Crucelaegui A.) Unidad de Tabaquismo, Facultad de
Medicina, Universidad de Zaragoza, Zaragoza, Spain.
(Nerín I., isabelne@posta.unizar.es) Depto. de Medicina y Psiquiatria,
Facultad de Medicina, Edificio B. Domingo Miral, s/n, 50009 Zaragoza, Spain.
CORRESPONDENCE ADDRESS
I. Nerín, Depto. de Medicina y Psiquiatria, Facultad de Medicina, Edificio
B. Domingo Miral, s/n, 50009 Zaragoza, Spain. Email:
isabelne@posta.unizar.es
SOURCE
Archivos de Bronconeumologia (2004) 40:8 (341-347). Date of Publication:
August 2004
ISSN
0300-2896
BOOK PUBLISHER
Ediciones Doyma, S.L., Travesera de Gracia 17-21, Barcelona, Spain.
ABSTRACT
OBJECTIVE: To evaluate whether medical education influences the prevalence,
awareness of, and attitudes to smoking of medical students in the first 3
years of their degree. MATERIAL AND METHODS: In this descriptive
longitudinal questionnaire-based study of university students, data for
medical and veterinary students in their first 3 years were compared.
RESULTS: Of the 226 registered first-year medical students, 181 (80%)
returned the questionnaire. Of the 180 first-year veterinary students, 161
(89%) replied to the questionnaire. In the third year, 151 questionnaires
from medical students and 139 from veterinary students were returned. There
were no differences in age or sex between the 2 groups, and both had more
women. The prevalence of smokers increased between the first year and the
beginning of the third (from 20% to 31% among medical students and from 28%
to 32% among veterinary students). An improvement in the awareness of
smoking as a risk factor was observed for medical students, but no change in
attitude was observed. CONCLUSIONS: The influence of medical education on
this health concern is limited as there is no reduction in the prevalence of
smoking. Medical education also seems unable to change attitudes to smoking.
More students relate smoking to risk factors for certain diseases, showing
greater awareness of the health problems caused by smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
medical education
medical student
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
college student
female
human
longitudinal study
male
medicine
normal human
prevalence
questionnaire
risk factor
veterinary medicine
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Spanish
LANGUAGE OF SUMMARY
English, Spanish
EMBASE ACCESSION NUMBER
2004373386
MEDLINE PMID
15274862 (http://www.ncbi.nlm.nih.gov/pubmed/15274862)
PUI
L39158920
DOI
10.1157/13064617
FULL TEXT LINK
http://dx.doi.org/10.1157/13064617
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1509
TITLE
A pioneer of chemical dependency treatment: Dr Mondanaro takes no prisoners.
AUTHOR NAMES
Mondanaro E.E.
AUTHOR ADDRESSES
(Mondanaro E.E.) SureWest Communications, 8150 Industrial Ave, Bldg A,
Roseville, CA 95678, USA.
CORRESPONDENCE ADDRESS
E.E. Mondanaro, SureWest Communications, 8150 Industrial Ave, Bldg A,
Roseville, CA 95678, USA. Email: mondanaro717@aol.com
SOURCE
American journal of public health (2004) 94:8 (1300-1302). Date of
Publication: Aug 2004
ISSN
0090-0036
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
administrative personnel
health service
medical school
EMTREE MEDICAL INDEX TERMS
art
article
drug dependence treatment
female
gynecology
history
human
obstetrics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15284029 (http://www.ncbi.nlm.nih.gov/pubmed/15284029)
PUI
L39175856
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1510
TITLE
Community health service needs assessment in Korea using OMAHA
Classification System
AUTHOR NAMES
Yoo I.Y.
Cho W.J.
Chae S.M.
Kim M.J.
AUTHOR ADDRESSES
(Yoo I.Y., iyoo@yumc.yonsei.ac.kr; Cho W.J.; Chae S.M.; Kim M.J.) Research
Institute of Nursing Policy, College of Nursing, Yonsei University,
Shinchon-dong 134, Seodaemoon-gu, Seoul 120752, South Korea.
CORRESPONDENCE ADDRESS
I.Y. Yoo, Research Institute of Nursing Policy, College of Nursing, Yonsei
University, Shinchon-dong 134, Seodaemoon-gu, Seoul 120752, South Korea.
Email: iyoo@yumc.yonsei.ac.kr
SOURCE
International Journal of Nursing Studies (2004) 41:6 (697-702). Date of
Publication: August 2004
ISSN
0020-7489
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
This study examined the appropriateness of OMAHA Classification System in
identifying health service needs and relevant strategies for intervention by
public health nurses working in community health centers in Seoul. The
face-to-face interview using a questionnaire was used to assess individual
and family health needs in the targeted district. Respondents were 4024
persons from 1449 households in one municipal district in Seoul, Korea.
Based on OCS, 16 problems were identified including insufficient income and
inadequate living space, ineffective communication with community resources,
pain, and substance use. Health teaching, guidance and counseling, case
management, treatment, and surveillance were identified as interventions for
these problems. These results suggest that OCS is appropriate to implement
in Korea to plan and organize better nursing interventions for community
residents by public health nurses working in health centers. © 2004 Elsevier
Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community care
health care quality
EMTREE MEDICAL INDEX TERMS
adult
article
breathing
controlled study
counseling
emotional stability
environmental sanitation
family health
female
government
health center
human
interpersonal communication
interview
Korea
male
nurse
pain
patient care
questionnaire
salary
social behavior
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
15240093 (http://www.ncbi.nlm.nih.gov/pubmed/15240093)
PUI
L38887189
DOI
10.1016/j.ijnurstu.2004.02.007
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ijnurstu.2004.02.007
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1511
TITLE
Smoking cessation counseling training for pediatric residents in the
continuity clinic setting
AUTHOR NAMES
Lee M.T.
Hishinuma E.S.
Derauf C.
Guerrero A.P.S.
Iwaishi L.K.
Kasuya R.T.
AUTHOR ADDRESSES
(Lee M.T., meta@hawaii.edu; Derauf C.; Guerrero A.P.S.; Iwaishi L.K.)
Department of Pediatrics, Univ. Hawaii John A. Burns Sch. Med., 1319 Punahou
St, Honolulu, HI 96826, United States.
(Hishinuma E.S.; Derauf C.; Guerrero A.P.S.) Department of Psychiatry, Univ.
Hawaii John A. Burns Sch. Med., 1319 Punahou St, Honolulu, HI 96826, United
States.
(Lee M.T., meta@hawaii.edu; Kasuya R.T.) Office of Medical Education, Univ.
Hawaii John A. Burns Sch. Med., 1319 Punahou St, Honolulu, HI 96826, United
States.
CORRESPONDENCE ADDRESS
M.T. Lee, Department of Pediatric, Office of Medical Education, Univ. Hawaii
John A. Burns Sch. Med., 1319 Punahou St, Honolulu, HI 96826, United States.
Email: meta@hawaii.edu
SOURCE
Ambulatory Pediatrics (2004) 4:4 (289-294). Date of Publication: July/August
2004
ISSN
1530-1567
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Objective. - To determine the effectiveness of a clinic-based smoking
cessation counseling curriculum on pediatric resident confidence, knowledge,
counseling skills, and provision of counseling. Methods. - Twenty-six
residents at a pediatric residency program completed a new smoking cessation
counseling curriculum as part of continuity clinic training. We assigned
residents to 2 groups (study group, n = 12 vs control group, n = 14) on the
basis of clinic site. We used a quasi-experimental, crossover design with
pre- and posttests for each group. Control-group residents served as an
initial control before the intervention crossover. Residents were tested at
baseline and at completion of each group's intervention. Standardized
patients measured resident provision of counseling and quality of counseling
during resident continuity clinic. Knowledge and confidence were measured by
a written exam and self-administered survey. Analysis of variance with a
mixed design assessed overall group differences and group performances over
time. Results. - There were no baseline differences between groups. Across
time, there were significant differences between study-group and
control-group residents for confidence (F [2, 48] = 11.82; P < .01),
knowledge (F [2, 48] = 6.24; P< .01), and provision of counseling (F [2, 48]
= 3.60, P < .05) but not counseling skills (F [2, 48] = 2.44; P < .10).
After each group's intervention, their confidence, knowledge, counseling
skills, and inclusion of counseling increased significantly (P < .01 for
all). Conclusions. - Our findings suggest that a clinic-based curriculum in
smoking cessation counseling can significantly increase knowledge,
confidence, counseling skills, and provision of counseling. Future research
should evaluate the long-term impact of such curricula on resident
counseling behavior and patient outcomes. Copyright © 2004 by Ambulatory
Pediatric Association.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient counseling
residency education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
analysis of variance
article
clinical research
controlled study
education program
female
health care delivery
health care quality
human
job performance
male
methodology
outcomes research
pediatrics
physician attitude
self esteem
self evaluation
skill
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004366202
MEDLINE PMID
15264961 (http://www.ncbi.nlm.nih.gov/pubmed/15264961)
PUI
L39136586
DOI
10.1367/A03-180.1
FULL TEXT LINK
http://dx.doi.org/10.1367/A03-180.1
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1512
TITLE
A survey on smoking behavior in Hokkaido University School of Medicine, 2003
AUTHOR NAMES
Imai H.
Konno K.
Musashi M.
Tamashiro H.
AUTHOR ADDRESSES
(Imai H.; Konno K.; Musashi M.; Tamashiro H.) Hokkaido University School of
Medicine.
CORRESPONDENCE ADDRESS
H. Imai, Hokkaido University School of Medicine.
SOURCE
[Nippon kōshū eisei zasshi] Japanese journal of public health (2004) 51:7
(540-551). Date of Publication: Jul 2004
ISSN
0546-1766
ABSTRACT
OBJECTIVE: A survey was carried out to assess smoking among students, and
administration and teaching staff in Hokkaido University School of Medicine
in 2003. METHODS: We conducted a questionnaire survey on smoking of
undergraduates, graduate students, administration personnel and teaching
staff in Hokkaido University School of Medicine in February 2003. The
majority of question items were targeted for all subjects while some items
were addressed separately to smokers, ex-smokers and non-smokers. RESULTS
AND DISCUSSION: The survey showed that 1) the smoking rate of the study
subjects is lower than that of physicians, in general; 2) dependence on
cigarettes among smokers is relatively low; and 3) 80% of the ex-smokers are
in the maintenance stage, while 20% are in the action stage. Furthermore, 1)
there was a tendency for smokers and non-smokers to be concerned with the
health effects of passive smoking than that of active smoking; 2) smokers
tended to ignore the unpleasant smell of cigarettes as compared with
ex-smokers and non-smokers; 3) although the three groups acknowledged the
health affects of smoking, they are not proactive in the promotion of
anti-smoking; and 4) everyone is generally concerned with the smell of
cigarettes but tended to accept it in the school of medicine. CONCLUSIONS:
It is an important issue how smokers in the interested stage can move to the
anti-smoking stage, and how those in the action stage shift to the
maintenance stage. We have carried out anti-smoking events and campaigns on
the campus based on the results of the survey and further plan to formulate
a strategy for anti-smoking on the campus. The specific activities will be
undertaken and the results evaluated in future.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
administrative personnel
medical school
medical student
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
behavior
female
human
Japan (epidemiology)
male
middle aged
psychological aspect
questionnaire
smoking cessation
statistics
LANGUAGE OF ARTICLE
Japanese
MEDLINE PMID
15446672 (http://www.ncbi.nlm.nih.gov/pubmed/15446672)
PUI
L39416627
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1513
TITLE
Borderline personality disorder: Attitudinal change following training
AUTHOR NAMES
Krawitz R.
AUTHOR ADDRESSES
(Krawitz R., roykrawitz@xtra.co.nz) Waikato District Health Board, Private
Psychotherapy Practice, Obesity Clinic, 102 Sealey Street, Thames 2801, New
Zealand.
CORRESPONDENCE ADDRESS
R. Krawitz, Waikato District Health Board, Private Psychotherapy Practice,
Obesity Clinic, 102 Sealey Street, Thames 2801, New Zealand. Email:
roykrawitz@xtra.co.nz
SOURCE
Australian and New Zealand Journal of Psychiatry (2004) 38:7 (554-559). Date
of Publication: July 2004
ISSN
0004-8674
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
Objective: To assess the effect of a two-day training workshop on clinician
attitudes to working with people with borderline personality disorder (BPD).
The main goal of the workshop was to achieve positive change in the attitude
of clinicians treating people with BPD in a public setting. The hypothesis
underlying the intervention was that informing clinicians about current
concepts of the diagnosis, aetiology, prognosis and treatment of BPD,
combined with detailed discussion of the principles of treatment in the
public setting, would result in positive attitude change. Method: Changes in
attitudes (optimism, enthusiasm, confidence and willingness to work with
People with BPD) and self-perceptions of knowledge and skills among staff
working with BPD patients were assessed for 418 participants from public
mental health and substance abuse services who attended the workshops over
an 18-month period. A survey questionnaire was administered pre- and
post-workshop and at 6 month follow-up (time 1, time 2, time 3,
respectively). One-way repeated measures analysis of variance (ANOVA) were
carried out to compare scores on attitudes and perceptions of knowledge and
skills at time 1, time 2 and time 3. Results: The results from repeated
measures ANOVA show that there was a statistically significant effect for
time for all six items. Analyses of within-subject contrasts indicated that,
for all six variables, the time 2 and the time 3 scores were statistically
significantly different from time 1 scores (p < 0.01). These findings
confirm that there were statistically significant changes at the
post-workshop assessment, which were either maintained or showed a
non-significant decrease at 6-month follow-up. Conclusions: The brief
training workshop described was effective in achieving positive attitude
change in clinicians working with patients with BPD. This research shows
that it is possible through brief training to assist clinician positivity
and to effect clinician attitude change. Implications of this research could
include the influencing of future training of clinicians in public mental
health and substance abuse fields.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
borderline state (diagnosis, etiology)
medical education
physician attitude
EMTREE MEDICAL INDEX TERMS
adult
analysis of variance
article
awareness
controlled study
follow up
health survey
human
medical research
medical staff
mental health service
prognosis
psychiatric diagnosis
public health service
questionnaire
scoring system
self concept
skill
statistical significance
substance abuse
treatment planning
workshop
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004372455
MEDLINE PMID
15255829 (http://www.ncbi.nlm.nih.gov/pubmed/15255829)
PUI
L39157675
DOI
10.1111/j.1440-1614.2004.01409.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-1614.2004.01409.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1514
TITLE
Are physicians and medical students prepared to educate patients about
alcohol consumption?
AUTHOR NAMES
Frost-Pineda K.
VanSusteren T.
Gold M.S.
AUTHOR ADDRESSES
(Frost-Pineda K.) Department of Psychiatry, Univ. of Florida College of
Medicine, .
(VanSusteren T.) Univ. of Florida College of Medicine, .
(Gold M.S.) Univ. Florida McKnight Brain Inst., Department of Psychiatry, .
(Gold M.S.) Division of Addiction Medicine, .
CORRESPONDENCE ADDRESS
Department of Psychiatry, Univ. of Florida College of Medicine, .
SOURCE
Journal of Addictive Diseases (2004) 23:2 (1-13). Date of Publication: 2004
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
Given the tremendous financial and human costs of alcohol abuse and
dependence, physician competency in alcohol related issues must be
increased. Alcohol competency is essential to evaluate the risks and to
detect alcohol problems early in the course of alcohol abuse and dependence.
But, are medical students and physicians adequately trained in
alcohol-related issue to give appropriate advice about alcohol? Are they
trained to use an office visit to promote health, identify early abuse and
dependence, intervene, and make recommendations? Several studies suggest
that they are not. We have recent data that provide further evidence that
future and current physicians may not be sufficiently competent in alcohol
issues to counsel their patients about alcohol. Medical school curriculum
and Continuing Medical Education on alcohol abuse and addiction should be
required of all students and physicians so they can be best prepared to
prevent problems and identify and treat those for whom prevention has
failed. © 2004 by The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
medical student
patient education
physician
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
alcoholism (prevention)
article
competence
continuing education
cost
curriculum
evidence based medicine
female
financial management
health promotion
human
male
medical education
medical school
normal human
practice guideline
risk
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004222030
MEDLINE PMID
15132339 (http://www.ncbi.nlm.nih.gov/pubmed/15132339)
PUI
L38656238
DOI
10.1300/J069v23n02_01
FULL TEXT LINK
http://dx.doi.org/10.1300/J069v23n02_01
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1515
TITLE
The process of introducing a tobacco curriculum in medical school
AUTHOR NAMES
Richmond R.
AUTHOR ADDRESSES
(Richmond R., R.Richmond@unsw.edu.au) Sch. of Pub. Hlth. and Comm. Med.,
University of New South Wales, Kensington, NSW 2052, Australia.
CORRESPONDENCE ADDRESS
R. Richmond, Sch. of Pub. Hlth. and Comm. Med., University of New South
Wales, Kensington, NSW 2052, Australia. Email: R.Richmond@unsw.edu.au
SOURCE
Respirology (2004) 9:2 (165-172). Date of Publication: June 2004
ISSN
1323-7799
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Medical students have poor knowledge of cigarette-related diseases and tend
to increase tobacco use as they progress through their course. The aims of
this review are to describe the process of developing a tobacco curriculum,
present a model of implementation, and apply the model to China. The process
of developing, revising and implementing a tobacco curriculum called the
Smokescreen Education Program (SEP) for medical students is described. It
comprises a lecture and six-part tutorial. Dissemination of the SEP occurred
through doctors who translated and introduced the tobacco curriculum into
different countries and through the conduct of workshops. A six-point model
of implementation was developed that included defining the extent of the
tobacco problem in medical schools, developing a flexible curriculum on
tobacco, developing networks in countries, working as a resource, and
following up after training and evaluating success. The model is applied to
China. The SEP was developed over a decade and has led to the development of
a practical model of dissemination.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical school
smoking
tobacco dependence (epidemiology, therapy)
EMTREE MEDICAL INDEX TERMS
China
disease course
education program
evaluation study
female
health care policy
human
major clinical study
male
medical education
medical student
priority journal
review
training
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004306762
MEDLINE PMID
15182265 (http://www.ncbi.nlm.nih.gov/pubmed/15182265)
PUI
L38937388
DOI
10.1111/j.1440-1843.2004.00578.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-1843.2004.00578.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1516
TITLE
Perspectives on staff resistance to using the ASI
AUTHOR NAMES
Wicks S.J.
AUTHOR ADDRESSES
(Wicks S.J., beacon.stockholm@telia.com) Torkel Knutssonsgatan 14 V, 118 49
Stockholm, Sweden.
CORRESPONDENCE ADDRESS
S.J. Wicks, Torkel Knutssonsgatan 14 V, 118 49 Stockholm, Sweden. Email:
beacon.stockholm@telia.com
SOURCE
Journal of Substance Use (2004) 9:3-4 (172-175). Date of Publication: Jun
2004
ISSN
1465-9891
ABSTRACT
The paper highlights a number of reasons as to why the Addiction Severity
Index (ASI), despite having been introduced in Sweden in 1996, has not been
more widely accepted by addiction clinicians within social services and
healthcare. The author draws on several years' experience of being
responsible for the introduction, training and implementation of the ASI in
a large catchment area in the southern part of Stockholm. Various problems
are identified and discussed. The key role of managers in the addiction
services, in planning training and facilitating implementation, is
emphasized. It is suggested that, while the ASI is a "good enough" clinical
instrument, its use by healthcare and social service addiction units often
draws attention to the need of training in other areas - for example
motivational interviewing and treatment planning. © 2004 Taylor & Francis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
disease severity
medical staff
substance abuse
EMTREE MEDICAL INDEX TERMS
article
data analysis
experience
health care
human
interview
motivation
priority journal
questionnaire
residential care
social work
staff training
Sweden
treatment planning
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004320909
PUI
L38979473
DOI
10.1080/14659890410001697497
FULL TEXT LINK
http://dx.doi.org/10.1080/14659890410001697497
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1517
TITLE
The Society for the Study of Addiction (SSA)
AUTHOR NAMES
Tober G.
AUTHOR ADDRESSES
(Tober G., gillian.tober@nhs.net) Leeds Addiction Unit, Leeds, United
Kingdom.
(Tober G., gillian.tober@nhs.net) Society for the Study of Addiction, Leeds
Addiction Unit, 19 Springfield Mount, Leeds LS2 9NG, United Kingdom.
CORRESPONDENCE ADDRESS
G. Tober, Society for the Study of Addiction, Leeds Addiction Unit, 19
Springfield Mount, Leeds LS2 9NG, United Kingdom. Email:
gillian.tober@nhs.net
SOURCE
Addiction (2004) 99:6 (677-685). Date of Publication: June 2004
ISSN
0965-2140
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
The Society for the Study of Addiction (SSA) is a learned society which is a
company limited by guarantee with charitable status, an independent
organization promoting the cause of research, public policy and treatment of
addiction. Founded in London in 1884 with the aim of promoting a
research-based understanding of inebriety, it is the oldest society of its
kind. The pursuit and enhancement of evidence-based policy and treatment
informed its work in the early days and has remained its organizing
principle throughout its history. Led initially by medical political
interests, the Society has grown to encompass a broader disciplinary base,
reflecting the expansion of interest in addiction from biological,
psychological and social science into nursing, social work, probation, other
arms of criminal justice work and voluntary sector professionals. Today its
membership is made up of researchers, practitioners and policy makers from
all these disciplines, the majority of whom reside and work in the United
Kingdom; its international membership makes up nearly one-third of the total
membership and there are current endeavours to expand collaboration with
other national societies in the field. Its activities are focused upon the
Society journals, Addiction and Addiction Biology, other publishing
activities, the annual symposium and a number of policy initiatives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health care organization
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol intoxication
financial management
futurology
health care management
health care planning
health promotion
human
international cooperation
medical education
medical research
nursing
probation
publication
review
social work
sociology
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004251849
MEDLINE PMID
15139866 (http://www.ncbi.nlm.nih.gov/pubmed/15139866)
PUI
L38747905
DOI
10.1111/j.1360-0443.2004.00729.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.2004.00729.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1518
TITLE
Smoking in the dissecting room.
AUTHOR NAMES
Wilson D.
AUTHOR ADDRESSES
(Wilson D.)
CORRESPONDENCE ADDRESS
D. Wilson,
SOURCE
Lancet (2004) 363:9423 (1836). Date of Publication: 29 May 2004
ISSN
1474-547X (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking
EMTREE MEDICAL INDEX TERMS
article
history
human
medical student
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15172798 (http://www.ncbi.nlm.nih.gov/pubmed/15172798)
PUI
L38731581
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1519
TITLE
Teaching patient-centered tobacco intervention to first-year medical
students
AUTHOR NAMES
Brown R.L.
Pfeifer J.M.
Gjerde C.L.
Seibert C.S.
Haq C.L.
AUTHOR ADDRESSES
(Brown R.L., rlbrown@wisc.edu; Pfeifer J.M.; Gjerde C.L.; Haq C.L.)
Department of Family Medicine, Univ. of WI-Madison Medical School, Madison,
WI, United States.
(Seibert C.S.) Div. of General Internal Medicine, Univ. of WI-Madison
Medical School, Madison, WI, United States.
(Brown R.L., rlbrown@wisc.edu) Department of Family Medicine, Univ. of
WI-Madison Medical School, 310 North Midvale Boulevard, Madison, WI 53705,
United States.
CORRESPONDENCE ADDRESS
R.L. Brown, Department of Family Medicine, Univ. of WI-Madison Medical
School, 310 North Midvale Boulevard, Madison, WI 53705, United States.
Email: rlbrown@wisc.edu
SOURCE
Journal of General Internal Medicine (2004) 19:5 PART 2 (534-539). Date of
Publication: May 2004
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
The University of Wisconsin's Tobacco Intervention Basic Skills curriculum
(TIBS) was inaugurated to begin training 147 first-year medical students in
skills for promoting health behavior change. Learning activities included
lecture, demonstration, reading, quiz, role-play exercises, and standardised
patient interviews. After TIBS, the 69 students who provided pre- and
postintervention data exhibited more therapeutic attitudes and increased
knowledge and self-confidence in applying TIBS skills. Two months later, 52%
of the 109 posttest respondents had applied TIBS in clinical settings, often
for behaviors other than tobacco use. We conclude that medical students can
gain from early training on promoting behavior change.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
patient care
smoking cessation
EMTREE MEDICAL INDEX TERMS
attitude
curriculum
health behavior
health promotion
human
learning
medical student
reading
review
role playing
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004218567
MEDLINE PMID
15109319 (http://www.ncbi.nlm.nih.gov/pubmed/15109319)
PUI
L38638882
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1520
TITLE
The cocaine effects questionnaire for patient populations: Development and
psychometric properties
AUTHOR NAMES
Rohsenow D.J.
Sirota A.D.
Martin R.A.
Monti P.M.
AUTHOR ADDRESSES
(Rohsenow D.J., Damaris_Rohsenow@Brown.edu; Sirota A.D.; Monti P.M.)
Providence VA Medical Center, Providence, RI, United States.
(Rohsenow D.J., Damaris_Rohsenow@Brown.edu; Sirota A.D.; Martin R.A.; Monti
P.M.) Ctr. for Alcohol and Addict. Studies, Brown University Medical School,
Box G-BH, Providence, RI 02912, United States.
CORRESPONDENCE ADDRESS
D.J. Rohsenow, Ctr. for Alcohol and Addict. Studies, Brown University
Medical School, Box G-BH, Providence, RI 02912, United States. Email:
Damaris_Rohsenow@Brown.edu
SOURCE
Addictive Behaviors (2004) 29:3 (537-553). Date of Publication: May 2004
ISSN
0306-4603
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Outcome effect expectancies are considered a key determinant of behavior in
social learning models of substance use. The present study reports the
development and psychometric properties of the Cocaine Effects Questionnaire
(CEQ-P), designed specifically for use with patients in treatment for
substance abuse. Items generated from patients and treatment staff were
Likert-rated for frequency by 178 patients in substance abuse intensive day
treatment. Seven components were derived and reduced into a 33-item measure
with good reliability. The components loaded on two higher order components:
positive effects (five scales) and negative effects (two scales). The CEQ-P
shows good construct and concurrent validity in comparison with measures of
similar constructs and with cocaine use variables. Few gender or racial
differences were significant. Greater pretreatment cocaine use was
associated with expecting less frequent positive effects and more frequent
social withdrawal, consistent with clinical reports of later stage cocaine
use. Alternatively, greater urges to use correlated positively with expected
positive effects, specifically with expecting enhanced well-being, pain
reduction, and sexual enhancement from cocaine. Less cocaine use during the
3-months after intensive treatment was predicted by expecting more negative
effects from cocaine pretreatment. The CEQ-P is likely to be useful for both
clinical and research purposes. Treatment implications were discussed. ©
2003 Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cocaine dependence
psychometry
questionnaire
EMTREE MEDICAL INDEX TERMS
adult
analgesia
article
drug dependence treatment
expectation
female
human
male
medical staff
psychosocial withdrawal
reliability
sexual function
validation process
wellbeing
EMBASE CLASSIFICATIONS
Biophysics, Bioengineering and Medical Instrumentation (27)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004145962
MEDLINE PMID
15050672 (http://www.ncbi.nlm.nih.gov/pubmed/15050672)
PUI
L38410836
DOI
10.1016/j.addbeh.2003.08.024
FULL TEXT LINK
http://dx.doi.org/10.1016/j.addbeh.2003.08.024
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1521
TITLE
Training Medical Providers to Conduct Alcohol Screening and Brief
Interventions
AUTHOR NAMES
Babor T.F.
Higgins-Biddle J.C.
Higgins P.S.
Gassman R.A.
Gould B.E.
AUTHOR ADDRESSES
(Babor T.F., talamini@up.uchc.edu; Higgins-Biddle J.C.; Higgins P.S.) Dept.
of Comm. Med. and Health Care, Univ. of Connecticut Health Center,
Farmington, CT, United States.
(Gould B.E.) School of Medicine, Univ. of Connecticut Health Center,
Farmington, CT, United States.
(Gould B.E.) Department of Medicine, Univ. of Connecticut Health Center,
Farmington, CT, United States.
(Gassman R.A.) Institute of Social Research, Indiana University,
Bloomington, IN, United States.
(Babor T.F., talamini@up.uchc.edu) Dept. of Comm. Med. and Health Care,
Univ. of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT
06030-6325, United States.
CORRESPONDENCE ADDRESS
T.F. Babor, Dept. of Comm. Med. and Health Care, Univ. of Connecticut Health
Center, 263 Farmington Avenue, Farmington, CT 06030-6325, United States.
Email: talamini@up.uchc.edu
SOURCE
Substance Abuse (2004) 25:1 (17-26). Date of Publication: 2004
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
Although progress has been made in developing a scientific basis for alcohol
screening and brief intervention (SBI), training packages are necessary for
its widespread dissemination in primary care settings. This paper evaluates
a training package developed for the Cutting Back® SBI program. Three groups
of medical personnel were compared before and after SBI training: physicians
(n = 44), medical students (n = 88), and non-physicians (n = 41). Although
the training effects were at times dependent on group membership, all
changes were in a direction more conducive to implementing SBI. Physicians
and medical students increased confidence in performing screening
procedures, and students increased self-confidence in conducting brief
interventions. Non-physicians perceived fewer obstacles to screening
patients after training. Trained providers reported conducting significantly
more SBI than untrained providers, and these differences were consistent
with patients' reports of their providers' clinical activity. Thus, when
delivered in the context of a comprehensive SBI implementation program, this
training is effective in changing providers' knowledge, attitudes, and
practice of SBI for at-risk drinking. © 2004 by The Haworth Press, Inc. All
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
article
attitude
controlled study
human
medical practice
medical student
normal human
physician
skill
statistical significance
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004167776
MEDLINE PMID
15201108 (http://www.ncbi.nlm.nih.gov/pubmed/15201108)
PUI
L38480255
DOI
10.1300/J465v25n01_04
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v25n01_04
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1522
TITLE
Tobacco control in the physician's office: A matter of adequate training and
resources
AUTHOR NAMES
Schnoll R.A.
Engstrom P.F.
AUTHOR ADDRESSES
(Schnoll R.A., ra_schnoll@fccc.edu; Engstrom P.F.) Fox Chase Cancer Center,
510 Township Line Rd., Cheltenham, PA 19012, United States.
(Schnoll R.A., ra_schnoll@fccc.edu) Division of Population Science, Fox
Chase Cancer Center, 510 Township Line Rd., Cheltenham, PA 19012, United
States.
CORRESPONDENCE ADDRESS
R.A. Schnoll, Division of Population Science, Fox Chase Cancer Center, 510
Township Line Rd., Cheltenham, PA 19012, United States. Email:
ra_schnoll@fccc.edu
SOURCE
Journal of the National Cancer Institute (2004) 96:8 (573-575). Date of
Publication: 21 Apr 2004
ISSN
0027-8874
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
EMTREE DRUG INDEX TERMS
amfebutamone (drug therapy)
nicotine (drug therapy, transdermal drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
tobacco dependence (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
access to information
behavior therapy
cigarette smoking
competence
cost effectiveness analysis
editorial
follow up
health care planning
health practitioner
human
Internet
job satisfaction
medical information
nicotine replacement therapy
patient compliance
patient counseling
practice guideline
priority journal
reliability
skill
statistical analysis
tobacco
training
transdermal patch
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2004199591
MEDLINE PMID
15100328 (http://www.ncbi.nlm.nih.gov/pubmed/15100328)
PUI
L38584975
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1523
TITLE
Nutrition education is positively associated with substance abuse treatment
program outcomes
AUTHOR NAMES
Grant L.P.
Haughton B.
Sachan D.S.
AUTHOR ADDRESSES
(Grant L.P., louise.grant2@med.va.gov; Haughton B.; Sachan D.S.) Department
of Nutrition, University of Tennessee, Knoxville, TN, United States.
(Sachan D.S.) Nutrition and Food Service, James H. Quillen VA Medical
Center, Mountain Home, TN, United States.
(Grant L.P., louise.grant2@med.va.gov) Nutrition and Food Service, VA
Medical Centers, Miami, 1201 NW 16th St, Miami, FL 33125, United States.
CORRESPONDENCE ADDRESS
L.P. Grant, Nutrition and Food Service, VA Medical Centers, Miami, 1201 NW
16th St, Miami, FL 33125, United States. Email: louise.grant2@med.va.gov
SOURCE
Journal of the American Dietetic Association (2004) 104:4 (604-610). Date of
Publication: April 2004
ISSN
0002-8223
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
The scope and types of nutrition services provided in substance abuse
treatment programs has not been well defined nor has there been an attempt
to determine if associations exist between the provision of nutrition
services and substance abuse treatment outcomes. The objectives of this
study were to assess the provision (use and extent) of nutrition education
in substance abuse treatment programs in facilities that provide a single or
two or more substance abuse treatment programs, and to determine the
possible association between nutrition intervention and substance abuse
treatment program outcome measures (defined as changes in Addiction Severity
Index [ASI] composite scores). A descriptive, single, cross-sectional survey
of registered dietitians with clinical nutrition program management
responsibility (n=152) was used to define the use and extent of nutrition
services in substance abuse treatment programs. Positive associations
between nutrition services provided, particularly nutrition education
services and substance abuse treatment program outcome measures, were
detected. When group nutrition/substance abuse education was offered, ASI
psychological and medical domain scores improved by 68% and 56%,
respectively (P<.05). Individual nutrition/substance abuse education was a
predictor of ASI family/social domain change scores improving by 99%
(P<.05). In those programs where group nutrition/substance abuse education
was offered, moderate to strong correlations with various nutrition
education services were observed, specifically in individual
nutrition/substance abuse education (r=0.51; P<.05), group normal/nutrition
education (r=0.64; P<.01), and individual normal/nutrition education
(r=0.46; P<.05). Substance abuse treatment programs offering group
nutrition/substance abuse education offered significantly (P<.05) more
nutrition services overall. Findings support the position that nutrition
education is an essential component of substance abuse treatment programs
and can enhance substance abuse treatment outcomes. Dietitians should
promote and encourage the inclusion of nutrition education into substance
abuse treatment programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
health program
nutrient management
substance abuse
EMTREE MEDICAL INDEX TERMS
correlation analysis
dietitian
health promotion
health survey
human
medical assessment
outcomes research
prediction
psychologic assessment
review
scoring system
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
15054346 (http://www.ncbi.nlm.nih.gov/pubmed/15054346)
PUI
L38438391
DOI
10.1016/j.jada.2004.01.008
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jada.2004.01.008
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1524
TITLE
Energizing young professionals through effective training
AUTHOR NAMES
Enos G.
AUTHOR ADDRESSES
(Enos G.)
SOURCE
Behavioral Healthcare Tomorrow (2004) 13:2 (24-28). Date of Publication:
April 2004
ISSN
1063-8490
BOOK PUBLISHER
Manisses Communications Group, Inc.
ABSTRACT
To combat disillusionment and less-than-optimal performance among
entry-level clinical staff, nationally known addiction treatment
organization Rosecrance Health Network standardized its approach to staff
training. the result of that process is being honored this year by the
National Association of Addiction Treatment Providers (NAATP).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
compensation
counseling
health care delivery
health care management
health care organization
health practitioner
human
mental health service
performance
review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
15119122 (http://www.ncbi.nlm.nih.gov/pubmed/15119122)
PUI
L38581726
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1525
TITLE
Addiction medicine.
AUTHOR ADDRESSES
SOURCE
Clinical privilege white paper (2004) :123 (1-8). Date of Publication: Apr
2004
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
accreditation
addiction
psychiatry
EMTREE MEDICAL INDEX TERMS
anesthesiology
article
clinical competence
education
general practitioner
hospital management
human
medical education
medical society
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15061141 (http://www.ncbi.nlm.nih.gov/pubmed/15061141)
PUI
L38551366
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1526
TITLE
Therapist Rotation - A New Element in the Outpatient Treatment of Alcoholism
AUTHOR NAMES
Krampe H.
Wagner T.
Küfner H.
Jahn H.
Stawicki S.
Reinhold J.
Timner W.
Kröner-Herwig B.
Ehrenreich H.
AUTHOR ADDRESSES
(Krampe H.; Wagner T.; Jahn H.; Stawicki S.; Reinhold J.; Timner W.;
Ehrenreich H., ehrenreich@em.mpg.de) Department of Psychiatry,
Georg-August-University, Max-Planck-Inst. for Exp. Medicine, Göttingen,
Germany.
(Küfner H.) Institute for Therapy Research, Munich, Germany.
(Kröner-Herwig B.) Dept. of Clin. Psychol./Psychother.,
Georg-August-University, Göttingen, Germany.
(Ehrenreich H., ehrenreich@em.mpg.de) Max-Planck-Inst. for Exp. Medicine,
Hermann-Rein-Str. 3, 37075 Göttingen, Germany.
CORRESPONDENCE ADDRESS
H. Ehrenreich, Max-Planck-Inst. for Exp. Medicine, Hermann-Rein-Str. 3,
37075 Göttingen, Germany. Email: ehrenreich@em.mpg.de
SOURCE
Substance Use and Misuse (2004) 39:1 (135-178). Date of Publication: 2004
ISSN
1082-6084
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
For nine years, the so-called "therapist rotation" has been a central part
of OLITA, the Outpatient Longterm Intensive Therapy for Alcoholics. Thus
far, the participation of several equally responsible therapists in the
treatment of a patient has rarely been seen as a specific therapeutic
approach. The present article analyzes the therapist rotation from a
theoretical and clinical perspective. Articles concerned with the
therapeutic alliance in the treatment of substance use disorders are
reviewed. Furthermore, the literature on multiple psychotherapy, which may
be seen as the precedent of the therapist rotation is surveyed. Based on the
efficacy of multiple psychotherapy and the importance of the therapeutic
alliance in the treatment of substance use disorders, the present work
discusses the therapist rotation as an essential factor for the success of
OLITA. It considers both potential advantages and disadvantages for patients
and therapists and tries to identify conditions under which this approach
appears to promote therapeutic interactions. Finally, the implementation of
therapist rotation into OLITA is described, including the theoretical
background of the program itself and the treatment procedure. New areas of
application for the therapist rotation are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
psychotherapist
EMTREE MEDICAL INDEX TERMS
human
outpatient care
priority journal
psychotherapy
review
substance abuse
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish, French
EMBASE ACCESSION NUMBER
2004094268
MEDLINE PMID
15002947 (http://www.ncbi.nlm.nih.gov/pubmed/15002947)
PUI
L38251909
DOI
10.1081/JA-120027769
FULL TEXT LINK
http://dx.doi.org/10.1081/JA-120027769
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1527
TITLE
Qualified withdrawal treatment in alcohol dependence
ORIGINAL (NON-ENGLISH) TITLE
Qualifizierte entzugsbehandlung bei alkoholabhängigkeit
AUTHOR NAMES
Diehl A.
Mann K.
AUTHOR ADDRESSES
(Diehl A., diehl@zi-mannheim.de; Mann K.) Klin. Abhangiges
Verhalten/Suchtmed., Zentralinst. Seelis. Gesun. Mannheim, Universität
Heidelberg, Mannheim, Germany.
(Diehl A., diehl@zi-mannheim.de) Klin. Abhangiges Verhalten/Suchtmed.,
Zentralinst. Seelis. Gesun. Mannheim, Universität Heidelberg J5, 68159
Mannheim, Germany.
CORRESPONDENCE ADDRESS
A. Diehl, Klin. Abhangiges Verhalten/Suchtmed., Zentralinst. Seelis. Gesun.
Mannheim, Universität Heidelberg J5, 68159 Mannheim, Germany. Email:
diehl@zi-mannheim.de
SOURCE
PsychoNeuro (2004) 30:1 (37-41). Date of Publication: 2004
ISSN
1611-9991
ABSTRACT
The primary aim of the traditional detoxification treatment is to guarantee
the survival of the patient and to control the withdrawal symptoms by using
adequate medications. Up to now specific procedures against the underlying
dependence are adopted in a few cases only. The reevaluations of this
traditional detoxification show exceptionally poor results. For inpatient
detoxification in general hospitals essential improvements of the existing
care system could be achieved with liaison-services trained in addiction
medicine, turning the detoxification into a "qualified withdrawal
treatment". This enhanced detoxification is also applicable for outpatient
treatment in selected patients. In cooperation of physicians, psychologists
and social workers motivational techniques are added to standard acute
treatment. The aim of these interventions is the consistent development of a
sufficient self insight in the disease which finally leads to the
willingness of the patient to enter further abstinence-maintaining
treatments. According to the health reform-law 2000 an all inclusive
remuneration system is being introduced in Germany by means of adapting the
Australian DRG- (Diagnosis Related Groups) system. If the qualified
withdrawal treatment in alcohol dependence (ICD 10 F10.2) is to be carried
out in general hospitals the expenses are in no way covered by the DRG.
Somatic departments should be enabled to realize this demanding and
cost-saving offer of the qualified withdrawal treatment with regard to
treatment duration and staff availability by an appropriate financing.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (disease management)
withdrawal syndrome (disease management)
EMTREE MEDICAL INDEX TERMS
alcohol abstinence
cost control
detoxification
diagnosis related group
financial management
general hospital
Germany
health care system
human
motivation
outpatient care
short survey
symptomatology
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2004075099
PUI
L38200210
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1528
TITLE
A study of smoking and smoking cessation on the curricula of UK medical
schools
AUTHOR NAMES
Roddy E.
Rubin P.
Britton J.
AUTHOR ADDRESSES
(Roddy E., elin.roddy@nottingham.ac.uk) Division of Respiratory Medicine,
Clinical Sciences Building, Nottingham City Hospital, Hucknall Road,
Nottingham NG5 1PB, United Kingdom.
(Roddy E., elin.roddy@nottingham.ac.uk) Division of Respiratory Medicine,
Sch. of Med. and Surgical Sciences, University of Nottingham, Nottingham,
United Kingdom.
(Rubin P.) Fac. of Medicine and Health Sciences, University of Nottingham, .
(Britton J.) Div. of Epidemiol. and Public Health, School of Community
Health Sciences, University of Nottingham, .
CORRESPONDENCE ADDRESS
E. Roddy, Division of Respiratory Medicine, Clinical Sciences Building,
Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, United Kingdom.
Email: elin.roddy@nottingham.ac.uk
SOURCE
Tobacco Control (2004) 13:1 (74-77). Date of Publication: March 2004
ISSN
0964-4563
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Objectives: To identify current practice in teaching on smoking and smoking
cessation in UK medical schools, and establish whether newly qualified UK
doctors feel prepared to deliver smoking cessation interventions. Design:
Search of published curricula from all UK medical schools; questionnaire
surveys of all UK medical school deans and UK qualified pre-registration
house officers (PRHOs). Participants: Deans or nominated representatives
from all 24 UK medical schools with current undergraduates, and all UK
qualified PRHOs. Main outcome measures: Inclusion and organisation in
curriculum of 15 predefined core topics related to smoking (deans);
perceived readiness to deliver smoking cessation interventions (PRHOs).
Results: There was no mention of smoking or smoking cessation in the
published curriculum material of 10 (42%) medical schools. Deans reported
compulsory teaching on a mean (SD) of 9.5 (2.8) core topics, while PRHOs
recalled compulsory teaching in only 6.6 (3.2). Training in clinical aspects
of smoking cessation was particularly neglected, with 60% of PRHOs reporting
that they graduated unable to deliver smoking cessation interventions in
accordance with national guidelines. Only 17% of PRHOs felt well prepared to
deliver advice on using nicotine replacement therapy, and 5% on bupropion.
Conclusions: Teaching on smoking cessation in UK medical schools is
inadequate.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical school
smoking
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
health service
health survey
human
physician
questionnaire
teaching
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
14985601 (http://www.ncbi.nlm.nih.gov/pubmed/14985601)
PUI
L39456647
DOI
10.1136/tc.2003.004572
FULL TEXT LINK
http://dx.doi.org/10.1136/tc.2003.004572
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1529
TITLE
A comparison of health professions student attitudes regarding tobacco
curricula and interventionist roles.
AUTHOR NAMES
Fried J.L.
Reid B.C.
DeVore L.E.
AUTHOR ADDRESSES
(Fried J.L.; Reid B.C.; DeVore L.E.) Dental Hygiene Program, Department of
Health Promotion and Policy, School of Dentistry, University of Maryland,
Baltimore 21201, USA.
CORRESPONDENCE ADDRESS
J.L. Fried, Dental Hygiene Program, Department of Health Promotion and
Policy, School of Dentistry, University of Maryland, Baltimore 21201, USA.
Email: jlf001@dental.umaryland.edu
SOURCE
Journal of dental education (2004) 68:3 (370-377). Date of Publication: Mar
2004
ISSN
0022-0337
ABSTRACT
Health care providers who feel prepared are more apt to assume tobacco
interventionist roles; therefore, educational preparation is critical. A
nonprobability sample of health professions students at an urban academic
health center were asked to respond to a twenty-two-item survey eliciting
demographic, behavioral, and tobacco-related attitudinal information.
Frequency distributions were assessed with Pearson chi-square statistics.
The overall response rate was 76.7 percent, and final sample size was 319.
Current use of spit tobacco (ST) was 2.5 percent and current smoking 5.6
percent. In comparing current smokers to nonsmokers and current ST users to
nonusers, we found that no differences in proportion agreeing with any of
the five questions about attitudes and opinions were statistically
significant at p-value 0.05. At least 70 percent of students from each of
six health professions programs agreed it was their professional
responsibility to help smokers quit, and at least 65 percent agreed to the
same responsibility for helping ST users quit. The proportion agreeing that
their programs had course content describing their role in helping patients
quit tobacco use varied widely by program from 100 percent agreement among
dental hygiene and pharmacy students to 14.6 percent of physical therapy
students (p-value <0.001). When asked whether their program adequately
prepared them to help smokers quit, agreement ranged from 100 percent among
dental hygiene students to only 5.5 percent among physical therapy students
(p-value <0.001). Almost 90 percent of dental hygiene students agreed that
they were adequately trained to help ST users quit, but no other program had
a percentage of agreement above 34 percent (p-value <0.001). Consistent and
comprehensive multidisciplinary tobacco-related curricula could offer
desirable standardization.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
health personnel attitude
professional standard
smoking cessation
tobacco dependence (prevention)
vocational education
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
comparative study
dental assistant
dental student
education
female
human
male
medical ethics
medical student
methodology
nursing student
patient education
pharmacy student
physiotherapy
smoking (epidemiology)
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15038638 (http://www.ncbi.nlm.nih.gov/pubmed/15038638)
PUI
L38432253
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1530
TITLE
Workforce Information on Addiction Psychiatry Graduates
AUTHOR NAMES
Tinsley J.A.
AUTHOR ADDRESSES
(Tinsley J.A., tinsley@psychiatry.uchc) Psychiatric Residency Training,
Department of Psychiatry, University of Connecticut, Farmington, CT, United
States.
(Tinsley J.A., tinsley@psychiatry.uchc) Univ. of Connecticut Health Center,
263 Farmington Ave., Farmington, CT 06030-1935, United States.
CORRESPONDENCE ADDRESS
J.A. Tinsley, Univ. of Connecticut Health Center, 263 Farmington Ave.,
Farmington, CT 06030-1935, United States. Email: tinsley@psychiatry.uchc
SOURCE
Academic Psychiatry (2004) 28:1 (56-59). Date of Publication: Spring 2004
ISSN
1042-9670
BOOK PUBLISHER
American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite
1825,Arlington, United States.
ABSTRACT
Objective: The aim of this paper is to report workforce information about
graduates from accredited training programs in addiction psychiatry.
Methods: As of June 30, 2002 there were 44 ACGME-accredited addiction
psychiatry programs. The author asked the directors of these programs to
complete a workforce survey about their graduates. Results: Seventy-three
percent of program directors responded, providing information about 186
addiction psychiatrists. Forty-one percent of the graduates were employed in
academic settings. Sixty-four percent of graduates employed in clinical
settings dealt primarily with substance abuse patients. A majority of
respondents described graduates as satisfied with compensation packages.
Conclusion: Addiction psychiatry offers opportunities in a variety of
settings that allow new graduates to utilize their subspecialty training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
addiction psychiatry
employability
information
psychiatry
workforce information
EMTREE MEDICAL INDEX TERMS
accreditation
adult
article
compensation
education program
female
human
job satisfaction
male
medical specialist
normal human
substance abuse
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004190940
MEDLINE PMID
15140809 (http://www.ncbi.nlm.nih.gov/pubmed/15140809)
PUI
L38552647
DOI
10.1176/appi.ap.28.1.56
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.28.1.56
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1531
TITLE
Treating Opioid Dependence: Growing Implications for Primary Care
AUTHOR NAMES
Krantz M.J.
Mehler P.S.
AUTHOR ADDRESSES
(Krantz M.J., mkrantz@dhha.org; Mehler P.S.) Department of Medicine, Univ.
of Colorado Hlth. Sci. Center, Denver Health, Denver, CO, United States.
(Krantz M.J., mkrantz@dhha.org) Cardiology Division, Denver Health, MC 0960,
777 Bannock St, Denver, CO 80204, United States.
CORRESPONDENCE ADDRESS
M.J. Krantz, Cardiology Division, Denver Health, MC 0960, 777 Bannock St,
Denver, CO 80204, United States. Email: mkrantz@dhha.org
SOURCE
Archives of Internal Medicine (2004) 164:3 (277-288). Date of Publication: 9
Feb 2004
ISSN
0003-9926
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Almost 3 million Americans have abused heroin. The most effective treatment
for this concerning epidemic is opioid replacement therapy. Although, from a
historical perspective, acceptance of this therapy has been slow, growing
evidence supports its efficacy. There are 3 approved medications for opioid
maintenance therapy: methadone hydrochloride, levomethadyl acetate, and
buprenorphine hydrochloride. Each has unique characteristics that determine
its suitability for an individual patient. Cardiac arrhythmias have been
reported with methadone and levomethadyl, but not with buprenorphine. Due to
concerns about cardiac risk, levomethadyl use has declined and the product
may ultimately be discontinued. These recent safety concerns, specifics
about opioid detoxification and maintenance, and new federal initiatives
were studied. Opioid detoxification has a role in both preventing acute
withdrawal and maintaining long-term abstinence. Although only a minority of
eligible patients are engaged in treatment, opioid maintenance therapy
appears to offer the greatest public health benefits. There is growing
interest in expanding treatment into primary care, allowing opioid addiction
to be managed like other chronic illnesses. This model has gained wide
acceptance in Europe and is now being implemented in the United States. The
recent Drug Addiction Treatment Act enables qualified physicians to treat
opioid-dependent patients with buprenorphine in an office-based setting.
Mainstreaming opioid addiction treatment has many advantages; its success
will depend on resolution of ethical and delivery system issues as well as
improved and expanded training of physicians in addiction medicine.
EMTREE DRUG INDEX TERMS
acetylmethadol (adverse drug reaction, drug therapy)
buprenorphine (adverse drug reaction, drug therapy)
levacetylmethadol (adverse drug reaction, drug therapy)
methadone (adverse drug reaction, drug therapy)
narcotic analgesic agent (adverse drug reaction, drug therapy)
opiate (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction (drug therapy, epidemiology, etiology, rehabilitation, side
effect)
primary medical care
EMTREE MEDICAL INDEX TERMS
bile duct disease (side effect)
chronic disease
constipation (side effect)
drug detoxification
drug efficacy
drug safety
drug withdrawal
dysphoria (side effect)
epidemic
euphoria
Europe (epidemiology)
faintness (side effect)
heart arrhythmia (side effect)
heroin dependence (drug therapy, epidemiology)
hot flush (side effect)
human
iatrogenic disease
insomnia (side effect)
libido disorder (side effect)
maintenance therapy
nausea (side effect)
prevalence
primary health care
priority journal
pruritus (side effect)
review
risk assessment
side effect (side effect)
standard
sweat gland disease (side effect)
torsade des pointes (side effect)
United States (epidemiology)
urinary hesitancy (side effect)
urine retention (side effect)
urticaria (side effect)
withdrawal syndrome (epidemiology, prevention, rehabilitation)
DRUG TRADE NAMES
subutex
CAS REGISTRY NUMBERS
acetylmethadol (17199-59-6, 509-74-0)
buprenorphine (52485-79-7, 53152-21-9)
levacetylmethadol (34433-66-4)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004066346
MEDLINE PMID
14769623 (http://www.ncbi.nlm.nih.gov/pubmed/14769623)
PUI
L38180528
DOI
10.1001/archinte.164.3.277
FULL TEXT LINK
http://dx.doi.org/10.1001/archinte.164.3.277
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1532
TITLE
Antismoking education in Czech medical and dental faculties.
AUTHOR NAMES
Hrubá D.
Slezák R.
AUTHOR ADDRESSES
(Hrubá D.; Slezák R.) Department of Preventive Medicine, Medical Faculty,
Masaryk University, Brno, Czech Republic.
CORRESPONDENCE ADDRESS
D. Hrubá, Department of Preventive Medicine, Medical Faculty, Masaryk
University, Brno, Czech Republic.
SOURCE
European journal of dental education : official journal of the Association
for Dental Education in Europe (2004) 8 Suppl 4 (36-41). Date of
Publication: Feb 2004
ISSN
1396-5883
ABSTRACT
Smoking education has been included in the curricula in all the medical
faculties of the Czech Republic, although the scope of the education varies.
At each of the faculties, a member of the staff has been appointed as
co-ordinator of smoking education. These coordinators promote a sharing of
experience and distribution of teaching materials. At the majority of
faculties, obligatory workshops are held for all students to learn about
smoking and smoking treatment within the framework of preventive medicine.
In addition, selected students undertake selected studies on smoking and
health as part of their research. At the Medical Faculty of Masaryk
University, Brno, smoking education is included in the majority of
theoretical and clinical subjects and its effectiveness is repeatedly
assessed during the 6-year course study by testing the students' knowledge
and smoking behaviour. The evaluation provides a basis for further
modification and improvement of the education. Currently, a fundamental
transformation of dental education is being undertaken in all medical
faculties of the Czech Republic. These new curricula will benefit from the
curriculum of the Medical Faculty, at Hradec Králové, where the changes that
were made 5 years ago involve theoretical and practical education in the
risks of smoking for oral health throughout the 5-year stomatology courses.
Postgraduate medical education involves professional 2-day seminars for
general practitioners on approaches to smoking cessation and smoking
dependence treatment, and professional materials such as smoking cessation
guidelines are published in medical and specialist journals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dental education
medical education
medical school
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
attitude to health
curriculum
Czech Republic
female
human
male
methodology
smoking cessation
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14725652 (http://www.ncbi.nlm.nih.gov/pubmed/14725652)
PUI
L38347616
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1533
TITLE
An iceberg in Springfield: Using the humanities to explore and challenge the
attitudes of general practice (GP) educators towards the management of GP
registrars with substance abuse problems
AUTHOR NAMES
Moulton E.A.
McMain S.S.
AUTHOR ADDRESSES
(Moulton E.A., drlizmoulton@hotmail.com) St. James University Hospital,
Leeds, United Kingdom.
(McMain S.S.) Yorkshire Deanery, Leeds, United Kingdom.
(Moulton E.A., drlizmoulton@hotmail.com) Postgraduate Centre, St. James
University Hospital, Leeds LS9 7TF, United Kingdom.
CORRESPONDENCE ADDRESS
E.A. Moulton, Postgraduate Centre, St. James University Hospital, Leeds LS9
7TF, United Kingdom. Email: drlizmoulton@hotmail.com
SOURCE
Medical Education (2004) 38:2 (218-222). Date of Publication: February 2004
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
INTRODUCTION: Some general practice registrars (GPRs) have substance abuse
problems, and course organisers and trainers need to be vigilant to this
possibility. We describe a critical incident involving this type of problem,
and how the learning was shared with other GP educators. By using the
humanities, we attempted to generate an emotional as well as an intellectual
response, with the aim of achieving deeper learning. METHODS: We gave a
presentation to a group of GP educators, using a variety of material from
the creative arts (visual, auditory and creative writing) to raise awareness
of the issues. The presentation was designed to enable participants to
experience some of the feelings of surprise and lack of preparedness that we
had experienced ourselves. RESULTS: The presentation stimulated an in-depth
discussion about the challenges faced by educators when they discover that
their learners may have substance abuse problems. Early and late evaluation
indicated that awareness of the problem had been raised and attitudes
challenged and changed. Participation in the presentation had stimulated
educators to consider including this area within their teaching, to be more
vigilant to the possibility of registrars with substance abuse problems and
to think about developing systems to manage such registrars. CONCLUSION:
Diverse educational methods can be effective when teaching within difficult
and complex areas that challenge attitudes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
humanities
substance abuse
EMTREE MEDICAL INDEX TERMS
art
article
attitude
general practice
human
learning
medical education
registration
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004111999
MEDLINE PMID
14871392 (http://www.ncbi.nlm.nih.gov/pubmed/14871392)
PUI
L38299676
DOI
10.1111/j.1365-2923.2004.01757.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2923.2004.01757.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1534
TITLE
Exploring the context of drug use: A problem-based learning course in
pharmacoepidemiology for undergraduate science students
AUTHOR NAMES
Rangachari P.K.
AUTHOR ADDRESSES
(Rangachari P.K., chari@mcmaster.ca) Intestinal Dis. Research Programme,
McMaster University, 1200 Main Street West, Hamilton, Ont. L8 N 3Z5, Canada.
CORRESPONDENCE ADDRESS
P.K. Rangachari, Intestinal Dis. Research Programme, McMaster University,
1200 Main Street West, Hamilton, Ont. L8 N 3Z5, Canada. Email:
chari@mcmaster.ca
SOURCE
Naunyn-Schmiedeberg's Archives of Pharmacology (2004) 369:2 (184-191). Date
of Publication: February 2004
ISSN
0028-1298
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
ABSTRACT
The teaching of pharmacoepidemiology has been largely confined to health
care professionals and graduate students. This paper reports an attempt to
use problem-based learning (PBL) to teach the elements of that discipline to
undergraduate science students. Carefully sequenced problems led students to
consider the following issues: the terms used in epidemiology, merits and
demerits of different epidemiological study designs, pharmacovigilance, the
nature of evidence in law and science, economic evaluation of drugs and the
use of drugs in different cultures. The 12-week course was taken by students
in their final term prior to graduation. Multiple evaluation procedures were
used: specific forms for assessing tutorial participation, individual
explorations assessed usually by written essays and problem-solving
exercises. The course has received high ratings from the students. The
observations over a 10-year period suggest that PBL is a feasible approach
to teach the social dimensions of drug use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
learning
medical student
pharmacoepidemiology
EMTREE MEDICAL INDEX TERMS
article
drug surveillance program
evaluation study
examination
human
law
science
teaching
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004101322
MEDLINE PMID
14722623 (http://www.ncbi.nlm.nih.gov/pubmed/14722623)
PUI
L38270774
DOI
10.1007/s00210-003-0845-x
FULL TEXT LINK
http://dx.doi.org/10.1007/s00210-003-0845-x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1535
TITLE
A New Curriculum Using Active Learning Methods and Standardized Patients to
Train Residents in Smoking Cessation
AUTHOR NAMES
Humair J.-P.
Cornuz J.
AUTHOR ADDRESSES
(Humair J.-P., Jean-Paul.Humair@hcuge.ch) Department of Community Medicine,
Geneva University Hospital, Geneva, Switzerland.
(Cornuz J.) Outpatient Clinic, Lausanne University Hospital, Lausanne,
Switzerland.
(Cornuz J.) Department of Medicine, Lausanne University Hospital, Lausanne,
Switzerland.
(Cornuz J.) Inst. of Social and Prev. Medicine, Lausanne University,
Lausanne, Switzerland.
(Humair J.-P., Jean-Paul.Humair@hcuge.ch) Medical Policlinic, Department of
Community Medicine, Geneva University Hospital, 24 Rue Micheli-Du-Crest,
CH-1211 Geneva 14, Switzerland.
CORRESPONDENCE ADDRESS
J.-P. Humair, Medical Policlinic, Department of Community Medicine, Geneva
University Hospital, 24 Rue Micheli-Du-Crest, CH-1211 Geneva 14,
Switzerland. Email: Jean-Paul.Humair@hcuge.ch
SOURCE
Journal of General Internal Medicine (2003) 18:12 (1023-1027). Date of
Publication: December 2003
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
Physicians can play a key role in smoking cessation but often fail to advise
smokers effectively, mainly because they lack counseling skills. We need
effective training programs starting during residency to improve physicians'
smoking cessation interventions and smokers' quit rates. To achieve this
goal, we developed a curriculum using active learning methods and the
stages-of-change model. A randomized trial demonstrated that this program
increased the quality of physician's counseling and smokers' quit rates at 1
year. This paper describes the educational content and methods of this
program. Participants learn to assess smokers' stage of change, to use
counseling strategies matching the smoker's stage, and to prescribe
pharmacological therapy. This 2 half-day training program includes
observation of video-clips, interactive workshops, role plays, practice with
standardized patients, and written material for physicians and patients.
Participants reached learning objectives and appreciated the content and
active methods of the program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
educational technology
learning
residency education
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
clinical education
controlled study
female
health care quality
health program
human
male
medical assessment
medicine
patient counseling
process model
simulation
standard
videorecording
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004034548
MEDLINE PMID
14687261 (http://www.ncbi.nlm.nih.gov/pubmed/14687261)
PUI
L38091397
DOI
10.1111/j.1525-1497.2003.20732.x
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1525-1497.2003.20732.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1536
TITLE
General practitioners' diagnostic skills and referral practices in managing
patients with drug and alcohol-related health problems: Implications for
medical training and education programmes
AUTHOR NAMES
Fucito L.M.
Gomes B.S.
Murnion B.
Haber P.S.
AUTHOR ADDRESSES
(Fucito L.M.; Murnion B.; Haber P.S., phaber@mail.usyd.edu.au) Drug Health
Services, Royal Prince Alfred Hospital, Camperdown, NSW.
(Gomes B.S.; Haber P.S., phaber@mail.usyd.edu.au) Department of Medicine,
University of Sydney, NSW, Australia.
(Fucito L.M.; Murnion B.) Drug, Health Services, Royal Prince Alfred
Hospital, Missenden Road, Camperdown, NSW 2050, Australia.
(Gomes B.S.) University of Sydney, NSW 2006, .
(Gomes B.S.) PO Box 1026, Newcastle, NSW 2300, Australia.
(Murnion B.) Department of Medicine, University of Sydney, NSW 2006.
(Murnion B.) Department of Pharmacology, St. Vincent's Hospital, Victoria
Street, Missenden Road, Camperdown, NSW 2050, Australia.
(Haber P.S., phaber@mail.usyd.edu.au) Department of Medicine, School of
Public Health, University of Sydney, NSW 2006, Australia.
CORRESPONDENCE ADDRESS
P.S. Haber, Department of Medicine, School of Public Health, University of
Sydney, Sydney, NSW 2006, Australia. Email: phaber@mail.usyd.edu.au
SOURCE
Drug and Alcohol Review (2003) 22:4 (417-424). Date of Publication: December
2003
ISSN
0959-5236
BOOK PUBLISHER
Routledge
ABSTRACT
The aim of this study was to determine the current practices of established
general practitioners in managing patients with drug and alcohol-related
problems and identify gaps in-training. A random sample of general
practitioners completed a survey assessing diagnostic skills and referral
practices concerning alcohol and illicit drug use in general practices in
February 1999, comprising 110 general practitioners registered with the
Central Sydney Division of General Practice. The main outcome measures were
competent skills and knowledge, willingness to treat. The majority (96%) of
GPs provided clinically appropriate responses for at least one drug
category, although none received this rating for all six. Most general
practitioners reported that they were unwilling to treat heroin and cocaine
problems themselves but expressed willingness to refer patients
appropriately. More than a quarter of general practitioners were unaware of
the safe drinking levels for men and women or the appropriate treatment for
patients consuming above such levels. Age, years in practice, type of
practice, willingness to obtain drug use histories and post-graduate
training were all significantly associated with general practitioners'
willingness to treat and competence in managing drug and alcohol-related
problems. In this study, general practioners reported low levels of skills
and referrals for treatment of illicit drug use and suboptimal skills in the
management of alcohol problems. The results suggest that a more
comprehensive approach to education and training is required to bring about
a change in practice behaviour.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
clinical practice
medical education
patient referral
primary health care
professional competence
EMTREE MEDICAL INDEX TERMS
adult
alcoholism (therapy)
article
car driving
human
middle aged
questionnaire
standard
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
14660131 (http://www.ncbi.nlm.nih.gov/pubmed/14660131)
PUI
L37496015
DOI
10.1080/09595230310001613930
FULL TEXT LINK
http://dx.doi.org/10.1080/09595230310001613930
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1537
TITLE
Primary health care physicians' knowledge of prophylactics of drug abuse.
AUTHOR NAMES
Kulik T.B.
Kobyłecka E.
Modzelewska T.
Kachaniuk H.
Stefanowicz A.
AUTHOR ADDRESSES
(Kulik T.B.; Kobyłecka E.; Modzelewska T.; Kachaniuk H.; Stefanowicz A.)
Interfaculty Chair and Department of Public Health, Medical University of
Lublin.
CORRESPONDENCE ADDRESS
T.B. Kulik, Interfaculty Chair and Department of Public Health, Medical
University of Lublin.
SOURCE
Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina (2003)
58:2 (220-226). Date of Publication: 2003
ISSN
0066-2240
ABSTRACT
The purpose of the study was the evaluation of the assumptions of drug
addiction prophylactics and its realization in the practice of primary
health care physicians as well as determination of the possibilities of
introducing changes in the training of physicians which would favour the
increase and extension of knowledge in this field. The method applied in the
study was a survey based on the questionnaire distributed among 410 primary
health care physicians who attended up-dating courses on family medicine
organized by the Institute of Rural Medicine in Lublin. The results were
statistically analyzed with application of Excel Statistica Stargraf 6.0
software and the authors' own programmes. The results indicate that primary
health care physician's basic and limited knowledge on drug abuse originates
from university studies and it is limited to information concerning the
reasons, mechanisms, medical effects and some methods of treatment. In the
procedures created for the practice of primary health care physicians direct
activities related to the drug abuse prophylactics are not considered but
only a general health care in the region. However, indirectly the primary
health care physicians and family physicians realize so called educational
care in the region by cooperating with the nurses and midwives employed in
the region or in so called practice of a family physician where educational
packages are created, ie. prophylactics of addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
general practitioner
EMTREE MEDICAL INDEX TERMS
article
education
evaluation study
human
medical education
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15323195 (http://www.ncbi.nlm.nih.gov/pubmed/15323195)
PUI
L39352250
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1538
TITLE
"Trapped": A Mnemonic for Taking a Substance Use History
AUTHOR NAMES
Welsh C.J.
AUTHOR ADDRESSES
(Welsh C.J., cwelsh@psych.umaryland.edu) Department of Psychiatry, Division
of Alcohol and Drug Abuse, Univ. of Maryland School of Medicine, 22 South
Greene Street, Baltimore, MD 21201, United States.
CORRESPONDENCE ADDRESS
C.J. Welsh, Department of Psychiatry, Division of Alcohol and Drug Abuse,
Univ. of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD
21201, United States. Email: cwelsh@psych.umaryland.edu
SOURCE
Academic Psychiatry (2003) 27:4 (289). Date of Publication: Winter 2003
ISSN
1042-9670
BOOK PUBLISHER
American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite
1825,Arlington, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
psychiatric diagnosis
substance abuse
EMTREE MEDICAL INDEX TERMS
anamnesis
clinical practice
detoxification
drug dependence (diagnosis)
human
letter
nomenclature
residency education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2004064223
MEDLINE PMID
14989212 (http://www.ncbi.nlm.nih.gov/pubmed/14989212)
PUI
L38175938
DOI
10.1176/appi.ap.27.4.289
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.27.4.289
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1539
TITLE
A comparison of syringe prescription and syringe exchange in Rhode Island,
USA
AUTHOR NAMES
Boutwell A.E.
Wolf F.A.
McKenzie M.
Sanford-Colby S.L.
Fulton J.P.
Rich J.D.
AUTHOR ADDRESSES
(Wolf F.A.; McKenzie M.; Rich J.D., JRich@lifespan.org) Miriam Hospital, 164
Summit Avenue, Providence, RI 02906, United States.
(Boutwell A.E.; Wolf F.A.; Sanford-Colby S.L.; Rich J.D.,
JRich@lifespan.org) Brown University, Providence, RI 02912, United States.
(Fulton J.P.) Rhode Island Department of Health, 3 Capitol Hill, Providence,
RI 02908, United States.
CORRESPONDENCE ADDRESS
J.D. Rich, Miriam Hospital, 164 Summit Avenue, Providence, RI 02906, United
States. Email: JRich@lifespan.org
SOURCE
International Journal of Drug Policy (2003) 14:5-6 (457-459). Date of
Publication: Dec 2003
ISSN
0955-3959
ABSTRACT
Prior to the year 2000, strict laws regulated the purchase and possession of
syringes in Rhode Island, USA. More than 50% of the state's AIDS cases were
related to injection drug use, and injecting drug users (IDUs) in Rhode
Island reused each syringe, on average, over 20 times. Rhode Island's
syringe exchange programme began in 1995, and has served over 1700 clients.
In 2001, the programme exchanged almost 45,000 syringes. Participation in
the syringe exchange programme is anonymous, and the programme provides
education, outreach, and referral to substance abuse treatment. A syringe
prescription programme for IDUs began in Rhode Island in 1999; it has served
over 350 patients and prescribed more than 72,000 syringes. In addition to
expanding access to sterile syringes, the syringe prescription programme
also expanded patients' access to disease screening and treatment,
vaccination, primary medical care, and referral to specialists. Since 1995,
there have been three major programmatic and policy approaches adopted in
Rhode Island to address the issue of syringe access for injection drug
users: syringe exchange, legal reform, and syringe prescription. Each
approach offers different ancillary services and appears to appeal to
different populations of IDUs. Adopting multiple approaches to syringe
access may best serve this high-risk population. © 2003 Elsevier B.V. All
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
intravenous drug abuse
prescription
syringe
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
drug dependence treatment
female
health care access
health care distribution
health care policy
health education
health program
high risk population
human
law enforcement
male
medical service
medical specialist
patient referral
preventive health service
primary medical care
priority journal
United States
vaccination
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003467128
PUI
L37412245
DOI
10.1016/S0955-3959(03)00135-X
FULL TEXT LINK
http://dx.doi.org/10.1016/S0955-3959(03)00135-X
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1540
TITLE
Qualified Withdrawal Treatment - Inpatient Detoxification for Alcohol
Addicted Patients and its Ambulant Continuation
ORIGINAL (NON-ENGLISH) TITLE
Qualifizierter Entzug: Die Stationäre Entzugsbehandlung von
Alkoholabhängigen und Ihre Ambulante Fortführung
AUTHOR NAMES
Croissant B.
Mann K.
AUTHOR ADDRESSES
(Croissant B.) Zentralinstitut Seelische Gesundheit, K. Abhangiges
Verhalten/Suchtmedizin, Leitender Oberarzt Klin. (komm.) J5, 68159 Mannheim,
Germany.
(Mann K.)
CORRESPONDENCE ADDRESS
B. Croissant, Zentralinstitut Seelische Gesundheit, K. Abhangiges
Verhalten/Suchtmedizin, Leitender Oberarzt Klin. (komm.) J5, 68159 Mannheim,
Germany.
SOURCE
Klinikarzt (2003) 32:9 (306-312). Date of Publication: 2003
ISSN
0341-2350
BOOK PUBLISHER
Karl Demeter Verlag GmbH, Rudigerstr. 14, Stuttgart, Germany.
ABSTRACT
The primary aim of the traditional detoxification treatment is to guarantee
the survival of the patient with the help of adequate medication. Up to now
specific procedures against the underlying dependence are adopted in a few
cases only. The reevaluations of this traditional detoxification show
exceptionally poor results. For inpatient detoxification in general
hospitals essential improvements of the existing care system can be achieved
with the help of liaison-services trained in addiction medicine.
Motivational techniques are added to standard acute treatment while the aim
of these interventions is the consistent development of a sufficient self
insight in the disease which finally leads to the willingness of the patient
to enter further abstinence-maintaining treatments. According to the health
reform-law 2000 an all inclusive remuneration system is being introduced in
Germany. For this purpose the Australian DRG (Diagnosis Related
Groups)-system is adapted. The expenses for the treatment constellation
"Qualified withdrawal treatment" are not represented in this system. If the
qualified withdrawal treatment in alcohol dependence (ICD 10 F10.2) is to be
carried out in general hospitals - with a multiprofessional team - the
expenses are in no way covered by the DRG. Somatic departments should be
enabled to realize this demanding and in the whole course cost-saving offer
of the "qualified withdrawal treatment" which is provided by physicians,
psychologists and social workers in common with regard to treatment duration
and personnel equipment by a suitable financing.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (disease management)
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcohol withdrawal syndrome
article
detoxification
diagnosis related group
health care cost
hospital patient
human
outpatient care
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2003429571
PUI
L37309520
DOI
10.1055/s-2003-42383
FULL TEXT LINK
http://dx.doi.org/10.1055/s-2003-42383
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1541
TITLE
Age and education patterns of smoking among women in high-income nations
AUTHOR NAMES
Pampel F.C.
AUTHOR ADDRESSES
(Pampel F.C., fred.pampel@colorado.edu) Population Program, University of
Colorado, Boulder, CO 80309 0484, United States.
CORRESPONDENCE ADDRESS
F.C. Pampel, Population Program, University of Colorado, Boulder, CO 80309
0484, United States. Email: fred.pampel@colorado.edu
SOURCE
Social Science and Medicine (2003) 57:8 (1505-1514). Date of Publication:
October 2003
ISSN
0277-9536
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
In suggesting that levels of female smoking in high-income nations result
from patterns of adoption and abatement during the process of cigarette
diffusion, theories of diffusion predict that age and education patterns of
smoking shift from concentration among young and highly educated women to
older and less educated women as cigarette use spreads through a population
and begins to decline. Using survey data on individuals from 16 European
nations, aggregate measures of cigarette diffusion, and multilevel
statistical models, this study demonstrates that age and education patterns
vary with the stage of cigarette diffusion as predicted by the diffusion
theories, and provides some evidence concerning future patterns of change in
female smoking across nations at diverse stages of cigarette diffusion. ©
2003 Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
income
medical education
EMTREE MEDICAL INDEX TERMS
adoption
article
biodiversity
controlled study
diffusion
female
human
population
statistical analysis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003323370
MEDLINE PMID
12927479 (http://www.ncbi.nlm.nih.gov/pubmed/12927479)
PUI
L36960202
DOI
10.1016/S0277-9536(02)00543-9
FULL TEXT LINK
http://dx.doi.org/10.1016/S0277-9536(02)00543-9
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1542
TITLE
Computer telephony: Automated calls for medical care
AUTHOR NAMES
Biem H.J.
Turnell R.W.
D'Arcy C.
AUTHOR ADDRESSES
(Biem H.J., biem@skyway.usask.ca) Div. of General Internal Medicine,
Department of Medicine, University of Saskatchewan, Saskatoon, Sask.,
Canada.
(Turnell R.W.) Dept. of Obstetrics and Gynecology, University of Alberta,
Edmonton, Alta., Canada.
(D'Arcy C.) Department of Psychiatry, University of Saskatchewan, Saskatoon,
Sask., Canada.
(Biem H.J., biem@skyway.usask.ca) 103 Hospital Dr., Saskatoon, Sask. S7N
0W8, Canada.
CORRESPONDENCE ADDRESS
H.J. Biem, 103 Hospital Dr., Saskatoon, Sask. S7N 0W8, Canada. Email:
biem@skyway.usask.ca
SOURCE
Clinical and Investigative Medicine (2003) 26:5 (259-268). Date of
Publication: October 2003
ISSN
0147-958X
BOOK PUBLISHER
The Canadian Society for Clinical Investigation, 774 Echo Drive Ottawa,
Ontario, Canada.
ABSTRACT
Background: The computer telephony system (CTS) combines computer and
telephone to automate the collection, processing and dissemination of
information. Many innovative applications of the CTS have emerged. In this
article we summarize the evidence for CTS-based medical interventions based
on randomized controlled trials. Methods: We searched for trials in MEDLINE,
CINAHL, the Cochrane Central Register of Controlled Trials, and
bibliographies of retrieved articles, review articles and textbooks. We
excluded non-English articles and those pertaining to psychology, addiction,
psychiatry, research and education. Results: In health care delivery, 3 of 4
trials of CTS-based interventions improved clinic show rates. In preventive
health care, 4 of 5 showed higher childhood immunization rates. For
nutrition, 2 small trials showed no clear benefit in cholesterol lowering or
in weight reduction, but 1 trial showed a benefit in fibre intake. For
increasing physical activity, 1 smaller trial showed no benefit but a larger
one did. For medical management of chronic conditions, 1 trial showed
improved hemoglobin A(1c) levels and 1 trial showed better processes of care
in diabetes. In hypertension management, 1 trial found better adherence to
medication regimens and control of blood pressure. In outpatient oncology
care, 1 trial showed better supportive care. For support of caregivers for
dementia patients, 1 trial showed no benefit. One small trial showed better
adherence to medication in seniors. Conclusions: The CTS has diverse
applications in medical care; however, the evidence for these is limited.
Despite being impersonal, the reliability and availability of the CTS make
it attractive for reminders and follow-up. More research is needed to
determine the role of the CTS in medical care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
information processing
medical care
EMTREE MEDICAL INDEX TERMS
automation
Cochrane Library
computer
follow up
health care delivery
human
hypertension
long term care
Medline
nutrition
oncology
patient compliance
preventive medicine
priority journal
publication
review
telephone
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2003485614
MEDLINE PMID
14596488 (http://www.ncbi.nlm.nih.gov/pubmed/14596488)
PUI
L37463936
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1543
TITLE
Education in addiction medicine: From sensibilization to specialisation
ORIGINAL (NON-ENGLISH) TITLE
Enseignement de la médecine de l'addiction: De la sensibilisation à la
spécialisation
AUTHOR NAMES
Dubois J.-A.
Broers B.
AUTHOR ADDRESSES
(Dubois J.-A., jean-alain.dubois@ne.ch) Ctr. Prev./Traitement Toxicomanie,
Rue de l'Hôtel-de-Ville 27, 2300 La Chaux-de-Fonds, Switzerland.
(Broers B., barbara.broers@hcuge.ch) Dept. de Medecine Communautaire,
Hôpital Cantonal Universitaire, 1211 Genève 14, Switzerland.
CORRESPONDENCE ADDRESS
J.-A. Dubois, Ctr. Prev./Traitement Toxicomanie, Rue de l'Hôtel-de-Ville 27,
2300 La Chaux-de-Fonds, Switzerland. Email: jean-alain.dubois@ne.ch
SOURCE
Medecine et Hygiene (2003) 61:2451 (1793-1798). Date of Publication: 24 Sep
2003
ISSN
0025-6749
ABSTRACT
Education in addiction medicine should be developed, it should start in the
beginning of the medical curriculum, be integrated throughout and beyond in
postgraduate and continuous medical education. In the French speaking part
of Switzerland groups of medical practitioners, meeting since their long
lasting and important implication in substitution treatments, tried to
overcome part of the gaps in education in this field and contributed to the
development of a local and very active network of physicians interested in
addiction problems. Their experiences have helped to guide some principles
for the development of a addiction medicine of quality: 1) it is essential
to take addiction medicine out of the marginality; 2) substance abuse and
dependences are above all within the competence of the primary care
physicians and 3) improved education is not sufficient, the primary care
physician should be able to count on a network of addiction specialists. The
creation of an official certification, not for all general practitioners but
for specialists, could stimulate the development of this network, intensify
links between research and practice and favour a coherent and unified
approach to addictions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
EMTREE MEDICAL INDEX TERMS
certification
clinical practice
continuing education
curriculum
general practice
general practitioner
medical education
medical practice
medical specialist
postgraduate education
primary medical care
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2003400633
PUI
L37210145
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1544
TITLE
Training physicians in smoking cessation: Research and education serving
public health
ORIGINAL (NON-ENGLISH) TITLE
Formation postgraduée et continue des médecins à la désaccoutumance au
tabac: Description d'un programme efficace
AUTHOR NAMES
Humair J.-P.
Cornuz J.
AUTHOR ADDRESSES
(Humair J.-P., Jean-Paul.Humair@hcuge.ch) Policlinique de Médecine, Dept. de
Medecine Communautaire, Hopitaux Universitaires de Geneve, 1211 Genève 14,
Switzerland.
(Cornuz J., Jacques.Comuz@chuv.hospvd.ch) Departement de Medecine,
Policlinique de Médecine, Inst. de Med. Sociale et Preventive, 4-6, Avenue
du Bugnon, 1011 Lausanne, Switzerland.
CORRESPONDENCE ADDRESS
J.-P. Humair, Policlinique de Médecine, Dept. de Medecine Communautaire,
Hopitaux Universitaires de Geneve, 1211 Genève 14, Switzerland. Email:
Jean-Paul.Humair@hcuge.ch
SOURCE
Medecine et Hygiene (2003) 61:2451 (1809-1815). Date of Publication: 24 Sep
2003
ISSN
0025-6749
ABSTRACT
Tobacco smoking is a major public health problem; smoking cessation is
beneficial but is a difficult process through stages with increasing
motivation and a withdrawal from nicotine addiction for most smokers.
Physicians are ideally placed to help smokers quit as they can effectively
provide counseling matching their motivation to quit and pharmacological
therapy. To train physicians in smoking cessation interventions, a Swiss
group developed a program based on the «trans-theoretical model of change»
and interactive methods focusing on skills practice. A randomised controlled
trial showed that this training program improved physicians' practices and
patients' smoking cessation rates. A national program currently disseminates
this intervention through trained physicians training their peers in their
professional networks.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking
EMTREE MEDICAL INDEX TERMS
clinical practice
counseling
group psychology
health education
health program
human
medical research
motivation
public health
review
skill
smoking cessation
tobacco
training
withdrawal syndrome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2003400636
PUI
L37210148
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1545
TITLE
Continuing medical education: Drug addiction
AUTHOR ADDRESSES
SOURCE
New England Journal of Medicine (2003) 349:10 (1011). Date of Publication: 4
Sep 2003
ISSN
0028-4793
EMTREE DRUG INDEX TERMS
amphetamine
cannabis
diamorphine
morphine
psychostimulant agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
EMTREE MEDICAL INDEX TERMS
alcoholism
alertness
arousal
drug half life
euphoria
human
intoxication
motor activity
note
priority journal
psychomotor activity
somnolence
wellbeing
withdrawal syndrome
CAS REGISTRY NUMBERS
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
diamorphine (1502-95-0, 561-27-3)
morphine (52-26-6, 57-27-2)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2003356222
PUI
L37064784
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1546
TITLE
Obstetrics and gynecology resident education in tobacco, alcohol, and drug
use disorders
AUTHOR NAMES
Potter B.
Fleming M.F.
AUTHOR ADDRESSES
(Potter B., bpotter@fammed.wisc.edu; Fleming M.F.) Department of Family
Medicine, Univ. of Wisconsin Medical School, 777 South Mills Street,
Madison, WI 53715, United States.
CORRESPONDENCE ADDRESS
B. Potter, Department of Family Medicine, Univ. of Wisconsin Medical School,
777 South Mills Street, Madison, WI 53715, United States. Email:
bpotter@fammed.wisc.edu
SOURCE
Obstetrics and Gynecology Clinics of North America (2003) 30:3 (583-599).
Date of Publication: September 2003
ISSN
0889-8545
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Substance use disorders are common problems that all primary care physicians
will encounter. These disorders have a significant impact on the health of
all affected women throughout their lifespan. It is important to know the
effects of drug use on women, so primary care residents need to be prepared
to discuss substance use disorders with their patients. Residents also need
to know that brief interventions can reduce risky behaviors even if they do
not result in abstinence.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (drug toxicity)
EMTREE DRUG INDEX TERMS
acamprosate (adverse drug reaction, drug therapy, oral drug administration)
amfebutamone (adverse drug reaction, drug therapy)
anxiolytic agent (drug therapy)
bromocriptine (drug therapy)
buprenorphine (drug therapy, subcutaneous drug administration)
carbamazepine (drug therapy)
cocaine (drug toxicity)
diamorphine (drug toxicity)
disulfiram (drug therapy)
fluoxetine (drug therapy)
illicit drug (drug toxicity)
methadone (drug therapy)
methamphetamine (drug toxicity)
naltrexone (adverse drug reaction, drug therapy)
nicotine (adverse drug reaction, drug administration, drug therapy,
inhalational drug administration, transdermal drug administration)
serotonin uptake inhibitor (drug therapy)
tricyclic antidepressant agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (drug therapy, therapy)
drug dependence (drug therapy, therapy)
residency education
tobacco dependence (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
cannabis addiction (drug therapy)
cocaine dependence (drug therapy)
comorbidity
diarrhea (side effect)
dyspepsia (side effect)
fatigue (side effect)
female
human
insomnia (side effect)
mouth disease (side effect)
nausea (side effect)
nose irritation (side effect)
opiate addiction (drug therapy)
pregnancy
priority journal
psychotherapy
restlessness (side effect)
review
rhinorrhea (side effect)
skin irritation (side effect)
sleep disorder (side effect)
symptomatology
throat disease (side effect)
vertigo (side effect)
vomiting (side effect)
xerostomia (side effect)
DRUG TRADE NAMES
antabuse
prozac
revia
tegretol
CAS REGISTRY NUMBERS
acamprosate (77337-73-6)
alcohol (64-17-5)
amfebutamone (31677-93-7, 34911-55-2)
bromocriptine (25614-03-3)
buprenorphine (52485-79-7, 53152-21-9)
carbamazepine (298-46-4, 8047-84-5)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
disulfiram (97-77-8)
fluoxetine (54910-89-3, 56296-78-7, 59333-67-4)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
naltrexone (16590-41-3, 16676-29-2)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003469760
MEDLINE PMID
14664328 (http://www.ncbi.nlm.nih.gov/pubmed/14664328)
PUI
L37420313
DOI
10.1016/S0889-8545(03)00081-0
FULL TEXT LINK
http://dx.doi.org/10.1016/S0889-8545(03)00081-0
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 1547
TITLE
Development and implementation of a tobacco cessation training program for
students in the health professions
AUTHOR NAMES
Hudmon K.S.
Corelli R.L.
Gundersen B.
Kroon L.A.
Sakamoto L.M.
Hemberger K.K.
Fenlon C.
Prokhorov A.V.
AUTHOR ADDRESSES
(Hudmon K.S., khudmon@itsa.ucsf.edu; Corelli R.L.; Kroon L.A.; Fenlon C.)
Department of Clinical Pharmacy, School of Pharmacy, Univ. of California San
Francisco, San Francisco, CA, United States.
(Hudmon K.S., khudmon@itsa.ucsf.edu) School of Pharmacy, Univ. of California
San Francisco, 3333 California Street, San Francisco, CA 94118, United
States.
(Gundersen B.; Sakamoto L.M.; Hemberger K.K.; Prokhorov A.V.)
CORRESPONDENCE ADDRESS
K.S. Hudmon, School of Pharmacy, Univ. of California San Francisco, 3333
California Street, San Francisco, CA 94118, United States. Email:
khudmon@itsa.ucsf.edu
SOURCE
Journal of Cancer Education (2003) 18:3 (142-149). Date of Publication: Fall
2003
ISSN
0885-8195
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
Background. A comprehensive tobacco cessation training program, Rx for
Change, was developed and implemented as required coursework at all
California schools of pharmacy and at the University of California San
Francisco Schools of Medicine and Dentistry. Results. Post-training
evaluations administered to pharmacy students (n = 544; 89% participation)
show a positive impact of the training on students' self-reported abilities
for providing tobacco cessation counseling to patients. Conclusion. Designed
as a vehicle for nationwide dissemination of the U.S. Public Health Service
Clinical Practice Guideline for Treating Tobacco Use and Dependence, Rx for
Change equips students with skills to intervene with all tobacco users,
including patients who are not yet considering quitting.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
education program
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
clinical practice
conference paper
curriculum
evaluation study
female
health education
human
male
medical school
medical student
normal human
patient counseling
pharmacy
practice guideline
priority journal
self report
skill
tobacco dependence
training
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003396952
MEDLINE PMID
14512261 (http://www.ncbi.nlm.nih.gov/pubmed/14512261)
PUI
L37193679
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1548
TITLE
Rehabilitation unit staff attitudes toward substance abuse: Changes and
similarities between 1985 and 2001
AUTHOR NAMES
Basford J.R.
Rohe D.E.
DePompolo R.W.
AUTHOR ADDRESSES
(Basford J.R., basford.jeffrey@mayo.edu; DePompolo R.W.) Dept. of Phys.
Med./Rehabilitation, Mayo Clinic and Foundation, Rochester, MN 55905, United
States.
(Rohe D.E.) Dept. of Psychiatry and Psychology, Mayo Clinic and Foundation,
Rochester, MN, United States.
CORRESPONDENCE ADDRESS
J.R. Basford, Dept. of Phys. Med./Rehabilitation, Mayo Clinic and
Foundation, Rochester, MN 55905, United States. Email:
basford.jeffrey@mayo.edu
SOURCE
Archives of Physical Medicine and Rehabilitation (2003) 84:9 (1301-1307).
Date of Publication: 1 Sep 2003
ISSN
0003-9993
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Objectives: (1) To assess the attitudes of the members of an inpatient
rehabilitation unit team toward their unit's substance abuse and tobacco use
policies, and (2) to compare the findings with those of a survey 16 years
earlier. Design: An anonymous repeated assessment of staff attitudes and
behaviors. Setting: A 47-bed inpatient rehabilitation unit. Participants:
Rehabilitation unit nurses, occupational and physical therapists,
psychologists, physicians, social workers, and speech pathologists.
Interventions: Not applicable. Main Outcome Measure: Change in response with
time. Results: Seventy percent (89/128) of the staff members completed the
survey. Seventy-two percent believed that they were "familiar or very
familiar" with the unit's substance abuse policy and 51% were "concerned" or
"very concerned" about their patients' alcohol and drug use. Nineteen
percent reported complaints about the policy from their patients and 8%
reported complaints from family members. Support for a uniform substance
abuse policy remained high: 96% supported a uniform policy in both 1985 and
2001. However, only 15% believed that staff drug abuse education was
adequate and only 45% believed that the current policy was "adequate" or
"very adequate." (Corresponding responses in 1985 were 20% and 50%,
respectively.) All but 1 respondent considered tobacco use an addiction, but
only 48% believed that their patients were routinely assessed for its use.
Conclusion: Support for a uniform substance abuse policy remains strong.
Although most team members support the policy, they believe that their
education about substance abuse is inadequate. Staff members almost
unanimously accept tobacco use as an addiction, but they believe that
assessment and intervention efforts are poor. © 2003 by the American
Congress of Rehabilitation Medicine and the American Academy of Physical
Medicine and Rehabilitation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
attitude
drug use
education
health care policy
human
smoking
staff
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Rehabilitation and Physical Medicine (19)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003362483
MEDLINE PMID
13680565 (http://www.ncbi.nlm.nih.gov/pubmed/13680565)
PUI
L37082316
DOI
10.1016/S0003-9993(03)00264-8
FULL TEXT LINK
http://dx.doi.org/10.1016/S0003-9993(03)00264-8
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1549
TITLE
Strengthening the medical aspect of addiction care
ORIGINAL (NON-ENGLISH) TITLE
De versterking van het medische aspect van de verslavingszorg
AUTHOR NAMES
Van Brussel G.H.A.
AUTHOR ADDRESSES
(Van Brussel G.H.A., cbhwlamer@lumc.nl) GG and GD, Maatschappelijke en
Geestelijke G., Postbus 2200, 1000 CE Amsterdam, Netherlands.
CORRESPONDENCE ADDRESS
G.H.A. Van Brussel, GG and GD, Maatschappelijke en Geestelijke G., Postbus
2200, 1000 CE Amsterdam, Netherlands. Email: cbhwlamer@lumc.nl
SOURCE
Nederlands Tijdschrift voor Geneeskunde (2003) 147:34 (1628-1630). Date of
Publication: 23 Aug 2003
ISSN
0028-2162
BOOK PUBLISHER
Bohn Stafleu Van Loghum bv, P.O. Box 246, Houten, Netherlands.
ABSTRACT
The Dutch Association for Addiction Medicine and the umbrella organisation
GGZ Nederland (sector organisation for mental health and addiction care)
have compiled a report entitled 'Strengthening medical care in the addiction
care sector'. The report argues why medical care needs to be strengthened
and provides guidance as to how the present shortcomings in quality and
quantity can be dealt with. Addiction is now considered to be a medical
condition with patients instead of clients. This means that the care,
including the financial aspects, needs to be organised in the same way as
all other forms of regular health care. Furthermore, the training in
addiction medicine needs to be given a clearer status in the form of
departments, professorships, training institutes and certification. Within
the context of this report the responsibility of addiction centres needs to
be emphasised. Vacancies in the many forms of social work could be exchanged
for well-trained nurses and physicians, without the need for extra financial
assistance.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (disease management, epidemiology)
EMTREE MEDICAL INDEX TERMS
article
clinical feature
health care system
human
medical care
medical society
medical specialist
Netherlands
nurse
patient care
physician
social work
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Dutch
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003355207
MEDLINE PMID
12966626 (http://www.ncbi.nlm.nih.gov/pubmed/12966626)
PUI
L37063705
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1550
TITLE
Medico-legal rounds: Medico-legal issues and alleged breaches of "standards
of medical care" in opioid rotation of methadone: A case report
AUTHOR NAMES
Fishbain D.A.
Cutler R.B.
Cole B.
Lewis J.
Rosomoff R.S.
Rosomoff H.L.
AUTHOR ADDRESSES
(Fishbain D.A., d.fishbain@miami.edu; Cutler R.B.; Lewis J.) Department of
Psychiatry, University of Miami, Miami, FL, United States.
(Fishbain D.A., d.fishbain@miami.edu; Rosomoff R.S.; Rosomoff H.L.)
Department of Neurological Surgery, University of Miami, Miami, FL, United
States.
(Fishbain D.A., d.fishbain@miami.edu; Rosomoff R.S.; Rosomoff H.L.)
Department of Anesthesiology, University of Miami, Miami, FL, United States.
(Fishbain D.A., d.fishbain@miami.edu; Cutler R.B.; Lewis J.; Rosomoff R.S.;
Rosomoff H.L.) School of Medicine, University of Miami, Miami, FL, United
States.
(Fishbain D.A., d.fishbain@miami.edu; Cutler R.B.; Cole B.; Rosomoff R.S.;
Rosomoff H.L.) Comprehen. Pain/Rehabilitation Ctr., Miami, FL, United
States.
CORRESPONDENCE ADDRESS
D.A. Fishbain, Univ. of Miami Comprehen. Pain Ctr., 600 Alton Road, Miami
Beach, FL 33139, United States. Email: d.fishbain@miami.edu
SOURCE
Pain Medicine (2003) 4:2 (195-201). Date of Publication: 2003
ISSN
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
Objectives. The objectives of this medico-legal case report were the
following: 1) To present an example of a medico-legal problem that developed
as a result of a decision to rotate a chronic pain patient (CPP) to
methadone in order to taper the CPP from oxycodone; 2) To present both the
plaintiff's and defendant's expert witnesses' opinions as to if and where
the care of that patient fell below the "standard of medical care;" and 3)
Based on these opinions, to develop some recommendations on how, in the
future, pain medicine physicians and other physicians should proceed, in
order to avoid allegations of breach of "standards of care" when using
methadone. Methods. This is a case report of a CPP treated at a regional
hospital pain clinic. Methadone rotation was used in order to taper the CPP
from oxycodone because of addictive disease. Results. During the rotation
process, the CPP expired. This had medico-legal consequences. Expert
witnesses differed as to whether methadone caused the death. Conclusion.
Pain physicians should proceed with caution in using methadone for opioid
rotation.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone (adverse drug reaction, drug combination, drug interaction, drug
therapy, oral drug administration, pharmacoeconomics, pharmacokinetics,
pharmacology)
oxycodone (adverse drug reaction, drug combination, drug therapy)
EMTREE DRUG INDEX TERMS
alprazolam (drug combination, drug therapy)
benzodiazepine derivative
beta adrenergic receptor blocking agent (drug combination, drug interaction)
clonidine (drug combination, drug therapy)
cocaine
codeine (drug combination, drug interaction)
dextromethorphan (drug combination, drug interaction)
haloperidol (drug combination, drug interaction)
hydrocodone (adverse drug reaction, drug combination, drug therapy)
paracetamol (drug combination, drug therapy)
phenothiazine (drug combination, drug interaction)
serotonin uptake inhibitor (drug combination, drug interaction)
tricyclic antidepressant agent (drug combination, drug interaction)
zolpidem (drug combination, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (disease management, drug therapy)
opiate addiction (disease management, drug therapy, side effect)
withdrawal syndrome (disease management, drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
asphyxia
autopsy
case report
cause of death
drug bioavailability
drug cost
drug detoxification
drug mechanism
drug potentiation
expert witness
human
low back pain (drug therapy)
male
malpractice
medical care
medical decision making
medicolegal aspect
pain clinic
standardization
stomach content
vomiting (side effect)
CAS REGISTRY NUMBERS
alprazolam (28981-97-7)
clonidine (4205-90-7, 4205-91-8, 57066-25-8)
cocaine (50-36-2, 53-21-4, 5937-29-1)
codeine (76-57-3)
dextromethorphan (125-69-9, 125-71-3)
haloperidol (52-86-8)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
oxycodone (124-90-3, 76-42-6)
paracetamol (103-90-2)
phenothiazine (92-84-2)
zolpidem (82626-48-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003318462
MEDLINE PMID
12873269 (http://www.ncbi.nlm.nih.gov/pubmed/12873269)
PUI
L36949875
DOI
10.1046/j.1526-4637.2003.03021.x
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1526-4637.2003.03021.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1551
TITLE
Effectiveness of addiction science presentations to treatment professionals,
using a modified Solomon study design
AUTHOR NAMES
Erickson C.K.
Wilcox R.E.
Miller G.W.
Littlefield J.H.
Lawson K.A.
AUTHOR ADDRESSES
(Erickson C.K., erickson.carl@mail.utexas.edu) College of Pharmacy,
University of Texas at Austin, Phar-Pharmacology, Austin, TX 78712-0125,
United States.
(Wilcox R.E.; Miller G.W.; Littlefield J.H.; Lawson K.A.)
CORRESPONDENCE ADDRESS
C.K. Erickson, College of Pharmacy, University of Texas at Austin,
Phar-Pharmacology, Austin, TX 78712-0125, United States. Email:
erickson.carl@mail.utexas.edu
SOURCE
Journal of Drug Education (2003) 33:2 (197-216). Date of Publication: 2003
ISSN
0047-2379
BOOK PUBLISHER
Baywood Publishing Co. Inc., 26 Austin Avenue, P.O. Box 337, Amityville,
United States.
ABSTRACT
Objectives: Knowledge of addiction research findings is critical for
healthcare professionals who treat addicted patients. However, there is
little information available about the instructional effectiveness of
lecture-slide presentations in changing knowledge vs. beliefs of such
professionals. Design: A modified Solomon four-group experimental design was
used to assess the instructional effectiveness (knowledge gain vs. belief
changes) of three-hour addiction science workshops presented to health-care
professionals by neurobiologically-trained academic researchers.
Effectiveness of the workshops was assessed by a 28-item questionnaire on
participant versus control group knowledge/beliefs on addiction. Six-month
follow-up questionnaires measured "retention" of knowledge and belief
changes. Results: The workshop participants showed significant knowledge
gain and belief changes, whereas the two control groups showed no change in
knowledge or beliefs. After six months, knowledge gains decreased, but were
still higher than pre-test scores. In contrast, belief changes on three
subscales persisted over six months in 40 to 52 percent of the subjects.
Conclusions: These results illustrate a successful continuing education
model by which academic researchers who are skilled teachers present a
three-hour lecture-slide workshop with extensive question-and-answer
sessions on addictions. We conclude that motivated health-care professionals
can experience important knowledge gains and belief changes by participating
in such workshops. In contrast to the transient retention of knowledge,
belief changes persisted surprisingly well for at least six months in about
half the subjects. These results suggest that long-term changes in the
professional orientation of these health-care workers are possible.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health care personnel
medical education
modified solomon study design
study
EMTREE MEDICAL INDEX TERMS
adult
article
continuing education
controlled study
female
follow up
human
human experiment
male
methodology
motivation
normal human
questionnaire
scoring system
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003313993
MEDLINE PMID
12929710 (http://www.ncbi.nlm.nih.gov/pubmed/12929710)
PUI
L36935941
DOI
10.2190/4WWF-3TGV-VXR5-PU45
FULL TEXT LINK
http://dx.doi.org/10.2190/4WWF-3TGV-VXR5-PU45
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1552
TITLE
Standards, options and recommendations for the use of medical analgesics for
the treatment of pain arising from excess nociception in adults with cancer
(update 2002): Opioid analgesics with the exception of morphine by mouth and
the rotation
ORIGINAL (NON-ENGLISH) TITLE
Standards, options et recommandations 2002 pour les traitements antalgiques
médicamenteux des douleurs cancéreuses par excès de nociception chez
l'adulte, mise à jour: Place des opioïdes forts (morphine orale exclue) et
rotation des opioïdes
AUTHOR NAMES
Rostaing-Rigattieri S.
Rousselot H.
Krakowski I.
Theobald S.
Collin E.
Vuillemin N.
Balp L.
Torloting G.
Fergane B.
Richard B.
Duclos R.
Eschalier A.
Delorme T.
Minello C.
Toussaint S.
Richard A.
Magnet M.
Chvetzoff G.
Larue F.
Navez M.-L.
Collard O.
Bonnefoi M.-P.
Couturier M.
Santolaria N.
Wagner J.-P.
Fabre N.
AUTHOR ADDRESSES
(Rostaing-Rigattieri S.) Anesthesiste Reanimateur, Hôpital St. Antoine,
Paris, France.
(Rousselot H.) Medecin Generaliste, Ctr. de Moyen Sejour/Convalescence,
Charleville-sous-Bois, France.
(Krakowski I.; Toussaint S.) Oncologue Médical, Centre Alexis-Vautrin,
Vandœuvre-lès-Nancy, France.
(Theobald S.) Méthodologiste, Centre Paul-Strauss, Strasbourg, France.
(Collin E.) Medecin Generaliste Douleur, Hôp. Salpêtrière, Paris, France.
(Vuillemin N.) Medecin Generaliste Douleur, Centre Hospitalier, Mulhouse,
France.
(Balp L.) Anesthesiste Reanimateur, Centre Hospitalier, Lons-le-Saunier,
France.
(Torloting G.) Anesthesiste Reanimateur, Centre Hospitalier du Parc,
Sarreguemines, France.
(Fergane B.) Anesthesiste Reanimateur, Hôpital Jean Minjoz, Besançon,
France.
(Richard B.) Médecin Interniste, Ctr. Hosp. Universitaire Caremeau, Nîmes,
France.
(Duclos R.) Néphrologue Douleur, Centre Hospitalier, Le Mans, France.
(Eschalier A.) Pharmacologue, CHU Fac. de Médecine, Clermont-Ferrand,
France.
(Delorme T.) Medecin Generaliste Douleur, Institut Curie, Paris, France.
(Minello C.) Anesthesiste Reanimateur, Centre GF Leclerc, Dijon, France.
(Richard A.) Anesthesiste Reanimateur, CHU, St Etienne, France.
(Magnet M.) Oncologue Médical, Soins et Santé HAD, Caluire, France.
(Chvetzoff G.) Oncologue Médicale, Centre Léon-Bérard, Lyon, France.
(Larue F.) Anesthesiste Reanimateur, Centre Hospitalier, Longjumeau, France.
(Navez M.-L.) Anesthesiste Reanimateur, Hôpital de Bellevue, St Etienne,
France.
(Collard O.) Medecin Generaliste Douleur, Clinique Sainte-Clothilde, La
Réunion, France.
(Bonnefoi M.-P.) Pharmacienne, Centre Alexis-Vautrin, Vandœuvre-lès-Nancy,
France.
(Couturier M.) Pharmacienne, Centre Hospitalier Pierre-Le-Damany, Lannion,
France.
(Santolaria N.) Pharmacienne, Hôpital Gaston-Doumergue, Nîmes, France.
(Wagner J.-P.) Oncologue Médical, Clinique de l'Orangerie, Strasbourg,
France.
(Fabre N.) Méthodologiste Adjoint, FNCLCC, Paris, France.
CORRESPONDENCE ADDRESS
S. Rostaing-Rigattieri, Anesthesiste Reanimateur, Hôpital St. Antoine,
Paris, France.
SOURCE
Bulletin du Cancer (2003) 90:8-9 (795-806). Date of Publication:
August/September 2003
ISSN
0007-4551
BOOK PUBLISHER
John Libbey Eurotext, 127, avenue de la Republique, Montrouge, France.
ABSTRACT
Context : The "Standards, Options and Recommendations" (SOR) project,
started in 1993, is a collaboration between the Federation of French Cancer
Centers (FNCLCC), the 20 French cancer centers, and specialists from French
public universities, general hospitals and private clinics. The main
objective is the development of clinical practice guidelines to improve the
quality of health care and the outcome of cancer patients. The methodology
is based on a literature review and critical appraisal by a
multidisciplinary group of experts, with feedback from specialists in cancer
care delivery. Objectives : To develop clinical practice guidelines for the
use of opioid analgesics with the exception of oral morphine and for opioid
rotation related to the treatment of nociceptive pain in adults with cancer
according to the definitions of the Standards, Options and Recommendations
project. Methods : In 1996, a working group, set up by the FNCLCC published
clinical practice guidelines for pain management in adult and paediatric
patients with cancer. In the light of the evolution of knowledge, and
practice these guidelines need to be updated. The section on "médical
analgesic treatments" in the document published in 1996 was examined by the
working group to identify which questions should be updated. These questions
and the relevant key words were used to develop a search strategy which was
used to search Medline®, and for particular questions, Embase®, from January
1994 to March 1999, for relevant references, published in English or French.
Results : For this update, only a few randomised clinical trials were
identified, and their conclusions were generally weak. Thus much of the
information in this document is based on the World Health Organisation (WHO)
guidelines and represents the «state of the art» on this subject in France
and is supported by expert agreement. Some changes to the original SOR are
presented, particularly for the prescription of new opioids and opioid
rotation. The full text of this SOR is available on the FNCLCC web site
(http ://www.fnclcc.fr).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent (clinical trial, drug therapy)
morphine (drug therapy, oral drug administration, pharmacokinetics,
pharmacology)
narcotic analgesic agent (clinical trial, drug therapy)
opiate antagonist (clinical trial, drug therapy, pharmacokinetics,
pharmacology)
EMTREE DRUG INDEX TERMS
buprenorphine (clinical trial, drug therapy, pharmacokinetics, pharmacology)
fentanyl derivative (clinical trial, drug therapy, pharmacokinetics,
pharmacology)
hydromorphone (clinical trial, drug therapy, pharmacokinetics, pharmacology)
methadone (clinical trial, drug therapy, pharmacokinetics, pharmacology)
oxycodone (clinical trial, drug therapy, pharmacokinetics, pharmacology)
pethidine (clinical trial, drug therapy, pharmacokinetics, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain (drug therapy)
nociception
EMTREE MEDICAL INDEX TERMS
adult
cancer patient
clinical practice
clinical protocol
clinical trial
drug mechanism
drug metabolism
health care quality
human
medical literature
methodology
publication
questionnaire
review
treatment outcome
DRUG TRADE NAMES
dolosal
eubine
sophidone lp
temgesic
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
hydromorphone (466-99-9, 71-68-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
oxycodone (124-90-3, 76-42-6)
pethidine (28097-96-3, 50-13-5, 57-42-1)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Cancer (16)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2003409331
MEDLINE PMID
14609771 (http://www.ncbi.nlm.nih.gov/pubmed/14609771)
PUI
L37239084
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1553
TITLE
The Italian Association on Addiction Psychiatry (SIPDip), formerly The
Italian Association on Abuse and Addictive Behaviours
AUTHOR NAMES
Carrà G.
Clerici M.
AUTHOR ADDRESSES
(Carrà G., giuseppe.carra@unipv.it) Dept. of Appl. Hlth./Behav. Sciences,
Section of Psychiatry, University of Pavia, Pavia, Italy.
(Clerici M.) Department of Psychiatry, San Paolo's Hospital Medical School,
University of Milan, Milan, Italy.
(Carrà G., giuseppe.carra@unipv.it) Dept. of Appl. Hlth./Behav. Sciences,
Section of Psychiatry, University of Pavia, Via Bassi 21, 27100 Pavia,
Italy.
(Carrà G., giuseppe.carra@unipv.it) Ital. Assoc. on Addiction Psychiatry,
Via Bassi 21, 27100 Pavia, Italy.
CORRESPONDENCE ADDRESS
G. Carrà, Dept. of Appl. Hlth./Behav. Sciences, Section of Psychiatry,
University of Pavia, Via Bassi 21, 27100 Pavia, Italy. Email:
giuseppe.carra@unipv.it
SOURCE
Addiction (2003) 98:8 (1039-1042). Date of Publication: 1 Aug 2003
ISSN
0965-2140
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
The Italian Association on Addiction Psychiatry (SIPDip) is a special
section of the Italian Psychiatric Association (SIP). It started, under the
name of the Italian Association on Abuse and Addictive Behaviours (SICAD),
in 1989 from the awareness that the addiction field had been starved of a
psychiatrists' contribution since 1975. SIPDip aims to improve and implement
study, clinical, research and educational topics about substance abuse and
addictive behaviours. The National Board composition aims to provide an
equal distribution of psychiatrists working in psychiatric and addiction
facilities inside the National Health System, and private non-profit
agencies. All psychiatrists and members of the Italian Psychiatric
Association can become SIPDip ordinary members, while other health
professionals working in psychiatric and addiction fields can become
associate members. SIPDip has its National Congress every second year. In
2001 it promoted a network called the National Council of Addiction
Disorders. It is recognized officially by the Drug Policy National
Department and was created under the direct authority of the Prime Minister.
In this, SIPDip is particularly involved in review groups relating to
ethical issues, substitutive therapies and dual diagnosis. Furthermore, it
organized the first Consensus Conference on Dual Diagnosis, under the
sponsorship of the Italian Psychiatric Association. This was held in June
2003 to implement relevant national guidelines. The SIPDip main topics that
will be addressed in the near future are: psychiatric comorbidity in
substance related disorders; intervention efficacy assessment; and special
populations and novel addictions. The National Board meeting on 15 December
2002 decided to submit to the General Assembly in April 2003, a motion to
modify the Association's byelaws and to rename the organization 'The Italian
Association of Addiction Psychiatry'.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical society
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
behavior
comorbidity
ethics
government
health care organization
health care personnel
health care policy
health education
health program
Italy
population
practice guideline
psychiatrist
public health service
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003314541
MEDLINE PMID
12873237 (http://www.ncbi.nlm.nih.gov/pubmed/12873237)
PUI
L36936489
DOI
10.1046/j.1360-0443.2003.00458.x
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1360-0443.2003.00458.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1554
TITLE
Chronic pain management with opioids in patients with past or current
substance abuse problems
AUTHOR NAMES
Fudin J.
Levasseur D.J.
Passik S.D.
Kirsh K.L.
Coleman J.
AUTHOR ADDRESSES
(Fudin J., fudinj@acp.edu) Samuel S. Stratton VAMC, 113 Holland Avenue
(119), Albany, NY 12208, United States.
(Fudin J., fudinj@acp.edu) Department of Clinical Pharmacy, VAMC, Albany,
NY, United States.
(Levasseur D.J.) VAMC, Albany, NY, United States.
(Passik S.D.; Kirsh K.L.; Coleman J.)
CORRESPONDENCE ADDRESS
J. Fudin, Samuel S. Stratton VAMC, 113 Holland Avenue (119), Albany, NY
12208, United States. Email: fudinj@acp.edu
SOURCE
Journal of Pharmacy Practice (2003) 16:4 (291-308). Date of Publication: Aug
2003
ISSN
0897-1900
ABSTRACT
Among patients who present to medical providers with chronic pain
complaints, there is an elevated prevalence of illicit substance use and
prescription misuse. For those with legitimate pain, this predicament
potentiates the risk of being medically underserved or undertreated.
Complicating factors include a lack of specificity and sensitivity to the
issue of defining substance abuse of misuse in the health care setting.
Irrespective of whether patients have histories of addiction, problematic
behavior manifests during the course of chronic pain therapy, making a
conceptualization of the nature and function of this behavior difficult. The
objective of this article is to highlight known confounds in the assessment
of "normal" pain-related vs. substance abuse behavior. Our aim is to offer
important points to consider, a set of systematic guidelines to follow, and
an armamentarium of essential tools to facilitate contingency management
planning in the context of treating chronic pain with controlled substances.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate agonist (drug therapy, drug toxicity)
EMTREE DRUG INDEX TERMS
acetylcodeine (drug toxicity)
amphetamine (drug toxicity)
barbituric acid derivative (drug toxicity)
benzodiazepine (drug toxicity)
buprenorphine (drug analysis, drug comparison, drug toxicity)
butorphanol (drug analysis, drug comparison, drug toxicity)
cannabinoid (drug toxicity)
cocaine (drug toxicity)
codeine (drug analysis, drug comparison, drug toxicity)
dextropropoxyphene (drug analysis, drug comparison, drug toxicity)
diamorphine (drug analysis, drug comparison, drug toxicity)
diphenoxylate (drug analysis, drug comparison)
fentanyl (drug analysis, drug comparison, drug toxicity)
hydrocodone (drug analysis, drug comparison, drug toxicity)
hydromorphone (drug analysis, drug comparison, drug toxicity)
levorphanol (drug analysis, drug comparison, drug toxicity)
loperamide (drug analysis, drug comparison)
methadone (drug analysis, drug comparison, drug toxicity)
morphine derivative (drug analysis, drug comparison, drug toxicity)
nalbuphine (drug analysis, drug comparison, drug toxicity)
naloxone (drug analysis, drug comparison, drug toxicity)
oxycodone (drug toxicity, oral drug administration)
oxymorphone (drug analysis, drug comparison, drug toxicity)
pentazocine (drug analysis, drug comparison)
pethidine (drug analysis, drug comparison, drug toxicity)
phencyclidine (drug toxicity)
remifentanil (drug analysis, drug comparison)
sufentanil (drug analysis, drug comparison)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy)
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
behavior
drug abuse
health care
human
practice guideline
prevalence
review
risk factor
sensitivity and specificity
CAS REGISTRY NUMBERS
acetylcodeine (6703-27-1)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
benzodiazepine (12794-10-4)
buprenorphine (52485-79-7, 53152-21-9)
butorphanol (42408-82-2)
cocaine (50-36-2, 53-21-4, 5937-29-1)
codeine (76-57-3)
dextropropoxyphene (1639-60-7, 469-62-5)
diamorphine (1502-95-0, 561-27-3)
diphenoxylate (3810-80-8, 915-30-0)
fentanyl (437-38-7)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
hydromorphone (466-99-9, 71-68-1)
levorphanol (125-72-4, 77-07-6)
loperamide (34552-83-5, 53179-11-6)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
nalbuphine (20594-83-6, 23277-43-2)
naloxone (357-08-4, 465-65-6)
oxycodone (124-90-3, 76-42-6)
oxymorphone (357-07-3, 76-41-5)
pentazocine (359-83-1, 64024-15-3)
pethidine (28097-96-3, 50-13-5, 57-42-1)
phencyclidine (77-10-1, 956-90-1)
remifentanil (132539-07-2)
sufentanil (56030-54-7)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003406995
PUI
L37236586
DOI
10.1177/0897190003258507
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190003258507
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1555
TITLE
Addiction medicine and harm reduction: Limits, challenges and perspectives
ORIGINAL (NON-ENGLISH) TITLE
Médecine de l'addiction et réduction des risques: Limites, défis et
perspectives
AUTHOR NAMES
Monnat M.
Broers B.
AUTHOR ADDRESSES
(Monnat M., Martine.Monnat@inst.hospvd.ch) Centre Saint-Martin, Rue
Saint-Martin 7, 1003 Lausanne, Switzerland.
(Broers B., barbara.broers@hcuge.ch) Addicts. en Medecine Communautaire,
Dept. de Medecine Communautaire, Hopitaux Univ. de Geneve, 1211 Genève 14,
Switzerland.
CORRESPONDENCE ADDRESS
M. Monnat, Centre Saint-Martin, Rue Saint-Martin 7, 1003 Lausanne,
Switzerland. Email: Martine.Monnat@inst.hospvd.ch
SOURCE
Medecine et Hygiene (2003) 61:2445 (1439-1443). Date of Publication: 30 Jul
2003
ISSN
0025-6749
ABSTRACT
Collective harm reduction measures for drug users are part of the official
Swiss drug policy since 1991, and have contributed to the important decrease
in prevalence and incidence of HIV and viral hepatitis. However, the recent
and massive use of cocaine among drug users have confronted us with an
increase in viral and bacterial diseases. We propose a reflection about the
need to expand existing collective harm reduction measures and to develop
indivualised strategies based on the individual's needs and capacities. Harm
reduction advice should be given by every professional working with drug
users, independent of his «official» working domain. Otherwise, the aging of
the drug using population with chronic health problems impose a
strengthening of the somatic pole of addiction medicine, and a reflection
about future education of and collaboration among different partners working
in the addiction field.
EMTREE DRUG INDEX TERMS
benzodiazepine derivative
cocaine
diamorphine
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
drug utilization
risk assessment
EMTREE MEDICAL INDEX TERMS
bacterial infection
clinical practice
comorbidity
drug surveillance program
health care planning
human
Human immunodeficiency virus infection (epidemiology)
Human immunodeficiency virus prevalence
incidence
infection risk
mental disease
motivation
needle
patient attitude
patient education
policy
procedures
review
risk factor
virus hepatitis (epidemiology)
virus infection
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2003344630
PUI
L37028587
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1556
TITLE
Gender of physicians with substance use disorders: Clinical characteristics,
treatment utilization, and post-treatment functioning
AUTHOR NAMES
McGovern M.P.
Angres D.H.
Shaw M.
Rawal P.
AUTHOR ADDRESSES
(McGovern M.P., mark.p.mcgovern@martmouth.edu) Department of Psychiatry,
Dartmouth Medical School, Hanover, NH, United States.
(Angres D.H.) Department of Psychiatry, Section of Addiction Medicine,
Rush-Presbyterian-St. Luke's Med. C., Chicago, IL, United States.
(Shaw M.) Division of Psychology, Department of Psychiatry, NW. University
Medical School, Chicago, IL, United States.
(Shaw M.; Rawal P.) Inst. for Hlth. Serv. Res./Policy, Northwestern
University, Chicago, IL, United States.
(McGovern M.P., mark.p.mcgovern@martmouth.edu) Dartmouth Ctr. on Addiction,
R./E., Dartmouth Medical School, 40 N. College Street, Hanover, NH 03755,
United States.
CORRESPONDENCE ADDRESS
M.P. McGovern, Dartmouth Ctr. on Addiction, R./E., Dartmouth Medical School,
40 N. College Street, Hanover, NH 03755, United States. Email:
mark.p.mcgovern@martmouth.edu
SOURCE
Substance Use and Misuse (2003) 38:7 (993-1001). Date of Publication: 2003
ISSN
1082-6084
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
Gender has emerged as an important variable in both the course and treatment
of substance-use disorders. This study examines the role of gender in a
sample of physicians (n = 73) treated for substance-use disorders. Pilot
data gathered on physicians treated during 1995 to 1997, included initial
pretreatment characteristics, service utilization, and posttreatment
functioning. Although there were many similarities, important differences
emerged among the groups. These differences have implications for physician
education and training and warrant more systematic clinical research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care utilization
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
clinical feature
clinical research
female
gender
human
male
medical education
physician
priority journal
treatment outcome
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish, French
EMBASE ACCESSION NUMBER
2003224385
MEDLINE PMID
12801152 (http://www.ncbi.nlm.nih.gov/pubmed/12801152)
PUI
L36665933
DOI
10.1081/JA-120017620
FULL TEXT LINK
http://dx.doi.org/10.1081/JA-120017620
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1557
TITLE
Medico-legal rounds: Medico-legal issues and alleged breaches of "standards
of medical care" in opioid rotation to methadone: A case report
AUTHOR NAMES
Fishbain D.A.
Cutler R.B.
Cole B.
Lewis J.
Rosomoff R.S.
Rosomoff H.L.
AUTHOR ADDRESSES
(Fishbain D.A., d.fishbain@miami.edu; Cutler R.B.; Lewis J.) Department of
Psychiatry, University of Miami, .
(Fishbain D.A., d.fishbain@miami.edu; Rosomoff R.S.; Rosomoff H.L.)
Department of Neurological Surgery, University of Miami, .
(Fishbain D.A., d.fishbain@miami.edu; Rosomoff R.S.; Rosomoff H.L.)
Department of Anesthesiology, University of Miami, .
(Fishbain D.A., d.fishbain@miami.edu; Cutler R.B.; Lewis J.; Rosomoff R.S.;
Rosomoff H.L.) School of Medicine, University of Miami, .
(Fishbain D.A., d.fishbain@miami.edu; Cutler R.B.; Cole B.; Rosomoff R.S.;
Rosomoff H.L.) Comprehensive Pain and Rehabilitation Center, .
(Fishbain D.A., d.fishbain@miami.edu; Cutler R.B.; Cole B.; Rosomoff R.S.;
Rosomoff H.L.) South Shore Hospital, .
(Fishbain D.A., d.fishbain@miami.edu) University of Miami, Comprehensive
Pain Center, 600 Alton Road, Miami Beach, FL 33139, United States.
CORRESPONDENCE ADDRESS
D.A. Fishbain, University of Miami, Comprehensive Pain Center, 600 Alton
Road, Miami Beach, FL 33139, United States. Email: d.fishbain@miami.edu
SOURCE
Pain Medicine (2003) 4:2 (195-201). Date of Publication: Jun 2003
ISSN
1681-1232
ABSTRACT
Objectives. The objectives of this medico-legal case report were the
following: 1) To present an example of a medico-legal problem that developed
as a result of a decision to rotate a chronic pain patient (CPP) to
methadone in order to taper the CPP from oxycodone; 2) To present both the
plaintiff's and defendant's expert witnesses' opinions as to if and where
the care of that patient fell below the "standard of medical care;" and 3)
Based on these opinions, to develop some recommendations on how, in the
future, pain medicine physicians and other physicians should proceed, in
order to avoid allegations of breach of "standards of care" when using
methadone. Methods. This is a case report of a CPP treated at a regional
hospital pain clinic. Methadone rotation was used in order to taper the CPP
from oxycodone because of addictive disease. Results. During the rotation
process, the CPP expired. This had medico-legal consequences. Expert
witnesses differed as to whether methadone caused the death. Conclusion.
Pain physicians should proceed with caution in using methadone for opioid
rotation. © American Academy of Pain Medicine.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone (drug therapy)
EMTREE DRUG INDEX TERMS
alprazolam (drug therapy)
clonidine (drug therapy)
hydrocodone bitartrate plus paracetamol (drug therapy)
oxycodone (drug therapy, drug toxicity)
paracetamol (drug therapy)
zolpidem (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical care
medicolegal aspect
EMTREE MEDICAL INDEX TERMS
adult
article
case report
death
drug dependence (drug therapy)
expert witness
general practitioner
human
low back pain (drug therapy)
male
medical practice
physician
CAS REGISTRY NUMBERS
alprazolam (28981-97-7)
clonidine (4205-90-7, 4205-91-8, 57066-25-8)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
oxycodone (124-90-3, 76-42-6)
paracetamol (103-90-2)
zolpidem (82626-48-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Forensic Science Abstracts (49)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005351386
PUI
L41096255
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1558
TITLE
Continuing medical education: what delivery format do physicians prefer?
AUTHOR NAMES
Stancic N.
Mullen P.D.
Prokhorov A.V.
Frankowski R.F.
McAlister A.L.
AUTHOR ADDRESSES
(Stancic N.; Mullen P.D.; Prokhorov A.V.; Frankowski R.F.; McAlister A.L.)
Department of Behavioral Science, University of Texas M.D. Anderson Cancer
Center, 1515 Holcombe Blvd., Box 243, Houston, TX 77030-4730, USA.
CORRESPONDENCE ADDRESS
N. Stancic, Department of Behavioral Science, University of Texas M.D.
Anderson Cancer Center, 1515 Holcombe Blvd., Box 243, Houston, TX
77030-4730, USA.
SOURCE
The Journal of continuing education in the health professions (2003) 23:3
(162-167). Date of Publication: 2003 Summer
ISSN
0894-1912
ABSTRACT
BACKGROUND: Although physicians are in a unique position to prevent
life-threatening outcomes by counseling patients to stop smoking, many of
them miss the opportunity to intervene in their patients' use of tobacco.
Nicotine Dependence Across the Lifespan was developed as a continuing
medical education (CME) program to teach and encourage physicians to deliver
effective tobacco prevention and tobacco cessation counseling. METHODS: This
CME program was offered to Texas physicians, free of charge, in three
formats: live lectures, videotapes, and World Wide Web-based training. The
program targeted physicians in four rural areas of Texas (San Angelo,
Harlingen, Tyler, and Lubbock), where high smoking rates are prevalent and
the number of professional smoking cessation services is low. We examined
the sociodemographic characteristics of the participating physicians,
factors in their decisions to participate in the program, and the extent to
which their reported CME format preferences were associated with age,
gender, race, profession, and location. RESULTS: The four factors
identified--professional development, cost, personal control, and
convenience/complexity--explained 76.9% of the variance describing the
reasons physicians participated in the CME offering. The physicians'
preferred CME format was live lectures; based on responses, this did not
differ across age, gender, race/ethnicity, and location. DISCUSSION: Live
lecture continues to be a preferred format of CME for physicians in four
rural areas of Texas, yet research continues to show that lecture results in
only the lowest level of behavioral change.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
chi square distribution
counseling
human
Internet
methodology
teaching
United States
videorecording
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14528787 (http://www.ncbi.nlm.nih.gov/pubmed/14528787)
PUI
L137558665
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1559
TITLE
Anticipatory guidance
AUTHOR NAMES
Shrivastava Dev L.
Shrivastava N.
AUTHOR ADDRESSES
(Shrivastava Dev L., Leena_dev@hotmail.com) Pediatrics Department,
Thundermist Health Associates, 383 Arnold Street, Woonsocket, RI 02895,
United States.
(Shrivastava N.) Children's Hospital of Philadelphia, Philadelphia, PA,
United States.
CORRESPONDENCE ADDRESS
L. Shrivastava Dev, Pediatrics Department, Thundermist Health Associates,
383 Arnold Street, Woonsocket, RI 02895, United States. Email:
Leena_dev@hotmail.com
SOURCE
Clinics in Family Practice (2003) 5:2 (313-342). Date of Publication: Jun
2003
ISSN
1522-5720
ABSTRACT
Discussing anticipatory guidance is a valuable component of the well child
visit. Many topics, several of which are explored here, fall under this
category. Practitioners may also choose to cover other important areas, such
as nutrition, infant care, parent-child interactions, family relationships,
sexuality education, substance abuse, and signs of illness. Anticipatory
guidance is fundamental to injury prevention and health maintenance and
should therefore be discussed in detail with parents. Other methods of
educating parents on these topics include age-specific pamphlets or
videotapes that can provide similar information that parents may review at
their leisure. The topics discussed in this section provide a basis for
beginning such conversations with parents. Tables 2 and 3 outline
age-specific recommendations practitioners may want to use as a guide for
each well child visit. Many publications are available that outline the well
child visits, and others have age-specific encounter forms. There are also
many resources in print and on the web that can assist practitioners in
formulating a style of their own.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child care
EMTREE MEDICAL INDEX TERMS
accident prevention
adolescent
child
child parent relation
family
general practitioner
health education
health status
human
infant
Internet
newborn
nutrition
parent
practice guideline
publication
review
scientific literature
sexual education
sexuality
substance abuse
videotape
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003293948
PUI
L36874066
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1560
TITLE
Barriers to identification and treatment of hazardous drinkers as assessed
by urban/rural primary care doctors
AUTHOR NAMES
Ferguson L.
Ries R.
Russo J.
AUTHOR ADDRESSES
(Ferguson L.; Ries R., rries@u.washington.edu; Russo J.) Department of
Psychiatry, Univ. of Washington Sch. of Medicine, Seattle, WA, United
States.
(Ries R., rries@u.washington.edu) Box 359911, Harborview Medical Center,
Seattle, WA 98104, United States.
CORRESPONDENCE ADDRESS
R. Ries, Box 359911, Harborview Medical Center, Seattle, WA 98104, United
States. Email: rries@u.washington.edu
SOURCE
Journal of Addictive Diseases (2003) 22:2 (79-90). Date of Publication: 2003
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
This pilot study analyzed three types of barriers encountered by forty
family physicians when identifying and treating patients with hazardous
drinking and alcohol dependence. The Patient Centered category included
patient denial and lack of motivation to change. The Physician Centered
category included lack of physician time and lack of addiction medicine
training. The System Centered category included lack of community resources
and distance to treatment programs. The Patient Centered barriers were rated
significantly greater (p < .001) than the Physician Centered or the System
Centered barriers. There was also a significant negative correlation (r =
-0.49, p < .001) between the Physician Centered and the Patient Centered
categories, meaning that the more problematic the patients were rated, the
less problematic the physicians rated their time or training. The types of
barriers that were rated as most problematic varied depending on rural/urban
practice location and how current the physician's training was. © 2003 by
The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
drinking behavior
primary medical care
EMTREE MEDICAL INDEX TERMS
article
denial
doctor patient relation
female
general practitioner
human
male
medical education
motivation
normal human
pilot study
rural area
screening
urban area
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003196690
MEDLINE PMID
12703671 (http://www.ncbi.nlm.nih.gov/pubmed/12703671)
PUI
L36569949
DOI
10.1300/J069v22n02_07
FULL TEXT LINK
http://dx.doi.org/10.1300/J069v22n02_07
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1561
TITLE
Tobacco reduction advocacy and education for Hawaii's
physicians-in-training.
AUTHOR NAMES
Lee M.T.
AUTHOR ADDRESSES
(Lee M.T.) Office of Medical Education, John A. Burns School of Medicine
(JABSOM), USA.
CORRESPONDENCE ADDRESS
M.T. Lee, Office of Medical Education, John A. Burns School of Medicine
(JABSOM), USA.
SOURCE
Hawaii medical journal (2003) 62:5 (107-108). Date of Publication: May 2003
ISSN
0017-8594
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
physician attitude
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12806791 (http://www.ncbi.nlm.nih.gov/pubmed/12806791)
PUI
L36879597
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1562
TITLE
Requiring a one-week addiction treatment experience in a six-week psychiatry
clerkship: effects on attitudes toward substance-abusing patients.
AUTHOR NAMES
Christison G.W.
Haviland M.G.
AUTHOR ADDRESSES
(Christison G.W.; Haviland M.G.) Department of Psychiatry, Loma Linda
University School of Medicine, 11374 Mountain View Avenue, Loma Linda, CA
92354-3842, USA.
CORRESPONDENCE ADDRESS
G.W. Christison, Department of Psychiatry, Loma Linda University School of
Medicine, 11374 Mountain View Avenue, Loma Linda, CA 92354-3842, USA. Email:
gchristison@som.llu.edu
SOURCE
Teaching and learning in medicine (2003) 15:2 (93-97). Date of Publication:
2003 Spring
ISSN
1040-1334
ABSTRACT
BACKGROUND: Medical education shapes students' attitudes toward
substance-abusing patients, often in negative ways. Curricular interventions
to foster more positive attitudes toward such patients and their treatment
can have lasting effects on clinical practice. The nature and duration of
such interventions, however, requires clarification. PURPOSE: To test the
hypothesis that spending 1 week of a 6-week psychiatry clerkship on an
addication treatment site would improve attitudes toward substance-abusing
patients without reducing the clerkship's benefits on attitudes toward, and
knowledge about, psychiatry patients. METHOD: Using the Medical Condition
Regard Scale, preclerkship and postclerkship attitudes toward patients with
alcoholism, major depression, and emphysema (a control condition) were
examined in 3rd-year medical students following the conversion of 1 of the
clerkship's weeks to an addiction treatment site assignment. Psychiatric
knowledge was assessed by comparing scores on the Psychiatry Subject
examination before and after the change. RESULTS: Mean regard scores
increased significantly for patients with alcoholism and for patients with
major depression but did not change for patients with emphysema. Subject
examination scores before and after the curriculum change were not
significantly different. CONCLUSIONS: Spending 1 week of a 6-week psychiatry
clerkship on an addiction treatment site increased regard for patients with
alcoholism without adversely affecting measures of attitudes toward, and
knowledge about, psychiatric patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
clinical education
health personnel attitude
medical education
psychiatry
EMTREE MEDICAL INDEX TERMS
article
depression (therapy)
education
human
lung emphysema (therapy)
methodology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12708066 (http://www.ncbi.nlm.nih.gov/pubmed/12708066)
PUI
L36911680
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1563
TITLE
Appropriate medical care for persons in detention
AUTHOR NAMES
Idris I.
AUTHOR ADDRESSES
(Idris I.)
SOURCE
Medical Journal of Malaysia (2003) 58:SUPPL. A (119-122). Date of
Publication: March 2003
ISSN
0300-5283
BOOK PUBLISHER
Malaysian Medical Association, 124 Jalan Pahang, P.O. Box S-20, Kuala
Lumpur, Malaysia.
ABSTRACT
The people who are in detention are screened by the Medical Officer of the
Prison and if they are found to be unwell, these prisoners will be
accomodated in the sickbay and medical treatment will be provided. If their
sickness needs further investigations and management, they will be sent to
the Government Hospital. If the prisoners are found to have infectious or
contagious diseases, steps will be taken to prevent the spread of these
diseases to other prisoners in the prison. Prisoners are given time to
exercise to maintain good health and their clothing are regularly washed to
make sure that they will not contract skin diseases, e.g. scabies, ringworm,
etc. The Prison Department since 1989 has increasing numbers of HIV positive
prisoners. The Department complies with this problem by sending staff for
courses, lectures and seminars so that they will be able to handle these
prisoners more efficiently in the prison. When these HIV/AIDS prisoner's
condition turns bad, they are usually transferred to a Government Hospital.
Another of the Prison Department's prominent medical problem among the
prisoners is drug addiction. Staff trained with skill and techniques are
counselors for the drug related prisoners. Realizing and in anticipation
that the sickbays in the prisons are going to be full of HIV/AIDS prisoners
and drug related prisoners, special attention will be given to more
allocation to upgrade the sickbays in the prison. White attires provided to
the sick prisoners in the sickbays so that they will look neat and clean.
More doctors, medical assistants ansd nurses will be employed so that
appropriate medical care or rather more appropriate medical care can be
provided to the sick prisoners in the prisons. The Prison Department is in
the process of privitazing medical care for prisoners in the prison and the
Department is also trying to convert some prisons to be medical prisons so
that adequate medical care can be given to the sick prisoners.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
detention
medical care
prison
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
clothing
conference paper
drug dependence
exercise
government
health service
hospital
human
Human immunodeficiency virus infection
infection (prevention)
infection control
infection prevention
medical education
medical staff
nurse
physician
physician assistant
prisoner
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003334330
MEDLINE PMID
14556359 (http://www.ncbi.nlm.nih.gov/pubmed/14556359)
PUI
L36994394
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1564
TITLE
Utilization and cost impact of integrating substance abuse treatment and
primary care.
AUTHOR NAMES
Parthasarathy S.
Mertens J.
Moore C.
Weisner C.
AUTHOR ADDRESSES
(Parthasarathy S.; Mertens J.; Moore C.; Weisner C.) Division of Research,
Kaiser Permanente Medical Care Program, Oakland, California 94612, USA.
CORRESPONDENCE ADDRESS
S. Parthasarathy, Division of Research, Kaiser Permanente Medical Care
Program, Oakland, California 94612, USA.
SOURCE
Medical care (2003) 41:3 (357-367). Date of Publication: Mar 2003
ISSN
0025-7079
ABSTRACT
OBJECTIVE: To examine the impact of integrating medical and substance abuse
treatment on health care utilization and cost. RESEARCH DESIGN: Randomized
clinical trial assigning patients to one of two treatment modalities: an
Integrated Care model where primary health care is provided along with
substance abuse treatment within the unit and an Independent Care model
where medical care is provided in the HMO's primary care clinics
independently from substance abuse treatment. SUBJECTS: Adult patients
entering treatment at the outpatient Chemical Dependency Recovery Program in
Kaiser Sacramento. MEASURES: Medical utilization and cost for 12 months
pretreatment and 12 months after treatment entry. RESULTS: For the full,
randomized cohort, there were no statistically significant differences
between the two treatment groups over time. However, among the subset of
patients with substance abuse related medical conditions (SAMC), Integrated
Care patients had significant decreases in hospitalization rates (P = 0.04),
inpatient days (P = 0.05) and ER use (P = 0.02). Total medical costs per
member-month declined from 431.12 US dollars to 200.03 US dollars (P =
0.02). Among SAMC Independent Care patients, there was a downward trend in
inpatient days (P = 0.08) and ER costs (P = 0.05) but no statistically
significant decrease in total medical cost. CONCLUSIONS: (Non)findings for
the full sample suggest that integrating substance abuse treatment with
primary care, may not be necessary or appropriate for all patients. However,
it may be beneficial to refer patients with substance abuse related medical
conditions to a provider also trained in addiction medicine. There appear to
be large cost impacts of providing integrated care for such patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
health maintenance organization
integrated health care system
primary health care
EMTREE MEDICAL INDEX TERMS
adult
article
clinical trial
cohort analysis
comorbidity
comparative study
controlled clinical trial
controlled study
economics
female
health care cost
health services research
human
male
organization and management
randomized controlled trial
statistics
United States
utilization review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12618639 (http://www.ncbi.nlm.nih.gov/pubmed/12618639)
PUI
L36493886
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1565
TITLE
Psychometric properties of the blood-borne virus transmission risk
assessment questionnaire (BBV-TRAQ)
AUTHOR NAMES
Fry C.L.
Lintzeris N.
AUTHOR ADDRESSES
(Fry C.L., craigf@turningpoint.org.au; Lintzeris N.) Turning Point
Alcohol/Drug Ctr. Inc., Melbourne, Vic., Australia.
(Fry C.L., craigf@turningpoint.org.au) Turning Point Alcohol/Drug Ctr. Inc.,
54-62 Gertrude Street, Melbourne, Vic. 3065, Australia.
CORRESPONDENCE ADDRESS
C.L. Fry, Turning Point Alcohol/Drug Ctr. Inc., 54-62 Gertrude Street,
Melbourne, Vic. 3065, Australia. Email: craigf@turningpoint.org.au
SOURCE
Addiction (2003) 98:2 (171-178). Date of Publication: 1 Feb 2003
ISSN
0965-2140
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aims: To develop a standard measure of blood-borne virus transmission risk
behaviour, and examine the underlying psychometric properties. Design: The
Blood-borne Virus Transmission Risk Assessment Questionnaire (BBV-TRAQ) was
developed over three consecutive phases of the original BBV-TRAQ study in
adherence to classical scale development procedures, culminating in the
recruitment of a development sample of current injecting drug users via
convenience and snowball sampling. Setting: Needle and syringe programmes
(NSPs), medical clinics, alcohol/drug agencies, peer-based and outreach
organizations across inner and outer metropolitan Melbourne. Participants:
Two hundred and nine current injecting drug users. The mean age was 27
years, 68% were male, 65% unemployed, 36% with prison history and 25% in
methadone maintenance. Measurements: BBV-TRAQ items cover specific
injecting, sexual and skin penetration risk practices. BBV-TRAQ
characteristics were assessed via measures of internal and test-retest
reliability; collateral validation: and principal components analyses.
Findings: The BBV-TRAQ has satisfactory psychometric properties. Internal (a
= 0.87), test-retest (r = 0.84) and inter-observer reliability results were
high, suggesting that the instrument provides a reliable measure of BBV risk
behaviour and is reliable over time and across interviewers. A principal
components analysis with varimax rotation produced a parsimonious factor
solution despite modest communality, and indicated that three factors
(injecting, sex and skin penetration/hygiene risks) are required to describe
BBV risk behaviour. Conclusions: The BBV-TRAQ is reliable and represents the
first risk assessment tool to incorporate sufficient coverage of injecting,
sex and other skin penetration risk practices to be considered truly content
valid. The questionnaire is indicated for use in addictions research,
clinical, peer education and BBV risk behaviour surveillance settings.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
virus transmission
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
human
hygiene
injection
major clinical study
male
preventive health service
psychometry
questionnaire
reliability
risk assessment
sexual behavior
skin penetration
validation process
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003053080
MEDLINE PMID
12534421 (http://www.ncbi.nlm.nih.gov/pubmed/12534421)
PUI
L36140368
DOI
10.1046/j.1360-0443.2003.00207.x
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1360-0443.2003.00207.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1566
TITLE
Education of preventive medicine residents: Alcohol, tobacco, and other drug
abuse
AUTHOR NAMES
Weintraub T.A.
Saitz R.
Samet J.H.
AUTHOR ADDRESSES
(Weintraub T.A.; Saitz R.; Samet J.H., jsamet@bu.edu) Clin. Addict.
Res./Educ. (Care) Unit, Section of General Internal Medicine, Boston
University School of Medicine, Boston, MA, United States.
(Samet J.H., jsamet@bu.edu) Boston University School of Medicine, 91 E.
Concord Street, Boston, MA 02118, United States.
CORRESPONDENCE ADDRESS
J.H. Samet, Boston University School of Medicine, 91 E. Concord Street,
Boston, MA 02118, United States. Email: jsamet@bu.edu
SOURCE
American Journal of Preventive Medicine (2003) 24:1 (101-105). Date of
Publication: January 2003
ISSN
0749-3797
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Background: Generalist physicians' addiction training is inadequate, but
general preventive medicine residency (PMR) programs have not been studied.
We determined PMR programs' alcohol, tobacco, and other drug abuse (ATOD)
training from 1995 to 2000 and identified barriers to this education.
Methods: Interviewer-administered telephone survey of program directors
(PDs) of accredited PMR programs in the United States. Results: We
interviewed all 41 PMR PDs. While 78% of PMR PDs reported interest in
increasing ATOD education, for 68% it was not a high educational priority.
Tobacco ranked in the top third of preventive medicine topics by 58%, while
alcohol and other drugs ranked in the bottom third by 48% and 52%,
respectively. Twenty-two percent of programs required a clinical ATOD
rotation, most commonly smoking-cessation clinics. Only 29% of PMR PDs felt
that residents were well prepared in clinical aspects of ATOD, while 60%
felt that residents were prepared in ATOD research and public health issues.
The most commonly reported barriers to ATOD training were lack of resident
interest and defined competencies (64% each); limited faculty time (59%);
limited teaching time (54%); lack of available teaching materials (53%); and
lack of faculty expertise (51%). Conclusions: While the majority of PMR PDs
recognize the importance of incorporating teaching about addictions into
training, much of the ATOD education in PMRs focuses on tobacco alone.
Setting educational standards, defining competencies, investing in faculty
development, and creating ATOD curricular modules are important next steps
toward preparing preventive medicine physicians to effectively reduce the
public health toll of addictions. © 2003 American Journal of Preventive
Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
medical education
preventive medicine
resident
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
administrative personnel
article
clinical practice
competence
drinking behavior
education program
human
public health service
smoking
smoking cessation
telephone
university
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003039888
MEDLINE PMID
12554029 (http://www.ncbi.nlm.nih.gov/pubmed/12554029)
PUI
L36110699
DOI
10.1016/S0749-3797(02)00567-6
FULL TEXT LINK
http://dx.doi.org/10.1016/S0749-3797(02)00567-6
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1567
TITLE
Documentation of alcohol, cigarette and cannabis use by psychiatric and
general practice trainees [1]
AUTHOR NAMES
O'Connell H.
Cahill M.
Murphy D.
AUTHOR ADDRESSES
(O'Connell H.) Mercer's Inst. for Res. on Ageing, St. James's Hospital,
Dublin 8, Ireland.
(Cahill M.) Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland.
(Murphy D.) Department of Psychiatry, Adelaide/Meath Hosp. Incorporating,
National Children's Hospital, Taliaght, Dublin 24, Ireland.
CORRESPONDENCE ADDRESS
H. O'Connell, Mercer's Inst. for Res. on Ageing, St. James's Hospital,
Dublin 8, Ireland.
SOURCE
Irish Journal of Psychological Medicine (2003) 20:3 (105). Date of
Publication: September 2003
ISSN
0790-9667
BOOK PUBLISHER
MedMedia Ltd
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
cannabis addiction
cigarette smoking
general practitioner
medical record
EMTREE MEDICAL INDEX TERMS
alcohol consumption
documentation
epidemiological data
health care personnel
hospital admission
human
Ireland
letter
medical education
medical practice
statistical analysis
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2003390121
PUI
L37174636
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 1568
TITLE
Attitudes toward opioid use for chronic pain: A Canadian physician survey
AUTHOR NAMES
Morley-Forster P.K.
Clark A.J.
Speechley M.
Moulin D.E.
AUTHOR ADDRESSES
(Morley-Forster P.K., pat.morley-forster@sjhc.london.on.ca; Speechley M.;
Moulin D.E.) University of Western Ontario Interdisciplinary Pain Program,
London, Ont., Canada.
(Clark A.J.) Pain Management Unit, Capital Health and Dalhousie University,
Halifax, NS, Canada.
(Morley-Forster P.K., pat.morley-forster@sjhc.london.on.ca) St. Joseph's
Health Care, 268 Grosvenor Street, London, Ont. N6A 4L6, Canada.
CORRESPONDENCE ADDRESS
P.K. Morley-Forster, St. Joseph's Health Care, 268 Grosvenor Street, London,
Ont. N6A 4L6, Canada. Email: pat.morley-forster@sjhc.london.on.ca
SOURCE
Pain Research and Management (2003) 8:4 (189-194). Date of Publication:
Winter 2003
ISSN
1203-6765
BOOK PUBLISHER
Hindawi Limited
ABSTRACT
OBJECTIVES: To measure chronic pain patient volumes seen in primary care
practice; to determine what medications physicians choose for the treatment
of moderate to severe chronic pain; to identify barriers to the use of
opioids in the treatment of chronic pain; and to assess physicians'
attitudes toward the current management of chronic pain in Canada. DESIGN: A
computer-assisted telephone survey of 100 regionally representative Canadian
physicians with a defined interest in palliative care (PC, n=30) or
noncancer pain (GP, n=70). SETTING: A survey was conducted by Ipsos-Reid in
June 2001. Only physicians who met the eligibility criteria of having
written 20 or more prescriptions for moderate to severe pain in the
preceding four weeks or having devoted 20% of time to palliative care were
eligible to participate. RESULTS: In one month, the average number of
patients with moderate to severe chronic pain seen by PCs was 94.2; the
average seen by GPs was 44.7. The pain experienced by 83.3% of GP patients
was non-cancer related. For chronic cancer pain, an opioid analgesic was the
treatment of choice of 79% of physicians (48% preferred morphine, 21%
codeine, 10% other). For moderate to severe chronic noncancer pain, opioids
were the first-line treatment of only 32% of physicians (16% preferred
codeine, 16% major opioids) because a significant number preferred either
nonsteriodal anti-inflammatory drugs (29%) or acetaminophen (16%).
Thirty-five per cent of GPs and 23% of PCs would never use opioids for
noncancer pain, even when described as severe. Chronic pain was deemed by
68% of physicians to be inadequately managed. Almost 60% thought that pain
management could be enhanced by improved physician education. Identified
barriers to opioid use included addiction potential (37%) and side effects
(25%). Seventeen per cent of GPs and 10% of PCs thought that regulatory
sanctions limited opioid prescribing. CONCLUSIONS: Even among physicians
experienced in chronic pain treatment, there is a reluctance to use opioids
for severe nonmalignant pain. One-half of the survey participants believed
that there was a need for improved physician education in pain management,
including the use of opioids. ©2003 Pulsus Group Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug therapy)
EMTREE DRUG INDEX TERMS
codeine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy)
EMTREE MEDICAL INDEX TERMS
article
Canada
cancer pain (drug therapy)
computer aided design
controlled study
drug use
health survey
human
major clinical study
medical practice
palliative therapy
physician attitude
prescription
primary medical care
telephone
CAS REGISTRY NUMBERS
codeine (76-57-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Chinese
EMBASE ACCESSION NUMBER
2006007491
MEDLINE PMID
14679412 (http://www.ncbi.nlm.nih.gov/pubmed/14679412)
PUI
L43020581
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1569
TITLE
Probability of success in tobacco quitting during the course of two simple
medical interventions
ORIGINAL (NON-ENGLISH) TITLE
Probabilidad de éxito en el abandono del tabaco en el curso de dos
intervenciones sencillas para dejar de fumar
AUTHOR NAMES
Guallar-Castillón P.
Lafuente Urdinguio P.
Garteizaurrekoa Dublang P.
Sáinz Martínez O.
Díez Azcárate J.I.
Foj Alemán M.
Banegas Banegas J.R.
Prado Méndez V.
De Andrés Manzano B.
Rodríguez-Artalejo F.
AUTHOR ADDRESSES
(Guallar-Castillón P.; Banegas Banegas J.R.; De Andrés Manzano B.;
Rodríguez-Artalejo F., fernando.artalejo@uam.es) Depto. de Med.
Preventiva/Salud Pub., Universidad Autonoma de Madrid, Madrid, Spain.
(Lafuente Urdinguio P.; Prado Méndez V.) Depto. de Med. Preventiva/Salud
Pub., Universidad del País Vasco, Bilbao, Spain.
(Garteizaurrekoa Dublang P.; Sáinz Martínez O.) Unidad de Salud Laboral,
Empresa Trans. Colectivos Bilbao, S.A. Bilbao, Spain.
(Díez Azcárate J.I.; Foj Alemán M.) Unidad de Salud Laboral, Iberdrola, S.A.
Bilbao, Spain.
(Rodríguez-Artalejo F., fernando.artalejo@uam.es) Depto. de Med.
Preventiva/Salud Pub., Facultad de Medicina, Universidad Autonoma de Madrid,
Avda. Arzobispo Morcillo, s/n, 28029 Madrid, Spain.
CORRESPONDENCE ADDRESS
F. Rodríguez-Artalejo, Depto. de Med. Preventiva/Salud Pub., Facultad de
Medicina, Universidad Autonoma de Madrid, Avda. Arzobispo Morcillo, s/n,
28029 Madrid, Spain. Email: fernando.artalejo@uam.es
SOURCE
Revista Espanola de Salud Publica (2003) 77:1 (117-124). Date of
Publication: January/February 2003
ISSN
1135-5727
BOOK PUBLISHER
Ministerio de Sanidad y Consumo, Paseo del Prado 18-20, Madrid, Spain.
ABSTRACT
Introduction and objectives: Counselling for tobacco quitting could be
improved by informing smokers about the likelihood of success in quitting
over time since the start of an intervention for smoking cessation. This
study assessed the change in the probability of success in tobacco quitting
during the course of two simple medical interventions for smoking cessation.
Methods: Prospective study in three worksites in the Basque Country (Spain),
which underwent two interventions for quitting. Intervention 1 consisted of
sporadic, brief (30 seconds-1 minute) and unstructured medical advice to
quit. Intervention 2 consisted of brief(5-8 minutes) structured medical
councelling for tobacco quitting in a firts visit, followed by reinforcement
advice on 3 occasions during 3 months, accompanied by nicotine patches
individualized according to nicotine dependence. Results are expressed as a
«reltive measure of success» or rate of proportions (RP) calculated as the
predictive value of achieving tobacco abstinence at 12 months for those with
tobacco abstinence at 2 days, 15 days and 3 months from the start of each
intervention divided by the percentage abstinent at 12. Results: For the 103
smokers subjected to intervention 1, RP was 1.7 (C1 95%: 1.0-3.4) at 2 days,
2.3 (1.2-4.6) at 15 days, and 3.4 (1.8-6.5) at 3 months. For the 114
subjects who underwent intervention 2, RP was 1.3 (1.0-2.1) at 2 days, 1.9
(1.2-2.8) at 15 days, and 2.6 (1.8-3.8) at 3 months. Results did not change
materially after stratification by number of cigarettes smoked, or nicotine
dependence. Conclusions: Remaining abstinent from tobacco smoking at 3 monts
after the start of a quitting intervention increases the likelihood of
success in quitting at 12 months.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
smoking cessation
tobacco
EMTREE MEDICAL INDEX TERMS
abstinence
adult
article
drug dependence treatment
female
human
major clinical study
male
occupational health
patient counseling
probability
prospective study
Spain
workplace
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Spanish
LANGUAGE OF SUMMARY
English, Spanish
EMBASE ACCESSION NUMBER
2003129549
MEDLINE PMID
12696391 (http://www.ncbi.nlm.nih.gov/pubmed/12696391)
PUI
L36358753
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1570
TITLE
Pain clinicians' rankings of aberrant drug-taking behaviors
AUTHOR NAMES
Passik S.D.
Kirsh K.L.
Whitcomb L.
Dickerson P.K.
Theobald D.E.
AUTHOR ADDRESSES
(Passik S.D., spassik@uky.edu) Department of Behavioral Science, Chandler
Medical College, University of Kentucky, Lexington, KY, United States.
(Kirsh K.L.) Symptom Mgmt./Palliative Care Prog., Markey Cancer Center,
University of Kentucky, Lexington, KY, United States.
(Whitcomb L.; Dickerson P.K.; Theobald D.E.) Oncology Symptom Control
Research, Community Cancer Care, Indianapolis, IN, United States.
(Passik S.D., spassik@uky.edu) Symptom Mgmt./Palliative Care Prog., Markey
Cancer Center, 800 Rose Street, Lexington, KY 40536-0093, United States.
CORRESPONDENCE ADDRESS
S.D. Passik, Symptom Mgmt./Palliative Care Prog., Markey Cancer Center, 800
Rose Street, Lexington, KY 40536-0093, United States. Email: spassik@uky.edu
SOURCE
Journal of Pain and Palliative Care Pharmacotherapy (2002) 16:4 (39-49).
Date of Publication: 2002
ISSN
1536-0288
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
A pilot study was conducted to examine experienced pain physicians'
perceptions of aberrant drug taking behaviors. One hundred pain physicians
attending a meeting on pain management were asked to rank order (from most
aberrant = 1 to least aberrant = 13) a list of aberrant drug-taking
behaviors. The sample was comprised mainly of anesthesiologists (50%) and
half of the group had 10 or more years of pain management experience. The
group prescribed an average of 19-96 opioid medications per week. Practice
variables were not related to the rank ordering of the behaviors. All of the
various behaviors appeared in all 13 of the rank ordering slots, suggesting
a great deal of individual difference in the perception of these behaviors.
By examining the average ranking of the behaviors, we noted that physicians'
focus on illegal behaviors as the most aberrant followed by the alteration
of route of delivery and self-escalation of dose. This survey suggests that
an experienced group of pain clinicians does not view aberrant drug related
behaviors uniformly. Average rankings suggest clinicians seem to view
illegal behavior as the most worrisome. These results must be interpreted
with caution due to the small convenience sample, the lack of data on the
level of addiction medicine training of the respondents and the lack of data
on those physicians who chose not to respond. Further inquiry could be used
to guide clinicians' responses to aberrant behaviors when encountered in
patients on controlled substances for pain. © 2002 by The Haworth Press,
Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (etiology)
pain clinic
EMTREE MEDICAL INDEX TERMS
article
behavior disorder
clinical practice
drug use
human
patient attitude
risk factor
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002436124
MEDLINE PMID
14635824 (http://www.ncbi.nlm.nih.gov/pubmed/14635824)
PUI
L35403708
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1571
TITLE
Creating meaning and value in substance abuse education
AUTHOR NAMES
Barnes H.N.
AUTHOR ADDRESSES
(Barnes H.N., hbarnes@challiance.org) Harvard Medical School, Cambridge (MA)
Health Alliance, Cambridge, MA, United States.
(Barnes H.N., hbarnes@challiance.org) Cambridge Family Health, 237 Hampshire
Street, Cambridge, MA 02139, United States.
CORRESPONDENCE ADDRESS
H.N. Barnes, Cambridge Family Health, 237 Hampshire Street, Cambridge, MA
02139, United States. Email: hbarnes@challiance.org
SOURCE
Substance Abuse (2002) 23:4 (203-209). Date of Publication: 2002
ISSN
0889-7077
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Medical faculty committed to teaching about substance abuse face the
challenges of teaching about a stigmatized disease. They often work with
little support and few colleagues. These clinician educators must find tools
to help sustain them in this work. Knowledge of emerging data on effective
diagnosis and treatment of substance abuse in the primary care setting and
excellent clinical skills in managing patients with substance abuse are key.
More important is the ability to find sustenance and inspiration in working
with the addicted patients who have been our teachers.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
alcoholics anonymous
community care
conference paper
curriculum
education program
evidence based medicine
human
medical school
medical student
mental health care
residency education
resident
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003366097
MEDLINE PMID
12555770 (http://www.ncbi.nlm.nih.gov/pubmed/12555770)
PUI
L37093042
DOI
10.1023/A:1021164315398
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1021164315398
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1572
TITLE
Training physicians in smoking cessation counselling may increase patients'
motivation to quit
AUTHOR NAMES
Cornuz J.
Humair J.P.
Seematter L.
Stoianov R.
Melle G.
Stalder H.
Pecoud A.
Willemsen M.C.
AUTHOR ADDRESSES
(Willemsen M.C.) DEFACTO, Hague, Netherlands.
(Cornuz J.; Humair J.P.; Seematter L.; Stoianov R.; Melle G.; Stalder H.;
Pecoud A.)
CORRESPONDENCE ADDRESS
M.C. Willemsen, DEFACTO, Hague, Netherlands.
SOURCE
Evidence-Based Healthcare (2002) 6:4 (176-177). Date of Publication: 2002
ISSN
1462-9410
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient counseling
smoking cessation
EMTREE MEDICAL INDEX TERMS
clinical practice
consultation
continuing education
education program
family medicine
health care quality
health promotion
human
internal medicine
motivation
patient attitude
physician
physician attitude
postgraduate education
primary medical care
priority journal
short survey
Switzerland
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2004305004
PUI
L38930787
DOI
10.1054/ebhc.2002.0539
FULL TEXT LINK
http://dx.doi.org/10.1054/ebhc.2002.0539
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1573
TITLE
Addiction prevention programs in schools and welfare-educational
institutions
ORIGINAL (NON-ENGLISH) TITLE
Promocja profilaktyki uzaleznień w szkołach i placówkach
opiekuńczo-wychowawczych.
AUTHOR NAMES
Szpringer M.
Błaszczyk B.
AUTHOR ADDRESSES
(Szpringer M.; Błaszczyk B.) Instytutu Kształcenia, Medycznego Akademii
Swietokrzyskiej w Kielcach.
CORRESPONDENCE ADDRESS
M. Szpringer, Instytutu Kształcenia, Medycznego Akademii Swietokrzyskiej w
Kielcach. Email: ikm@pu.kielce.pl
SOURCE
Wiadomości lekarskie (Warsaw, Poland : 1960) (2002) 55 Suppl 1 (501-505).
Date of Publication: 2002
ISSN
0043-5147
ABSTRACT
Results of research on the functioning of addictions prevention at schools,
as well as in welfare-educational institutions have been presented in the
study. The survey covered 861 teachers and form tutors from institutions
situated all over Poland. The results of studied documents have been also
used in the analyses. During last years, systematic growth of social
pathology among groups of children and school children has been observed.
Pathologies of family life are considered to be the main reason. 79.2% of
those participating in the survey bear it out. Negative influence of
violence in programmes presented in mass media appears to be another reason
(23.7%). As many as 68.1% of being surveyed point to other causes: among
them demoralizing influence of a place of residence, acquaintances, lack of
possibilities to spend leisure time. A huge role in averting the social
pathology growth is attributed to prevention, also to prevention carried out
at schools. 35.7% of those under the survey think that prevention is carried
out at Polish schools. However, its efficiency is low because it is done on
irregular basis, mainly during so called weekly class meetings. In practice,
programme contents included in different subjects are used to the limited
extent during prevention actions. Thus, there appears an urgent need to
promote prevention programmes designed by central, provincial and council
institutions, as well as schools.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
health education
health promotion
school health service
EMTREE MEDICAL INDEX TERMS
adolescent
article
attitude to health
child
child behavior
child welfare
evaluation study
human
methodology
Poland (epidemiology)
psychological aspect
questionnaire
risk factor
socioeconomics
standard
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
15002292 (http://www.ncbi.nlm.nih.gov/pubmed/15002292)
PUI
L38654121
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1574
TITLE
Characteristics, beliefs, and practices of community clinicians trained to
provide manual-guided therapy for substance abusers
AUTHOR NAMES
Ball S.
Bachrach K.
DeCarlo J.
Farentinos C.
Keen M.
McSherry T.
Polcin D.
Snead N.
Sockriter R.
Wrigley P.
Zammarelli L.
Carroll K.
AUTHOR ADDRESSES
(Ball S., samuel.ball@yale.edu; Carroll K.) Yale University School of
Medicine, Division of Substance Abuse, VACT Healthcare Center (151D), 950
Campbell Avenue, New Haven, CT 06520, United States.
(Bachrach K.) Tarzana Treatment Centers, 18646 Oxnard Street, Tarzana, CA
91356, United States.
(DeCarlo J.) Lower East Side Service Center, 46 East Broadway, New York, NY
10002, United States.
(Farentinos C.) ChangePoint Inc., P.O. Box 92067, Portland, OR 97292-2067,
United States.
(Keen M.) Connecticut Renaissance Inc., P.O. Box 1520, Norwalk, CT 06852,
United States.
(McSherry T.) Northeast Treatment Center Inc., 499 N 5th St., Philadelphia,
PA 19123, United States.
(Polcin D.) Haight Ashbury Free Clinics Inc., 603 Clayton Street, San
Francisco, CA 94117, United States.
(Snead N.) Chesterfield Substance Abuse Serv., 26801 Lucy Court,
Chesterfield, VA 23832, United States.
(Sockriter R.) Rehab After Work, 1440 Russel Road, Philadelphia, PA 19301,
United States.
(Wrigley P.) ADAPT Inc., P.O. Box 1121, Roseburg, OR 97470, United States.
(Zammarelli L.) Willamette Fam. Treatm. Serv. Inc., 687 Cheshire St.,
Eugene, OR 97402, United States.
(Carroll K.) Natl. Drug Abuse Clin. Trials Net., National Institute on Drug
Abuse, National Institutes of Health, 6001 Executive Boulevard, Bethesda, MD
20892-9561, United States.
(Ball S., samuel.ball@yale.edu) Yale University School of Medicine, VACT
Healthcare (151D), 950 Campbell Avenue, West Haven, CT 06516, United States.
CORRESPONDENCE ADDRESS
S. Ball, Yale University School of Medicine, VACT Healthcare (151D), 950
Campbell Avenue, West Haven, CT 06516, United States. Email:
samuel.ball@yale.edu
SOURCE
Journal of Substance Abuse Treatment (2002) 23:4 (309-318). Date of
Publication: December 2002
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The successful dissemination of empirically supported addiction therapies to
community providers requires an appreciation of the characteristics of those
practitioners who might be willing participants in this process of
technology transfer. Clinicians (N = 66) from 11 community treatment
programs associated with six research-clinic partnerships of the National
Drug Abuse Clinical Trials Network volunteered to be trained in Motivational
Interviewing or Motivational Enhancement Therapy (MET/MI) and were assessed
prior to training. The sample of clinicians was heterogeneous in education
and credentials, had a high level of counseling experience, reported using a
wide range of counseling techniques and orientations, but had limited prior
exposure to MET/MI or to the use of treatment manuals of empirically
supported therapies. In general, many of the clinicians reported beliefs and
techniques that were consistent with their stated theoretical orientation
and recovery status. Relatively few participants reported relying on one
dominant orientation or set of techniques. © 2002 Elsevier Science Inc. All
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (therapy)
drug dependence treatment
medical education
physician attitude
EMTREE MEDICAL INDEX TERMS
accreditation
adult
article
community care
controlled study
counseling
experience
female
human
interview
male
medical practice
motivation
priority journal
procedures
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002461308
MEDLINE PMID
12495792 (http://www.ncbi.nlm.nih.gov/pubmed/12495792)
PUI
L35477810
DOI
10.1016/S0740-5472(02)00281-7
FULL TEXT LINK
http://dx.doi.org/10.1016/S0740-5472(02)00281-7
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1575
TITLE
The assessment of health behaviours among Warsaw Medical University students
ORIGINAL (NON-ENGLISH) TITLE
Zachowania zdrowotne studentów warszawskiej akademii medycznej.
AUTHOR NAMES
Ostrowska A.
Szewczyńiski J.A.
AUTHOR ADDRESSES
(Ostrowska A.; Szewczyńiski J.A.) Zakładu Higieny Instytutu Medycyny
Społecznej Akademii Medycznej w Warszawie.
CORRESPONDENCE ADDRESS
A. Ostrowska, Zakładu Higieny Instytutu Medycyny Społecznej Akademii
Medycznej w Warszawie.
SOURCE
Wiadomości lekarskie (Warsaw, Poland : 1960) (2002) 55 Suppl 1:Pt 2
(831-835). Date of Publication: 2002
ISSN
0043-5147
ABSTRACT
Some health behaviours among 228 students of Warsaw Medical University (130
women and 98 men) using anonymous questionnaire were examined. Percentage of
smokers among female and male students was similar (13.1% and 14.3%
respectively). Among respondents the greatest frequency of drinking alcohol
was from a few times weekly to a few times monthly. Male students drunk
alcohol more often than female ones. Beer was prefered by men, wine and
beer--by women. Only male students (10.2%) used drugs (amphetamine,
marihuana). About 1/3 of respondents did not do any sports. Female students
had better knowledge about objective factors of their health status (blood
pressure, blood glucose and cholesterol level) compared to males ones.
EMTREE DRUG INDEX TERMS
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
drinking behavior (epidemiology)
health behavior
medical student
smoking (epidemiology)
university
EMTREE MEDICAL INDEX TERMS
adult
alcohol abstinence
article
classification
comorbidity
evaluation study
female
human
male
Poland (epidemiology)
questionnaire
sex ratio
statistics
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
17474607 (http://www.ncbi.nlm.nih.gov/pubmed/17474607)
PUI
L47096045
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1576
TITLE
An education programme for professionals who specialize in substance misuse
in St. Petersburg, Russia: Part 2
AUTHOR NAMES
Green A.J.
Holloway G. D.G.
AUTHOR ADDRESSES
(Green A.J., a.green@surrey.ac.uk) European Inst. of Hlth./Med. Sci.,
University of Surrey, Duke of Kent Building, Guildford, Surrey GU2 5TE,
United Kingdom.
(Holloway G. D.G.) School of Education/Continuing Stud., University of
Portsmouth, Portsmouth, United Kingdom.
CORRESPONDENCE ADDRESS
A.J. Green, European Inst. of Hlth./Med. Sci., University of Surrey, Duke of
Kent Building, Guildford, Surrey GU2 5TE, United Kingdom. Email:
a.green@surrey.ac.uk
SOURCE
Nurse Education Today (2002) 22:8 (648-653). Date of Publication: November
2002
ISSN
0260-6917
BOOK PUBLISHER
Churchill Livingstone
ABSTRACT
This paper extends the account of a joint project of education and training
of doctors and nurses in St. Petersburg, Russia funded by the Know How Fund
Health Sector Small Partnership Scheme (Russia) (Green et al. 2001). It
reports the findings of two evaluations of the project. The first, an
external evaluation was carried on behalf of the sponsors, the KHF. The
second was an 'insider' evaluation utilising a framework developed for the
English National Board by Cranfield and Stoneman. The paper concludes with a
discussion of issues arising from the cross-cultural evaluations. © 2002
Elsevier Science Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
international cooperation
medical education
nursing education
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction (rehabilitation)
article
clinical practice
comparative study
continuing education
cultural factor
education program
financial management
health care organization
health care quality
health care system
health practitioner
human
medical specialist
methodology
nurse attitude
nursing
nursing staff
patient care
physician
physician attitude
politics
risk management
Russian Federation
self examination
socioeconomics
staff training
teaching
thinking
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
12443701 (http://www.ncbi.nlm.nih.gov/pubmed/12443701)
PUI
L35414973
DOI
10.1016/S0260-6917(02)00103-X
FULL TEXT LINK
http://dx.doi.org/10.1016/S0260-6917(02)00103-X
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1577
TITLE
Pharmacy student knowledge, attitudes, and beliefs about selling syringes to
injection drug users.
AUTHOR NAMES
Blumenthal W.J.
Springer K.W.
Jones T.S.
Sterk C.E.
AUTHOR ADDRESSES
(Blumenthal W.J.; Springer K.W.; Jones T.S.; Sterk C.E.) Division of
Emergency and Environmental Health Services, National Center for
Environmental Health, Centers for Disease Control and Prevention, Atlanta,
GA 30333, USA.
CORRESPONDENCE ADDRESS
W.J. Blumenthal, Division of Emergency and Environmental Health Services,
National Center for Environmental Health, Centers for Disease Control and
Prevention, Atlanta, GA 30333, USA. Email: Wblumenthal@cdc.gov
SOURCE
Journal of the American Pharmaceutical Association (Washington,D.C. : 1996)
(2002) 42:6 Suppl 2 (S34-39). Date of Publication: 2002 Nov-Dec
ISSN
1086-5802
ABSTRACT
OBJECTIVE: To explore pharmacy school education and pharmacy students'
knowledge, attitudes, and beliefs about human immunodeficiency virus (HIV)
and acquired immunodeficiency syndrome (AIDS), drug use, and syringe sales
to injection drug users (IDUs). DESIGN: Qualitative study of a convenience
sample of pharmacy school students. SETTING: A pharmacy school in the
southeastern United States. INTERVENTION: Two focus groups and nine in-depth
interviews were conducted about HIV/AIDS education and counseling, syringe
sales to possible IDUs, and related pharmacy school education. PARTICIPANTS:
19 Doctor of Pharmacy students, including 88 students in their third
professional year and 11 in their fourth professional year. RESULTS: Most
participants believed that they would benefit from more class time on
HIV/AIDS topics, including AIDS treatment medications and HIV prevention.
Most participants believed that the laws and regulations governing syringe
sales in their state were vague, leaving syringe sale decisions to
pharmacists' discretion. Nine study participants supported selling syringes
to possible IDUs, five opposed it, and five were undecided or ambivalent.
Classroom education focused on addiction to prescription drugs, with limited
attention to illicit drug use. CONCLUSION: Pharmacy students have divided
opinions about selling syringes to IDUs. To prepare students for helping
their patients with drug-use problems, pharmacy schools should increase
training about HIV/AIDS and addiction. Policy makers should consider
changing laws and regulations of syringe sales to recognize prevention of
blood-borne infections as a legitimate medical purpose for selling syringes
to IDUs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
pharmacy student
substance abuse
syringe
EMTREE MEDICAL INDEX TERMS
article
human
Human immunodeficiency virus infection (prevention)
patient education
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12489613 (http://www.ncbi.nlm.nih.gov/pubmed/12489613)
PUI
L35536287
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1578
TITLE
Comorbidity training needs at a state psychiatric hospital
AUTHOR NAMES
Brems C.
Johnson M.E.
Bowers L.
Lauver B.
Mongeau V.A.
AUTHOR ADDRESSES
(Brems C., afcb@uaa.alaska.edu) Department of Psychology, Alaska
Compreh./Spec. Eval. Services, University of Alaska Anchorage, 3211
Providence Drive, Anchorage, AK 99508-8224, United States.
(Johnson M.E.; Bowers L.; Lauver B.; Mongeau V.A.)
CORRESPONDENCE ADDRESS
C. Brems, Department of Psychology, Alaska Compreh./Spec. Eval. Services,
University of Alaska Anchorage, 3211 Providence Drive, Anchorage, AK
99508-8224, United States. Email: afcb@uaa.alaska.edu
SOURCE
Administration and Policy in Mental Health (2002) 30:2 (109-120). Date of
Publication: November 2002
ISSN
0894-587X
BOOK PUBLISHER
Kluwer Academic/Human Sciences Press Inc., 233 Spring Street, New York,
United States.
ABSTRACT
This study explored training issues relevant to work with comorbid clients
(those with both psychiatric and substance abuse diagnoses) among members of
a psychiatric hospital clinical staff (N=147). Respondents reported that
they had received limited training for working with comorbid or substance
abusing clients; they perceived comorbid clients as presenting with
particular concerns, especially regarding referral to treatment services and
management of acting-out behaviors; and they attached great importance to
the need for training in comorbidity. With high proportions of clients at
psychiatric hospitals being comorbid, it is imperative that staff members
receive training to deal with substance abuse and comorbidity. These results
suggest that such training has not been available, but it is needed and
wanted.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
comorbidity
mental hospital
psychiatric diagnosis
substance abuse
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
acting out
article
disease severity
doctor patient relation
health care personnel
human
Human immunodeficiency virus infection
medical decision making
medical education
medical staff
patient referral
priority journal
problem solving
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003136962
MEDLINE PMID
12680616 (http://www.ncbi.nlm.nih.gov/pubmed/12680616)
PUI
L36378682
DOI
10.1023/A:1022581001193
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1022581001193
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1579
TITLE
Strategy for the treatment of noncompliant hypertensive hemodialysis
patients
AUTHOR NAMES
Ross E.A.
Pittman T.B.
Koo L.C.
AUTHOR ADDRESSES
(Ross E.A., Rossea@Medicine.ufl.edu) End-Stage Renal Diseaase Program, Div.
Nephrol. Hypertens./Transplant., University of Florida, Gainesville, FL
32610-0224, United States.
(Pittman T.B.; Koo L.C.) Div. Nephrol. Hypertens./Transplant., University of
Florida, Gainesville, FL 32610-0224, United States.
CORRESPONDENCE ADDRESS
E.A. Ross, End-Stage Renal Diseaase Program, Div. Nephrol.
Hypertens./Transplant., University of Florida, Gainesville, FL 32610-0224,
United States. Email: Rossea@Medicine.ufl.edu
SOURCE
International Journal of Artificial Organs (2002) 25:11 (1061-1065). Date of
Publication: 1 Nov 2002
ISSN
0391-3988
BOOK PUBLISHER
Wichtig Editore s.r.l., Via Friuli 72/74, Milan, Italy.
ABSTRACT
Hypertensive hemodialysis patients noncompliant for their medications do not
benefit from pharmacologic advances in the treatment of high blood pressure,
and increase their already high risk of cardiovascular complications. The
medical staff often becomes frustrated by severe hypertension in those who
refuse to take medicines at home, drink excessive fluids, miss multiple
dialysis sessions and sign-off dialysis early. In addition to addressing the
psychosocial, financial, educational and substance abuse problems which
contribute to noncompliance, we have developed a medication strategy to
serve as an at least interim means of lowering blood pressure.
Antihypertensive agents which have long half-lives in renal failure
(lisinopril) and/or are intrinsically long acting (transdermal clonidine and
amlodipine) were administered on dialysis days by the unit personnel to
those patients who did not or would not take that or any dose on their own.
The lisinopril and amlodipine were assured to have been taken on at least
the dialysis days (thrice weekly), and the clonidine patch replaced weekly.
Sixteen patients were thus treated when they failed to reliably
self-administer medications. They had a significant decline in the
pre-dialysis systolic pressure of 15 mm Hg (175 ± 6 to 160 ± 5 mm Hg),
diastolic of 12 mm Hg (103 ± 3 to 91 ± 3 mm Hg), and mean pressure of 13 mm
Hg (127 ± 4 to 114 ± 4 mm Hg). There was an improvement in post-dialysis
blood pressures, with the mean pressure declining 13 mm Hg from 110 ± 4 to
97 ± 4 mm Hg. Many individuals had erratic blood pressure control, having
intermittently missed dialysis and hence unit-administered medicine, as well
as continued fluid or drug abuse. The patients had uniformly excellent
acceptance of this regimen, even spontaneously requesting it, and had no
appreciable adverse effects. In summary while noncompliance is being
addressed by the entire medical team, dialysis unit administration of
long-acting medicines helps many hypertensive dialysis patients who would
otherwise be at increased risk for severe cardiovascular complications.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antihypertensive agent (adverse drug reaction, drug administration, drug
combination, drug comparison, drug dose, drug therapy, oral drug
administration, pharmacokinetics, transdermal drug administration)
EMTREE DRUG INDEX TERMS
amlodipine (adverse drug reaction, drug combination, drug comparison, drug
therapy, transdermal drug administration)
clonidine (adverse drug reaction, drug combination, drug comparison, drug
therapy, transdermal drug administration)
dipeptidyl carboxypeptidase inhibitor (drug therapy)
erythropoietin (intravenous drug administration)
lisinopril (adverse drug reaction, drug combination, drug comparison, drug
dose, drug therapy, oral drug administration, pharmacokinetics)
long acting drug (adverse drug reaction, drug combination, drug comparison,
drug therapy, transdermal drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hemodialysis patient
hypertension (drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
blood pressure regulation
cardiovascular disease (complication)
clinical article
clinical protocol
data analysis
diastolic blood pressure
disease severity
drinking
drug dose regimen
drug half life
drug self administration
female
follow up
high risk patient
human
information processing
kidney failure (therapy)
male
maximum permissible dose
medical staff
monotherapy
patient attitude
patient compliance
retrospective study
side effect (side effect)
socioeconomics
statistical analysis
statistical significance
substance abuse
systolic blood pressure
treatment planning
CAS REGISTRY NUMBERS
amlodipine (88150-42-9)
clonidine (4205-90-7, 4205-91-8, 57066-25-8)
erythropoietin (11096-26-7)
lisinopril (76547-98-3, 83915-83-7)
EMBASE CLASSIFICATIONS
Cardiovascular Diseases and Cardiovascular Surgery (18)
Clinical and Experimental Pharmacology (30)
Adverse Reactions Titles (38)
Urology and Nephrology (28)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003013621
MEDLINE PMID
12487393 (http://www.ncbi.nlm.nih.gov/pubmed/12487393)
PUI
L36040551
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1580
TITLE
More about substance abuse in medical education. A joint European curriculum
under development
ORIGINAL (NON-ENGLISH) TITLE
Beroendelära kommer att få större plats i läkarutbildningen. Gemensamt
europeiskt curriculum under arbete.
AUTHOR NAMES
Berglund M.
AUTHOR ADDRESSES
(Berglund M.) Klinisk alkoholforskning, Lunds universitet.
CORRESPONDENCE ADDRESS
M. Berglund, Klinisk alkoholforskning, Lunds universitet. Email:
mats.berglund@alk.mas.lu.se
SOURCE
Läkartidningen (2002) 99:43 (4250-4251). Date of Publication: 24 Oct 2002
ISSN
0023-7205
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology, therapy)
alcoholism (diagnosis, epidemiology, therapy)
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
article
Europe
human
standard
LANGUAGE OF ARTICLE
Swedish
MEDLINE PMID
12448308 (http://www.ncbi.nlm.nih.gov/pubmed/12448308)
PUI
L35525385
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1581
TITLE
Primary health care has a great interest to learn more about substance
abuse. Use it! The county of Vasterbotten has done so
ORIGINAL (NON-ENGLISH) TITLE
I primärvården finns ett stort intresse för beroendelära. Utnyttja det! det
har man gjort i västerbotten.
AUTHOR NAMES
Winberg J.
Nordström A.
AUTHOR ADDRESSES
(Winberg J.; Nordström A.)
CORRESPONDENCE ADDRESS
J. Winberg, Email: jack.winberg@vll.se
SOURCE
Läkartidningen (2002) 99:43 (4256-4258). Date of Publication: 24 Oct 2002
ISSN
0023-7205
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, prevention)
health center
medical education
nursing education
primary health care
EMTREE MEDICAL INDEX TERMS
article
clinical competence
doctor patient relation
human
manpower
nurse patient relationship
questionnaire
Sweden
LANGUAGE OF ARTICLE
Swedish
MEDLINE PMID
12448310 (http://www.ncbi.nlm.nih.gov/pubmed/12448310)
PUI
L35525387
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1582
TITLE
Substance abuse among physicians: A survey of academic anesthesiology
programs
AUTHOR NAMES
Booth J.V.
Grossman D.
Moore J.
Lineberger C.
Reynolds J.D.
Reves J.G.
Sheffield D.
AUTHOR ADDRESSES
(Booth J.V.; Grossman D.; Moore J.; Lineberger C.; Reynolds J.D.; Reves
J.G.; Sheffield D.) Box 3094, Department of Anesthesiology, Duke University
Medical Center, Durham, NC 27710, United States.
CORRESPONDENCE ADDRESS
J.V. Booth, Box 3094, Department of Anesthesiology, Duke University Medical
Center, Durham, NC 27710, United States. Email: booth006@mc.duke.edu
SOURCE
Anesthesia and Analgesia (2002) 95:4 (1024-1030). Date of Publication:
October 2002
ISSN
0003-2999
BOOK PUBLISHER
Lippincott Williams and Wilkins, 351 West Camden Street, Baltimore, United
States.
ABSTRACT
Efforts to reduce controlled-substance abuse by anesthesiologists have
focused on education and tighter regulation of controlled substances.
However, the efficacy of these approaches remains to be determined. Our
hypotheses were that the reported incidence of controlled-substance abuse is
unchanged from previous reports and that the control and accounting process
involved in distribution of operating room drugs has tightened. We focused
our survey on anesthesiology programs at American academic medical centers.
Surveys were sent to the department chairs of the 133 US anesthesiology
training programs accredited at the end of 1997. There was a response rate
of 93%. The incidence of known drug abuse was 1.0% among faculty members and
1.6% among residents. Fentanyl was the controlled substance most often
abused. The number of hours of formal education regarding drug abuse had
increased in 47% of programs. Sixty-three percent of programs surveyed had
tightened their methods for dispensing, disposing of, or accounting for
controlled substances. The majority of programs (80%) compared the amount of
controlled substances dispensed against individual provider usage, whereas
only 8% used random urine testing. Sixty-one percent of departmental chairs
indicated that they would approve of random urine screens of anesthesia
providers.
EMTREE DRUG INDEX TERMS
cocaine
diazepam
fentanyl
halothane
illicit drug
ketamine
midazolam
nitrous oxide
pethidine
propofol
sufentanil
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesiology
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
drug abuse
drug control
drug use
hospital management
hospital pharmacy
human
incidence
major clinical study
medical education
priority journal
resident
screening
United States
university hospital
urinalysis
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
diazepam (439-14-5)
fentanyl (437-38-7)
halothane (151-67-7, 66524-48-9)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
midazolam (59467-70-8)
nitrous oxide (10024-97-2)
pethidine (28097-96-3, 50-13-5, 57-42-1)
propofol (2078-54-8)
sufentanil (56030-54-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002343754
MEDLINE PMID
12351288 (http://www.ncbi.nlm.nih.gov/pubmed/12351288)
PUI
L35079360
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1583
TITLE
From no interest to special interest--a personal reflection on the RCGP
certificate in substance misuse.
AUTHOR NAMES
Kacker R.
AUTHOR ADDRESSES
(Kacker R.)
CORRESPONDENCE ADDRESS
R. Kacker,
SOURCE
The British journal of general practice : the journal of the Royal College
of General Practitioners (2002) 52:483 (866). Date of Publication: Oct 2002
ISSN
0960-1643
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
article
education
health personnel attitude
human
medical society
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12392139 (http://www.ncbi.nlm.nih.gov/pubmed/12392139)
PUI
L35500288
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1584
TITLE
Can a pain management and palliative care curriculum improve the opioid
prescribing practices of medical residents?
AUTHOR NAMES
Ury W.A.
Rahn M.
Tolentino V.
Pignotti M.G.
Yoon J.
McKegney P.
Sulmasy D.P.
AUTHOR ADDRESSES
(Ury W.A.; Rahn M.; Tolentino V.; Pignotti M.G.; McKegney P.; Sulmasy D.P.)
Saint Vincent's Catholic Medical Centers of New York, Manhattan Campus, New
York, NY, United States.
(Ury W.A.; Yoon J.; McKegney P.; Sulmasy D.P.) New York Medical College,
Valhalla, NY, United States.
CORRESPONDENCE ADDRESS
W.A. Ury, Saint Vincent's Medical Center, 153 West 11th St., New York, NY
10011, United States. Email: WURY@AOL.COM
SOURCE
Journal of General Internal Medicine (2002) 17:8 (625-631). Date of
Publication: 2002
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
BACKGROUND: Although opioids are central to acute pain management, numerous
studies have shown that many physicians prescribe them incorrectly,
resulting in inadequate pain management and side effects. We assessed
whether a case-based palliative medicine curriculum could improve medical
house staff opioid prescribing practices. DESIGN: Prospective chart review
of consecutive pharmacy and billing records of patients who received an
opioid during hospitalization before and after the implementation of a
curricular intervention, consisting of 10 one-hour case-based modules,
including 2 pain management seminars. MEASUREMENTS: Consecutive pharmacy and
billing records of patients who were cared for by medical residents (n =
733) and a comparison group of neurology and rehabilitative medicine
patients (n = 273) that received an opioid during hospitalization in 8-month
periods before (1/1/97 to 4/30/97) and after (1/1/99 to 4/30/99) the
implementation of the curriculum on the medical service were reviewed. Three
outcomes were measured: 1) percent of opioid orders for meperidine; 2)
percent of opioid orders with concomminant bowel regimen; and 3) percent of
opioid orders using adjuvant nonsteroidal anti-inflammatory drugs (NSAIDs).
MAIN RESULTS: The percentage of patients receiving meperidine decreased in
the study group, but not in the comparison group. The percentages receiving
NSAIDs and bowel medications increased in both groups. In multivariate
logistic models controlling for age and race, the odds of an experimental
group patient receiving meperidine in the postperiod decreased to 0.55 (95%
confidence interval [95% CI], 0.32 to 0.96), while the odds of receiving a
bowel medication or NSAID increased to 1.48 (95% CI, 1.07 to 2.03) and 1.53
(95% CI, 1.01 to 2.32), respectively. In the comparison group models, the
odds of receiving a NSAID in the post-period increased significantly to 2.27
(95% CI, 1.10 to 4.67), but the odds of receiving a bowel medication (0.45;
95% CI, 0.74 to 2.00) or meperidine (0.85; 95% CI, 0.51 to 2.30) were not
significantly different from baseline. CONCLUSIONS: This palliative care
curriculum was associated with a sustained (>6 months) improvement in
medical residents' opioid prescribing practices. Further research is needed
to understand the changes that occurred and how they can be translated into
improved patient outcomes.
EMTREE DRUG INDEX TERMS
laxative (drug therapy)
nonsteroid antiinflammatory agent (drug therapy)
opiate (drug therapy)
pethidine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain (drug therapy)
palliative therapy
EMTREE MEDICAL INDEX TERMS
adult
age
article
clinical trial
controlled clinical trial
controlled study
curriculum
female
human
major clinical study
male
medical practice
prescription
race
rehabilitation medicine
residency education
resident
treatment outcome
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
pethidine (28097-96-3, 50-13-5, 57-42-1)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002327970
MEDLINE PMID
12213144 (http://www.ncbi.nlm.nih.gov/pubmed/12213144)
PUI
L35013994
DOI
10.1046/j.1525-1497.2002.10837.x
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1525-1497.2002.10837.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1585
TITLE
Unsafe sex, substance abuse, and domestic violence: How do recently trained
obstetricians-gynecologists fare at lifestyle risk assessment and counseling
on STD prevention?
AUTHOR NAMES
Haley N.
Maheux B.
Rivard M.
Gervais A.
AUTHOR ADDRESSES
(Haley N.) Department of Pediatrics, Université de Montréal, .
(Maheux B.; Rivard M.; Gervais A.) Department of Social and Preventive
Medicine, Université de Montréal, .
(Haley N.; Maheux B.; Gervais A.) Montreal Public Health Department, .
CORRESPONDENCE ADDRESS
N. Haley, Montreal Public Health Department, Infectious Diseases Unit, 1301
Sherbrooke Street East, Montreal, Que. H2L 1M3, Canada. Email:
nhaley@santepub-mtl.qc.ca
SOURCE
Preventive Medicine (2002) 34:6 (632-637). Date of Publication: 2002
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Unsafe sexual practices, substance abuse, and domestic violence
impact women's health. This study examined whether lifestyle risk assessment
during a general medical examination and counseling about sexually
transmitted disease during consultations for adolescent contraception and
treatment of a sexually transmitted disease were more frequently done by
recently trained obstetricians-gynecologists compared to those of
obstetrician-gynecologists licensed before 1990. It also documented
obstetrician-gynecologists' evaluations of their medical training in that
area. Methods. A pretested anonymous mail survey was conducted in 1995 with
all 241 obstetrician-gynecologists practicing in Quebec, Canada; 66%
responded (N = 158). Results. Compared to less recently trained
obstetrician-gynecologists, recently trained obstetrician-gynecologists
reported routinely assessing tobacco use (77 vs 51%, P = 0.01), alcohol use
(50 vs 23%, P = 0.004), and illicit drug use (33 vs 17%, P = 0.05) more
frequently during a patient's general medical evaluation. However, they did
not assess condom use (50%), number of sexual partners, sexual partners'
sexually transmitted disease risk (30%), or experiences of sexual abuse or
domestic violence (3%) more frequently than less recently trained
obstetrician-gynecologists. They were also not more likely to counsel
teenagers about sexually transmitted disease prevention during a
contraceptive consultation (30-60%) or to discuss human immunodeficiency
virus infection (29%) and hepatitis B immunization (13%) during a sexually
transmitted disease consultation. Conclusion. Although evaluation of
substance use was better among recently trained OB-Gyn physicians, little or
no improvement has been noted regarding STD prevention or the evaluation of
sexual abuse or domestic violence, all important lifestyle risks that
directly affect women's health and well-being. © 2002 American Health
Foundation and Elsevier Science (USA).
EMTREE DRUG INDEX TERMS
contraceptive agent
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family violence
sexually transmitted disease
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
Canada
condom
contraception
controlled study
counseling
female
gynecology
hepatitis B
human
Human immunodeficiency virus infection
immunization
lifestyle
male
medical education
medical examination
priority journal
prophylaxis
risk assessment
sexuality
training
wellbeing
EMBASE CLASSIFICATIONS
Dermatology and Venereology (13)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002315543
MEDLINE PMID
12052024 (http://www.ncbi.nlm.nih.gov/pubmed/12052024)
PUI
L34971666
DOI
10.1006/pmed.2002.1030
FULL TEXT LINK
http://dx.doi.org/10.1006/pmed.2002.1030
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1586
TITLE
Tobacco intervention training: Current efforts and gaps in US medical
schools
AUTHOR NAMES
Spangler J.G.
George G.
Foley K.L.
Crandall S.J.
AUTHOR ADDRESSES
(Spangler J.G.; Crandall S.J.) Department of Family and Community Medicine,
Wake Forest University, School of Medicine, Winston-Salem, NC, United
States.
(Foley K.L.) Department of Public Health Sciences, Wake Forest University,
School of Medicine, Winston-Salem, NC, United States.
(George G.) Department of Behavioral Science, University of Texas, M. D.
Anderson Cancer Center, Houston.
CORRESPONDENCE ADDRESS
J.G. Spangler, Department of Family Medicine, Wake Forest Univ. School of
Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1084, United
States. Email: jspangle@wfubmc.edu
SOURCE
Journal of the American Medical Association (2002) 288:9 (1102-1109). Date
of Publication: 4 Sep 2002
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Context: Research has documented that US medical schools inadequately teach
tobacco intervention skills. Objective: To examine effective training
methods for tobacco intervention in undergraduate medical education. Data
Sources: Using indexing terms related to tobacco intervention and medical
education, we searched MEDLINE (1966-June 2002) and the Cochrane Database of
Systematic Reviews (through issue 2, 2002). Reference lists of relevant
articles were also read to identify additional articles. Because of their
importance to tobacco intervention, we also reviewed Ockene and colleagues'
tobacco education research and the tobacco treatment guidelines of the
United States Public Health Service and the United States Preventive
Services Task Force. Study Selection: All study designs that incorporated
process or outcome evaluation of tobacco intervention educational methods
for medical students were included in this review. Of an initial 1241
articles retrieved, 82 included medical students. Reviewing abstracts and
references of these articles identified 13 pertinent studies. Data
Extraction: Quality criteria for inclusion consisted of explicit evaluation
of the educational methods used. Data extraction identified all evaluations
and any problems in program implementation. Data Synthesis: Enhanced
instructional methods (eg, the use of patient-centered counseling,
standardized patient instructors, role playing, or a combination of these)
are more effective for teaching tobacco intervention than are traditional
didactic methods alone and can be effectively inserted into medical school
curricula. Conclusions: Various educational methods have been used to train
medical students in tobacco intervention. Nonetheless, gaps still exist
within undergraduate medical education, including a lack of integration of
tobacco dependence information throughout all 4 years of medical school
curricula, specific training in smokeless tobacco intervention, tobacco
intervention training that addresses cultural issues, and long-term studies
showing that such training is retained.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
Cochrane Library
curriculum
health promotion
human
medical school
medical student
Medline
outcomes research
patient counseling
patient education
priority journal
review
smokeless tobacco
tobacco
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002316460
MEDLINE PMID
12204079 (http://www.ncbi.nlm.nih.gov/pubmed/12204079)
PUI
L34976750
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1587
TITLE
The physician's role in caring for patients with substance use disorders:
implications for medical education and training.
AUTHOR NAMES
Fiellin D.A.
Butler R.
D'Onofrio G.
Brown R.L.
O'Connor P.G.
AUTHOR ADDRESSES
(Fiellin D.A.) Department of Internal Medicine, Yale University School of
Medicine, New Haven, CT, USA.
(Butler R.; D'Onofrio G.; Brown R.L.; O'Connor P.G.)
CORRESPONDENCE ADDRESS
D.A. Fiellin, Department of Internal Medicine, Yale University School of
Medicine, New Haven, CT, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (207-222). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, diagnosis, epidemiology, rehabilitation)
alcoholism (complication, diagnosis, epidemiology, rehabilitation)
medical education
physician attitude
EMTREE MEDICAL INDEX TERMS
clinical competence
cooperation
cross-sectional study
curriculum
human
interdisciplinary communication
mass screening
medical school
patient referral
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580996 (http://www.ncbi.nlm.nih.gov/pubmed/23580996)
PUI
L369194820
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1588
TITLE
Improving physician assistant education and practice in SUD and policy
recommendations on substance abuse education for physician assistants.
AUTHOR NAMES
Judd C.R.
Hooker R.
Morgan P.
AUTHOR ADDRESSES
(Judd C.R.) Department of Physician Assistant Studies, University of Texas
Allied Health Sciences School, Desoto, TX, USA.
(Hooker R.; Morgan P.)
CORRESPONDENCE ADDRESS
C.R. Judd, Department of Physician Assistant Studies, University of Texas
Allied Health Sciences School, Desoto, TX, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (273-287). Date
of Publication: Sep 2002
ISSN
0889-7077
ABSTRACT
Barriers to improved substance abuse education for PAs include limited time
in curricula, a shortage of appropriate clinical training sites,
insufficient faculty experience and interest regarding SUD, lack of advanced
training opportunities for practicing PAs, and inadequate funding for
innovative program and faculty development.
EMTREE DRUG INDEX TERMS
controlled substance
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, prevention, rehabilitation)
alcoholism (diagnosis, prevention, rehabilitation)
health care policy
physician assistant
EMTREE MEDICAL INDEX TERMS
certification
curriculum
education
health care quality
human
legal aspect
medical education
professional competence
review
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23581001 (http://www.ncbi.nlm.nih.gov/pubmed/23581001)
PUI
L369194825
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1589
TITLE
Substance abuse in older adults: review and recommendations for education
and practice in medical settings.
AUTHOR NAMES
Barry K.L.
Blow F.C.
Oslin D.W.
AUTHOR ADDRESSES
(Barry K.L.) Department of Psychiatry, University of Michigan, Ann Arbor,
MI, USA.
(Blow F.C.; Oslin D.W.)
CORRESPONDENCE ADDRESS
K.L. Barry, Department of Psychiatry, University of Michigan, Ann Arbor, MI,
USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (105-131). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, diagnosis, prevention, rehabilitation)
alcoholism (complication, diagnosis, prevention, rehabilitation)
health promotion
lifestyle
EMTREE MEDICAL INDEX TERMS
aged
cohort analysis
comorbidity
cooperation
cross-sectional study
curriculum
education
human
interdisciplinary communication
mass screening
medical education
patient care
psychotherapy
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580990 (http://www.ncbi.nlm.nih.gov/pubmed/23580990)
PUI
L369194814
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1590
TITLE
Incorporating substance abuse prevention into public health curricula.
AUTHOR NAMES
Ringwalt C.L.
AUTHOR ADDRESSES
(Ringwalt C.L.) Pacific Institute for Research and Evaluation, Chapel Hill,
NC, USA.
CORRESPONDENCE ADDRESS
C.L. Ringwalt, Pacific Institute for Research and Evaluation, Chapel Hill,
NC, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (305-317). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
alcoholism (prevention)
medical education
EMTREE MEDICAL INDEX TERMS
curriculum
early diagnosis
early intervention
forecasting
health status
human
organization and management
professional competence
review
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23581003 (http://www.ncbi.nlm.nih.gov/pubmed/23581003)
PUI
L369194827
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1591
TITLE
Effectiveness of clinician training in smoking cessation counseling
AUTHOR NAMES
Sharif I.
Oruwariye T.
Cohen R.
Ozuah P.O.
AUTHOR ADDRESSES
(Ozuah P.O., pozuah@pol.net) Montefiore Medical Cente, 3544 Jerome Ave,
Bronx, NY 10467, United States.
(Sharif I.; Oruwariye T.; Cohen R.)
CORRESPONDENCE ADDRESS
Montefiore Medical Cente, 3544 Jerome Ave, Bronx, NY 10467, United States.
Email: pozuah@pol.net
SOURCE
Archives of Pediatrics and Adolescent Medicine (2002) 156:9 (944-945). Date
of Publication: 1 Sep 2002
ISSN
1072-4710
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
patient counseling
smoking cessation
EMTREE MEDICAL INDEX TERMS
environmental exposure
follow up
health program
health promotion
human
lifestyle
medical documentation
medical education
parent counseling
parental behavior
pediatric hospital
pediatrician
physician attitude
priority journal
risk assessment
short survey
smoking
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Environmental Health and Pollution Control (46)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2003123838
MEDLINE PMID
12197805 (http://www.ncbi.nlm.nih.gov/pubmed/12197805)
PUI
L36343509
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1592
TITLE
Is addiction an illness--can it be treated?
AUTHOR NAMES
McLellan A.T.
AUTHOR ADDRESSES
(McLellan A.T.) Treatment Research Institute, Philadelphia, PA, USA.
CORRESPONDENCE ADDRESS
A.T. McLellan, Treatment Research Institute, Philadelphia, PA, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (67-94). Date of
Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, rehabilitation)
alcoholism (diagnosis, rehabilitation)
EMTREE MEDICAL INDEX TERMS
comorbidity
cost benefit analysis
cultural anthropology
economics
female
health care cost
health personnel attitude
human
lifestyle
mass screening
mental disease (diagnosis, rehabilitation)
motivation
newborn
opiate addiction (diagnosis, rehabilitation)
patient compliance
pregnancy
psychological aspect
public opinion
review
risk factor
social behavior
statistics
treatment outcome
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580988 (http://www.ncbi.nlm.nih.gov/pubmed/23580988)
PUI
L369194812
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1593
TITLE
Substance use disorders in children and adolescents and the impact on
children in families affected by substance use.
AUTHOR NAMES
Adger Jr. H.
Leff M.K.
AUTHOR ADDRESSES
(Adger Jr. H.) School of Medicine, Johns Hopkins University, Baltimore, MD,
USA.
(Leff M.K.)
CORRESPONDENCE ADDRESS
H. Adger, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (133-141). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology)
alcoholism (diagnosis, epidemiology)
child
EMTREE MEDICAL INDEX TERMS
adolescent
article
clinical competence
comorbidity
cross-sectional study
human
mass screening
medical education
mental disease (diagnosis, epidemiology)
primary health care
psychological aspect
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580991 (http://www.ncbi.nlm.nih.gov/pubmed/23580991)
PUI
L369194815
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1594
TITLE
The role of allied health professionals in substance abuse education.
AUTHOR NAMES
Bonaguro J.A.
Nalette E.
Seibert M.L.
AUTHOR ADDRESSES
(Bonaguro J.A.) School of Health Sciences and Human Performance, Ithaca
College, Ithaca, NY, USA.
(Nalette E.; Seibert M.L.)
CORRESPONDENCE ADDRESS
J.A. Bonaguro, School of Health Sciences and Human Performance, Ithaca
College, Ithaca, NY, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (169-183). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, diagnosis, prevention)
alcoholism (complication, diagnosis, prevention)
paramedical personnel
patient education
EMTREE MEDICAL INDEX TERMS
cooperation
human
interdisciplinary communication
methodology
patient referral
philosophy
psychological aspect
review
risk factor
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580994 (http://www.ncbi.nlm.nih.gov/pubmed/23580994)
PUI
L369194818
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1595
TITLE
Substance abuse education for nurse practitioners in primary care.
AUTHOR NAMES
Vasquez E.
Onieal M.E.
AUTHOR ADDRESSES
(Vasquez E.) Department of Child, Women's, and Family Health, School of
Nursing, University of Maryland, Baltimore, MD, USA.
(Onieal M.E.)
CORRESPONDENCE ADDRESS
E. Vasquez, Department of Child, Women's, and Family Health, School of
Nursing, University of Maryland, Baltimore, MD, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (235-246). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, rehabilitation)
advanced practice nursing
alcoholism (diagnosis, rehabilitation)
nurse practitioner
primary health care
EMTREE MEDICAL INDEX TERMS
clinical competence
cooperation
curriculum
education
family nursing
holistic nursing
human
interdisciplinary communication
multimodality cancer therapy
nurse patient relationship
nursing
nursing education
psychological aspect
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580998 (http://www.ncbi.nlm.nih.gov/pubmed/23580998)
PUI
L369194822
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1596
TITLE
Recommendations for implementing effective substance abuse education in
pharmacy practice.
AUTHOR NAMES
Dole E.J.
Tommasello A.
AUTHOR ADDRESSES
(Dole E.J.) Lovelace Health Systems, College of Pharmacy, University of New
Mexico Health and Sciences Center, Albuquerque, NM, USA.
(Tommasello A.)
CORRESPONDENCE ADDRESS
E.J. Dole, Lovelace Health Systems, College of Pharmacy, University of New
Mexico Health and Sciences Center, Albuquerque, NM, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (263-271). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, rehabilitation)
alcoholism (diagnosis, rehabilitation)
education
EMTREE MEDICAL INDEX TERMS
article
clinical competence
cooperation
curriculum
human
interdisciplinary communication
patient education
specialization
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23581000 (http://www.ncbi.nlm.nih.gov/pubmed/23581000)
PUI
L369194824
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1597
TITLE
Educating psychologists about substance abuse.
AUTHOR NAMES
Miller W.R.
AUTHOR ADDRESSES
(Miller W.R.) Department of Psychology, University of New Mexico,
Albuquerque, NM, USA.
CORRESPONDENCE ADDRESS
W.R. Miller, Department of Psychology, University of New Mexico,
Albuquerque, NM, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (289-303). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, prevention, rehabilitation)
alcoholism (diagnosis, prevention, rehabilitation)
clinical psychology
EMTREE MEDICAL INDEX TERMS
cooperation
curriculum
early intervention
education
human
interdisciplinary communication
legal aspect
licensing
professional competence
review
specialization
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23581002 (http://www.ncbi.nlm.nih.gov/pubmed/23581002)
PUI
L369194826
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1598
TITLE
Dental education in the prevention and treatment of substance use disorders.
AUTHOR NAMES
Christen A.G.
Christen J.A.
AUTHOR ADDRESSES
(Christen A.G.) Department of Oral Biology, School of Dentistry, Indiana
University, Indianapolis, IN, USA.
(Christen J.A.)
CORRESPONDENCE ADDRESS
A.G. Christen, Department of Oral Biology, School of Dentistry, Indiana
University, Indianapolis, IN, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (185-206). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE DRUG INDEX TERMS
inhalation anesthetic agent
nitrous oxide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, diagnosis, prevention, rehabilitation)
alcoholism (complication, diagnosis, prevention, rehabilitation)
dental education
EMTREE MEDICAL INDEX TERMS
clinical competence
curriculum
human
humanism
in service training
malpractice
mouth disease (etiology, prevention)
patient care
private practice
review
social environment
social psychology
United States
CAS REGISTRY NUMBERS
nitrous oxide (10024-97-2)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580995 (http://www.ncbi.nlm.nih.gov/pubmed/23580995)
PUI
L369194819
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1599
TITLE
Screening, assessment, and intervention for substance use disorders in
general health care settings.
AUTHOR NAMES
Fleming M.F.
AUTHOR ADDRESSES
(Fleming M.F.) Family Medicine Research Program, University of Wisconsin,
Madison, WI, USA.
CORRESPONDENCE ADDRESS
M.F. Fleming, Family Medicine Research Program, University of Wisconsin,
Madison, WI, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (47-65). Date of
Publication: Sep 2002
ISSN
0889-7077
ABSTRACT
Health care settings offer an important opportunity to reduce the burden of
harm associated with SUD. This paper provides health care professionals with
a range of clinical protocols and implementation methods that can improve
the care of patients and their families who are affected by these disorders.
It is time for health care professionals to change the system. It is time
for university presidents, chancellors, and deans to take responsibility for
a problem too long neglected. Through education and united efforts, we can
effect changes that will improve the health of our patients and communities.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology, rehabilitation)
alcoholism (diagnosis, epidemiology, rehabilitation)
mass screening
substance abuse
EMTREE MEDICAL INDEX TERMS
cooperation
cross-sectional study
evidence based medicine
general practice
human
interdisciplinary communication
psychotherapy
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580987 (http://www.ncbi.nlm.nih.gov/pubmed/23580987)
PUI
L369194811
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1600
TITLE
Medicaid reimbursement of primary care providers for treatment of substance
use disorders.
AUTHOR NAMES
Haack M.R.
Alemi F.F.
AUTHOR ADDRESSES
(Haack M.R.) Department of Behavioral and Community Health Nursing, School
of Nursing, University of Maryland, Baltimore, MD, USA.
(Alemi F.F.)
CORRESPONDENCE ADDRESS
M.R. Haack, Department of Behavioral and Community Health Nursing, School of
Nursing, University of Maryland, Baltimore, MD, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (95-104). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, rehabilitation)
alcoholism (complication, rehabilitation)
medicaid
primary health care
reimbursement
EMTREE MEDICAL INDEX TERMS
cost control
economics
forecasting
health care delivery
hospital cost
human
rehabilitation center
review
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580989 (http://www.ncbi.nlm.nih.gov/pubmed/23580989)
PUI
L369194813
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1601
TITLE
The role of midwives in caring for women with substance use disorders:
implications for training.
AUTHOR NAMES
Paluzzi P.
Deggins N.
Hutchins E.
Burkhardt P.
AUTHOR ADDRESSES
(Paluzzi P.) Baltimore City Health Department, Baltimore, MD, USA.
(Deggins N.; Hutchins E.; Burkhardt P.)
CORRESPONDENCE ADDRESS
P. Paluzzi, Baltimore City Health Department, Baltimore, MD, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (223-233). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, rehabilitation)
alcoholism (diagnosis, rehabilitation)
cooperation
interdisciplinary communication
midwife
EMTREE MEDICAL INDEX TERMS
clinical competence
curriculum
education
female
human
newborn
nursing
patient referral
pregnancy
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580997 (http://www.ncbi.nlm.nih.gov/pubmed/23580997)
PUI
L369194821
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1602
TITLE
Educating social workers to work with individuals affected by substance use
disorders.
AUTHOR NAMES
Straussner S.L.
Senreich E.
AUTHOR ADDRESSES
(Straussner S.L.) Ehrenkranz School of Social Work, New York University, New
York, NY, USA.
(Senreich E.)
CORRESPONDENCE ADDRESS
S.L. Straussner, Ehrenkranz School of Social Work, New York University, New
York, NY, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (319-340). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, prevention, rehabilitation)
alcoholism (diagnosis, prevention, rehabilitation)
social work
EMTREE MEDICAL INDEX TERMS
article
cooperation
curriculum
education
human
human relation
interdisciplinary communication
professional competence
psychology
standard
systems theory
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23581004 (http://www.ncbi.nlm.nih.gov/pubmed/23581004)
PUI
L369194828
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1603
TITLE
International course Training of teachers in general/family practice: 20
years of experience
ORIGINAL (NON-ENGLISH) TITLE
Medunarodni tecaj za nastavnike iz opće medicine: 20-godisnje iskustvo.
AUTHOR NAMES
Vrcić-Keglević M.
Jaksić Z.
AUTHOR ADDRESSES
(Vrcić-Keglević M.; Jaksić Z.) Skola narodnog zdravlja Andrija Stampar,
Medicinskog fakulteta Sveucilista u Zagrebu.
CORRESPONDENCE ADDRESS
M. Vrcić-Keglević, Skola narodnog zdravlja Andrija Stampar, Medicinskog
fakulteta Sveucilista u Zagrebu.
SOURCE
Liječnički vjesnik (2002) 124 Suppl 2 (36-39). Date of Publication: Sep 2002
ISSN
0024-3477
ABSTRACT
Twenty years of experience in organising and participating at the
international courses of Training of teachers in general/family practice are
presented. The course was for the first time held in 1983 at the
Inter-University Centre Dubrovnik. The founders and the first course
directors were the members of the Leeuwenhorst group. There were some
difficulties in the organisation of the courses during the war, so that two
of them were held in Zagreb, while three were not organised at all. Learning
from experience in the small groups was the main method of work. During the
whole period, 17 topics were discussed. At the beginning they were mostly
educational: developing educational module, defining educational objectives
and chosing educational methods and methods of evaluation and assessment.
Then, the specific GPs' working methods were discussed as a content and
opportunity for teaching. In the last period, the current GPs' topics and
the topics usually neglected in current medical education, such as sexual
problems, addiction problems, alternative medicine and ethical problems as
well as professional values were disscused. 432 participants, from 25
different European countries, Egypt, Kuwait and Japan participated at the
courses. There were 85 Croatian participants at the course held in Zagreb.
The authors' thoughts about their positive and negative experience in the
organisation of these courses is also discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practice
international cooperation
medical education
EMTREE MEDICAL INDEX TERMS
article
Croatia
education
Europe
LANGUAGE OF ARTICLE
Serbian
MEDLINE PMID
19705568 (http://www.ncbi.nlm.nih.gov/pubmed/19705568)
PUI
L355287894
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1604
TITLE
I am a mental health professional; My credential: Life experience
AUTHOR NAMES
Fox V.
AUTHOR ADDRESSES
(Fox V.) PO Box 87, Morristown, NJ 07963-0087, United States.
CORRESPONDENCE ADDRESS
V. Fox, PO Box 87, Morristown, NJ 07963-0087, United States.
SOURCE
Psychiatric Rehabilitation Journal (2002) 26:1 (99-100). Date of
Publication: 2002
ISSN
1095-158X
BOOK PUBLISHER
Boston University, 940 Commonwealth Avenue West, Boston, United States.
ABSTRACT
History is in the making in the mental health movement, with persons who
live with a mental illness, are stable, and work in the mental health field
as professionals (known as Consumer Providers). It is a new concept; and as
with anything new, there is some resistance, some doubt about the wisdom of
such a concept. With this article, I want to educate those who read it and
hopefully gain enthusiasm for the growth of the Consumer Provider movement.
I have lived with mental illness for many years and have only received
mental health services from traditional mental health professionals; there
were no Consumer Providers when I was ill. I was pleased with my services.
However, I believe very strongly in the Consumer Provider movement because
the same concept has been ongoing in Alcoholics Anonymous with great
success. In AA settings, life-experience professionals have worked side by
side with traditionally educated professionals to counsel persons with
substance abuse problems. I would like to see Consumer Providers be included
in all areas of mental health treatment. Today I know of Consumer Providers
on PACT teams, ICMS teams, at Drop-in Centers, and on some Warm Lines. My
vision is to see Consumer Providers work throughout the mental health
system, including crisis teams, inpatient hospital settings, residential
settings, and outpatient programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental health care
physician attitude
EMTREE MEDICAL INDEX TERMS
academic achievement
alcoholism
counseling
experience
hospital patient
human
medical profession
mental disease
mental health service
note
outpatient care
preferred provider organization
psychiatrist
residential care
substance abuse
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002289918
MEDLINE PMID
12171290 (http://www.ncbi.nlm.nih.gov/pubmed/12171290)
PUI
L34884460
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1605
TITLE
Residencies in addiction psychiatry: 1990 to 2000, a decade of progress
AUTHOR NAMES
Galanter M.
Dermatis H.
Calabrese D.
AUTHOR ADDRESSES
(Galanter M.; Dermatis H.; Calabrese D.) Division of Alcoholism, New York
Univ. School of Medicine, 550 First Avenue, New York, NY 10016, United
States.
CORRESPONDENCE ADDRESS
M. Galanter, Division of Alcoholism, New York Univ. School of Medicine, 550
First Avenue, New York, NY 10016, United States. Email: marcgalanter@nyu.edu
SOURCE
American Journal on Addictions (2002) 11:3 (192-199). Date of Publication:
2002
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
This article reviews the history and status of addiction psychiatry
residencies based on surveys conducted in 1990 and again in 1999. The 19 of
38 approved programs in operation since 1990 filled more positions than
those that were more recently accredited, but they were not significantly
different in time allocated to respective clinical assignments or in salary
support. Altogether, the programs provide a broad array of training sites
(inpatient and outpatient, alcohol and other-drug related) suitable for the
diverse needs that graduates will encounter. There were, however,
differences in the balance of time dedicated to research relative to patient
care. Salaries were relatively modest and drawn from federal and local
sources.
EMTREE DRUG INDEX TERMS
alcohol
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
residency education
EMTREE MEDICAL INDEX TERMS
alcoholism
clinical education
drug abuse
drug dependence (drug therapy)
human
methadone treatment
patient care
psychiatrist
review
salary
training
CAS REGISTRY NUMBERS
alcohol (64-17-5)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002283448
MEDLINE PMID
12202011 (http://www.ncbi.nlm.nih.gov/pubmed/12202011)
PUI
L34856435
DOI
10.1080/10550490290087956
FULL TEXT LINK
http://dx.doi.org/10.1080/10550490290087956
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1606
TITLE
Smoking cessation counseling: A missed opportunity for general surgery
trainees
AUTHOR NAMES
Krupski W.C.
Nguyen H.T.
Jones D.N.
Wallace H.
Whitehill T.A.
Nehler M.R.
AUTHOR ADDRESSES
(Krupski W.C.; Nguyen H.T.; Jones D.N.; Wallace H.; Whitehill T.A.; Nehler
M.R.) Division of Vascular Surgery, Department of Surgery, University of
Colorado Health Sciences Center, .
CORRESPONDENCE ADDRESS
W.C. Krupski, SOM, Box C 312, UCHSC, 4200 E Ninth Ave, Denver, CO 80262,
United States. Email: William.Krupski@uchsc.edu
SOURCE
Journal of Vascular Surgery (2002) 36:2 (257-262). Date of Publication:
August 2002
ISSN
0741-5214
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
Purpose: The purpose of this study was to evaluate and compare the
attitudes, practices, technique utilizations, and barrier perceptions of
smoking cessation counseling (SCC) in general surgery (GS) and primary care
(PC) residents. Methods: One hundred house staff officers (45 GC and 55 PC
residents, consisting of internal medicine and family medicine disciplines)
were randomly surveyed. X(2) and t tests were used for comparative analysis
where appropriate. The National Cancer Institute's recommendation that
physicians follow the "four A's" for SCC (Ask, Advise, Assist, and Arrange
follow-up) was examined with respect to compliance by surgical and medical
residents. Results: Fewer GS than PC residents thought physicians were
responsible for SCC (64% versus 85%; P < .02), and fewer felt well prepared
to counsel their patients (38% versus 58%; P < .05). Nevertheless, about 85%
of both groups reported a higher inclination to provide SCC to patients who
expressed an interest for cessation. Although many GC residents Ask (89% GS
versus 100% PC residents; P < .03) and Advise (64% versus 89%; P < .003) new
patients about smoking, they did so less frequently than PC residents. GC
residents used fewer SCC techniques than did PC residents (3.96 versus 6.00;
P < .001) and Arranged fewer follow-up visits for SCC (7% versus 44%; P <
.001). Postgraduate year did not correlate with SCC in either GS or PC
residents. Residents from both groups perceived time constraints, lack of
patient desire, and poor patient compliance to be the main barriers in SCC.
Conclusion: In this study, many GC residents agreed that physicians were
responsible for SCC, but few followed through by arranging SCC follow-up
visits compared with their PC resident counterparts. Behavior does not
appear to change as residents mature, despite greater exposure to
smoking-related diseases. In every dimension of SCC studied, GS residents
played a less assertive role when compared with PC residents. GC residents
should be more proactive in SCC because the diseases they treat are often
related to cigarette smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general surgery
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
clinical practice
counseling
family medicine
female
human
human experiment
internal medicine
male
normal human
patient compliance
priority journal
resident
training
EMBASE CLASSIFICATIONS
Surgery (9)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002328734
MEDLINE PMID
12170206 (http://www.ncbi.nlm.nih.gov/pubmed/12170206)
PUI
L35014956
DOI
10.1067/mva.2002.125030
FULL TEXT LINK
http://dx.doi.org/10.1067/mva.2002.125030
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1607
TITLE
Recipients in need of ancillary services and their receipt of HIV medical
care in California
AUTHOR NAMES
Chan D.
Absher D.
Sabatier S.
AUTHOR ADDRESSES
(Chan D.; Absher D.; Sabatier S.) California Dept. of Health Services,
Office of AIDS, HIV/AIDS Epidemiology Branch, 611 N. 7th Street, Sacramento,
CA 94234-7320, United States.
CORRESPONDENCE ADDRESS
D. Chan, California Dept. of Health Services, Office of AIDS, HIV/AIDS
Epidemiology Branch, 611 N. 7th Street, Sacramento, CA 94234-7320, United
States.
SOURCE
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV (2002)
14:SUPPL. 1 (S73-S83). Date of Publication: August 2002
ISSN
0954-0121
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
For many individuals with access to quality medical care, HIV disease is no
longer a critical short term illness but a chronic condition giving rise to
more clients requiring ongoing medical care. Programs funded by the federal
Ryan White Comprehensive AIDS Resources Emergency Act not only provide
essential medical care for these individuals but also facilitate access to
medical care services. These programmes fund services, including case
management, transportation, and translation assistance, that feature ongoing
assistance and enable individuals to remain in the health care system.
Because of the importance of maintaining the strict drug regimen, retention
in care is also an important part of the ovet all HIV care component. This
study analyzed the relationship of ancillary services and a federal health
programme client's receipt of medical care and retention in the health care
system. We defined a cohort in need of ancillary services in part by a
questionnaire designed to identify factors relating to need. These factors
included education, language, and substance use. By merging client level
data files we were able to identify medical service utilization trends among
the individuals in the cohort who received a high number of ancillary
services (more than 11 ancillary service visits in the two-year study
period, n = 138) and those who received few services (fewer than six
ancillary service visits in the two-year study period, n = 132). Results
suggest that the receipt of ancillary services is associated with receipt of
and retention in primary medical care. We found that for federal health
programme clients in need of ancillary services, a positive relationship
existed between their receipt of ancillary services and their access to
primary medical care (p ≤ 0.001). This observation held constant when age,
race, gender, and insurance coverage were controlled for. Also, these
clients were more likely to be seen by a medical doctor at least once in
three consecutive six-month periods when they received needed ancillary
services (p ≤ 0.01).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Human immunodeficiency virus infection
medical care
EMTREE MEDICAL INDEX TERMS
adult
article
female
health care access
health care system
health care utilization
health program
human
major clinical study
male
patient care
patient transport
priority journal
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002296420
MEDLINE PMID
12204143 (http://www.ncbi.nlm.nih.gov/pubmed/12204143)
PUI
L34899105
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1608
TITLE
Attitudes of anesthesiologists about addiction and its treatment: A survey
of Illinois and Wisconsin members of the American society of
anesthesiologists
AUTHOR NAMES
May J.A.
Warltier D.C.
Pagel P.S.
AUTHOR ADDRESSES
(May J.A.; Warltier D.C.; Pagel P.S., pspagel@mcw.edu) Departments of
Anesthesiology, Med. and Pharmacol, Med. Coll. of Wisconsin, Milwaukee, WI,
United States.
(Pagel P.S., pspagel@mcw.edu) Medical College of Wisconsin, MEB-M4280, 8701
Watertown Plank Road, Milwaukee, WI 53226, United States.
CORRESPONDENCE ADDRESS
P.S. Pagel, Medical College of Wisconsin, MEB-M 4280, 8701 Watertown Plank
Road, Milwaukee, WI 53226, United States. Email: pspagel@mcw.edu
SOURCE
Journal of Clinical Anesthesia (2002) 14:4 (284-289). Date of Publication:
2002
ISSN
0952-8180
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Study Objective: To survey practicing anesthesiologists about their
attitudes about addiction and its treatment by means of a previously
validated instrument. Design: Anonymous mail survey. Setting: Metropolitan
medical college. Participants: Active members of the American Society of
Anesthesiologists in Illinois and Wisconsin. Main Results: The survey
consisted of 50 statements presented in a five item Likert
(agreement-disagreement) format that evaluated five attitude factors:
permissiveness, nonstereotypes, treatment interventions, treatment optimism,
and nonmoralism. Five hundred twelve completed and 21 undeliverable surveys
were returned from 1,656 surveys mailed (response rate = 31%). The raw
scores for the five attitude factors were permissiveness 25 ± 6,
nonstereotypes 34 ± 6, treatment interventions 32 ± 4, treatment optimism 19
± 3, and nonmoralism 31 ± 5 (means ± SD). Anesthesiologists with a personal
history of addiction recorded attitude scores that were significantly (p <
0.05) higher than those of their colleagues. Formal training in substance
abuse management, attendance at a Twelve Step meeting as either a
participant or an observer, and experience with a friend, relative, or
colleague with addiction were also associated with significantly higher
attitude scores. The attitude scores of anesthesiologists were consistently
below those previously reported for clinicians who regularly care for
patients with addiction. Conclusions: Personal experience with, or education
about, addiction contributes to a more positive attitude about addiction.
Anesthesiologists have less positive attitudes about addiction than do
physicians who regularly manage the disease. © 2002 by Elsevier Science Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
anesthesist
EMTREE MEDICAL INDEX TERMS
anamnesis
article
attitude
controlled study
drug dependence treatment
human
human relation
medical education
medical research
morality
patient care
physician
postal mail
priority journal
relative
stereotypy
treatment indication
United States
validation process
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002224963
MEDLINE PMID
12088813 (http://www.ncbi.nlm.nih.gov/pubmed/12088813)
PUI
L34667247
DOI
10.1016/S0952-8180(02)00359-8
FULL TEXT LINK
http://dx.doi.org/10.1016/S0952-8180(02)00359-8
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1609
TITLE
Staff drug knowledge and attitudes towards drug use among the mentally ill
within a medium secure psychiatric hospital
AUTHOR NAMES
Barry K.R.
Tudway J.A.
Blissett J.
AUTHOR ADDRESSES
(Barry K.R.; Tudway J.A.; Blissett J.) Llanarth Court Hospital, Llanarth,
Raglan, Usk NP15 2YD, United Kingdom.
CORRESPONDENCE ADDRESS
K.R. Barry, Llanarth Court Hospital, Llanarth, Raglan, Usk NP15 2YD, United
Kingdom.
SOURCE
Journal of Substance Use (2002) 7:1 (50-56). Date of Publication: 2002
ISSN
1465-9891
ABSTRACT
There is little research in the UK that focuses on medium secure psychiatric
nursing staff attitudes, beliefs and knowledge about alcohol and illicit
substances, substance use and mental illness. The current study presents
data from 98 staff, working within a medium secure psychiatric hospital, and
compares differences between staff groups in relation to general drug
knowledge and attitudes towards both alcohol and illicit substances and the
mentally ill patients who use them. Data suggest that, even for qualified
staff, training in alcohol and illicit substances was inadequate in both
length and depth. Qualified nursing staff had better knowledge of licit and
illicit drug use than unqualified nursing staff and non-clinical staff, and
also had different beliefs about why people with severe mental illnesses use
licit and illicit drugs. However, no significant differences were found
between groups for either level of punitive attitude towards people with
severe mental illness who use drugs or the impact that certain factors have
on severe mental health problems. These results identify the need for
training in drug knowledge and drug use in mental illness, for those staff
working in the field. The need for ongoing post-registration training in
substance use and mental health is emphasized.
EMTREE DRUG INDEX TERMS
alcohol
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
controlled study
data analysis
disease severity
drug information
drug use
female
human
major clinical study
male
medical staff
mental health
mental hospital
staff training
statistical analysis
substance abuse
United Kingdom
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002220297
PUI
L34662164
DOI
10.1080/14659890110110365
FULL TEXT LINK
http://dx.doi.org/10.1080/14659890110110365
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1610
TITLE
Mixing it up: integrating evidence-based medicine and patient care.
AUTHOR NAMES
Korenstein D.
Dunn A.
McGinn T.
AUTHOR ADDRESSES
(Korenstein D.; Dunn A.; McGinn T.) Mount Sinai School of Medicine, New York
University, New York, NY 10029, USA.
CORRESPONDENCE ADDRESS
D. Korenstein, Mount Sinai School of Medicine, New York University, New
York, NY 10029, USA.
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(2002) 77:7 (741-742). Date of Publication: Jul 2002
ISSN
1040-2446
ABSTRACT
OBJECTIVE: To teach internal medicine residents to use evidence-based
medicine (EBM) in their interactions with patients by creating curricula
that integrate EBM into clinical topics in internal medicine. DESCRIPTION:
The last several years have brought the wide-spread inclusion of EBM in
internal medicine training programs in the United States. However, EBM is
often taught as an independent topic and is poorly integrated into the
clinical teaching of trainees. Most EBM education occurs in a journal-club
format, focusing on question development, searching, and critical appraisal.
The challenge of discussing the evidence with patients is rarely addressed.
We set out to integrate EBM teaching into new curricula in women's health,
addiction medicine, and topics in anticoagulation. During the first of two
ambulatory blocks of the year, residents participate in an EBM seminar
series in which they present cases, generate questions, and critically
appraise the evidence. Second-year residents present articles on therapy or
diagnosis and third-year residents present articles on diagnosis,
meta-analysis, or decision and economic analysis. Both the women's health
curriculum and the anticoagulation curriculum are presented during the
second ambulatory block of the year as four half-day small-group seminars.
The women's health curriculum is presented to the second-year residents and
the anticoagulation curriculum is presented to the third-year residents.
Both curricula are case-based and emphasize essential skills in patient
care, including interview techniques, sensitivity to psychosocial issues,
and skills in evidence-based patient care. Teaching EBM is not identified to
the residents as a goal of these curricula; instead EBM, psychosocial
medicine, and communication skills are woven into the content material and
taught in the context of the broader subject matter. Learners are expected
to integrate these concepts into actual practice. The curricula utilize
clinical vignettes and role-plays to link EBM concepts such as number needed
to treat or decision analysis to real-patient decisions. Residents are also
asked to apply the evidence in their own patient encounters for further
discussion at later sessions. Simpler concepts of therapy and diagnosis are
covered during the second year in women's health and the more complex
concepts of meta-analysis; decision analysis, and economic analysis are
covered during the third year in anti-coagulation. DISCUSSION: The women's
health curriculum was introduced in the spring of 2000; the anticoagulation
curriculum was introduced in the spring of 2001. Both have been well
received and seem to have impacted the ability of our housestaff to
incorporate EBM into patient care. Currently under development in this
series is a curriculum in addiction medicine for interns that will use a
similar approach to provide an overview of EBM topics and their integration
into the flow of patient care. We feel that these educational programs have
helped EBM to bridge the gap between the classroom and the exam room.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
integrated health care system
patient care
EMTREE MEDICAL INDEX TERMS
article
education
evidence based medicine
female
human
internal medicine
male
medical education
problem based learning
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12114160 (http://www.ncbi.nlm.nih.gov/pubmed/12114160)
PUI
L35614352
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1611
TITLE
Improving emergency medicine residents' approach to patients with alcohol
problems: A controlled educational trial
AUTHOR NAMES
D'Onofrio G.
Nadel E.S.
Degutis L.C.
Sullivan L.M.
Casper K.
Bernstein E.
Samet J.H.
AUTHOR ADDRESSES
(D'Onofrio G.; Degutis L.C.) Section of Emergency Medicine, Yale University,
School of Medicine, New Haven, CT, United States.
(Nadel E.S.) Department of Emergency Medicine, Harvard University, Boston,
MA, United States.
(Sullivan L.M.) Statistics and Consulting Unit, Boston University, School of
Medicine, Boston, MA, United States.
(Casper K.; Bernstein E.) Department of Emergency Medicine, Boston
University, School of Medicine, Boston, MA, United States.
(Samet J.H.) Clinical Addiction Research and Education Unit, Section of
General Internal Medicine, Boston University School of Medicine, Boston, MA,
United States.
CORRESPONDENCE ADDRESS
G. D'Onofrio, Section of Emergency Medicine, Yale University School of
Medicine, 464 Congress Avenue, New Haven, CT 06519, United States. Email:
gail.donofrio@yale.edu
SOURCE
Annals of Emergency Medicine (2002) 40:1 (50-62). Date of Publication: July
2002
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
Study objective: We determine whether training using a structured
skills-based intervention would improve emergency medicine residents'
knowledge and practice in screening and intervening with patients presenting
to the emergency department with alcohol problems. Methods: In a controlled
trial conducted at 2 similar emergency medicine residency programs
associated with urban, Level I trauma centers, a 4-hour didactic, video, and
skills-based workshop was conducted. Main outcome measures included (1)
scores on changes in self-reported knowledge, current practice,
self-efficacy, role- responsibility, attitudes and beliefs, and provider
readiness to change from baseline to 1 year after intervention and (2)
change in practice as measured by record review before and after
intervention. Results: The intervention group (n=17) had a significant
increase in knowledge scores (P<.001) and practice with regard to percent of
medical records with evidence of screening and intervention (17% before
versus 58% after; 95% confidence interval [Cl] 31 to 50; P<.001); no change
was observed in the control group (n=19). These increases were significantly
different between groups (95% Cl 30 to 54; P<.001). There were no
significant differences within or between groups for composite scores
derived for current practice, self-efficacy, role responsibility, or
readiness to change. Conclusion: A brief, structured, educational
intervention for residents contributed to significant improvement in
knowledge and practice with regard to patients with alcohol problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
residency education
EMTREE MEDICAL INDEX TERMS
adult
alcoholism
article
clinical article
clinical practice
controlled study
emergency medicine
female
human
male
medical education
medical record
outcomes research
patient counseling
priority journal
scoring system
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002323053
MEDLINE PMID
12085073 (http://www.ncbi.nlm.nih.gov/pubmed/12085073)
PUI
L35000514
DOI
10.1067/mem.2002.123693
FULL TEXT LINK
http://dx.doi.org/10.1067/mem.2002.123693
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1612
TITLE
Smoking cessation counseling: Training and practice among women
pediatricians
AUTHOR NAMES
Malarcher A.
Easton A.
Husten C.
Frank E.
AUTHOR ADDRESSES
(Malarcher A.) Division of Adult and Community Health, National Center for
Chronic Disease Prevention and Health Promotion, Centers for Disease Control
and Prevention, United States.
(Easton A.; Husten C.) Office on Smoking and Health, National Center for
Chronic Disease Prevention and Health Promotion, Centers for Disease Control
and Prevention, United States.
(Frank E.) Rollins School of Public Health, Emory University, Atlanta, GA,
United States.
(Frank E.) Department of Family and Preventive Medicine, Emory University
School of Medicine, Atlanta, GA, United States.
CORRESPONDENCE ADDRESS
A. Malarcher, Cardiovascular Health Branch, Division of Community Health,
Centres for Dis. Control/Prevention, 4770 Buford Highway, Atlanta, GA 30341,
United States.
SOURCE
Clinical Pediatrics (2002) 41:5 (341-349). Date of Publication: 2002
ISSN
0009-9228
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
We examined characteristics associated with smoking cessation counseling
among a national sample of 579 women pediatricians. Fifty-two percent of
women pediatricians had received at least some training in cessation
counseling and 41% counseled smoking patients at least once per year.
Prevalence of counseling increased by amount of training; 20.7% of those
with no training counseled at least once per year versus 62.0% of those with
extensive training. Pediatricians 50-70 years of age were 1.8 times as
likely as those 30-39 years of age to perform frequent counseling (p<0.01).
Programs to promote smoking cessation training and counseling among
pediatricians are needed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
patient counseling
pediatrician
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
aged
article
controlled study
female
health program
human
medical education
medical practice
medical specialist
normal human
prevalence
training
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002214192
MEDLINE PMID
12086200 (http://www.ncbi.nlm.nih.gov/pubmed/12086200)
PUI
L34633837
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1613
TITLE
Mutual mistrust in the medical care of drug users: The keys to the "Narc"
cabinet
AUTHOR NAMES
Merrill J.O.
Rhodes L.A.
Deyo R.A.
Marlatt G.A.
Bradley K.A.
AUTHOR ADDRESSES
(Merrill J.O.; Rhodes L.A.; Deyo R.A.; Marlatt G.A.; Bradley K.A.)
Harborview Medical Center, Box 359780, 325 Ninth Ave., Seattle, WA 98104,
United States.
CORRESPONDENCE ADDRESS
J.O. Merrill, Harborview Medical Center, Box 359780, 325 Ninth Ave.,
Seattle, WA 98104, United States. Email: joem@u.washington.edu
SOURCE
Journal of General Internal Medicine (2002) 17:5 (327-333). Date of
Publication: 2002
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
OBJECTIVE: Caring for patients who are active drug users is challenging. To
better understand the often difficult relationships between illicit
drug-using patients and their physicians, we sought to identify major issues
that emerge during their interactions in a teaching hospital. DESIGN:
Exploratory qualitative analysis of data from direct observation of patient
care interactions and interviews with drug-using patients and their
physicians. SETTING: The inpatient internal medicine service of an urban
public teaching hospital. PARTICIPANTS: Nineteen patients with recent active
drug use, primarily opiate use, and their 8 physician teams. RESULTS: Four
major themes emerged. First, physicians feared being deceived by drug-using
patients. In particular, they questioned whether patients' requests for
opiates to treat pain or withdrawal might result from addictive behavior
rather than from "medically indicated" need. Second, they lacked a standard
approach to commonly encountered clinical issues, especially the assessment
and treatment of pain and opiate withdrawal. Because patients' subjective
report of symptoms is suspect, physicians struggled to find criteria for
appropriate opiate prescription. Third, physicians avoided engaging patients
regarding key complaints, and expressed discomfort and uncertainty in their
approach to these patients. Fourth, drug-using patients were sensitive to
the possibility of poor medical care, often interpreting physician
inconsistency or hospital inefficiency as signs of intentional mistreatment.
CONCLUSION: Physicians and drug-using patients in the teaching hospital
setting display mutual mistrust, especially concerning opiate prescription.
Physicians' fear of deception, inconsistency and avoidance interacts with
patients' concern that they are mistreated and stigmatized. Medical
education should focus greater attention on addiction medicine and pain
management.
EMTREE DRUG INDEX TERMS
cocaine
diamorphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction
EMTREE MEDICAL INDEX TERMS
adult
aged
article
clinical article
controlled study
doctor patient relation
female
human
male
medical care
medical education
pain
patient care
physician
prescription
recumbency
symptom
withdrawal syndrome
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002210760
MEDLINE PMID
12047728 (http://www.ncbi.nlm.nih.gov/pubmed/12047728)
PUI
L34626100
DOI
10.1046/j.1525-1497.2002.10625.x
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1525-1497.2002.10625.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1614
TITLE
Mapping training: The transfer of a cognitive technology for improving
counseling
AUTHOR NAMES
Dansereau D.F.
Dees S.M.
AUTHOR ADDRESSES
(Dansereau D.F., d.dansereau@tcu.edu; Dees S.M.) Institute of Behavioral
Research, Texas Christian University, Fort Worth, TX 76129, United States.
(Dansereau D.F., d.dansereau@tcu.edu) Department of Psychology, Texas
Christian University, TCU Box 298920, Fort Worth, TX 76129, United States.
CORRESPONDENCE ADDRESS
D.F. Dansereau, Department of Psychology, Texas Christian University, Fort
Worth, TX 76129, United States. Email: d.dansereau@tcu.edu
SOURCE
Journal of Substance Abuse Treatment (2002) 22:4 (219-230). Date of
Publication: 2002
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
To provide information that will reduce the gap between research and
practice, the transfer of a complex drug abuse counseling technology is
examined. This technology, cognitive mapping, is a graphic tool shown to
effectively facilitate communication and problem solving in group and
individual counseling sessions. Unlike some techniques, mapping requires
substantial counselor time, effort, and expertise to learn and to use. This
article briefly describes the development and evolution of mapping and
supporting research. It then focuses on our efforts to develop mapping
training that will facilitate use of this evidence-based technique in drug
abuse treatment. Major training and transfer pitfalls are noted, and
strategies for successful training are recommended. Copyright © 2002
Elsevier Science Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
drug dependence treatment
medical education
patient counseling
substance abuse
EMTREE MEDICAL INDEX TERMS
article
cognition
drug abuse
human
medical research
methadone treatment
motivation
priority journal
technology
workshop
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002203395
MEDLINE PMID
12072166 (http://www.ncbi.nlm.nih.gov/pubmed/12072166)
PUI
L34606040
DOI
10.1016/S0740-5472(02)00235-0
FULL TEXT LINK
http://dx.doi.org/10.1016/S0740-5472(02)00235-0
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1615
TITLE
Homeless adolescents in the United States: An overview for pediatricians
AUTHOR NAMES
Patel D.R.
Greydanus D.E.
AUTHOR ADDRESSES
(Patel D.R.; Greydanus D.E.) Department of Pediatrics, Michigan State
University, Kalamazoo Center for Medical Studies, 1000 Oakland Drive,
Kalamazoo, MI 49008, United States.
CORRESPONDENCE ADDRESS
D.E. Greydanus, Department of Pediatrics, Michigan State University,
Kalamazoo Center for Medical Studies, 1000 Oakland Drive, Kalamazoo, MI
49008, United States.
SOURCE
International Pediatrics (2002) 17:2 (71-75). Date of Publication: 2002
ISSN
0885-6265
ABSTRACT
An estimated 100 million children and adolescents are homeless in the world;
about half of these are in the Western hemisphere. In the United States most
homeless youth are adolescents who run away from home. Current estimates
suggest that there are between 1.3 and 1.5 million runaway and homeless
adolescents at any given time in the United States. Families with children
are the fastest growing segment of the homeless population. Family conflicts
and physical as well as sexual abuse are major precipitants for those who
run away from home. These adolescents are at high risk for developmental,
medical, and psychosocial problems. They tend to have a higher prevalence of
medical problems and mental disorders. The major psychosocial problems they
face include lack of education, involvement in criminal activities, exposure
to violence, substance abuse, and sexual activity. There are many successful
models of providing health care to street youth. Although homelessness is a
larger societal problem, pediatricians can play an important role in various
aspects of health care for these disadvantaged youth.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
homelessness
pediatrician
EMTREE MEDICAL INDEX TERMS
adolescence
education
environmental exposure
family
government
health care access
health care delivery
high risk population
human
population structure
psychological aspect
psychosocial environment
review
runaway reaction
sexual abuse
sexual behavior
United States
violence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002201424
PUI
L34601925
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1616
TITLE
A survey of addiction training programming in psychiatry residencies
AUTHOR NAMES
Greenberg W.M.
Ritvo J.I.
Fazzio L.
Bridgeford D.
Fong T.
AUTHOR ADDRESSES
(Greenberg W.M.; Ritvo J.I.; Fazzio L.; Bridgeford D.; Fong T.) Nathan Kline
Institute, 140 Old Orangeburg Road, Orangeburg, NY 10962, United States.
CORRESPONDENCE ADDRESS
W.M. Greenberg, Nathan Kline Institute, 140 Old Orangeburg Road, Orangeburg,
NY 10962, United States.
SOURCE
Academic Psychiatry (2002) 26:2 (105-109). Date of Publication: 2002
ISSN
1042-9670
ABSTRACT
The authors surveyed 50 psychiatry residency training programs to examine
the current status of addiction training and the impact of the new Residency
Review Committee addiction training criteria for general psychiatry
residencies. Only 5 programs did not already meet the new 1-month full-time
equivalent addiction training requirement, and those programs anticipated
only modest changes. The modal full-time equivalent addiction experience was
actually 2 months, with great diversity in timing and settings. Respondents,
however, often felt that their programs relied on one key addiction
supervisor and that affiliated PGY-5 addiction residents usually had only
limited roles in teaching and supervising the general psychiatry residents.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
residency education
EMTREE MEDICAL INDEX TERMS
article
clinical education
health survey
job performance
psychiatry
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002193480
PUI
L34569197
DOI
10.1176/appi.ap.26.2.105
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ap.26.2.105
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1617
TITLE
Evaluation of the effectiveness of an addiction treatment training program
for physicians.
AUTHOR NAMES
Gordon S.M.
Troncale J.
AUTHOR ADDRESSES
(Gordon S.M.; Troncale J.) Caron Foundation, Galen Hall Rd., Box 150,
Wernersville, PA 19565, USA.
CORRESPONDENCE ADDRESS
S.M. Gordon, Caron Foundation, Galen Hall Rd., Box 150, Wernersville, PA
19565, USA. Email: sgordon@caronfoundation.org
SOURCE
American clinical laboratory (2002) 21:5 (22-24). Date of Publication: Jun
2002
ISSN
1041-3235
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
alcoholism (diagnosis, therapy)
general practice
EMTREE MEDICAL INDEX TERMS
article
education
evaluation study
health personnel attitude
medical education
physician
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12122780 (http://www.ncbi.nlm.nih.gov/pubmed/12122780)
PUI
L35615726
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1618
TITLE
MDMA ('ecstasy') and other 'club drugs': The new epidemic
AUTHOR NAMES
Koesters S.C.
Rogers P.D.
Rajasingham C.R.
AUTHOR ADDRESSES
(Koesters S.C.; Rogers P.D.; Rajasingham C.R.) Department of Adolescent
Medicine, Columbus Children's Hospital, 700 Children's Drive, Columbus, OH
43205, United States.
CORRESPONDENCE ADDRESS
P.D. Rogers, Department of Adolescent Medicine, Columbus Children's
Hospital, 700 Children's Drive, Columbus, OH 43205, United States.
SOURCE
Pediatric Clinics of North America (2002) 49:2 (415-433). Date of
Publication: 2002
ISSN
0031-3955
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Unfortunately, perceptions that the club drugs can be safe endure. Some
groups, such as the Multidisciplinary Association for Psychedelic Study,
continue to lobby for the legalization of MDMA for research purposes [76].
DanceSafe is an organization that seeks to educate the "nonaddicted" user to
decrease the risks [82]. The DanceSafe Web site offers tips on the safe use
of MDMA, such as attention to hydration status and ambient temperature. It
also offers free testing of tablets submitted by mail and sells home testing
kits to determine the content of pills sold as "ecstasy." Although much
remains unknown about the long-term consequences of MDMA and the club drugs,
there are clearly enough short-term dangers to prompt more aggressive
education and surveillance for its use. Scare tactics and exaggerations
often are ignored [53], while Web sites full of anecdotal or incomplete
information may lead the unaware user to increased use [113]. Organizations
such as DanceSafe imply that proper education decreases addiction and that
only uneducated users or addicts suffer the life-altering consequences of
drug use. The fallacy in the mission of educating "nonaddicted" users is
evident. Peer-based education, with a focus on both he short-term dangers
and long-term consequences, may be a more effective approach [9]. Both new
and established drugs of abuse continue to plague teens and young adults.
Pediatric, family practice, and Med-Peds physicians, and pediatric
pharmacologists need to remain vigilant about patterns and trends of drug
abuse. MDMA and the other "club drugs" are not benign. Their effects target
the brain, alter neurochemistry, and possibly cause irreversible structural
damage. What may seem like a harmless drug in a weekend dance club has the
potential for major public health problems in years to come [109]. Effective
education and timely intervention may prevent these addictive drugs from
becoming a way of life, a lifestyle that may have a literal "dead end".
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
midomafetamine (drug administration, drug toxicity, inhalational drug
administration, pharmaceutics, pharmacokinetics, pharmacology)
EMTREE DRUG INDEX TERMS
3,4 methylenedioxyamphetamine
4 hydroxybutyric acid (drug dose, drug toxicity, pharmacoeconomics,
pharmacokinetics, pharmacology)
acetylsalicylic acid
benzodiazepine derivative (drug therapy)
beta adrenergic receptor blocking agent (drug therapy)
caffeine
calcium channel blocking agent (drug therapy)
cannabis
dextromethorphan
ephedrine
flumazenil (drug therapy)
ketamine (drug dose, drug toxicity, intramuscular drug administration, oral
drug administration, pharmacokinetics, pharmacology, subcutaneous drug
administration)
methamphetamine
methylenedioxyethylamphetamine
naloxone (drug therapy)
paracetamol (drug therapy)
phencyclidine
physostigmine (drug therapy, intravenous drug administration)
pseudoephedrine
sedative agent (drug therapy)
unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (epidemiology, therapy)
epidemic
EMTREE MEDICAL INDEX TERMS
child behavior
cooling
drug abuse
drug effect
drug formulation
drug intoxication (drug therapy, therapy)
drug mechanism
drug metabolism
epidemiological data
human
hydration
injection
lifestyle
neurotoxicity
patient education
review
tablet
CAS REGISTRY NUMBERS
3,4 methylenedioxyamphetamine (4764-17-4)
3,4 methylenedioxymethamphetamine (42542-10-9)
4 hydroxybutyric acid (591-81-1)
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
caffeine (58-08-2)
cannabis (8001-45-4, 8063-14-7)
dextromethorphan (125-69-9, 125-71-3)
ephedrine (299-42-3, 50-98-6)
flumazenil (78755-81-4)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
naloxone (357-08-4, 465-65-6)
paracetamol (103-90-2)
phencyclidine (77-10-1, 956-90-1)
physostigmine (57-47-6, 64-47-1)
pseudoephedrine (345-78-8, 7460-12-0, 90-82-4)
EMBASE CLASSIFICATIONS
Clinical and Experimental Pharmacology (30)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002153642
MEDLINE PMID
11993291 (http://www.ncbi.nlm.nih.gov/pubmed/11993291)
PUI
L34441068
DOI
10.1016/S0031-3955(01)00012-8
FULL TEXT LINK
http://dx.doi.org/10.1016/S0031-3955(01)00012-8
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1619
TITLE
Questionnaire on the attitude of the physicians in educating the elderly
patients with chronic obstructive pulmonary disease about smoking cessation
AUTHOR NAMES
Ishii T.
Teramoto S.
Miyashita A.
Ishigatsubo Y.
Kimura H.
Kuwahira I.
Ueki J.
Fukuchi Y.
Ouchi Y.
Matsuse T.
AUTHOR ADDRESSES
(Ishii T.; Teramoto S.; Miyashita A.; Ishigatsubo Y.; Kimura H.; Kuwahira
I.; Ueki J.; Fukuchi Y.; Ouchi Y.; Matsuse T.) Department of Geriatric
Medicine, University of Tokyo.
CORRESPONDENCE ADDRESS
T. Ishii, Department of Geriatric Medicine, University of Tokyo.
SOURCE
Nippon Ronen Igakkai zasshi. Japanese journal of geriatrics (2002) 39:3
(308-313). Date of Publication: May 2002
ISSN
0300-9173
ABSTRACT
Smoking status, the extent of recognition of the relationship between
smoking and COPD, and actual nature of education for smoking cessation by
physicians have not yet been fully elucidated. To investigate perceptions
about education for smoking cessation in the elderly by physicians who work
in the clinic, questionnaires were sent to the 1,012 physicians who belong
to the Yokohama City Medical Association. Of these, 311 respond and their
data (31%) were included in the analysis. The questionnaire included
questions on the importance of smoking cessation in the elderly, on the
perception about the relationship between smoking and various diseases, and
actual education for smoking cessation. The smoking status of the physicians
themselves was also investigated. The distribution of current smokers,
ex-smokers, and non-smokers among the physicians was 13%, 33%, and 54%,
respectively. Seventy-five percent of ex-smokers answered that their
experience of smoking cessation influenced their patient education for
smoking cessation, and 39% of smokers answered that their smoking status did
not influence it. Only 53% of the physicians replied that they actually
performed education for smoking cessation to the elderly, and 8% of them
replied that they hardly perform any or do not perform it. Smoking cessation
is thought to be the only way to prevent the development of COPD. However,
only a half of physicians recognized the importance of smoking cessation for
the treatment and control of COPD in the elderly. In addition, less than one
third of physicians perform nicotine replacement therapy for smoking
cessation. Enlightenment for physicians should be needed to make them
perform education for smoking cessation more aggressively.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic obstructive lung disease
health personnel attitude
patient education
physician
smoking cessation
EMTREE MEDICAL INDEX TERMS
aged
article
female
human
male
psychological aspect
questionnaire
LANGUAGE OF ARTICLE
Japanese
MEDLINE PMID
12073594 (http://www.ncbi.nlm.nih.gov/pubmed/12073594)
PUI
L35607562
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1620
TITLE
Educational best practices
AUTHOR NAMES
Stuart G.W.
Burland J.
Ganju V.
Levounis P.
Kiosk S.
AUTHOR ADDRESSES
(Stuart G.W., stuartg@musc.edu) Colleges of Nursing and Medicine, Medical
University of South Carolina, .
(Burland J.) Department of Education and Training, National Alliance for the
Mentally Ill, Arlington, VA, United States.
(Ganju V.) National Association of State Mental Health Program Directors
Research Institute, Alexandria, VA, United States.
(Levounis P.) New York University School of Medicine, .
(Kiosk S.) American Psychiatric Association Office of HIV Psychiatry, .
CORRESPONDENCE ADDRESS
G.W. Stuart, 99 Jonathan Lucas Street, Charleston, SC 29425, United States.
Email: stuartg@musc.edu
SOURCE
Administration and Policy in Mental Health (2002) 29:4-5 (325-333). Date of
Publication: May 2002
ISSN
0894-587X
BOOK PUBLISHER
Kluwer Academic/Human Sciences Press Inc., 233 Spring Street, New York,
United States.
ABSTRACT
There are few reports from the behavioral health field that focus on
educational best practices. This article summarizes a panel presentation
from the Annapolis Conference in which four different programs were
described: (1) a provider educational initiative, (2) a tool-kit project
related to evidence-based services, (3) a multidisciplinary faculty training
program in addictions, and (4) an AIDS education project. While such
innovative educational practices appear to be the exception rather than the
norm, they do offer ideas and strategies for challenging and energizing
current educational practices in behavioral health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
medical practice
EMTREE MEDICAL INDEX TERMS
addiction
conference paper
curriculum
evidence based medicine
mental health
mental health care
priority journal
psychiatrist
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002324670
MEDLINE PMID
12238557 (http://www.ncbi.nlm.nih.gov/pubmed/12238557)
PUI
L35006037
DOI
10.1023/A:1019648922377
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1019648922377
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1621
TITLE
A continuing education course for physicians who cross sexual boundaries
AUTHOR NAMES
Spickard A.
Swiggart W.H.
Manley G.
Dodd D.
AUTHOR ADDRESSES
(Spickard A.; Swiggart W.H.; Manley G.; Dodd D.) The Center for Professional
Health, Vanderbilt University Medical Center, 1107 Oxford House, Nashville,
TN 37232, United States.
CORRESPONDENCE ADDRESS
A. Spickard Jr., The Center for Professional Health, Vanderbilt University
Medical Center, 1107 Oxford House, Nashville, TN 37232, United States.
Email: Anderson.spickard.jr@mcmail.vanderbilt.edu
SOURCE
Sexual Addiction and Compulsivity (2002) 9:1 (33-42). Date of Publication:
2002
ISSN
1072-0162
ABSTRACT
Physicians who cross sexual boundaries with patients pose a serious problem
for themselves, the patient and the medical profession. The role of healer
is compromised when the physician becomes romantically involved with a
patient. In response to the need for physician education about sexual
boundaries, the Center for Professional Health at Vanderbilt conducts CME
courses for physicians identified as crossing sexual boundaries with
patients or medical staff under their supervision. Physicians participating
in the course have had little or no training in non-sexual or sexual
boundary limits, sexual harassment or proper office procedures to prevent
boundary violations. Screening tests for sexual addiction in the physicians
attending the course indicated that some physicians should have more
in-depth assessments for sexual addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical ethics
sexual harassment
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
continuing education
controlled study
doctor patient relation
human
male
medical profession
medical staff
psychologic assessment
psychosexual disorder (diagnosis)
screening test
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002137806
PUI
L34303017
DOI
10.1080/107201602317346629
FULL TEXT LINK
http://dx.doi.org/10.1080/107201602317346629
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1622
TITLE
Substance abuse attitudes and policies in US rehabilitation training
programs: A comparison of 1985 and 2000
AUTHOR NAMES
Basford J.R.
Rohe D.E.
Barnes C.P.
DePompolo R.W.
AUTHOR ADDRESSES
(Basford J.R.; Rohe D.E.; Barnes C.P.; DePompolo R.W.) Department of
Physical Medicine and Rehabilitation, Mayo Clinic and Foundation, Rochester,
MN, United States.
CORRESPONDENCE ADDRESS
J.R. Basford, Dept. of Physical Medicine, Mayo Clinic and Foundation,
Rochester, MN 55905, United States.
SOURCE
Archives of Physical Medicine and Rehabilitation (2002) 83:4 (517-522). Date
of Publication: 2002
ISSN
0003-9993
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Objective: To assess and compare the attitudes, beliefs, and policies of
physical medicine and rehabilitation (PM&R) training programs toward
substance abuse and tobacco use over the last 15 years. Design: A blinded
questionnaire was sent to all US rehabilitation medicine training program
directors. Results were compared with a survey conducted in 1985. Setting:
US PM&R residency training programs with inpatient rehabilitation training.
Participants: Training directors or their designated agents. Intervention: A
35-item questionnaire was mailed between November 1999 and April 2000 to the
81 US training programs identified by the American Board of Physical
Medicine and Rehabilitation as having rehabilitation training programs with
inpatient rehabilitation units. Responses were pooled by our Survey Research
Center to preserve anonymity. Training programs that did not respond
received additional mailings and telephone calls to improve the response
rate. Main Outcome Measures: Chi-square analysis to assess changes in
responses with time. Results: Forty-six of the 79 (58%) eligible training
programs responded (1 program had merged, 1 did not provide inpatient
rehabilitation). Programs were located in cities ranging from less than
100,000 (n = 2) to greater than a million inhabitants (n = 18). Eighty
percent (37/46) of the respondents were "concerned or very concerned" about
their patients' alcohol and drug use, and 69% routinely assessed patients
for alcohol and drug use compared with only 25% in 1985 (P < .00001). Almost
all respondents (43/46) supported written guidelines to prohibit alcohol and
drug use by patients in the rehabilitation unit. Eighty-three percent had a
prohibition policy, and 72% had written guidelines. Both of those rates
represent increases from the 1985 response rates of 65% and 45%,
respectively. Ambivalence persisted about appropriate treatment programs for
persons with disabilities: in 1985, 51% of the respondents agreed that a
person with a disability could be treated appropriately in a substance abuse
program designed for persons without a disability; in 2000, the percentage
had increased to 64%. All respondents believed that tobacco use is an
addiction, but only 25% of their units offered tobacco cessation services to
patients on their rehabilitation unit. Conclusion: The survey results are
encouraging. Since 1985, not only have substance abuse issues been
recognized, but also systemic institutionalized approaches (eg, regular
screening, written guidelines) have increased markedly. Tobacco is now
uniformly accepted as an addiction, but screening and access to cessation
programs are similar to that available for alcohol and drug treatment
programs 15 years ago. © 2002 by the American Congress of Rehabilitation
Medicine and the American Academy of Physical Medicine and Rehabilitation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
article
attitude
chi square distribution
city
controlled study
disability
drug abuse
health care policy
health program
health survey
human
normal human
physical medicine
practice guideline
questionnaire
rehabilitation center
rehabilitation medicine
smoking
telephone
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Rehabilitation and Physical Medicine (19)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002127376
MEDLINE PMID
11932854 (http://www.ncbi.nlm.nih.gov/pubmed/11932854)
PUI
L34275234
DOI
10.1053/apmr.2002.30922
FULL TEXT LINK
http://dx.doi.org/10.1053/apmr.2002.30922
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1623
TITLE
Efficacy of resident training in smoking cessation: A randomized, controlled
trial of a program based on application of behavioral theory and practice
with standardized patients
AUTHOR NAMES
Cornuz J.
Humair J.-P.
Seematter L.
Stoianov R.
Van Melle G.
Stalder H.
Pécoud A.
AUTHOR ADDRESSES
(Cornuz J.; Humair J.-P.; Seematter L.; Stoianov R.; Van Melle G.; Stalder
H.; Pécoud A.) Centre Hosp. Universitaire Vaudois, CH-1011 Lausanne,
Switzerland.
CORRESPONDENCE ADDRESS
J. Cornuz, Centre Hosp. Universitaire Vaudois, CH-1011 Lausanne,
Switzerland. Email: Jacques.Cornuz@chuv.hospvd.ch
SOURCE
Annals of Internal Medicine (2002) 136:6 (429-437). Date of Publication: 19
Mar 2002
ISSN
0003-4819
BOOK PUBLISHER
American College of Physicians, 190 N. Indenpence Mall West, Philadelphia,
United States.
ABSTRACT
Background: New educational programs must be developed to improve
physicians' skills and effectiveness in counseling patients about smoking
cessation. Objective: To assess the efficacy of an educational program based
on behavioral theory, active learning methods, and practice with
standardized patients in helping patients abstain from smoking and changing
physicians' counseling practices. Design: Cluster randomized, controlled
trial. Setting: Two general internal medicine clinics in Switzerland.
Participants: 35 residents and 251 consecutive smoking patients.
Intervention: A training program administered over two half-days, during
which physicians learned to provide counseling that matched smokers'
motivation to quit and practiced these skills with standardized patients
acting as smokers at different stages of change. The control intervention
was a didactic session on management of dyslipidemia. Measurements:
Self-reported abstinence from smoking at 1 year of follow-up, which was
validated by exhaled carbon monoxide testing at one clinic; score of overall
quality of counseling based on use of 14 counseling strategies; patient
willingness to quit; and daily cigarette consumption. Results: At 1 year of
follow-up, abstinence from smoking was significantly higher in the
intervention group than in the control group (13% vs. 5%; P = 0.005); this
corresponded to a cluster-adjusted odds ratio of 2.8 (95% Cl, 1.4 to 5.5).
Residents who received the study training provided better counseling than
did those who received the control training (mean score, 4.0 vs. 2.7; P =
0.002). Smokers' willingness to quit was also higher in the intervention
group (94% vs. 80%; P = 0.007). A nonsignificant trend toward lower daily
cigarette consumption in the intervention group was observed. Conclusion: A
training program in smoking cessation administered to physicians that was
based on behavioral theory and practice with standardized patients
significantly increased the quality of physicians' counseling, smokers'
motivation to quit, and rates of abstinence from smoking at 1 year.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient counseling
residency education
smoking cessation
EMTREE MEDICAL INDEX TERMS
abstinence
adolescent
adult
aged
article
behavior therapy
behavioral science
capnometry
cigarette smoking
controlled study
dyslipidemia
female
follow up
health care quality
human
human experiment
male
medical practice
motivation
priority journal
scoring system
Switzerland
training
validation process
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002106794
MEDLINE PMID
11900495 (http://www.ncbi.nlm.nih.gov/pubmed/11900495)
PUI
L34233174
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1624
TITLE
Summary for patients. Effect of a training program for resident physicians
in improving success rate in helping patients quit smoking.
AUTHOR ADDRESSES
SOURCE
Annals of internal medicine (2002) 136:6 (I31). Date of Publication: 19 Mar
2002
ISSN
1539-3704 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior therapy
clinical competence
counseling
internal medicine
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
clinical trial
controlled clinical trial
controlled study
double blind procedure
education
female
follow up
general practice
human
male
methodology
patient education
psychological aspect
randomized controlled trial
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11900514 (http://www.ncbi.nlm.nih.gov/pubmed/11900514)
PUI
L35639665
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1625
TITLE
Tobacco use prevention and cessation--the focus of the Oklahoma State
Medical Association Physicians' Campaign for a Healthier Oklahoma (PCHO).
AUTHOR NAMES
Browning A.
Leuthard J.L.
Stinchcomb S.R.
AUTHOR ADDRESSES
(Browning A.; Leuthard J.L.; Stinchcomb S.R.)
CORRESPONDENCE ADDRESS
A. Browning,
SOURCE
The Journal of the Oklahoma State Medical Association (2002) 95:3 (199-200).
Date of Publication: Mar 2002
ISSN
0030-1876
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
human
medical society
organization
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11921872 (http://www.ncbi.nlm.nih.gov/pubmed/11921872)
PUI
L35655943
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1626
TITLE
Tobacco control: consensus report of the National Medical Association.
AUTHOR NAMES
Marable S.
Crim C.
Dennis G.C.
Epps R.P.
Freeman H.
Mills S.
Coolchan E.T.
Robinson L.
Robinson R.
Cole L.
Payne P.H.
AUTHOR ADDRESSES
(Marable S.; Crim C.; Dennis G.C.; Epps R.P.; Freeman H.; Mills S.; Coolchan
E.T.; Robinson L.; Robinson R.; Cole L.; Payne P.H.)
CORRESPONDENCE ADDRESS
S. Marable,
SOURCE
Journal of the National Medical Association (2002) 94:2 (78-87). Date of
Publication: Feb 2002
ISSN
0027-9684
ABSTRACT
ISSUES: Tobacco Control remains one of the greatest determinants for
reducing the morbidity and mortality of African Americans. OBJECTIVE: To
examine the scope and consequences of tobacco use among African Americans
and characterize its implications for the National Medical Association
physician membership and their patients, and identify policy, education,
advocacy and research issues in Tobacco Control for the organization.
CONSENSUS PROCESS: Literature review using the MEDLINE database from January
1966 to August 1999 Week 1, searching Medical Subject Heading (MeSH) reading
combined with text words "Black" or "African American" and "Tobacco" as a
search term, identified 130 articles/110 abstracts published between 1988
and February 1999. The panel selected 61 appropriate articles and a paper
summarizing the literature review was developed. The summary paper was used
as background material for a formal consensus panel discussion on July
16-17, 1999. Consensus among committee members was reached via mail, fax and
e-mail using the summary review paper, annotated bibliographies key
informant surveys, and previous NMA resolutions on tobacco control. A formal
working session was held on July 16-17, 1999 in which four areas of
concentration of issues were determined: Policy, Advocacy, Education and
Research. All committee members approved the final report. SUMMARY: Because
tobacco control issues in African Americans are both complex and poorly
understood, the panel views the NMA's role as pivotal in the coordination of
resources and capacity-building to address all four areas identified.
Stronger partner-ships with traditional federal and nonprofit agencies
associated with tobacco control/advocacy in African Americans as well as
nontraditional organizations (i.e., churches, academia, marketing and media
organizations) also must occur to strengthen the infra-structure needed to
assess needs, design appropriate interventions and evaluate the
appropriateness, effectiveness and efficacy of tobacco control efforts in
African American communities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
health promotion
smoking
smoking cessation
EMTREE MEDICAL INDEX TERMS
African American
conference paper
consensus development
ethnology
human
legal aspect
mass medium
methodology
policy
research
statistics
tobacco industry
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11853050 (http://www.ncbi.nlm.nih.gov/pubmed/11853050)
PUI
L35591471
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1627
TITLE
The impact of a brief interclerkship about substance abuse on medical
students' skills
AUTHOR NAMES
Matthews J.
Kadish W.
Barrett S.V.
Mazor K.
Field D.
Jonassen J.
AUTHOR ADDRESSES
(Matthews J., julia.matthews@umassmed.edu) Department of Clinical
Psychiatry, University of Massachusetts Medical School, Worcester, MA,
United States.
(Barrett S.V.) Division of Research and Evaluation, University of
Massachusetts Medical School, Worcester, MA, United States.
(Mazor K.) Department of Medicine, University of Massachusetts Medical
School, Worcester, MA, United States.
(Field D.) Department of Psychiatry, University of Massachusetts Medical
School, Worcester, MA, United States.
(Jonassen J.) Department of Physiology, University of Massachusetts Medical
School, Worcester, MA, United States.
(Mazor K.) Meyers Primary Care Institute, United States.
(Matthews J., julia.matthews@umassmed.edu) Office of Psychiatric Education
and Training, Department of Psychiatry, UMass Medical School, 55 Lake Avenue
North, Worcester, MA 01655, United States.
(Kadish W.)
CORRESPONDENCE ADDRESS
J. Matthews, Off. of Psychiat. Educ. and Training, Department of Psychiatry,
UMass Medical School, 55 Lake Avenue North, Worcester, MA 01655, United
States. Email: julia.matthews@umassmed.edu
SOURCE
Academic Medicine (2002) 77:5 (419-426). Date of Publication: 2002
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Purpose. To examine the immediate and delayed impact of an intensive one- or
two-day interclerkship on substance abuse (SA) for third-year medical
students. The program is a response to the problem of inadequacy of
substance abuse education in the standard curriculum. Method. Each year
since 1997-98 all third-year students at the University of Massachusetts
Medical School have participated in a one- or two-day SA interclerkship to
enhance their knowledge and competence with SA assessment and brief
intervention. Students' knowledge, attitudes, and confidence were assessed
immediately before and after the interclerkship. In addition, during 1998-
99, each student's clinical skills in SA assessment and intervention were
evaluated at the completion of the student's six-week psychiatry clerkship
using objective standardized clinical examinations (OSCEs) with two
simulated patients, one with and one without active SA issues. Students who
took the psychiatry clerkship in the first half of the year had not yet
participated in the interclerkship. Students' pooled performances before and
after the interclerkship were compared. Results. Students' attitudes toward
and knowledge about SA disorders and their confidence about SA assessment
and intervention all showed significant positive changes immediately after
the interclerkship. The OSCE performance data demonstrated a significant
sustained improvement in clinical skills in SA assessment and intervention
as measured up to six months following the interclerkship. Conclusion. These
data suggest that brief intensive training in SA during the clinical years
of medical school can have a positive and lasting impact on students'
clinical performances.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
medical student
EMTREE MEDICAL INDEX TERMS
article
attitude
clinical examination
competence
curriculum
human
measurement
medical education
medical school
performance
priority journal
psychiatry
skill
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002180287
MEDLINE PMID
12010703 (http://www.ncbi.nlm.nih.gov/pubmed/12010703)
PUI
L34526156
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1628
TITLE
Self-care in medical education: Effectiveness of health-habits interventions
for first-year medical students
AUTHOR NAMES
Ball S.
Bax A.
AUTHOR ADDRESSES
(Ball S.; Bax A.) Indiana University Sch. of Medicine, 1710 North Capitol
Avenue, Indianapolis, IN 46206, United States.
CORRESPONDENCE ADDRESS
S. Ball, Indiana University Sch. of Medicine, 1710 North Capitol Avenue,
Indianapolis, IN 46206, United States. Email: suball@iupui.edu
SOURCE
Academic Medicine (2002) 77:9 (911-917). Date of Publication: September 2002
ISSN
1040-2446
BOOK PUBLISHER
Hanley and Belfus Inc.
ABSTRACT
Purpose. To examine changes in health habits (sleep, alcohol, and exercise)
and the effects of an educational intervention promoting self-care on the
emotional and academic adjustment of first-year medical students. Method.
Fifty-four medical students completed questionnaires that assessed various
health habits, alcohol use, depression severity, and areas of life
satisfaction at the beginning of the semester, at mid-term, and at finals.
Approximately half of the students received written feedback or participated
in an educational discussion group at mid-term. Results. The students
demonstrated significant changes in health habits, with increases in alcohol
consumption and decreases in exercise and socialization. The changes in
health habits were predictive of both emotional and academic adjustment,
with students who decreased in positive health habits, particularly
socialization, being more depressed at finals. The feedback and educational
interventions influenced some sleep and exercise behaviors, but the groups
did not differ in overall emotional or academic adjustment. Conclusions.
First-year medical students show significant changes in health habits as
they adjust to medical school. An educational intervention demonstrated
promising effects in changing these patterns, but self-care needs to be
further elaborated to address the specific challenges associated with acute
adjustment as well as with long-term stressors.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
exercise
medical education
self care
sleep
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
depression
disease severity
emotional stability
feedback system
female
habit
health behavior
human
life satisfaction
male
medical school
medical student
prediction
priority journal
questionnaire
socialization
time
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002332531
MEDLINE PMID
12228090 (http://www.ncbi.nlm.nih.gov/pubmed/12228090)
PUI
L35034047
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1629
TITLE
Residents' page. Requiem for Mr Bojangles.
AUTHOR NAMES
Chang J.
AUTHOR ADDRESSES
(Chang J.) University of Alberta, Edmonton.
CORRESPONDENCE ADDRESS
J. Chang, University of Alberta, Edmonton.
SOURCE
Canadian family physician Médecin de famille canadien (2002) 48 (120-122,
130-131). Date of Publication: Jan 2002
ISSN
0008-350X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication)
heart infarction (diagnosis, therapy)
medical education
EMTREE MEDICAL INDEX TERMS
adult
anamnesis
article
case report
human
humanism
male
middle aged
LANGUAGE OF ARTICLE
English, French
MEDLINE PMID
11852601 (http://www.ncbi.nlm.nih.gov/pubmed/11852601)
PUI
L35591486
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1630
TITLE
Use of highly active antiretroviral therapy in HIV-infected women: Impact of
HIV specialist care
AUTHOR NAMES
Gardner L.I.
Holmberg S.D.
Moore J.
Arnsten J.H.
Mayer K.H.
Rompalo A.
Schuman P.
Smith D.K.
AUTHOR ADDRESSES
(Gardner L.I.; Holmberg S.D.; Moore J.; Arnsten J.H.; Mayer K.H.; Rompalo
A.; Schuman P.; Smith D.K.) Centers Disease Control/Prevention, Mailstop
E-45, 1600 Clifton Road, Atlanta, GA 30333, United States.
CORRESPONDENCE ADDRESS
L.I. Gardner, Centers Disease Control/Prevention, Mailstop E-45, 1600
Clifton Road, Atlanta, GA 30333, United States. Email: lig0@cdc.gov
SOURCE
Journal of Acquired Immune Deficiency Syndromes (2002) 29:1 (69-75). Date of
Publication: 1 Jan 2002
ISSN
1525-4135
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Objectives: To evaluate factors associated with use of HIV specialist care
by women, and to determine whether medical indications for therapy validate
lower rates of antiretroviral use in women not using HIV specialty care.
Design: Cross-sectional analysis of the 1998 interview from the HIV
Epidemiology Research Study (HERS) cohort. Methods: Data from 273
HIV-infected women in the HERS were analyzed by multiple logistic regression
to calculate predictors of the use of HIV specialist care providers.
Variables included study site, age, education, insurance status, income,
substance abuse, depression, AIDS diagnosis, CD4(+) lymphocyte count, and
HIV-1 viral load. In addition, medical indications for therapy and medical
advice to begin antiretroviral therapy were assessed. Results: Of 273 women,
222 (81%) used HIV specialists and 51 (19%) did not. Having health
insurance, not being an injection drug user, and being depressed were
predictive of using HIV specialist care (all p ≤.05). Although medical
indications for therapy in the two groups were comparable, the rate of
highly active antiretroviral therapy (HAART) use was significantly higher in
women using HIV specialist care (27%) compared with those not using HIV
specialists (7.8%). Women using HIV specialists received significantly more
advice to begin antiretroviral therapy (ART) in the 6 months prior to the
interview compared with those not using specialists (relative risk, 2.4; 95%
CI = 1.3-4.6). Conclusions: Having insurance, not being an injection drug
user, and being depressed all increased the likelihood of women receiving
HIV specialty care, which, in turn, increased the likelihood of receiving
recommended therapies. The level of HAART use (23%) and any ART use (47%) in
these HIV-infected women was disturbingly low. Despite comparable medical
indications, fewer women obtaining care from other than HIV specialists
received HAART. These data indicate substantial gaps in access to HIV
specialist care and thereby to currently recommended antiretroviral
treatment.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
anti human immunodeficiency virus agent (drug therapy, pharmacoeconomics)
antiretrovirus agent (drug therapy, pharmacoeconomics)
EMTREE DRUG INDEX TERMS
indinavir (drug therapy, pharmacoeconomics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
highly active antiretroviral therapy
Human immunodeficiency virus infection (disease management, drug therapy,
epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
consultation
controlled study
depression
drug abuse
drug use
female
health care access
health care utilization
health insurance
human
major clinical study
medical specialist
patient care
priority journal
treatment indication
DRUG TRADE NAMES
crixivan , United StatesMerck
DRUG MANUFACTURERS
(United States)Merck
CAS REGISTRY NUMBERS
indinavir (150378-17-9, 157810-81-6, 180683-37-8)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002040385
MEDLINE PMID
11782593 (http://www.ncbi.nlm.nih.gov/pubmed/11782593)
PUI
L34094310
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1631
TITLE
Practice-based buprenorphine maintenance treatment (BMT): How do French
healthcare providers manage the opiate-addicted patients?
AUTHOR NAMES
Vignau J.
Duhamel A.
Catteau J.
Legal G.
Huynh A.
Grailles I.
Beauvillain J.
Petit P.
Beauvillain P.
Parquet P.J.
AUTHOR ADDRESSES
(Vignau J., jvignau@nordnet.fr; Parquet P.J.) University Hospital, Lille,
France.
(Duhamel A.) CERIM, Laboratoire De Biostatistiques, Faculté De Médecine,
Lille, France.
(Catteau J.; Huynh A.; Grailles I.) Clinique Du Ryonval, Sainte Catherine,
France.
(Legal G.; Beauvillain J.; Petit P.; Beauvillain P.) ERSM, CNAMTS,
Villeneuve d'Ascq, France.
(Vignau J., jvignau@nordnet.fr) Service d'Addictologie -- Clinique De La
Charité, Centre Hospitalier Universitaire, 57 boulevard de Metz, F-59037
Lille Cedex, France.
CORRESPONDENCE ADDRESS
J. Vignau, Service d' Addictologie, Clinique de la Charite, Centre
Hospitalier Universitaire, 57 boulevard de Metz, F-59037 Lille Cedex,
France. Email: jvignau@nordnet.fr
SOURCE
Journal of Substance Abuse Treatment (2001) 21:3 (135-144). Date of
Publication: 2001
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
France was the first country to promote the extensive use of buprenorphine
for the treatment of drug-addicted subjects through the primary care system.
To assess both professional commitment and patients' characteristics, all
the physicians and pharmacists of a French area having prescribed/dispensed
buprenorphine from 2/12/96 (the official release date) to 1/31/98 were
identified from data files of the Health Insurance and then interviewed.
During the first 61 weeks of buprenorphine maintenance treatment (BMT),
27.5% of physicians and 51.2% of pharmacists of that area were involved; 142
patient records were documented. Features of the clinical routines
spontaneously implemented for practice-based BMT were: a high level of
on-site supervised dispensation by the pharmacist (71% at treatment
induction and 23% thereafter); the absence of objective measurement of
illicit drug use; and a low buprenorphine dosage. These features are
consistent with the lack of physicians' experience and training, and also
the relatively good status of the population treated (no HIV-positives,
heroin use duration averaging 4.2 ± 3.1 years, and 81.7% with stable
accommodations). Despite liberal regulations guiding BMT, a negligible
proportion of cases had a "nomadic" attitude (multiple buprenorphine
prescribers/deliverers). The treatment outcomes (no deaths, three drug
overdoses, improvement in occupational status) are encouraging. Conclusion:
Practice-based BMT appears to be a safe and acceptable response to moderate
heroin addiction, but further training of the professionals involved and
longitudinal investigations of individual outcomes are needed. © 2001
Elsevier Science Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy, intravenous drug administration)
opiate
EMTREE DRUG INDEX TERMS
alcohol
antidepressant agent (drug therapy)
benzodiazepine derivative (drug therapy)
cannabis
cocaine
codeine
diamorphine
hypnotic agent (drug therapy)
methadone (drug therapy)
morphine (drug therapy, oral drug administration)
neuroleptic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
maintenance therapy
opiate addiction (drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
drug detoxification
female
France
health care delivery
health insurance
human
interview
major clinical study
male
medical education
medical practice
medical record
mental disease (drug therapy)
multiple drug abuse (drug therapy)
patient compliance
pharmacist
physician
prescription
primary medical care
priority journal
treatment outcome
DRUG TRADE NAMES
subutex Schering Plough
DRUG MANUFACTURERS
Schering Plough
CAS REGISTRY NUMBERS
alcohol (64-17-5)
buprenorphine (52485-79-7, 53152-21-9)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
codeine (76-57-3)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001423396
MEDLINE PMID
11728787 (http://www.ncbi.nlm.nih.gov/pubmed/11728787)
PUI
L33109062
DOI
10.1016/S0740-5472(01)00189-1
FULL TEXT LINK
http://dx.doi.org/10.1016/S0740-5472(01)00189-1
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1632
TITLE
Medical education about the care of addicted incarcerated persons: A
national survey of residency programs
AUTHOR NAMES
Kraus M.L.
Isaacson J.H.
Kahn R.
Mundt M.P.
Manwell L.B.
AUTHOR ADDRESSES
(Kraus M.L., marklk@home.com) Addiction Medicine, Waterbury Hospital,
Waterbury, CT, United States.
(Kraus M.L., marklk@home.com) Yale University, School of Medicine, New
Haven, CT, United States.
(Isaacson J.H.) Dept. of General Internal Medicine, Ohio State University,
Cleveland, OH, United States.
(Isaacson J.H.) Ohio State University, Cleveland, OH, United States.
(Kahn R.) Division of Medicine, Hlth. Rsrc. and Serv. Administration,
Rockville, MD, United States.
(Mundt M.P.; Manwell L.B.) Ctr. for Addict. Res. and Education, University
of Wisconsin, Madison, WI, United States.
(Kraus M.L., marklk@home.com) 714 Chase Parkway, Waterbury, CT 06708, United
States.
CORRESPONDENCE ADDRESS
M.L. Kraus, 714 Chase Parkway, Waterbury, CT 06708, United States. Email:
marklk@home.com
SOURCE
Substance Abuse (2001) 22:2 (97-104). Date of Publication: 2001
ISSN
0889-7077
ABSTRACT
In June 1998, there were 1.8 million inmates in correctional facilities for
adults; 1.2 million in state and federal prisons and 600,000 in
municipal/county jails (668 persons per 100,000 U.S. population). Rates of
TB, AIDS, mental illness, and substance abuse are 2-13 times higher in
persons living in jails and prisons. This study was designed to assess the
level of training offered to residents in seven medical specialties in the
care of addicted incarcerated persons. The study design involved two stages.
Thefirst entailed a mailed survey to 1,831 residency directors in family
medicine, internal medicine, osteopathic medicine, pediatrics, obstetrics
and gynecology, psychiatry, and emergency medicine. The second stage was a
telephone interview, about substance use disorders, of faculty listed by the
residency directors as teaching residents. The mailed survey was completed
by 1,205 residency directors (66%). The 769 faculty from those identified
programs, who participated in the telephone interview, reported that only
14% of their residency programs offered lectures or conferences on the care
of incarcerated persons, yet 44% of the programs had residents caring for
incarcerated persons with substance abuse problems, in a clinical setting.
Only 22% offered clinical experiences for residents in a correctional
facility. We recognize that our survey of correctional health and substance
abuse training is limited, but as such, a greater number of respondents to
our survey do not teach residents addiction medicine topics pertaining to
prevention, evaluation, intervention, and management of the addicted
criminal offender/patient in a correctional setting or give adequate
clinical exposure to this special population. The data suggests a need to
develop and implement educational programs on medical care for this
high-risk and expanding population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
medical education
prisoner
residency education
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
adult
bone disease
data analysis
emergency medicine
experience
family medicine
female
health program
health survey
high risk population
human
major clinical study
male
medical specialist
mental disease
obstetrics
pediatrics
prison
psychiatry
review
statistical analysis
substance abuse
telephone
tuberculosis
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003366109
PUI
L37093054
DOI
10.1023/A:1012630327054
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1012630327054
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1633
TITLE
Faculty rating of learning objectives for an undergraduate medical
curriculum in substance abuse
AUTHOR NAMES
Kahan M.
Midmer D.
Wilson L.
Liu E.
AUTHOR ADDRESSES
(Kahan M., meldon.kahan@utoronto.ca; Wilson L.) Department of Family
Medicine, St. Joseph's Health Centre, 30 The Queensway, Toronto, Ont. M6R
1B5, Canada.
(Midmer D.; Liu E.)
CORRESPONDENCE ADDRESS
M. Kahan, Department of Family Medicine, St. Joseph's Health Centre, 30 The
Queensway, Toronto, Ont. M6R 1B5, Canada. Email: meldon.kahan@utoronto.ca
SOURCE
Substance Abuse (2001) 22:4 (257-263). Date of Publication: 2001
ISSN
0889-7077
ABSTRACT
The purpose of this study is to describe medical faculty's ratings of
learning objectives related to substance abuse. A comprehensive set of
learning objectives was drafted. The Associate Dean at each of Ontario's
five medical schools was asked to select two faculty members from each
clinical discipline who were involved in undergraduate medical education.
The selected faculty were sent a survey asking them to rate 282 objectives
according to their importance for undergraduate education in their
discipline, using a 5-point scale. Sixty-eight out of 90 surveys were
returned. For statistical analysis, disciplines were placed into two groups,
Group 1 (internal medicine, surgery, emergency medicine, and anesthesia) and
Group 2 (family medicine, psychiatry, and pediatrics). The mean ratings of
Group 1 were significantly higher than Group 2 (p < 0.001) for five sets of
objectives: attitudes, epidemiology, screening and assessment, nonmedical
interventions, and specific populations (women, the elderly, and
adolescents). Group 1 gave mean ratings above 4 to all themes except
epidemiology, inpatient care, and medical complications. In contrast, Group
2 gave mean ratings above 4 to only three themes: physician substance abuse
problems, withdrawal, and medical complications. The marked differences in
learning objectives between disciplines suggest that a discipline-specific
approach is needed for curricular development in substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
learning
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent disease
adult
anesthesia
article
attitude
Canada
education program
elderly care
emergency medicine
epidemiological data
family medicine
health survey
human
human experiment
internal medicine
normal human
pediatrics
population risk
psychiatry
rating scale
screening
statistical analysis
surgery
university
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003364416
PUI
L37087338
DOI
10.1023/A:1012252729138
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1012252729138
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1634
TITLE
Pediatric residency training on tobacco: Training director tobacco survey
AUTHOR NAMES
Hymowitz N.
Schwab J.
Eckholdt H.
AUTHOR ADDRESSES
(Hymowitz N.) Department of Pediatrics, University of Medicine and Dentistry
of New Jersey, New Jersey Medical School, Newark, NJ 07103, United States.
(Schwab J.; Eckholdt H.) Department of Neurology, Division of Biometry,
Albert Einstein School of Medicine, .
CORRESPONDENCE ADDRESS
N. Hymowitz, Department of Psychiatry, New Jersey Medical School, ADMC 1409,
30 Bergen Street, Newark, NJ 07103, United States. Email: Hymowitz@umdnj.edu
SOURCE
Preventive Medicine (2001) 33:6 (688-698). Date of Publication: 2001
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Statements from the American Academy of Pediatrics encourage
pediatricians to address tobacco. However, most fail to do so and little is
known about the preparation to intervene on tobacco they receive during
residency training. Methods. The Pediatric Residency Training Director
Tobacco Survey was mailed to all pediatric residency training directors in
the United States. The survey assessed the nature of training and
supervision on tobacco, barriers to training, and factors that influence the
inclusion of tobacco in the residency training curriculum. Results. Seventy
percent of the training directors returned the surveys. Relatively few
offered training/supervision on tobacco on a formal basis. Training
directors were reluctant to treat parents who smoke, were skeptical about
third party payer reimbursement, and did not believe that office-based
interventions for treating tobacco use among patients were effective. Key
barriers to training were competing priorities, lack of training resources,
and lack of faculty with expertise on tobacco. Conclusion. Residency
training is an excellent time to train future pediatricians to intervene on
tobacco, but too few pediatric training programs have taken up this charge.
Much needs to be done to correct this situation and to prepare future
pediatricians to meet the tobacco challenge. © 2001 American Health
Foundation and Elsevier Science.
EMTREE DRUG INDEX TERMS
tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pediatrics
residency education
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
curriculum
environmental exposure
female
health survey
human
male
normal human
parent
preventive medicine
priority journal
reimbursement
smoking cessation
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002043944
MEDLINE PMID
11716668 (http://www.ncbi.nlm.nih.gov/pubmed/11716668)
PUI
L34101896
DOI
10.1006/pmed.2001.0946
FULL TEXT LINK
http://dx.doi.org/10.1006/pmed.2001.0946
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1635
TITLE
Training-related harassment and drinking outcomes in medical residents
versus graduate students
AUTHOR NAMES
Shinsako S.A.
Richman J.A.
Rospenda K.M.
AUTHOR ADDRESSES
(Shinsako S.A.; Richman J.A.; Rospenda K.M.) Department of Psychiatry, UIC
(M/C 912), 1601 W Taylor Street, Chicago, IL 60612, United States.
CORRESPONDENCE ADDRESS
S.A. Shinsako, Department of Psychiatry, UIC (M/C 912), 1601 W Taylor
Street, Chicago, IL 60612, United States. Email: sshinsako@psych.uic.edu
SOURCE
Substance Use and Misuse (2001) 36:14 (2043-2063). Date of Publication: 2001
ISSN
1082-6084
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
This study examined the prevalence of sexual harassment and generalized
workplace abuse, and their differential effects on drinking behaviors in
medical residents and graduate students at an urban American university.
While medical residents had greater odds of experiencing harassment and
abuse in their training programs, it was found that in most cases their
deleterious drinking behaviors decreased, whereas graduate student drinking
behaviors increased as a consequence of these experiences. The drinking
outcomes of men were more affected by harassment and abuse than those of
women.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
medical education
sexual harassment
EMTREE MEDICAL INDEX TERMS
adult
article
drinking behavior
female
human
male
medical student
outcomes research
priority journal
resident
stress
university
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French, Spanish
EMBASE ACCESSION NUMBER
2002014399
MEDLINE PMID
11794583 (http://www.ncbi.nlm.nih.gov/pubmed/11794583)
PUI
L34032679
DOI
10.1081/JA-100108436
FULL TEXT LINK
http://dx.doi.org/10.1081/JA-100108436
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1636
TITLE
Complicated dual diagnosis: A case for physician involvement in addictions
treatment
AUTHOR NAMES
Bobo W.V.
Miller S.C.
AUTHOR ADDRESSES
(Bobo W.V.; Miller S.C.) 4901 Battery Lane, No. 102, Bethesda, MD 20889,
United States.
CORRESPONDENCE ADDRESS
W.V. Bobo, 4901 Battery Lane, No. 102, Bethesda, MD 20889, United States.
SOURCE
International Journal of Psychiatry in Medicine (2001) 31:2 (233-235). Date
of Publication: 2001
ISSN
0091-2174
BOOK PUBLISHER
Baywood Publishing Co. Inc., 26 Austin Avenue, P.O. Box 337, Amityville,
United States.
ABSTRACT
Despite the high prevalence of substance use disorders, the prevention and
treatment of such illnesses seem to receive little attention during
physician training. This provides cause for concern, as physician
involvement in addiction treatment has been relatively sparse. We present
the case of a patient whose successful treatment likely relied upon her
physicians' intensive training in each of the biological, psychological, and
social aspects of her clinical presentation. The case illustrates the need
for added emphasis on the assessment and treatment of addictive disorders
during medical training, and for more active physician involvement in
addictions treatment.
EMTREE DRUG INDEX TERMS
carbamazepine (drug therapy)
propranolol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
EMTREE MEDICAL INDEX TERMS
adult
alcoholism
article
brain injury
case report
female
human
mania (drug therapy)
medical education
prevalence
social aspect
substance abuse
CAS REGISTRY NUMBERS
carbamazepine (298-46-4, 8047-84-5)
propranolol (13013-17-7, 318-98-9, 3506-09-0, 4199-09-1, 525-66-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001400259
MEDLINE PMID
11760866 (http://www.ncbi.nlm.nih.gov/pubmed/11760866)
PUI
L33050996
DOI
10.2190/8YRG-3WCB-RYDX-GD5H
FULL TEXT LINK
http://dx.doi.org/10.2190/8YRG-3WCB-RYDX-GD5H
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1637
TITLE
Specialist alcohol liaison services in general hospitals improve engagement
in alcohol rehabilitation and treatment outcome.
AUTHOR NAMES
Hillman A.
McCann B.
Walker N.P.
AUTHOR ADDRESSES
(Hillman A.; McCann B.; Walker N.P.) Renfrewshire and Inverclyde Primary
Care NHS Trust, Ravenscraig Hospital, Inverkip Road, Greenock.
CORRESPONDENCE ADDRESS
A. Hillman, Renfrewshire and Inverclyde Primary Care NHS Trust, Ravenscraig
Hospital, Inverkip Road, Greenock.
SOURCE
Health bulletin (2001) 59:6 (420-423). Date of Publication: Nov 2001
ISSN
0374-8014
ABSTRACT
OBJECTIVE: To examine the impact of providing a specialist addictions
trained psychiatric nurse on outcome of alcohol treatment in patients
presenting to general medical and surgical wards of a district general
hospital. Before introducing the specialist alcohol liaison service, a range
of staff including a consultant liaison psychiatrist, junior psychiatrists
and community psychiatric nurses trained in liaison psychiatry assessed this
patient group. METHOD: A retrospective review of all alcohol liaison
referrals with ICD-10 defined alcohol misuse was performed for one year.
Comparison data for the first 100 referrals to the specialist alcohol
liaison service were obtained prospectively. Indicators included diagnosis
at referral, and engagement in and completion of alcohol rehabilitation.
RESULTS: The rates of completion of a four to six week period of alcohol
rehabilitation were significantly better after introduction of the
Specialist Alcohol Liaison Service. Of those who commenced alcohol
rehabilitation, 88% completed, compared to 40% in the traditional assessment
service (p < 0.0001). CONCLUSION: Specialist addictions trained staff in the
assessment and management of alcohol dependent patients in medical and
surgical wards produce a better immediate outcome than their non-specialist
colleagues. This may have implications for service design.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
patient care
EMTREE MEDICAL INDEX TERMS
article
general hospital
human
patient referral
retrospective study
treatment outcome
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12661394 (http://www.ncbi.nlm.nih.gov/pubmed/12661394)
PUI
L36498609
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1638
TITLE
Briefs from the field of cancer research
AUTHOR NAMES
Daniels C.E.
AUTHOR ADDRESSES
(Daniels C.E.) Natl. Inst. of Health Clinical Ctr., Bethesda, MD, United
States.
CORRESPONDENCE ADDRESS
C.E. Daniels, Natl. Inst. of Health Clinical Ctr., Bethesda, MD, United
States.
SOURCE
Oncology Spectrums (2001) 2:8 (529-531). Date of Publication: 2001
ISSN
1532-8554
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer research
cigarette smoking
diet supplementation
medical education
EMTREE MEDICAL INDEX TERMS
achievement
article
artificial intelligence
biomedicine
biotechnology
cancer prevention
cancer radiotherapy
cancer therapy
cause of death
computer
health care access
health care system
health center
health education
health program
health service
human
medical information
medical research
nurse
patient care
smoking cessation
telecommunication
tobacco dependence
training
EMBASE CLASSIFICATIONS
Radiology (14)
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2001340058
PUI
L32904255
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1639
TITLE
Self-help strategies among patients with substance use disorders
AUTHOR NAMES
Westermeyer J.
Myott S.
Aarts R.
Thuras P.
AUTHOR ADDRESSES
(Westermeyer J.; Myott S.; Aarts R.; Thuras P.) Department of Psychiatry,
Dept. of Veterans Affairs' Med. Ctr., University of Minnesota, 1 Veterans
Dr., Minneapolis, MN 55417, United States.
CORRESPONDENCE ADDRESS
J. Westermeyer, Department of Psychiatry, Dept. of Veterans Affairs' Med.
Ctr., University of Minnesota, 1 Veterans Dr., Minneapolis, MN 55417, United
States. Email: weste010@umn.edu
SOURCE
American Journal on Addictions (2001) 10:3 (249-257). Date of Publication:
2001
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
The objective of this study was to determine (1) the type and extent of
self-help efforts among patients presenting for treatment of substance use
disorders, and (2) the association of self-help with demographicand clinical
characteristics. A retrospective report of life self-help methods, current
demographic characteristics, and current and lifetime clinical
characteristics was used. Six hundred and forty-two patients in treatment
for substance use disorder were interviewed at one of two university medical
centers witb Alcohol-Drug Programs located within departments of psychiatry.
A research associate (RA) interviewed patients regarding seven types of
self-help involving specific, mutually exclusive behaviors and rated the
patient's lifetime self-help methods. The patient, RA, and addiction
psychiatrists provided demographic, familial, and clinical information. Most
patients (78%) had tried one or more types of self-help, with a mean of 2.7
methods per patient. They more frequently chose methods related to the
substance (decreasing amounts or frequency, or changing substance type) or
joining a self-help group than methods that involved changing friends,
residence, or occupation/job/school. Certain patterns of self-help tended to
occur together, (eg, changing substance frequency and dose), whereas others
appeared more independent (eg, joining a self-help group). Some self-help
approaches occurred mostly in association with other methods rather than
alone (eg, changing occupation/job/school). More self-help was associated
with higher socioeconomic class, more relatives with substance use disorder,
greater severity of substance use disorder, and more treatment for substance
use disorder. Self-help tends to occur more often after exposure to addicted
relatives or addiction treatment. Clinicians and public adult education
should promulgate self-help methods in the general population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (therapy)
self help
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
adult
alcoholics anonymous
article
behavior therapy
caregiver
demography
female
human
major clinical study
male
motivation
patient education
quality of life
socioeconomics
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001330133
MEDLINE PMID
11579623 (http://www.ncbi.nlm.nih.gov/pubmed/11579623)
PUI
L32879091
DOI
10.1080/105504901750532139
FULL TEXT LINK
http://dx.doi.org/10.1080/105504901750532139
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1640
TITLE
Impact of medical recommendations on alcohol consumption in HCV positive
patients [4]
AUTHOR NAMES
Nalpas B.
Martin S.
Fontaine H.
Fabbro-Peray P.
Bréchot C.
Pol S.
AUTHOR ADDRESSES
(Nalpas B.; Martin S.; Fontaine H.; Fabbro-Peray P.; Bréchot C.; Pol S.)
Unité d'Hépatologie and INSERM U-370, Hôpital Necker, 149 Rue de Sèvres,
75747 Paris Cedex 15, France.
CORRESPONDENCE ADDRESS
B. Nalpas, Unité d Hepatologie, INSERM U-370, Hôpital Necker, 149 rue de
Sèvres, 75747 Paris Cedex 15, France.
SOURCE
Journal of Hepatology (2001) 35:2 (312-313). Date of Publication: 2001
ISSN
0168-8278
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
EMTREE DRUG INDEX TERMS
antivirus agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
hepatitis C (diagnosis, drug therapy)
patient education
EMTREE MEDICAL INDEX TERMS
adult
cancer risk
disease association
disease severity
female
France
health survey
histopathology
human
letter
liver cirrhosis (complication)
major clinical study
male
priority journal
questionnaire
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2001309119
MEDLINE PMID
11580161 (http://www.ncbi.nlm.nih.gov/pubmed/11580161)
PUI
L32803493
DOI
10.1016/S0168-8278(01)00114-3
FULL TEXT LINK
http://dx.doi.org/10.1016/S0168-8278(01)00114-3
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1641
TITLE
Smoking in Colombian medical schools: The hidden curriculum
AUTHOR NAMES
Rosselli D.
Rey O.
Calderon C.
Rodriguez M.N.
AUTHOR ADDRESSES
(Rosselli D.; Rey O.; Calderon C.; Rodriguez M.N.) Clinical Epidemiology
Unit, Universidad Javeriana Medical School, Carrera 7 No. 40-62, Bogota,
Colombia.
CORRESPONDENCE ADDRESS
D. Rosselli, Clinical Epidemiology Unit, Universidad Javeriana Medical
School, Carrera 7 No. 40-62, Bogota, Colombia. Email:
diego_rosselli@post.harvard.edu
SOURCE
Preventive Medicine (2001) 33:3 (170-174). Date of Publication: 2001
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Tobacco companies are focusing their interest in less developed
countries. In the absence of governmental opposition, physicians are
expected to lead tobacco control efforts. We studied Colombian medical
students' smoking prevalence and tobacco attitudes. Methods. First- and
fifth-year students from 11 medical schools in seven Colombian cities
answered anonymous, self-administered, 38-item questionnaires. Additionally,
smokers answered the Fagerström Test for Nicotine Dependence (FTND).
Results. Two thousand twenty-one students (males 50.6%; age 15-44, median
19) completed the survey; average response rate was 89.9%. Globally 25.9% of
students were current smokers (males 27.9%, females 24.0%). Living at higher
altitude and attending private universities were associated with higher
prevalence (P < 0.001). Males had a higher chance of having given up smoking
(P < 0.05); 91.3% of current smokers would like to quit; 67.3% of all
smokers and 44.8% of daily smokers scored 0 in the FTND. Prevalence was
similar among first- and fifth-years, but fifth-year students were more
complacent with smoking in health centers and showed a lesser desire to
quit. Conclusions. Medical students' smoking prevalence is similar to that
of the general population. Tobacco control strategies need to be included in
the curriculum. Nicotine addiction does not seem to be the main perpetuating
factor. © 2001 American Health Foundation and Academic Press.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking
tobacco dependence (diagnosis, epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
altitude
article
attitude
Colombia
controlled study
curriculum
female
human
male
normal human
prevalence
priority journal
questionnaire
smoking cessation
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001308421
MEDLINE PMID
11522157 (http://www.ncbi.nlm.nih.gov/pubmed/11522157)
PUI
L32802719
DOI
10.1006/pmed.2001.0864
FULL TEXT LINK
http://dx.doi.org/10.1006/pmed.2001.0864
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1642
TITLE
Influence of an educational program on medical students' attitudes to
substance use disorders in pregnancy
AUTHOR NAMES
Bland E.
Oppenheimer L.
Brisson-Carroll G.
Morel C.
Holmes P.
Gruslin A.
AUTHOR ADDRESSES
(Bland E.; Oppenheimer L.; Brisson-Carroll G.; Morel C.; Holmes P.; Gruslin
A.) Division of Maternal-Fetal Medicine, Ottawa Hospital, General Campus,
501 Smyth Road, Ottawa, Ont. K1H 8L6, Canada.
CORRESPONDENCE ADDRESS
L. Oppenheimer, Division of Maternal-Fetal Medicine, Ottawa Hospital,
General Campus, 501 Smyth Road, Ottawa, Ont. K1H 8L6, Canada.
SOURCE
American Journal of Drug and Alcohol Abuse (2001) 27:3 (483-490). Date of
Publication: 2001
ISSN
0095-2990
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
Substance use disorders (SUDs) in pregnancy are becoming increasingly
prevalent. Our study aimed to measure the effect of a teaching module on
alcohol, tobacco, and drug use on the attitude of second year medical
students toward pregnant women with SUDs. A questionnaire was administered
to 84 medical students before a 5-week systems block on human reproduction,
which included specific learning events related to SUDs. The questionnaire
was readministered at the completion of the block. Pre- and postintervention
scores were compared. Students showed significant improvement (p < .05,
reliability coefficient 0.90) in their level of comfort in dealing with
women with SUD in pregnancy. Other positive trends relating to attitudes
toward drug- and alcohol-dependent women during pregnancy were also
identified. SUD teaching interventions among medical students can improve
their comfort level and attitude toward pregnant women with SUDs. This
supports the current initiative of Project CREATE (Curriculum Renewal and
Evaluation of Addiction Training and Education) to implement a comprehensive
undergraduate SUD teaching program in Canadian medical schools.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
pregnancy
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholism
article
attitude
curriculum
evaluation study
health education
health program
human
questionnaire
reliability
scoring system
statistical analysis
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001281197
MEDLINE PMID
11506263 (http://www.ncbi.nlm.nih.gov/pubmed/11506263)
PUI
L32730143
DOI
10.1081/ADA-100104513
FULL TEXT LINK
http://dx.doi.org/10.1081/ADA-100104513
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1643
TITLE
Rotation of therapists. A new element of the outpatient treatment of
alcoholics
ORIGINAL (NON-ENGLISH) TITLE
Die therapeutenrotation. Ein neues element in der ambulanten behandlung
alkoholkranker menschen
AUTHOR NAMES
Krampe H.
Küfner H.
Wagner T.
Ehrenreich H.
AUTHOR ADDRESSES
(Krampe H.; Küfner H.; Wagner T.; Ehrenreich H.) Max-Planck-Inst.
Experimentelle Med., Hermann-Rein-Straße 3, 37075 Göttingen, Germany.
CORRESPONDENCE ADDRESS
H. Ehrenreich, Max-Planck-Inst. Experimentelle Med., Hermann-Rein-Straße 3,
37075 Göttingen, Germany. Email: ehrenreich@em.mpg.de
SOURCE
Psychotherapeut (2001) 46:4 (232-242). Date of Publication: 2001
ISSN
0935-6185
ABSTRACT
For seven years, the so-called "rotation of therapists", has been a central
part of OLITA, the outpatient longterm intensive therapy for alcoholics.
Thus far, the participation of several equally responsible therapists in the
treatment of a patient has rarely been seen as a defined therapeutic
approach. The present work discusses whether the "rotation of therapists"
has any essential influence on the success of OLITA. It considers both,
potential advantages and disadvantages for patients and therapists and tries
to identify conditions under which this approach appears to promote
therapeutic interactions. Following an overview of the present knowledge
regarding the therapeutic interaction in addiction therapy, a method is
described which may be seen as the precedent of the "rotation of
therapists", the multiple psychotherapy. Finally, the practical procedure in
OLITA is outlined as well as its theoretical background. New areas of
application for the "rotation of therapists" are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
EMTREE MEDICAL INDEX TERMS
article
clinical practice
doctor patient relation
health care quality
human
long term care
outpatient care
outpatient department
patient care
psychotherapist
psychotherapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
2001277896
PUI
L32725937
DOI
10.1007/s002780100151
FULL TEXT LINK
http://dx.doi.org/10.1007/s002780100151
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1644
TITLE
Effects of childhood physical abuse on course and severity of substance
abuse
AUTHOR NAMES
Westermeyer J.
Wahmanholm K.
Thuras P.
AUTHOR ADDRESSES
(Westermeyer J.; Wahmanholm K.; Thuras P.) Minneapolis Veterans Aff. Med.
Ctr., 1 Veterans Dr., Minneapolis, MN 55417, United States.
CORRESPONDENCE ADDRESS
J. Westermeyer, Minneapolis Veterans Aff. Med. Ctr., 1 Veterans Dr.,
Minneapolis, MN 55417, United States. Email: weste010@umn.edu
SOURCE
American Journal on Addictions (2001) 10:2 (101-110). Date of Publication:
2001
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
The present study sought to assess the course and severity of Substance
Related Disorder (SRD) in relation to childhood physical abuse (CPA) using
retrospective data on CPA and current indices of substance use, abuse, and
related morbidity. A total of 642 patients were assessed, of whom 195
(30.4%) experienced CPA, were assessed in two university medical centers
with Alcohol-Drug Programs located within departments of psychiatry. A
research assistant obtained demographic data, family history of substance
abuse, problems related to substance abuse, and treatment of substance
abuse. Data on severity included two measures of SRD-associated problems
(one patient-rated and one psychiatristrated), substance abuse vs.
dependence, self-help activities, and previous treatment. The study found
that patients with CPA were more likely to be women, have lower
socioeconomic status, and have more extended family members with substance
abuse. Their substance abuse was more severe on five out of six severity
measures. Patients with CPA showed more lifetime treatment on three out of
four measures. Physical abuse during childhood resulted in a more morbid
course of substance abuse later in adulthood. Although female gender and
lower SES were both associated with CPA, the relationships were separate
(ie, women did not have lower SES).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child abuse
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
childhood
controlled study
dependent personality disorder
disease course
female
human
male
risk factor
self help
sex difference
social status
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001220959
MEDLINE PMID
11444153 (http://www.ncbi.nlm.nih.gov/pubmed/11444153)
PUI
L32566023
DOI
10.1080/105504901750227769
FULL TEXT LINK
http://dx.doi.org/10.1080/105504901750227769
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1645
TITLE
Pediatric residency training on tobacco.
AUTHOR NAMES
Hymowitz N.
Schwab J.
Eckholdt H.
AUTHOR ADDRESSES
(Hymowitz N.; Schwab J.; Eckholdt H.) Department of Psychiatry, University
of Medicine and Dentistry of New Jersey, New Jersey Medical School, USA.
CORRESPONDENCE ADDRESS
N. Hymowitz, Department of Psychiatry, University of Medicine and Dentistry
of New Jersey, New Jersey Medical School, USA.
SOURCE
Pediatrics (2001) 108:1 (E8). Date of Publication: Jul 2001
ISSN
1098-4275 (electronic)
ABSTRACT
OBJECTIVE: Pediatricians have a unique role to play in the antismoking
arena. However, few pediatric residency training programs prepare residents
to meet the tobacco challenge. This study evaluates the effects of a
comprehensive pediatric residency training program on tobacco on resident
tobacco intervention behaviors, as well as on changes in the behavior of
patients and their parents/guardians. METHODS: Pediatric residents were
exposed to a comprehensive training program on tobacco. Baseline and
follow-up surveys of residents, parents/guardians, and patients were used to
assess the effects of the training program. A quasi-experimental design
permitted unambiguous evaluation of the program's effects on resident
intervention behaviors. RESULTS: The comprehensive training program on
tobacco led to marked and significant changes in resident intervention on
tobacco. Many of these changes were supported by parents' and patients'
reports. In turn, resident intervention on tobacco led to a significant
increase in the likelihood that parents would maintain a "smoke-free
household." Significant changes in the prevalence of parental smoking were
not found, although the trend during 3 years of follow-up was in the desired
direction. A high proportion of residents reported that they intervened on
tobacco in patients at baseline and follow-up, but too few patients were
sampled to permit analysis of the impact on changes in smoking. CONCLUSIONS:
Comprehensive training on tobacco had a positive and powerful effect on the
tobacco intervention behavior of pediatric residents. In turn, intervention
on tobacco by pediatric residents may have a significant impact on patients
and their parents. These findings underscore the efficacy of pediatric
residency training on tobacco, and it is hoped that they will serve as an
impetus for other pediatric residency programs to introduce training on
tobacco.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
medical education
patient education
pediatrics
physician attitude
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
education
female
health behavior
human
indoor air pollution (prevention)
male
parent
prevalence
questionnaire
standard
statistical model
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11433087 (http://www.ncbi.nlm.nih.gov/pubmed/11433087)
PUI
L33497063
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1646
TITLE
Combined severe mental health and substance use problems: What are the
training and support needs of staff working with this client group?
AUTHOR NAMES
Maslin J.
Graham H.L.
Cawley M.
Copello A.
Birchwood M.
Georgiou G.
McGovern D.
Mueser K.
Orford J.
AUTHOR ADDRESSES
(Maslin J.; Graham H.L., H.L.Graham@bham.ac.uk; Cawley M.; Copello A.;
Birchwood M.; Georgiou G.; McGovern D.; Mueser K.; Orford J.) N. Birmingham
Mental Hlth. (NHS) T., University of Birmingham, Comb. P. and S. U.
(COMPASS) P., Edgbaston, Birmingham, United Kingdom.
(Graham H.L., H.L.Graham@bham.ac.uk) Comb. P. and S. U. (COMPASS) P., N.
Birmingham Mental Hlth. (NHS) T., 12-13 Greenfield Crescent, Edgbaston,
Birmingham B15 3AU, United Kingdom.
CORRESPONDENCE ADDRESS
H.L. Graham, Com. Psych./Sub. Use (COMPASS) Prog., N. Birmingham Mental
Hlth. (NHS), 12-13 Greenfield Crescent, Edgbaston, Birmingham B15 3AU,
United Kingdom. Email: H.L.Graham@bham.ac.uk
SOURCE
Journal of Mental Health (2001) 10:2 (131-140). Date of Publication: 2001
ISSN
0963-8237
ABSTRACT
The difficulties in engaging and treating people with severe mental health
problems who also use alcohol/drugs problematically have been highlighted in
several studies. The present study sought to assess the training and support
requirements of staff within mental health and substance misuse services who
work with this client group in an inner city area of the UK. A questionnaire
was completed by 136 staff members across community based services. The
results showed that the majority of the staff surveyed: already had
experience of working with clients with combined severe mental health and
substance use problems; rated the importance to their clinical practice of
issues in this area very highly; expressed a high level of interest in
working with this client group; and very much felt it was part of their role
to do so. However, staff identified a number of training and service needs
to help them in working with these clients. The findings strongly suggest
that staff within the mental health and substance misuse services need
information and training about combined severe mental health and substance
use problems and access to specialist support and consultation. Establishing
better links between the mental health and substance misuse services was
seen as essential to provide integrated care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease
substance abuse
EMTREE MEDICAL INDEX TERMS
article
clinical practice
community
disease severity
health care access
human
medical specialist
normal human
patient care
questionnaire
staff training
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001183312
PUI
L32453393
DOI
10.1080/09638230124400
FULL TEXT LINK
http://dx.doi.org/10.1080/09638230124400
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1647
TITLE
Smoking cessation and the course of Crohn's disease: An intervention study
AUTHOR NAMES
Cosnes J.
Beaugerie L.
Carbonnel F.
Gendre J.-P.
AUTHOR ADDRESSES
(Cosnes J.; Beaugerie L.; Carbonnel F.; Gendre J.-P.) Service de
Gastroentérologie et Nutrition, Hôpital Rothschild, Paris, France.
CORRESPONDENCE ADDRESS
J. Cosnes, Hôpital Rothschild, 33 Boulevard de Picpus, 75571 Paris cedex 12,
France. Email: jacques.cosnes@rth.ap-hop-paris.fr
SOURCE
Gastroenterology (2001) 120:5 (1093-1099). Date of Publication: 2001
ISSN
0016-5085
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Background & Aims: To evaluate the benefit of smoking cessation in
individuals with Crohn's disease, we performed an intervention study in a
large cohort of smokers with the disease. Methods: Repeated counseling to
stop smoking, with easy access to a smoking cessation program, was given to
474 consecutive smokers with Crohn's disease. Patients who stopped smoking
for more than 1 year (quitters) were included in a prospective follow-up
study, which compared disease course and therapeutic needs with 2 control
groups, continuing smokers and nonsmokers, paired for age, gender, disease
location, and activity. Results: There were 59 quitters (12%). Predictors of
quitting were the physician, previous intestinal surgery, high socioeconomic
status, and in women, oral contraceptive use. During a median follow-up of
29 months (1-54 months), the risk of flare-up in quitters did not differ
from that in nonsmokers and was less than in continuing smokers (P < 0.001).
Need for steroids and for introduction or reinforcement of immunosuppressive
therapy, respectively, were similar in quitters and nonsmokers and increased
in continuing smokers. The risk of surgery was not significantly different
in the 3 groups. Conclusions: Patients with Crohn's disease who stop smoking
for more than 1 year have a more benign disease course than if they had
never smoked.
EMTREE DRUG INDEX TERMS
aminosalicylic acid (drug therapy)
azathioprine (drug dose, drug therapy)
immunosuppressive agent (drug therapy)
infliximab (drug therapy)
mesalazine (drug dose, drug therapy)
methotrexate (drug dose, drug therapy, intramuscular drug administration)
olsalazine (drug therapy)
prednisolone (drug dose, drug therapy)
salazosulfapyridine (drug therapy)
steroid (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Crohn disease (drug therapy, surgery)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
disease activity
disease course
female
follow up
human
immunosuppressive treatment
major clinical study
male
patient counseling
physician
prediction
priority journal
reinforcement
socioeconomics
steroid therapy
DRUG TRADE NAMES
remicade , FranceSchering Plough
DRUG MANUFACTURERS
(France)Schering Plough
CAS REGISTRY NUMBERS
aminosalicylic acid (133-10-8, 133-15-3, 28088-64-4, 51540-64-8, 65-49-6,
80702-32-5)
azathioprine (446-86-6)
infliximab (170277-31-3)
mesalazine (89-57-6)
methotrexate (15475-56-6, 59-05-2, 7413-34-5)
olsalazine (6054-98-4)
prednisolone (50-24-8)
salazosulfapyridine (599-79-1)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001122601
MEDLINE PMID
11266373 (http://www.ncbi.nlm.nih.gov/pubmed/11266373)
PUI
L32246663
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1648
TITLE
An integrated approach to a tobacco-dependence curriculum.
AUTHOR NAMES
Spangler J.G.
Enarson C.
Eldridge C.
AUTHOR ADDRESSES
(Spangler J.G.; Enarson C.; Eldridge C.) Wake Forest University School of
Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA.
CORRESPONDENCE ADDRESS
J.G. Spangler, Wake Forest University School of Medicine, Medical Center
Blvd, Winston-Salem, NC 27157, USA. Email: jspangle@wfubmc.edu
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(2001) 76:5 (521-522). Date of Publication: May 2001
ISSN
1040-2446
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
curriculum
general practice
medical student
smoking cessation
tobacco dependence (diagnosis, prevention)
EMTREE MEDICAL INDEX TERMS
anamnesis
article
clinical competence
education
educational model
evaluation study
health care quality
human
methodology
organization and management
physical examination
psychological aspect
standard
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11346561 (http://www.ncbi.nlm.nih.gov/pubmed/11346561)
PUI
L33468792
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1649
TITLE
A comprehensive approach to teaching smoking-cessation strategies.
AUTHOR NAMES
Keefe C.W.
Thompson M.E.
Wadland W.C.
AUTHOR ADDRESSES
(Keefe C.W.; Thompson M.E.; Wadland W.C.) Office of Medical Education
Research and Development, Michigan State University, Lansing, MI 48824, USA.
CORRESPONDENCE ADDRESS
C.W. Keefe, Office of Medical Education Research and Development, Michigan
State University, Lansing, MI 48824, USA. Email: ckeefe@msu.edu
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(2001) 76:5 (520-521). Date of Publication: May 2001
ISSN
1040-2446
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
general practice
medical student
smoking cessation
teaching
EMTREE MEDICAL INDEX TERMS
article
clinical competence
doctor patient relation
education
evaluation study
health care
health care quality
health personnel attitude
human
methodology
organization and management
practice guideline
psychological aspect
role playing
standard
videorecording
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11346559 (http://www.ncbi.nlm.nih.gov/pubmed/11346559)
PUI
L33468790
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1650
TITLE
Validation of the screening strategy in the NIAAA "Physicians' Guide to
Helping Patients with Alcohol Problems"
AUTHOR NAMES
Friedmann P.D.
Saitz R.
Gogineni A.
Zhang J.X.
Stein M.D.
AUTHOR ADDRESSES
(Friedmann P.D.; Saitz R.; Gogineni A.; Zhang J.X.; Stein M.D.) Div. of
General Internal Medicine, Rhode Island Hospital, Brown University School of
Medicine, 593 Eddy Street, Providence, RI 02903, United States.
CORRESPONDENCE ADDRESS
P.D. Friedmann, Div. of General Internal Medicine, Rhode Island Hospital,
Brown University School of Medicine, 593 Eddy Street, Providence, RI 02903,
United States. Email: pfriedmann@lifespan.org
SOURCE
Journal of Studies on Alcohol (2001) 62:2 (234-238). Date of Publication:
2001
ISSN
0096-882X
BOOK PUBLISHER
Alcohol Research Documentation Inc., New Brunswick, United States.
ABSTRACT
ABSTRACT. Objective: This study was undertaken to determine the diagnostic
test characteristics of the alcohol screening strategy recommended in the
National Institute on Alcoholism and Alcohol Abuse (NIAAA) "Physicians'
Guide to Helping Patients with Alcohol Problems." Method: A research
interview was performed on patients who presented to one urban emergency
department (N= 395; 61% women). It asked three alcohol consumption
questions, the CAGE questionnaire, and about past alcohol problems. The
NIAAA-recommended screen was considered positive for alcohol consumption in
excess of 14 drinks per week or 4 drinks per occasion for men, or 7 drinks
per week or 3 drinks per occasion for women, or a CAGE score of 1 or
greater. A sample of patients (n = 250) received the Composite International
Diagnostic Interview substance abuse module, a gold standard interview, to
determine lifetime or prior 12-month alcohol abuse or dependence; results
were adjusted for verification bias. Results: The prevalence of lifetime
alcohol abuse or dependence was 13%, for which the NIAAA strategy was 81%
sensitive and 80% specific. The prevalence of alcohol abuse or dependence in
the prior 12 months was 10%, for which the strategy was 83% sensitive and
84% specific. Its positive likelihood ratio exceeded that of the CAGE,
augmented CAGE or consumption questions alone, and its negative likelihood
ratio was the lowest. Conclusions: The screening strategy combining alcohol
consumption and CAGE questions recommended in the NIAAA "Physicians' Guide"
is valid, and has superior test characteristics compared to the CAGE alone,
in this predominantly black (86%) emergency department population. Its
brevity and simple interpretation recommend wider dissemination of the NIAAA
"Physicians' Guide," although future research should examine its test
characteristics in other clinical settings and with other populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
alcohol consumption
article
drinking behavior
female
human
male
prevalence
screening
validation process
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001147765
MEDLINE PMID
11332444 (http://www.ncbi.nlm.nih.gov/pubmed/11332444)
PUI
L32322154
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1651
TITLE
Modifying residents' professional attitudes about substance abuse treatment
and training
AUTHOR NAMES
Karam-Hage M.
Nerenberg L.
Brower K.J.
AUTHOR ADDRESSES
(Karam-Hage M.; Nerenberg L.; Brower K.J.) Dept. of Psychiat./Alcohol Res.
Ct., University of Michigan, 400 E. Eisenhower Pkwy., Ann Arbor, MI 48108,
United States.
CORRESPONDENCE ADDRESS
M. Karam-Hage, Dept. of Psychiat./Alcohol Res. Ct., University of Michigan,
400 E. Eisenhower Pkwy., Ann Arbor, MI 48108, United States. Email:
maherakh@umich.edu
SOURCE
American Journal on Addictions (2001) 10:1 (40-47). Date of Publication:
2001
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
Some physicians have negative attitudes and beliefs towards patients with
addiction. Moreover, few residents are inclined towards a subspecialty
fellowship in addiction psychiatry. We aimed to determine if a one-day
educational conference could facilitate attitudinal change among 52 general
psychiatry residents. Significant changes (p < 0.05) in attitudes were
reported following the conference, including enhanced beliefs that
physicians can motivate their addicted patients to seek treatment and
increased physician interest in pursuing advanced addiction training. A
one-day educational intervention may be effective in improving professional
attitudes toward addiction treatment by reinforcing previously acquired
medical education. The duration of these changes remains to be determined.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
medical education
mental health care
physician attitude
residency education
EMTREE MEDICAL INDEX TERMS
adult
affect
article
behavior
cognition
conference paper
decision making
female
human
major clinical study
male
medical specialist
psychiatrist
questionnaire
rating scale
scoring system
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001094333
MEDLINE PMID
11268827 (http://www.ncbi.nlm.nih.gov/pubmed/11268827)
PUI
L32201732
DOI
10.1080/105504901750160466
FULL TEXT LINK
http://dx.doi.org/10.1080/105504901750160466
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1652
TITLE
Drug screening versus history in detection of substance use in ED
psychiatric patients
AUTHOR NAMES
Perrone J.
De Roos F.
Jayaraman S.
Hollander J.E.
AUTHOR ADDRESSES
(Perrone J.; De Roos F.; Jayaraman S.; Hollander J.E.) Department of
Emergency Medicine, University of Pennsylvania, Philadelphia, PA, United
States.
CORRESPONDENCE ADDRESS
J. Perrone, Hosp. of the Univ. of Pennsylvania, Department of Emergency
Medicine, 3400 Spruce Street, Philadelphia, PA 19104, United States. Email:
Jeanmari@mail.med.upenn.edu
SOURCE
American Journal of Emergency Medicine (2001) 19:1 (49-51). Date of
Publication: 2001
ISSN
0735-6757
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Because self-reporting of substance use may not be reliable, physicians rely
on drug screening. We tested the hypothesis that drug screening alone is
sufficient to detect substance use in ED psychiatric patients. We
prospectively evaluated patients receiving psychiatric consultation over 6
months ending in April 1998 in an urban medical/psychiatric ED with 42,000
annual visits. After informed consent, patients underwent a structured
interview by trained research associates who queried regarding substance use
in the past 3 days. This self-report was compared with urine drug screen
results for 11 substances of abuse. Standard descriptive statistical
techniques were used. Kappa statistics were used to assess concordance
between history and drug screens. Two hundred eighteen patients
participated, 124 had a urine drug screen obtained. Patients with and
without urine drug screens were similar with respect to age (34.9 versus
34.9 years, P = .3) and psychiatric diagnosis (P = .24). Overall, there was
only fair concordance between history and drug screens (kappa = 0.46).
History alone detected substance use in 70 patients (57%); drug screening
alone detected substance use in 77 patients (62%). The combination of
history and drug screening more often detected substance use than either
alone (90 pts (73%); P < .05 for both comparisons). Depending on the
particular drug, there was wide variation in concordance between history and
drug screen (kappa's varied from 0.07 for ethanol to 0.79 for cocaine).
History was better than drug screening for ethanol use (40 versus 10
patients), and THC (28 versus 15 pts). Drug testing alone was never
significantly better than history. Although self-reporting of substance use
is not reliable, reliance on drug screening alone is also flawed. Optimal
identification of drug use in emergency department psychiatric patients
requires both history and drug screening. Copyright © 2001 by W.B. Saunders
Company.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
barbituric acid
benzodiazepine
cocaine
dextropropoxyphene
methaqualone
opiate
phencyclidine
tetrahydrocannabinol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
cocaine dependence
drug screening
human
major clinical study
mental patient
priority journal
self report
substance abuse
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
barbituric acid (6191-25-9, 67-52-7)
benzodiazepine (12794-10-4)
cocaine (50-36-2, 53-21-4, 5937-29-1)
dextropropoxyphene (1639-60-7, 469-62-5)
methaqualone (340-56-7, 72-44-6, 8056-67-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
phencyclidine (77-10-1, 956-90-1)
tetrahydrocannabinol (1972-08-3)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001026395
MEDLINE PMID
11146019 (http://www.ncbi.nlm.nih.gov/pubmed/11146019)
PUI
L32056060
DOI
10.1053/ajem.2001.20003
FULL TEXT LINK
http://dx.doi.org/10.1053/ajem.2001.20003
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1653
TITLE
Why physicians are unprepared to treat patients who have alcohol- and
drug-related disorders
AUTHOR NAMES
Miller N.S.
Sheppard L.M.
Colenda C.C.
Magen J.
AUTHOR ADDRESSES
(Miller N.S., norman.miller@ht.msu.edu; Sheppard L.M.; Colenda C.C.; Magen
J.) Department of Psychiatry, Michigan State University, College of Human
Medicine, East Lansing, MI, United States.
(Miller N.S., norman.miller@ht.msu.edu) Department of Psychiatry, A-227 East
Fee Hall, Michigan State University, East Lansing, MI 48824, United States.
CORRESPONDENCE ADDRESS
N.S. Miller, Department of Psychiatry, College of Human Medicine, Michigan
State University, East Lansing, MI 48824, United States. Email:
norman.miller@ht.msu.edu
SOURCE
Academic Medicine (2001) 76:5 (410-418). Date of Publication: 2001
ISSN
1040-2446
BOOK PUBLISHER
Association of American Medical Colleges
ABSTRACT
Most primary care physicians do not feel competent to treat alcohol- and
drug-related disorders. Physicians generally do not like to work with
patients with these disorders and do not find treating them rewarding.
Despite large numbers of such patients, the diagnosis and treatment of
alcohol- and drug-related disorders are generally considered peripheral to
or outside medical matters and ultimately outside medical education. There
is substantial evidence that physicians fail even to identify a large
percentage of patients with these disorders. Essential role models are
lacking for future physicians to develop the attitudes and training they
need to adequately approach addiction as a treatable medical illness.
Faculty development programs in addictive disorders are needed to overcome
the stigma, poor attitudes, and deficient skills among physicians who
provide education and leadership for medical students and residents. The
lack of parity with other medical disorders gives reimbursement and
education for addiction disorders low priority. Medical students and
physicians can also be consumers and patients with addiction problems. Their
attitudes and abilities to learn about alcohol- and drug-related disorders
are impaired without interventions. Curricula lack sufficient instruction
and experiences in addiction medicine throughout all years of medical
education. Programs that have successfully changed students' attitudes and
skills for treatment of addicted patients continue to be exceptional and
limited in focus rather than the general practice in U.S. medical schools.
The authors review the findings of the literature on these problems, discuss
the barriers to educational reform, and propose recommendations for
developing an effective medical school curriculum about alcohol- and
drug-related disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug induced disease
EMTREE MEDICAL INDEX TERMS
addiction
article
competence
curriculum
doctor patient relation
medical school
patient care
primary medical care
priority journal
reimbursement
treatment planning
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001169627
MEDLINE PMID
11346513 (http://www.ncbi.nlm.nih.gov/pubmed/11346513)
PUI
L32417323
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1654
TITLE
Substance use history taking by trainee psychiatrists: "There is a tide in
the affairs of men..."
AUTHOR NAMES
Grandison A.
Williams H.
Oyefeso A.
Dratcu L.
AUTHOR ADDRESSES
(Grandison A.; Williams H.; Oyefeso A.; Dratcu L.) Substance Misuse Service,
South Downs Health NHS Trust, 26 Ditchling Rd., Brighton BN1 4SF, United
Kingdom.
CORRESPONDENCE ADDRESS
H. Williams, Substance Misuse Service, South Downs Health NHS Trust, 26
Ditchling Rd., Brighton BN1 4SF, United Kingdom.
SOURCE
Irish Journal of Psychological Medicine (2001) 18:1 (24-26). Date of
Publication: 2001
ISSN
0790-9667
BOOK PUBLISHER
MedMedia Ltd
ABSTRACT
Objectives: To investigate the extent and quality of substance use history
taking by trainee psychiatrists. Method: A retrospective clinical casenote
audit of admissions to an acute inner city psychiatric unit during three
randomly selected months. Data on substance use history taking was recorded
by means of a specially designed study checklist. Results: In almost
three-quarters (45, 73%) of admission episodes trainee psychiatrists had
made some mention of substance misuse. However, substance use history taking
often occurred subsequent to the initial clinical assessment and varied
greatly in quality. Conclusions: The need for a brief, standardised
substance use screening questionnaire, easily incorporated into the existing
psychiatric interview format is highlighted.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anamnesis
psychiatry
substance abuse
EMTREE MEDICAL INDEX TERMS
article
human
interview
medical education
psychiatric diagnosis
psychiatrist
questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001108756
PUI
L32226133
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 1655
TITLE
Using simulated patients in education about alcohol misuse
AUTHOR NAMES
Eagles J.M.
Calder S.A.
Nicoll K.S.
Sclare P.D.
AUTHOR ADDRESSES
(Eagles J.M., john.eagles@gpct.grampian.scot.nhs.uk; Calder S.A.; Nicoll
K.S.; Sclare P.D.) Royal Cornhill Hospital, Aberdeen, United Kingdom.
(Eagles J.M., john.eagles@gpct.grampian.scot.nhs.uk) Royal Cornhill
Hospital, Cornhill Road, Aberdeen, AB25 2ZH, United Kingdom.
CORRESPONDENCE ADDRESS
J.M. Eagles, Royal Cornhill Hospital, Cornhill Road, Aberdeen, AB25 2ZH,
United Kingdom. Email: john.eagles@gpct.grampian.scot.nhs.uk
SOURCE
Academic Medicine (2001) 76:4 (395). Date of Publication: 2001
ISSN
1040-2446
BOOK PUBLISHER
Association of American Medical Colleges
ABSTRACT
It is important to educate medical students about alcohol misuse, but this
process is hampered by negative attitudes and the unavailability of typical
patients. However, simulated patients can describe full longitudinal
histories in a characteristically defensive style and can provide direct
feedback to student interviewers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcohol consumption
attitude
clinical education
doctor patient relation
education program
human
medical student
priority journal
short survey
simulation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001143190
MEDLINE PMID
11299160 (http://www.ncbi.nlm.nih.gov/pubmed/11299160)
PUI
L32298944
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1656
TITLE
Perceived health needs of inner-city street prostitutes: a preliminary
study.
AUTHOR NAMES
Valera R.J.
Sawyer R.G.
Schiraldi G.R.
AUTHOR ADDRESSES
(Valera R.J.; Sawyer R.G.; Schiraldi G.R.) Department of Health Education,
University of Maryland, College Park 20742, USA.
CORRESPONDENCE ADDRESS
R.J. Valera, Department of Health Education, University of Maryland, College
Park 20742, USA.
SOURCE
American journal of health behavior (2001) 25:1 (50-59). Date of
Publication: 2001 Jan-Feb
ISSN
1087-3244
ABSTRACT
OBJECTIVE: To survey inner-city prostitutes' perceived health needs.
METHODS: One hundred forty street prostitutes in Washington DC, were
surveyed to determine their perceived health needs, in addition to levels of
post traumatic stress disorder (PTSD). RESULTS: The final sample comprised
100 individuals, representing 3 subgroups of prostitutes, female, male, and
transgender male. Major health needs included protection from physical and
sexual assault, social support, counseling, addictions treatment, job
training, and medical care. Over 42% of the population was identified as
meeting established criteria for PTSD. CONCLUSION: Effective program
development for inner-city prostitutes needs to acknowledge the presence of
distinct subpopulations and the pervasive influence of PTSD on health
status.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health service
poverty
preventive health service
prostitution
social work
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
adolescent
adult
article
female
health status
homelessness
human
male
middle aged
motivation
posttraumatic stress disorder (epidemiology)
psychological aspect
statistics
United States (epidemiology)
violence
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11289729 (http://www.ncbi.nlm.nih.gov/pubmed/11289729)
PUI
L33461990
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1657
TITLE
A comprehensive package of support to facilitate the treatment of problem
drug users in primary care: An evaluation of the training component
AUTHOR NAMES
Ford C.
Ryrie I.
AUTHOR ADDRESSES
(Ford C.) Brent and Harrow Health Authority, Harrovian Business Village,
Beesborough Road, Harrow HA1 2RX, United Kingdom.
(Ryrie I.) Sainsbury Centre for Mental Health, 134-138 Borough High Street,
London SE1 1LB, United Kingdom.
CORRESPONDENCE ADDRESS
C. Ford, Brent and Harrow Health Authority, Harrovian Business Village,
Beesborough Road, Harrow HA1 2RX, United Kingdom.
SOURCE
International Journal of Drug Policy (2000) 11:6 (387-392). Date of
Publication: 2000
ISSN
0955-3959
ABSTRACT
Since the early 1980s, government policy documents and specialist reports
have encouraged the involvement of general practitioners (GPs) in the
treatment of problem drug users. In spite of such policy initiatives, their
involvement has been patchy and slow. In response to this apparent
reluctance, the London Boroughs of Brent and Harrow established the
substance misuse management project (SMP) to support and train GPs in the
management of substance misuse. The SMP is a GP-led project that provides
ongoing support, shared-care protocol, primary care team training, treatment
audits and financial reimbursements. In 1996, the SMP worked with GPs who
were not currently involved in treating problem drug users, and those who
were providing only minimal interventions. This paper evaluates the training
and support given to these GPs and examines changes in their practice. A
pre- and post-test survey was undertaken of GP knowledge, attitudes and
levels of activity. A structured questionnaire was administered to all GPs
before training (n = 40) and re-administered between 6 and 9 months
following training. SMP audit data were also reviewed to validate any
reported changes in practice. All GPs initially reported insufficient
knowledge to manage problem drug users. One-fifth were unaware they could
prescribe methadone, and nearly half believed drug problems should be
treated by specialist services. Post-training, the GPs had increased their
levels of treatment activity and reported greater confidence and willingness
to treat. This study demonstrates the potential to involve GPs in the
treatment of problem drug users. The training was part of a package that
included ongoing support sessions, team training, audits of treatment and
financial reimbursements. It is proposed that, whilst training is a
necessary condition, a more comprehensive package of support is needed to
facilitate the treatment of problem drug users in primary care. (C) 2000
Elsevier Science B.V.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
primary medical care
EMTREE MEDICAL INDEX TERMS
alcoholism
article
general practitioner
policy
prescription
priority journal
reimbursement
social support
substance abuse
training
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000420065
PUI
L30953444
DOI
10.1016/S0955-3959(00)00064-5
FULL TEXT LINK
http://dx.doi.org/10.1016/S0955-3959(00)00064-5
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1658
TITLE
Course, severity, and treatment of substance abuse among women versus men
AUTHOR NAMES
Westermeyer J.
Boedicker A.E.
AUTHOR ADDRESSES
(Westermeyer J.; Boedicker A.E.) Minneapolis VA Medical Center, 1 Veterans
Drive, Minneapolis, MN 55417, United States.
CORRESPONDENCE ADDRESS
J. Westermeyer, Minneapolis VA Medical Center, 1 Veterans Drive,
Minneapolis, MN 55417, United States.
SOURCE
American Journal of Drug and Alcohol Abuse (2000) 26:4 (523-535). Date of
Publication: 2000
ISSN
0095-2990
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
Objective: To assess the course and severity of substance-related disorder
(SRD) in relation to gender. Design: Retrospective data on course were
obtained for several indices of substance use, abuse, and related morbidity.
Setting: Two university medical centers with alcohol-drug programs located
in departments of psychiatry. Subjects: A total of 642 patients were
assessed, of whom 365 (57%) were men and 277 (43%) were women. Methods: Data
on course included demographic characteristics, family history of substance
abuse, lifetime use, age at first use, years of use, use in the last year,
periods of abstinence, and current diagnosis. Data on severity included two
measures of SRD-associated problems (one patient rated and one interviewer
rated), substance abuse versus dependence, self-help activities, and
previous treatment. Resuits: Women were more apt to be homemakers; to have a
sibling or, if married, a spouse who abused substances; to be less apt to
have ever used hallucinogens or inhalants; to have used substances for fewer
years; to have used cannabis and inhalants for fewer days in the last year;
to have a lower rate of current cannabis abuse/dependence; to have fewer
legal problems related to substances (especially driving while intoxicated
[DWI] charges); to have fewer outpatient admissions to treatment; to have
fewer admissions to substance abuse treatment (all categories together),
fewer lifetime days in treatment, and lower overall treatment cost (for all
categories of treatment together). Conclusions: These data confirm earlier
reports of a shorter course, less deviant drug usage, and - if married - a
substance-abusing spouse. In addition, we found higher rates of familial
substance abuse and lower rates of lifetime admissions, treatment days, and
total cost of substance abuse treatment. Homemaking responsibilities, a
substance-abusing spouse, a male-oriented treatment system, and/or a more
rapid course may reduce substance abuse treatment for women.
EMTREE DRUG INDEX TERMS
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (etiology)
substance abuse
EMTREE MEDICAL INDEX TERMS
abstinence
adult
article
controlled study
disease severity
family
female
gender
human
major clinical study
male
prognosis
psychosocial environment
self help
treatment outcome
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000404240
MEDLINE PMID
11097190 (http://www.ncbi.nlm.nih.gov/pubmed/11097190)
PUI
L30835787
DOI
10.1081/ADA-100101893
FULL TEXT LINK
http://dx.doi.org/10.1081/ADA-100101893
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1659
TITLE
Medical student attitudes toward drug addiction policy
AUTHOR NAMES
Hoffmann N.G.
Chang A.J.
Lewis D.C.
Millar D.G.
AUTHOR ADDRESSES
(Hoffmann N.G.) Department of Community Health, Brown University,
Providence, RI 02912, United States.
(Chang A.J.) ABT Associates, Inc., School of Medicine, Brown University,
Providence, RI 02912, United States.
(Lewis D.C.) Department of Medicine and Community Health, Providence, RI
02912, United States.
(Millar D.G.) Department of Alcohol and Addiction Studies, Providence, RI
02912, United States.
(Millar D.G.) Center for Alcohol and Addiction Studies, Brown University,
Providence, RI 02912, United States.
CORRESPONDENCE ADDRESS
D.C. Lewis, Brown Univ. Ctr. Alc./Addict. Studs., Box G-BH, Providence, RI
02912, United States.
SOURCE
Journal of Addictive Diseases (2000) 19:3 (1-12). Date of Publication: 2000
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
This study explores the attitudes and perceptions of medical students
concerning patients with addictions and policy issues related to drugs. Over
1,250 students from 15 medical schools responded to an anonymous survey
concerning their experience and training regarding addictions, and their
level of support or opposition for various drug policy approaches. Medical
students expressed general support for treatment funding and related demand
reduction strategies, but the strength of their support was influenced more
by their political orientation than their perception of the effectiveness of
the strategy. Students who identified themselves as liberals more strongly
favored demand reduction and alternatives strategies such as needle exchange
programs and drug courts. Conservatives more strongly favored supply
reduction strategies including harsher sanctions for users. Need for
additional training in medical school was indicated by the fact that 20%
reported no training in addictions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health care policy
EMTREE MEDICAL INDEX TERMS
article
attitude
female
financial management
human
male
medical school
medical student
normal human
perception
politics
training
EMBASE CLASSIFICATIONS
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000409788
MEDLINE PMID
11076116 (http://www.ncbi.nlm.nih.gov/pubmed/11076116)
PUI
L30844240
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1660
TITLE
A national survey of training in substance use disorders in residency
programs
AUTHOR NAMES
Isaacson J.H.
Fleming M.
Kraus M.
Kahn R.
Mundt M.
AUTHOR ADDRESSES
(Isaacson J.H.; Fleming M.; Kraus M.; Kahn R.; Mundt M.) Cleveland Clinic
Foundation, 9500 Euclid Avenue, Desk A-91, Cleveland, OH 44195, United
States.
CORRESPONDENCE ADDRESS
J.H. Isaacson, Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk A-91,
Cleveland, OH 44195, United States. Email: isaacs@ccf.org
SOURCE
Journal of Studies on Alcohol (2000) 61:6 (912-915). Date of Publication:
2000
ISSN
0096-882X
BOOK PUBLISHER
Alcohol Research Documentation Inc., New Brunswick, United States.
ABSTRACT
Objective: To determine the amount of formal training in substance use
disorders that occurs in selected residency programs and to identify the
perceived barriers to such training. Method: A national survey was conducted
of program directors in emergency medicine, family medicine, internal
medicine, obstetrics/gynecology, osteopathic medicine, pediatrics and
psychiatry. In 1997, program directors were mailed a brief survey to
determine the extent to which required training in substance use disorders
occurred and the median number of hours devoted to substance use disorders
training. Follow-up telephone surveys were conducted with faculty designated
in the survey as responsible for substance-related disorders training to
determine type of training and barriers to training. Results: Of 1,831
program directors, 1,183 (64.6%) responded to the brief survey. The
percentage of programs with required substance use disorders training ranged
from 31.8% in pediatrics to 95.0% in psychiatry, with 56.3% for all programs
combined. The median number of curricular hours ranged from 3 (emergency
medicine and OB/GYN) to 12 (family medicine). Time was perceived to be the
most common barrier to additional training. Conclusions: Consistent training
for all residents in the initial diagnosis and management of substance use
disorders has not been achieved. New strategies that integrate into existing
residency structures are needed to improve substance use disorders training.
Faculty development in substance use disorders and review of current
substance use disorders training as part of the residency review process
should facilitate this endeavor.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
continuing education
follow up
health program
health survey
hospital administrator
human
medical education
telephone
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000443433
MEDLINE PMID
11188498 (http://www.ncbi.nlm.nih.gov/pubmed/11188498)
PUI
L31006780
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1661
TITLE
Use of tangential visual symbols to increase the long-term learning process:
Applications of linkage in teaching pharmacological principles of addiction
AUTHOR NAMES
Giannini A.J.
Giannini J.N.
Condon M.
AUTHOR ADDRESSES
(Giannini A.J.) Department of Corporate Medical Director, Chemical Abuse
Centers, Inc., Austintown, OH, United States.
(Giannini A.J.) Department of Corporate Medical Director, Chemical Abuse
Centers, Inc., Canton, OH, United States.
(Giannini A.J.) Department of Corporate Medical Director, Chemical Abuse
Centers, Inc., Columbus, OH, United States.
(Giannini A.J.) Department of Corporate Medical Director, Chemical Abuse
Centers, Inc., Liberty, OH, United States.
(Giannini J.N.) Department of History, Yale University, New Haven, CT,
United States.
(Condon M.) Department of Statistics, Chemical Abuse Centers, Inc.,
Austintown, OH, United States.
(Condon M.) Department of Statistics, Chemical Abuse Centers, Inc., Canton,
OH, United States.
(Condon M.) Department of Statistics, Chemical Abuse Centers, Inc.,
Columbus, OH, United States.
(Condon M.) Department of Statistics, Chemical Abuse Centers, Inc., Liberty,
OH, United States.
CORRESPONDENCE ADDRESS
A.J. Giannini, 721 Boardman-Poland Road 200, Boardman, OH 44512, United
States.
SOURCE
Journal of Clinical Pharmacology (2000) 40:7 (708-712). Date of Publication:
2000
ISSN
0091-2700
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
Medieval and Renaissance teaching techniques using linkage between course
content and tangentially related visual symbols were applied to the teaching
of the pharmacological principles of addiction. Forty medical students
randomly divided into two blinded groups viewed a lecture. One lecture was
supplemented by symbolic slides, and the second was not. Students who viewed
symbolic slides had significantly higher scores in a written 15-question
multiple-choice test 30 days after the lecture. These results were
consistent with learning and semiotic models. These models hypothesize a
linkage between conceptual content and perception of visual symbols that
thereby increases conceptual retention. Recent neurochemical research
supports the existence of a linkage between two chemically distinct memory
systems. Simultaneous stimulation of both chemical systems by teaching
formats similar to those employed in the study can augment neurochemical
signaling in the neocortex. (C) 2000 the American College of Clinical
Pharmacology.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
medical education
EMTREE MEDICAL INDEX TERMS
article
drug dependence
human
learning
model
teaching
visual information
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000440131
MEDLINE PMID
10883411 (http://www.ncbi.nlm.nih.gov/pubmed/10883411)
PUI
L31002488
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1662
TITLE
Managing opiate misusers in primary care: A local study of support and
training issues
AUTHOR NAMES
Groves P.
Heuston J.
Albery I.
Gerada C.
Gossop M.
Strang J.
AUTHOR ADDRESSES
(Groves P.; Heuston J.; Albery I.; Gerada C.; Gossop M.; Strang J.) Alcohol
Advisory Service, 309 Grays Inn Road, London WC1 8QS, United Kingdom.
CORRESPONDENCE ADDRESS
P. Groves, Alcohol Advisory Service, 309 Grays Inn Road, London WC1 8QS,
United Kingdom.
SOURCE
Journal of Substance Use (2000) 5:3 (227-233). Date of Publication: 2000
ISSN
1465-9891
ABSTRACT
Government policy encourages primary care involvement with opiate misusers.
The Consultancy Liaison Addiction Service (CLAS) was set up to help support
increased primary care involvement. From 18 study practices, 133 of the 156
staff (85.3%) completed the interviews or self-completion questionnaires.
Many general practitioners had a considerable involvement and seemed to have
met their basic role requirements, although there appeared to be room for
improvement in some areas of management. Other general practitioners had
less involvement and could potentially benefit from input from CLAS.
However, they expressed strong feelings against this sort of work, which
could make such input difficult. Practice nurses had less involvement than
general practitioners and expressed an interest in being trained. In their
position of initial screening, practice nurses might be in a good position
to offer preventative health measures to opiate misusers. Practice managers
and receptionists described difficulties they had had with opiate misusers
and might benefit from additional training and support. Some practices were
treating many opiate misusers. National policy to rely more on primary care
runs the risk of overstretching a small number of highly active practices,
rather than spreading the load across a broad base of practices.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse
opiate addiction
primary medical care
EMTREE MEDICAL INDEX TERMS
adult
aged
article
controlled study
female
general practitioner
government
human
interview
male
manager
medical assistant
nurse practitioner
policy
preventive health service
questionnaire
social support
staff
training
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001030311
PUI
L32061016
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1663
TITLE
Training clinicians in the Seeking Safety treatment protocol for
posttraumatic stress disorder and substance abuse
AUTHOR NAMES
Najavits L.M.
AUTHOR ADDRESSES
(Najavits L.M.) McLean Hospital, 115 Mill Street, Belmont, MA 02478, United
States.
CORRESPONDENCE ADDRESS
L.M. Najavits, McLean Hospital, 115 Mill Street, Belmont, MA 02478, United
States. Email: Lnajavits@hms.harvard.edu
SOURCE
Alcoholism Treatment Quarterly (2000) 18:3 (83-98). Date of Publication:
2000
ISSN
0734-7324
ABSTRACT
This paper provides suggestions for training clinicians in the Seeking
Safety psychotherapy for patients with posttraumatic stress disorder and
substance abuse. The treatment is a manual-based 25-session
cognitive-behavioral therapy for integrated treatment of both disorders.
Training guidelines include: procedures for clinician selection and
training, supervisory principles, and typical problems. Emphasis is placed
on procedures that allow observation of the clinician "in action" rather
than through verbal report (e.g., taped sessions) and on intensive training
experiences (e.g., watching videotapes of good versus poor sessions,
rehearsal of "tough case" scenarios, peer supervision, identifying key
themes, and think-aloud modeling). Supervisory principles include, for
example: Encourage clinicians to use the coping skills in their own lives;
Elicit patient feedback; and Listen to behavior more than words. These
methods are "best guesses" based on experience with clinicians over several
years; further empirical testing will be needed to determine which training
strategies are most effective.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
posttraumatic stress disorder
substance abuse
EMTREE MEDICAL INDEX TERMS
behavior therapy
cognitive therapy
conference paper
coping behavior
feedback system
human
peer review
practice guideline
psychotherapy
treatment indication
treatment planning
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001041003
PUI
L32103832
DOI
10.1300/J020v18n03_08
FULL TEXT LINK
http://dx.doi.org/10.1300/J020v18n03_08
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1664
TITLE
Cinemeducation: Teaching family systems through the movies
AUTHOR NAMES
Alexander M.
Waxman D.
AUTHOR ADDRESSES
(Alexander M.; Waxman D.) Behavioral Medicine, Clin. Associate Prof. of Fam.
Med., Carolinas Medical Center, PO Box 32861, Charlotte, NC 28232, United
States.
CORRESPONDENCE ADDRESS
M. Alexander, Behavioral Medicine, Clin. Associate Prof. of Fam. Med.,
Carolinas Medical Center, PO Box 32861, Charlotte, NC 28232, United States.
Email: malexander@carolinas.org
SOURCE
Families, Systems and Health (2000) 18:4 (455-466). Date of Publication:
2000
ISSN
1091-7527
ABSTRACT
This article discusses an innovative approach to educating healthcare
professionals in family systems theory, namely the use of selected clips
from popular movies on video. Movie clips provide powerful and entertaining
ways to expose learners to such family therapy concepts as the family life
cycle, differentiation, coalition and homeostasis. Movie clips also serve to
broaden awareness of learners to such family related issues as ethnicity,
class, domestic violence, incest, drug addiction and sibling relationships.
Videotape selections are used in two separate formats: 1) to stimulate
guided discussions and 2) to set the stage for role-plays. We present six
illustrations that demonstrate these two formats. We discuss practical
points in using cinemeducation and provide a detailed "cinemography" which
identifies movie scenes on video that can be readily incorporated into
family systems training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
family
EMTREE MEDICAL INDEX TERMS
article
education program
general practitioner
human
psychotherapist
staff training
videorecording
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001020250
PUI
L32047619
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1665
TITLE
The best of both worlds: An online self-help group hosted by a mental health
professional
AUTHOR NAMES
Hsiung R.C.
AUTHOR ADDRESSES
(Hsiung R.C.) University of Chicago, 5737 South University Avenue, Chicago,
IL 60637-1507, United States.
CORRESPONDENCE ADDRESS
R.C. Hsiung, University of Chicago, 5737 South University Avenue, Chicago,
IL 60637-1507, United States. Email: dr-bob@uchicago.edu
SOURCE
Cyberpsychology and Behavior (2000) 3:6 (935-950). Date of Publication: 2000
ISSN
1094-9313
ABSTRACT
Online mental health groups can be classified as autonomous self-help groups
or support groups led by mental health professionals. An online self-help
group hosted by a mental health professional, in which the mental health
professional focuses on maintaining the supportive milieu and the members of
the group focus on providing the support for each other, is hypothesized to
combine the best of both worlds. Psycho-Babble, a group of this type hosted
by the author (http://www.dr-bob.org/babble/) serves as an example. Between
January and August 2000, 1,516 members posted 21,230 messages in 3,028
discussion threads. Forty-eight percent of posters posted just once.
Thirteen percent of threads consisted of only the initial post. In July
2000, 534,219 Psycho-Babble pages were served. Samples of educational and
supportive posts, misinformation, "Internet addiction," help-rejecting,
limit-setting, and member feedback are given. The usage statistics and the
anecdotal evidence of the posts themselves support the effectiveness of the
group. The hypothesized key ingredients are discussed. The asynchronous
online (message board.) format is highly usable and makes the group
accessible and safe. Drawbacks, however, are the potential for "multiple
identities" and the technical difficulty of effectively preventing
determined individuals from gaining at least temporary entry into the group.
This hybrid type of group combines the best of the two worlds of self-help
(empowerment) and leadership by a mental health professional (maintenance of
the supportive milieu).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental health service
EMTREE MEDICAL INDEX TERMS
article
health care access
health care availability
health care delivery
health education
human
information
Internet
leadership
mental health
psychiatrist
self help
support group
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001028037
PUI
L32057911
DOI
10.1089/109493100452200
FULL TEXT LINK
http://dx.doi.org/10.1089/109493100452200
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1666
TITLE
Psychiatry residents' opinions of a substance abuse rotation in a VA
hospital general internal medicine unit
AUTHOR NAMES
Khouzam H.R.
AUTHOR ADDRESSES
(Khouzam H.R., khouzam.hani@manchester.va.gov) VA Medical Center,
Manchester, NH, United States.
(Khouzam H.R., khouzam.hani@manchester.va.gov) Department of Psychiatry,
Dartmouth Medical School, Lebanon, NH, United States.
(Khouzam H.R., khouzam.hani@manchester.va.gov) Harvard Medical School,
Boston, MA, United States.
(Khouzam H.R., khouzam.hani@manchester.va.gov) Dept. of Psychiat. and Behav.
Sci., Univ. of Oklahoma Coll. of Medicine, Oklahoma City, OK, United States.
(Khouzam H.R., khouzam.hani@manchester.va.gov) VA Medical Center, 718 Smyth
Road, Manchester, NH 03104-4098, United States.
CORRESPONDENCE ADDRESS
H.R. Khouzam, VA Medical Center, 718 Smyth Road, Manchester, NH 03104-4098,
United States. Email: khouzam.hani@manchester.va.gov
SOURCE
Substance Abuse (2000) 21:3 (149-154). Date of Publication: 2000
ISSN
0889-7077
ABSTRACT
Written optional evaluation forms were devised to gather psychiatry
residents' opinions regarding their substance use disorder rotation in a
general internal medicine unit. Over a 4-year period 24 residents completed
that rotation and 83% (N = 20) completed the form. Of the responding
residents, 95% (N = 19) rated an above-average satisfaction with the
rotation and 90% (N = 18) would recommend the rotation to other residents.
All respondents 100% (N = 20) reported that the rotation met its stated
training objectives. Considering the recent changes in the delivery of
health care with its focus toward primary care and away from specialty care,
these findings raise the possibility of incorporating the substance abuse
training of psychiatry residents into the primary care setting of general
internal medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
article
evaluation study
follow up
human
physician attitude
primary medical care
residency education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000282065
PUI
L30620297
DOI
10.1023/A:1007892317586
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1007892317586
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1667
TITLE
Course and severity of Substance Abuse in women with comorbid Eating
Disorder
AUTHOR NAMES
Specker S.
Westermeyer J.
Thuras P.
AUTHOR ADDRESSES
(Specker S.) Substance Abuse Program, University-Fairview Hospital,
Minneapolis, MN, United States.
(Specker S.; Westermeyer J.; Thuras P.) Department of Psychiatry, University
of Minnesota, Minneapolis, MN, United States.
(Westermeyer J.; Thuras P.) Minneapolis VAMC, Minneapolis, MN, United
States.
CORRESPONDENCE ADDRESS
S. Specker, Substance Abuse Program, University-Fairview Hospital,
Minneapolis, MN, United States.
SOURCE
Substance Abuse (2000) 21:3 (137-147). Date of Publication: 2000
ISSN
0889-7077
ABSTRACT
The objective of this study is to ascertain whether the course and severity
of Substance Abuse among female patients with comorbid Substance Related
Disorder and Eating Disorder (SRD-ED) is similar to or different from the
course and severity of SRD among female patients with Substance Related
Disorder but no Eating Disorder (SRD). Subjects were voluntary patients,
obtained in two addiction programs located within departments of psychiatry
in two state university medical centers, and included 66 women with SRD-ED
and 211 women with SRD. Data were collected on demography, course and
severity of SRD, and associated biomedical conditions. SRD-ED patients were
significantly younger and more apt to be single, more highly educated,
living with family and friends, employed, and of higher socioeconomic
status. SRD-ED and SRD patients were more similar than different on most
indicators of course and severity, although several clinical differences
prevailed. These clinical differences were primarily ascribed to age. In
most respects, patients with comorbid SRD-ED manifest course and severity of
SRD similar to patients with SRD. Demographic differences between the two
groups can mostly be ascribed to the younger mean age of SRD-ED patients
rather than to the comorbid ED. Some biomedical problems are related to the
specific consequences of ED.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
eating disorder
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
comorbidity
demography
disease course
disease severity
female
human
major clinical study
socioeconomics
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000282064
PUI
L30620296
DOI
10.1023/A:1007889900747
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1007889900747
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1668
TITLE
Tobacco awareness curricula in medical schools [5]
AUTHOR NAMES
Pitchenik A.E.
O'Connell M.
Wiener D.
AUTHOR ADDRESSES
(Pitchenik A.E.; O'Connell M.; Wiener D.) Univ. of Miami School of Medicine,
Veterans Affairs Medical Center, Miami, FL 33125, United States.
CORRESPONDENCE ADDRESS
A.E. Pitchenik, Univ. of Miami School of Medicine, Veterans Affairs Medical
Center, Miami, FL 33125, United States.
SOURCE
Annals of Internal Medicine (2000) 133:4 (314). Date of Publication: 15 Aug
2000
ISSN
0003-4819
BOOK PUBLISHER
American College of Physicians, 190 N. Indenpence Mall West, Philadelphia,
United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking
EMTREE MEDICAL INDEX TERMS
curriculum
human
letter
medical education
medical school
priority journal
United States
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2000304970
MEDLINE PMID
10929188 (http://www.ncbi.nlm.nih.gov/pubmed/10929188)
PUI
L30660309
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1669
TITLE
Smoking habits of students in college of Applied Medical Sciences, Saudi
Arabia.
AUTHOR NAMES
Maziak W.
AUTHOR ADDRESSES
(Maziak W.)
CORRESPONDENCE ADDRESS
W. Maziak,
SOURCE
Saudi medical journal (2000) 21:8 (786-787). Date of Publication: Aug 2000
ISSN
0379-5284
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking (epidemiology)
student
university
EMTREE MEDICAL INDEX TERMS
adult
age distribution
epidemiology
female
human
male
methodology
note
prevalence
Saudi Arabia (epidemiology)
sex ratio
standard
statistical analysis
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11423901 (http://www.ncbi.nlm.nih.gov/pubmed/11423901)
PUI
L33494264
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1670
TITLE
Training of general practitioners and other primary health care
professionals as part of a community project in a district of Florence,
Italy
AUTHOR NAMES
Allamani A.
Centurioni A.
AUTHOR ADDRESSES
(Allamani A.; Centurioni A.) Centro Alcologico Integrato, Azienda Sanitaria
di Firenze, Dipartimento delle Dipendenze, Florence, Italy.
CORRESPONDENCE ADDRESS
A. Allamani, Centro Alcologico Integrato, Azienda Sanitaria di Firenze,
Dipartimento delle Dipendenze, Florence, Italy.
SOURCE
Alcologia (2000) 12:1 (31-36). Date of Publication: 2000
ISSN
0394-9826
ABSTRACT
One 3-day alcohol educational course for 28 general practitioners was held
in 1994-1995 over a period of 12 months, and another 11-day course for 24
other health professionals (community nurses, dieticians, health educators,
social worker, emergency room nurses and physicians, toxicology unit
personnel) was conducted in 1995-1996. Both courses were components of a
broader community action program intervening in a district of 17,000
inhabitants in the northwest area in the city of Florence. The aim of both
courses was to enable participants to identify the prevalence of high-risk
drinkers and alcohol-related harm among their clients, and to become
acquainted with their own educational tasks when facing patients and their
families. The clearest outcome of both courses was the greater ability of
participants to identify high-risk drinkers. Unless teachers pay special
attention to this issue, however, the idea of high-risk drinking is however
easily overshadowed by the pervasive concept of alcoholism.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
medical education
primary health care
EMTREE MEDICAL INDEX TERMS
alcohol abuse
article
community care
general practitioner
health education
high risk population
human
Italy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000245010
PUI
L30447172
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1671
TITLE
Medical education in substance-related disorders: Components and outcome
AUTHOR NAMES
El-Guebaly N.
Toews J.
Lockyer J.
Armstrong S.
Hodgins D.
AUTHOR ADDRESSES
(El-Guebaly N.; Toews J.; Lockyer J.; Armstrong S.; Hodgins D.) Addict.
Ctr./Off. of Cont. Med. E., University of Calgary, Calgary, Alta., Canada.
(El-Guebaly N.) Addiction Centre, FMC, 1403 - 29 Street NW, Calgary AB T2N
2T9, Canada.
CORRESPONDENCE ADDRESS
N. El-Guebaly, Addiction Centre, FMC, 1403 - 29 Street NW, Calgary, Alta.
T2N 2T9, Canada.
SOURCE
Addiction (2000) 95:6 (949-957). Date of Publication: 2000
ISSN
0965-2140
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aims. To analyze the process of acquisition by physicians of a body of
knowledge and skills in the management of substance abuse. Design. A
comprehensive search of English-speaking literature was conducted over 20
years. Articles assessing the outcome of educational strategies in
undergraduate, graduate and continuing medical education were examined to
determine the targeted sample, the educational strategies involved and the
outcomes assessed. Findings. Nine studies in undergraduate education, 11 in
graduate and 11 in continuing education met the inclusion criteria. They
were generally difficult to compare in design, strategy and outcome
analysis. Cognitive knowledge and behavioral skills appear to be easier to
obtain compared to more complex attitudinal shifts. Conclusions. There is
growing consensus in the selection of a combined didactic and interactive
educational strategy but few empirical data as to the more cost-effective
learning interventions. Training must be reinforced at regular intervals.
While the expanding panoply of interventions available to physicians should
enhance the perceptions of role legitimacy and treatment optimism, cohort
studies across levels of education, specialty groups and across-substance
and other addictive behaviors are required to determine cost-effective
educational strategies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
behavior
cognition
cost effectiveness analysis
medical practice
physician
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000227870
MEDLINE PMID
10946443 (http://www.ncbi.nlm.nih.gov/pubmed/10946443)
PUI
L30418984
DOI
10.1046/j.1360-0443.2000.95694911.x
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1360-0443.2000.95694911.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1672
TITLE
Innovative clinical addiction research training track in preventive medicine
AUTHOR NAMES
Foley M.E.
Garland E.
Stimmel B.
Merino R.
AUTHOR ADDRESSES
(Stimmel B.) Dept. of Med. and Medical Education, Mount Sinai School of
Medicine, New York University, New York, NY, United States.
(Foley M.E.) Mount Sinai School of Medicine, New York University, Dept. of
Comm. and Prev. Medicine, One Gustave L. Levy Place, New York, NY
10029-6574, United States.
(Garland E.; Merino R.)
CORRESPONDENCE ADDRESS
M.E. Foley, Mount Sinai School of Medicine, New York University, Dept. of
Community/Preventive Med., One Gustave L. Levy Place, New York, NY
10029-6574, United States.
SOURCE
Substance Abuse (2000) 21:2 (111-119). Date of Publication: 2000
ISSN
0889-7077
ABSTRACT
Medical education related to identification, diagnosis and management of
alcohol and other drug problems receives inadequate attention in the
undergraduate curriculum and during residency training. This article
describes the design, implementation, and evaluation of a new track in
Clinical Addiction Research Training (CART) in a General Preventive Medicine
(GPM) residency program. CART is comprised of a new course in Addiction
Medicine, new practicum sites in addiction medicine research and treatment,
and a CART-designated resident. An Advisory Group of educators, researchers,
scholars, and administrators in addiction medicine, has provided guidance
and support for this new track. Evaluation of the CART track suggested
improvements in residents' knowledge and attitudes. Residents engaged in
high caliber clinical addiction research projects. The development of the
CART track within the GPM residency is an approach that can be integrated
into other specialties, such as internal medicine, family practice, and
adolescent medicine, to develop residents' interest and expertise in the
addictive behaviors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical education
preventive medicine
EMTREE MEDICAL INDEX TERMS
article
attitude
curriculum
human
medical research
normal human
residency education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000189430
PUI
L30327404
DOI
10.1023/A:1007715213698
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1007715213698
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1673
TITLE
Improving the quality of VA care for patients with substance-use disorders:
the Quality Enhancement Research Initiative (QUERI) substance abuse module.
AUTHOR NAMES
Finney J.W.
Willenbring M.L.
Moos R.H.
AUTHOR ADDRESSES
(Finney J.W.; Willenbring M.L.; Moos R.H.) Center for Health Care
Evaluation, Veterans Affairs Palo Alto Health Care System, Menlo Park,
California, USA.
CORRESPONDENCE ADDRESS
J.W. Finney, Center for Health Care Evaluation, Veterans Affairs Palo Alto
Health Care System, Menlo Park, California, USA. Email:
jfinney@odd.stanford.edu
SOURCE
Medical care (2000) 38:6 Suppl 1 (I105-113). Date of Publication: Jun 2000
ISSN
0025-7079
ABSTRACT
Substance-use disorders are costly in both human and economic terms and are
highly prevalent among patients in the VA Health Care System. The Quality
Enhancement Research Initiative (QUERI) Substance Abuse Module (SAM) seeks
to enhance identification and management of patients with substance-use
disorders seen in primary care and other medical settings; bolster
specialized substance-abuse treatment practices; improve care for patients
with multiple comorbidities; and strengthen treatment for high-risk and
underserved substance-abuse patient subgroups. This article describes how
the SAM will achieve these aims by following the QUERI process steps and
conducting an integrated set of research projects that incorporates
literature reviews and meta-analyses, naturalistic and randomized controlled
trials of promising treatments, studies of barriers to guideline
implementation, and outcome-oriented evaluations of the implementation of
practice guidelines.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, epidemiology, therapy)
government
health services research
total quality management
EMTREE MEDICAL INDEX TERMS
comorbidity
cost of illness
documentation
economics
health care delivery
human
methodology
organization and management
practice guideline
psychological aspect
quality control
quality of life
review
risk factor
standard
treatment outcome
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10843275 (http://www.ncbi.nlm.nih.gov/pubmed/10843275)
PUI
L31327832
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1674
TITLE
Training community-based clinicians in screening and brief intervention for
substance abuse problems: Translating evidence into practice
AUTHOR NAMES
Saitz R.
Sullivan L.M.
Samet J.H.
AUTHOR ADDRESSES
(Saitz R., rsaitz@bu.edu; Sullivan L.M.; Samet J.H.) Section of General
Internal Medicine, Boston University School of Medicine, Boston Medical
Center, 91 East Concord Street, Boston, MA 02118-2393, United States.
CORRESPONDENCE ADDRESS
R. Saitz, Department of Medicine, Boston University School of Medicine,
Boston Medical Center, 91 East Concord Street, Boston, MA 02118-2393, United
States. Email: rsaitz@bu.edu
SOURCE
Substance Abuse (2000) 21:1 (21-31). Date of Publication: 2000
ISSN
0889-7077
ABSTRACT
Screening and brief intervention in general health care settings are
efficacious but have not been widely adopted. Our objective was to assess
the effect of an educational intervention on clinicians' substance
abuse-related clinical practices. The study was a telephone survey of
practicing physicians, nurses, psychologists, physician's assistants, and
social workers who attended a half-day continuing education course on one of
four occasions. The course covered the stages of behavioral change and
motivational counseling, using primarily role play with standardized
patients. Of 87 course attendees, 70 (80%) completed the interview. Months
to years after the course, most (91%) reported that the course made an
impact on their practice. Most (78%) of respondents reported that they
frequently or always asked new patients who drank alcohol a formal screening
questionnaire such as the CAGE, and 94% frequently or always assessed their
substance abusing patients' readiness to change. Most respondents reported
that since taking the course they were more likely (1) to screen patients
for alcohol or drug related problems (86%) and (2) to ask patients about
their substance abuse on a follow-up visit (96%). After exposure to an
active-learning half-day continuing education course, clinicians reported
improvement with and high rates of desirable substance abuse-related
clinical practices up to 5 years later. Continuing education efforts that
incorporate active learning directed toward practicing clinicians show
promise for improving rates of brief intervention for alcohol and other drug
abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
article
clinical practice
continuing education
female
human
male
medical education
patient care
physician attitude
training
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000150614
PUI
L30226986
DOI
10.1023/A:1007755817351
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1007755817351
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1675
TITLE
Prisons: learning about women's health and substance abuse.
AUTHOR NAMES
Clarke J.G.
Cyr M.G.
Spaulding A.
AUTHOR ADDRESSES
(Clarke J.G.; Cyr M.G.; Spaulding A.) Department of Corrections, Division of
General Medicine, Rhode Island Hospital, Providence 02903, USA.
CORRESPONDENCE ADDRESS
J.G. Clarke, Department of Corrections, Division of General Medicine, Rhode
Island Hospital, Providence 02903, USA. Email: Jennifer_Clarke@Brown.edu
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(2000) 75:5 (544). Date of Publication: May 2000
ISSN
1040-2446
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
medical education
prisoner
women's health
EMTREE MEDICAL INDEX TERMS
article
female
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10824824 (http://www.ncbi.nlm.nih.gov/pubmed/10824824)
PUI
L31325673
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1676
TITLE
A survey of smoking cessation knowledge, training, and practice among U.S.
army general medical officers
AUTHOR NAMES
Hepburn M.J.
Johnson J.M.
Ward J.A.
Longfield J.N.
AUTHOR ADDRESSES
(Hepburn M.J., Matthew.Hepburn@AMEDD.Army.Mil) Department of Medicine
(Hepburn), Brooke Army Medical Center, Fort Sam Houston, TX, United States.
(Johnson J.M.; Ward J.A.; Longfield J.N.) Dept. of Clin. Invest. (Johnson,
Ward, Longfield), Brooke Army M., Fort Sam Houston, TX, United States.
CORRESPONDENCE ADDRESS
M.J. Hepburn, Department of Medicine, MCHE-MD, Fort Sam Houston, TX
78234-6200, United States. Email: Matthew.Hepburn@AMEDD.Army.Mil
SOURCE
American Journal of Preventive Medicine (2000) 18:4 (300-304). Date of
Publication: May 2000
ISSN
0749-3797
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Background: Historically, cigarette-smoking rates have been higher among
military personnel than among civilians, although recently these rates have
decreased. Methods: In March 1997, a questionnaire assessing (1) training
received on smoking cessation, (2) objective knowledge of smoking-cessation
techniques, (3) frequency of practice habits, and (4) personal tobacco use
among physicians, was successfully mailed to 232 of the total population of
279 Army general medical officers (GMOs). Results: One-hundred-fifty (65%)
GMOs returned questionnaires. Of these, 3.3% reported personal cigarette
smoking, and 7.3% regularly used smokeless tobacco. During internship, few
(13%) GMOs received smoking-cessation training. Primary care programs
provided training more frequently than did surgery internship programs. The
mean score on the objective knowledge portion was 72%. GMOs had a variable
practice pattern in their use of smoking-cessation techniques (percent
answering 'usually' or 'always'): helping patients set quit dates (35%),
offering to prescribe the nicotine patch (59%), referring patients to a
behavior-modification program (86%). Physicians who received training during
internship were significantly more likely (p < 0.01) to help their patients
set a quit date. Training did not result in a statistically increased
frequency of other practice habits. Conclusions: GMOs received minimal
training on smoking cessation during internship. GMOs refer patients to
smoking-cessation classes, reflecting the strategy of the Army Health
Promotion program. Strategies to increase the frequency that GMOs prescribe
nicotine replacement and assist patients in setting a quit date are needed.
Military smoking-cessation efforts may provide valuable lessons for the
civilian community. Copyright (C) 2000 American Journal of Preventive
Medicine.
EMTREE DRUG INDEX TERMS
nicotine (drug therapy, pharmaceutics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
army
medical education
smokeless tobacco
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
habit
human
medical personnel
methodology
prescription
primary medical care
questionnaire
smoking
training
transdermal patch
United States
withdrawal syndrome (drug therapy, prevention)
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000148268
MEDLINE PMID
10788732 (http://www.ncbi.nlm.nih.gov/pubmed/10788732)
PUI
L30224564
DOI
10.1016/S0749-3797(00)00123-9
FULL TEXT LINK
http://dx.doi.org/10.1016/S0749-3797(00)00123-9
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1677
TITLE
Medical students' attitudes toward pain and the use of opioid analgesics:
Implications for changing medical school curriculum
AUTHOR NAMES
Weinstein S.M.
Laux L.F.
Thornby J.I.
Lorimor R.J.
Hill Jr. C.S.
Thorpe D.M.
Merrill J.M.
AUTHOR ADDRESSES
(Weinstein S.M.; Laux L.F.; Thornby J.I.; Lorimor R.J.; Hill Jr. C.S.;
Thorpe D.M.; Merrill J.M.) Univ. Texas M. D. Anderson Cancer C., Dept. of
Fam. and Community Medicine, Baylor College of Medicine, Houston, TX, United
States.
(Weinstein S.M.) University of Utah, Pain Management Center, 546 S Chipeta
Way, Salt Lake City, UT 84108, United States.
CORRESPONDENCE ADDRESS
S.M. Weinstein, University of Utah, Pain Management Center, 546 S Chipeta
Way, Salt Lake City, UT 84108, United States.
SOURCE
Southern Medical Journal (2000) 93:5 (472-478). Date of Publication: May
2000
ISSN
0038-4348
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Background. Barriers to pain management include physicians' lack of
knowledge and attitudes. Our aim was to investigate future physicians'
knowledge and attitudes toward pain and the use of opioid analgesics.
Methods. We tested a medical school class during their freshman and senior
years. Stepwise regression analysis was used to identify the personal traits
that predicted opiophobia. Results. The professionalization process of
medical training may reinforce negative attitudes. Psychologic
characteristics were associated with reluctance to prescribe opioids, and
fears of patient addiction and drug regulatory agency sanctions.
Conclusions. Consistent attitudes were found in senior medical students with
preferences for certain specialty areas and the practitioners of their
future specialties, suggesting a 'preselection' effect. Higher scores on
reliance on high technology, external locus of control, and intolerance of
clinical uncertainty were associated with higher scores on one or more of
the three dimensions of opiophobia. Implications for medical education are
discussed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent (drug therapy, pharmacology)
opiate (drug therapy, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
pain (drug therapy)
EMTREE MEDICAL INDEX TERMS
addiction
adult
article
attitude
chronic pain (drug therapy)
curriculum
drug use
female
human
major clinical study
male
medical school
scoring system
self esteem
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000206653
MEDLINE PMID
10832944 (http://www.ncbi.nlm.nih.gov/pubmed/10832944)
PUI
L30366225
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1678
TITLE
Study of the smoking behavior of medical doctors in Fukui, Japan and their
antismoking measures.
AUTHOR NAMES
Kawahara K.
Ohida T.
Osaki Y.
Mochizuki Y.
Minowa M.
Yamaguchi N.
Kusaka Y.
AUTHOR ADDRESSES
(Kawahara K.; Ohida T.; Osaki Y.; Mochizuki Y.; Minowa M.; Yamaguchi N.;
Kusaka Y.) Department of Health Science Policies, Graduate School of Tokyo
Medical and Dental University, Japan.
CORRESPONDENCE ADDRESS
K. Kawahara, Department of Health Science Policies, Graduate School of Tokyo
Medical and Dental University, Japan.
SOURCE
Journal of epidemiology / Japan Epidemiological Association (2000) 10:3
(157-162). Date of Publication: May 2000
ISSN
0917-5040
ABSTRACT
We conducted a survey on smoking among all members of the medical
association in Fukui Prefecture, using a questionnaire to be filled in by
the subjects. The survey was conducted from December of 1996 to February of
1997, and the return rate was 90.8%. The main results of this survey were as
follows: the prevalence of current smoking among medical doctors was 26.0%
(male: 27.8%, female: 5.2%), which was lower than that of adults in the
general population. The prevalence of past smoking among doctors 20 to 34
years old by age cohort was highest and that among doctors 35 years old and
higher declines as age cohort increased. Doctors' participation in
activities for the prevention of smoking in the general society was also
found to be at a low level.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health behavior
health education
physician
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
age distribution
aged
article
chi square distribution
cohort analysis
female
human
information processing
Japan (epidemiology)
male
middle aged
organization and management
physician attitude
prevalence
sex ratio
social behavior
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10860299 (http://www.ncbi.nlm.nih.gov/pubmed/10860299)
PUI
L31341278
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1679
TITLE
Preventing substance use among native american youth: Three-year results
AUTHOR NAMES
Schinke S.P.
Tepavac L.
Cole K.C.
AUTHOR ADDRESSES
(Schinke S.P., schinke@columbia.edu; Cole K.C.) Columbia Univ. School of
Social Work, New York, NY, United States.
(Tepavac L.) Delta Consulting Group, New York, NY, United States.
CORRESPONDENCE ADDRESS
S.P. Schinke, 622 West 113th Street, New York, NY 10025, United States.
Email: schinke@columbia.edu
SOURCE
Addictive Behaviors (2000) 25:3 (387-397). Date of Publication: May/June
2000
ISSN
0306-4603
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
This study developed and tested skills- and community-based approaches to
prevent substance abuse among Native American youth. After completing
pretest measurements, 1,396 third- through fifth-grade Native American
students from 27 elementary schools in five states were divided randomly by
school into two intervention arms and one control arm. Following
intervention delivery, youths in all arms completed posttest measurements
and three annual follow-up measurements. Youths in schools assigned to the
intervention arms learned cognitive and behavioral skills for substance
abuse prevention. One intervention arm additionally engaged local community
residents in efforts to prevent substance use among Native American youth.
Outcome assessment batteries measured youths' reported use of smoked and
smokeless tobacco, alcohol, and marijuana. Over the course of the 3.5-year
study, increased rates of tobacco, alcohol, and marijuana use were reported
by youths across the three arms of the study. Though cigarette use was
unaffected by intervention, follow up rates of smokeless tobacco, alcohol,
and marijuana use were lower for youths who received skills intervention
than for youths in the control arm. Community intervention components
appeared to exert no added beneficial influence on youths' substance use,
beyond the impact of skills intervention components alone. Finally, gender
differences were apparent across substances, measurements, and study arms,
with girls smoking more cigarettes and boys using more smokeless tobacco,
alcohol, and marijuana. Copyright (C) 2000 Elsevier Science Ltd.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cigarette smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
smoking
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
article
behavior
child
drug use
female
gender
human
human experiment
juvenile
male
normal human
prevention
smokeless tobacco
social environment
student
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000155228
MEDLINE PMID
10890292 (http://www.ncbi.nlm.nih.gov/pubmed/10890292)
PUI
L30235132
DOI
10.1016/S0306-4603(99)00071-4
FULL TEXT LINK
http://dx.doi.org/10.1016/S0306-4603(99)00071-4
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1680
TITLE
Measuring self-efficacy in substance abuse intervention in obstetric
practices
AUTHOR NAMES
Schumacher J.E.
Engle M.
Reynolds K.
Houser S.
Mukherjee S.
Caldwell E.
Kohler C.
Phelan S.
Raczynski J.M.
AUTHOR ADDRESSES
(Schumacher J.E.) University of Alabama at Birmingham, Medical Towers Bldg.,
1717 11th Ave S, Birmingham, AL 35205, United States.
(Engle M.; Reynolds K.; Houser S.; Mukherjee S.; Caldwell E.; Kohler C.;
Phelan S.; Raczynski J.M.)
CORRESPONDENCE ADDRESS
J.E. Schumacher, University of Alabama, Medical Towers Bldg., 1717 11th Ave
S, Birmingham, AL 35205, United States.
SOURCE
Southern Medical Journal (2000) 93:4 (406-414). Date of Publication: April
2000
ISSN
0038-4348
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Background. This study presents findings on the effect of an office- based
obstetrics training program (given the acronym OBIWOM) on substance use
assessment, management, and referral self-efficacy among obstetricians and
staff of private, community-based obstetric practices. Methods. Participants
were obstetricians and staff from 10 of 27 available community-based,
private obstetric practices in the target areas, for a practice
participation rate of 37%. This study used a delayed treatment design to
compare self-efficacy between practice staff randomly assigned to an
immediate or delayed intervention group. Results. Self-efficacy increased
significantly after intervention from baseline to first follow-up for the
immediate group, while no change was shown for the delayed (control) group.
The impact of the intervention on self-efficacy was replicated in the
assessment construct only after the intervention for the delayed group.
Conclusion. This research shows that education and training can effectively
improve self-efficacy in obstetricians and their staff in the management of
substance use and pregnancy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
drug dependence treatment
obstetrics
self concept
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
medical education
medical staff
patient referral
pregnancy
staff training
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000158999
MEDLINE PMID
10798512 (http://www.ncbi.nlm.nih.gov/pubmed/10798512)
PUI
L30241229
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1681
TITLE
Smoking-related diseases and prevention at department of internal medicine
ORIGINAL (NON-ENGLISH) TITLE
Rygerelaterede sygdomme og forebyggelse på medicinske afdelinger.
AUTHOR NAMES
Døssing M.
AUTHOR ADDRESSES
(Døssing M.)
CORRESPONDENCE ADDRESS
M. Døssing,
SOURCE
Ugeskrift for laeger (2000) 162:12 (1752-1753). Date of Publication: 20 Mar
2000
ISSN
0041-5782
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospitalization
patient education
smoking (adverse drug reaction)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
cardiovascular disease (etiology, prevention)
Denmark
human
preventive health service
respiratory tract disease (etiology, prevention)
LANGUAGE OF ARTICLE
Danish
MEDLINE PMID
10766661 (http://www.ncbi.nlm.nih.gov/pubmed/10766661)
PUI
L31316083
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1682
TITLE
Tobacco dependence curricula in medical schools [5] (multiple letters)
AUTHOR NAMES
Wadland W.
Keefe C.
Thompson M.
Noel M.
Ferry L.H.
Grissino L.M.
AUTHOR ADDRESSES
(Wadland W.; Keefe C.; Thompson M.; Noel M.; Ferry L.H.; Grissino L.M.)
Michigan State University, College of Human Medicine, East Lansing, MI,
United States.
CORRESPONDENCE ADDRESS
W. Wadland, Michigan State University, College of Human Medicine, East
Lansing, MI, United States.
SOURCE
Journal of the American Medical Association (2000) 283:11 (1426-1427). Date
of Publication: 15 Mar 2000
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
tobacco dependence
EMTREE MEDICAL INDEX TERMS
clinical education
curriculum
letter
medical education
performance
priority journal
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2000101354
MEDLINE PMID
10732931 (http://www.ncbi.nlm.nih.gov/pubmed/10732931)
PUI
L30151819
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1683
TITLE
Can a brief clinical practicum influence physicians' communications with
patients about alcohol and drug problems? Results of a long-term follow-up.
AUTHOR NAMES
Siegal H.A.
Cole P.A.
Li L.
Eddy M.F.
AUTHOR ADDRESSES
(Siegal H.A.; Cole P.A.; Li L.; Eddy M.F.) Substance Abuse Intervention
Programs, Wright State University School of Medicine, 216 Medical Sciences
Building, Dayton, OH 45435, USA.
CORRESPONDENCE ADDRESS
H.A. Siegal, Substance Abuse Intervention Programs, Wright State University
School of Medicine, 216 Medical Sciences Building, Dayton, OH 45435, USA.
Email: harvey.siegal@wright.edu
SOURCE
Teaching and learning in medicine (2000) 12:2 (72-77). Date of Publication:
2000 Spring
ISSN
1040-1334
ABSTRACT
BACKGROUND: A survey was conducted in 1996 to assess the perceptions of
medical school graduates concerning alcohol and drug problems among their
patients, and their attitudes and comfort toward addressing these issues.
Survey questionnaires were sent to all individuals who graduated from Wright
State University School of Medicine, Dayton, Ohio, between 1982 and 1990.
PURPOSE: The study aimed to assess the long-term impact that participation
in a brief clinical experience in tandem with a standard didactic substance
abuse curriculum material had on former medical students now in practice.
The study examined how these physicians perceived their skills in
communicating with their patients about alcohol and drug use, and attendant
problems. METHODS: An Alcohol and Drug Use Communication (ADUC) scale was
developed by combining several survey items. Data analyses included
correlation assessments of the ADUC scale and other variables, and
multiple-regression analyses for identifying factors independently
associated with the ADUC scale although other factors were controlled.
RESULTS: Former students who participated in the brief clinical program,
known as the Weekend Intervention Program, as part of their medical school
curriculum were more likely to report having better communication concerning
alcohol and drug use with their patients than students who only had didactic
education. Also, additional training in addictions after graduation was
significantly associated with better alcohol and drug use communication
between physician and patient. Former students who participated in the
Weekend Intervention Program were more than twice as likely as those without
the experience to report confronting at least 10% of their patients about
their concerns about the patients' alcohol or drug use. CONCLUSIONS: The
results of this study suggest that undergraduate medical students'
participation in a modest clinical program can enhance substance abuse
education. Through increased training in substance abuse, physicians
reported greater confidence in their ability to relate to patients with
substance abuse problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
doctor patient relation
interpersonal communication
medical education
EMTREE MEDICAL INDEX TERMS
article
Caucasian
comparative study
curriculum
female
follow up
human
male
multivariate analysis
primary health care
questionnaire
risk
statistical analysis
time
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11228680 (http://www.ncbi.nlm.nih.gov/pubmed/11228680)
PUI
L33447827
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1684
TITLE
Medical students, drugs and alcohol: Time for medical schools to take the
issue seriously
AUTHOR NAMES
Wallace P.
AUTHOR ADDRESSES
(Wallace P.) Dept. of Primary Care Pop. Sciences, Royal Free University
College, Medical School, Rowland Hill St., London NW3 2PF, United Kingdom.
CORRESPONDENCE ADDRESS
P. Wallace, Dept. of Primary Care Pop. Sciences, Royal Free University
College, Medical School, Rowland Hill St., London NW3 2PF, United Kingdom.
SOURCE
Medical Education (2000) 34:2 (86-87). Date of Publication: 2000
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
narcotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
drug dependence (prevention)
medical education
EMTREE MEDICAL INDEX TERMS
curriculum
education program
human
medical school
medical student
note
responsibility
United Kingdom
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2000046906
MEDLINE PMID
10652058 (http://www.ncbi.nlm.nih.gov/pubmed/10652058)
PUI
L30069425
DOI
10.1046/j.1365-2923.2000.00638.x
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1365-2923.2000.00638.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1685
TITLE
Smoking habits of students in College of Applied Medical Science, Saudi
Arabia.
AUTHOR NAMES
Hasim T.J.
AUTHOR ADDRESSES
(Hasim T.J.) Department of Community Health Sciences, College of Applied
Medical Sciences, King Saud University, PO Box 92628, Riyadh 11663, Kingdom
of Saudi Arabia.
CORRESPONDENCE ADDRESS
T.J. Hasim, Department of Community Health Sciences, College of Applied
Medical Sciences, King Saud University, PO Box 92628, Riyadh 11663, Kingdom
of Saudi Arabia.
SOURCE
Saudi medical journal (2000) 21:1 (76-80). Date of Publication: Jan 2000
ISSN
0379-5284
ABSTRACT
OBJECTIVE: To establish a baseline data on the smoking habits of health
science students in a Saudi Arabian university environment. METHODS: The
participating subjects were students of the College of Applied Medical
Sciences within the age range of 18 to 26. An experimental design with
pre-structured questionnaires, and simple random sampling was administered
to 712 participants by a panel of experts in behavioral health sciences.
RESULTS: Out of 647 respondents, 186 (29%) were current smokers. Of those
that indicated that they were currently smokers, 127 (20%) were male and 59
(9%) were female. The 20-24 year old age group exhibited the highest
prevalence of smoking (P<0.000). Major factors influencing the smoking
prevalence were the smoking habits of peers, siblings, and parents
(P<0.005). Most of the respondents appeared to be Light Smokers , consuming
less than 10 cigarettes per day. When asked of their awareness of the health
hazards of smoking, 73% of the respondents answered that they were aware of
the hazards. Of those that smoked, 70% expressed a desire to cease cigarette
smoking. Media influence was considered to be the major source of
information on the health consequences of cigarette smoking. CONCLUSION:
Cigarette smoking is prevalent among students of health care professionals.
Author advocates a collaborative effort in order to alleviate the
consequences of cigarette smoking among health professionals. This effort
must embody a multidisciplinary approach that includes legislators, mass
media, public education and health professionals at all levels.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
medical profession
smoking (adverse drug reaction, epidemiology, prevention)
student
university
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
education
educational status
female
human
male
mass medium
needs assessment
parent
prevalence
psychological aspect
questionnaire
Saudi Arabia
socioeconomics
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11533755 (http://www.ncbi.nlm.nih.gov/pubmed/11533755)
PUI
L33522223
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1686
TITLE
Therapeutic indication for smoking cessation therapy
ORIGINAL (NON-ENGLISH) TITLE
Die therapeutische indikation der rauchertherapie
AUTHOR NAMES
Schoberberger R.
Groman E.
Kunze U.
Schmeiser-Rieder A.
Bayer P.
Kunze M.
AUTHOR ADDRESSES
(Schoberberger R.; Groman E.; Kunze U.; Schmeiser-Rieder A.; Bayer P.; Kunze
M.) Institut fur Sozialmedizin, Universitat Wien, Alser Strasse 21, A-1080
Wien, Austria.
CORRESPONDENCE ADDRESS
R. Schoberberger, Institut fur Sozialmedizin, Universitat Wien, Alser
Strasse 21, A-1080 Wien, Austria. Email: Sozialmedizin@univie.ac.at
SOURCE
Wiener Zeitschrift fur Suchtforschung (1999) 22:2 (43-49). Date of
Publication: 1999
ISSN
1012-9375
ABSTRACT
According to scientific standards and many controlled studies, nicotine has
been the only drug found to be effective in treating nicotine dependence.
Many techniques, ranging from self help to sophisticated combined
therapeutic approaches including pharmacological interventions, are now
available to deal with the nicotine addiction. The health care system will
learn how to use this new kind of intervention and to incorporate it into
the 'classical' intervention-methods which include diagnosis, treatment,
evaluation of therapy, relapse control and reimbursement. Existing
approaches of therapeutic interventions, provided by general practitioners,
by hospitals or in the framework of rehabilitation are presented. Also a
very new strategy of intramural smoking cessation therapy, the project
'Josefhof', is discussed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine (pharmacology)
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
general practitioner
health care system
human
inhalational drug administration
inhaler
outpatient
reimbursement
self help
CAS REGISTRY NUMBERS
alcohol (64-17-5)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
1999407909
PUI
L29548599
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1687
TITLE
Course of substance abuse in patients with and without schizophrenia
AUTHOR NAMES
Westermeyer J.J.
Schneekloth T.D.
AUTHOR ADDRESSES
(Westermeyer J.J., westermeyer.joseph@minneapolis.va.gov; Schneekloth T.D.)
Univ. of Minnesota/Minneapolis VAMC, Department of Psychiatry, Minneapolis,
MN, United States.
(Westermeyer J.J., westermeyer.joseph@minneapolis.va.gov) Department of
Psychiatry (116A), Minneapolis VAMC, 1 Veterans Drive, Minneapolis, MN
55417, United States.
CORRESPONDENCE ADDRESS
J.J. Westermeyer, Department of Psychiatry (116A), Minneapolis VAMC, 1
Veterans Drive, Minneapolis, MN 55417, United States. Email:
westermeyer.joseph@minneapolis.va.gov
SOURCE
American Journal on Addictions (1999) 8:1 (55-64). Date of Publication:
Winter 1999
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
The authors compared the course of Substance Use Disorders (SUD) in patients
with SUD plus schizophrenia (SCZ) with those having SUD only. Data were
obtained through diagnostic interviews and questionnaires on consecutive
out-patients and in-patients referred for SUD to two university medical
centers with alcohol-drug programs. This study revealed the SCZ-SUD patients
(n = 29) had demographic characteristics, onset of their substance use,
course of use/abuse, and lifetime SUD diagnoses that closely resembled those
with SUD-only (n = 296). The marked similarities argue for a course of SUD
in schizophrenic patients that is fully as morbid as that in SUD-only
patients. The few differences in course appear linked to the following: (1)
patients with SCZ using caffeine early, perhaps to relieve prodromal
manifestations of schizophrenia, (2) patients with SCZ-SUD later using less
or avoiding use of substances that exacerbate symptoms of schizophrenia
(e.g., caffeine, cocaine, opiates), and (3) using tobacco more often to
ameliorate the symptoms of schizophrenia or the side effects of medications
used to treat schizophrenia. Contrary to expectation, those with comorbid
SCZ-SUD employed self-help to deal with SUD as often as did the SUD-only
patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
caffeine
cocaine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
schizophrenia
substance abuse
tobacco
EMTREE MEDICAL INDEX TERMS
academic achievement
adult
article
clinical article
comorbidity
female
human
life event
male
self help
socioeconomics
CAS REGISTRY NUMBERS
caffeine (58-08-2)
cocaine (50-36-2, 53-21-4, 5937-29-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999096232
MEDLINE PMID
10189515 (http://www.ncbi.nlm.nih.gov/pubmed/10189515)
PUI
L29124820
DOI
10.1080/105504999306081
FULL TEXT LINK
http://dx.doi.org/10.1080/105504999306081
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1688
TITLE
Current status of professional training in the addictions
AUTHOR NAMES
Keller D.S.
Dermatis H.
AUTHOR ADDRESSES
(Keller D.S.; Dermatis H.) Department of Psychiatry, New York Univ. School
of Medicine, 550 First Avenue, New York, NY 10016, United States.
CORRESPONDENCE ADDRESS
D.S. Keller, Department of Psychiatry, New York Univ. School of Medicine,
550 First Avenue, New York, NY 10016, United States.
SOURCE
Substance Abuse (1999) 20:3 (123-140). Date of Publication: 1999
ISSN
0889-7077
ABSTRACT
Addictions training curricula within traditional graduate and postgraduate
programs of professional disciplines lag behind those devoted to other
disorders. After presenting a brief historical overview of addictions
training in the United States, this paper focuses on current addictions
training practices for each of the major health care professions,
highlighting both recent advancements as well as shortcomings, particularly
with respect to the ability to disseminate recent empirically tested
addiction treatments. New psychosocial and pharmacotherapies for addictive
disorders are then discussed which would be better disseminated within
training programs with enhanced addictions training components. The paper
concludes with a discussion of and recommendations for enhancing abuse
training and knowledge dissemination.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
desipramine
disulfiram
levacetylmethadol
methadone
naltrexone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
medical education
EMTREE MEDICAL INDEX TERMS
health care personnel
medical information
review
training
United States
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
desipramine (50-47-5, 58-28-6)
disulfiram (97-77-8)
levacetylmethadol (34433-66-4)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
naltrexone (16590-41-3, 16676-29-2)
EMBASE CLASSIFICATIONS
Rehabilitation and Physical Medicine (19)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999384544
PUI
L29517890
DOI
10.1023/A:1021367932610
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1021367932610
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1689
TITLE
Prevalence of alcohol problems among pediatric residents
AUTHOR NAMES
Knight J.R.
Palacios J.
Shannon M.
AUTHOR ADDRESSES
(Knight J.R., knight_j@a1.tch.harvard.edu) Division of General Pediatrics,
Harvard Medical School, Boston, MA, United States.
(Palacios J.) Physician Health Committee, Harvard Medical School, Boston,
MA, United States.
(Shannon M.) Division of Emergency Medicine, Program in Clinical Toxicology,
Harvard Medical School, Boston, MA, United States.
(Knight J.R., knight_j@a1.tch.harvard.edu; Shannon M.) Children's Hospital,
Department of Pediatrics, Harvard Medical School, Boston, MA, United States.
(Knight J.R., knight_j@a1.tch.harvard.edu) Division on Addictions, Harvard
Medical School, Boston, MA, United States.
(Knight J.R., knight_j@a1.tch.harvard.edu) Children's Hospital, 300 Longwood
Ave, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
J.R. Knight, Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United
States.
SOURCE
Archives of Pediatrics and Adolescent Medicine (1999) 153:11 (1181-1183).
Date of Publication: November 1999
ISSN
1072-4710
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Objective: To measure the prevalence of alcohol-related problems among
pediatric trainees. Methods: An alcoholism screening test was administered
anonymously to participants at a mandatory substance abuse education and
prevention program. Setting: A large urban pediatric residency training
program. Subjects: One hundred fifteen pediatric residents attended the
program during 3 consecutive years (19961998). Eighty-five (74%) screening
tests were returned and 81 (70%) were analyzed. Main Outcome Measure: The
25- item Michigan Alcoholism Screening Test (MAST). Differential MAST
cutpoints have been established to 'suggest' or 'indicate' a lifetime
diagnosis of alcoholism. Results: Twelve residents (15%) had scores
suggestive and 6 (7%) indicative of alcoholism. Twenty-eight (35%) admitted
to having alcohol- associated amnesia (blackouts), 13 (16%) to 'feeling bad'
about their drinking, 9 (11%) to drinking before noon, 6 (7%) to getting
into fights when drunk, and 2 (2%) to alcohol-related marital problems.
However, only 1 (1%) had gone to anyone for help and none admitted to
alcohol-related problems at work. Conclusions: These screening data suggest
that alcohol abuse and related problems exist among pediatric trainees at
troubling rates. While more than one third of the trainees had experienced a
serious consequence from heavy drinking, only 1 had gone for help and
problems were not apparent at work. Greater emphasis should be placed on
alcohol prevention and early intervention programs as a routine part of
pediatric training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
resident
EMTREE MEDICAL INDEX TERMS
alcohol abuse
amnesia
article
drinking behavior
human
pediatrics
priority journal
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999387909
MEDLINE PMID
10555722 (http://www.ncbi.nlm.nih.gov/pubmed/10555722)
PUI
L29521743
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1690
TITLE
DOs need more training in diagnosing and treating addiction
AUTHOR NAMES
Goldstein F.J.
AUTHOR ADDRESSES
(Goldstein F.J.)
SOURCE
Journal of the American Osteopathic Association (1999) 99:9 (456). Date of
Publication: 1999
ISSN
0098-6151
BOOK PUBLISHER
American Osteopathic Association, 142 East Ontario Street, Chicago, United
States.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
manipulative medicine
medical specialist
EMTREE MEDICAL INDEX TERMS
continuing education
editorial
medical education
training
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1999352722
MEDLINE PMID
10522083 (http://www.ncbi.nlm.nih.gov/pubmed/10522083)
PUI
L29474662
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1691
TITLE
Substance use disorders in physician training programs.
AUTHOR NAMES
Yarborough W.H.
AUTHOR ADDRESSES
(Yarborough W.H.) OUHSC-Tulsa Campus, Department of Internal Medicine, OK
74129-1077, USA.
CORRESPONDENCE ADDRESS
W.H. Yarborough, OUHSC-Tulsa Campus, Department of Internal Medicine, OK
74129-1077, USA.
SOURCE
The Journal of the Oklahoma State Medical Association (1999) 92:10
(504-507). Date of Publication: Oct 1999
ISSN
0030-1876
ABSTRACT
Physician impairment due to substance use occurs in all age groups of
physicians. Risk factors are similar for age-matched controls, but choice of
substance may be influenced by specialty and narcotic permit. Alcohol is by
far the most commonly abused drug involved. One of the last areas of
performance affected is work. Other areas may provide earlier clues.
Intervention and referral to appropriate treatment centers is important.
Death rates are relatively high in this disease. We report a favorable
outcome of 75 percent at The University of Oklahoma Health Sciences Center,
Tulsa (OUHSC-T), but a death rate of 16.7 percent in our small sample.
Aftercare and monitoring are essential to a successful outcome. The vast
majority of physicians in training can complete their training with
appropriate treatment and monitoring and go on to successful careers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology, rehabilitation)
malpractice
medical education
EMTREE MEDICAL INDEX TERMS
alcoholism (diagnosis, epidemiology, rehabilitation)
female
human
in service training
male
prevalence
review
risk factor
statistics
survival rate
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10528474 (http://www.ncbi.nlm.nih.gov/pubmed/10528474)
PUI
L129473045
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1692
TITLE
Knowledge, attitudes and training of family physicians with regard to
addiction to illicit drugs
AUTHOR NAMES
Peleg A.
Peleg R.
Shvartzman P.
AUTHOR ADDRESSES
(Peleg A.; Peleg R.; Shvartzman P.) Health Promotion and Disease Prevention
Unit, Dept. of Family Medicine, Faculty of Health Sciences, Ben-Gurion
University of the Negev, Beer Sheba.
CORRESPONDENCE ADDRESS
A. Peleg, Health Promotion and Disease Prevention Unit, Dept. of Family
Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev,
Beer Sheba.
SOURCE
Harefuah (1999) 137:7-8 (278-281, 351). Date of Publication: Oct 1999
ISSN
0017-7768
ABSTRACT
Substance abuse is one of the most serious problems in Israel. Recent
studies show the situation is getting worse. The deleterious outcomes of
psychoactive substance abuse include crime, car accidents, physical and
mental illness, violence and work injuries. 48 family physicians in the
Negev completed a questionnaire which included training, diagnostic and
treatment skills, attitudes, knowledge and need for training in this field.
38 family physicians (81%) had had no training, most (96%) indicated the
importance of such training. 34 (71%) said that their medical skills could
not cope with the problems of addiction, and 29 (64.5%) claimed that the
quality of care of addict patients is reduced because of lack of knowledge
and diagnostic skills. These findings support the conclusion that efforts
should be invested in training family physicians in the field of
psychoactive drugs, licit and illicit.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
attitude to health
general practitioner
EMTREE MEDICAL INDEX TERMS
article
human
medical education
questionnaire
LANGUAGE OF ARTICLE
Hebrew
MEDLINE PMID
12415969 (http://www.ncbi.nlm.nih.gov/pubmed/12415969)
PUI
L35500420
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1693
TITLE
A natural response to drug misuse problems: A review of drug-user treatment
services of Bangladesh
AUTHOR NAMES
Hossain M.
Ahmed S.K.
AUTHOR ADDRESSES
(Hossain M.) Dept. of Sociology and Social Work, Virginia State University,
P.O. Box 9036, Petersburg, VA 23806, United States.
(Ahmed S.K.) Drug Demand Reduction, United Nations Drug Control Program,
Dhaka, Bangladesh.
CORRESPONDENCE ADDRESS
M. Hossain, Dept. of Sociology and Social Work, Virginia State University,
P.O. Box 9036, Petersburg, VA 23806, United States.
SOURCE
Substance Use and Misuse (1999) 34:12 (1605-1617). Date of Publication: 1999
ISSN
1082-6084
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
This paper reviews and describes the natural processes through which the
people of a Third World country, Bangladesh, have been trying to provide
treatment to drug misusers. As the demand for medical help increases,
different organizations develop to cater to the needs. Bangladesh has
followed the age-old ashram model and the contemporary medical hospital
model to provide services to its addicts. In reality the drug misuse
treatment providers are still evolving through different learning stages
about the biopsychosocial manifestations of addiction. According to the
authors, the stages of learning can be divided into three phases: 1) the
early period of confusion and enthusiasm, 2) the period of truism, and 3)
the period of pragmatism. The people who have gained experience in running
treatment centers in the last decade need to form alliances to share their
experiences in order to develop rational models for drug treatment programs
in Bangladesh. It is also important that they develop methods to monitor
providers' activities and to protect clients' safety and interests.
EMTREE DRUG INDEX TERMS
buprenorphine
promethazine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse (epidemiology)
EMTREE MEDICAL INDEX TERMS
Bangladesh
confusion
drug dependence treatment
health service
heroin dependence (rehabilitation)
human
nonbiological model
patient counseling
patient education
priority journal
review
social psychology
university hospital
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
promethazine (58-33-3, 60-87-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish, French
EMBASE ACCESSION NUMBER
1999327896
MEDLINE PMID
10499411 (http://www.ncbi.nlm.nih.gov/pubmed/10499411)
PUI
L29441539
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1694
TITLE
Project H.O.M.E.: A comprehensive program for homeless individuals with
mental illness and substance use disorders
AUTHOR NAMES
Coughey K.
Feighan K.
Lavelle K.
Olson K.
DeCarlo M.
Medina M.
AUTHOR ADDRESSES
(Coughey K.; Feighan K.; Lavelle K.; Olson K.; DeCarlo M.; Medina M.)
Philadelphia Hlth. Mgmt. Corporation, 260 S. Broad Street, Philadelphia, PA
19102, United States.
CORRESPONDENCE ADDRESS
K. Coughey, Philadelphia Hlth. Mgmt. Corporation, 260 S. Broad Street,
Philadelphia, PA 19102, United States.
SOURCE
Alcoholism Treatment Quarterly (1999) 17:1-2 (133-148). Date of Publication:
1999
ISSN
0734-7324
ABSTRACT
Project H.O.M.E. (Housing Opportunities, Medical Care and Education) is an
innovative, multi-faceted homelessness prevention program in Philadelphia,
PA, designed to reduce individual, community/neighborhood and societal risk
factors for the recurrence of homelessness among individuals with severe
mental illness and/or substance use disorders. Tailored to the needs and
abilities of each individual, Project H.O.M.E. uses a combination of
prevention strategies that includes street outreach, three levels of
housing, extensive on-site services (education, employment, health care,
addictions counseling, and social activities) and linkages to other
services. Project H.O.M.E. also advocates for the homeless population
through political activism.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
homelessness
mental disease
preventive health service
substance abuse
EMTREE MEDICAL INDEX TERMS
employment
health education
human
patient counseling
review
social aspect
social behavior
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999304356
PUI
L29408788
DOI
10.1300/J020v17n01_08
FULL TEXT LINK
http://dx.doi.org/10.1300/J020v17n01_08
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1695
TITLE
Who teaches residents about the prevention and treatment of substance use
disorders? A national survey.
AUTHOR NAMES
Fleming M.F.
Manwell L.B.
Kraus M.
Isaacson J.H.
Kahn R.
Stauffacher E.A.
AUTHOR ADDRESSES
(Fleming M.F.; Manwell L.B.; Kraus M.; Isaacson J.H.; Kahn R.; Stauffacher
E.A.) University of Wisconisin-Madison Medical School, USA.
CORRESPONDENCE ADDRESS
M.F. Fleming, University of Wisconisin-Madison Medical School, USA. Email:
mfleming@fammed.wisc.edu
SOURCE
The Journal of family practice (1999) 48:9 (725-729). Date of Publication:
Sep 1999
ISSN
0094-3509
ABSTRACT
BACKGROUND: Studies indicate that physicians are poorly prepared to identify
and treat tobacco, alcohol, and drug use disorders. Several faculty
development programs have been created to increase the number of residency
teaching faculty with expertise in this area. There is limited information,
however, on those who currently teach residents about these problems and
whether there is a need for additional faculty development programs.
METHODS: We conducted a 2-stage national survey of faculty who teach
residents about substance use problems. First, residency directors from 7
specialties (family medicine, psychiatry, internal medicine, pediatrics,
obstetrics and gynecology, emergency medicine, and osteopathy) responded to
a mailed questionnaire asking them to identify faculty who teach residents
about substance use disorders. Second, those identified were contacted and
asked to participate in a telephone interview. RESULTS: Of 1293 faculty
identified by the residency directors, 769 participated in a research
interview. Most of these teachers were full-time physician faculty, men,
white, and based in departments of family medicine or psychiatry. Teaching
was primarily conducted in hospitals, general outpatient clinics, and
classrooms rather than alcohol and drug treatment programs. Less than 10% of
the faculty performed clinical work in alcohol and drug treatment programs,
and only 19% were certified addiction specialists. The respondents reported
a definite need for additional development programs for themselves and other
residency teaching faculty. CONCLUSIONS: We suggest a modest increase in the
number of faculty who teach residents about substance abuse disorders, and
the creation of additional faculty development programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, therapy)
general practice
medical education
medical school
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
education
female
human
information processing
male
middle aged
organization and management
primary health care
program development
statistics
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10498080 (http://www.ncbi.nlm.nih.gov/pubmed/10498080)
PUI
L129467610
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1696
TITLE
Alcohol and substance abuse training for emergency medicine residents: A
survey of U.S. programs
AUTHOR NAMES
Krishel S.
AUTHOR ADDRESSES
(Krishel S.) Department of Emergency Medicine, University of California,
Medical Center, San Diego, CA, United States.
CORRESPONDENCE ADDRESS
S. Krishel, Department of Emergency Medicine, University of California,
Medical Center, San Diego, CA, United States.
SOURCE
Academic Emergency Medicine (1999) 6:9 (964-966). Date of Publication:
September 1999
ISSN
1069-6563
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency medicine
residency education
EMTREE MEDICAL INDEX TERMS
alcohol abuse
article
curriculum
priority journal
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1999313763
MEDLINE PMID
10490263 (http://www.ncbi.nlm.nih.gov/pubmed/10490263)
PUI
L29421027
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1697
TITLE
Tobacco dependence curricula in US undergraduate medical education
AUTHOR NAMES
Ferry L.H.
Grissino L.M.
Runfola P.S.
AUTHOR ADDRESSES
(Ferry L.H., lferry@sph.llu.edu; Grissino L.M.; Runfola P.S.) Department of
Preventive Medicine, Loma Linda Univ. Schools Med. P., Loma Linda, CA,
United States.
(Runfola P.S.) Concentra Managed Care Services, Phoenix, AZ, United States.
(Ferry L.H., lferry@sph.llu.edu) Department of Preventive Medicine, Loma
Linda University, Nichol Hall, Loma Linda, CA 92350, United States.
CORRESPONDENCE ADDRESS
L.H. Ferry, Department of Preventive Medicine, Loma Linda University, Nichol
Hall, Loma Linda, CA 92350, United States. Email: lferry@sph.llu.edu
SOURCE
Journal of the American Medical Association (1999) 282:9 (825-829). Date of
Publication: 1 Sep 1999
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Context: Tobacco use is the leading preventable cause of death in the United
States. And yet only 21% of practicing physicians claim they received
adequate training to help their patients stop smoking. Objective: To assess
the content and extent of tobacco education and intervention skills in US
medical schools' curricula. Design: A survey with 13 multiple-response items
on tobacco education. Survey questions were based on the recommendations of
the Agency for Health Care Policy and Research and the National Cancer
Institute Expert Panel. The Liaison Committee on Medical Education included
4 of these items in a modified form on the 1997 annual questionnaire.
Setting: One hundred twenty-six US medical schools. Participants: Surveys
were obtained from 122 associate deans for medical education (98.6%). Main
Outcome Measures: Curriculum content in basic science and clinical science,
elective or required clinical experience, hours of instruction, and resource
materials. Results: Inclusion of all 6 tobacco curricula content areas
recommended by the National Cancer Institute and the Agency for Health Care
Policy and Research was higher in basic science (63/115 [54.8%])than in
clinical science (5/115 [4.4%]). Most medical schools (83/120 [69.2%]) did
not require clinical training in smoking cessation techniques, while 23.5%
(27/115) offered additional experience as an elective course. Thirty-one
percent (32/102) of schools averaged less than I hour of instruction per
year in smoking cessation techniques during the 4 years of medical school. A
minority of schools reported 3 or more hours of clinical smoking cessation
instruction in the third (14.7%) and fourth (4.9%) years. Conclusions: A
majority of US medical school graduates are not adequately trained to treat
nicotine dependence. The major deficit is the lack of smoking cessation
instruction and evaluation in the clinical years. A model core tobacco
curricula that meets national recommendations should be developed and
implemented in all US medical schools.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking cessation
tobacco
United States
EMTREE MEDICAL INDEX TERMS
article
curriculum
health care policy
medical school
priority journal
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999304500
MEDLINE PMID
10478687 (http://www.ncbi.nlm.nih.gov/pubmed/10478687)
PUI
L29408932
DOI
10.1001/jama.282.9.825
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.282.9.825
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1698
TITLE
Addiction medicine.
AUTHOR ADDRESSES
SOURCE
Clinical privilege white paper (1999) :123 (1-17). Date of Publication: Sep
1999
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
accreditation
addiction (therapy)
hospital management
EMTREE MEDICAL INDEX TERMS
article
clinical competence
human
medicine
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10569922 (http://www.ncbi.nlm.nih.gov/pubmed/10569922)
PUI
L129476810
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1699
TITLE
Teaching medical students alcohol intervention skills: Results of a
controlled trial
AUTHOR NAMES
Walsh R.A.
Sanson-Fisher R.W.
Low A.
Roche A.M.
AUTHOR ADDRESSES
(Roche A.M.) Queensland Alcohol/Drug Res./Educ., University of Queensland,
Edith Cavell Building, Herston, QLD 4029, Australia.
(Walsh R.A.) Hunter Centre for Health Advancement, Locked Bag 10, Wallsend,
NSW 2287, Australia.
(Sanson-Fisher R.W.; Low A.)
CORRESPONDENCE ADDRESS
R.A. Walsh, Hunter Centre for Health Advancement, Locked Bag 10, Wallsend,
NSW 2287, Australia.
SOURCE
Medical Education (1999) 33:8 (559-565). Date of Publication: 1999
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Objective. To assess the relative effectiveness of videotape feedback and
lecture methods for teaching alcohol brief intervention skills. Design. In a
controlled trial, two student blocks received a manual, lecture and
demonstration about the principles and practice of brief alcohol
intervention. In addition, experimental students made a 20-min videotape and
participated in a 1.5-h small group feedback session. Prior to and after
training, all students completed questionnaires and videotaped interviews
with simulated patients. Setting. Faculty of Medicine and Health Sciences of
the University of Newcastle, Australia. Subjects. Final-year medical
students. Results. Levels of alcohol-related knowledge, attitudes and
interactional skills as well as general interactional skills were
significantly improved after teaching. Alcohol-related interactional skills
that were unsatisfactory at pretest reached satisfactory standards at
post-test. An intergroup comparison of the improvement between pre- and
post-teaching scores indicated that there was no significant difference in
the effectiveness of the two methods. Conclusions. Training can improve
medical student performance in alcohol intervention. Further research is
required to examine the relative effectiveness of different teaching
methods.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
article
controlled study
medical student
questionnaire
teaching
videotape
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999286968
MEDLINE PMID
10447840 (http://www.ncbi.nlm.nih.gov/pubmed/10447840)
PUI
L29385472
DOI
10.1046/j.1365-2923.1999.00378.x
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1365-2923.1999.00378.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1700
TITLE
Issues in the recovery of physicians from addictive illnesses
AUTHOR NAMES
Mansky P.A.
AUTHOR ADDRESSES
(Mansky P.A.) 834 Kenwood Avenue, Slingerlands, NY 12159, United States.
CORRESPONDENCE ADDRESS
P.A. Mansky, 834 Kenwood Avenue, Slingerlands, NY 12159, United States.
SOURCE
Psychiatric Quarterly (1999) 70:2 (107-122). Date of Publication: 1999
ISSN
0033-2720
BOOK PUBLISHER
Kluwer Academic/Human Sciences Press Inc., 233 Spring Street, New York,
United States.
ABSTRACT
The issues discussed in this article introduce and examine topics related to
physicians' health which are salient in their clinical usefulness or their
heuristic value in planning future research. Physicians in general possess
physical, emotional and intellectual strengths that are needed to face high
stress and low social support. Physicians are also less likely to seek
routine medical care. With many illnesses physicians are inherently
resistant but have higher risk factors. It is postulated that the opposing
tendencies cancel each other. Physicians have better intrinsic physical and
mental health but live under higher stress and get less routine preventive
care. Physicians also may have a tendency to live healthy lives without
addiction but have high risk factors for addiction. Adults who have grown up
in families with addiction have a tendency to choose health care
professions. Genetic composition may predispose to alcoholism and other
chemical addictions. Taking into consideration inherent health and risk it
is thought that physicians have a similar prevalence of alcoholism and drug
dependence as compared to the general population. Physicians have higher
access to pharmaceutical drugs but are less inclined to use street drugs. In
the New York State Physicians' Health Program, 88% of the participants used
alcohol or prescription drugs and only 12 percent used marihuana or Cocaine.
Additional risk factors for Substance Use Disorders in Physicians have been
postulated to be pharmacological optimism, intellectual strength, strong
will, love of challenges, instrumental use of medications and a daily need
for denial. These factors require rigorous investigation to establish their
role. Clinical approaches and techniques discussed include the incubation
period for a Substance Use Disorder, initial high tolerance, state dependent
learning, and the signal properties of drugs. As recovery progresses it is
postulated that it becomes increasingly important to deal with substitute
addictions and family of origin issues.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cimetidine (adverse drug reaction, drug interaction, drug therapy)
diazepam (adverse drug reaction, drug interaction, drug therapy)
EMTREE DRUG INDEX TERMS
alcohol (drug toxicity)
cannabis (drug toxicity)
cocaine (drug toxicity)
psychedelic agent (drug toxicity)
sedative agent (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (epidemiology)
physician
EMTREE MEDICAL INDEX TERMS
depression (drug therapy)
disease predisposition
health care planning
human
reflux esophagitis (drug therapy)
review
risk factor
social support
withdrawal syndrome (side effect)
DRUG TRADE NAMES
tagamet
valium
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cimetidine (51481-61-9, 70059-30-2)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diazepam (439-14-5)
EMBASE CLASSIFICATIONS
Occupational Health and Industrial Medicine (35)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999214469
MEDLINE PMID
10392407 (http://www.ncbi.nlm.nih.gov/pubmed/10392407)
PUI
L29283666
DOI
10.1023/A:1022197218945
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1022197218945
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1701
TITLE
Non-directive, self-instructive media in the field of behavioural toxicology
and addiction
AUTHOR NAMES
Westera W.
Niesink R.J.M.
AUTHOR ADDRESSES
(Westera W., Wim.Westera@ou.nl; Niesink R.J.M., Raymond.Niesink@ou.nl) Open
University of the Netherlands, P.O. Box 2960, 6418 DL Heerlen, Netherlands.
(Westera W., Wim.Westera@ou.nl) Educ. Technology Expertise Centre, Open
University of the Netherlands, .
(Niesink R.J.M., Raymond.Niesink@ou.nl) Dept. of Nat. and Technical
Sciences, Open University of the Netherlands, .
CORRESPONDENCE ADDRESS
W. Westera, Open University of the Netherlands, PO Box 2960, 6418 DL
Heerlen, Netherlands. Email: Wim.Westera@ou.nl
SOURCE
Medical Teacher (1999) 21:4 (405-408). Date of Publication: Jul 1999
ISSN
0142-159X
ABSTRACT
This paper presents the design of the self-instructive multimedia program
'Behavioural Toxicological Research'. This computer program offers
professionals in health care, nutrition, clinical psychology and treatment
of drug addicts a basic understanding of neurobehavioural research and
addiction research. The program focuses on the cognitive aspects of
scientific research, emphasising the strategic decisions, domain-specific
choices and discussions on validity that go with the process of designing
and interpreting scientific research. Results from both formative and
summative evaluations of the program are briefly discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (etiology)
behavioral science
toxicology
EMTREE MEDICAL INDEX TERMS
article
clinical psychology
cognition
health care personnel
learning
medical education
medical research
nutrition
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999288050
PUI
L29387111
DOI
10.1080/01421599979356
FULL TEXT LINK
http://dx.doi.org/10.1080/01421599979356
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1702
TITLE
Factors of social workers' training in a medical school for work in
psychiatric and substance abuse rehabilitation clinics
ORIGINAL (NON-ENGLISH) TITLE
Osobennosti podgotovki v meditsinskom vuze sotsial'nykh rabotnikov dlia
psikhiatricheskikh i narkologicheskikh uchrezhdenii.
AUTHOR NAMES
Sidorov P.I.
Solov'ev A.G.
Tevlina V.V.
AUTHOR ADDRESSES
(Sidorov P.I.; Solov'ev A.G.; Tevlina V.V.)
CORRESPONDENCE ADDRESS
P.I. Sidorov,
SOURCE
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova / Ministerstvo
zdravookhraneniia i meditsinskoi promyshlennosti Rossiiskoi Federatsii,
Vserossiiskoe obshchestvo nevrologov [i] Vserossiiskoe obshchestvo
psikhiatrov (1999) 99:5 (41-43). Date of Publication: 1999
ABSTRACT
The paper presents experience in training and advanced training of experts
for the institutions that provide psychiatric and narcological aid on the
basis of the Arkhangelsk State Medical Academy. The necessity of the
interdisciplinary methodological approach taking into consideration the
international experience of the Scandinavian countries is emphasized.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
health care personnel
medical education
mental health service
psychiatry
social work
EMTREE MEDICAL INDEX TERMS
article
education
human
manpower
Russian Federation
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
10358917 (http://www.ncbi.nlm.nih.gov/pubmed/10358917)
PUI
L129431505
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1703
TITLE
Postgraduate education and training in addiction disorders: Defining core
competencies
AUTHOR NAMES
Dove H.W.
AUTHOR ADDRESSES
(Dove H.W.) Department of Psychiatry, University of Illinois, Chicago, IL
60612, United States.
CORRESPONDENCE ADDRESS
H.W. Dove, Department of Psychiatry, University of Illinois, Chicago, IL
60612, United States.
SOURCE
Psychiatric Clinics of North America (1999) 22:2 (481-488). Date of
Publication: 1999
ISSN
0193-953X
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
The rising prevalence of substance abuse disorders in the general medical
population makes it essential that more active training be initiated during
general residency training across all specialties. Core competencies for
general residencies are outlined and the need for advocacy for continuation
of postgraduate fellowship in Addiction Psychiatry is recommended as a means
of increasing the numbers of faculty to provide leadership teaching and
research in the area of Addiction Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
postgraduate education
EMTREE MEDICAL INDEX TERMS
alcoholism
curriculum
drug abuse
priority journal
residency education
review
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999208806
MEDLINE PMID
10385945 (http://www.ncbi.nlm.nih.gov/pubmed/10385945)
PUI
L29275809
DOI
10.1016/S0193-953X(05)70088-5
FULL TEXT LINK
http://dx.doi.org/10.1016/S0193-953X(05)70088-5
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1704
TITLE
Education and training in addictive diseases
AUTHOR NAMES
Klamen D.L.
AUTHOR ADDRESSES
(Klamen D.L.) University of Illinois at Chicago, M/C 913, 912 S. Wood
Street, Chicago, IL 60612, United States.
CORRESPONDENCE ADDRESS
D.L. Klamen, University of Illinois at Chicago, M/C 913, 912 S. Wood Street,
Chicago, IL 60612, United States.
SOURCE
Psychiatric Clinics of North America (1999) 22:2 (471-480). Date of
Publication: 1999
ISSN
0193-953X
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Addiction to alcohol and other drugs is a serious public health problem that
is one of the most common disorders seen in medical practice. Although it is
an extremely common disorder, it is poorly diagnosed and treated by
physicians. Training about addictions must begin early in the medical
student's career and continue in a vertically integrated way throughout
medical school and residency. The notion of addiction as a disease process
must be introduced and integrated into course materials in the preclinical
years. Careful attention to the development of positive views toward working
with addicted patients must be paid, and students must be indoctrinated
early with the idea that physicians have a responsibility to diagnose and
manage addicted patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholism
continuing education
drug dependence
medical student
priority journal
residency education
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999208805
MEDLINE PMID
10385944 (http://www.ncbi.nlm.nih.gov/pubmed/10385944)
PUI
L29275808
DOI
10.1016/S0193-953X(05)70087-3
FULL TEXT LINK
http://dx.doi.org/10.1016/S0193-953X(05)70087-3
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1705
TITLE
Perinatal substance abuse education: A review of existing curricula
AUTHOR NAMES
Redding B.A.
Selleck C.S.
AUTHOR ADDRESSES
(Redding B.A.) University of South Florida, College of Nursing, 12901 Bruce
B. Downs Boulevard, Tampa, FL 33612-4799, United States.
(Selleck C.S.) Department of Family Medicine, University of South Florida,
Tampa, FL, United States.
CORRESPONDENCE ADDRESS
B.A. Redding, University of South Florida, College of Nursing, 12901 Bruce
B. Downs Boulevard, Tampa, FL 33612-4799, United States.
SOURCE
Substance Abuse (1999) 20:1 (17-31). Date of Publication: 1999
ISSN
0889-7077
ABSTRACT
The magnitude of the substance abuse problem in this country requires that
health care professionals be appropriately and adequately trained to
recognize and care for substance abusing patients, yet didactic and clinical
curricular content on the topic remains limited for most of them. Efforts
have been made over the past 25 years to develop faculty who have expertise
in alcohol, tobacco, and other drug abuse and who can provide leadership in
curricular development. Through these efforts, pockets of faculty expertise
developed in nursing, medicine, social work, and psychology programs around
the country. In addition, a number of printed substance abuse curricula were
developed. The purpose of this article is to address issues regarding the
substance abuse information needed by health professionals and to review the
available educational curricula, especially as they relate to perinatal
substance abuse. Discussion of methods to update information as substance
abuse knowledge expands is also included.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
clinical education
curriculum
health care need
health care personnel
medical student
mental health service
nursing
review
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999207474
PUI
L29274441
DOI
10.1023/A:1021344722132
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1021344722132
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1706
TITLE
A pilot project: Continuing education for pharmacists on substance abuse
prevention
AUTHOR NAMES
Graham A.
Pfeifer J.
Trumble J.
Nelson E.D.
AUTHOR ADDRESSES
(Graham A.) Department of Family Medicine, School of Medicine, Case Western
Reserve University, Cleveland, OH, United States.
(Pfeifer J.) Department of Family Medicine, School of Medicine, University
of Wisconsin - Madison, Madison, WI, United States.
(Trumble J.) Amer. Acad. of Addiction Psychiatry, Prairie Village, KS,
United States.
(Nelson E.D.) Dept. Pharmacol. and Cell Biophys., School of Medicine,
University of Cincinnati, Cincinnati, OH, United States.
(Graham A.) Department of Family Medicine, Case Western Reserve University,
10900 Euclid Avenue, Cleveland, OH 44106-4950, United States.
CORRESPONDENCE ADDRESS
A. Graham, Department of Family Medicine, Case Western Reserve University,
10900 Euclid Avenue, Cleveland, OH 44106-4950, United States.
SOURCE
Substance Abuse (1999) 20:1 (33-43). Date of Publication: 1999
ISSN
0889-7077
ABSTRACT
The American Association of Colleges of Pharmacy advocates that pharmacists
can have a significant impact on substance abuse prevention provided they
receive adequate training. Continuing education programs are needed to
enable practicing pharmacists to augment their limited education. This paper
examines the process the Society of Teachers of Family Medicine (STFM) used
to develop a pilot continuing education program for pharmacists. With
limited literature and a small number of pharmacy teaching about substance
abuse, input on topics and training methods was obtained from a convenience
sample of practicing pharmacists to enhance the information from the
pharmacist faculty regarded as content experts. Results of this pilot study
revealed lack of agreement between faculty and practicing pharmacists
regarding the prioritizing of content and educational methods. Consequently,
input must be obtained from targeted audiences instead of relying solely on
the advice of identified academic content experts when designing continuing
educational programs. Other professions should consider this process when
designing continuing education programs. Pharmacists are poised to play an
important role in the prevention of substance abuse problems, but they need
continuing education about substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
continuing education
pharmacist
preventive medicine
substance abuse
EMTREE MEDICAL INDEX TERMS
article
curriculum
drug abuse
education
family medicine
health program
patient care
professional practice
training
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999207475
PUI
L29274442
DOI
10.1023/A:1021396706202
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1021396706202
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1707
TITLE
A first step incorporating smoking education into a Brazilian medical school
curriculum: Results of a survey to assess the cigarette smoking knowledge,
attitudes, behaviour, and clinical practices of medical students
AUTHOR NAMES
Daudt A.W.
Alberg A.J.
Prola J.C.
Fialho L.
Petracco A.
Wilhelms A.
Weiss A.
Estery C.
AUTHOR ADDRESSES
(Daudt A.W., adaudt@pro.via-rs.com.br) Oncology Service, Hospital de
Clinicas de Porto Alegre, Ramiro Barcelos 2350 PA/RS 90035-003, Brazil.
(Alberg A.J.; Prola J.C.; Fialho L.; Petracco A.; Wilhelms A.; Weiss A.;
Estery C.)
CORRESPONDENCE ADDRESS
A.W. Daudt, Oncology Service, Hospital de Clinicas de Porto Alegre, Ramiro
Barcelos 2350 PA-RS 90035-003, Brazil. Email: adaudt@pro.via-rs.com.br
SOURCE
Journal of Addictive Diseases (1999) 18:1 (19-29). Date of Publication: 1999
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
Smoking-related illnesses are the leading causes of morbidity and mortality
in Brazil. Despite a smoking prevalence of approximately 40%, there is
limited national effort to reduce tobacco use in Brazil by means of public
education and training of health care professionals to promote smoking
education. In particular, the need for information about tobacco warrants
increased emphasis in undergraduate medical education. An educational
program on nicotine addiction during medical school could facilitate the
incorporation of smoking cessation interventions into routine medical
practice. As a preliminary step toward implementing a tobacco education and
intervention program, this study was designed to assess knowledge and
attitudes about smoking among Brazilian medical students. Five hundred
thirteen (N = 513) medical students from the Federal University of Rio
Grande do Sul, the southernmost state of Brazil, completed a self-reported
questionnaire during the 1995-1996 academic school year. Most students
recognize the adverse health effects of smoking and the importance of their
professional role in promoting smoking cessation. In contradiction, however,
few medical students currently provide their patients who smoke with even
minimal intervention. This discrepancy supports the idea that training in
nicotine addiction and smoking cessation techniques will help medical
students to develop the skills and confidence needed to successfully
intervene with their current and future patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
clinical practice
health education
EMTREE MEDICAL INDEX TERMS
addiction
adolescent
adult
article
attitude
behavioral science
Brazil
curriculum
female
human
male
medical school
normal human
smoking cessation
tobacco
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999175400
MEDLINE PMID
10234560 (http://www.ncbi.nlm.nih.gov/pubmed/10234560)
PUI
L29231717
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1708
TITLE
Use of standardized patients to evaluate the physicians in residence
program: A substance abuse training approach
AUTHOR NAMES
Levin F.R.
Owen P.
Stinchfield R.
Rabinowitz E.
Pace N.
AUTHOR ADDRESSES
(Levin F.R., frl2@columbia.edu) Department of Psychiatry, Columbia
University, New York State Psychiatric Institute, New York, NY, United
States.
(Owen P.; Rabinowitz E.; Pace N.) Hazelden Foundation, Hazelden Fellowship
Club, New York, NY, United States.
(Stinchfield R.) Department of Psychiatry, University of Minnesota, New
York, NY, United States.
(Levin F.R., frl2@columbia.edu) Unit 66, 1051 Riverside Drive, New York, NY
10032, United States.
CORRESPONDENCE ADDRESS
F.R. Levin, 1051 Riverside Drive, New York, NY 10032, United States. Email:
frl2@columbia.edu
SOURCE
Journal of Addictive Diseases (1999) 18:2 (39-50). Date of Publication: 1999
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
The purpose of this study was to evaluate the efficacy of the Physician in
Residence (PIR) program at the Hazelden Residential Program of New York City
as a substance abuse training approach using standardized patients (SP) and
self-report ratings. Using an objective rating scale, two experienced drug
counselors evaluated four videotaped interviews carried out by housestaff
pre- and post-enrollment in the PIR program. In addition, housestaff
completed self-report ratings regarding their knowledge, attitudes, and
skills of substance abuse. Of the 23 housestaff who completed both pre- and
post-PIR program videotape sessions, significant improvements were noted in
both observer and self-reported ratings. Overall, self-report ratings showed
a greater percent improvement than the counselor ratings. The PIR program
may be an efficacious approach to teach substance abuse clinical skills to
housestaff.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
human
normal human
rating scale
self evaluation
standardization
United States
videotape
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999157066
MEDLINE PMID
10334374 (http://www.ncbi.nlm.nih.gov/pubmed/10334374)
PUI
L29206328
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1709
TITLE
Primary care and addiction treatment: Lessons learned from building bridges
across traditions
AUTHOR NAMES
Stanley A.H.
AUTHOR ADDRESSES
(Stanley A.H.) Box 5541, Somerset, NJ 08873-5541, United States.
CORRESPONDENCE ADDRESS
A.H. Stanley, Box 5541, Somerset, NJ 08873-5541, United States.
SOURCE
Journal of Addictive Diseases (1999) 18:2 (65-82). Date of Publication: 1999
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
A primary care unit combined with residential addiction treatment allows
patients with addictive disease and chronic medical or psychiatric problems
to successfully complete the treatment. These are patients who would
otherwise fail treatment or fail to be considered candidates for treatment.
Health care providers should have a background in primary care and have the
potential to respond professionally to clinical problems in behavioral
medicine. Ongoing professional training and statistical quality management
principles can maintain morale and productivity. Health education is an
integral part of primary care. The costs of such concurrent care when viewed
in the context of the high societal and economic costs of untreated
addictive disease and untreated chronic medical problems are low. The
principles used to develop this primary care unit can be used to develop
health care units for other underserved populations. These principles
include identification of specific health care priorities and continuity of
rapport with the target population and with addiction treatment staff.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (disease management, therapy)
primary medical care
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
behavioral medicine
female
health care cost
health education
human
major clinical study
male
morality
productivity
residential care
training
EMBASE CLASSIFICATIONS
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999157069
MEDLINE PMID
10334377 (http://www.ncbi.nlm.nih.gov/pubmed/10334377)
PUI
L29206331
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1710
TITLE
Access to narcotic addiction treatment and medical care: Prospects for the
expansion of methadone maintenance treatment
AUTHOR NAMES
Lewis D.C.
AUTHOR ADDRESSES
(Lewis D.C.) Dept. of Med.and Community Health, Brown Univ. Ctr. Alcohol
Addict. S., Box G-BH, Providence, RI 02912, United States.
CORRESPONDENCE ADDRESS
D.C. Lewis, Dept. Medicine and Community Health, Brown Univ. Ctr. Alcohol
Addiction, Box G-BH, Providence, RI 02912, United States.
SOURCE
Journal of Addictive Diseases (1999) 18:2 (5-21). Date of Publication: 1999
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
Methadone maintenance treatment (MMT) for opioid addiction is safe and
effective but underutilized because of inaccessibility, under-financing and
the stigma generally attached to maintenance therapies. In addition,
cumbersome regulation of methadone prescription and treatment impedes the
delivery of care and retards expansion of methadone maintenance into office
practice settings. Exaggeration of the problem of methadone diversion
further hinders development of MMT. Despite obstacles, methadone maintenance
has been successfully expanded and extended into primary care settings
abroad. Initial trials in the U.S. have shown that methadone maintenance in
physician office-based settings yields positive results with some advantages
over care in large methadone clinics. Alternatives to methadone, such as
buprenorphine, are also being explored in primary care settings. With
implementation of the NIH Consensus Statement on Effective Medical Treatment
of Heroin Addiction, including training of primary care physicians,
methadone maintenance treatment could reach many more patients, achieve
higher success rates, and substantially reduce the deleterious effects of
opioid addiction in the U.S.
EMTREE DRUG INDEX TERMS
buprenorphine (clinical trial)
diamorphine
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
methadone treatment
narcotic dependence (drug therapy)
EMTREE MEDICAL INDEX TERMS
clinical article
health care delivery
health care policy
human
primary medical care
review
United States
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999157064
MEDLINE PMID
10334372 (http://www.ncbi.nlm.nih.gov/pubmed/10334372)
PUI
L29206326
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1711
TITLE
Needles, syringes, injection drug users, and the Oklahoma State Medical
Association.
AUTHOR NAMES
Dewberry Jr. G.P.
Miller S.E.
AUTHOR ADDRESSES
(Dewberry Jr. G.P.; Miller S.E.)
CORRESPONDENCE ADDRESS
G.P. Dewberry, Email: gpdewb@integrityonline16.com
SOURCE
The Journal of the Oklahoma State Medical Association (1999) 92:5 (231-233).
Date of Publication: May 1999
ISSN
0030-1876
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
substance abuse (prevention)
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome (prevention)
drug abuse
female
health care quality
human
legal aspect
male
management
medical society
organization and management
review
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10432783 (http://www.ncbi.nlm.nih.gov/pubmed/10432783)
PUI
L129450419
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1712
TITLE
Cigarette smoking prevention - Physicians should teach by example [1]
AUTHOR NAMES
Cheng T.O.
AUTHOR ADDRESSES
(Cheng T.O.) Division of Cardiology, George Washington University, 2150
Pennsylvania Ave, NW, Washington, DC 20037, United States.
CORRESPONDENCE ADDRESS
T.O. Cheng, Division of Cardiology, George Washington University, 2150
Pennsylvania Ave, NW, Washington, DC 20037, United States.
SOURCE
Western Journal of Medicine (1999) 170:3 (178). Date of Publication: 1999
ISSN
0093-0415
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
EMTREE MEDICAL INDEX TERMS
behavior
health promotion
letter
parent counseling
patient counseling
physician
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1999130042
MEDLINE PMID
10214109 (http://www.ncbi.nlm.nih.gov/pubmed/10214109)
PUI
L29169546
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1713
TITLE
Minority fellowship program. CMHS, CSAP, and CSAT, SAMHSA, DHHS. Notice of
planned awards for renewal of clinical training grants under the Minority
Fellowship Program (MFP) to the American Nurses Association, the American
Psychiatric Association (APA) and the Council on Social Work Education
(CSWE).
AUTHOR ADDRESSES
SOURCE
Federal register (1999) 64:78 (20009-20010). Date of Publication: 23 Apr
1999
ISSN
0097-6326
ABSTRACT
SAMHSA plans to award renewal MFP grants to the ANA, APA, and CSWE to help
facilitate the entry of ethnic minority students into mental health and/or
substance abuse careers and increase the number of nurses, psychiatrists,
and social workers trained to teach, administer, and provide direct mental
health and substance abuse services to ethnic minority groups. The project
period is anticipated to be 3 years. The first year will be funded for up to
$400,000 for each award. This is not a general request for applications. The
renewal clinical training grants will only be made to the ANA, APA, and the
CSWE based on the receipt of satisfactory applications that are considered
to have sufficient merit by an Initial Review Group and the National
Advisory Council.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
financial management
medical education
mental health service
minority group
nursing education
EMTREE MEDICAL INDEX TERMS
article
career mobility
economics
education
government
human
organization
social work
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10558480 (http://www.ncbi.nlm.nih.gov/pubmed/10558480)
PUI
L129476678
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1714
TITLE
Rugby football
AUTHOR NAMES
Dietzen C.J.
Topping B.R.
AUTHOR ADDRESSES
(Dietzen C.J.; Topping B.R.) Lifelines Children's Hospital, 1707 West 86th
Street, Indianapolis, IN 46240, United States.
CORRESPONDENCE ADDRESS
C.J. Dietzen, Lifelines Children's Hospital, 1707 West 86th Street,
Indianapolis, IN 46240, United States.
SOURCE
Physical Medicine and Rehabilitation Clinics of North America (1999) 10:1
(159-175). Date of Publication: 1999
ISSN
1047-9651
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Rugby union football continues to gain in popularity in the United States.
Both men's and women's clubs have been established at several colleges and
universities. There has been substantial growth in the number of high school
rugby football clubs in recent years. With the increase in numbers of young
participants in this sport, it is import that great efforts be mounted to
attempt to control the injury rates and severity of injuries in rugby
football. Players and coaches must be knowledgeable of the rules of the
game, and referees must strictly enforce these rules. Physicians and
dentists should be involved in educating parents, coaches, players, and
school officials about the inherent risks of injury and the means for injury
prevention. Medical personnel must also be instrumental in educating players
about alcohol abuse/addiction. Rugby players should be encouraged to use the
limited protective gear that is allowed: wraps, tape, joint sleeves, serum
caps, and facial grease to prevent lacerations. Mouthguards are strongly
recommended at any level of play and should be mandated. The use of helmets,
face masks, and shoulder pads has been suggested by some authors. Such rule
changes could actually increase injury rates and severity, because this
equipment could be used as weapons as they are in American football. It is
recommended that rugby clubs purchase or build equipment to practice
scrummage skills. Coaches should be experienced and attend clinics or
complete video courses on medical emergencies and safe techniques of the
game. Injury frequency and severity can be decreased by adequate preseason
training and conditioning, proper tackling and falling techniques,
strengthening of neck muscles, and allowing only experienced, fit athletes
to play in the front row. Medical surveillance must be improved at matches
and, ideally, at practice sessions. At present, it is common for no
emergency medical personnel or physicians to be present at matches in the
United States. Better case registers are necessary to minor rugby injuries
but more medical professionals must become involved in the sport to obtain
useful data. Rugby players will respect the advice of a medical adviser,
providing he or she is knowledgeable. This is a hardy group of athletes with
a cavalier attitude, as evidenced by the injury statistics and the case
studies above. Their sport can be made safer without diminishing the
intensity of the game or the camaraderie the players enjoy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
football
sport injury (diagnosis)
EMTREE MEDICAL INDEX TERMS
adult
body position
brain concussion (diagnosis)
case report
head injury (diagnosis)
human
human cell
human tissue
injury scale (diagnosis)
male
osteoarthritis (diagnosis)
patient counseling
priority journal
review
social aspect
EMBASE CLASSIFICATIONS
Rehabilitation and Physical Medicine (19)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999071425
MEDLINE PMID
10081058 (http://www.ncbi.nlm.nih.gov/pubmed/10081058)
PUI
L29091793
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1715
TITLE
Teaching medical students about tobacco
AUTHOR NAMES
Richmond R.
AUTHOR ADDRESSES
(Richmond R.) School of Community Medicine, University of New South Wales,
Sydney, NSW, Australia.
CORRESPONDENCE ADDRESS
R. Richmond, School of Community Medicine, University of New South Wales,
Australia, Australia.
SOURCE
Thorax (1999) 54:1 (70-78). Date of Publication: 1999
ISSN
0040-6376
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
teaching
tobacco
EMTREE MEDICAL INDEX TERMS
chronic obstructive lung disease (epidemiology)
epidemiology
human
lung cancer (epidemiology)
medical school
mortality
physician
prevalence
priority journal
review
smoking
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1999080824
MEDLINE PMID
10343637 (http://www.ncbi.nlm.nih.gov/pubmed/10343637)
PUI
L29103757
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1716
TITLE
Medical students' knowledge of smoking
AUTHOR NAMES
Allen M.B.
AUTHOR ADDRESSES
(Allen M.B.) British Thoracic Society, New Garden House, 78 Hatton Garden,
London EC1N 8JR, United Kingdom.
CORRESPONDENCE ADDRESS
M.B. Allen, British Thoracic Society, New Garden House, 78 Hatton Garden,
London EC1N 8JR, United Kingdom.
SOURCE
Thorax (1999) 54:1 (2). Date of Publication: 1999
ISSN
0040-6376
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
attitude
editorial
health care cost
health care utilization
medical student
priority journal
teaching
tobacco (drug toxicity)
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1999080808
MEDLINE PMID
10343622 (http://www.ncbi.nlm.nih.gov/pubmed/10343622)
PUI
L29103741
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1717
TITLE
Page for patients. A message from Preventive Medicine and your physician.
AUTHOR ADDRESSES
SOURCE
Preventive medicine (1999) 28:3 (219-220). Date of Publication: Mar 1999
ISSN
0091-7435
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine (drug therapy)
nicotinic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient education
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
chewing gum
human
intradermal drug administration
intranasal drug administration
CAS REGISTRY NUMBERS
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10072738 (http://www.ncbi.nlm.nih.gov/pubmed/10072738)
PUI
L129400505
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1718
TITLE
Dual diagnosis of substance abuse in schizophrenia: Prevalence and impact on
outcomes
AUTHOR NAMES
Dixon L.
AUTHOR ADDRESSES
(Dixon L., ldixon@umaryland.edu) University of Maryland, Dept. Psychiat.,
701 W. Pratt S., Baltimore, MD 21201, United States.
CORRESPONDENCE ADDRESS
L. Dixon, University of Maryland, Department of Psychiatry, 701 W. Pratt
St., Baltimore, MD 21201, United States. Email: ldixon@umaryland.edu
SOURCE
Schizophrenia Research (1999) 35:SUPPL. (S93-S100). Date of Publication: 1
Mar 1999
ISSN
0920-9964
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Comorbid substance abuse disorders have emerged as one of the greatest
obstacles to the effective treatment of persons with schizophrenia.
Estimates of the prevalence of such comorbidity vary, but as many as half of
persons with schizophrenia may suffer from a comorbid drug or alcohol
disorder. Younger age, male gender, and lower educational attainment are
associated with greater risk for addiction. Persons with schizophrenia and
comorbid addiction tend to have an earlier onset of schizophrenia than do
those without comorbid addiction. Research does not support a link between
specific symptoms of schizophrenia and choice of abused drugs. Rather, drug
choice is correlated with the pattern of ambient drug use in the community.
Comorbid substance disorders are associated with a variety of poorer
outcomes, including increased psychotic symptoms, poorer treatment
compliance, violence, housing instability and homelessness, medical problems
(including human immunodeficiency virus infection), poor money management,
and greater use of crisis-oriented services that result in higher costs of
care. Considerable progress has been made over the past decade in
understanding the need to integrate substance abuse treatment and mental
health treatment to provide more effective care for this population.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
cannabis
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
schizophrenia (epidemiology)
substance abuse
EMTREE MEDICAL INDEX TERMS
academic achievement
comorbidity
conference paper
drug abuse pattern
drug choice
gender
homelessness
human
Human immunodeficiency virus infection
onset age
patient compliance
priority journal
prognosis
violence
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999102160
MEDLINE PMID
10190230 (http://www.ncbi.nlm.nih.gov/pubmed/10190230)
PUI
L29133030
DOI
10.1016/S0920-9964(98)00161-3
FULL TEXT LINK
http://dx.doi.org/10.1016/S0920-9964(98)00161-3
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1719
TITLE
Videotaped training in alcohol counseling for obstetric care practitioners:
A randomized controlled trial
AUTHOR NAMES
Handmaker N.S.
Hester R.K.
Delaney H.D.
AUTHOR ADDRESSES
(Handmaker N.S.; Hester R.K., rhester@unm.edu) Alcohol Self-Control Program,
Research Division, Behavior Therapy Associates, Albuquerque, NM, United
States.
(Delaney H.D.) the Psychology Department, University of New Mexico,
Albuquerque, NM, United States.
CORRESPONDENCE ADDRESS
R.K. Hester, Behavior Therapy Associates, 3810 Osuna Road NE, Albuquerque,
NM 87109, United States. Email: rhester@unm.edu
SOURCE
Obstetrics and Gynecology (1999) 93:2 (213-218). Date of Publication:
February 1999
ISSN
0029-7844
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objective: To determine the feasibility of videotape training for obstetric
care practitioners in motivational interviewing skills that could be used in
brief patient consultations on problem drinking. Methods: Thirty health care
practitioners participated in a clinical trial using a 20-minute videotape
to instruct them in motivational interviewing. Participating engaged in a
pretest roleplay with an actress playing a drinking pregnant woman. Those
randomly assigned to the experimental condition watched the motivational
interviewing videotape. Control condition participants watched a 20-minute
docu-drama of a pregnant problem drinker. Both groups then engaged in a
post-test roleplay similar to the pretest. Behavioral ratings of the
roleplays and participant evaluations of the motivational interviewing video
constituted the outcome measures. Results: Participant evaluations indicated
that the training video was clear in explaining and demonstrating the
principles and skills of motivational interviewing. Change in behavioral
ratings from pretest to post-test showed significant differences in
motivational interviewing skills between the experimental and control
groups. Obstetric care practitioners who viewed the training video were
rated as showing greater empathy, minimizing patient defensiveness, and
supporting women's beliefs in their ability to change. Conclusion: Obstetric
care practitioners can improve their alcohol intervention skills through the
use of a 20-minute videotaped instruction in motivational interviewing.
Clinicians who improve their skills in motivational interviewing can
intervene more effectively with their drinking pregnant patients. Using
motivational interviewing with this population holds promise for helping
prevent alcohol-related health problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
medical education
patient counseling
EMTREE MEDICAL INDEX TERMS
article
clinical trial
controlled clinical trial
controlled study
doctor patient relation
human
human experiment
interview
motivation
normal human
obstetrics
physician attitude
priority journal
randomized controlled trial
role playing
videotape
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999052462
MEDLINE PMID
9932558 (http://www.ncbi.nlm.nih.gov/pubmed/9932558)
PUI
L29068095
DOI
10.1016/S0029-7844(98)00377-9
FULL TEXT LINK
http://dx.doi.org/10.1016/S0029-7844(98)00377-9
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1720
TITLE
Improving education about substance abuse [3]
AUTHOR NAMES
Prislin M.
Shultz G.N.
Singleton V.
AUTHOR ADDRESSES
(Prislin M.; Shultz G.N.; Singleton V.) Office of Medical Education,
University of California, Orange, CA, United States.
CORRESPONDENCE ADDRESS
M. Prislin, Office of Medical Education, University of California, Orange,
CA, United States.
SOURCE
Academic Medicine (1999) 74:7 (749-750). Date of Publication: 1999
ISSN
1040-2446
BOOK PUBLISHER
Association of American Medical Colleges
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
patient education
substance abuse
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
addiction
alcoholism
health service
health survey
letter
mental disease
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1999257614
MEDLINE PMID
10429578 (http://www.ncbi.nlm.nih.gov/pubmed/10429578)
PUI
L29344130
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1721
TITLE
Teaching medical students about smoking: Evaluation of the effects of a
7-year-period of education
AUTHOR NAMES
Hruba D.
Kachlik P.
AUTHOR ADDRESSES
(Hruba D.; Kachlik P.) Department of Preventive Medicine, Medical Faculty,
Masaryk University, Brno, Czech Republic.
CORRESPONDENCE ADDRESS
D. Hruba, Department of Preventive Medicine, Medical Faculty, Masaryk
University, Brno, Czech Republic.
SOURCE
Scripta Medica Facultatis Medicae Universitatis Brunensis Masarykianae
(1998) 71:2-3 (153-160). Date of Publication: 1998
ISSN
1211-3395
ABSTRACT
In this study we have found that teaching medical students about
smoking-related diseases, and influencing their opinions and attitudes
towards anti-smoking activities does result in an increase in knowledge as
well as changes in students perception about their present and future
behaviour. Our results show that teaching about tobacco and health has been
accepted by the majority of staff members in many departments and clinics of
the Medical Faculty, Masaryk University that are attended by students during
their first four years of study. These educational approaches are supported
by the creation of non-smoking environment in both the theoretical
departments and hospitals in Brno.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
behavior
Czech Republic
human
medical student
normal human
perception
tobacco
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999009030
PUI
L29012032
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1722
TITLE
Screening for addiction in patients with chronic pain and 'problematic'
substance use: Evaluation of a pilot assessment tool
AUTHOR NAMES
Compton P.
Darakjian J.
Miotto K.
AUTHOR ADDRESSES
(Compton P.) UCLA School of Nursing, Los Angeles, CA, United States.
(Compton P.; Darakjian J.; Miotto K.) UCLA Dept. Psychiat. B., Los Angeles,
CA, United States.
CORRESPONDENCE ADDRESS
P. Compton, UCLA School of Nursing, Factor Building 4-246, Box 956918, Los
Angeles, CA 90095-6918, United States.
SOURCE
Journal of Pain and Symptom Management (1998) 16:6 (355-363). Date of
Publication: December 1998
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Assessing for the presence of addiction in the chronic pain patient
receiving chronic opioid analgesia is a challenging clinical task. This
paper presents a recently developed screening tool for addictive disease in
chronic pain patients, and pilot efficacy data describing its ability to do
so. In a small sample of patients (n = 52) referred from a multidisciplinary
pain center for 'problematic' medication use, responses to the screening
questionnaire were compared between patients who met combined diagnostic
criteria for a substance use disorder and those who did not, as assessed by
a trained addiction medicine specialist. Responses of addicted patients
significantly differed from those of nonaddicted patients on multiple
screening items, with the two groups easily differentiated by total
questionnaire score. Further, three key screening indicators were identified
as excellent predictors for the presence of addictive disease in this sample
of chronic pain patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy)
opiate addiction (diagnosis, side effect)
questionnaire
EMTREE MEDICAL INDEX TERMS
adult
aged
analgesia
article
female
human
major clinical study
male
prediction
screening
substance abuse
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999005017
MEDLINE PMID
9879160 (http://www.ncbi.nlm.nih.gov/pubmed/9879160)
PUI
L29006198
DOI
10.1016/S0885-3924(98)00110-9
FULL TEXT LINK
http://dx.doi.org/10.1016/S0885-3924(98)00110-9
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1723
TITLE
Impaired doctors. The modern approach of medical boards.
AUTHOR NAMES
Breen K.J.
Court J.M.
Katsoris J.
AUTHOR ADDRESSES
(Breen K.J.; Court J.M.; Katsoris J.)
CORRESPONDENCE ADDRESS
K.J. Breen,
SOURCE
Australian family physician (1998) 27:11 (1005-1008). Date of Publication:
Nov 1998
ISSN
0300-8495
ABSTRACT
BACKGROUND: Australian medical boards now emphasize treatment and
rehabilitation, where possible, for doctors who are ill or drug dependent
and hence impaired. OBJECTIVE: This article describes the processes and
experience of the Medical Practitioners Board of Victoria following the
introduction of the Medical Practice Act 1994. DISCUSSION: Impaired
practitioner programs usually encompass: assessment by an independent
relevant specialist negotiation of appropriate conditions on practice to
ensure both community protection and support for the doctor during treatment
and rehabilitation medical supervision, regular urine testing and
appropriate conditions on practice for drug dependent doctors. Difficult
issues can arise in relation to ageing doctors, psychotic doctors lacking in
insight and drug dependency with extreme denial. While results of
rehabilitation are encouraging, the profession needs to do even more in
regard to prevention, early detection and provision of high speciality
treatment and rehabilitation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
certification
general practice
malpractice
mental disease (rehabilitation)
EMTREE MEDICAL INDEX TERMS
Australia
female
human
legal aspect
male
program development
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9845991 (http://www.ncbi.nlm.nih.gov/pubmed/9845991)
PUI
L129370447
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1724
TITLE
Anxiety and depression among HIV-infected heterosexuals - A report from
India
AUTHOR NAMES
Chandra P.S.
Ravi V.
Desai A.
Subbakrishna D.K.
AUTHOR ADDRESSES
(Chandra P.S., chandra@nimhans.ren.nic.in) Department of Psychiatry, Natl.
Inst. Mental Hlth. Neurosci., Bangalore, India.
(Ravi V.; Desai A.) Department of Neurovirology, Natl. Inst. Mental Hlth.
Neurosci., Bangalore, India.
(Subbakrishna D.K.) Department of Biostatistics, Natl. Inst. Mental Hlth.
Neurosci., Bangalore, India.
CORRESPONDENCE ADDRESS
P.S. Chandra, Department of Psychiatry, Nat. Inst. Mental Health/Neurosci.,
Hosur Road, Bangalore 560029, India. Email: chandra@nimhans.ren.nic.in
SOURCE
Journal of Psychosomatic Research (1998) 45:5 (401-409). Date of
Publication: November 1998
ISSN
0022-3999
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The aim of the study was to study factors related to anxiety, depression,
and suicidal ideation among HIV-seropositive heterosexuals soon after being
tested for their HIV status for the first time. Anxiety, depression, and
suicidal ideation were assessed among 51 HIV-seropositive heterosexual men
and women with various stages of HIV infection. All assessments were done
between 4 and 6 weeks after revelation of positive serostatus. Psychosocial
variables such as quality of family relationships and substance use and
sociodemographic details such as gender, income, education, and residence
were studied for their association with psychiatric morbidity. Illness
details studied for their association with psychiatric morbidity included
stage of HIV infection, spouse's HIV status, presence of physical illness,
and pain. Depression was present in 40% and anxiety in 36% of the sample.
Serious suicidal intent was seen in 14%. Multiple regression analysis
indicated that presence of pain, concurrent alcohol abuse, poor family
relations, and presence of AIDS in the spouse were significant factors
associated with depression, anxiety, and suicidal ideation. Copyright (C)
1998 Elsevier Science Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
EMTREE MEDICAL INDEX TERMS
anxiety
article
clinical trial
depression (complication, epidemiology)
female
human
India
major clinical study
male
marriage
serodiagnosis
suicidal behavior (complication, epidemiology)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
General Pathology and Pathological Anatomy (5)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998370113
MEDLINE PMID
9835233 (http://www.ncbi.nlm.nih.gov/pubmed/9835233)
PUI
L28499985
DOI
10.1016/S0022-3999(98)00028-2
FULL TEXT LINK
http://dx.doi.org/10.1016/S0022-3999(98)00028-2
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1725
TITLE
Supplemental social services improve outcomes in public addiction treatment
AUTHOR NAMES
McLellan A.T.
Hagan T.A.
Levine M.
Gould F.
Meyers K.
Bencivengo M.
Durell J.
AUTHOR ADDRESSES
(McLellan A.T.; Hagan T.A.; Meyers K.; Durell J.) Treatment Research
Institute, University of Pennsylvania, Philadelphia, PA, United States.
(Levine M.; Gould F.; Bencivengo M.) Coord. Off. Drug Alcohol Abuse P.,
Philadelphia, PA, United States.
(McLellan A.T.) Treatment Research Institute, University of Pennsylvania,
2005 Market Street, Philadelphia, PA 19103, United States.
CORRESPONDENCE ADDRESS
A.T. McLellan, Treatment Research Institute, University of Pennsylvania,
2005 Market Street, Philadelphia, PA 19103, United States.
SOURCE
Addiction (1998) 93:10 (1489-1499). Date of Publication: 1998
ISSN
0965-2140
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aims. To evaluate the effectiveness and value of social services added to
standard addiction rehabilitation. Design. A controlled, quasi-experimental,
field study with repeated measures. Setting. Conducted in two groups of
publicly supported outpatient addiction treatment programs. Control programs
provided standard, twice-weekly, outpatient group counseling. 'Enhanced'
programs provided standard counseling but also case managers to coordinate
and expedite use of pre-contracted medical screenings, housing assistance,
parenting classes and employment services. Measurements. The Addiction
Severity Index was used to record the nature and severity of patient
problems in seven areas at treatment admission and at 6-month follow-up.
Services provided during treatment were measured with the Treatment Services
Review. Measures were taken on consecutive samples of patients admitted to
all programs - before enhancements (wave 1, N = 431) - and at 12 months
(wave 2, N = 710); and 26 months following enhancements (wave 3, N = 187).
Findings. There were no significant differences in patient characteristics,
treatment services or 6-month outcomes of the two sets of programs in wave
1. Wave 2 and especially wave 3 enhanced programs provided significantly
more social and medical services than control programs. Patients treated in
enhanced programs showed significantly less substance use, fewer physical
and mental health problems and better social function at 6-months than
Controls. Conclusions. Adding social services to public sector programs
substantially improved the outcomes of addiction treatment. Changes in 'real
world' systems require time to implement; early evaluations may fail to
capture the full impact of those changes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, rehabilitation, therapy)
social work
EMTREE MEDICAL INDEX TERMS
adolescent
article
child parent relation
comparative study
data analysis
disease severity
drug screening
employment
follow up
health program
housing
human
outpatient department
patient counseling
school child
statistical analysis
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998348350
MEDLINE PMID
9926553 (http://www.ncbi.nlm.nih.gov/pubmed/9926553)
PUI
L28472988
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1726
TITLE
Evaluation of reproductive disorders in men occupational exposed to lead
ORIGINAL (NON-ENGLISH) TITLE
Ocena zaburzeń płodności mezczyzn narazonych zawodowo na ołów.
AUTHOR NAMES
Sitarek K.
Szymczak W.
Berlińska B.
AUTHOR ADDRESSES
(Sitarek K.; Szymczak W.; Berlińska B.) Zakładu Toksykologii i
Kancerogenezy, Instytutu Medycyny Pracy im., Lodzi.
CORRESPONDENCE ADDRESS
K. Sitarek, Zakładu Toksykologii i Kancerogenezy, Instytutu Medycyny Pracy
im., Lodzi.
SOURCE
Medycyna pracy (1998) 49:2 (137-145). Date of Publication: 1998
ISSN
0465-5893
ABSTRACT
The objective of the study was to define the prevalence of reproductive
disorders in men occupationally exposed to lead in concentrations occurring
usually in the work environment. The period of time preceding the conception
in couples in which men were occupationally exposed to lead was adopted as
the measure of the disorder. A cross-section survey was performed. Men of
selected plants of Upper Silesia and Głogów responded to questions included
in the questionnaire regarding age, education, occupation, occupational
exposure, health condition, addictions, the situation in the family as well
as questions concerning the respondent's spouse (age, education, occupation,
addictions, health condition). The blood lead concentrations in persons
exposed to this metal in the period preceding the conception were defined on
the basis of medical data stored by the plant occupational outpatient
clinics. The control group consisted of workers of the metallurgic industry,
living in Lódź or its vicinity, and non-occupationally exposed men living in
Silesia. In total 341 exposed men and 510 non-exposed controls participated
in the study. The investigated groups were rather homogeneous as to the age
of those under study and their spouses, education, addictions and the number
of children. The analysis of the survey results indicated that in 5% of
couples in the control group the time before conception exceeded one year. A
similar occurrence of reproductive disorders was found in couples in which
man was occupationally exposed to lead. The proportion of couples with
reproductive disorders in this group (regardless of the size of Pb exposure)
was 6%. The stratification of the Pb-exposed groups, taking into account the
exposure size in accordance with the WHO criteria (group 1-220 micrograms/l,
that is below the accepted value above which the ZnPP level increases; group
II-PbB 200-400 micrograms/l that is up to the level recommended as the
highest level for the population occupationally exposed to lead; and group
III-PbB above 400 micrograms/l) allowed the analysis of the frequency of
reproductive disorders depending on the size of the exposure. The percentage
of couples with delayed conception accounted for 4.5% in group I; 8.7% in
group II, and in group III did not differ significantly from that in the
control group. These results show that men's occupational exposure to lead
below allowable concentration in the biological material (500
micrograms/Pb/l blood in Poland or 400 micrograms/Pbl recommended by WHO)
does not pose the risk for prolonged period preceding the conception in
their partners.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
lead poisoning (complication, epidemiology)
male infertility (epidemiology, etiology)
occupational disease (complication, epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
case control study
cross-sectional study
environmental monitoring
human
male
occupational exposure (drug analysis)
Poland (epidemiology)
prevalence
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
9695061 (http://www.ncbi.nlm.nih.gov/pubmed/9695061)
PUI
L128295837
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1727
TITLE
Working in addictions treatment services: Some views of a sample of service
providers in Ontario
AUTHOR NAMES
Ogborne A.C.
Braun K.
Schmidt G.
AUTHOR ADDRESSES
(Ogborne A.C.; Braun K.; Schmidt G.) Clin., Social and Eval. Res. Dept.,
Addiction Research Foundation, Addict. and Mental Hlth. Serv. Corp., London,
Ont., Canada.
CORRESPONDENCE ADDRESS
A.C. Ogborne, Social and Evaluation Research Dept., Addiction Research
Foundation, Addiction/Mental Hlth. Svcs. Corp., London, Ont., Canada.
SOURCE
Substance Use and Misuse (1998) 33:12 (2425-2440). Date of Publication: 1998
ISSN
1082-6084
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
Respondents in a survey of specialized addiction treatment providers
indicated a strong commitment to the addictions field. In a multivariate
analysis, intention to stay in the addictions field was positively related
to a measure of attitudes toward staying or leaving, to age, involvement in
an addictions studies program, working in a residential service, and job
satisfaction. Intention to stay was negatively related to education and
working in a nonresidential setting. Attention to factors that create
positive attitudes to the addictions field, especially among younger, more
educated people and those working in nonresidential services, is necessary
to ensure a healthy future for addictions treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
medical staff
EMTREE MEDICAL INDEX TERMS
adult
age
article
attitude
Canada
controlled study
education
female
human
job satisfaction
major clinical study
male
multivariate analysis
priority journal
questionnaire
stress
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French, Spanish
EMBASE ACCESSION NUMBER
1998339066
MEDLINE PMID
9781823 (http://www.ncbi.nlm.nih.gov/pubmed/9781823)
PUI
L28460900
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1728
TITLE
Effectiveness of physicians-in-training counseling for smoking cessation in
African Americans.
AUTHOR NAMES
Allen Jr. B.
Pederson L.L.
Leonard E.H.
AUTHOR ADDRESSES
(Allen Jr. B.; Pederson L.L.; Leonard E.H.) Drew-Meharry-Morehouse
Consortium Cancer Center, Charles R. Drew University of Medicine and
Science, Los Angeles, California 90059, USA.
CORRESPONDENCE ADDRESS
B. Allen, Drew-Meharry-Morehouse Consortium Cancer Center, Charles R. Drew
University of Medicine and Science, Los Angeles, California 90059, USA.
SOURCE
Journal of the National Medical Association (1998) 90:10 (597-604). Date of
Publication: Oct 1998
ISSN
0027-9684
ABSTRACT
This study examined the effectiveness of smoking cessation counseling by
physicians-in-training (residents) with African-American patients. One
hundred fifty-eight family and internal medicine residents at a large urban
public general hospital participated in the study; two thirds of the
residents underwent a 2-hour smoking cessation training program. Ninety-two
of the trained physicians counseled from 1 to 18 patients. The majority of
physicians were male, with 8% being current smokers. Over a 26-month period,
1086 patients were randomly assigned to intervention and control (usual
care) groups. Mean patient age was 44 years, mean years smoking was 25, and
mean number of cigarettes smoked per day was 14. There were no differences
in biochemically validated smoking cessation rates between the intervention
and control groups at 3 or 12 months postenrollment (2% versus 1.8% and 2.2%
versus 2.8%, respectively). Losses to follow-up were high at both 3 and 12
months (38% and 40% respectively). Implications for future trials in
minority populations are discussed. A brief physician-based smoking
cessation message does not appear to be an effective strategy for use with
African-American smokers in a large urban public general hospital.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
African American
counseling
medical education
physician attitude
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
clinical trial
controlled clinical trial
controlled study
evaluation study
female
general hospital
hospital
human
male
randomized controlled trial
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9803724 (http://www.ncbi.nlm.nih.gov/pubmed/9803724)
PUI
L128326112
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1729
TITLE
Alcohol Risk Assessment and Intervention Project.
AUTHOR ADDRESSES
SOURCE
Canadian family physician Médecin de famille canadien (1998) 44 (2188). Date
of Publication: Oct 1998
ISSN
0008-350X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, therapy)
general practice
medical education
teaching
videorecording
EMTREE MEDICAL INDEX TERMS
article
education
human
methodology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9805174 (http://www.ncbi.nlm.nih.gov/pubmed/9805174)
PUI
L128326405
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1730
TITLE
'Seeking safety': Outcome of a new cognitive-behavioral psychotherapy for
women with posttraumatic stress disorder and substance dependence
AUTHOR NAMES
Najavits L.M.
Weiss R.D.
Shaw S.R.
Muenz L.R.
AUTHOR ADDRESSES
(Najavits L.M., LisaNajavits@hms.harvard.edu; Weiss R.D.) Harvard Medical
School, Boston, MA 02138, United States.
(Najavits L.M., LisaNajavits@hms.harvard.edu; Weiss R.D.; Shaw S.R.) McLean
Hospital, Belmont, MA 02178, United States.
(Muenz L.R.) Univ. of Pennsylvania Sch. of Med., Philadelphia, PA 19104,
United States.
(Shaw S.R.) Proctor III, McLean Hospital, 115Mill Street, Belmont, MA 02178,
United States.
CORRESPONDENCE ADDRESS
L.M. Najavits, Proctor III, McLean Hospital, 115 Mill Street, Belmont, MA
02178, United States. Email: lisaNajavits@hms.harvard.edu
SOURCE
Journal of Traumatic Stress (1998) 11:3 (437-456). Date of Publication: 1998
ISSN
0894-9867
BOOK PUBLISHER
John Wiley and Sons Inc., 111 River Street, Hoboken, United States.
ABSTRACT
Women with current posttraumatic stress disorder (PTSD) comprise 30-59% of
substance abuse treatment samples and experience a more severe course than
women with either disorder alone. As yet, no effective treatment for this
population has been identified. This paper reports outcome results on 17
women who completed a new manual-based 24-session cognitive behavioral group
therapy protocol treatment, based on assessments at pretreatment, during
treatment, posttreatment, and at 3-month follow-up. Results showed
significant improvements in substance use, trauma-related symptoms, suicide
risk; suicidal thoughts, social adjustment, family functioning, problem
solving, depression, cognitions about substance use, and didactic knowledge
related to the treatment. Patients' treatment attendance, alliance, and
satisfaction were also very strong. Treatment completers were more impaired
than dropouts, yet more engaged in the treatment. Overall, our data suggest
that women with PTSD and substance abuse can be helped when provided with a
treatment designed for them. All results are clearly tentative, however, due
to the lack of a control group, multiple comparisons, and absence of
assessment of dropouts.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior therapy
cognitive therapy
posttraumatic stress disorder (therapy)
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
clinical protocol
depression (therapy)
doctor patient relation
drug dependence treatment
female
group therapy
human
patient compliance
patient satisfaction
problem solving
psychotherapist
social adaptation
suicide attempt
treatment outcome
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998256899
MEDLINE PMID
9690186 (http://www.ncbi.nlm.nih.gov/pubmed/9690186)
PUI
L28354340
DOI
10.1023/A:1024496427434
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1024496427434
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1731
TITLE
Adolescent medicine training in pediatric residency programs: Are we doing a
good job?
AUTHOR NAMES
Emans S.J.
Bravender T.
Knight J.
Frazer C.
Luoni M.
Berkowitz C.
Armstrong E.
Goodman E.
AUTHOR ADDRESSES
(Emans S.J.; Bravender T.; Luoni M.; Goodman E.) Div. of Adol./Young Adult
Medicine, Children's Hospital, Boston, MA, United States.
(Knight J.; Frazer C.) Division of General Pediatrics, Children's Hospital,
Boston, MA, United States.
(Emans S.J.; Bravender T.; Knight J.; Frazer C.; Armstrong E.; Goodman E.)
Department of Pediatrics, Harvard Medical School, Boston, MA, United States.
(Berkowitz C.) Harbor UCLA Medical Center, Torrance, CA, United States.
(Armstrong E.) Office of Educational Development, Harvard Medical School,
Boston, MA, United States.
(Emans S.J.) Div. of Adol./Young Adult Medicine, Children's Hospital, 300
Longwood Ave, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
S.J. Emans, Div. of Adolescent/Young Adult Med., Children's Hospital, 300
Longwood Ave, Boston, MA 02115, United States.
SOURCE
Pediatrics (1998) 102:3 I (588-595). Date of Publication: September 1998
ISSN
0031-4005
BOOK PUBLISHER
American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk
Grove Village, United States.
ABSTRACT
Objectives. To determine how pediatric residency programs are responding to
the new challenges of teaching adolescent medicine (AM) to residents by
assessing whether manpower is adequate for training, whether AM curricula
and skills are adequately covered by training programs, what types of
teaching methodologies are used to train residents in AM, and the needs for
new curricular materials to teach AM. Design. A 3-part 92-item survey mailed
to all US pediatric residency training programs. Setting. Pediatric
residency programs. Participants. Residency program directors and directors
of AM training. Main Outcome Measures. AM divisional structure, clinical
sites of training, presence of a block rotation, and faculty of pediatric
training programs; training materials used and desired in AM; perceived
adequacy of coverage of various AM topics; competency of residents in
performing pelvic examinations in sexually active teens; and manpower needs.
Results. A total of 155/211 (73.5%) of programs completed the program
director and the AM parts of the survey. Ninety-six percent of programs
(size range, 5-120 residents) had an AM block rotation and 90% required the
AM block; those without a block rotation were more likely to be larger
programs. Only 39% of programs felt that the number of AM faculty was
adequate for teaching residents. Almost half of the programs reported lack
of time, faculty, and curricula to teach content in substance abuse. Besides
physicians, AM teachers included nurse practitioners (28%), psychologists
(25%), and social workers (19%). Topics most often cited as adequately
covered included sexually transmitted diseases (81.9%), confidentiality
(79.4%), puberty (77.0%), contraception (76.1%), and menstrual problems
(73.5%). Topics least often cited as adequately covered included
psychological testing (16.1%), violence in relationships (20.0%), violence
and weapon-carrying (29.7%), and sports medicine (29.7%). Fifty-eight
percent of 137 respondents thought that all or nearly all of their residents
were competent in performing pelvic examinations by the end of training;
there was no difference between perceived competence and the residents' use
of procedure books. Seventy-four percent used a specific curriculum for
teaching AM; materials included chapters/articles (85%), lecture outlines
(76.1%), slides (41.9%), videos (35.5%), written case studies (24.5%),
computerized cases (6.5%), and CD- ROMs (3.2%). Fifty-two percent used
Bright Futures, 48% used the Guidelines for Adolescent Preventive Services,
and 14% used the Guide to Clinical Preventive Services for teaching clinical
preventive services. Programs that used Bright Futures were more likely to
feel that preventive services were adequately covered in their programs than
those who did not (78% vs 57%). A majority of programs desired more
learner-centered materials. Conclusions. Although almost all pediatric
programs are now providing AM rotations, there is significant variability in
adequacy of training across multiple topics important for resident
education. Programs desire more learner-centered materials and more faculty
to provide comprehensive resident education in AM.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
residency education
EMTREE MEDICAL INDEX TERMS
article
child health care
clinical education
confidentiality
contraception
medical education
menstruation disorder
pediatrics
priority journal
puberty
sexually transmitted disease
sports medicine
violence
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998301109
MEDLINE PMID
9738181 (http://www.ncbi.nlm.nih.gov/pubmed/9738181)
PUI
L28409258
DOI
10.1542/peds.102.3.588
FULL TEXT LINK
http://dx.doi.org/10.1542/peds.102.3.588
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1732
TITLE
Worldwide survey of education on tobacco in medical schools.
AUTHOR NAMES
Richmond R.L.
Debono D.S.
Larcos D.
Kehoe L.
AUTHOR ADDRESSES
(Richmond R.L.; Debono D.S.; Larcos D.; Kehoe L.) School of Community
Medicine, University of New South Wales, Kensington NSW, Australia.
CORRESPONDENCE ADDRESS
R.L. Richmond, School of Community Medicine, University of New South Wales,
Kensington NSW, Australia. Email: R.Richmond@unsw.edu.au
SOURCE
Tobacco control (1998) 7:3 (247-252). Date of Publication: 1998 Autumn
ISSN
0964-4563
ABSTRACT
OBJECTIVES: To determine the extent of teaching about tobacco,
tobacco-related diseases, and smoking cessation techniques in medical
schools around the world; and to ascertain the problems of getting the
teaching about tobacco onto the medical curriculum. DESIGN: Cross-sectional
survey. Questionnaires were sent to the 1353 medical schools in 143
countries around the world using the World Health Organization's Directory
of Medical Schools. The questionnaire was translated from English into
French, Russian, Mandarin, and Japanese. SUBJECTS: Deans of medical schools
worldwide, or their nominees. MAIN OUTCOME MEASURES: Extent and format of
teaching about tobacco in the medical curriculum, objectives and content of
the courses on tobacco, and problems encountered in introducing the topic of
tobacco. RESULTS: 493 medical schools responded, representing 64% of
countries and 36% of schools. Only 12% of medical schools did not cover the
topic of tobacco in the medical curriculum. 58% of medical schools taught
about tobacco during the teaching of other subjects. 40% taught tobacco by
systematically integrating teaching with other modules. 11% had a specific
module on tobacco. The medical schools reported on the objectives and
content of their courses on tobacco, which commonly included knowledge about
tobacco-related diseases and pharmacological issues. Only a third taught
about smoking cessation techniques. 22% had encountered problems in
introducing the topic of tobacco, and respondents offered solutions to
overcome these problems. CONCLUSIONS: Medical schools need continued
encouragement to include tobacco issues in their curricula, with particular
emphasis on teaching about smoking cessation techniques.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
medical education
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
health
human
questionnaire
smoking cessation
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9825419 (http://www.ncbi.nlm.nih.gov/pubmed/9825419)
PUI
L129367774
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1733
TITLE
A stage of change approach to addiction in the medical setting
AUTHOR NAMES
Peteet J.R.
Brenner S.
Curtiss D.
Ferrigno M.
Kauffman J.
AUTHOR ADDRESSES
(Peteet J.R.; Brenner S.; Curtiss D.; Ferrigno M.; Kauffman J.) Brigham and
Women's Hospital, 75 Francis Street, Boston, MA, United States.
CORRESPONDENCE ADDRESS
J.R. Peteet, Brigham and Women's Hospital, 75 Francis Street, Boston, MA
02115, United States.
SOURCE
General Hospital Psychiatry (1998) 20:5 (267-273). Date of Publication:
September 1998
ISSN
0163-8343
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Despite recent advances in its understanding and treatment, addiction
remains a difficult challenge for clinicians within medical settings such as
the general hospital. The use of single, traditional paradigms
(disciplinary, therapeutic, educational or libertarian)for approaching
addiction-related problems have often failed to embrace the complexity of
the patients' motivation to change. Prochaska and DiClemente's [7] stage of
change model offers a realistic, practical, and broadly applicable means by
which clinicians can facilitate behavioral change from the stage of denial
(precontemplation) through that of sustained recovery (maintenance).
Clinicians can help addicted individuals to move from precontemplation to
contemplation by enhancing their ambivalence; from contemplation to
preparation by considering their history of change; from preparation to
action by flexibly intervening based on this understanding; and from action
to maintenance by evaluating the outcomes of these interventions. A stage of
change model is also useful in understanding the process of change in
clinicians' own approaches to patients with substance use disorders.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
behavior modification
EMTREE MEDICAL INDEX TERMS
adult
ambivalence
case report
denial
female
human
residential care
review
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998338331
MEDLINE PMID
9788026 (http://www.ncbi.nlm.nih.gov/pubmed/9788026)
PUI
L28460165
DOI
10.1016/S0163-8343(98)00033-4
FULL TEXT LINK
http://dx.doi.org/10.1016/S0163-8343(98)00033-4
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1734
TITLE
Mistreatment and maladaptations during medical internship.
AUTHOR NAMES
Rockwell D.A.
AUTHOR ADDRESSES
(Rockwell D.A.)
CORRESPONDENCE ADDRESS
D.A. Rockwell,
SOURCE
JAMA : the journal of the American Medical Association (1998) 280:8 (699;
author reply 700). Date of Publication: 26 Aug 1998
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
malpractice
medical education
EMTREE MEDICAL INDEX TERMS
human
note
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9728638 (http://www.ncbi.nlm.nih.gov/pubmed/9728638)
PUI
L128189310
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1735
TITLE
Marijuana use prevention: The In-DEPTH model program
AUTHOR NAMES
Lafferty L.
AUTHOR ADDRESSES
(Lafferty L.) DEPTH Program, Box 470968, San Francisco, CA 94147, United
States.
CORRESPONDENCE ADDRESS
L. Lafferty, Box 470968, San Francisco, CA 94147, United States.
SOURCE
Journal of Psychoactive Drugs (1998) 30:2 (205-208). Date of Publication:
1998
ISSN
0279-1072
BOOK PUBLISHER
Haight-Ashbury Publications, 612 Clayton Street, San Francisco, United
States.
ABSTRACT
Over the past five years marijuana use has doubled among eighth, 10th and
12th grade students, and in several demographics it has tripled. The recent
debate over the legalization of medical marijuana (California's Proposition
215), positive media messages, lack of parent/child discussion, and denial
by schools and communities may be contributing factors to the rise of drug
use among adolescents. The In-DEPTH program, a unique drug education model
that educates, prevents, and provides intervention strategies in adolescent
marijuana use, has in small multisite surveys shown initial success in
decreasing marijuana use and positively changing beliefs. The program is
based on pharmacology, addiction medicine principles, economics and the
pharmaceutical sales model, and examines drug dealing as well as drug use.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
tetrahydrocannabinol
EMTREE DRUG INDEX TERMS
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
EMTREE MEDICAL INDEX TERMS
cigarette smoking
curriculum
education
health program
high risk population
legal aspect
preventive medicine
review
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
tetrahydrocannabinol (1972-08-3)
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998261954
MEDLINE PMID
9692383 (http://www.ncbi.nlm.nih.gov/pubmed/9692383)
PUI
L28361023
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1736
TITLE
Training the trainers: Substance abuse screening and intervention
AUTHOR NAMES
Brown R.L.
Fleming M.F.
AUTHOR ADDRESSES
(Brown R.L.; Fleming M.F.) Univ. of Wisconsin Medical School, Madison, WI,
United States.
(Brown R.L.) Department of Family Medicine, Univ. of Wisconsin Medical
School, 777 South Mills Street, Madison, WI 53715, United States.
CORRESPONDENCE ADDRESS
R.L. Brown, Department of Family Medicine, Univ. of Wisconsin Medical
School, 777 South Mills Street, Madison, WI 53715, United States.
SOURCE
International Journal of Psychiatry in Medicine (1998) 28:1 (137-146). Date
of Publication: 1998
ISSN
0091-2174
BOOK PUBLISHER
Baywood Publishing Co. Inc., 26 Austin Avenue, P.O. Box 337, Amityville,
United States.
ABSTRACT
Objective: Screening and brief intervention for substance abuse is effective
yet underutilized by primary care physicians. This article reports on
Project SAEFP (Substance Abuse Education for Family Physicians), which aimed
to enhance the clinical and teaching skills and activities of U.S. family
practice residency faculty. Method: Ten five-day workshops were designed and
administered for 165 participants. Evaluation data included measures of
participant satisfaction and pre-workshop and twelve-month post- workshop
measures of the frequency of teaching, consulting, and clinical activities,
and the attainment of self-identified teaching goals. Results: The
participants were very satisfied with the workshops. They improved
significantly in the key outcome measures. Conclusions: Several workshops
may have contributed to the apparent success of Project SAEFP. Attributes of
the workshops which might have facilitated their success were their
duration, funding, frequency of offering, collegial learning environment,
opportunities for active learning, emotionally moving exposure to recovering
individuals, focus on how to modify curriculum at participant residency
programs, availability of family physician role models as faculty, and
readily usable instructional materials. Planners of interventions for
physician educators might profit from similar attention to these attributes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
conference paper
female
general practitioner
human
human experiment
male
primary medical care
screening
skill
teacher
teaching
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998199453
MEDLINE PMID
9617653 (http://www.ncbi.nlm.nih.gov/pubmed/9617653)
PUI
L28275052
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1737
TITLE
Developing a medical school alcohol policy
AUTHOR NAMES
Gray J.D.
Bhopal R.S.
White M.
AUTHOR ADDRESSES
(Gray J.D.; Bhopal R.S.; White M.) Dept. of Epidemiol. and Pub. Health,
University of Newcastle upon Tyne, Newcastle upon Tyne, United Kingdom.
(Gray J.D.) Dept. of Epidemiol. and Pub. Health, School of Health Sciences,
University of Newcastle, Newcastle upon Tyne NE2 4HH, United Kingdom.
CORRESPONDENCE ADDRESS
J.D. Gray, School of Health Sciences, The Medical School, University of
Newcastle, Newcastle upon Tyne NE2 4HH, United Kingdom.
SOURCE
Medical Education (1998) 32:2 (138-142). Date of Publication: 1998
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
The health and lifestyle problems of medical students and doctors give cause
for concern on several fronts. We have developed a health policy for staff
and students in Newcastle Medical School. This policy presents integrated
recommendations relating to six key areas, i.e. alcohol, physical activity,
sexual health, stress, occupational health and safety, and diet. The methods
used to develop recommendations in relation to alcohol are described here.
They were adopted by the working groups developing recommendations in the
other areas. There were four key stages to policy development: establishing
an information base; preparing a draft policy for consultation; consulting
staff and students, and finalizing the policy. Consultation was a slow and
challenging process but led to substantial revisions to the policy,
enhancing its acceptability and likely success. The final policy includes a
3-year implementation plan setting out actions, resource implications and
key players. Our policy, which has been adopted by the medical school and
will soon be implemented, includes recommendations regarding changes to the
school environment, training and education needs for staff and students, and
access to services for those with alcohol related problems. Health policies
should be developed in other medical schools and our approach offers a
possible model.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
medical school
policy
EMTREE MEDICAL INDEX TERMS
alcoholism (prevention)
article
consultation
diet
health
lifestyle
medical student
occupational health
physical activity
sexual behavior
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998186993
MEDLINE PMID
9743764 (http://www.ncbi.nlm.nih.gov/pubmed/9743764)
PUI
L28258692
DOI
10.1046/j.1365-2923.1998.00183.x
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1365-2923.1998.00183.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1738
TITLE
'Teachable moments' provide a means for physicians to lower alcohol abuse
AUTHOR NAMES
Mitka M.
AUTHOR ADDRESSES
(Mitka M.)
SOURCE
Journal of the American Medical Association (1998) 279:22 (1767-1768). Date
of Publication: 10 Jun 1998
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
doctor patient relation
patient education
EMTREE MEDICAL INDEX TERMS
alcohol consumption
behavior modification
clinical trial
drinking behavior
human
practice guideline
priority journal
screening
short survey
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1998203182
MEDLINE PMID
9628694 (http://www.ncbi.nlm.nih.gov/pubmed/9628694)
PUI
L28280232
DOI
10.1001/jama.279.22.1767
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.279.22.1767
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1739
TITLE
Training in cognitive, supportive-expressive, and drug counseling therapies
for cocaine dependence
AUTHOR NAMES
Crits-Christoph P.
Siqueland L.
Chittams J.
Barber J.P.
Beck A.T.
Liese B.
Onken L.S.
Thase M.E.
Frank A.
Luborsky L.
Mark D.
Mercer D.
Najavits L.M.
Woody G.
AUTHOR ADDRESSES
(Crits-Christoph P.; Siqueland L.; Chittams J.; Barber J.P.; Beck A.T.;
Luborsky L.; Mark D.; Mercer D.; Woody G.) University of Pennsylvania, .
(Liese B.) University of Kansas, .
(Onken L.S.) National Institute on Drug Abuse, .
(Thase M.E.) W. Psychiatric Institute and Clinic, University of Pittsburgh,
.
(Frank A.) Brookside Hospital, .
(Najavits L.M.) McLean Hospital, Harvard Medical School, .
(Crits-Christoph P.; Siqueland L.; Chittams J.; Barber J.P.; Beck A.T.;
Luborsky L.; Mark D.; Mercer D.; Woody G.) Department of Psychiatry,
University of Pennsylvania, .
(Frank A.) Brookside Hospital, Nashua, NH, United States.
(Liese B.) Department of Family Medicine, University of Kansas, .
(Onken L.S.) National Institute on Drug Abuse, Bethesda, MD, United States.
(Najavits L.M.) Department of Psychiatry, McLean Hospital, Cambridge, MA,
United States.
(Najavits L.M.) Department of Psychiatry, Harvard Medical School, .
(Thase M.E.) Department of Psychiatry, W. Psychiatric Institute and Clinic,
University of Pittsburgh, .
CORRESPONDENCE ADDRESS
P. Crits-Christoph, 3600 Market Street, Philadelphia, PA 19104, United
States.
SOURCE
Journal of Consulting and Clinical Psychology (1998) 66:3 (484-492). Date of
Publication: June 1998
ISSN
0022-006X
BOOK PUBLISHER
American Psychological Association Inc., 750 First Street NE, Washington,
United States.
ABSTRACT
This study assessed the effects of training on the performance of 65
therapists in delivering manual-guided therapies to 202 cocaine-dependent
patients. Changes in ratings of therapists' adherence and competence was
assessed in 3 treatment modalities: supportive-expressive dynamic therapy
(SE), cognitive therapy (CT), and individual drug counseling. Effects of
manual-guided training on the therapeutic alliance were also assessed.
Training effects were examined through a hierarchical linear modeling
approach that examined changes both within cases and across training cases.
A large effect across cases was detected for training in CT. Supportive-
expressive therapists and individual drug counselors demonstrated
statistically significant learning trends over sessions but not over
training cases. Training in SE and CT did not have a negative impact on the
therapeutic alliance, although alliance scores for trainees in drug
counseling initially decreased but then rebounded to initial levels.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
staff training
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
behavior therapy
cognitive therapy
competence
doctor patient relation
female
human
human experiment
male
normal human
patient counseling
psychotherapist
statistical model
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998198082
MEDLINE PMID
9642886 (http://www.ncbi.nlm.nih.gov/pubmed/9642886)
PUI
L28272951
DOI
10.1037/0022-006X.66.3.484
FULL TEXT LINK
http://dx.doi.org/10.1037/0022-006X.66.3.484
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1740
TITLE
Ethics and obligatory treatment in matters of sexual deviations
ORIGINAL (NON-ENGLISH) TITLE
Ethique et obligation de soins en matiere de deviance sexuelle
AUTHOR NAMES
Cordier B.
AUTHOR ADDRESSES
(Cordier B.)
SOURCE
Evolution Psychiatrique (1998) 63:1-2 (175-184). Date of Publication: 1998
ISSN
0014-3855
ABSTRACT
The ethical aspects of obligatory treatment in matters of sexual deviation
justify thinking about certain principles found in the 'Code of deontology':
the independence of the therapist, free choice of the patient and respect of
medical secret. This study considers the pathological nature of given sexual
behaviour. We mast also ask what goals are aimed at in therapy with deviants
- the therapists' aim is not to normalize. We cannot however ignore the risk
factor. Also in this study we review the circumstances which give rise to
obligatory treatment: this situation results from the 'Code de la Sante
Publique' and/or the 'Code de Procedure Penale' and may or may not be
connected to a given crime: preventive medicine mental illness, alcoholism,
drug addiction and of course various forms of probation. Obligatory
treatment as defined by the 'Guigou' law is thus considered in depth, it is
original for medical and legal reasons: it means that persons may be jailed
if they do not follow the treatment that the judge orders them to follow. It
also created a new medical role, between the forensic psychiatrist and their
therapist we now have the cOordinatOr who in theory is the 'go-between'
between judge and patient. The relationship between therapist and patient is
obviously modified but many specialists feel that obligatory treatment may
be of use in starting a process that a person may later claim for himself.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
sexual deviation (therapy)
EMTREE MEDICAL INDEX TERMS
conference paper
deontology
forensic psychiatry
human
involuntary commitment
medical ethics
violence
EMBASE CLASSIFICATIONS
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
1998127035
PUI
L28175233
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1741
TITLE
Keeping the faith.
AUTHOR NAMES
Shah S.I.
AUTHOR ADDRESSES
(Shah S.I.) Johns Hopkins University School of Medicine, Baltimore,
Maryland, USA.
CORRESPONDENCE ADDRESS
S.I. Shah, Johns Hopkins University School of Medicine, Baltimore, Maryland,
USA.
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(1998) 73:5 (449-450). Date of Publication: May 1998
ISSN
1040-2446
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
cocaine dependence (rehabilitation)
doctor patient relation
EMTREE MEDICAL INDEX TERMS
article
human
male
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9609850 (http://www.ncbi.nlm.nih.gov/pubmed/9609850)
PUI
L128269849
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1742
TITLE
Residents teach young people that smoking is not for them
AUTHOR NAMES
Whyte J.J.
Mason M.V.
AUTHOR ADDRESSES
(Whyte J.J.; Mason M.V.)
SOURCE
Journal of the American Medical Association (1998) 279:13 (988). Date of
Publication: 1 Apr 1998
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
EMTREE MEDICAL INDEX TERMS
medical information
patient education
priority journal
residency education
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1998125684
PUI
L28172988
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1743
TITLE
Effect of training on general practitioners' use of a brief intervention for
excessive drinkers
AUTHOR NAMES
Richmond R.L.
G-Novak K.
Kehoe L.
Calfas G.
Mendelsohn C.P.
Wodak A.
AUTHOR ADDRESSES
(Richmond R.L.) School of Community Medicine, University of New South Wales,
Darlinghurst, NSW, Australia.
(Richmond R.L.) Natl. Drug and Alcohol Res. Centre, University of New South
Wales, Darlinghurst, NSW, Australia.
(Richmond R.L.; Wodak A.) St. Vincent's Hospital, Darlinghurst, NSW,
Australia.
(G-Novak K.; Calfas G.) S. E. Sydney Div. of Gen. Practice, NSW, Australia.
(Kehoe L.) Natl. Drug and Alcohol Res. Centre, University of New South
Wales, .
(Mendelsohn C.P.) School of Community Medicine, University of New South
Wales, .
(Richmond R.L.) School of Community Medicine, University of New South Wales,
Kensington, NSW 2052, Australia.
CORRESPONDENCE ADDRESS
R.L. Richmond, School of Community Medicine, University of New South Wales,
Kensington, NSW 2052, Australia.
SOURCE
Australian and New Zealand Journal of Public Health (1998) 22:2 (206-209).
Date of Publication: April 1998
ISSN
1326-0200
BOOK PUBLISHER
Public Health Association of Australia Inc., PO Box 319, Curtin, Australia.
ABSTRACT
Objective: To determine among general practitioners (GPs) the effect of
three different types of training on utilisation of a brief, controlled
drinking intervention. Design: A non-randomised intervention study. Setting,
participants: 96 GPs (64%) within the South Eastern Sydney Division of
General Practice participated; 35 chose workshop training, 39 one-to-one
training and 22 received a special kit by mail. Main outcome measures:
Identification by GPs of excessive drinkers by practice audits; use of the
program determined by the number of patients recruited in 3 months and by
GPs' use of the intervention 6 months after training. Results: 41 (43%) GPs
conducted practice audits, identifying 15.1% of males and 6.6% of females as
excessive drinkers (regular excessive weekly consumption and/or binge). 179
patients were recruited by 36 GPs over 3 months, and 32% of these patients
reported a reduction of alcohol consumption. 63% who attended workshop
training, 57% who received one-to-one training, and 36% who received the kit
by mail reported they were current users of the program at 6 months.
Significantly fewer GPs who received the kit by mail reported ever using the
program (59%) compared to the other groups (p < 0.01). Conclusion: This
naturalistic study found that workshops and one-to-one training sessions in
doctors' surgeries achieved greater uptake of a brief intervention for
problem drinkers than distribution of a special kit by mail.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
general practitioner
medical education
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
Australia
clinical audit
human
normal human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998126868
MEDLINE PMID
9744177 (http://www.ncbi.nlm.nih.gov/pubmed/9744177)
PUI
L28175066
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1744
TITLE
Substance use among nurses: Differences between specialties
AUTHOR NAMES
Trinkoff A.M.
Storr C.L.
AUTHOR ADDRESSES
(Trinkoff A.M., trinkoff@nurse-1.ab.umd.edu; Storr C.L.) Department of
Psychiatric, Comm. and Adult Primary Care Nursing, Univ. of Maryland School
of Nursing, Baltimore, MD, United States.
(Trinkoff A.M., trinkoff@nurse-1.ab.umd.edu) 515 W Lombard St, Baltimore, MD
21201, United States.
CORRESPONDENCE ADDRESS
A.M. Trinkoff, 515 W Lombard St, Baltimore, MD 21201, United States. Email:
trinkoff@nurse-1.ab.umd.edu
SOURCE
American Journal of Public Health (1998) 88:4 (581-585). Date of
Publication: April 1998
ISSN
0090-0036
BOOK PUBLISHER
American Public Health Association Inc., 800 I Street NW, Washington, United
States.
ABSTRACT
Objectives. Valid data on factors that increase a health care worker's
likelihood of substance use are integral in ensuring professional standards
and quality health care for consumers. This study explored the association
between nursing specialty and past-year substance use Methods. In an
anonymous mailed survey, a balanced stratified sample of registered nurses
(n4438) reported their use of marijuana, cocaine, and prescription-type
drugs, as well as cigarette smoking and binge drinking. Results. Prevalence
of use of all substances was 32%. Rates varied by specialty, even when
sociodemographics were controlled. Compared with nurses in women's health,
pediatrics, and general practice, emergency nurses were 3.5 times as likely
to use marijuana or cocaine (odds ratio [OR] = 3.5; 95% confidence interval
[CI] = 1.5, 8.2); oncology and administration nurses were twice as likely to
engage in binge drinking; and psychiatric nurses were most likely to smoke
(OR= 2.4; 95% CI=1.6, 3.8). No specialty differences appeared for
prescription-type drug use. Conclusions. Certain nursing specialties were
more likely than others to be associated with substance use. The differences
were not explained by demographic characteristics. Inasmuch as a comparison
of these results for nurses with prior work on physicians found considerable
agreement by specialty, preventive initiatives should consider
interdisciplinary approaches to substance use education.
EMTREE DRUG INDEX TERMS
cannabis
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
age
article
cannabis addiction
cigarette smoking
demography
disease association
drinking behavior
female
human
major clinical study
male
nurse
nursing
prevalence
sex difference
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998253605
MEDLINE PMID
9550998 (http://www.ncbi.nlm.nih.gov/pubmed/9550998)
PUI
L28350037
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1745
TITLE
Education of future nurses for active non-smoking
ORIGINAL (NON-ENGLISH) TITLE
Vychova buducich zdravotnych sestier k aktivnemu nefajceniu
AUTHOR NAMES
Hanulova K.
AUTHOR ADDRESSES
(Hanulova K.) Statny Zdravotny Ustav, Skultetyho 5, 94911 Nitra, Slovakia.
CORRESPONDENCE ADDRESS
K. Hanulova, Statny Zdravotny Ustav, Skultetyho 5, 94911 Nitra, Slovakia.
SOURCE
Hygiena (1998) 43:1 (45-48). Date of Publication: 1998
ISSN
1210-7840
ABSTRACT
In the school year 1991/92 in the school for health workers in Nitra an
educational non-smoking programme for nurses was started. In the first stage
by means of questionnaires in all students knowledge on the health risks of
smoking were assessed, attitudes to smoking and the prevalence of smokers.
It was confirmed that it is necessary to improve the professional standard
of training and also the education of future nurses. During the subsequent
survey in 1996 it was found that the professional knowledge on the risk of
smoking improved greatly, that the number of those aware of the specific
position in society increased as well as the ensuing responsibility for his
behaviour as regards a healthy lifestyle and the motivation of patients to
abondon risk behaviour. The prevalence of smoking declined from 16.3% in
1992 to 9.6% in 1996.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
nurse
smoking
EMTREE MEDICAL INDEX TERMS
article
health behavior
health education
health promotion
lifestyle
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Slovak
LANGUAGE OF SUMMARY
English, Slovak
EMBASE ACCESSION NUMBER
1998062206
PUI
L28087378
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1746
TITLE
Teaching on addiction issues lacking in medical school, specialists told
AUTHOR NAMES
Robb N.
AUTHOR ADDRESSES
(Robb N.)
SOURCE
Canadian Medical Association Journal (1998) 158:5 (640-641). Date of
Publication: 10 Mar 1998
ISSN
0820-3946
BOOK PUBLISHER
Canadian Association of Radiologists, 1740 boul.Cote-Vertu Blvd, St-Laurent,
Canada.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical school
EMTREE MEDICAL INDEX TERMS
medical education
note
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1998100750
MEDLINE PMID
9526484 (http://www.ncbi.nlm.nih.gov/pubmed/9526484)
PUI
L28138346
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1747
TITLE
Survey of alcohol, drug use by radiologic technologists. ASRT Research and
Development Committee.
AUTHOR ADDRESSES
SOURCE
Radiologic technology (1998) 69:4 (343-350). Date of Publication: 1998
Mar-Apr
ISSN
0033-8397
ABSTRACT
This article describes the results of a survey investigating use of alcohol
and illicit drugs by radiologic technologists. Overall, survey results
suggest that few radiologic technologists have a problem with the abuse of
alcohol and drugs. However, the survey indicates that approximately 3% to 4%
of radiologic technologists may suffer from some type of substance abuse
problem, with alcohol abuse more common than drug abuse. These findings
correlate with studies that reveal similar rates of substance abuse among
physicians, nurses and pharmacists. Because the abuse of alcohol and drugs
affects the quality of patient care, the authors recommend that professional
organizations identify and assist radiologic technologists who suffer from
substance abuse and that they promote greater awareness of the problem
through education. The authors also recommend that an awareness of the
effects of substance abuse be included in the professional curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
alcoholism (epidemiology)
paramedical personnel
radiology
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
middle aged
questionnaire
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9549764 (http://www.ncbi.nlm.nih.gov/pubmed/9549764)
PUI
L128249131
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1748
TITLE
Drug abuse prevention for trainees in the health professions
AUTHOR NAMES
Coombs R.H.
AUTHOR ADDRESSES
(Coombs R.H.) Biobehavioral Sciences, University of California, Los Angeles
School of Medicine, 760 Westwood Plaza, Los Angeles, CA 90024-1759, United
States.
CORRESPONDENCE ADDRESS
R.H. Coombs, Biobehavioral Sciences, University of California, Los Angeles
School of Medicine, 760 Westwood Plaza, Los Angeles, CA 90024-1759, United
States.
SOURCE
Journal of Substance Misuse (1998) 3:1 (42-49). Date of Publication: 1998
ISSN
1357-5007
ABSTRACT
Substance abuse among health professionals, serious though rarely
acknowledged, affects the well-being of many professionals and their
patients. Relatively little has been done to develop preventive programs.
This paper reviews current and past programs at health science centers in
the USA - primary, secondary, and tertiary - aimed at preventing substance
abuse and addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
drug dependence (prevention)
health practitioner
occupational health
EMTREE MEDICAL INDEX TERMS
counseling
education program
human
medical education
medical school
medical student
primary prevention
review
secondary prevention
United States
wellbeing
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998027751
PUI
L28041125
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1749
TITLE
The development of substance-abuse curricular content by five North Carolina
schools
AUTHOR NAMES
Fang W.L.
Applegate S.N.
Stein R.M.
Lohr J.A.
AUTHOR ADDRESSES
(Fang W.L., wf@virginia.edu) Off. Student Acad. Support Strat. P.,
Department of Medical Education, Univ. of Virginia School of Medicine,
Charlottesville, VA, United States.
(Applegate S.N.) Governor's Inst. Alcohol S., Div. Mental Hlth., Devmtl. D.,
N. Carolina Dept. Hlth. Hum. Serv., Durham, NC, United States.
(Stein R.M.) Durham Vet. Affairs Medical Center, Dept. of Psychiat. and
Behav. Sci., Duke University Medical Center, Durham, NC, United States.
(Fang W.L., wf@virginia.edu) Off. Student Acad. Support Strat. P.,
University of Virginia, Health Sciences Center, Charlottesville, VA 22908,
United States.
(Lohr J.A.)
CORRESPONDENCE ADDRESS
W.L. Fang, University of Virginia, Box 446, Health Sciences Center,
Charlottesville, VA 22908, United States. Email: wf@virginia.edu
SOURCE
Academic Medicine (1998) 73:10 (1039-1043). Date of Publication: October
1998
ISSN
1040-2446
BOOK PUBLISHER
Association of American Medical Colleges
ABSTRACT
In 1992, the four medical schools in North Carolina and that state's dental
school initiated a four-year project to more thoroughly integrate content
about substance abuse into their curricula. The project was based on the
premise that medical schools are failing to provide their students with
adequate training about substance abuse issues, yet substance abuse is a
large and growing source of health problems nationwide. While the authors
indicate in broad ways the kinds of curricular content that the project
sought, in this article they concentrate on the processes by which key
faculty, administrators, and staff members from all the schools worked
together in the curriculum development process, with each school tailoring
the projects findings to the needs of its own students. Phase I of the
project focused on the selection and orientation of the key faculty and
members of the working committee at each institution, and garnering
institutional support. Phase II focused on the development by key faculty of
the project's philosophy, goals, and objectives; conducting needs assessment
and curriculum analysis at each school; and identifying the content needed.
During Phase III, project participants refined the needed content and
integrated it, in individual ways, into each school's curriculum. Some (but
not enough) evaluation of these curricular implementations was done. The
authors highlight the lessons learned, both positive and negative, in hopes
that these will be useful to other educators who wish to design, implement,
and institutionalize substance-abuse curricular content.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
curriculum
medical school
medical student
priority journal
review
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998357650
MEDLINE PMID
9795618 (http://www.ncbi.nlm.nih.gov/pubmed/9795618)
PUI
L28483847
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1750
TITLE
Family physicians' utilization of a brief smoking cessation program
following reinforcement contact after training: A randomized trial
AUTHOR NAMES
Richmond R.
Mendelsohn C.
Kehoe L.
AUTHOR ADDRESSES
(Richmond R.; Mendelsohn C.) School of Community Medicine, University of New
South Wales, Sydney, NSW 2052, Australia.
(Richmond R.; Kehoe L.) Natl. Drug and Alcohol Res. Centre, University of
New South Wales, Sydney, NSW 2052, Australia.
CORRESPONDENCE ADDRESS
R. Richmond, School of Community Medicine, University of New South Wales,
Sydney, NSW 2052, Australia. Email: R.Richmond@unsw.edu.au
SOURCE
Preventive Medicine (1998) 27:1 (77-83). Date of Publication: January 1998
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Previous studies have examined methods of delivery of brief
interventions and reinforcement contact and their effects on physicians'
utilization of smoking cessation interventions. In this study the objectives
were: (1) to determine the ongoing utilization by family physicians of a
brief smoking cessation intervention 6 months after a training workshop and
(2) to examine the effect of reinforcement contact on physician utilization.
A supplementary aim was to assess point prevalence abstinence among patients
identified as ready to quit smoking. Methods. This was a randomized
controlled trial of family physicians (98 in the Contact and 100 in the
Noncontact group). Training was conducted in a 2-hr workshop. Doctors in the
Contact group received three brief telephone calls at 2 weeks, 2 months, and
4 months after training. Main outcome measures were: (1) utilization,
determined by responses to a mailed questionnaire about use of the program,
and (2) the number of booklets distributed by full-time doctors, collected
by practice secretaries or research assistant. Results. At 6 months 88% of
physicians (93% of the Contact group and 84% of the Noncontact group, P =
0.06) were current users of the smoking cessation intervention. Full-time
physicians in the Contact group distributed significantly more booklets
(40.1) over 6 months than those in the Noncontact group (32.8) (P < 0.05).
Twenty-one percent of patients reported not smoking at follow-up at an
average of 9.9 months after intervention. Conclusions. Most doctors
continued to use the program 6 months after training and reinforcement
contact encouraged greater recruitment of patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
health care utilization
health program
reinforcement
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
Australia
clinical trial
controlled clinical trial
controlled study
doctor patient relation
female
follow up
human
major clinical study
male
medical practice
outcomes research
priority journal
questionnaire
randomized controlled trial
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998263496
MEDLINE PMID
9465357 (http://www.ncbi.nlm.nih.gov/pubmed/9465357)
PUI
L28362990
DOI
10.1006/pmed.1997.0240
FULL TEXT LINK
http://dx.doi.org/10.1006/pmed.1997.0240
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1751
TITLE
Didactic and experiential education in substance abuse programs
AUTHOR NAMES
Kaskutas L.A.
Marsh D.
Kohn A.
AUTHOR ADDRESSES
(Kaskutas L.A.; Marsh D.; Kohn A.) Alcohol Research Group, 2000 Hearst
Avenue, Berkeley, CA, United States.
CORRESPONDENCE ADDRESS
L.A. Kaskutas, Alcohol Research Group, 2000 Hearst Avenue, Berkeley, CA
94709-2176, United States.
SOURCE
Journal of Substance Abuse Treatment (1998) 15:1 (43-53). Date of
Publication: January/February 1998
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Medical model and social model programs both include client education as
part of their service mandate, although the two models may define and
accomplish the task of education differently. The role of education in
substance abuse recovery has not been clear in either the treatment or
recovery models. This paper therefore begins with a debate of the value of
'educating' substance abuse clients, using several possible definitions of
education and drawing upon a variety of theories from health education and
community psychology. We divide these types of education into two broad
definitional categories: knowledge acquisition and life skills development.
Using data collected during a process evaluation at one medical and two
social model programs, we provide examples of how knowledge acquisition and
life skills development are accomplished at these sites. Analysis of the
observational data pointed to two approaches to education, one didactic, the
other experiential. All three sites used a didactic approach to knowledge
about addiction. Only the social model sites used an experiential approach
to convey knowledge and skills about recovery, and the development of life
skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
article
career
experience
learning
methodology
patient education
priority journal
residential care
self help
social adaptation
social psychiatry
social support
theoretical study
treatment planning
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998091133
MEDLINE PMID
9534126 (http://www.ncbi.nlm.nih.gov/pubmed/9534126)
PUI
L28125651
DOI
10.1016/S0740-5472(97)00248-1
FULL TEXT LINK
http://dx.doi.org/10.1016/S0740-5472(97)00248-1
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1752
TITLE
Training in Drug Addictions into the MIR Program of Psychiatry Training in
Spain
ORIGINAL (NON-ENGLISH) TITLE
Formacion en adicciones en el Programa MIR (Medico Interno Residente) de
Psiquiatria en Espana. Resultados de una encuesta
AUTHOR NAMES
Miralles J.L.G.
Benavent M.A.C.
Viadel M.H.
Prieto J.F.P.
Chamorro N.R.
Burguet M.D.L.L.C.
Gomez M.L.V.
AUTHOR ADDRESSES
(Miralles J.L.G.; Benavent M.A.C.; Viadel M.H.; Prieto J.F.P.; Chamorro
N.R.; Burguet M.D.L.L.C.; Gomez M.L.V.) Dispensario de Toxicomanias,
Alcoholismo de Torrent, C/ Hernandez Malilos 14 bajo, Torrent (46900
Valencia), Spain.
CORRESPONDENCE ADDRESS
J.L.G. Miralles, Dispensario de Toxicomanias, Alcoholismo de Torrent, C/
Hernandez Malilos 14 bajo, Torrent (46900 Valencia), Spain.
SOURCE
Adicciones (1997) 9:4 (571-578). Date of Publication: 1997
ISSN
0214-4840
ABSTRACT
The aim of the present work is to give a general perspective of the training
in Drug Addiction and Alcoholism, included in the MIR program of Psychiatry
in Spain. The data presented here have been taken from a survey in order to
asses the different aspects of Psychiatry training. It was sent to all 67 of
official MIR centers for 1990 to 1993, and it was filled in by the
Psychiatry residents. The information obtained was the following: There is a
specific rotatory in just over half of the centers; which if is carry-out
adequately, fulfills the minimum time established in the program; there are
more patients to be attended to by the residents in the General Hospitals;
the staff/MIR ratio established in the program is not respected; the
predominant doctrinal orientation is a biological one; there is more
satisfaction with the rotatory in Alcoholism than in other Drug Addictions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology, therapy)
drug dependence (epidemiology, therapy)
psychiatric treatment
EMTREE MEDICAL INDEX TERMS
article
human
residency education
Spain
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Spanish
LANGUAGE OF SUMMARY
English, Spanish
EMBASE ACCESSION NUMBER
1998089046
PUI
L28123564
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1753
TITLE
Opium lecture for Medical Society of London.
AUTHOR NAMES
Verner I.
AUTHOR ADDRESSES
(Verner I.)
CORRESPONDENCE ADDRESS
I. Verner,
SOURCE
Transactions of the Medical Society of London (1997) 114 (51-54). Date of
Publication: 1997-1998
ISSN
0076-6011
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction
EMTREE MEDICAL INDEX TERMS
article
China
commercial phenomena
history
human
United Kingdom
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10824255 (http://www.ncbi.nlm.nih.gov/pubmed/10824255)
PUI
L31325829
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1754
TITLE
Using the internet for clinical training: A course on network therapy for
substance abuse
AUTHOR NAMES
Galanter M.
Keller D.S.
Dermatis H.
AUTHOR ADDRESSES
(Galanter M.; Keller D.S.; Dermatis H.) New York University Medical Center,
550 First Avenue, New York, NY 10016, United States.
CORRESPONDENCE ADDRESS
M. Galanter, New York University Medical Center, 550 First Avenue, New York,
NY 10016, United States.
SOURCE
Psychiatric Services (1997) 48:8 (999-1000+1008). Date of Publication: 1997
ISSN
1075-2730
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical medicine
Internet
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
nonhuman
review
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1997236459
MEDLINE PMID
9255829 (http://www.ncbi.nlm.nih.gov/pubmed/9255829)
PUI
L27329950
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1755
TITLE
Sharing psychiatric care with primary care, physicians: The Toronto doctors
hospital experience (1991-1995)
AUTHOR NAMES
Turner Ty.
De Sorkin A.
AUTHOR ADDRESSES
(Turner Ty.) Department of Psychiatry, Mental Health Services, Doctors
Hospital, Toronto, Ont., Canada.
(De Sorkin A.) Doctors Hospital, Toronto, Ont., Canada.
(Turner Ty.) 340 College Street, Toronto, Ont. M5T 3A9, Canada.
CORRESPONDENCE ADDRESS
T. Turner, 340 College Street, Toronto, Ont. M5T 3A9, Canada.
SOURCE
Canadian Journal of Psychiatry (1997) 42:9 (950-954). Date of Publication:
November 1997
ISSN
0706-7437
BOOK PUBLISHER
Canadian Psychiatric Association, 141 Laurier Avenue West, Suite 702,
Ottawa, ON, Canada.
ABSTRACT
Objectives: To investigate the shared mental health care experience of the
psychiatry department of a small urban general hospital which serves an
ethnoculturally diverse population. Methods: A chart survey was undertaken
of all patients referred by community physicians to a new shared care
program between January 1991 and December 1995. Selected demographic and
diagnostic characteristics were collected and analyzed. Results: Seven
hundred and thirteen patients were assessed. They were principally female,
ethnoculturally varied, and highly comorbid. The most striking association
involved mood and substance-related disorders. Conclusion: The Doctors
Hospital experience shows that the shared care approach can reach large
numbers of patients through a multiplier effect. Additionally, this approach
has the potential to enhance access for ethnoculturally varied and
diagnostically complex groups.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
depression
mental health service
substance abuse
EMTREE MEDICAL INDEX TERMS
article
community care
comorbidity
controlled study
cultural anthropology
general practitioner
health care delivery
hospital care
human
major clinical study
patient care
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
1998028478
MEDLINE PMID
9429065 (http://www.ncbi.nlm.nih.gov/pubmed/9429065)
PUI
L28041852
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1756
TITLE
Health outcomes of women exposed to household alcohol abuse: A family
practice training site research network (FPTSRN) study
AUTHOR NAMES
Ryan J.G.
Verardo L.T.
Kidd J.M.
Horbatuk E.L.
Bonanno R.
Fahrenwald R.
Kirsch S.
Stretch G.V.
AUTHOR ADDRESSES
(Ryan J.G., ryan@fammed.som.sunysb.edu; Kidd J.M.; Horbatuk E.L.) Div. Prim.
Care and Hlth. Serv. Res., Department of Family Medicine, State University
of New York, Stony Brook, NY, United States.
(Fahrenwald R.; Stretch G.V.) Department of Family Medicine, Stony Brook
Univ. Hosp. Med. Ctr., State University of New York, Stony Brook, NY, United
States.
(Verardo L.T.) Department of Family Practice, N. Shore Univ. Hospital at
Glen Cove, Glen Cove, NY, United States.
(Bonanno R.) Brentwood Family Health Center, Department of Family Practice,
Southside Hospital, Brentwood, NY, United States.
(Kirsch S.) Department of Family Practice, South Nassau Communities
Hospital, Oceanside, NY, United States.
(Stretch G.V.) Coram Health Center, Coram, NY, United States.
(Ryan J.G., ryan@fammed.som.sunysb.edu) Department of Family Medicine, Stony
Brook Univ. Hosp. Med. Ctr., State University of New York, Stony Brook, NY
11794-8461, United States.
CORRESPONDENCE ADDRESS
J.G. Ryan, Department of Family Medicine, Stony Brook Univ. Hosp./Medical
Ctr., State University of New York, Stony Brook, NY 11794-8461, United
States. Email: ryan@fammed.som.sunysb.edu
SOURCE
Journal of Family Practice (1997) 45:5 (410-417). Date of Publication:
November 1997
ISSN
0094-3509
BOOK PUBLISHER
Dowden Health Media,Inc, 110 Summit Avenue, Montvale, United States.
ABSTRACT
BACKGROUND. There is a paucity of knowledge about the effects of exposure to
alcohol abuse in the household on women who do not abuse alcohol. The
purpose of this study was to determine whether women who did not abuse
alcohol demonstrated any health-related adverse effects because they lived
with family members who did abuse alcohol. METHODS. This study was a
historical prospective survey of female patients at five primary care
practices. Survey instruments included the CAGE questionnaire, a five-item
screening test for exposure to alcoholism, and the Medical Outcomes Study
36- item Short Form Health Survey (MOS SF-36). Patient records were examined
for specific diagnoses. RESULTS. A total of 267 patients completed the
questionnaires and had complete medical records available for analysis.
Forty-two (15.7%) potential alcohol abusers were excluded from the sample
leaving a working total of 225; 70 (31.1%) were potentially exposed to
alcoholism in the household. Women exposed to alcohol abuse in the home did
not experience an increased risk for the medical diagnoses studied, but they
did demonstrate decreased health-related quality of life as measured by the
MOS-SF-36 for the following scales: role physical (P =.025), role emotional
(P =.038), social functioning (P =.001), bodily pain (P =.016), and mental
health (P =.040). CONCLUSIONS. Women exposed to alcohol abuse in the
household are more likely to perceive themselves as less healthy. Although
they may not have received a clinical diagnosis of depression, they are more
likely to feel depressed. The extent to which subjects' health-related
quality of life is influenced by exposure to alcohol abuse suggests that the
medical diagnosis may be insensitive as a description of health status in
this population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
EMTREE MEDICAL INDEX TERMS
adult
article
family medicine
female
general practitioner
human
major clinical study
outcomes research
primary medical care
prospective study
quality of life
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997366125
MEDLINE PMID
9374967 (http://www.ncbi.nlm.nih.gov/pubmed/9374967)
PUI
L27505674
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1757
TITLE
Problems and perspectives in child health care
ORIGINAL (NON-ENGLISH) TITLE
Problemi i perspektive zdravstvene zastite dece.
AUTHOR NAMES
Nikolić N.
Gebauer E.
Jovanović M.
Rakić D.
Katanić D.
AUTHOR ADDRESSES
(Nikolić N.; Gebauer E.; Jovanović M.; Rakić D.; Katanić D.) Institut za
zdravstvenu zastitu dece i omladine, Medicinski fakultet, Novi Sad.
CORRESPONDENCE ADDRESS
N. Nikolić, Institut za zdravstvenu zastitu dece i omladine, Medicinski
fakultet, Novi Sad.
SOURCE
Medicinski pregled (1997) 50:11-12 (547-550). Date of Publication: 1997
Nov-Dec
ISSN
0025-8105
ABSTRACT
Health care protection of children in Vojvodina is of particular importance
regarding the negative natural birth rate. In spite of difficult economic
situation, health care of children in Vojvodina is permanently carried out
and would be significantly better in quality if the education of
subspecialized personnel, space facilities, technological innovations,
computerization and continuous education were available. Introduction of
microanalytic laboratory techniques is essential for monitoring of
prematures. Propagation of natural nutrition is an obligation of
pediatricians. Respiratory diseases are still on the top of morbidity
pyramid but tuberculosis is evidently in increase. An important health care
problem is the expansion of allergic diseases. The progressive incidence of
insulin-dependent diabetes is also evident. The spheres of juvenile
gynecological endocrinology and andrology are still underdeveloped and that
also applies to adolescent medicine. Toxicology remains an ongoing problem
in pediatrics due to an increased number of accidental poisoning.
Pediatricians-gastroenterologists are lacking while paediatric hepatology
should be brought into more advanced state. Bone marrow and stem cells
transplantation is in the responsibility of the Centre for haematology and
oncology. Nephrology department lacks children's haemodialysis, ultrasound
biopsy of kidneys, urodynamic analyses and new staff facilities. The
increased number of survivals in case of children with with sequeles
inevitably asks for better development of rehabilitation, prolonged
treatment and teamwork. Intensive care and therapy department requires new
staff and high technology capacities. Development of children's surgery
department inevitably means the reconstruction of space facilities, modern
equipment and new subspecializations. Preventive outpatient service is
performed through systematic examinations. ultrasound diagnostics of hips,
auditive screening and educational program activities related to addiction
and veneral diseases. Genetic health of the population is supremely covered
by the Center for Medical Genetics, with the tendenca for development of
molecular genetics. It is necessary to develop rehabilitation service,
prolonged treatment and teamwork. Diagnostic of convulsive conditions should
be advanced with more refined diagnostic methods.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child health care
child welfare
EMTREE MEDICAL INDEX TERMS
article
child
human
Yugoslavia
LANGUAGE OF ARTICLE
Serbian
MEDLINE PMID
9471520 (http://www.ncbi.nlm.nih.gov/pubmed/9471520)
PUI
L128210050
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1758
TITLE
An assessment of substance abuse treatment training needs among nurses (part
II): Applying an index of training needs
AUTHOR NAMES
Vander Bilt J.
Hall M.N.
Shaffer H.J.
Storti S.
Church O.M.
AUTHOR ADDRESSES
(Vander Bilt J.; Hall M.N.; Shaffer H.J.; Storti S.; Church O.M.) Division
on Addictions, Harvard Medical School, Goldenson Building, 220 Longwood
Avenue, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
H.J. Shaffer, Division on Addictions, Harvard Medical School, Goldenson
Building, 220 Longwood Avenue, Boston, MA 02115, United States.
SOURCE
Journal of Substance Misuse (1997) 2:4 (184-190). Date of Publication: 1997
ISSN
1357-5007
ABSTRACT
This article (part II of a two-part paper) presents the results of a
substance abuse treatment training needs assessment study conducted with 133
nurses who were working in randomly selected New England substance abuse
treatment facilities. This sample of nurses was derived from a larger survey
sample of 1684 substance abuse treatment providers working in randomly
selected New England substance abuse treatment facilities. These needs
assessment data show that, compared with drug and alcohol counselors, social
workers, and physicians or residents, nurses had the highest levels of
training need in the three major substance abuse treatment domains
investigated in this study. Without training, nurses cannot fulfill their
roles in prevention, intervention and treatment. Agencies and institutions
concerned with and committed to training health care providers are
encouraged to attend to the demonstrated need for training while interest is
high and clinical demand is great.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
human
nurse
training
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997314295
PUI
L27438074
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1759
TITLE
Continuous education in addiction medicine
ORIGINAL (NON-ENGLISH) TITLE
Kontinuierliche Fortbildung in Suchtmedizin
AUTHOR NAMES
Mann K.
AUTHOR ADDRESSES
(Mann K.) Univ.klinik Psychiatrie/Psychother., Osianderstr. 24, 72076
Tubingen, Germany.
CORRESPONDENCE ADDRESS
K. Mann, Univ.klinik Psychiatrie/Psychother., Osianderstr. 24, 72076
Tubingen, Germany. Email: karl.mann@uni-tuebingen.de
SOURCE
Sucht (1997) 43:4 (267-269). Date of Publication: 1997
ISSN
0939-5911
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
education program
health care policy
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1997287009
PUI
L27399407
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1760
TITLE
A Medical School's plan for anti-tobacco-use education in community Schools
and Hospitals
AUTHOR NAMES
Stein J.
Glass K.
Coburn K.
Sisson J.
Birnkrant J.
Bravo A.
Green A.
O'Donnell J.F.
AUTHOR ADDRESSES
(O'Donnell J.F.) Dartmouth Medical School, Hanover, NH 03755-3837, United
States.
(Stein J.; Glass K.; Coburn K.; Sisson J.; Birnkrant J.; Bravo A.; Green A.)
CORRESPONDENCE ADDRESS
J.F. O'Donnell, Dartmouth Medical School, Hanover, NH 03755-3837, United
States.
SOURCE
Journal of Cancer Education (1997) 12:3 (157-160). Date of Publication: 1997
ISSN
0885-8195
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
Background: Tobacco use in the United States remains a significant health
concern. In 1992, students at Dartmouth Medical School began a community
service program that targeted the prevention of local tobacco use. Methods:
The program combined primary prevention, through education of school-aged
children, with secondary prevention, through smoking cessation clinics.
Results: The program has received widespread community as well as national
support for its actions. The program is in its initial stages of gathering
data to determine whether there has been a significant impact on the tobacco
use of the community. Conclusions: This paper is an introduction to the
program's efforts, and a potential template for other medical schools to
follow.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking cessation
tobacco
EMTREE MEDICAL INDEX TERMS
article
community hospital
human
medical school
primary prevention
priority journal
school
secondary prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997309390
MEDLINE PMID
9376253 (http://www.ncbi.nlm.nih.gov/pubmed/9376253)
PUI
L27430722
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1761
TITLE
Evaluating the impact of a clinical training program in the addictions
AUTHOR NAMES
Scotch F.L.
Fleger-Berman L.
Shaffer H.J.
AUTHOR ADDRESSES
(Shaffer H.J., hshaffer@warren.med.harvard.edu) Division on Addictions,
Harvard Medical School, 220 Longwood Avenue, Boston, MA 02115, United
States.
(Scotch F.L.; Fleger-Berman L.)
CORRESPONDENCE ADDRESS
H.J. Shaffer, Division on Addictions, Harvard Medical School, 220 Longwood
Avenue, Boston, MA 02115, United States.
SOURCE
Substance Use and Misuse (1997) 32:10 (1331-1348). Date of Publication: 1997
ISSN
1082-6084
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
This research examined students who were enrolled in a specialized addiction
treatment training program to evaluate the impact of this year- long
internship experience on their professional lives. Achieving an 87.5% survey
completion rate, the vast majority of program graduates assessed the overall
training program and its component activities very positively. The topics
and activities associated with 'drug dependence' were evaluated more
positively than the training events associated with pathological gambling.
Furthermore, the majority of program graduates obtained jobs in the
addiction field. As a result of the training program, approximately 74.5% of
respondents stated that they had changed their beliefs about addiction. In
addition, many respondents commented that their participation in the program
changed their stereotypes of people with addiction. The findings provide
suggestions and guidance for other clinical training programs that can gain
from the experiences of fellows who studied at the Norman E. Zinberg Center
for Addiction Studies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
substance abuse
EMTREE MEDICAL INDEX TERMS
academic achievement
article
female
human
major clinical study
male
priority journal
student
treatment outcome
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish, French
EMBASE ACCESSION NUMBER
1997271176
MEDLINE PMID
9286003 (http://www.ncbi.nlm.nih.gov/pubmed/9286003)
PUI
L27377176
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1762
TITLE
Network therapy for addiction: Assessment of the clinical outcome of
training
AUTHOR NAMES
Galanter M.
Keller D.S.
Dermatis H.
AUTHOR ADDRESSES
(Galanter M.; Keller D.S.; Dermatis H.) Division of Alcoholism and Drug
Abuse, Department of Psychiatry, New York University School of Medicine, 550
First Avenue, New York, NY 10016, United States.
CORRESPONDENCE ADDRESS
M. Galanter, Div. of Alcoholism and Drug Abuse, Department of Psychiatry,
New York Univ. School of Medicine, 550 First Avenue, New York, NY 10016,
United States.
SOURCE
American Journal of Drug and Alcohol Abuse (1997) 23:3 (355-367). Date of
Publication: 1997
ISSN
0095-2990
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
Mental health practitioners in the office setting are often seen as
deficient in addiction treatment skills. Relevant training is often quite
limited, and trainees are generally not introduced in an effective office-
based modality. We studied the feasibility of teaching beginning therapists
how to apply Network Therapy, a cognitive-behavioral approach to achieving
abstinence and preventing relapse that augments individual therapy with
support from family and friends. The therapists were 19 psychiatric
residents without experience in substance abuse treatment or outpatient
therapy, and the patients were 24 cocaine-dependent patients who received a
24-week course of Network treatment. The patients remained in treatment for
an average of 15.4 weeks. Seventy-nine percent of their observed weekly
urine toxicologies were negative for cocaine, and 42% of patients produced
clean urines in the 3 weeks immediately before termination. The overall
outcome compares favorably with that reported in studies on cocaine
treatment where experienced therapists were employed. Our results suggest
that naive mental health trainees can be taught to apply Network Therapy for
effective substance abuse management. This is particularly relevant to
technology transfer for general mental health trainees, who are often
thought to be perceived to be refractory to learning about the outpatient
management of addiction.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (therapy)
drug dependence treatment
EMTREE MEDICAL INDEX TERMS
adult
article
behavior therapy
clinical article
clinical trial
cognitive therapy
controlled clinical trial
controlled study
female
human
male
residency education
treatment outcome
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997238461
MEDLINE PMID
9261485 (http://www.ncbi.nlm.nih.gov/pubmed/9261485)
PUI
L27332578
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1763
TITLE
British Agencies for Adoption and Fostering in Scotland - Scottish Medical
Advisers' Survey
AUTHOR NAMES
Irving M.A.
Evans S.
Watson L.
AUTHOR ADDRESSES
(Irving M.A.; Evans S.; Watson L.) Child and Family Health, Cree North,
Crichton Hall, Crichton Royal Hospital, Bankend Road, Dumfries, DG1 4TG.
CORRESPONDENCE ADDRESS
M.A. Irving, Child and Family Health, Crichton Hall, Crichton Royal
Hospital, Bankend Road, Dumfries DG1 4TG, United Kingdom.
SOURCE
Public Health (1997) 111:4 (225-229). Date of Publication: 1997
ISSN
0033-3506
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Children in local authority care (The survey was conducted before the term
'in care' was replaced by 'looked after' on The Children (Scotland) Act
coming into force in October 1996) come from backgrounds of high incidence
of mental illness, substance abuse and learning difficulties and have often
suffered from neglect and/or abuse. They have a high incidence of medical
problems affecting both physical and mental health. The Committee of the
Scottish Section of the Medical Group of British Agencies for Adoption and
Fostering (BAAF) were concerned about the provision and coordination of
medical services for children in local authority care. The aim of the survey
was to identify the current and evolving practice among medical advisers
across Scotland. Questionnaires were returned from 40 Medical Advisers
representing each of the local authorities in Scotland. The responses
highlighted a variation in the implementation of practice in clinical
services provided to children in care and by whom. It confirmed that
difficulties in follow-up did exist and revealed widespread confusion
surrounding co-ordination of medical services, absence of procedures and
ignorance of legal requirements. The study confirms that involved medical
practitioners need to have a pro-active role in co-operating closely with
social work colleagues to provide a well co-ordinated service of medical
supervision providing a comprehensive assessment of health care needs as
part of the overall child care plan.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adoption
child care
foster care
medical service
social work
EMTREE MEDICAL INDEX TERMS
article
general practitioner
health care delivery
health care need
pediatrics
questionnaire
United Kingdom
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997239512
MEDLINE PMID
9242035 (http://www.ncbi.nlm.nih.gov/pubmed/9242035)
PUI
L27334261
DOI
10.1016/S0033-3506(97)00039-5
FULL TEXT LINK
http://dx.doi.org/10.1016/S0033-3506(97)00039-5
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1764
TITLE
An assessment of substance abuse treatment training needs among nurses.
(Part I): Evaluating skill, knowledge and training characteristics
AUTHOR NAMES
Vander Bilt J.
Hall M.N.
Schaffer H.J.
Storti S.
Church O.M.
AUTHOR ADDRESSES
(Vander Bilt J.; Hall M.N.; Schaffer H.J.; Storti S.; Church O.M.) Division
on Addictions, Harvard Medical School, Goldenson Building, 220 Longwood
Avenue, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
H.J. Schaffer, Division on Addictions, Harvard Medical School, Goldenson
Building, 220 Longwood Avenue, Boston, MA 02115, United States.
SOURCE
Journal of Substance Misuse (1997) 2:3 (150-157). Date of Publication: 1997
ISSN
1357-5007
ABSTRACT
This article (part I of a two-part paper) presents results of a substance
abuse treatment training needs assessment study conducted with 133 nurses
who were working in randomly selected New England substance abuse treatment
facilities. This sample of nurses was derived from a larger survey sample of
1684 substance abuse treatment providers working in randomly selected New
England substance abuse treatment facilities. These needs assessment data
show that, compared with drug and alcohol counselors, social workers, and
physicians or residents, nurses have the lowest levels of skill or knowledge
in 8 of 12 substance abuse-specific treatment areas. Nurses reported that
additional training would increase their clinical effectiveness. Without
adequate training, nurses cannot fulfill their roles in prevention,
intervention and treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
continuing education
nurse
substance abuse
EMTREE MEDICAL INDEX TERMS
article
controlled study
health care quality
human
normal human
skill
training
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997222673
PUI
L27312167
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1765
TITLE
Teaching smoking-cessation counseling to medical students using simulated
patients
AUTHOR NAMES
Eyler A.E.
Dicken L.L.
Fitzgerald J.T.
Oh M.S.
Wolf F.M.
Zweifler A.J.
AUTHOR ADDRESSES
(Eyler A.E.; Dicken L.L.; Fitzgerald J.T.; Oh M.S.; Wolf F.M.; Zweifler
A.J.) 3918 Taubman Center, Univ. of Michigan Medical School, 1500 E. Medical
Center Drive, Ann Arbor, MI 48109-0356, United States.
CORRESPONDENCE ADDRESS
A.J. Zweifler, 3918 Taubman Center, Univ. of Michigan Medical School, 1500
E. Medical Center Drive, Ann Arbor, MI 48109-0356, United States.
SOURCE
American Journal of Preventive Medicine (1997) 13:3 (153-158). Date of
Publication: 1997
ISSN
0749-3797
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Objective: Our objective was to evaluate the effectiveness of using
simulated patient instructors and the Ockene method to instruct third-year
medical students in smoking-cessation counseling techniques. Design: We used
a clinical exercise with self-study preparation and simulated patient
instructors. Methods: One hundred fifty-nine students participated in a
smoking-cessation counseling session in which cognitive and behavioral
endpoints were assessed by simulated patient instructors and the students
themselves. Results: Student performance in the cognitive and behavioral
components of model smoking-cessation counseling was acceptable. Specific
areas of weakness, such as the tendency of students to underemphasize the
personal and social benefits of smoking cessation, and to overestimate their
competence on a number of skill items, were identified. Student evaluation
of the exercise was positive. Conclusions: Smoking-cessation counseling can
be taught effectively to third-year medical students by simulated patient
instructors during a clinical clerkship.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient counseling
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
clinical education
disease simulation
education program
human
human experiment
medical student
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997184441
MEDLINE PMID
9181201 (http://www.ncbi.nlm.nih.gov/pubmed/9181201)
PUI
L27259713
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1766
TITLE
Addiction medicine and continuing medical education
AUTHOR NAMES
Sandlow L.J.
Dos Santos S.R.
AUTHOR ADDRESSES
(Sandlow L.J.) Department of Medical Education, University of Illinois,
Chicago, IL, United States.
(Dos Santos S.R.) Martagao Gesteira Pediat. Inst., Federal University of Rio
de Janeiro, Brazil.
(Sandlow L.J.) Department of Medical Education, University of Illinois at
Chicago, 808 South Wood Street, Chicago, IL 60612, United States.
CORRESPONDENCE ADDRESS
L.J. Sandlow, Department of Medical Education, University of Illinois, M/C
591, 808 South Wood Street, Chicago, IL 60612, United States.
SOURCE
Journal of Psychoactive Drugs (1997) 29:3 (275-284). Date of Publication:
July/September 1997
ISSN
0279-1072
BOOK PUBLISHER
Haight-Ashbury Publications, 612 Clayton Street, San Francisco, United
States.
ABSTRACT
Addictive disorders are one of the most common problems encountered by
primary care physicians. In the last decades there has been a significant
effort by organizations, universities, and private foundations to increase
the teaching of alcohol and drug abuse issues to medical students, residents
and practitioners. Still, up to now, the subject has not been presented
appropriately at either the undergraduate or graduate medical education
level and the majority of physicians in practice have not been adequately
instructed in addiction medicine. This article reviews the literature on
addictive disorders and medical education, exploring issues concerning
continuing medical education (CME) in particular. The authors discuss the
problems relative to this subject and the educational techniques and methods
most appropriate to changing attitudes and behaviors of physicians. They
also design an approach to a CME program on addictive disorders for primary
care physicians that incorporates multiple teaching/learning methodologies.
EMTREE DRUG INDEX TERMS
alcohol
gamma glutamyltransferase
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
continuing education
medical education
EMTREE MEDICAL INDEX TERMS
alcoholism
article
attitude
clinical trial
curriculum
general practitioner
human
patient care
physician
questionnaire
skill
teaching
CAS REGISTRY NUMBERS
alcohol (64-17-5)
gamma glutamyltransferase (85876-02-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997311534
MEDLINE PMID
9339860 (http://www.ncbi.nlm.nih.gov/pubmed/9339860)
PUI
L27433125
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1767
TITLE
Integration in education for addiction medicine
AUTHOR NAMES
Klamen D.L.
Miller N.S.
AUTHOR ADDRESSES
(Klamen D.L.) Undergraduate Med. Educ. Psychiat., Department of Psychiatry,
University of Illinois, Chicago, IL, United States.
(Miller N.S.) Dept. of Psychiatry and Neurology, University of Illinois,
Chicago, IL, United States.
(Miller N.S.) Div. of Addiction Treatment Programs, Department of
Psychiatry, University of Illinois, Chicago, IL, United States.
(Klamen D.L.) University of Illinois at Chicago, Department of Psychiatry
(M/C 913), 912 South Wood Street, Chicago, IL 60612-7327, United States.
CORRESPONDENCE ADDRESS
D.L. Klamen, University of Illinois, Department of Psychiatry, 912 South
Wood Street, Chicago, IL 60612-7327, United States.
SOURCE
Journal of Psychoactive Drugs (1997) 29:3 (263-268). Date of Publication:
July/September 1997
ISSN
0279-1072
BOOK PUBLISHER
Haight-Ashbury Publications, 612 Clayton Street, San Francisco, United
States.
ABSTRACT
Addiction to alcohol and other drugs is a serious public health problem that
is one of the most common disorders seen in medical practice. Although it is
an extremely common disorder, it is poorly diagnosed and treated by
physicians. In order to begin to develop an integrated approach to education
and addiction, one must define the many roles of the physician working with
addicted patients. Training about addictions must begin early in the medical
student's career, and continue in a vertically integrated way throughout
medical school. The notion of addiction as a disease process must be
introduced and integrated into course, materials in the preclinical years.
Careful attention must be paid to the development of positive views toward
working with addicted patients, and students must be indoctrinated early
with die idea that physicians have a responsibility to diagnose and manage
addicted patients. Students should be given multiple opportunities to learn
and use screening interviews for addiction in preclinical interviewing
courses, and while on the clerkships. Residency education and continuing
medical education in addictions are also important, so that faculty may
become good role models for students in this critical area.
EMTREE DRUG INDEX TERMS
alcohol
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, prevention)
medical education
EMTREE MEDICAL INDEX TERMS
continuing education
human
interview
laboratory test
patient counseling
patient referral
physical examination
physician
residency education
review
risk assessment
tobacco
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997311532
MEDLINE PMID
9339858 (http://www.ncbi.nlm.nih.gov/pubmed/9339858)
PUI
L27433123
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1768
TITLE
Addiction medicine: A place for faculty development
AUTHOR NAMES
Gelula M.H.
AUTHOR ADDRESSES
(Gelula M.H.) Scholars for Teach. Excellence Prog., Department of Medical
Education, Univ. Illinois Chicago Coll. of Med., .
(Gelula M.H.) Department of Medical Education, University Illinois, Chicago
College of Medicine, 808 South Wood Street, Chicago, IL 60612-7309, United
States.
CORRESPONDENCE ADDRESS
M.H. Gelula, Department of Medical Education, University of Illinois, 808
South Wood Street, Chicago, IL 60612-7309, United States.
SOURCE
Journal of Psychoactive Drugs (1997) 29:3 (269-274). Date of Publication:
July/September 1997
ISSN
0279-1072
BOOK PUBLISHER
Haight-Ashbury Publications, 612 Clayton Street, San Francisco, United
States.
ABSTRACT
Addiction medicine must fight for its space in the undergraduate, graduate
and continuing medical education curricula, as do most other clinical
domains. Often curriculum time is provided to specialty areas when a clear
relevance to the overall curriculum is made obvious. Increasing the
awareness of addiction medicine through institutionalized faculty
development programs can serve to foster the integration of this specialized
curriculum. Institutionalizing faculty development is proposed in a
description of a four-phase model. Specific recommendations of goals,
processes, and critical steps in the faculty development process supporting
scholarship leading to curricular change are described.
EMTREE DRUG INDEX TERMS
alcohol
diamorphine
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
clinical education
continuing education
curriculum
feedback system
learning
research
review
skill
tobacco
university
CAS REGISTRY NUMBERS
alcohol (64-17-5)
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997311533
MEDLINE PMID
9339859 (http://www.ncbi.nlm.nih.gov/pubmed/9339859)
PUI
L27433124
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1769
TITLE
Sports medicine: A century of progress
AUTHOR NAMES
Tipton C.M.
AUTHOR ADDRESSES
(Tipton C.M.) Department of Physiology, University of Arizona, Tucson, AZ
85271-0093, United States.
CORRESPONDENCE ADDRESS
C.M. Tipton, Department of Physiology, University of Arizona, Tucson, AZ
85271-0093, United States.
SOURCE
Journal of Nutrition (1997) 127:5 SUPPL. (878S-885S). Date of Publication:
1997
ISSN
0022-3166
BOOK PUBLISHER
American Society for Nutrition, 9650 Rockville Pike, Bethesda, United
States.
ABSTRACT
According to the International Olympic Committee, it is the responsibility
of the sports medicine profession to care for the health and welfare of
Olympic athletes, treat and prevent injuries, conduct medical examinations,
evaluate performance capacity, provide nutritional advice, prescribe and
supervise training programs, and to monitor substance use. Implicit in these
functions is to assist Olympic athletes in achieving the objectives of the
Olympic Motto (Citius, Altius, Fortius), which is to become faster, higher,
and stronger. During the past Olympiads, athletic performance has increased,
as indicated by times for the men's marathon (-28%) or by the distance
covered in the women's javelin throw (+80%). However, the fulfillment of
these responsibilities was a slow and protracted process, as demonstrated by
the facts that medical examinations were not required until 1920, that 28
years elapsed before an official team physician was appointed, and that
women had to wait until 1984 before sanction was given to compete in the
marathon race. Doping was not defined until 1964, and monitoring of
substance abuse did not materialize until after 1972. Although individuals
have prepared for athletic competition since the ancient Olympics, the
scientific foundations for various training prescriptions were not firmly
established until the 1960s and 1970s. It was speculated that performance
records will continue to improve in the next century because more scientific
sports medicine information would be available and because such information
would be better disseminated to athletes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
sports medicine
EMTREE MEDICAL INDEX TERMS
adult
athlete
conference paper
consultation
doping
drug abuse
female
health care
human
major clinical study
male
marathon runner
nutritional support
physical performance
substance abuse
training
wellbeing
EMBASE CLASSIFICATIONS
Clinical and Experimental Biochemistry (29)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997148902
MEDLINE PMID
9164256 (http://www.ncbi.nlm.nih.gov/pubmed/9164256)
PUI
L27209460
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1770
TITLE
Long-term impact of addictions training for medical residents
AUTHOR NAMES
Sobell L.C.
Sdao-Jarvie K.
Frecker R.C.
Brown J.C.
Cleland P.A.
AUTHOR ADDRESSES
(Sobell L.C.; Sdao-Jarvie K.; Frecker R.C.; Brown J.C.; Cleland P.A.)
Addiction Research Foundation (ARF), University of Toronto, Toronto, Ont.,
Canada.
(Sobell L.C.; Frecker R.C.) Faculty of Medicine, University of Toronto,
Toronto, Ont., Canada.
(Sobell L.C.) Nova Southeastern University, Center for Psychological
Studies, 3301 College Avenue, Fort Lauderdale, FL 33314, United States.
CORRESPONDENCE ADDRESS
L.C. Sobell, Nova Southeastern University, Center for Psychological Studies,
3301 College Avenue, Fort Lauderdale, FL 33314, United States.
SOURCE
Substance Abuse (1997) 18:2 (51-56). Date of Publication: Jun 1997
ISSN
0889-7077
ABSTRACT
The present survey was conducted to determine the long-term impact of
addictions training on the practice patterns of physicians who completed a
specialized addictions residency training program. Medical residents and
medical research fellows who participated in a residency training program in
addictions from 1981 through 1991 at the Addiction Research Foundation in
Toronto were mailed a brief questionnaire about their training experience.
Of the 27 physicians who responded to the questionnaire (73% response rate),
52% were currently working in the addictions field. Of the 13 who were not
working in the field, 77% reported using their addictions training in their
current practice. Thus, 89% of the physicians who participated in the
specialized addictions residency training program and responded to the
survey reported continued utilization of their training several years after
the experience.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
residency education
EMTREE MEDICAL INDEX TERMS
article
curriculum
long term care
medical education
outpatient
patient care
substance abuse
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997204860
PUI
L27287550
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1771
TITLE
A substance abuse consultation service: Enhancing the care of hospitalized
substance abusers and providing training in addiction psychiatry
AUTHOR NAMES
McDuff D.R.
Solounias B.L.
Beuger M.
Cohen A.
Klecz M.
Weintraub E.
AUTHOR ADDRESSES
(McDuff D.R.; Solounias B.L.; Beuger M.; Cohen A.; Klecz M.; Weintraub E.)
Univ. of Maryland Medical Center, Baltimore, MD, United States.
(McDuff D.R.) Department of Psychiatry, Univ. of Maryland Medical Center,
645 West Redwood Street, Baltimore, MD 21201, United States.
CORRESPONDENCE ADDRESS
D.R. McDuff, Department of Psychiatry, Univ. of Maryland Medical Center, 645
West Redwood Street, Baltimore, MD 21201, United States.
SOURCE
American Journal on Addictions (1997) 6:3 (256-265). Date of Publication:
Summer 1997
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
The authors review the literature on the high prevalence but
underrecognition of substance abuse among hospitalized patients and the
general unavailability of hospital-based substance abuse consultation
services. They describe the development, clinical operations, staffing, and
teaching activities of a large substance abuse consultation service in one
urban academic medical center and detail the service's growth and changing
utilization patterns over an 8-year period, reporting the clinical
characteristics of 1,819 patients seen over a 1-year period. Differences
inpatient demographics, patterns of substance use, and diagnoses were highly
significant from one referring service to another. The authors discuss the
implications of such a service for patient care and teaching.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
consultation
economic aspect
health care cost
health care utilization
health maintenance organization
hospital discharge
human
medical education
medical service
review
self help
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997256609
MEDLINE PMID
9256992 (http://www.ncbi.nlm.nih.gov/pubmed/9256992)
PUI
L27356009
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1772
TITLE
Long-term trends in cigarette smoking among young U.S. adults
AUTHOR NAMES
Escobedo L.G.
Peddicord J.P.
AUTHOR ADDRESSES
(Escobedo L.G.) Health Services Division, Immigration and Naturalization
Serv., 8915 Montana Ave., El Paso, TX 79925, United States.
(Peddicord J.P.)
CORRESPONDENCE ADDRESS
L.G. Escobedo, Health Services Division, Immigration/Naturalization
Services, 8915 Montana Ave., El Paso, TX 79925, United States.
SOURCE
Addictive Behaviors (1997) 22:3 (427-430). Date of Publication: May/June
1997
ISSN
0306-4603
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Retrospective examination of a national probability sample revealed that
young women, particularly those who dropped out of high school, have reached
smoking rates as high or higher than subgroups of young men. These results
suggest that surveillance, research, and public health programs are needed
to address the rapid increase in smoking among young women.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
medical education
EMTREE MEDICAL INDEX TERMS
abstinence
adult
article
data analysis
health program
high school
household
human
prevalence
retrospective study
smoking habit
tobacco
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997162208
MEDLINE PMID
9183512 (http://www.ncbi.nlm.nih.gov/pubmed/9183512)
PUI
L27227628
DOI
10.1016/S0306-4603(97)80003-2
FULL TEXT LINK
http://dx.doi.org/10.1016/S0306-4603(97)80003-2
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1773
TITLE
Attitudes to cuts in expenditure and increased fees in health care
AUTHOR NAMES
Myllykangas M.
Ryynänen O.-P.
Kinnunen J.
Takala J.
AUTHOR ADDRESSES
(Myllykangas M.; Ryynänen O.-P.; Takala J.) University of Kuopio, Dept. of
Community Health Practice, PO Box 1627, FIN 70211, Kuopio, Finland.
(Kinnunen J.) University of Kuopio, Department of Health Policy, PO Box
1627, FIN 70211, Kuopio, Finland.
CORRESPONDENCE ADDRESS
M. Myllykangas, University of Kuopio, Dept Community Hlth General Practice,
PO Box 1627, FIN 70211 Kuopio, Finland.
SOURCE
Public Health (1997) 111:2 (71-75). Date of Publication: 1997
ISSN
0033-3506
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
The aim of this postal questionnaire study was to measure attitudes to cuts
and increased fees in health care in various Finnish population groups. Four
groups were identified: a population sample of 2000 subjects, aged 18-70 y;
a random sample of 1500 medical doctors of working age; a random sample of
1000 nurses of working age; and a sample of 2200 politicians involved in
health and social care administration, mostly at the municipal level
(altogether 6700 subjects). The main questionnaire included, among other
things, the following questions: (1) Which of 18 specified medical
activities at the primary health care level could be cut without causing
severe harm to the population? (2) For which of 13 specified medical
activities should clients pay at least 50% of the real cost? All the groups
indicated the greatest willingness to cut expenditure on health education,
occupational health services, hygiene inspection, substance abuse care,
rehabilitation services for war veterans, and family planning. All the
groups were least willing to make cuts in home care for disabled and elderly
people, maternity services and clinics for under-fives. Most respondents in
all groups felt that the activities for which clients should pay at least
50% of the cost were visits to physicians, occupational health services and
dental services, whereas clinics for under-fives and home care for disabled
and elderly persons should be kept free of charge. As a conclusion, primary
health care and prevention of diseases for small children, mothers, the
elderly and disabled persons, were prioritised by all the groups.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cost control
health care cost
medical fee
EMTREE MEDICAL INDEX TERMS
article
attitude
dentistry
disabled person
family planning
Finland
health education
home care
hygiene
nurse
obstetric procedure
occupational health service
pediatrics
physician
politics
primary health care
prophylaxis
questionnaire
rehabilitation center
social care
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997085876
MEDLINE PMID
9090279 (http://www.ncbi.nlm.nih.gov/pubmed/9090279)
PUI
L27122334
DOI
10.1016/S0033-3506(97)90003-2
FULL TEXT LINK
http://dx.doi.org/10.1016/S0033-3506(97)90003-2
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1774
TITLE
The health of prisoners
ORIGINAL (NON-ENGLISH) TITLE
La santé des détenus.
AUTHOR NAMES
Gentilini M.
Tcheriatchoukine J.
Louasse P.
Edel Y.
Dessaint L.
Duneton P.
Chièze F.
AUTHOR ADDRESSES
(Gentilini M.; Tcheriatchoukine J.; Louasse P.; Edel Y.; Dessaint L.;
Duneton P.; Chièze F.) Institut Santé et Développement, Paris.
CORRESPONDENCE ADDRESS
M. Gentilini, Institut Santé et Développement, Paris.
SOURCE
Bulletin de l'Académie nationale de médecine (1997) 181:3 (569-599;
discussion 599-599601). Date of Publication: 18 Mar 1997
ISSN
0001-4079
ABSTRACT
In twenty years, the prison population, from the mother country and the
overseas departments, has more than doubled, in spite of reprieve and
amnesty decisions. This increase is more a consequence of longer penalties
than of a rise in the number of imprisoned people The law no. 94-43, dated
january 18th 1994, concerning the prisoners' medical care and welfare is an
unprecedented health revolution. It comes in addition to provisions from
1986 and 1987 for the programme "13,000" prisons and those endowed with a
regional medical and psychological service (SMPR). The prisoners' health
must urgently be dealt with and particularly as regards infectious diseases,
vaccination check-up, campaign against drug addiction health and nutrition
education and dental care. As soon as incarceration has begun, the exist
must be prepared and taken into consideration by the different interveners
inside and outside the prison, in order to make sure of an efficient medical
follow-up. As the number of intervening medical and social personnel, is
increasing in prisons, a coordination inside the their walls as well as on
the regional and national levels, would prove useful.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care delivery
prison
EMTREE MEDICAL INDEX TERMS
addiction
disease transmission
France
hepatitis
Human immunodeficiency virus infection
review
LANGUAGE OF ARTICLE
French
MEDLINE PMID
9203743 (http://www.ncbi.nlm.nih.gov/pubmed/9203743)
PUI
L127277512
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1775
TITLE
Training general practitioners
AUTHOR NAMES
McAvoy B.R.
AUTHOR ADDRESSES
(McAvoy B.R.) Department of Primary Health Care, School of Health Sciences,
University of Newcastle Upon Tyne, Newcastle upon Tyne NE2 4HH, United
Kingdom.
CORRESPONDENCE ADDRESS
B.R. McAvoy, Department of Primary Health Care, School of Health Sciences,
University of Newcastle upon Tyne, Newcastle upon Tyne NE2 4HH, United
Kingdom.
SOURCE
Alcohol and Alcoholism (1997) 32:1 (9-12). Date of Publication: 1997
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Nationally there is no standardized system for the education and training of
general practitioners (GPs) within the UK in relation to prevention, early
detection and management of alcohol problems. A number of surveys over the
past 20 years have confirmed GPs' role legitimacy concerning working with
excessive drinkers, but identified a lack of role adequacy and role support
for this work. However, there are considerable constraints present in
current UK general practice which limit opportunities for education and
training of GPs. A possible way ahead may be to encourage general
practitioners to utilize a screening and early intervention programme,
coupled with ongoing support and imaginative use of other primary health
care workers, community workers and the secondary services.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, prevention)
medical education
EMTREE MEDICAL INDEX TERMS
article
early diagnosis
general practice
general practitioner
health care personnel
human
primary health care
priority journal
screening test
social work
training
United Kingdom
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997065205
MEDLINE PMID
9131897 (http://www.ncbi.nlm.nih.gov/pubmed/9131897)
PUI
L27092448
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1776
TITLE
Training psychiatric residents in addiction
AUTHOR NAMES
Westreich L.
Galanter M.
AUTHOR ADDRESSES
(Westreich L.; Galanter M.) Division of Alcoholism and Drug Abuse,
Department of Psychiatry, New York University School of Medicine, 550 First
Avenue, New York, NY 10016, United States.
CORRESPONDENCE ADDRESS
L. Westreich, Division of Alcoholism/Drug Abuse, Department of Psychiatry,
New York Univ. School of Medicine, 550 First Avenue, New York, NY 10016,
United States.
SOURCE
Substance Abuse (1997) 18:1 (13-25). Date of Publication: Mar 1997
ISSN
0889-7077
ABSTRACT
Substance abuse is an undertreated and endemic condition among psychiatric
patients. Despite this, psychiatrists historically have been poorly trained
in the recognition and treatment of addictive disorders. Over the past 20
years, however, concerted efforts have led to improved substance abuse
education for medical students, psychiatry residents, fellows in substance
abuse, and teaching faculty. The urgency of recent changes in the health
care system combined with trends in clinical research demands improved
medical education on the outpatient management of substance abuse disorders.
This paper reviews substance abuse training in psychiatric residency
education, and our intended readers are faculty members responsible for
teaching addiction psychiatry and residents interested in learning about the
subject. In the Introduction, education of psychiatrists in addiction is
briefly reviewed, and the relevant issues and societal pressures are
identified. In the second section, topics and suggested educational
strategies are presented for teaching psychiatric residents about the
pathology and treatments associated with substance abuse. In the final
section, some obstacles to addiction psychiatry training are addressed and
conclusions are presented.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
psychiatry
residency education
EMTREE MEDICAL INDEX TERMS
article
curriculum
substance abuse
teaching
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997114221
PUI
L27163783
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1777
TITLE
The impact of the Yale faculty development program: Clinical Alcohol and
Drug Research and Education (CADRE) on medical student teaching about
substance abuse
AUTHOR NAMES
O'Connor P.G.
Pearsall H.R.
Ball S.A.
Forsyth B.W.C.
Faraclas W.G.
Schottenfeld R.S.
AUTHOR ADDRESSES
(O'Connor P.G.) Department of Medicine, Yale University, School of Medicine,
New Haven, CT, United States.
(Pearsall H.R.; Ball S.A.; Schottenfeld R.S.) Department of Psychiatry, Yale
University, School of Medicine, New Haven, CT, United States.
(Forsyth B.W.C.) Department of Pediatrics, Yale University, School of
Medicine, New Haven, CT, United States.
(Faraclas W.G.) Department of Public Health, Southern Connecticut State
University, New Haven, CT, United States.
(O'Connor P.G.) Yale University, School of Medicine, Primary Care Center,
333 Cedar Street, New Haven, CT 06520-8025, United States.
CORRESPONDENCE ADDRESS
P.G. O'Connor, Yale University School of Medicine, Primary Care Center, 333
Cedar Street, New Haven, CT 06520-8025, United States.
SOURCE
Substance Abuse (1997) 18:1 (33-40). Date of Publication: Mar 1997
ISSN
0889-7077
ABSTRACT
Increasing emphasis on the need for medical student education about
substance abuse has led to the development of a variety of training efforts
through faculty development. The Yale University School of Medicine Faculty
Development Program or CADRE (Clinical Alcohol and Drug Research and
Education) was instituted in 1992 for the purpose of enhancing substance
abuse teaching in the Yale medical student curriculum. CADRE faculty were
identify in internal medicine, pediatrics, and psychiatry. Prior to the
program, there was limited formal teaching about substance abuse in the Yale
curriculum and no coordinated effort across disciplines. The enhancement of
teaching activities occurred primarily within four required 'core' clinical
clerkships for third-and fourth-year medical students. Student evaluations
of this new teaching activity were positive. The CADRE program was
successful at developing a multidisciplinary core faculty group with
expertise in substance abuse teaching and resulted in the development of a
coordinated multidisciplinary substance abuse curriculum for Yale medical
students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
clinical research
curriculum
medical student
teaching
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997114223
PUI
L27163785
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1778
TITLE
Long-term evaluation of a substance abuse fellowship program in family
medicine
AUTHOR NAMES
Graham A.V.
Davis A.K.
Coggan P.G.
Sherwood R.A.
AUTHOR ADDRESSES
(Graham A.V., avg@po.cwru.edu) Department of Family Medicine, Case Western
Reserve University, Cleveland, OH, United States.
(Davis A.K.) Department of Family Medicine, Case Western Reserve University,
Seattle, WA, United States.
(Coggan P.G.) Department of Family Medicine, University of California,
Riverside, CA, United States.
(Sherwood R.A.) Soc. of Teachers of Family Medicine, Kansas City, MO, United
States.
(Graham A.V., avg@po.cwru.edu) Case Western Reserve University, Department
of Family Medicine, 10900 Euclid Avenue, Cleveland, OH 44106-4950, United
States.
CORRESPONDENCE ADDRESS
A.V. Graham, Department of Family Medicine, Case Western Reserve University,
10900 Euclid Avenue, Cleveland, OH 44106-4950, United States. Email:
avg@po.ewru.edu
SOURCE
Family Medicine (1997) 29:3 (194-198). Date of Publication: March 1997
ISSN
0742-3225
BOOK PUBLISHER
Society of Teachers of Family Medicine, Ste 540, Leawood, United States.
ABSTRACT
Background: Faculty development fellowship programs provide avenues for
physicians to develop careers in academic medicine. However, the long-term
impact of these programs has not been evaluated. This paper examines the
impact of an 18-month substance abuse faculty development fellowship
administered by the Society of Teachers of Family Medicine (STFM) 7 years
after the fellowship's completion. Methods: Fellows were interviewed by
telephone. Their CVs were examined to assess how their present substance
abuse teaching, clinical, research, administrative, scholarly, and
networking activities compared with those prior to the fellowship. Results:
Initially, fellows contributed modules to an STFM publication and increased
substance abuse teaching in their home institutions. Seven years later,
.fellows reported increased activity in substance abuse teaching, clinical,
administrative, and research activities over those prior to the fellowship
and attributed these increases to the fellowship. Fellows' CVs reflected
increased publications, presentations, and networking activities with each
other, including the creation of the STFM Group on Substance Abase.
Conclusions: In a 7-year follow-up, STFM's substance abuse fellowship
program met its original goals, strengthened the academic and professional
achievements of the fellows, and fostered the development of several fellows
as leaders within the substance abuse field.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family medicine
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
academic achievement
article
clinical education
curriculum
education program
human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997092325
MEDLINE PMID
9085102 (http://www.ncbi.nlm.nih.gov/pubmed/9085102)
PUI
L27132152
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1779
TITLE
Training in substance abuse: still a stepchild in psychiatry residencies?
AUTHOR NAMES
Katz J.L.
AUTHOR ADDRESSES
(Katz J.L.)
CORRESPONDENCE ADDRESS
J.L. Katz,
SOURCE
Journal of substance abuse treatment (1997) 14:2 (197-198). Date of
Publication: 1997 Mar-Apr
ISSN
0740-5472
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, rehabilitation)
alcoholism (diagnosis, rehabilitation)
medical education
psychiatry
EMTREE MEDICAL INDEX TERMS
accreditation
curriculum
editorial
education
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9258865 (http://www.ncbi.nlm.nih.gov/pubmed/9258865)
PUI
L127297601
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1780
TITLE
Short term follow-up of 198 IV heroin users by motivated General
Practitioners
ORIGINAL (NON-ENGLISH) TITLE
Suivi a 4 mois de 198 heroinomanes par des medecins generalistes
AUTHOR NAMES
Charpak Y.
Nory-Guillou F.
Blin P.
Monaque C.
AUTHOR ADDRESSES
(Charpak Y.; Nory-Guillou F.; Blin P.; Monaque C.) EVAL, 75, rue du Faubourg
Saint-Antoine, F 75011 Paris, France.
CORRESPONDENCE ADDRESS
Y. Charpak, EVAL, 75, Rue du Faubourg Saint-Antoine, F-75011 Paris, France.
SOURCE
Revue d'Epidemiologie et de Sante Publique (1997) 45:1 (13-22). Date of
Publication: March 1997
ISSN
0398-7620
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France.
ABSTRACT
This study aimed to describe the short term follow-up of a cohort of 198 IV
heroin users by 44 highly motivated General Practitioners (GPs). The study
showed that for these GPs, the workload linked with the care of these
patients was heavy. Nearly half of them saw at least one drug-addict every
day. These GPs work within a network and stated they benefit from a regular
training on drug addiction topics. The profile of IV heroin users, followed
by these GPs, is different from the ones usually described in other health
care structures (higher percentage of women and better social insertion).
The two main motives to consult a GP are the demand of drugs concerning
their addiction and medical concern (due to infectious diseases especially).
The answer of GPs, concerning the demand of drugs, divide physicians into
two groups: those who never prescribe morphine like drugs as substitution
and those who do so. In addition, both of them often prescribe psychotrop
drugs to some of their patients. Nevertheless, these prescriptions are just
one of the elements of a follow-up contract between a GP and his patient.
Morphine like prescription is more frequently described among long term
drug-addicts already wellknown by GPs. This selection forbids a straight
comparison of the results of two groups of patients (with and without
morphine like substitution). But the main fact is that patients under
morphine like substitution are followed better (in terms of continuity)
after 4 months of observation.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
diamorphine
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
drug abuse
general practitioner
prescription
EMTREE MEDICAL INDEX TERMS
adult
article
Canada
cohort analysis
female
follow up
human
major clinical study
male
medical education
CAS REGISTRY NUMBERS
diamorphine (1502-95-0, 561-27-3)
morphine (52-26-6, 57-27-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
French
LANGUAGE OF SUMMARY
French, English
EMBASE ACCESSION NUMBER
1997100995
MEDLINE PMID
9173454 (http://www.ncbi.nlm.nih.gov/pubmed/9173454)
PUI
L27145485
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1781
TITLE
A longitudinal study of substance use and abuse in a single class of medical
students
AUTHOR NAMES
Croen L.G.
Woesner M.
Herman M.
Reichgott M.
AUTHOR ADDRESSES
(Croen L.G., croen@aecom.yu.edu; Reichgott M.) Department of Epidemiology
and Social Medicine, and Director, Office of Educational Research and
Evaluation, Bronx, NY, United States.
(Woesner M.; Herman M.) Department of Psychiatry, Bronx, NY, United States.
(Croen L.G., croen@aecom.yu.edu; Woesner M.) Departments of Psychiatry and
Family Medicine, Bronx, NY, United States.
(Herman M.) Department of Mediane, Bronx, NY, United States.
(Reichgott M.) Albert Einstein College of Medicine, Yeshiva University,
Bronx, NY, United States.
(Croen L.G., croen@aecom.yu.edu) Albert Einstein College of Medicine,
Yeshiva University, 1300 Morris Park Avenue, Bronx, NY 10461, United States.
CORRESPONDENCE ADDRESS
L.G. Croen, Albert Einstein CMYU, 1300 Morris Park Avenue, Bronx, NY 10461,
United States. Email: croen@aecom.yu.edu
SOURCE
Academic Medicine (1997) 72:5 (376-381). Date of Publication: May 1997
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Purpose. A longitudinal study to ascertain the attitudes toward, and habits
of, substance use among a single class of medical students. Method. A single
class from a northeastern medical school was surveyed in both its first year
(February 1991, 176 students) and its third year (May 1993, 170 students).
The students were asked to report how frequently during the prior year they
had used drugs or alcohol, and whether their use of each substance bad
increased, decreased, or remained the same since entering medical school; to
identify any family members with histories of alcohol or drug problems; and
to report any incidence during the prior year of ten behaviors associated
with substance dependence. The students were also asked to indicate their
agreement or disagreement with 11 attitudinal statements. Additional
attitudinal items asked the students to identify three major deterrents to
the abuse of drugs and alcohol, and what they had done if they had become
aware of a classmate with a drug or alcohol problem. Chi-square analysis and
two-tailed t-tests were used to compare data from the two surveys. Results.
The response rates in the first and second surveys were 96.9% and 81.8%,
respectively. Use of licit and illicit substances was comparable to that of
chronological peers and prior national studies of medical trainees. Most of
the students admitted to using alcohol at least once in the prior year
(91.8% and 95%, respectively). In both years marijuana was the illicit drug
used most often. Although there was a slight increase over time in the use
of benzodiazepines (2.4% to 5.8%) and a decrease in the use of marijuana
(29.4% to 21.7%), these changes were not significant. Few of the students in
their third year reported using any substance other than alcohol more than
once a month. In general, a greater percentage of the students reported a
decrease rather than an increase in the use of a substance since entering
medical school; the primary exception was for wine. As they progressed in
their training, the students became less concerned about the effect of
substance use on their performance and more likely to be embarrassed about
admitting to an addiction. Although in each year a few of the students
appeared to be at risk for substance dependence (8.9% and 3.5%,
respectively), no student came to the attention of the administration
because of problems related to substance use. While most of the students
were unaware of any classmate who had a problem, half of those who were
aware had done nothing, and the balance had rarely sought assistance from
the faculty or administration. Conclusion. Although there was no evidence
that substance use was a major problem, a few of the students appeared to be
at risk for drug or alcohol dependence. Appropriate intervention, support,
and referral systems should be identified for the few who may be at risk,
and increased educational efforts are needed to help all students address
this issue with their peers and, ultimately, with their patients.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine derivative
barbituric acid derivative
benzodiazepine derivative
cannabis
cocaine
diamorphine
drug
illicit drug
opiate
psychedelic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
alcoholism (epidemiology)
article
attitude
behavior
family history
female
habit
human
incidence
longitudinal study
major clinical study
male
medical student
performance
prevalence
priority journal
questionnaire
risk
stress
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997151634
MEDLINE PMID
9159584 (http://www.ncbi.nlm.nih.gov/pubmed/9159584)
PUI
L27213441
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1782
TITLE
A controlled trial of educational strategies to teach medical students brief
intervention skills for alcohol problems
AUTHOR NAMES
Roche A.M.
Stubbs J.M.
Sanson-Fisher R.W.
Saunders J.B.
AUTHOR ADDRESSES
(Roche A.M.; Stubbs J.M.; Sanson-Fisher R.W.; Saunders J.B.)
CORRESPONDENCE ADDRESS
A.M. Roche, QADREC, University of Queensland, Edith Cavell Building, Herston
Qld. 4029, Australia.
SOURCE
Preventive Medicine (1997) 26:1 (78-85). Date of Publication: January 1997
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Objectives. Comparatively little is known about the most effective
educational strategies to train medical students to successfully intervene
in their patients' alcohol problems. The relative effectiveness of two
educational programs to teach medical students brief intervention skills for
managing alcohol problems was examined. Methods. Teaching took place over 3
hr and was either the traditional didactic teaching program on the
principles and practice of brief and early intervention or an interactive
program involving a shortened lecture, clinical practice, and small group
feedback on clinical performance. Students were assessed on a 10-min
videotaped encounter with a simulated patient before and after teaching
according to how they addressed alcohol-related issues and on their general
interactional skills. Results. Performance on alcohol-related issues and
interactional skills were significantly improved after teaching, although
still poor in terms of clinical performance. A between-groups comparison on
pre/postteaching difference scores indicated interactive training was no
more effective than traditional didactic lectures in developing the
knowledge and skills needed for a brief alcohol intervention. Conclusion.
The need for more detailed teaching sessions on sensitive areas such as
alcohol use is indicated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
clinical education
patient counseling
EMTREE MEDICAL INDEX TERMS
article
clinical practice
competence
doctor patient relation
education program
human
medical student
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997129984
MEDLINE PMID
9010901 (http://www.ncbi.nlm.nih.gov/pubmed/9010901)
PUI
L27184628
DOI
10.1006/pmed.1996.9990
FULL TEXT LINK
http://dx.doi.org/10.1006/pmed.1996.9990
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1783
TITLE
A comparison of two methods to teach smoking-cessation techniques to medical
students
AUTHOR NAMES
Papadakis M.A.
Croughan-Minihane M.
Fromm L.J.
Wilkie H.A.
Ernster V.L.
AUTHOR ADDRESSES
(Papadakis M.A., maxine_papadakis@ucsfdom.ucsf.edu) Department of Clinical
Medicine, Univ. of California, San Francisco, School of Medicine, San
Francisco, CA, United States.
(Fromm L.J.) Department of Medicine, Univ. of California, San Francisco,
School of Medicine, San Francisco, CA, United States.
(Wilkie H.A.; Ernster V.L.) Dept. of Epidemiol. and Biostatist., Univ. of
California, San Francisco, School of Medicine, San Francisco, CA, United
States.
(Croughan-Minihane M.) Dept. of Fam. and Community Medicine, Univ. of
California, San Francisco, School of Medicine, San Francisco, CA, United
States.
(Papadakis M.A., maxine_papadakis@ucsfdom.ucsf.edu) Univ. of California, San
Francisco, Box 0120 M-987, San Francisco, CA 94143, United States.
CORRESPONDENCE ADDRESS
M.A. Papadakis, University of California, Box 0120 M-987, San Francisco, CA
94143, United States.
SOURCE
Academic Medicine (1997) 72:8 (725-727). Date of Publication: August 1997
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Purpose. To evaluate two smoking-cessation practice exercises, one using
standardized patients (SPs), the other using role playing by medical
students. Method. In the spring of 1994 all 120 first-year University of
California, San Francisco, School of Medicine students were given lectures
on the health effects of smoking and how physicians can help patients quit.
Afterward some of the students were randomly assigned to two groups in which
to practice counseling patients: Group 1 (n = 35) used SPs, Group 2 (n = 37)
used role playing. Each of the Group 1 students practiced smoking-cessation
techniques with an SP; the SP evaluated the student on cognitive and
communication skills, assigned an overall rating, and provided feedback
using a standardized form. The Group 2 students (as well as the 48 students
not assigned to a group) role-played in pairs and used the same form to
provide feedback. All the students evaluated their respective practice
exercises. Two weeks later 24 Group 1 and 31 Group 2 students participated
in a clinical- skills-assessment exercise using SPs. As in the Group 1
practice exercise, each student was evaluated by an SP on cognitive and
communication skills and assigned an overall rating. Data were analyzed
through a number of statistical methods. The cost of the SP program was
determined. Results. The Group 1 students rated their practice exercise much
more favorably than did the Group 2 students. However, there was no
significant difference between the groups in their ratings by the SPs on the
clinical-skills-assessment exercise. The use of SPs cost a great deal more
than did the use of role playing. Conclusion. Although the students rated
the SPs higher than they did the role playing, the two tools produced
similar levels of skills attainment. The data suggest that having students
practice smoking-cessation techniques through role playing may be as
effective as using the more expensive SPs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
cognition
cost
doctor patient relation
intermethod comparison
interpersonal communication
medical school
patient counseling
priority journal
role playing
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997256361
MEDLINE PMID
9282151 (http://www.ncbi.nlm.nih.gov/pubmed/9282151)
PUI
L27355761
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1784
TITLE
Computerised diagnosis in acute psychiatry: Validity of CIDI-Auto against
routine clinical diagnosis
AUTHOR NAMES
Rosenman S.J.
Korten A.E.
Levings C.T.
AUTHOR ADDRESSES
(Rosenman S.J.; Levings C.T.) Mental Health Services, Canberra Hospital,
Canberra, ACT, Australia.
(Korten A.E.) NH and MRC Psychiat. Epidemiol. R., Australian National
University, Canberra, ACT, Australia.
(Rosenman S.J.) Canberra Hospital, PO Box 11, Woden, ACT 2606, Australia.
CORRESPONDENCE ADDRESS
S.J. Rosenman, The Canberra Hospital, PO Box 11, Woden, ACT 2606, Australia.
SOURCE
Journal of Psychiatric Research (1997) 31:5 (581-592). Date of Publication:
September/October 1997
ISSN
0022-3956
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
The validity of the self-administered CIDI-Auto for detecting ICD-10
diagnoses was assessed in a study of 126 patients admitted to an acute
psychiatry unit. A comparison was made between the level of agreement of the
CIDI-Auto with a psychiatrist and that between two psychiatrists. The
CIDI-Auto generated an average of 2.3 diagnoses per subject, and the
psychiatrists 1.3. Agreement measured by overall agreement and by Kappas
between the CIDI-Auto and the psychiatrist's principal diagnosis was poor,
whereas agreement between psychiatrists was good. At the level of general
diagnostic class (e.g. substance use disorder, schizophrenic disorder, mood
disorder), agreement between CIDI-Auto and psychiatrist on principal
diagnosis was poor, Kappa = 0.23, while agreement between psychiatrists was
good, Kappa = 0.69. The findings indicate that the self-administered
CIDI-Auto has poor validity measured against clinical diagnosis for
hospitalised patients of acute psychiatric services. Poor validity of
computer-based diagnosis limits the diagnostic utility of these methods in
clinical situations. It also creates uncertainty of diagnostic findings in
survey use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior disorder (diagnosis)
computer assisted diagnosis
neurosis (diagnosis)
schizophrenia (diagnosis)
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
diagnostic accuracy
female
human
major clinical study
male
mood
priority journal
psychiatrist
psychiatry
EMBASE CLASSIFICATIONS
Biophysics, Bioengineering and Medical Instrumentation (27)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997317383
MEDLINE PMID
9368199 (http://www.ncbi.nlm.nih.gov/pubmed/9368199)
PUI
L27443118
DOI
10.1016/S0022-3956(97)00032-0
FULL TEXT LINK
http://dx.doi.org/10.1016/S0022-3956(97)00032-0
COPYRIGHT
Copyright 2018 Elsevier B.V., All rights reserved.
RECORD 1785
TITLE
European medical schools and tobacco
AUTHOR NAMES
Crofton J.W.
Tessier J.F.
Fréour P.P.
Piha T.
AUTHOR ADDRESSES
(Crofton J.W.) University of Edinburgh, Edinburgh, United Kingdom.
(Tessier J.F.; Fréour P.P.) L'Unite INSERM 330, University of Bordeaux II,
Bordeaux, France.
(Piha T.) WHO Regional Office for Europe, Copenhagen, Denmark.
(Crofton J.W.) 13 Spylaw Bank Road, Colinton, Edinburgh EH13 0JW, United
Kingdom.
CORRESPONDENCE ADDRESS
J.W. Crofton, University of Edinburgh, Edinburgh, United Kingdom.
SOURCE
Medical Education (1996) 30:6 (424-427). Date of Publication: 1996
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Following a survey in 19 European countries of the habits, attitudes and
knowledge of medical students regarding tobacco, World Health Organisation
European Office and the International Union against Tuberculosis and Lung
Disease jointly circulated to the Deans of all European medical schools a
summary of the results, including figures for mortality for smoking-related
diseases in their countries and a brief questionnaire concerning faculty
action on the tobacco problem. The response rate was just over 50%, higher
in Northern Europe (66%) than in Southern (35%) or Eastern (38%). Only 8% of
faculties had a specific teaching module on tobacco. In most it was either
systematically (35%) or unsystematically (55%) integrated in other teaching.
Teaching hospitals, teaching areas and faculty meetings were said to be
smokefree by over 90%; figures were lower for other areas. Seventy-seven per
cent of Deans intended to discuss our approach with their teaching staff;
72% gave the name of a staff member with a particular tobacco interest.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking habit
tobacco
EMTREE MEDICAL INDEX TERMS
article
attitude
Europe
human
mortality
questionnaire
staff
teaching
teaching hospital
world health organization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996360251
MEDLINE PMID
9217904 (http://www.ncbi.nlm.nih.gov/pubmed/9217904)
PUI
L26395282
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1786
TITLE
Pedagogical considerations and new trends in health education of future
teachers - Students of the Pedagogical Faculty, Charles University Prague
ORIGINAL (NON-ENGLISH) TITLE
PEDAGOGICKE ZRETELE A NOVE TRENDY VE ZDRAVOTNI VYCHOVE BUDOUCICH UCITELU -
STUDUJICICH PEDAGOGICKE FAKULTY UNIVERZITY KARLOVY V PRAZE
AUTHOR NAMES
Jungbauerova L.
Fiserova J.
Kostka J.
AUTHOR ADDRESSES
(Jungbauerova L.; Fiserova J.; Kostka J.) Za Opusem 160, 156 00 Praha
5-Zbraslav, Czech Republic.
CORRESPONDENCE ADDRESS
L. Jungbauerova, Za Opusem 160, 156 00 Praha 5-Zbraslav, Czech Republic.
SOURCE
Hygiena (1996) 41:6 (304-315). Date of Publication: 1996
ISSN
1210-7840
ABSTRACT
The author describes and explains the importance of school health education
as part of training of future teachers at the Faculty of Education,
Department of Biology. This all will serve as a basic for the concept of
teaching and also indicate the solution of the complex problem of drug
dependency of children, adolescents and adults. The paper evaluated the
results of the attitude of students (N = 247,M 37 %, W 63 %) to their health
and behaviour to the drugs. The majority of the students is interested in
health information. They consider as the greatest risk for students: 1. drug
dependency, 2. mental stress. From these aspects very high demands are laid
on teachers as psychologists according to 2/3 of students and according to
the students importance of health education is a similar as of any other
subject. 47 % future teachers are against legislation of drugs. Only 1/4 of
students has and does not cant to have experience with drugs. The 77 % of
students do not smoke, bud only 8 % do not drink at all. 61 % of the
students thing that drugs are no positive contribution to health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
drug dependence
health education
medical education
EMTREE MEDICAL INDEX TERMS
adult
article
drug abuse
human
mental stress
normal human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Czech
LANGUAGE OF SUMMARY
English, Czech
EMBASE ACCESSION NUMBER
1997004066
PUI
L26426817
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1787
TITLE
Preparing GP's for working with drug users.
AUTHOR NAMES
Campion-Smith C.
Preston A.
AUTHOR ADDRESSES
(Campion-Smith C.; Preston A.)
CORRESPONDENCE ADDRESS
C. Campion-Smith,
SOURCE
The British journal of general practice : the journal of the Royal College
of General Practitioners (1996) 46:413 (753). Date of Publication: Dec 1996
ISSN
0960-1643
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
education
human
letter
methodology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8995860 (http://www.ncbi.nlm.nih.gov/pubmed/8995860)
PUI
L127214914
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1788
TITLE
Smoking habits, knowledge on health adverse effects of smoking and attitudes
to anti-smoking activities in students of the Medical Faculty of UPJS in
Kosice
ORIGINAL (NON-ENGLISH) TITLE
FAJCIARSKE NAVYKY, VEDOMOSTI O ZDRAVOTNYCH NASLEDKOCH FAJCENIA A POSTOJE K
PROTIFAJCIARSKYM AKTIVITAM U STUDENTOV LEKARSKEJ FAKULTY UPJS V KOSICIACH
AUTHOR NAMES
Pavuk A.
Kuchta M.
AUTHOR ADDRESSES
(Pavuk A.; Kuchta M.) M. Nespora 3, 080 01 Presov, Slovakia.
CORRESPONDENCE ADDRESS
A. Pavuk, M. Nespora 3, 080 01 Presov, Slovakia.
SOURCE
Studia Pneumologica et Phtiseologica (1996) 56:5 (195-201). Date of
Publication: 1996
ISSN
0371-2222
ABSTRACT
According to the WHO questionnaire authors investigated in the school year
1995/1996 446 students of the 1st, 4th and 5th study year of the Medical
Faculty of UPJS in Kosice. The group consisted from 168 males (37.6 %) and
278 females (62.4 %). The global occurrence of smoking among students was
33.9 % in males and 18.3 % in females. Daily smokers were 12.5 % of males
and 3.9 % of females. Occasional male smokers were 21.9 % and female smokers
14.3 %. In global, 7.1 % of students smoked daily and 17.0 % occasionally.
There were 24.2 % of smokers in the whole group. Authors found a
considerable underestimation of the pathogenic role of smoking in the number
of acquired diseases by students. Education led to desirable attitudes of
medical students to anti-smoking activities. Authors found the greatest part
of disagreement with the recommendation of increase of the cigarette price
and of ban of advertisement. Their kowledge about smoking was considered as
satisfactory by 44.8 % of students of the 1st study year and 66.4 % of
students of the 5th study year.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
health education
medical student
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
normal human
questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Slovak
LANGUAGE OF SUMMARY
English, Slovak
EMBASE ACCESSION NUMBER
1996367575
PUI
L26402724
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1789
TITLE
Characteristics of young offenders detained under Section 53(2) at a young
offenders' institution
AUTHOR NAMES
Puri B.K.
Lambert M.T.
Cordess C.C.
AUTHOR ADDRESSES
(Puri B.K.; Lambert M.T.; Cordess C.C.) Department of Psychiatry, Charing
Cross Westminster Med School, St Dunstan's Road, London W6 8RP, United
Kingdom.
CORRESPONDENCE ADDRESS
B.K. Puri, Department of Psychiatry, Charing Cross Westminster Med School,
St Dunstan's Road, London W6 8RP, United Kingdom.
SOURCE
Medicine, Science and the Law (1996) 36:1 (69-76). Date of Publication: 1996
ISSN
0025-8024
BOOK PUBLISHER
Barnsbury Publishing, P.O. Box 67389, London, United Kingdom.
ABSTRACT
The objective of the study was to investigate the medical and psychiatric
characteristics and needs of detainees held under s.53(2) of the Children
and Young Persons Act 1933. A case-note study of all subjects detained under
s.53(2) at a young offenders' institution was carried out and their
psychologists and medical officer interviewed. The subjects had a high risk
of having experienced family disruption, of psychoactive substance abuse,
and poor educational progress, and they were more likely than the general
population to be Afro-Caribbean or of mixed race. They were psychologically
vulnerable and could become suicidal when exposed to risk factors such as
bullying and not being visited often by friends and relatives. However,
there was a lack of information available about the subjects in many
important areas including assessment of needs for special education, of
truancy, expulsions, child guidance clinic attendance, and placement on
child protection registers. It was not clear whether these young people had
been significantly in contact with services as children or whether they had
slipped through the net. In conclusion, the most important finding was a
worrying lack of information about this group. From the information
available they were clearly atypical. More research is needed; more adequate
information, for example with respect to physical and sexual abuse, child
rearing, education, peer relationships, and contact with specialist health
and social services, would assist in the development of services for the
treatment of these serious young offenders and for prevention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child psychiatry
community mental health center
criminal justice
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
child rearing
education
ethnic group
family life
human
major clinical study
male
medical personnel
offender
priority journal
psychologist
risk factor
sexual abuse
substance abuse
EMBASE CLASSIFICATIONS
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996338225
MEDLINE PMID
8907861 (http://www.ncbi.nlm.nih.gov/pubmed/8907861)
PUI
L26371919
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1790
TITLE
Clinical knowledge and skill priorities in substance abuse education: a
nursing faculty longitudinal survey.
AUTHOR NAMES
Murphy S.A.
Scott C.S.
Mandel L.P.
AUTHOR ADDRESSES
(Murphy S.A.; Scott C.S.; Mandel L.P.) Department of Psychosocial Nursing,
University of Washington, Seattle 98195, USA.
CORRESPONDENCE ADDRESS
S.A. Murphy, Department of Psychosocial Nursing, University of Washington,
Seattle 98195, USA.
SOURCE
The Journal of nursing education (1996) 35:8 (356-360). Date of Publication:
Nov 1996
ISSN
0148-4834
ABSTRACT
The aims of this study were to: 1) determine which of 16 substance abuse
content areas nursing faculty fellows considered important for their
professional growth; 2) determine content areas in which faculty fellows
planned to obtain knowledge and skill development during the coming year;
and 3) to identify content areas faculty fellows thought undergraduate
and/or graduate students should be taught. Questionnaires were mailed to the
43 nursing faculty fellows who were recipients of substance abuse federal
training during the 1989-1994 academic years. The response rate was 81%. One
and a half years later, 66% responded to the same items on a follow-up
survey. The results showed that faculty ratings of knowledge and skill
development needs for themselves and their students in nursing were stable
over time. Findings can be used to guide faculty and curriculum development
in alcohol and other substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude to health
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
clinical trial
education
female
human
longitudinal study
male
multicenter study
nursing
nursing discipline
personnel management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8923311 (http://www.ncbi.nlm.nih.gov/pubmed/8923311)
PUI
L127197179
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1791
TITLE
Educating patients at home. Community Health Rap.
AUTHOR NAMES
Alemi F.
Stephens R.C.
Muise K.
Dyches H.
Mosavel M.
Butts J.
AUTHOR ADDRESSES
(Alemi F.; Stephens R.C.; Muise K.; Dyches H.; Mosavel M.; Butts J.) Health
Administration Program, Cleveland State University, Ohio, USA.
CORRESPONDENCE ADDRESS
F. Alemi, Health Administration Program, Cleveland State University, Ohio,
USA.
SOURCE
Medical care (1996) 34:10 Suppl (OS21-31). Date of Publication: Oct 1996
ISSN
0025-7079
ABSTRACT
OBJECTIVES: The authors analyzed the impact of home health education by
studying the impact of a computer service called Community Health Rap. When
patients call this service, the computer records their questions and alerts
an expert who records a response. Subsequently, the computer alerts the
patient that the question has been addressed. METHODS: Subjects included a
group of 82 pregnant women who had used cocaine during or 1 month before
pregnancy (as reported by the woman) and a group of residents of zip code
areas with the lowest income in Cleveland. From the drug-using pregnant
women, we collected data regarding satisfaction with Community Health Rap,
usage of Community Health Rap per month, self-reported health status (using
the General Health Survey), and the extent of drug use (using the Addiction
Severity Index). Trained coders also classified the nature of questions
posed to the Community Health Rap by either the pregnant women who abuse
drugs or the members of target households. Among the pregnant women who
abuse drugs, we compared the differences between those who used the service
and those who did not. To control for baseline differences between the two
groups, analysis of co-variance was used with exit values as the dependent
variables, the baseline values as the co-variates, and participation in the
Community Health Rap as the independent variable. RESULTS: Almost half (45%)
of poor, undereducated subjects who lived in inner urban areas used the
computer service. Content analysis of Community Health Rap messages revealed
that subjects had many questions that were of a social nature (regarding
sex, relationships, etc), in addition to medical questions. Analysis showed
that poor health status, more frequent drug use, lower education, and age
did not affect regular use of Community Health Rap service. No health
outcomes or utilization of treatment were associated with regular use of
Community Health Rap. One exception, however, was that regular users of
Community Health Rap reported slower improvement of their pain than those
who did not use Community Health Rap. CONCLUSIONS: These data suggest that
expansion of information services to households will not leave the poor and
the undereducated population groups "behind." They will use computer
services, though such services may not have an impact on their health status
or cost of care.
EMTREE DRUG INDEX TERMS
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
computer network
home care
online system
patient education
EMTREE MEDICAL INDEX TERMS
adult
analysis of variance
article
case control study
educational status
female
health services research
human
opiate addiction (prevention)
organization and management
outcome assessment
patient satisfaction
poverty
pregnancy
pregnancy complication (prevention)
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8843934 (http://www.ncbi.nlm.nih.gov/pubmed/8843934)
PUI
L126294602
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1792
TITLE
24-Hour mother-infant discharge with a follow-up home health visit: Results
in a selected medicaid population
AUTHOR NAMES
Brumfield C.G.
Nelson K.G.
Stotser D.
Yarbaugh D.
Patterson P.
Sprayberry N.K.
AUTHOR ADDRESSES
(Brumfield C.G.; Nelson K.G.; Stotser D.; Yarbaugh D.; Patterson P.;
Sprayberry N.K.) Department of Pediatrics, Home Hlth. Nursing and Women's
Serv., University of Alabama at Birmingham, Birmingham, AL, United States.
(Brumfield C.G.) University of Alabama at Birmingham, Dept. of Obstetrics
and Gynecology, OHB 450, 618 South 20th Street, Birmingham, AL 35233-7333,
United States.
CORRESPONDENCE ADDRESS
C.G. Brumfield, Department of Obstetrics/Gynecology, University of Alabama,
618 South 20th Street, Birmingham, AL 35233-7333, United States.
SOURCE
Obstetrics and Gynecology (1996) 88:4 I (544-548). Date of Publication:
October 1996
ISSN
0029-7844
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objective: To determine safety and cost-effectiveness of 24-hour discharge
in selected mothers and newborns. Methods: Women delivering at University
Hospital (the University of Alabama at Birmingham) were screened to
determine their eligibility for 24-hour discharge. Mothers were eligible if
they had no medical problems and no history of substance abuse, had an
uncomplicated vaginal delivery and postpartum course, were 12 or more hours
after postpartum bilateral tubal ligation, and had reached 24 hours after
delivery by 6:00 PM on the day of discharge. Newborns were eligible if they
were term (37 weeks or greater), weighed 2500 g or greater, and had a normal
examination at 24 hours of age. At 48 hours after delivery, each mother and
infant pair was examined by a home health nurse. Telephone consultations
with a staff physician were noted and outcomes were entered into a data base
linked to hospital financial data. Results: Of 5621 deliveries from October
1, 1993 to September 30, 1995, 972 mothers (17%) and 856 (15%) newborns were
discharged at 24 hours. One mother was lost to follow-up after discharge.
Nine-hundred fifty-six of 971 mothers (98.5%) had a normal examination at
the home visit. Fifteen of 971 mothers (1.5%) had problems that required
obstetrician telephone consultation. Seven mothers (0.7%) required a
physician visit; two of these women were readmitted for treatment of an
infection. Seven-hundred ninety-five of 856 (93%) newborns had a normal
examination. Sixty-one newborns (7%) had problems that required pediatrician
telephone consultation, primarily for jaundice, infant care questions, and a
cardiac murmur. Twelve infants (1.4%) required a pediatric clinic visit. No
infant was readmitted to the hospital. Net cost savings to our hospital for
24-hour discharge in these selected patients was $506,139 during a 2-year
period. Conclusion: In a selected, low-risk, low-income population, mother-
infant discharge 24 hours after delivery with a home follow-up visit is safe
and cost-effective.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
home care
hospital discharge
maternal care
medicaid
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
child
consultation
cost effectiveness analysis
female
follow up
human
infant
major clinical study
newborn
patient selection
practice guideline
priority journal
puerperium
safety
treatment outcome
uterine tube ligation
vaginal delivery
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996299013
MEDLINE PMID
8841215 (http://www.ncbi.nlm.nih.gov/pubmed/8841215)
PUI
L26326015
DOI
10.1016/0029-7844(96)00267-0
FULL TEXT LINK
http://dx.doi.org/10.1016/0029-7844(96)00267-0
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1793
TITLE
Ambulatory medical care of drug addicts
ORIGINAL (NON-ENGLISH) TITLE
Ambulante arztliche Behandlung von Drogenabhangigen
AUTHOR NAMES
Golz J.
AUTHOR ADDRESSES
(Golz J.) Kaiserdamm 24, 14057 Berlin, Germany.
CORRESPONDENCE ADDRESS
J. Golz, Kaiserdamm 24, 14057 Berlin, Germany.
SOURCE
Zeitschrift fur Arztliche Fortbildung (1996) 90:4 (271-278). Date of
Publication: 1996
ISSN
0044-2178
BOOK PUBLISHER
Urban und Fischer Verlag Jena, P.O. Box 100537, Jena, Germany.
ABSTRACT
The treatment and counseling of drug addicts increasingly comes under the
responsibility of family physicians. Since the onset of the AIDS epidemic
this applies in particular to the methadone treatment of chronically ill
heroin addicts. Medical education concerning the treatment of addiction is
insufficient. Unprofessional dealing with drug addicts may easily result in
serious obstruction of the relation between physician and patient. Thus it
endangers the success of treatment. Basic guidelines of interaction,
possibilities of abstinence therapy as well as harm reducting strategies are
presented.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
central stimulant agent
methadone (drug therapy)
naloxone (drug therapy)
naltrexone (drug therapy)
opiate
psychedelic agent
psychotropic agent
EMTREE DRUG INDEX TERMS
3,4 methylenedioxyamphetamine
cocaine
diamorphine
lysergide
phenobarbital
secobarbital
tetrahydrocannabinol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
ambulatory care
drug dependence (drug therapy)
medical care
EMTREE MEDICAL INDEX TERMS
drug withdrawal
heroin dependence (drug therapy)
human
short survey
CAS REGISTRY NUMBERS
3,4 methylenedioxyamphetamine (4764-17-4)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
lysergide (50-37-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
naloxone (357-08-4, 465-65-6)
naltrexone (16590-41-3, 16676-29-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
phenobarbital (50-06-6, 57-30-7, 8028-68-0)
secobarbital (309-43-3, 76-73-3)
tetrahydrocannabinol (1972-08-3)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
German, English
EMBASE ACCESSION NUMBER
1996217650
MEDLINE PMID
8928526 (http://www.ncbi.nlm.nih.gov/pubmed/8928526)
PUI
L26239474
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1794
TITLE
Smoking habits of future physicians: A survey among medical students of a
South German university
AUTHOR NAMES
Brenner H.
Scharrer S.
AUTHOR ADDRESSES
(Brenner H.; Scharrer S.) Department of Epidemiology, University of Ulm, .
(Brenner H.) Abt. Epidemiologie, Universität Ulm, D-89069 Ulm.
CORRESPONDENCE ADDRESS
H. Brenner, Abt. Epidemiologie, Universitat Ulm, D-89069 Ulm, Germany.
SOURCE
Sozial- und Praventivmedizin (1996) 41:3 (150-157). Date of Publication:
1996
ISSN
0303-8408
BOOK PUBLISHER
Birkhauser Verlag AG, Klosterberg 23, P.O. Box 133, Basel, Switzerland.
ABSTRACT
Physicians can play a key role in promoting abstinence from tobacco. In many
European countries, however, a large proportion of physicians are still
smoking themselves. To assess smoking habits of future physicians, a
cross-sectional study was conducted in 1992/1993 among 817 students enrolled
in the first, third, and fifth years of medical school at the university of
Ulm, Germany, using a self-administered questionnaire. The overall
participation rate was 85.2%. Prevalence of current smoking was 17.6% among
female participants and 29.2% among male participants. Among male students,
smoking prevalence varied between 22.9% in the first year and 34.6% in the
fifth year of medical school. Among female students, there were only minor
differences in smoking prevalence between the first, third and fifth years
at medical school. Most of the smokers had started to smoke prior to entry
into medical school. Among third and fifth year students, slightly more
students quit smoking than started to smoke during medical school, and
smokers in the fifth year of medical school were more frequently willing to
quit than smokers in the first and third year. Factors associated with
regular smoking of medical students, after adjustment for potential
confounders in multi-prevalence was somewhat lower in the present study than
in previous studies from Germany, further efforts are needed to reduce
smoking among future physicians in this country.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
health promotion
medical student
physician
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
female
Germany
human
male
normal human
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, German, French
EMBASE ACCESSION NUMBER
1996203664
MEDLINE PMID
8767210 (http://www.ncbi.nlm.nih.gov/pubmed/8767210)
PUI
L26225771
DOI
10.1007/BF01305385
FULL TEXT LINK
http://dx.doi.org/10.1007/BF01305385
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1795
TITLE
Smoking history-taking skills: A simple guide to teach medical students
AUTHOR NAMES
Boehlecke B.
Sperber A.D.
Kowlowitz V.
Becker M.
Contreras A.
McGaghie W.C.
AUTHOR ADDRESSES
(Boehlecke B.) Division of Pulmonary Medicine, Department of Medicine,
University of North Carolina, Chapel Hill, CA, United States.
(Sperber A.D.; Contreras A.) Dept. Hlth. Behaviour Hlth. Educ., University
of North Carolina, Chapel Hill, CA, United States.
(Kowlowitz V.) Department of Family Medicine, University of North Carolina,
Chapel Hill, CA, United States.
(Becker M.; McGaghie W.C.) Office of Educational Development, University of
North Carolina, Chapel Hill, CA, United States.
(Sperber A.D.) U. for Hlth. Prom. and Dis. Prev., Soroka Medical Center,
Ben-Gurion University, Beer-Sheva, Israel.
(Becker M.) Office of Educational Development, University of Texas Medical
Branch, United States.
(Contreras A.) Escuela Nacional de Sanidad, Madrid, Spain.
(McGaghie W.C.) Office of Medical Education, NW University Medical School,
Chicago, IL, United States.
(Sperber A.D.) Soroka Medical Center, Beer-Sheva 84101, Israel.
CORRESPONDENCE ADDRESS
A.D. Sperber, Soroka Medical Center, Beer-Sheva 84101, Israel.
SOURCE
Medical Education (1996) 30:4 (283-289). Date of Publication: 1996
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Many doctors rate themselves as ineffective smoking cessation counsellors.
It is logical to initiate training efforts with medical students. We
incorporated smoking history-taking in the physical diagnosis course at the
University of North Carolina at Chapel Hill using a simple method to teach
smoking history-taking skills and to assess its effectiveness as an
educational intervention. The principal intervention was the distribution of
a one-sheet Smoking-History Taking and Counseling Guide, adapted from the
American Lung Association's Freedom From Smoking for You and Your Family
self-help manual. The second intervention was a single prompt for 50% of the
course preceptors. Students' smoking history-taking skills were evaluated in
the Objective Structured Clinical Examination (OSCE) at the end of the
course. Students who received the guide did significantly better on the
OSCE, even after controlling for having discussed taking a smoking history
with their preceptors. A simple guide combined with a one-time prompting of
preceptors has a positive effect on the acquisition of smoking
history-taking skills by the medical students. This strategy may also be
useful for teaching and evaluating smoking-cessation counselling skills, for
which good smoking history-taking is a necessary basis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anamnesis
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
competence
controlled study
human
medical student
normal human
patient counseling
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996223165
MEDLINE PMID
8949540 (http://www.ncbi.nlm.nih.gov/pubmed/8949540)
PUI
L26245077
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1796
TITLE
Knowledge and attitudes about smoking in medical students before and after a
tobacco seminar
AUTHOR NAMES
Chung T.W.H.
Lam T.H.
Cheng Y.H.
AUTHOR ADDRESSES
(Chung T.W.H.; Lam T.H.; Cheng Y.H.) Department of Community Medicine, Unit
for Behavioural Sciences, University of Hong Kong, Hong Kong.
(Chung T.W.H.) Department of Health, Hong Kong Government, Hong Kong.
(Lam T.H.) Department of Community Medicine, University of Hong Kong,
Patrick Manson Building South Wing, 7 Sassoon Road, Hong Kong.
CORRESPONDENCE ADDRESS
T.H. Lam, Department of Community Medicine, Unit for Behavioural Sciences,
The University of Hong Kong, 7 Sassoon Road, Hong Kong, Hong Kong.
SOURCE
Medical Education (1996) 30:4 (290-295). Date of Publication: 1996
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
A 3-hour seminar on tobacco was introduced to second year (pre-clinical)
medical students in Hong Kong in 1994. The differences in knowledge and
attitudes were measured by a self-administered and anonymous questionnaire
with 14 items before the seminar (n = 145), and again 2 weeks after the
seminar (n = 151). The students also completed an evaluation form at the end
of the seminar. Before the seminar, the students were most deficient in
their knowledge on the exact magnitude of the risks from smoking and on the
risks from smoking relative to the risks from air pollution and asbestos.
After the seminar, their knowledge increased significantly (P < 0.005). As
for attitudes, in the pre-test 35% strongly agreed that tobacco advertising
should be completely banned, and 50% did so in the post-test (P = 0.02). The
corresponding figures for banning of all forms of tobacco promotion were 26%
and 43% (P < 0.005). In the pre-test, one in four students strongly
disagreed that doctor's advice to their patients to stop smoking is totally
ineffective, with this proportion increasing to 70% in the post-test (P <
0.005). The majority of the students stated that the seminar was useful. The
preclinical medical curriculum should, at the very least, include a tobacco
seminar. Our survey shows that it is effective in improving students'
knowledge and attitudes on tobacco control.
EMTREE DRUG INDEX TERMS
asbestos (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
curriculum
smoking
EMTREE MEDICAL INDEX TERMS
adult
advertising
air pollution
article
controlled study
health promotion
Hong Kong
human
medical education
medical student
normal human
questionnaire
risk factor
self report
tobacco (drug toxicity)
CAS REGISTRY NUMBERS
asbestos (1332-21-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996223166
MEDLINE PMID
8949541 (http://www.ncbi.nlm.nih.gov/pubmed/8949541)
PUI
L26245078
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1797
TITLE
Results of a questionnaire about nurse students' smoking habits and
knowledges in an Italian teaching school of nursing
AUTHOR NAMES
Boccoli E.
Federici A.
Melani A.S.
De Paola E.
AUTHOR ADDRESSES
(Melani A.S.) Department of Pneumology, L. Armanni Hospital, Arco (TN),
Italy.
(De Paola E.) Respiratory Physiopathology, Department of Pneumology, Careggi
Hospital, Firenze, Italy.
(Boccoli E.; Federici A.) B. Portinar Teaching School of Nursing, Firenze,
Italy.
(Boccoli E.) Scuola Infermieri Professionali, Azienda Ospedaliera di
Careggi, Viale Pieraccini 27, 50139-Firenze, Italy.
CORRESPONDENCE ADDRESS
E. Boccoli, Scuola Infermieri Professionali, Azienda Ospedaliera di Careggi,
Viale Pieraccini 27, 50139-Firenze, Italy.
SOURCE
European Journal of Epidemiology (1996) 12:1 (1-3). Date of Publication:
1996
ISSN
0393-2990
BOOK PUBLISHER
Kluwer Academic Publishers, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
Six-hundred and sixty-two nurse students (aged 25.2 ± 4.11. years; 153 were
males) answered a self-administered, anonymous questionnaire about smoking
habits and knowledges in a large urban Teaching School of Nursing. The
overall response rate was 88%. Current smokers were 336 (51%), former
smokers 80 (12%). Nurse students claimed to know the dangers of tobacco and
nurse training seemed to modify the preferential source of information about
tobacco smoking towards medical fonts; however, only a quarter of nurse
students considered medical smoking cessation approaches as useful-for
quitting and advised patients with tobacco related diseases against smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
Italy
medical personnel
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
female
human
male
normal human
questionnaire
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996206849
MEDLINE PMID
8817169 (http://www.ncbi.nlm.nih.gov/pubmed/8817169)
PUI
L26228687
DOI
10.1007/BF00144419
FULL TEXT LINK
http://dx.doi.org/10.1007/BF00144419
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1798
TITLE
Managing alcohol and drug problems in general practice: A survey of
trainees' knowledge, attitudes and educational requirements
AUTHOR NAMES
Roche A.M.
Parle M.D.
Saunders J.B.
AUTHOR ADDRESSES
(Roche A.M.; Saunders J.B.) Department of Psychiatry, University of Sydney,
Royal Prince Alfred Hospital, Sydney, NSW, Australia.
(Parle M.D.) Department of Psychiatry, University of Sydney, .
(Roche A.M.) Queensland Alcohol Drug Res. E., Faculty of Medicine,
University of Queensland, Herston, QLD 4029, Australia.
CORRESPONDENCE ADDRESS
A.M. Roche, QLD Alcohol Drug Res. Education Ctr., University of Queensland,
Royal Brisbane Hospital, Herston, QLD 4029, Australia.
SOURCE
Australian and New Zealand Journal of Public Health (1996) 20:4 (401-408).
Date of Publication: August 1996
ISSN
1326-0200
BOOK PUBLISHER
Public Health Association of Australia Inc., PO Box 319, Curtin, Australia.
ABSTRACT
To establish baseline data on Family Medicine Programme trainees' knowledge
of and attitudes to drug and alcohol problems, we posted questionnaires to
all trainees in New South Wales, Queensland, Victoria and South Australia. A
total of 1647 trainees was surveyed, with a response rate of 55 per cent (n
= 908). The mean age of respondents was 29 years and 54 per cent were
female. The majority of respondents (58 per cent) were in their final year
of training. Overall knowledge levels were reasonably good (the mean score
was 76 per cent), but there were significant areas of deficit. Senior
trainees generally performed better than their junior counterparts.
Knowledge was best for alcohol and weakest for opiates. Attitudes towards
involvement with drug and alcohol problems were very positive; however;
confidence in the efficacy of various interventions was mixed.
EMTREE DRUG INDEX TERMS
alcohol
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
general practitioner
medical education
EMTREE MEDICAL INDEX TERMS
adult
article
Australia
family medicine
female
human
male
normal human
CAS REGISTRY NUMBERS
alcohol (64-17-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996356007
MEDLINE PMID
8908764 (http://www.ncbi.nlm.nih.gov/pubmed/8908764)
PUI
L26390773
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1799
TITLE
Teaching smoking cessation skills to senior medical students: A block-
randomized controlled trial of four different approaches
AUTHOR NAMES
Roche A.M.
Eccleston P.
Sanson-Fisher R.
AUTHOR ADDRESSES
(Roche A.M.; Eccleston P.; Sanson-Fisher R.) QADREC, University of
Queensland, Royal Brisbane Hospital, Herston, QLD 4029, Australia.
CORRESPONDENCE ADDRESS
A.M. Roche, QADREC, University of Queensland, Royal Brisbane Hospital,
Herston, QLD 4029, Australia.
SOURCE
Preventive Medicine (1996) 25:3 (251-258). Date of Publication: 1996
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Medical practitioners have considerable untapped potential to
assist patients in stopping smoking. However, marked deficits have been
found in the amount and type of training medical practitioners receive in
smoking cessation counseling with little attention paid to determination of
effective training methods. Method. A randomized controlled trial was
conducted to examine the relative effectiveness of four different
educational programs in teaching smoking cessation skills to 5th-year
medical students in an Australian medical school. The four programs
comprised: (a) a traditional didactic lecture mode (control group), (b)
audio feedback through the use of audiotaped role plays, (c) role plays with
peer feedback, and (d) video feedback. Students' smoking cessation
intervention skills were assessed prior to training and at the end of term
via videotaped interviews with simulated patients. Results. Senior medical
students demonstrated significantly improved skills in smoking intervention
when exposed to any of the educational approaches other than traditional
didactic teaching. No overall differences in smoking intervention skills
were found between the three experimental training methods. Conclusions.
Specific training in smoking cessation techniques is necessary to increase
the intervention skills of medical students. Traditional teaching methods
are ineffective in developing smoking cessation intervention skills.
Enhanced teaching, of an appropriate nature, at undergraduate and
postgraduate levels is needed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
Australia
clinical trial
controlled clinical trial
controlled study
female
health education
human
major clinical study
male
medical student
patient education
priority journal
randomized controlled trial
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996183018
MEDLINE PMID
8781002 (http://www.ncbi.nlm.nih.gov/pubmed/8781002)
PUI
L26177567
DOI
10.1006/pmed.1996.0054
FULL TEXT LINK
http://dx.doi.org/10.1006/pmed.1996.0054
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1800
TITLE
Teaching smoking cessation to family practice residents: An experiential
approach
AUTHOR NAMES
Hall M.N.
Pettice Y.J.
Robinson M.D.
Alexander M.
AUTHOR ADDRESSES
(Hall M.N.; Pettice Y.J.; Robinson M.D.; Alexander M.) Department of Family
Practice, Carolinas Medical Center, Charlotte Area Hlth. Educ. Center,
Charlotte, NC, United States.
(Hall M.N.) Carolinas Medical Center, PO Box 32861, Charlotte, NC
28232-2861, United States.
CORRESPONDENCE ADDRESS
M.N. Hall, Carolinas Medical Center, PO Box 32861, Charlotte, NC 28232-2861,
United States.
SOURCE
Family Medicine (1996) 28:5 (331-336). Date of Publication: 1996
ISSN
0742-3225
BOOK PUBLISHER
Society of Teachers of Family Medicine, Ste 540, Leawood, United States.
ABSTRACT
Background and Objectives: Smoking cessation is a complex process influenced
by the smoker's motivation to quit and the effective use of external support
measures. Understanding the complexities of smoking cessation can be
difficult for physicians, many of whom have never smoked. This paper
describes an experiential educational approach that exposes family practice
residents to the process of smoking cessation through active participation
in an American Lung Association (ALA) Freedom From Smoking group. Methods:
We designed and observed a 1-month educational program in which residents
co-led a modified ALA group. Ethnography, a qualitative research technique,
was used to discover what residents learned. Results: We identified five
themes that describe what residents learned through their experience in the
ALA Group: 1) the power of nicotine addiction, 2) the power of the smoking
cessation group, 3) skills, tips, tools, and tricks to help the smoker quit,
4) the process of redefining success, and 5) the ability to understand the
smoker Residents' recall of their experience remained vivid, even 9 months
after the training concluded. Conclusions: This experiential approach
provided a rich, lasting learning experience for the residents we studied.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
experience
general practice
human
residency education
resident
teaching
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996161906
MEDLINE PMID
8735059 (http://www.ncbi.nlm.nih.gov/pubmed/8735059)
PUI
L26154701
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1801
TITLE
Position statement on training needs in addiction psychiatry.
AUTHOR ADDRESSES
SOURCE
The American journal of psychiatry (1996) 153:6 (852-853). Date of
Publication: Jun 1996
ISSN
0002-953X
ABSTRACT
Psychiatry has only recently developed training in the area of
substance-related disorders. Nevertheless, these illnesses are highly
prevalent and are associated with substantial morbidity and mortality.
Patients with these disorders often do not encounter or have access to
effective treatment. Because of this, the American Psychiatric Association
recommends developing improved training to assure that 1) the basic
psychiatric residency addresses essential aspects of addiction prevention
and treatment, 2) addiction psychiatry fellowships are strengthened to
provide needed manpower for consultation, academic teaching, and research,
and 3) psychiatrists are trained to provide leadership for the
multidisciplinary teams characteristic of this field. This statement was
drafted by the Committee on Training and Education in Addiction Psychiatry.
It was approved by the APA Assembly in November 1995 and by the Board of
Trustees in December 1995.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, therapy)
medical society
psychiatry
EMTREE MEDICAL INDEX TERMS
article
education
health care delivery
human
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8633725 (http://www.ncbi.nlm.nih.gov/pubmed/8633725)
PUI
L126227474
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1802
TITLE
Training in substance misuse for GPs [12]
AUTHOR NAMES
Ritson B.
Bury J.
Simmonte M.
Jaquet C.
AUTHOR ADDRESSES
(Ritson B.; Bury J.; Simmonte M.; Jaquet C.) Substance Misuse Section, Royal
College of Psychiatrists, London SW1X 8PG, United Kingdom.
CORRESPONDENCE ADDRESS
B. Ritson, Substance Misuse Section, Royal College of Psychiatrists, London
SW1X 8PG, United Kingdom.
SOURCE
British Medical Journal (1996) 312:7039 (1162). Date of Publication: 1996
ISSN
0959-8146
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
drug abuse
general practitioner
human
letter
medical specialist
primary medical care
priority journal
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1996137091
PUI
L26131312
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1803
TITLE
Chemical dependence: A look at what does and doesn't work
AUTHOR NAMES
Morton W.A.
AUTHOR ADDRESSES
(Morton W.A.) Clinical Research Section, Institute of Psychiatry, Medical
University of South Carolina, 171 Ashley Ave., Charleston, SC 29425-2262,
United States.
CORRESPONDENCE ADDRESS
W.A. Morton, Clinical Research Section, Institute of Psychiatry, Medical
University of South Carolina, 171 Ashley Ave., Charleston, SC 29425-2262,
United States.
SOURCE
Journal of Pharmacy Practice (1996) 9:2 (147-154). Date of Publication: 1996
ISSN
0897-1900
ABSTRACT
Pharmacists are often unprepared to become actively clinically involved with
patients in chemical dependence treatment programs. This article discusses
problems frequently encountered with these patients and provides potential
solutions to detriments in addressing their needs. A practitioner needs to
develop credibility with patients, understand the neurochemistry of
addictions, and understand the main concepts that maintain addictive
disorders. Non-drug alternatives need to be understood and offered to
recovering patients instead of immediately relying on pharmacological
treatments. Issues regarding dual diagnoses, pain management, nicotine
cessation, and concurrent medical problems are discussed. Essential
treatment concerns, such as a practitioner's 'philosophy of treatment,'
concept of 12- step groups, the natural course of addiction, and recognizing
impaired health professionals are addressed. The author offers suggestions
for becoming successfully involved in a chemical dependency treatment
program.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
cocaine
nicotine
EMTREE DRUG INDEX TERMS
analgesic agent
benzodiazepine derivative
gastrointestinal agent
methadone
narcotic analgesic agent
non prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
drug dependence (rehabilitation)
drug dependence treatment
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
analgesia
detoxification
group therapy
human
methadone treatment
model
pharmacist
philosophy
relaxation training
review
smoking cessation
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cocaine (50-36-2, 53-21-4, 5937-29-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Rehabilitation and Physical Medicine (19)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996128003
PUI
L26127493
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1804
TITLE
Training in substance misuse for GPs. Services need to be adequately
resourced.
AUTHOR NAMES
Ritson B.
AUTHOR ADDRESSES
(Ritson B.)
CORRESPONDENCE ADDRESS
B. Ritson,
SOURCE
BMJ (Clinical research ed.) (1996) 312:7039 (1162). Date of Publication: 4
May 1996
ISSN
0959-8138
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
education
health care organization
human
note
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8620163 (http://www.ncbi.nlm.nih.gov/pubmed/8620163)
PUI
L126319343
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1805
TITLE
Training in substance misuse for GPs. Courses are available in Lothian.
AUTHOR NAMES
Bury J.
Simmonte M.
Jaquet C.
AUTHOR ADDRESSES
(Bury J.; Simmonte M.; Jaquet C.)
CORRESPONDENCE ADDRESS
J. Bury,
SOURCE
BMJ (Clinical research ed.) (1996) 312:7039 (1162). Date of Publication: 4
May 1996
ISSN
0959-8138
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
education
human
note
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8620162 (http://www.ncbi.nlm.nih.gov/pubmed/8620162)
PUI
L126319344
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1806
TITLE
The role of internal medicine in addiction medicine
AUTHOR NAMES
Lewis D.C.
AUTHOR ADDRESSES
(Lewis D.C.) Brown University, Ctr Alcohol and Addiction Studies, Box G-BH,
Brown University, Providence, RI 02912, United States.
CORRESPONDENCE ADDRESS
D.C. Lewis, Brown University, Ctr Alcohol and Addiction Studies, Box G-BH,
Brown University, Providence, RI 02912, United States.
SOURCE
Journal of Addictive Diseases (1996) 15:1 (1-17). Date of Publication: 1996
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
Internal Medicine must play an important role in addiction medicine.
Although Psychiatry has been the dominant discipline in the addictions
field, this article explores how the internist can bring special insight to
the understanding of addictions. The article documents how Internal
Medicine, historically, has helped define and diversify the field of
addiction medicine. A survey of recent history, however, shows that Internal
Medicine has only minimally broadened its role in the addiction field,
despite the pronouncements of numerous committees, despite the urging of
several medical groups that it do so. The article shows that some internists
want to play an increased role in the field of addiction medicine, but often
feel limited by their lack of knowledge and by the professional biases they
confront. In conclusion, new suggestions for improving internist education
and increasing their interest and participation in addiction medicine are
offered.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
internal medicine
EMTREE MEDICAL INDEX TERMS
article
human
medical education
psychiatry
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996116829
MEDLINE PMID
8729143 (http://www.ncbi.nlm.nih.gov/pubmed/8729143)
PUI
L26110981
DOI
10.1300/J069v15n01_01
FULL TEXT LINK
http://dx.doi.org/10.1300/J069v15n01_01
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1807
TITLE
The use of role plays in teaching drug and alcohol management.
AUTHOR NAMES
Frith J.
AUTHOR ADDRESSES
(Frith J.) School of Community Medicine, University of New South Wales.
CORRESPONDENCE ADDRESS
J. Frith, School of Community Medicine, University of New South Wales.
SOURCE
Australian family physician (1996) 25:4 (532-533). Date of Publication: Apr
1996
ISSN
0300-8495
ABSTRACT
This is an evaluation of the use of role plays to teach drug and alcohol
assessment and management skills to medical students as part of their
general practice training. Role plays of 'real life' scenarios enable
students to evaluate their own learning experiences. This method facilitates
effective peer discussion of clinical and ethical issues with a high degree
of acceptability to both students and teachers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
medical education
role playing
teaching
EMTREE MEDICAL INDEX TERMS
alcoholism (therapy)
article
doctor patient relation
health education
human
mental stress
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8857056 (http://www.ncbi.nlm.nih.gov/pubmed/8857056)
PUI
L127184218
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1808
TITLE
Alcohol risk assessment and intervention for family physicians. Project of
the College of Family Physicians of Canada.
AUTHOR NAMES
Peters C.
Wilson D.
Bruneau A.
Butt P.
Hart S.
Mayhew J.
AUTHOR ADDRESSES
(Peters C.; Wilson D.; Bruneau A.; Butt P.; Hart S.; Mayhew J.) Hotel Dieu
Family, Medicine Centre Queen's University, Kingston, Ont.
CORRESPONDENCE ADDRESS
C. Peters, Hotel Dieu Family, Medicine Centre Queen's University, Kingston,
Ont.
SOURCE
Canadian family physician Médecin de famille canadien (1996) 42 (681-689).
Date of Publication: Apr 1996
ISSN
0008-350X
ABSTRACT
At-risk and problem drinkers (excluding those with severe dependency) are
estimated to be 20% of the Canadian population. With minimal training family
physicians can effectively manage patients with alcohol problems. The
Alcohol Risk Assessment and Intervention Project of the College of Family
Physicians of Canada has developed materials and training for family
physicians to use in helping their patients reduce the risks of
alcohol-related harm.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, therapy)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
Canada
education
human
mass screening
medical society
methodology
physician attitude
questionnaire
review
risk assessment
risk factor
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8653036 (http://www.ncbi.nlm.nih.gov/pubmed/8653036)
PUI
L126225393
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1809
TITLE
Tobacco curriculum for medical students, residents and practicing
physicians.
AUTHOR NAMES
Kristeller J.L.
Ockene J.K.
AUTHOR ADDRESSES
(Kristeller J.L.; Ockene J.K.) Department of Psychology, Indiana State
University, Terre Haute 47809, USA.
CORRESPONDENCE ADDRESS
J.L. Kristeller, Department of Psychology, Indiana State University, Terre
Haute 47809, USA.
SOURCE
Indiana medicine : the journal of the Indiana State Medical Association
(1996) 89:2 (199-204). Date of Publication: 1996 Mar-Apr
ISSN
0746-8288
ABSTRACT
Smoking and other tobacco exposure have been recognized for several decades
as the most significant preventable factors in premature morbidity and
mortality. Most physicians believe they should address the issue of tobacco
intake with their patients but are rarely provided with adequate training or
support to do so effectively. Recent research identifies several ways in
which physicians can have substantial impact on patient smoking rates, by
use of very brief patient-centered counseling and by prescribing nicotine
replacement therapies. This paper describes a model curriculum for medical
students, residents, medical faculty and community physicians that can be
integrated into current training and teaching practices. The goal is to
create a "preventive" intervention perspective to smoking that is effective,
practical, efficacious and cost-effective.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practice
medical education
smoking (adverse drug reaction, prevention)
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
human
patient education
risk factor
smoking cessation
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8867424 (http://www.ncbi.nlm.nih.gov/pubmed/8867424)
PUI
L126298281
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1810
TITLE
The efficacy of substance abuse education among dual-diagnosis patients
AUTHOR NAMES
Crump M.T.
Milling R.N.
AUTHOR ADDRESSES
(Crump M.T.; Milling R.N.) Univ. of S. Carolina Sch. of Med., Columbia, SC,
United States.
(Milling R.N.) William S. Hall Psychiat. Institute, P.O. Box 202, Columbia,
SC 29202, United States.
CORRESPONDENCE ADDRESS
R.N. Milling, W. S. Hall Psychiatric Institute, P.O. Box 202, Columbia, SC
29202, United States.
SOURCE
Journal of Substance Abuse Treatment (1996) 13:2 (141-144). Date of
Publication: March/April 1996
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The purpose of this study was to determine whether patient education
programs were effective at improving knowledge of substance abuse among
dual- diagnosis patient. Adult patients at a general psychiatry hospital
were identified for a history of substance abuse. Of the 51 patients
included in the given study, 25 were on forensic units, 7 were in a private
ward, and 19 were on the public unit. Patients were given a pretest at the
beginning of the study and received an identical posttest prior to discharge
or at the end of the study. The patients on the public unit received up to
16 h per week of Alcoholics and Anonymous meetings, alcohol/drug education
meetings, group therapy, and other forms of intervention. These patients
demonstrated statistically significant improvements between pretest and
posttest scores, while those on the forensic units who received only 2 h of
intervention per week did not show improvements in substance abuse
knowledge. These and other findings have been used to improved education
programs for our dual-diagnosis patients across the institute.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
diagnostic accuracy
diagnostic procedure
hospital discharge
human
patient education
priority journal
statistical analysis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996282058
MEDLINE PMID
8880672 (http://www.ncbi.nlm.nih.gov/pubmed/8880672)
PUI
L26304254
DOI
10.1016/0740-5472(96)00042-6
FULL TEXT LINK
http://dx.doi.org/10.1016/0740-5472(96)00042-6
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1811
TITLE
Training in substance abuse is lacking for GPs [16]
AUTHOR NAMES
Martin E.
AUTHOR ADDRESSES
(Martin E.)
SOURCE
British Medical Journal (1996) 312:7024 (186-187). Date of Publication: 1996
ISSN
0959-8146
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
general practitioner
health care quality
human
letter
patient counseling
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1996030780
MEDLINE PMID
8563569 (http://www.ncbi.nlm.nih.gov/pubmed/8563569)
PUI
L26026307
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1812
TITLE
Prevention and treatment of alcohol-related problems: An international
medical education model
AUTHOR NAMES
Murray M.
Fleming M.
Mellibruda
AUTHOR ADDRESSES
(Murray M., pmurray@willco.niaaa.nih.gov) Intl. Research and Training
Program, Natl. Inst. Alcohol Abuse Alcoholism, Bethesda, MD, United States.
(Fleming M.) University of Wisconsin, Madison, WI, United States.
(Mellibruda) Pol. Min. Hlth. Prev. A., Warszawa, Poland.
(Murray M., pmurray@willco.niaaa.nih.gov) Intl. Research and Training
Program, Natl. Inst. Alcohol Abuse Alcoholism, 6000 Executive Boulevard,
Bethesda, MD 20892-7033, United States.
CORRESPONDENCE ADDRESS
M. Murray, International Res./Training Program, NIAAA, 6000 Executive
Boulevard, Bethesda, MD 20892-7033, United States.
SOURCE
Academic Medicine (1996) 71:11 (1204-1210). Date of Publication: November
1996
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Alcohol abuse and alcoholism are among the world's most pressing public
health concerns. Research has shown that while primary care physicians are
in a good position to screen for alcohol-use disorders and to aid in
treating these problems, they tend to identify only a small percentage of
patients with such disorders and they rarely intervene with these persons.
This situation is probably attributable to the fact that medical students
worldwide are taught very little about alcohol-related problems. Clearly
them is an urgent need to educate the world's doctors about preventing,
diagnosing, and treating alcohol abuse and addiction. In this paper, the
authors describe a model international program for educating physicians
about alcohol-related problems that was developed by the National Institute
on Alcohol Abuse and Alcoholism (NIAAA) in cooperation with the Center for
Addiction Research and Education (CARE) at the University of Wisconsin-
Madison. They describe the components of the initiative's 'trainer-
development' approach and critical issues in implementing the program in
other countries. Finally, they discuss how the program was successfully
implemented in Poland and describe the NIAAA's plans for introducing the
model in several other countries.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
alcoholism
EMTREE MEDICAL INDEX TERMS
health care organization
human
international cooperation
medical education
medical school
Poland
priority journal
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996349991
MEDLINE PMID
9217509 (http://www.ncbi.nlm.nih.gov/pubmed/9217509)
PUI
L26384571
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1813
TITLE
A model smoking-intervention curriculum for medical school
AUTHOR NAMES
Usatine R.P.
Wilkes M.
Slavin S.
Wilkerson L.
AUTHOR ADDRESSES
(Usatine R.P.) 200 UCLA Medical Plaza, Los Angeles, CA 90095, United States.
(Wilkes M.; Slavin S.; Wilkerson L.)
CORRESPONDENCE ADDRESS
R.P. Usatine, 200 UCLA Medical Plaza, Los Angeles, CA 90095, United States.
SOURCE
Academic Medicine (1996) 71:1 SUPPL. (S96-S98). Date of Publication: January
1996
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
smoking cessation
EMTREE MEDICAL INDEX TERMS
clinical education
conference paper
continuing education
human
medical school
priority journal
relapse
retrospective study
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Internal Medicine (6)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1996031668
MEDLINE PMID
8546797 (http://www.ncbi.nlm.nih.gov/pubmed/8546797)
PUI
L26029314
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1814
TITLE
Smoking and health: A physician's responsibility. A statement of the joint
committee on smoking and health
AUTHOR NAMES
Rennard S.I.
AUTHOR ADDRESSES
(Rennard S.I.) University Nebraska Medical Center, Omaha, NE, United States.
CORRESPONDENCE ADDRESS
S.I. Rennard, University Nebraska Medical Center, Omaha, NE, United States.
SOURCE
European Respiratory Journal (1995) 8:10 (1808-1811). Date of Publication:
1995
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society, 4 Ave Sainte-Luce, Lausanne, Switzerland.
ABSTRACT
Tobacco use, particularly cigarette smoking, is a major cause of preventable
disease and premature death worldwide. Both smokers and nonsmokers exposed
to environmental tobacco smoke are at risk. Cessation of smoking reduces
risks. Although the addictive properties of nicotine can make cessation
difficult, both medical interventions aimed at helping smokers quit and
social policies aimed at control of cigarette smoking can have significant
benefits. Physicians should play an active role in control of smoking by
ensuring that counseling and pharmacological therapy are available for the
individual smoker. Physicians should also participate in the public debate
regarding smoking both individually and through medical organisations. As
smoking represents a threat to the public health, physicians must take a
strong and active role in seeking its control.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
medical education
smoking
smoking cessation
EMTREE MEDICAL INDEX TERMS
health promotion
human
priority journal
short survey
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995334258
MEDLINE PMID
8586144 (http://www.ncbi.nlm.nih.gov/pubmed/8586144)
PUI
L25342162
DOI
10.1183/09031936.95.08101808
FULL TEXT LINK
http://dx.doi.org/10.1183/09031936.95.08101808
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1815
TITLE
Substance abuse disorders: Psychiatric trainees' knowledge, diagnostic
skills and attitudes
AUTHOR NAMES
Roche A.M.
Parle M.D.
Campbell J.
Saunders J.B.
AUTHOR ADDRESSES
(Roche A.M.; Parle M.D.; Campbell J.; Saunders J.B.) Early Intervention
Unit, Centre for Drug and Alcohol Studies, Royal Prince Alfred Hospital,
Sydney, NSW, Australia.
CORRESPONDENCE ADDRESS
A.M. Roche, Early Intervention Unit, Centre for Drug and Alcohol Studies,
Royal Prince Alfred Hospital, Sydney, NSW, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (1995) 29:4 (645-652). Date
of Publication: 1995
ISSN
0004-8674
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
Objective: The drug and alcohol related knowledge and attitudes of trainee
psychiatrists were examined to obtain a baseline measure of these factors in
order to determine whether current training is appropriate and adequate.
Method: A questionnaire was distributed to trainees enrolled in the training
program of the Royal Australian and New Zealand College of Psychiatrists in
New South Wales, Victoria, Queensland and South Australia (N = 425).
Questions were asked relating to theoretical knowledge, diagnostic and
problem solving skills for a number of drug groups; further questions
concerned the respondents' attitudes and opinions on aspects of management.
Results: Sixty per cent of recipients returned the questionnaire.
Theoretical and applied knowledge levels were of an adequate standard
overall, but highly variable. Notable areas of weakness included knowledge
of opiates, barbiturates and stimulants. Trainees' views regarding treatment
options were also variable. Alcoholics Anonymous was considered the best
supported form of treatment from evidence from controlled trials. Low levels
of self efficacy and little support were recognised for early intervention
strategies. Conclusions: While positive views were generally expressed
towards involvement with patients with alcohol and drug problems, specific
strategies to enhance training and performance are needed. Findings are
discussed in terms of continuing education. It is recommended that if
sufficient training in this area is not provided then psychiatrists will
have little confidence in appropriate therapeutic approaches in treating
substance misusers.
EMTREE DRUG INDEX TERMS
barbituric acid derivative
central stimulant agent
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcoholics anonymous
article
continuing education
drug abuse
human
physician attitude
psychiatrist
questionnaire
skill
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996111922
MEDLINE PMID
8825828 (http://www.ncbi.nlm.nih.gov/pubmed/8825828)
PUI
L26106685
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1816
TITLE
The teaching of psychotherapy in a residency course on psychiatry and drug
abuse
ORIGINAL (NON-ENGLISH) TITLE
O prepodavanii psikhoterapii v kurse subordinatury po psikhiatrii i
narkologii.
AUTHOR NAMES
Vanchakova N.P.
Miager V.K.
AUTHOR ADDRESSES
(Vanchakova N.P.; Miager V.K.)
CORRESPONDENCE ADDRESS
N.P. Vanchakova,
SOURCE
Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia :
1952) (1995) 95:5 (93-94). Date of Publication: 1995
ISSN
0044-4588
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
medical education
psychiatry
psychotherapy
teaching
EMTREE MEDICAL INDEX TERMS
article
education
human
Russian Federation
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
8585389 (http://www.ncbi.nlm.nih.gov/pubmed/8585389)
PUI
L126204913
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1817
TITLE
Medical education about alcohol : Review of its role and effectiveness
AUTHOR NAMES
Walsh R.A.
AUTHOR ADDRESSES
(Walsh R.A.) Discip Behav Sci Relation Medicine, Faculty Medicine and Health
Sciences, University of Newcastle, Wallsend, 2287, Australia.
CORRESPONDENCE ADDRESS
R.A. Walsh, Discip Behav Sci Relation Medicine, Faculty Medicine and Health
Sciences, University of Newcastle, Wallsend, 2287, Australia.
SOURCE
Alcohol and Alcoholism (1995) 30:6 (689-702). Date of Publication: 1995
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Many reports have described inadequate responses by doctors to problems
associated with alcohol misuse. Low levels of medical knowledge and
inappropriate attitudes continue to be documented in the alcohol area.
However, in recent years, greater emphasis has been placed on the need to
improve doctors' skills in relation to alcohol problem detection and
intervention. Experiential teaching approaches have been recommended and
strategies which incorporate feedback methods offer considerable promise. In
the United Kingdom and Canada, there has been no centrally funded approach
to improve alcohol medical education. In contrast, federally funded
initiatives in the United States of America and Australia have been
associated with impressive increases in alcohol-related teaching hours and
elective opportunities. Despite the substantial effort invested in achieving
these curriculum gains, there is a dearth of research demonstrating impacts
on medical behaviours or evaluating the cost-effectiveness of different
educational strategies. Evidence from trials in smoking cessation training
indicate that well-designed programmes can alter doctor behaviours in
relation to substance abuse. If the alcohol medical education field is to
progress, there is an urgent need for the development and evaluation of
programmes which are better designed and are more in formed by theory.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
EMTREE MEDICAL INDEX TERMS
alcoholism (diagnosis)
attitude
Australia
behavior
Canada
cost effectiveness analysis
curriculum
economics
human
medical education
physician
priority journal
research
review
smoking cessation
teaching
United Kingdom
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996023039
MEDLINE PMID
8679008 (http://www.ncbi.nlm.nih.gov/pubmed/8679008)
PUI
L26017467
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1818
TITLE
Are psychiatrists sexist? A study of bias in the assessment of psychiatric
emergencies
AUTHOR NAMES
Hall I.
Deahl M.
AUTHOR ADDRESSES
(Hall I.; Deahl M.) Division of Psychiatry of Disability, St George's
Hospital Medical School, Cranmer Terrace, London SW17 0RE, United Kingdom.
CORRESPONDENCE ADDRESS
I. Hall, Division of Psychiatry of Disability, St George's Hospital Medical
School, Cranmer Terrace, London SW17 0RE, United Kingdom.
SOURCE
Psychiatric Bulletin (1995) 19:9 (538-540). Date of Publication: 1995
ISSN
0955-6036
ABSTRACT
In order to investigate bias in history taking among psychiatric trainees, a
retrospective study of case-notes was undertaken in an emergency psychiatric
clinic in a teaching district. Two hundred and twenty-seven consecutive new
patient assessments were assessed for quality of alcohol, substance use and
forensic histories. Trainees were more likely to take alcohol, substance use
and forensic histories from men, and more likely to take substance use
histories from younger patients. It is concluded that trainees make sexist
and ageist assumptions when they assess patients. There is a need for the
education of doctors in this area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
emergency health service
EMTREE MEDICAL INDEX TERMS
age
alcohol abuse
article
human
mental patient
physician attitude
sex difference
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996280864
PUI
L26303060
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1819
TITLE
Recovering physicians in addiction psychiatry fellowships. Perspectives of
fellows and faculty
AUTHOR NAMES
Willenbring M.L.
Specker S.M.
AUTHOR ADDRESSES
(Willenbring M.L.; Specker S.M.) VA Medical Center, 1 Veterans Drive,
Minneapolis, MN 55417-2300, United States.
CORRESPONDENCE ADDRESS
M.L. Willenbring, VA Medical Center, 1 Veterans Drive, Minneapolis, MN
55417-2300, United States.
SOURCE
American Journal on Addictions (1995) 4:4 (339-350). Date of Publication:
1995
ISSN
1055-0496
ABSTRACT
In this report, the authors describe the characteristics and experiences of
recovering fellows in a university addiction subspecialty fellowship. Four
stages of adjustment were identified: 1) initial adjustment, 2) role
conflict, 3) role integration, and 4) graduation. From a faculty viewpoint,
it is particularly important to separate clinical from educational
responsibilities in dealing with recovering fellows. Despite some continuing
conflict about treatment models, most fellows achieved their training goals
and were able to successfully adapt to post-training practice. However, some
fellows were unable to integrate personal recovery and professional roles.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
rehabilitation
EMTREE MEDICAL INDEX TERMS
article
controlled study
human
human experiment
medical student
model
normal human
psychiatry
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Internal Medicine (6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995338707
PUI
L25337589
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1820
TITLE
Determining priorities for family physician education in substance abuse by
the use of a survey
AUTHOR NAMES
El-Guebaly N.
Lockyer J.M.
Drought J.
Parboosingh J.
Juschka B.B.
Weston W.A.
Campbell W.
Chang S.
AUTHOR ADDRESSES
(El-Guebaly N.; Lockyer J.M.; Drought J.; Parboosingh J.; Juschka B.B.;
Weston W.A.; Campbell W.; Chang S.) Office Continuing Medical Education, The
University of Calgary, 3330 Hospital Drive NW, Calgary, Alta. T2N 4N1,
Canada.
CORRESPONDENCE ADDRESS
J.M. Lockyer, Office Continuing Medical Education, The University of
Calgary, 3330 Hospital Drive NW, Calgary, Alta. T2N 4N1, Canada.
SOURCE
Journal of Addictive Diseases (1995) 14:2 (23-31). Date of Publication: 1995
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
As the initial stage in developing a curriculum to assist family physicians
to diagnose and manage alcohol abuse in their practices, questionnaires were
mailed to a selected group of family physicians. A total of 117 physicians
(34%) completed the questionnaire. The majority of physicians (70.1%)
reported that fewer than 10% of their caseload experienced alcohol-related
problems. Most physicians (59.3%) did not use any of the standard diagnostic
instruments but reported that screening and detection was the most
challenging alcohol-related problem along with patient management. The
questionnaire identified a number of areas that could be used in the
development of educational strategies to increase the expertise of primary
care physicians in the diagnosis and management of alcohol-related problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcoholism (diagnosis, therapy)
article
curriculum
human
normal human
patient care
questionnaire
screening
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995303675
MEDLINE PMID
8541357 (http://www.ncbi.nlm.nih.gov/pubmed/8541357)
PUI
L25296985
DOI
10.1300/J069v14n02_03
FULL TEXT LINK
http://dx.doi.org/10.1300/J069v14n02_03
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1821
TITLE
Abuse of prescription and licit psychoactive substances by the elderly.
Issues and recommendations
AUTHOR NAMES
Naranjo C.A.
Herrmann N.
Ozdemir V.
Bremner K.E.
AUTHOR ADDRESSES
(Naranjo C.A.; Herrmann N.; Ozdemir V.; Bremner K.E.) Psychopharmacology
Research Program, University of Toronto, Sunnybrook Health Science Centre,
2075 Bayview Avenue, Toronto, Ont. M4N 3M5, Canada.
CORRESPONDENCE ADDRESS
C.A. Naranjo, Psychopharmacology Research Program, University of Toronto,
Sunnybrook Health Science Centre, 2075 Bayview Avenue, Toronto, Ont. M4N
3M5, Canada.
SOURCE
CNS Drugs (1995) 4:3 (207-221). Date of Publication: 1995
ISSN
1172-7047
ABSTRACT
The abuse of prescription and over-the-counter psychoactive medications,
tobacco, caffeine or alcohol (ethanol) by elderly adults is a clinical
situation that many physicians encounter. The issues of diagnosis and
clinical presentation of drug abuse may differ in the elderly compared with
younger individuals, and physicians need to be aware of these issues to
ensure the most appropriate management of elderly patients. Cognitive (e.g.
memory loss), physical (e.g. falls) and behavioural (e.g. depression,
insomnia) changes may be signs of substance abuse in elderly individuals.
However, these signs may be misdiagnosed as being due to aging. The quantity
of the substance(s) used by elderly persons may underestimate the frequency
and severity of problems as, due to altered pharmacokinetics and
pharmacodynamics, the elderly are more sensitive:to the effects of many
drugs. Hypnosedatives are among the most commonly used psychotropic
medications in the elderly and they have a high potential for abuse. The
elderly are very sensitive to the CNS depressant effects of these-drugs-and,
as a result, misuse (e.g. unintentional overuse) can lead to dependence and
abuse. There is limited information on the abuse of opioid analgesics, but
their misuse can result in physical dependence. Although the prevalence of
tobacco smoking is relatively low among the elderly, older smokers tend to
smoke more and be more dependent on nicotine than their younger
counterparts. Quitting smoking in old age has significant health benefits,
and increased age has been found to be associated with an increased success
in achieving abstinence. Caffeine, consumed mainly in the form of tea, may
contribute to insomnia and complaints about sleep quality, especially among
the institutionalised elderly. Ulcers, pancreatic cancer and osteoporosis
have been related to caffeine intake in some, but not all, studies. Alcohol
abuse, dependence and associated problems are less likely to be detected in
the elderly because many of the diagnostic criteria (e.g. work-related
problems) do not apply. Elderly patients in acute alcohol withdrawal may
require more careful management than younger ones. Prevention strategies for
substance abuse range from the education of patients, physicians and other
healthcare workers to monitoring; regulations and legislations by
governments. Future research should aim to improve the diagnosis and
detection of substance abuse, and to develop treatment and prevention
programmes.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
caffeine
hypnotic sedative agent (adverse drug reaction)
opiate (adverse drug reaction)
EMTREE DRUG INDEX TERMS
benzodiazepine derivative (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
tobacco
EMTREE MEDICAL INDEX TERMS
age
aged
alcoholism
cognition
depression
drug withdrawal
education
human
insomnia
patient information
prescription
priority journal
prophylaxis
review
risk factor
side effect
smoking
CAS REGISTRY NUMBERS
alcohol (64-17-5)
caffeine (30388-07-9, 58-08-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995261749
PUI
L25269663
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1822
TITLE
Medical students tackle adolescent health.
AUTHOR NAMES
Hoepfer M.
AUTHOR ADDRESSES
(Hoepfer M.)
CORRESPONDENCE ADDRESS
M. Hoepfer,
SOURCE
Pennsylvania medicine (1995) 98:9 (30-31). Date of Publication: Sep 1995
ISSN
0031-4595
ABSTRACT
Vincent J. Zarro, MD, PhD, is assistant dean of student affairs and director
of the division of addiction medicine in the Department of Medicine at the
Medical College of Pennsylvania and Hahnemann University School of Medicine.
For the past nine years, he has been involved in university efforts to
address public health needs in the Philadelphia area through programs
involving medical students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child behavior
health promotion
medical student
public health
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7478668 (http://www.ncbi.nlm.nih.gov/pubmed/7478668)
PUI
L125124914
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1823
TITLE
Training pediatric residents to prevent tobacco use
AUTHOR NAMES
Klein J.D.
Portilla M.
Goldstein A.
Leininger L.
AUTHOR ADDRESSES
(Klein J.D.; Portilla M.; Goldstein A.; Leininger L.) University of
Rochester, Adolescent Medicine, Box 690, 601 Elmwood Ave, Rochester, NY
14642, United States.
CORRESPONDENCE ADDRESS
J.D. Klein, University of Rochester, Adolescent Medicine, Box 690, 601
Elmwood Ave, Rochester, NY 14642, United States.
SOURCE
Pediatrics (1995) 96:2 (326-331). Date of Publication: 1995
ISSN
0031-4005
BOOK PUBLISHER
American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk
Grove Village, United States.
ABSTRACT
Objective: To assess the effectiveness and acceptability of incorporating
the National Cancer Institute (NCI) Guide to Preventing Tobacco Use During
Childhood and Adolescence into pediatric training. Design: Preintervention
and postintervention self-reported surveys for residents receiving training
and postintervention baseline surveys for those residents not receiving
training. Measures include: (1) a self-reported knowledge, attitude, and
behavior survey of residents; and (2) physician behavior reports from parent
exit interviews. Setting: A hospital-based pediatric residency program and
continuity clinic. Subjects: Pediatric residents and parents of pediatric
patients seen for well child examinations. Interventions: Structured NCI
smoking cessation curriculum modified for delivery during scheduled teaching
activities. Results: The NCI training was acceptable and perceived as
important by residents. Many did not recall receiving the materials or
training. Trained residents who remembered the intervention improved their
smoking cessation counseling effectiveness. Most patients' parents think it
appropriate for physicians to ask; however, most reported not having been
asked about smoking or environmental smoke exposure. Conclusions: For
residents to learn effective prevention counseling strategies, systematic,
reinforced preventive educational curricula must become an institutionalized
part of residency training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
health promotion
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
doctor patient relation
human
parent counseling
pediatrics
physician attitude
priority journal
residency education
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995241948
MEDLINE PMID
7630693 (http://www.ncbi.nlm.nih.gov/pubmed/7630693)
PUI
L25234655
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1824
TITLE
Improving pediatric residents' alcohol and other drug use clinical skills:
Use of an experiential curriculum
AUTHOR NAMES
Kokotailo P.K.
Langhough R.
Neary E.J.
Matson S.C.
Fleming M.F.
AUTHOR ADDRESSES
(Kokotailo P.K.; Langhough R.; Neary E.J.; Matson S.C.; Fleming M.F.) Dept
of Pediatrics, CSC H6/440, University of Wisconsin, 600 Highland Ave,
Madison, WI 53792-4116, United States.
CORRESPONDENCE ADDRESS
P.K. Kokotailo, Dept of Pediatrics, CSC H6/440, University of Wisconsin, 600
Highland Ave, Madison, WI 53792-4116, United States.
SOURCE
Pediatrics (1995) 96:1 I (99-104). Date of Publication: 1995
ISSN
0031-4005
BOOK PUBLISHER
American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk
Grove Village, United States.
ABSTRACT
Objective. To evaluate the effectiveness of an experiential alcohol and
other drug curriculum on pediatric residents' knowledge, attitudes, and
skills in alcohol and other drug (AOD) issues. Design. Nonrandomized control
trial. Setting. Two university pediatric residency programs. Participants.
Pediatric residents (n = 44). Intervention. Intervention residents received
an experiential AOD curriculum consisting of participation in an adolescent
assessment program, interactive didactic sessions, role-playing practice,
and interviewing skills sessions. The control group received no formal
training. Main Outcome Measures. Pretesting and posttesting each group using
written and Objective Structured Clinical Examination evaluations using
standardized patients. Evaluations were videotaped and scored by an expert
panel using a standardized scoring process. Results. Pretest comparisons of
written knowledge and clinical skills as assessed by the Objective
Structured Clinical Evaluation showed no significant differences between the
intervention and the control groups. Analysis of written test scores
revealed that residents' general knowledge as well as knowledge of screening
techniques and management resources related to AOD issues increased
significantly more for the intervention group than for the control group
from pretest to posttest (P < .001). Evaluation of the videotapes showed
significant improvement for the intervention group compared with controls in
overall score and in the use of specific screening techniques and
interviewing skills (P < .05). Self-assessment of residents' interest,
confidence, and competence in AOD issues improved significantly for
intervention residents vs controls (P < .05). Conclusions. Pediatric
residents receiving an experiential AOD curriculum increased their knowledge
and clinical skills in AOD issues significantly more than residents
receiving no formal training. Similar curricula and evaluation could be used
by other primary care residency programs and could be implemented in other
areas of adolescent health risk behaviors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
drug abuse
residency education
EMTREE MEDICAL INDEX TERMS
article
clinical education
continuing education
education program
pediatrics
priority journal
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995218008
MEDLINE PMID
7596731 (http://www.ncbi.nlm.nih.gov/pubmed/7596731)
PUI
L25211413
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1825
TITLE
Introducing the Sick of Smoking Program to South Australian GPs. The results
of peer-led small group educational sessions.
AUTHOR NAMES
Steven I.D.
Montanaro P.
AUTHOR ADDRESSES
(Steven I.D.; Montanaro P.)
CORRESPONDENCE ADDRESS
I.D. Steven,
SOURCE
Australian family physician (1995) 24:7 (1256-1259). Date of Publication:
Jul 1995
ISSN
0300-8495
ABSTRACT
In South Australia 288 general practitioners were trained in the use of a
minimal intervention stop smoking program. Follow up 8 months later
indicated widespread incorporation into practice. It was estimated that use
of the program resulted in a cost of less than $24 for each smoker who
ceased.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practice
general practitioner
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
Australia
education
human
program development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7661780 (http://www.ncbi.nlm.nih.gov/pubmed/7661780)
PUI
L125108693
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1826
TITLE
Substance abuse and the surgical health officer.
AUTHOR NAMES
Krizek T.J.
AUTHOR ADDRESSES
(Krizek T.J.)
CORRESPONDENCE ADDRESS
T.J. Krizek,
SOURCE
Journal of the American College of Surgeons (1995) 181:1 (78). Date of
Publication: Jul 1995
ISSN
1072-7515
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
drinking behavior
malpractice
medical education
surgery
EMTREE MEDICAL INDEX TERMS
editorial
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7599777 (http://www.ncbi.nlm.nih.gov/pubmed/7599777)
PUI
L125085214
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1827
TITLE
Comparison of training techniques using a patient-centred approach to
smoking cessation
AUTHOR NAMES
Seim H.C.
Verhoye J.R.
AUTHOR ADDRESSES
(Seim H.C.; Verhoye J.R.) Dept Family Practice Community Hlth, Medical
School, University of Minnesota, Minneapolis, MN, United States.
CORRESPONDENCE ADDRESS
H.C. Seim, Dept Family Practice Community Hlth, Medical School, University
of Minnesota, Minneapolis, MN, United States.
SOURCE
Medical Education (1995) 29:2 (139-143). Date of Publication: 1995
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
This study compared the use of a 2 1/2 -hour multimedia workshop with
distribution of an algorithm on the ability of fourth-year medical students
to present a stop-smoking plan to a simulated patient. Results showed that
students who participated in the workshop performed statistically
significantly better on the skill areas of providing information, eliciting
and responding to feeling and on content areas of past experience with
quitting, resources available for change and negotiating a plan. There were
no significant differences in the skill area of eliciting information and
the content areas of motivation to stop smoking, factors that inhibit change
and problems affecting the plan. Neither of the groups performed very well.
The highest number of available points obtained by both groups was in
eliciting information (53% in the algorithm group and 64% in the formal
training group); however, most of the values were in the range of 10%-25% of
possible points. Suggested reasons for the low values may be due to the
specific items rated, the teaching methods or the time needed to assimilate
new skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
health education
medical student
patient information
workshop
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995171298
MEDLINE PMID
7623701 (http://www.ncbi.nlm.nih.gov/pubmed/7623701)
PUI
L25166032
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1828
TITLE
Addictions training for physicians and other licensed health care
professionals in Maryland.
AUTHOR NAMES
McDuff D.R.
Tommasello A.C.
Hoffman K.J.
Johnson J.L.
AUTHOR ADDRESSES
(McDuff D.R.; Tommasello A.C.; Hoffman K.J.; Johnson J.L.) Division of
alcohol and drug abuse, University of Maryland School of Medicine, USA.
CORRESPONDENCE ADDRESS
D.R. McDuff, Division of alcohol and drug abuse, University of Maryland
School of Medicine, USA.
SOURCE
Maryland medical journal (Baltimore, Md. : 1985) (1995) 44:6 (453-459). Date
of Publication: Jun 1995
ISSN
0886-0572
ABSTRACT
Physicians and other health care providers have multiple opportunities in
the course of a typical practice year to identify and treat individuals who
abuse alcohol and other drugs. Although substance abuse is very common in
clinical practice, providers routinely fail to intervene in a timely fashion
due to negative attitudes, incomplete knowledge, and poorly developed
practice skills. Over the past ten years, addictions training of licensed
health care providers nationally and in Maryland has improved significantly.
This article describes recent national training trends and current
educational programs statewide for medical students, physicians in residency
and fellowship programs, and licensed providers in dentistry, nursing,
pharmacy, psychology, and social work. Several strategies for improving
professional training in addictions in the future are discussed and the
importance of shifting to an interprofessional training model is emphasized.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
alcoholism (therapy)
medical education
medical profession
EMTREE MEDICAL INDEX TERMS
article
education
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7596239 (http://www.ncbi.nlm.nih.gov/pubmed/7596239)
PUI
L125083851
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1829
TITLE
"Free from tobacco" educational program for smoking counseling and therapy
in the physician's practice
ORIGINAL (NON-ENGLISH) TITLE
Schulungsprogramm "Frei von Tabak" zur Raucherberatung und Rauchertherapie
in der Arztpraxis.
AUTHOR ADDRESSES
SOURCE
Zeitschrift für ärztliche Fortbildung (1995) 89:3 (313-314). Date of
Publication: Jun 1995
ISSN
0044-2178
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient education
smoking (adverse drug reaction, prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
doctor patient relation
human
LANGUAGE OF ARTICLE
German
MEDLINE PMID
7668021 (http://www.ncbi.nlm.nih.gov/pubmed/7668021)
PUI
L125108439
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1830
TITLE
Perinatal and neonatal issues of substance abuse
AUTHOR NAMES
Bell G.L.
Lau K.
AUTHOR ADDRESSES
(Bell G.L.; Lau K.) Division of Neonatology, T. C. Thompson Children's
Hospital, 910 Blackford Street, Chattanooga, TN 37403, United States.
CORRESPONDENCE ADDRESS
G.L. Bell, Division of Neonatology, T. C. Thompson Children's Hospital, 910
Blackford Street, Chattanooga, TN 37403, United States.
SOURCE
Pediatric Clinics of North America (1995) 42:2 (261-281). Date of
Publication: 1995
ISSN
0031-3955
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Substance abuse during pregnancy can be teratogenic for the fetus and can
cause decreased growth parameters in the newborn infant. Short-term and
long- term neurobehavioral problems have been documented also in babies born
to substance-abusing mothers. The problem of substance abuse during
pregnancy and its effects on the fetus is unique in medicine in that it is
100% preventable. Physicians will need to take an active role in leading
society to take action in preventing substance abuse during pregnancy, and
emphasis on this action should occur long before the woman becomes pregnant.
Until medical schools and residency programs take responsibility for
teaching the importance of preventing substance abuse and of identifying the
substance- abuser, drug and alcohol use will continue to exact its tragic
toll on future generations.
EMTREE DRUG INDEX TERMS
alcohol (drug toxicity)
amphetamine derivative (drug toxicity)
cannabis (drug toxicity)
carbon monoxide (drug toxicity)
cocaine (drug toxicity)
cyanide (drug toxicity)
diamorphine (drug toxicity)
dronabinol (drug toxicity)
illicit drug
methadone (drug toxicity)
nicotine (drug toxicity)
paregoric (drug dose, drug therapy)
phenobarbital (drug dose, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (diagnosis, drug therapy)
prenatal drug exposure
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
cannabis addiction
chemical teratogenesis
craniofacial malformation (congenital disorder, etiology)
fetal alcohol syndrome (congenital disorder, diagnosis, etiology)
fetus
fetus outcome
growth retardation (etiology)
human
newborn period
perinatal period
prematurity (etiology)
review
smoking
sudden infant death syndrome
withdrawal syndrome (complication, drug therapy)
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
carbon monoxide (630-08-0)
cocaine (50-36-2, 53-21-4, 5937-29-1)
cyanide (57-12-5)
diamorphine (1502-95-0, 561-27-3)
dronabinol (7663-50-5)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
nicotine (54-11-5)
paregoric (8029-99-0)
phenobarbital (50-06-6, 57-30-7, 8028-68-0)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Obstetrics and Gynecology (10)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995142336
MEDLINE PMID
7536914 (http://www.ncbi.nlm.nih.gov/pubmed/7536914)
PUI
L25140884
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1831
TITLE
Conjoint screening questionnaires for alcohol and other drug abuse:
Criterion validity in a primary care practice
AUTHOR NAMES
Brown R.L.
Rounds L.A.
AUTHOR ADDRESSES
(Brown R.L.; Rounds L.A.) Department of Family Medicine, Univ. of Wisconsin
Medical School, 777 S Mills St, Madison, WI 53715, United States.
CORRESPONDENCE ADDRESS
R.L. Brown, Department of Family Medicine, Univ. of Wisconsin Medical
School, 777 S Mills St, Madison, WI 53715, United States.
SOURCE
Wisconsin Medical Journal (1995) 94:3 (135-140). Date of Publication: 1995
ISSN
0043-6542
BOOK PUBLISHER
State Medical Society of Wisconsin, 330 E. Lakeside, P.O. Box 1109, Madison,
United States.
ABSTRACT
The US Preventive Services Task Force recommended that physicians use the
CAGE questions to screen patients for alcohol abuse. A similarly brief
screening instrument for abuse of other drugs is needed. Two conjoint
screening questionnaires for alcohol and other drug abuse were adapted from
the CAGE questions and the Short Michigan Alcoholism Screening Test (SMAST).
For 124 patients of an academic, community family practice, the conjoint
questionnaires and their forerunners were compared with DSM-III-R diagnoses
of substance use disorders as measured by the Diagnostic Interview Schedule-
Revised (DIS-R). The SMAST and its conjoint analog exhibited low
sensitivity. The CAGE Adapted to Include Drugs (CAGE-AID) was more sensitive
but less specific for substance abuse than the CAGE, especially when a
reduced criterion score was employed. The CAGE-AID was more sensitive than
the CAGE for subjects of varying sex, income, and level of education, as
well as most patterns of substance use disorders. The diminished specificity
of the CAGE- AID may have been, at least in part, artifactual. The CAGE-AID
holds promise for identifying primary care patients with alcohol and drug
disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
drug dependence (diagnosis)
primary medical care
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
drug abuse
female
human
major clinical study
male
questionnaire
screening
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995123318
MEDLINE PMID
7778330 (http://www.ncbi.nlm.nih.gov/pubmed/7778330)
PUI
L25121907
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1832
TITLE
Tobacco prevention education in a pediatric residency program
AUTHOR NAMES
Kosower E.
Ernst A.
Taub B.
Berman N.
Andrews J.
Seidel J.
AUTHOR ADDRESSES
(Kosower E.; Ernst A.; Taub B.; Berman N.; Andrews J.; Seidel J.) 5625
Cambridge Way, Culver City, CA 90230, United States.
CORRESPONDENCE ADDRESS
E. Kosower, 5625 Cambridge Way, Culver City, CA 90230, United States.
SOURCE
Archives of Pediatrics and Adolescent Medicine (1995) 149:4 (430-435). Date
of Publication: 1995
ISSN
1072-4710
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Objective: To report the impact of a tobacco intervention in a pediatric
residency program. Design: Residents and faculty took pretests and posttests
and follow-up surveys 6 months later. Setting: An urban, university-
affiliated, county medical center. Intervention: An educational program of
three presentations, written materials, and a bulletin board. Results:
Significant improvement in counseling and confidence in counseling.
Perceptions of barriers to counseling, specifically expertise, time
limitation and doubts regarding counseling effectiveness diminished.
Residents changed less than faculty in particular areas. There were no
differences between the posttests and the follow-up survey 6 months later.
Conclusions: Pediatric health professionals in an academic setting, given an
educational program will change their behaviors and attitudes about their
role in counseling patients about tobacco use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
EMTREE MEDICAL INDEX TERMS
article
education program
health care personnel
health promotion
patient attitude
patient counseling
pediatrician
priority journal
residency education
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995117503
MEDLINE PMID
7704172 (http://www.ncbi.nlm.nih.gov/pubmed/7704172)
PUI
L25116093
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1833
TITLE
The Orleans Parish Medical Society's "doctors in the schools" anti-tobacco
education program.
AUTHOR NAMES
D'Antoni S.
AUTHOR ADDRESSES
(D'Antoni S.) Orleans Parish Medical Society in New Orleans, USA.
CORRESPONDENCE ADDRESS
S. D'Antoni, Orleans Parish Medical Society in New Orleans, USA.
SOURCE
The Journal of the Louisiana State Medical Society : official organ of the
Louisiana State Medical Society (1995) 147:4 (168-172). Date of Publication:
Apr 1995
ISSN
0024-6921
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
medical society
physician attitude
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
female
human
male
pilot study
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7775844 (http://www.ncbi.nlm.nih.gov/pubmed/7775844)
PUI
L125075268
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1834
TITLE
Helping homeless men begin a new life. A program on Chicago's West Side
provides substance abuse rehabilitation and job training.
AUTHOR NAMES
Maher J.
Peck T.
AUTHOR ADDRESSES
(Maher J.; Peck T.) MARSEPH, Chicago, USA.
CORRESPONDENCE ADDRESS
J. Maher, MARSEPH, Chicago, USA.
SOURCE
Health progress (Saint Louis, Mo.) (1995) 76:3 (28-30). Date of Publication:
Apr 1995
ISSN
0882-1577
ABSTRACT
The MARSEPH program, named for the two principal program collaborators--the
Marillac Social Center and Saint Joseph Health Centers and
Hospital--provides life and work skills to homeless men who visit a day
shelter operated by the Marillac Social Center. Participants gain work
experience at Saint Joseph. One of the most important aspects of the MARSEPH
program is the removal of obstacles to the newly employed. Each MARSEPH
participant receives housing assistance, a uniform, transportation to Saint
Joseph Health Centers and Hospital, and a meal pass to the hospital's
cafeteria. Through this assistance, the men can get off the streets, get to
their jobs, be nourished, and look presentable. The MARSEPH program
carefully monitors each participant's progress, to ensure his success. Case
workers meet weekly with the men to discuss problems and concerns. Every
week case workers also visit each participant's residence to monitor his
living conditions and offer emotional support. At the end of the six-month
training program, MARSEPH helps graduates find employment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
African American
homelessness
private hospital
sheltered workshop
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
article
employment
human
male
organization and management
psychological aspect
religion
social support
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10172274 (http://www.ncbi.nlm.nih.gov/pubmed/10172274)
PUI
L125057016
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1835
TITLE
Ethics training for the alcohol/drug abuse professional
AUTHOR NAMES
Dove W.R.
AUTHOR ADDRESSES
(Dove W.R.) Boettcher Health Center, Colorado College, 1106 North Cascade
Avenue, Colorado Springs, CO 80903, United States.
CORRESPONDENCE ADDRESS
W.R. Dove, Boettcher Health Center, Colorado College, 1106 North Cascade
Avenue, Colorado Springs, CO 80903, United States.
SOURCE
Alcoholism Treatment Quarterly (1995) 12:4 (19-30). Date of Publication:
1995
ISSN
0734-7324
ABSTRACT
The author reviews the underlying research associated with ethics training
and complex problem solving. This background is applied to staff training in
applied ethics for chemical dependency program staff members.
Recommendations are made regarding both training and ongoing programmatic
structure for chemical dependency programs in ethical decision making.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
deontology
professional practice
psychotherapist
EMTREE MEDICAL INDEX TERMS
alcohol abuse
counseling
decision making
drug abuse
human
review
EMBASE CLASSIFICATIONS
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995081371
PUI
L25079969
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1836
TITLE
Alcoholism in adolescents and their families: Family-focused assessment and
management
AUTHOR NAMES
Alexander D.E.
Gwyther R.E.
AUTHOR ADDRESSES
(Alexander D.E.; Gwyther R.E.) Department of Family Medicine, University of
North Carolina, CB 7595, Manning Drive and Highway 15-501, Chapel Hill, NC
27599-7595, United States.
CORRESPONDENCE ADDRESS
D.E. Alexander, Department of Family Medicine, University of North Carolina,
CB 7595, Manning Drive and Highway 15-501, Chapel Hill, NC 27599-7595,
United States.
SOURCE
Pediatric Clinics of North America (1995) 42:1 (217-234). Date of
Publication: 1995
ISSN
0031-3955
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
A family-focused approach is the most effective clinical method in the
assessment and management of substance abuse in adolescents and their
parents. The impact of alcoholism and substance abuse on parents and
children, psychosocial risk factors, and indicators of alcoholism are
important considerations when using this approach. Education regarding the
family-focused approach to the treatment of substance abuse deserves a high
priority in the training of pediatricians and other primary care physicians.
As Doherty and Baird suggest,' . . . the key to this training will not be .
. . the development of a more sensitive liver function test, . . . but
(rather) will be to help primary care physicians view individual patients as
a part of a social context. The challenge will be to train the physicians to
evaluate the patient in his or her social and family system for significant
disturbances that commonly occur with chemical dependency. By evaluating the
presenting patient in a family context, the primary care physician has the
means to discover chemical dependency in early stages, when treatment
options are less disruptive; when outcome is improved; and when the
emotional and economic losses to patient, family and community are reduced.'
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, epidemiology, therapy)
child parent relation
family therapy
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescence
family history
family life
human
parental behavior
pediatrician
physician attitude
prevalence
review
risk factor
screening
social learning
stress
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995066837
MEDLINE PMID
7854875 (http://www.ncbi.nlm.nih.gov/pubmed/7854875)
PUI
L25065493
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1837
TITLE
Smoking cessation counseling by emergency physicians: opinions, knowledge,
and training needs.
AUTHOR NAMES
Prochazka A.
Koziol-McLain J.
Tomlinson D.
Lowenstein S.R.
AUTHOR ADDRESSES
(Prochazka A.; Koziol-McLain J.; Tomlinson D.; Lowenstein S.R.) Veterans
Affairs Medical Center, Denver, CO, USA.
CORRESPONDENCE ADDRESS
A. Prochazka, Veterans Affairs Medical Center, Denver, CO, USA.
SOURCE
Academic emergency medicine : official journal of the Society for Academic
Emergency Medicine (1995) 2:3 (211-216). Date of Publication: Mar 1995
ISSN
1069-6563
ABSTRACT
OBJECTIVES: To determine: 1) the extent of emergency physicians' (EPs')
training in smoking cessation counseling; 2) their understanding of
counseling and pharmacologic treatment techniques; 3) their current
practices in screening, counseling, and referring patients who smoke; and 4)
perceived barriers to routine smoking cessation counseling in emergency
medical practice. METHODS: A 26-item questionnaire addressing the above
issues was mailed to all 256 members of the Colorado Chapter of the American
College of Emergency Physicians. RESULTS: Completed questionnaires were
returned by 196 physicians (77% response rate). The majority of respondents
were men (80%), practiced in urban settings (87%), and were board-certified
in emergency medicine (82%). Most EPs lacked formal smoking cessation
training (55%) and felt poorly prepared to counsel patients about smoking
cessation (65%). A minority (27%) of the physicians reported routinely
asking patients to quit smoking. The physicians with formal smoking
cessation training were more likely to counsel and refer patients routinely
(34% vs 20%, p = 0.03). The physicians cited the following barriers to
routine smoking cessation counseling: a lack of time; a perception that
patients are not interested; a belief that the ED setting is inappropriate
for counseling; and a sense that counseling is ineffective. Lack of
reimbursement was cited by only 13% of the respondents. The physicians who
had formal smoking cessation training perceived fewer barriers to ED-based
counseling. CONCLUSIONS: Emergency physicians have received little training
in smoking cessation and perceive many barriers to ED-based smoking
cessation interventions. Not surprisingly, they infrequently take action to
encourage or assist their patients to quit smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency medicine
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
aged
article
attitude to health
chi square distribution
counseling
education
emergency health service
female
human
male
methodology
middle aged
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7497036 (http://www.ncbi.nlm.nih.gov/pubmed/7497036)
PUI
L126195568
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1838
TITLE
Medicalizing the war on drugs
AUTHOR NAMES
Schmoke K.L.
AUTHOR ADDRESSES
(Schmoke K.L.) 100 North Holliday Street, Baltimore, MD 21202, United
States.
CORRESPONDENCE ADDRESS
K.L. Schmoke, 100 North Holliday Street, Baltimore, MD 21202, United States.
SOURCE
Academic Medicine (1995) 70:5 (355-358). Date of Publication: 1995
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Most medical colleges, teaching hospitals, and other health education and
treatment institutions are already expanding their horizons to include
attention to the public health needs of their communities. But one pressing
public health problem-substance abuse-that should be treated as a disease
and handled by doctors and nurses is at present entrusted primarily to law
enforcement. The author believes that this is the wrong approach: the War on
Drugs is not working, and drug laws are inconsistent and illogical. Changes
in national drug policies must be changed. The author has called for a
national commission to study how all drugs-legal and illegal-should be
regulated. He advocates a health-regulatory strategy, sometimes called
'medicalization,' whereby the government would set up a regime to pull
addicts into the public health system and would control the price,
distribution, purity, and access to addictive substances, just as it now
does with prescription drugs. This would take the profit out of drug
trafficking. Addicts would be treated and if necessary maintained under
medical auspices. Baltimore began its own version of medicalization in the
summer of 1994 with a needle-exchange program, an approach that has
elsewhere led to dramatic drops in AIDS infection and drug-related crime.
Baltimore also has a mobile van for methadone treatment and is getting help
from public and private sources for increased drug treatment and prevention
programs. In the medicalization of the War on Drugs, the nation's medical
colleges, schools of public health, teaching hospitals, and nursing schools
all have roles to play. For example, training in addiction treatment should
become part of their curricula, especially for primary care physicians and
nurses. All teaching, caregiving, research, and funding institutions must
get involved to find and successfully implement medically oriented ways to
deal with substance abuse.
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug control
substance abuse
EMTREE MEDICAL INDEX TERMS
drug dependence (prevention, therapy)
drug legislation
heroin dependence (drug therapy)
human
law enforcement
methadone treatment
needle
priority journal
review
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995158764
MEDLINE PMID
7748378 (http://www.ncbi.nlm.nih.gov/pubmed/7748378)
PUI
L25157039
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1839
TITLE
A model for answering the substance abuse educational needs of health
professionals: The North Carolina Governor's Institute on Alcohol and
Substance Abuse
AUTHOR NAMES
Durfee M.F.
Warren D.G.
Sdao-Jarvie K.
AUTHOR ADDRESSES
(Durfee M.F.; Warren D.G.) Governor's Institute on Alcohol and Substance
Abuse, Inc., Research Triangle Park, NC, United States.
(Durfee M.F.) Wake Teen Medical Services, Raleigh, NC, United States.
(Warren D.G.) Department of Community and Family Medicine, Duke University,
Durham, NC, United States.
(Sdao-Jarvie K.) Addiction Research Foundation, Toronto, Ont., Canada.
(Durfee M.F.) Governor's Institute on Alcohol and Substance Abuse, Inc.,
P.O. Box 13374, Research Triangle Park, NC 27709, United States.
CORRESPONDENCE ADDRESS
M.F. Durfee, GIASAI, P.O. Box 13374, Research Triangle Park, NC 27709,
United States.
SOURCE
Alcohol (1994) 11:6 (483-487). Date of Publication: 1994
ISSN
0741-8329
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Physicians can play an increased role in recognizing, intervening, and
moderating their patients' misuse of alcohol and other drugs. This article
explores the need for educational changes to permit physicians to develop
skills in prevention, screening, and office-based treatment. It includes a
personal account by one of the authors of his experience in recognizing
deficiencies in substance abuse education both in his own medical school
training and in today's health science curricula in the United States. It
reviews prior initiatitives by NIAAA/NIDA to address curriculum needs and
describes an innovative collaborative model in North Carolina called the
Governor's Institute on Alcohol and Substance Abuse. The Institute was
created in 1990 as a nonprofit corporation to promote education, research,
and communication among health professionals. Some of the Institute's
programs are described, including its curriculum integration project in the
state's four medical schools. The article concludes that the time is right
to introduce substance abuse concepts into basic and continuing education
for all health professionals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
conference paper
health education
human
medical research
medical school
physician
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994366187
MEDLINE PMID
7865148 (http://www.ncbi.nlm.nih.gov/pubmed/7865148)
PUI
L24363769
DOI
10.1016/0741-8329(94)90072-8
FULL TEXT LINK
http://dx.doi.org/10.1016/0741-8329(94)90072-8
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1840
TITLE
Alcohol screening practices of primary care physicians in eastern North
Carolina
AUTHOR NAMES
Townes P.N.
Harkley A.L.
AUTHOR ADDRESSES
(Townes P.N.; Harkley A.L.) Department of Psychiatry, School of Medicine,
East Carolina University, Greenville, NC 27858, United States.
(Townes P.N.) Department of Psychiatry, Morehouse School of Medicine, Emory
University, Atlanta, GA 30310, United States.
(Harkley A.L.) Department of Psychiatry, School of Medicine, University of
Pennsylvania, Philadelphia, PA, United States.
CORRESPONDENCE ADDRESS
P.N. Townes, Department of Psychiatry, Morehouse School of Medicine, Emory
University, Atlanta, GA 30310, United States.
SOURCE
Alcohol (1994) 11:6 (489-492). Date of Publication: 1994
ISSN
0741-8329
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
In our study, 616 primary care physicians of eastern North Carolina were
surveyed for screening practices for detection of alcoholism in their
patient population. We defined primary care as Family Medicine, Internal
Medicine, Obstetrics and Gynecology, Pediatrics and Psychiatry. We defined
eastern North Carolina as the 29 counties that Pitt County Memorial Hospital
serves. In our survey we found that eastern North Carolina is medically
underserved as well as having less resources for referral and consultation.
In response to the questionnaire, we found that most physicians agreed on
some numerical value for drinks per day, social drinks, and drinks per week
while pregnant. Values for drinks per week and weekend binges generally
reflected significant tolerance for heavy drinking behavior. We also found
that physicians of the same specialty commonly agreed on answers but when
compared to other specialties they differed. Physicians preferred personal
and clinical screening methods to questionnaires such as CAGE. Most
physicians did not prescribe Antabuse but did suggest to their patients to
cut down on drinking. Physicians felt that their patients needed more
education and support from the community as well as intervention at an early
age. We conclude that physicians should receive more education concerning
alcoholism and substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
primary medical care
screening test
EMTREE MEDICAL INDEX TERMS
conference paper
drinking behavior
drug abuse
education
health service
human
medical information
physician
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994366188
MEDLINE PMID
7865149 (http://www.ncbi.nlm.nih.gov/pubmed/7865149)
PUI
L24363770
DOI
10.1016/0741-8329(94)90073-6
FULL TEXT LINK
http://dx.doi.org/10.1016/0741-8329(94)90073-6
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1841
TITLE
A survey of posthospitalization treatment needs and preferences in cocaine
abusers
AUTHOR NAMES
Schmitz J.M.
Oswald L.M.
Baldwin L.
Grabowski J.
AUTHOR ADDRESSES
(Schmitz J.M.; Oswald L.M.; Baldwin L.; Grabowski J.) University of Texas,
Mental Sciences Institute, Dept. of Psychiatry/Behavioral Scis., 1300
Moursund, Houston, TX 77030, United States.
CORRESPONDENCE ADDRESS
J.M. Schmitz, University of Texas, Mental Sciences Institute, Dept. of
Psychiatry/Behavioral Scis., 1300 Moursund, Houston, TX 77030, United
States.
SOURCE
American Journal on Addictions (1994) 3:3 (227-235). Date of Publication:
1994
ISSN
1055-0496
ABSTRACT
In an effort to lower recidivism, most inpatient drug treatment programs
offer a variety of aftercare options. There is a lack of empirically based
knowledge needed to make decisions about posthospital treatment development
and its implementation. The authors used a survey method to evaluate
outpatient treatment needs and preferences of hospitalized cocaine-dependent
patients (N = 40). Stronger preferences were expressed for 12-step programs,
behavioral relapse prevention, and employment counseling than for
psychotherapy, medical treatment, and legal assistance. Most subjects viewed
cocaine addiction as a disease (93%) rather than a learned habit (7%). Group
therapy was preferred over individual therapy (66% vs. 34%). For each
problem area on the Addiction Severity Index (ASI), patient severity ratings
were strongly correlated with perceived aftercare treatment needs, whereas
interviewer ratings and composite scores on the ASI were not. The authors
discuss implications of client preferences in posthospital treatment.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aftercare
drug abuse
employment
group therapy
relapse
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
female
human
male
outpatient
prevention
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994355388
PUI
L24354148
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1842
TITLE
Medical education on tobacco: Implications of a worldwide survey
AUTHOR NAMES
Crofton J.W.
Freour P.P.
Tessier J.F.
AUTHOR ADDRESSES
(Crofton J.W.; Freour P.P.; Tessier J.F.) University of Edinburgh,
Edinburgh, United Kingdom.
CORRESPONDENCE ADDRESS
J.W. Crofton, University of Edinburgh, Edinburgh, United Kingdom.
SOURCE
Lotta Contro la Tuberculosi e le Malattie Polmonari Sociali (1994) 64:1-2
(43-52). Date of Publication: 1994
ISSN
0368-7546
ABSTRACT
This report considers the implications for medical education of a global
survey of the knowledge, behaviour and attitudes of medical students
regarding tobacco. This was conducted in 42 countries derived from all
continents. A total of 9326 students (44% women) from 51 medical schools
replied anonymously to a multiple choice questionnaire administered in the
local language. Student smoking rates varied greatly between
countries/regions: daily smoking in men from 2% (Australia) to 48% (one
centre in the former USSR); in women from nil in some Asian medical schools
to 22% in one European. Though there was some variation between countries
and medical schools, there was widespread ignorance of the causal role of
smoking in specific diseases; notably coronary artery disease, peripheral
vascular disease, emphysema, bladder cancer and neonatal mortality. There
were widespread defects in knowledge and motivation regarding counselling
patients to quit smoking, with a common failure to appreciate a doctor's
responsibilities in prevention. Very few students knew the value of tobacco
taxation in reducing consumption. Following our survey we were asked to
advise the World Health Organization on a summary of the desirable tobacco
content of medical curricula, which has now been issued. The International
Union against Tuberculosis and Lung Disease, in cooperation with the
European Region of WHO, has circulated the Deans of all European medical
schools with a summary of the deficiencies revealed by the European
component of the survey, together with a questionnaire on proposed action. A
similar initiative is being considered in cooperation with the Western
pacific Region of WHO.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
medical education
smoking
EMTREE MEDICAL INDEX TERMS
article
attitude
medical student
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Italian
EMBASE ACCESSION NUMBER
1995058996
PUI
L25057664
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1843
TITLE
Experience with the medical psychology instruction of students and interns
in psychiatry and the drug abuse field
ORIGINAL (NON-ENGLISH) TITLE
Opyt obucheniia meditsinskoi psikhologii studentov i subordinatorov po
psikhiatrii i narkologii.
AUTHOR NAMES
Stiazhkin V.D.
Vanchakova N.P.
Solov'eva S.L.
AUTHOR ADDRESSES
(Stiazhkin V.D.; Vanchakova N.P.; Solov'eva S.L.)
CORRESPONDENCE ADDRESS
V.D. Stiazhkin,
SOURCE
Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia :
1952) (1994) 94:6 (99-101). Date of Publication: 1994
ISSN
0044-4588
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
medical psychology
psychiatry
teaching
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
human
psychological aspect
Russian Federation
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
7740892 (http://www.ncbi.nlm.nih.gov/pubmed/7740892)
PUI
L125067219
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1844
TITLE
Fight against smoking in Italy: Insufficient rules, scarce control and
indifferent attitude of the Medical School and physicians
ORIGINAL (NON-ENGLISH) TITLE
LOTTA AL FUMO IN ITALIA: SCARSE LEGGI, RARI CONTROLLI E DISTACCATI
ATTEGGIAMENTI DELLE SCUOLE MEDICHE E DEI MEDICI
AUTHOR NAMES
Quaranta A.
Bilancia R.
AUTHOR ADDRESSES
(Quaranta A.; Bilancia R.) Cattedra di Malattie, Apparato Respiratorio,
Universita di Bari, Bari, Italy.
CORRESPONDENCE ADDRESS
R. Bilancia, Cattedra di Malattie, Apparato Respiratorio, Universita di
Bari, Bari, Italy.
SOURCE
Lotta Contro la Tuberculosi e le Malattie Polmonari Sociali (1994) 64:1-2
(38-42). Date of Publication: 1994
ISSN
0368-7546
ABSTRACT
The 35% of Italian population aged over 14 years are smokers: this
percentage amounts to almost 14.000.000 citizens: the average daily use is
from 10 to 20 cigarettes. The Authors in the article, drawn from a poster
exhibited during the 28th World Conference of IUATLD/UICTMR (Mainz, 1994,
June 14-17), made a statement of these statistics and of the motives of
their too high incidence in our country. A basic point originates from the
remark of anything but a poor presence of Italian physicians and national
medical organisations to the debate developed all over the world for decades
on the threat that the smoking habit causes to mankind's health. On the
whole, Italian doctors smoke in a percentage superior to the whole
population, which is very high too: if 35% of Italian citizens of l4 and
over smokes, more than 43% of doctors are smokers. Yet, if directly
questioned, very few Italian doctors answer they do not consider the
'tobacco question' seriously linked to health. In inquiries done in several
Italian cities an unusual point has come out: a quite general positive
answer of the physicians about smoking as risk factor for respiratory,
cardio-vascular and neoplastic pathology and anything but exhaustive answers
to the request of specifying the diseases they thought more directly related
to smoking. To better answer to the initiative of the Committee on Tobacco
Prevention by the I.U.A.T.L.D., we researched the greatest possible number
of information about what the whole Italian Medical School does concerning
tobacco and the harms it causes and how to give up this harmful practice.
The collected data as a whole is completely discouraging. No Italian Medical
School and no syllabus of any respiratory medicine Department has a specific
teaching about tobacco's smoking and the themes linked to it! Most
anti-tobacco teachings are generally devoted to the study of the smoking
habit as a factor of risk and of worsening of respiratory and
cardio-vascular diseases and is done during the integrative didactic in the
wards and in respiratory physiopathology and bronchology laboratories. No
evidence of teaching about tobacco's cessation methods! The only possible
solution to this problem: not to give up and to go on getting involved to
find links, to give news, to stimulate academic authorities, hospital
institutions and scientific Societies (as Italian Federation and S.I.Me.R.)
to strike a non ambiguous line in this so difficult fight. The Italian
medical Class, as a whole, must act for the best as a lobbying group towards
public opinion and political, parliamentary and governmental organisations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
physician
smoking
EMTREE MEDICAL INDEX TERMS
Italy
short survey
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Italian
LANGUAGE OF SUMMARY
Italian, English
EMBASE ACCESSION NUMBER
1995058995
PUI
L25057663
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1845
TITLE
Educating the educators
AUTHOR NAMES
Caldwell A.D.S.
AUTHOR ADDRESSES
(Caldwell A.D.S.) Gardiner-Caldwell Communications, The Old Ribbon Mill,
Pitt Street, Macclesfield, Cheshire SK11 7PT, United Kingdom.
CORRESPONDENCE ADDRESS
A.D.S. Caldwell, Gardiner-Caldwell Communications, The Old Ribbon Mill, Pitt
Street, Macclesfield, Cheshire SK11 7PT, United Kingdom.
SOURCE
Journal of Smoking-Related Disorders (1994) 5:3 (149-150). Date of
Publication: 1994
ISSN
0959-2431
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
medical education
smoking
EMTREE MEDICAL INDEX TERMS
attitude
editorial
human
normal human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1995029406
PUI
L25028131
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1846
TITLE
Physician documentation of family alcohol problems.
AUTHOR NAMES
Graham A.V.
Zyzanski S.
Reeb K.
Sedlacek D.
Emmitt-Myers S.
AUTHOR ADDRESSES
(Graham A.V.; Zyzanski S.; Reeb K.; Sedlacek D.; Emmitt-Myers S.) Department
of Family Medicine, Case Western Reserve University, Cleveland, OH
44106-4950.
CORRESPONDENCE ADDRESS
A.V. Graham, Department of Family Medicine, Case Western Reserve University,
Cleveland, OH 44106-4950.
SOURCE
Journal of substance abuse (1994) 6:1 (95-103). Date of Publication: 1994
ISSN
0899-3289
ABSTRACT
This study was conducted to determine whether family medicine residents'
documentation of patient and family alcohol problems corresponded with
patients' assessments. A random sample of 180 patient charts from a
university-based family practice was audited and 78% (n = 140) of these
patients participated in telephone interviews. Of those who participated in
the telephone interview, 40% (n = 56) reported a positive family history of
drinking problems, 28% (n = 39) indicated that they were currently concerned
about the alcohol use of someone in their family, and 24% (n = 34) reported
that at least one family member currently had an alcohol problem. Ninety-six
percent (n = 134) of the subjects indicated that they believed physicians
should ask about family alcohol problems and 91% (n = 128) believed
physicians could be helpful in alcohol treatment at least some of the time.
The audit of the 180 medical records indicated that residents charted a
positive family history on 13% (n = 23) of the records and noted impact upon
the family due to a member's drinking in 2% (n = 4) of the records. The
study revealed that residents frequently did not identify alcohol problems
or related family difficulties and highlighted the need for training and
education in this area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
adult
anamnesis
article
doctor patient relation
education
female
human
male
middle aged
physician attitude
psychological aspect
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8081112 (http://www.ncbi.nlm.nih.gov/pubmed/8081112)
PUI
L24943337
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1847
TITLE
Smoking cessation curriculum for first-year medical students [2]
AUTHOR NAMES
Ernster V.L.
Croughan-Minihane M.S.
AUTHOR ADDRESSES
(Ernster V.L.; Croughan-Minihane M.S.)
SOURCE
Journal of the American Medical Association (1994) 272:9 (659-660). Date of
Publication: 1994
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
EMTREE MEDICAL INDEX TERMS
curriculum
education program
human
letter
medical student
priority journal
smoking habit
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1994275458
MEDLINE PMID
8064978 (http://www.ncbi.nlm.nih.gov/pubmed/8064978)
PUI
L24270062
DOI
10.1001/jama.272.9.659
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.272.9.659
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1848
TITLE
Medical education for pain and addiction: making progress toward answering a
need.
AUTHOR NAMES
Schnoll S.H.
Finch J.
AUTHOR ADDRESSES
(Schnoll S.H.; Finch J.)
CORRESPONDENCE ADDRESS
S.H. Schnoll,
SOURCE
The Journal of law, medicine & ethics : a journal of the American Society of
Law, Medicine & Ethics (1994) 22:3 (252-256). Date of Publication: 1994 Fall
ISSN
1073-1105
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
pain (drug therapy)
EMTREE MEDICAL INDEX TERMS
article
curriculum
doctor patient relation
education
human
pharmacology
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7749481 (http://www.ncbi.nlm.nih.gov/pubmed/7749481)
PUI
L125065607
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1849
TITLE
An evaluation of a smoking cessation training program for medical residents
in an inner-city hospital.
AUTHOR NAMES
Montner P.
Bennett G.
Brown C.
AUTHOR ADDRESSES
(Montner P.; Bennett G.; Brown C.) VA Medical Center, New Mexico.
CORRESPONDENCE ADDRESS
P. Montner, VA Medical Center, New Mexico.
SOURCE
Journal of the National Medical Association (1994) 86:9 (671-675). Date of
Publication: Sep 1994
ISSN
0027-9684
ABSTRACT
Thirty-four medical residents at a hospital serving a predominantly black
inner-city area were trained to counsel their patients to quit smoking. They
were tested before the training session and again 4 months later with
questionnaires assessing smoking knowledge, attitude, and clinical practice.
The training consisted of two 1-hour lectures, printed materials, and a
1.5-hour Objective Simulated Clinical Exam. Most of the residents were males
(88.2%), in internal medicine (87.5%), under the age of 35 (79.4%), and
foreign-born (76.5%). Asians (44.1%) comprised the largest racial group,
followed by whites (29.4%) and blacks (20.6%). The impact of the training
was assessed by comparing the pre- and posttests using paired Student's t
tests. Overall score increased from 69.3 to 89.1 (P = .0001) out of a
maximum of 131. Scores increased significantly for attitudes and beliefs (38
to 52; P = .0001), knowledge (5.3 to 6.6; P = .0001), and usual practices
with smoking patients (25 to 30; P = .002). These data provide evidence that
training increased the confidence, motivation, and reported practice of
these residents in intervening with their patients, the majority of whom are
black. This has special significance because physicians are least likely to
advise black patients and those in lower socioeconomic groups to quit
smoking. The demographic profile of our residents is characteristic of many
inner-city hospitals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
evaluation study
female
human
male
public hospital
United States
urban population
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7966429 (http://www.ncbi.nlm.nih.gov/pubmed/7966429)
PUI
L24965210
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1850
TITLE
Sensitization and training of physicians in the field of drug addiction: the
example of a program in Vaud
ORIGINAL (NON-ENGLISH) TITLE
Sensibiliser et former les médecins dans le domaine des toxicomanies:
l'exemple d'un programme vaudois.
AUTHOR NAMES
Bertschy G.
AUTHOR ADDRESSES
(Bertschy G.) Département universitaire de psychiatrie adulte (DUPA),
Lausanne.
CORRESPONDENCE ADDRESS
G. Bertschy, Département universitaire de psychiatrie adulte (DUPA),
Lausanne.
SOURCE
Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine
Praxis (1994) 83:34 (927-930). Date of Publication: 23 Aug 1994
ISSN
1013-2058
ABSTRACT
In the canton of Vaud general practitioners and internists from the private
sector play a great role in the care for addict patients. Their
interventions may also contribute to a decrease of risk factors as they work
with families, children and adolescents. To help them to do better and in
order to have more collaborators in this field, the University Department of
Adult Psychiatry of Lausanne and the Department of Public Health of Vaud
have developed a two-year program: the Program of Prevention and Physicians
Postgraduate Training in the field of Addiction. The paper presents the
different ways of interventions being selected, the first result concerning
the program's activities, including a few remarks, and the role of the
general practitioner.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
general practice
internal medicine
medical education
EMTREE MEDICAL INDEX TERMS
article
education
health care quality
human
Switzerland
LANGUAGE OF ARTICLE
German
MEDLINE PMID
7939044 (http://www.ncbi.nlm.nih.gov/pubmed/7939044)
PUI
L24957393
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1851
TITLE
The abuse of medicaments by primarily alcohol addicted youths. Results of an
epidemiological study in Niedersachsen
ORIGINAL (NON-ENGLISH) TITLE
DER ARZNEIMITTELMISSBRAUCH BEI PRIMAR ALKOHOLABHANGIGEN JUGENDLICHEN.
ERGEBNISSE EINER EPIDEMIOLOGISCHEN UNTERSUCHUNG IN NIEDERSACHSEN
AUTHOR NAMES
Buhrs R.
AUTHOR ADDRESSES
(Buhrs R.) Dietrich Bonhoeffer Klinik, Dr. Eckenerstr. 1-5, 26197 Ahlhorn,
Germany.
CORRESPONDENCE ADDRESS
R. Buhrs, Dietrich Bonhoeffer Klinik, Dr. Eckenerstr. 1-5, 26197 Ahlhorn,
Germany.
SOURCE
Sucht (1994) 40:3 (165-170). Date of Publication: 1994
ISSN
0939-5911
ABSTRACT
781 primarily alcohol addicted youths, at an average age of 22, were asked
about their abuse of medicaments and illegal drugs in the course of their
addiction. 41.6% of the drug addicts in the sample had abused 127 different
kinds of medicine. The products abused most frequently were benzodiazepine
products, followed by psychostimulants, barbiturates and opiates. On the
basis of selected demographic features, it will be shown that in the course
of the addictive development, medicaments do not only accompany the young
drug addicts but also pave the way to their subsequent addiction to drugs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (drug toxicity)
barbituric acid derivative
benzodiazepine
opiate
psychostimulant agent
EMTREE DRUG INDEX TERMS
antidepressant agent
diphenhydramine
neuroleptic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
human
major clinical study
male
CAS REGISTRY NUMBERS
alcohol (64-17-5)
benzodiazepine (12794-10-4)
diphenhydramine (147-24-0, 58-73-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
1994236697
PUI
L24233089
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1852
TITLE
Medical education on tobacco: Implications of a worldwide survey
AUTHOR NAMES
Crofton J.W.
Freour P.P.
Tessier J.F.
AUTHOR ADDRESSES
(Crofton J.W.; Freour P.P.; Tessier J.F.) University of Edinburgh,
Edinburgh, United Kingdom.
CORRESPONDENCE ADDRESS
J.W. Crofton, University of Edinburgh, Edinburgh, United Kingdom.
SOURCE
Medical Education (1994) 28:3 (187-196). Date of Publication: 1994
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
This report considers the implications for medical education of a global
survey of the knowledge, behaviour and attitudes of medical students
regarding tobacco. This was conducted in 42 countries derived from all
continents. A total of 9326 students (44% women) from 51 medical schools
replied anonymously to a multiple choice questionnaire administered in the
local language. Student smoking rates varied greatly between
countries/regions: daily smoking in men from 2% (Australia) to 48% (one
centre in the former USSR); in women from nil in some Asian medical schools
to 22% in one European. Though there was some variation between countries
and medical schools, there was widespread ignorance of the causal role of
smoking in specific diseases; notably coronary artery disease, peripheral
vascular disease, emphysema, bladder cancer and neonatal mortality. There
were widespread defects in knowledge and motivation regarding counselling
patients to quit smoking, with a common failure to appreciate a doctor's
responsibilities in prevention. Very few students knew the value of tobacco
taxation in reducing consumption. Following our survey we were asked to
advise the World Health Organization on a summary of the desirable tobacco
content of medical curricula, which has now been issued. The International
Union against Tuberculosis and Lung Disease, in cooperation with the
European Region of WHO, has circulated the Deans of all European medical
schools with a summary of the deficiencies revealed by the European
component of the survey, together with a questionnaire on proposed action. A
similar initiative is being considered in cooperation with the Western
Pacific Region of WHO.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
tobacco
EMTREE MEDICAL INDEX TERMS
article
attitude
curriculum
female
human
male
medical school
medical student
normal human
patient counseling
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994217669
MEDLINE PMID
8035710 (http://www.ncbi.nlm.nih.gov/pubmed/8035710)
PUI
L24202210
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1853
TITLE
Mothers' management of adenoid-tonsillectomy pain in 4- to 8-year-olds: A
preliminary study
AUTHOR NAMES
Gedaly-Duff V.
Ziebarth D.
AUTHOR ADDRESSES
(Gedaly-Duff V.) Oregon Health Sciences University, School of Nursing,
Department of Family Nursing, Portland, OR 97201-3098, United States.
(Ziebarth D.) Department of Nursing, California State Univ. S. Bernardino,
San Bernardino, CA 92407, United States.
(Gedaly-Duff V.) Oregon Health Sciences University, School of Nursing,
Department of Family Nursing, 3181 SW Sam Jackson Park Road, Portland, OR
97201-3098, United States.
CORRESPONDENCE ADDRESS
V. Gedaly-Duff, Oregon Health Sciences University, School of Nursing, Dept.
of Family Nursing (SN-FAM), 3181 SW Sam Jackson Park Road, Portland, OR
97201-3098, United States.
SOURCE
Pain (1994) 57:3 (293-299). Date of Publication: 1994
ISSN
0304-3959
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
The health care system has moved towards home care. early discharge, and day
procedures. Parents in the home are, therefore, far more likely to be
managing their children's postoperative pain than health professionals. The
purpose of this study was to describe mothers' experiences in identifying
and managing their children's acute pain associated with surgery. because
little is known about family's perceptions and management of a child's pain
in the home, a quantitative design and grounded theory method were used. A
purposive, convenience sample of 7 mothers whose children were 4-8 years old
and who had a day-surgery adenoid-tonsillectomy were interviewed in depth
(2-3 interviews per mother). Four themes were found in the data: (1)
mothers' descriptions of their children's overall pattern of postoperative
pain indicated that pain was minimal or absent before surgery. increased
following surgery, and decreased with medicine and healing; (2) mothers'
assessment and evaluation of their children's pain used pain cues similar to
those used by nurses and physicians; (3) all the mothers worried about drug
addiction; and (4) mothers learned to manage their children's pain through
'trial and error'. This study provides beginning data for understanding
family management of children's pain.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
home care
mother child relation
postoperative pain
tonsillectomy
EMTREE MEDICAL INDEX TERMS
article
clinical article
clinical trial
controlled clinical trial
controlled study
female
human
priority journal
questionnaire
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994201373
MEDLINE PMID
7524009 (http://www.ncbi.nlm.nih.gov/pubmed/7524009)
PUI
L24197329
DOI
10.1016/0304-3959(94)90004-3
FULL TEXT LINK
http://dx.doi.org/10.1016/0304-3959(94)90004-3
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1854
TITLE
Sophomore medical students as substance abuse prevention teachers.
AUTHOR NAMES
Davis T.C.
George R.B.
Long S.
Bates W.
Morris G.
Anderson J.
AUTHOR ADDRESSES
(Davis T.C.; George R.B.; Long S.; Bates W.; Morris G.; Anderson J.) Dept of
Medicine, Louisiana State University Medical Center, Shreveport.
CORRESPONDENCE ADDRESS
T.C. Davis, Dept of Medicine, Louisiana State University Medical Center,
Shreveport.
SOURCE
The Journal of the Louisiana State Medical Society : official organ of the
Louisiana State Medical Society (1994) 146:6 (275-278). Date of Publication:
Jun 1994
ISSN
0024-6921
ABSTRACT
Medical education should emphasize health promotion and disease prevention
and should offer educational experiences that require students to be active,
independent learners and problem solvers. The purpose of this project was to
enable sophomore medical students to apply their own innovative methods of
instruction to a program for adolescent substance abuse prevention. Medical
students developed and taught a school-based prevention program to 36 middle
school students who represented a variety of socioeconomic backgrounds and
abilities. They used demonstrations, role-playing, and drug abuse prevention
commercials created by the adolescents for their peers. Medical students
kept weekly journals to record their thoughts about and activities used in
teaching substance abuse prevention to adolescents. The journals revealed an
increased understanding of adolescent thinking and behavior and an increased
confidence in teaching substance abuse prevention to adolescents.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health promotion
medical student
EMTREE MEDICAL INDEX TERMS
adolescent
article
curriculum
health personnel attitude
human
medical education
methodology
role playing
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8057051 (http://www.ncbi.nlm.nih.gov/pubmed/8057051)
PUI
L24934664
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1855
TITLE
Chemical dependency in emergency medicine residency programs: Perspective of
the program directors
AUTHOR NAMES
McNamara R.M.
Margulies J.L.
AUTHOR ADDRESSES
(McNamara R.M.; Margulies J.L.) Department of Emergency Medicine, Medical
College of Pennsylvania, 3300 Henry Avenue, Philadelphia, PA 19129, United
States.
CORRESPONDENCE ADDRESS
R.M. McNamara, Department of Emergency Medicine, Medical College of
Pennsylvania, 3300 Henry Avenue, Philadelphia, PA 19129, United States.
SOURCE
Annals of Emergency Medicine (1994) 23:5 (1072-1076). Date of Publication:
1994
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
Study objective: To evaluate the educational background, knowledge, and
experiences regarding chemical dependency among emergency medicine program
directors. The program directors' awareness of substance use and alcohol
abuse among emergency medicine residents was examined by comparing their
estimates with the actual rates reported by the residents. Design: An
anonymous survey mailed in March 1992. Type of participants: The program
directors of all 86 Accreditation Council for Graduate Medical Education-
approved emergency medicine residencies. Interventions: None. Measurements
and main results: The 67 responding program directors represented 1,637
(77%) of the 2,130 emergency medicine residents on duty at the time of the
survey. Thirty-three (49%) had suspected chemical dependency in a resident
at least once, 22 (33%) had identified a chemically dependent resident, and
nine (13%) hired a resident known to be in recovery. Substantial percentages
reported no or slight knowledge regarding physician impairment issues.
Twenty program directors (30%) received no education or only informal
education regarding physician impairment. Compared to a February 1992 survey
of emergency medicine residents, the program directors' estimates of
resident use rates in the past year for seven substances were fairly
accurate. However, the program directors estimated that only 16 (1.0%) of
their current residents were impaired by alcohol; the resident survey
yielded CAGE scores consistent with presumed or suspected alcoholism in
12.5% of emergency medicine residents. Conclusion: Emergency medicine
program directors must be more attentive to potential alcohol abuse among
emergency medicine residents and should receive additional education
regarding chemical dependency.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE DRUG INDEX TERMS
amphetamine
benzodiazepine
cannabis
cocaine
lysergide
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, epidemiology)
emergency medicine
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
accreditation
article
cannabis addiction (diagnosis, epidemiology)
employment
health survey
human
malpractice
narcotic dependence (diagnosis, epidemiology)
priority journal
stress
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
benzodiazepine (12794-10-4)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
lysergide (50-37-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994150686
MEDLINE PMID
8185102 (http://www.ncbi.nlm.nih.gov/pubmed/8185102)
PUI
L24149376
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1856
TITLE
Position statement on the need for improved training for treatment of
patients with combined substance use and other psychiatric disorders
AUTHOR NAMES
Galanter M.
Peyser H.S.
Walker R.D.
Woody G.E.
Flavin D.K.
Jaffe J.H.
Ungerleider J.T.
Czechowicz D.J.
Suchinsky R.T.
Koplin B.
AUTHOR ADDRESSES
(Galanter M.; Peyser H.S.; Walker R.D.; Woody G.E.; Flavin D.K.; Jaffe J.H.;
Ungerleider J.T.; Czechowicz D.J.; Suchinsky R.T.; Koplin B.)
SOURCE
American Journal of Psychiatry (1994) 151:5 (795-796). Date of Publication:
1994
ISSN
0002-953X
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
ABSTRACT
The diagnosis and management of patients with combined psychiatric and
substance use disorders is an important aspect of modern psychiatry, and
psychiatrists should be strongly encouraged to become involved in this area.
These efforts should be supported by training and educational programs
involving a wide range of institutions, including local treatment
facilities, hospital centers, universities, and government. Restructuring or
adding improvements to existing psychiatric treatment facilities and
maintaining good working relationships with existing substance abuse
treatment programs are desirable goals for improving care of dually
diagnosed patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (therapy)
mental disease
EMTREE MEDICAL INDEX TERMS
alcoholism
government
medical education
medical research
priority journal
psychiatrist
review
substance abuse
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994140990
MEDLINE PMID
8166344 (http://www.ncbi.nlm.nih.gov/pubmed/8166344)
PUI
L24140590
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1857
TITLE
Training physicians to help patients who drink too much.
AUTHOR NAMES
Bradley K.A.
Larson E.B.
AUTHOR ADDRESSES
(Bradley K.A.; Larson E.B.)
CORRESPONDENCE ADDRESS
K.A. Bradley,
SOURCE
Journal of general internal medicine : official journal of the Society for
Research and Education in Primary Care Internal Medicine (1994) 9:5
(296-298). Date of Publication: May 1994
ISSN
0884-8734
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, epidemiology)
general practice
internal medicine
medical education
EMTREE MEDICAL INDEX TERMS
anamnesis
doctor patient relation
education
female
health personnel attitude
human
male
note
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8046535 (http://www.ncbi.nlm.nih.gov/pubmed/8046535)
PUI
L24920658
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1858
TITLE
Faculty development in addiction medicine: Project SAEFP, a one-year
follow-up study
AUTHOR NAMES
Fleming M.F.
Barry K.L.
Davis A.
Kahn R.
Rivo M.
AUTHOR ADDRESSES
(Fleming M.F.; Barry K.L.; Davis A.; Kahn R.; Rivo M.) Department of Family
Medicine, University of Wisconsin, 777 S. Mill Street, Madison, WI 53715,
United States.
CORRESPONDENCE ADDRESS
M.F. Fleming, Department of Family Medicine, University of Wisconsin, 777 S.
Mill Street, Madison, WI 53715, United States.
SOURCE
Family Medicine (1994) 26:4 (221-225). Date of Publication: 1994
ISSN
0742-3225
BOOK PUBLISHER
Society of Teachers of Family Medicine, Ste 540, Leawood, United States.
ABSTRACT
Background and Objectives: The goal of Project SAEFP (Substance Abuse
Education for Family Physicians, pronounced SAFE) was to increase the number
of residency teaching faculty with expertise in addiction medicine. This
paper reports the results of a 12-month follow-up study conducted to assess
changes in residency teaching and clinical practice of 165 residency
teaching faculty who participated in this project. Methods: The Project
SAEFP work group conducted a series of 5-day courses in the fall of 1990 at
10 sites around the country. The 165 faculty participants were taught how to
use a set of 12 residency teaching modules that focused on clinical areas
important to primary care physicians. The follow-up study consisted of a
structured telephone interview. The findings were compared to previous
interviews conducted before, and 3 months after, faculty participation in
the course. Results: The findings suggest long-term increases in the amount
of teaching, clinical practice, and consultations conducted by the family
medicine faculty who participated in this faculty development project.
Conclusion: The findings of this study suggest that an intensive 5-day
course using learner- centered teaching techniques can have a significant
impact on primary care teaching faculty.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family medicine
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholism
article
continuing education
curriculum
drug abuse
follow up
medical education
perception
primary medical care
teacher
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994122535
MEDLINE PMID
8034139 (http://www.ncbi.nlm.nih.gov/pubmed/8034139)
PUI
L24116770
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1859
TITLE
Alcohol misuse as challenge to medical education: A belated remedy
AUTHOR NAMES
Glass-Crome I.B.
AUTHOR ADDRESSES
(Glass-Crome I.B.) National Addiction Centre, Institute of Psychiatry,
University of London, London, United Kingdom.
CORRESPONDENCE ADDRESS
I.B. Glass-Crome, National Addiction Centre, Institute of Psychiatry,
University of London, London, United Kingdom.
SOURCE
British Medical Bulletin (1994) 50:1 (164-170). Date of Publication: 1994
ISSN
0007-1420
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Substance misuse contributes directly or indirectly to each of the 5 key
targets outlined in the Health of the Nation strategy: coronary heart
disease and stroke, cancers, mental illness, HIV/AIDS and accidents. More
specifically, the risk factor targets include a 30% reduction in the
prevalence of cigarette smoking to no more than 20% in both men and women by
the year 2000; a 30% reduction in the proportion of men drinking more than
21 units of alcohol per week and women drinking more than 14 units per week
to 18% and 7% respectively, and reduction in the percentage of drug misusers
sharing equipment to no more than 5% in the year 2000. The Tomlinson report
repeatedly underscores the problems of drug misuse, alcohol problems and
mental illness in Inner London. Both these recent reports admit to a 'lack
of trained professionals' (p17) and to 'ensuring that professionals... are
adequately and appropriately educated' (p97). Furthermore, Health of the
Nation declares that 'Professional bodies in health and social work will
continue to design training to promote the early identification of alcohol
misuse, and appropriate referral skills' (p16).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
alcoholism (epidemiology)
medical education
mental disease (complication, epidemiology)
EMTREE MEDICAL INDEX TERMS
health care policy
health education
human
priority journal
review
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994085745
MEDLINE PMID
8149191 (http://www.ncbi.nlm.nih.gov/pubmed/8149191)
PUI
L24097039
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1860
TITLE
An intervention to improve the assessment of alcoholism by practicing
physicians.
AUTHOR NAMES
Cowan P.F.
AUTHOR ADDRESSES
(Cowan P.F.) Family Practice Department, University of Illinois at Chicago
60612.
CORRESPONDENCE ADDRESS
P.F. Cowan, Family Practice Department, University of Illinois at Chicago
60612.
SOURCE
The Family practice research journal (1994) 14:1 (41-49). Date of
Publication: Mar 1994
ISSN
0270-2304
ABSTRACT
OBJECTIVE: Alcoholism is estimated to affect at least 10% of American
adults. Despite the fact that early diagnosis is possible and early
treatment can prevent great suffering, American physicians typically
diagnose and treat alcoholism less than half the time. Several authors have
suggested additional physician education as a possible way to improve
alcoholism assessment skills and increase the diagnosis rate. METHODS: A
baseline audit, an educational intervention, and a post-intervention audit
were done with physicians and nurse practitioners in an urban family
practice group, using information recorded during everyday patient care.
RESULTS: A significant increase in specific alcohol intake histories and a
significant decrease in recorded abstention were found. The proportion of
patients with a recorded diagnosis of alcoholism was 2.5% before and 4.1%
after the intervention. CONCLUSIONS: After this intervention, physicians'
and FNP's skills in alcohol history-taking and assessment increased, and
were incorporated into their daily patient care. Education alone was not
enough to remedy a low diagnosis rate; many other factors are involved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, rehabilitation)
clinical audit
general practice
medical education
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
anamnesis
article
curriculum
education
female
group practice
human
male
middle aged
nurse practitioner
patient care
treatment outcome
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8048347 (http://www.ncbi.nlm.nih.gov/pubmed/8048347)
PUI
L24921713
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1861
TITLE
Substance abuse: one anesthesiologist's perspective.
AUTHOR NAMES
Arens J.F.
AUTHOR ADDRESSES
(Arens J.F.)
CORRESPONDENCE ADDRESS
J.F. Arens,
SOURCE
Alabama medicine : journal of the Medical Association of the State of
Alabama (1994) 63:9 (20-23). Date of Publication: Mar 1994
ISSN
0738-4947
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesiology
malpractice
medical education
opiate addiction (prevention)
EMTREE MEDICAL INDEX TERMS
article
education
human
multimodality cancer therapy
risk factor
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7942395 (http://www.ncbi.nlm.nih.gov/pubmed/7942395)
PUI
L24949801
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1862
TITLE
A missed opportunity. Teaching medical students to help their patients
successfully quit smoking.
AUTHOR NAMES
Fiore M.C.
Epps R.P.
Manley M.W.
AUTHOR ADDRESSES
(Fiore M.C.; Epps R.P.; Manley M.W.) Center for Tobacco Research and
Intervention, University of Wisconsin Medical School, Madison 53606.
CORRESPONDENCE ADDRESS
M.C. Fiore, Center for Tobacco Research and Intervention, University of
Wisconsin Medical School, Madison 53606.
SOURCE
JAMA : the journal of the American Medical Association (1994) 271:8
(624-626). Date of Publication: 23 Feb 1994
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
clinical practice
curriculum
health care organization
medical student
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8301797 (http://www.ncbi.nlm.nih.gov/pubmed/8301797)
PUI
L24868869
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1863
TITLE
A tool for empowerment: live for life school nurse fellowship.
AUTHOR NAMES
Fredericksen P.
AUTHOR ADDRESSES
(Fredericksen P.)
CORRESPONDENCE ADDRESS
P. Fredericksen,
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1994) 10:1 (6-9). Date of Publication: Feb
1994
ISSN
1059-8405
ABSTRACT
This report describes a school nurse fellowship program, Live for Life
School Nurse Fellowship, designed and supported by Johnson & Johnson and
held in conjunction with the New Jersey Summer School of Alcohol and Drug
Studies on the campus of Rutgers University in New Brunswick, New Jersey.
The program has been in effect for five years and has involved 135 school
nurses and their administrators from 13 states. Results of an independent
evaluation are included.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
school health nursing
EMTREE MEDICAL INDEX TERMS
article
behavior
education
health care quality
human
nursing
organization and management
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8161878 (http://www.ncbi.nlm.nih.gov/pubmed/8161878)
PUI
L24895557
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1864
TITLE
Medical education about substance abuse: Changes in curriculum and faculty
between 1976 and 1992
AUTHOR NAMES
Fleming M.
Barry K.
Davis A.
Kropp S.
Kahn R.
Rivo M.
AUTHOR ADDRESSES
(Fleming M.; Barry K.; Davis A.; Kropp S.; Kahn R.; Rivo M.) Office of
Alcohol/Addiction Studies, Department of Family Medicine, 777 South Mills,
Madison, WI 53715, United States.
CORRESPONDENCE ADDRESS
M. Fleming, Office of Alcohol/Addiction Studies, Department of Family
Medicine, 777 South Mills, Madison, WI 53715, United States.
SOURCE
Academic Medicine (1994) 69:5 (362-369). Date of Publication: 1994
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Purpose. To examine changes in substance abuse education in U.S. medical
schools between 1976 and 1992. Methods. In 1991-92 the authors conducted a
16-year follow-up survey of six clinical departments in each of the 126 U.S.
medical schools. Two previous surveys by scholars and surveys conducted by
the Liaison Committee on Medical Education, Association of American Medical
Colleges, and the National Center for Medical Fellowships in the Addictions
provided baseline data for comparison. The statistical methods used in the
comparisons were paired t-tests, one-way analyses of variance, and tests of
differences between proportions. Results. Significant increases were found
in the numbers of required and elective curriculum units for medical
students between 1986-87 and 1991-92. The number of medical schools
requiring courses in substance abuse treatment increased from five to eight
between 1986-87 and 1991-92. For residents, there were significant increases
in the numbers of curriculum units for residents in family medicine and
pediatrics. The average number of faculty in the 116 medical schools that
reported units on substance abuse was 4.1. There were 45 fellowships in
addiction medicine identified in 1991-92, with a total of 61 fellows in
training. Conclusion. While the findings confirm positive changes, the
amount of curricula time and the number of faculty having expertise in
substance abuse education do not compare well with the amounts of time and
numbers of faculty involved in clinical problems of similar prevalence, such
as cancer and heart disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
curriculum
education program
medical school
priority journal
residency education
teacher
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994170704
MEDLINE PMID
8166918 (http://www.ncbi.nlm.nih.gov/pubmed/8166918)
PUI
L24167069
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1865
TITLE
Substance use and alcohol abuse in emergency medicine training programs, by
resident report. SAEM Residency Survey Task Force.
AUTHOR NAMES
McNamara R.M.
Sanders A.B.
Ling L.
Witzke D.B.
Bangs K.A.
AUTHOR ADDRESSES
(McNamara R.M.; Sanders A.B.; Ling L.; Witzke D.B.; Bangs K.A.) Medical
College of Pennsylvania Department of Emergency Medicine, Philadelphia
19129, USA.
CORRESPONDENCE ADDRESS
R.M. McNamara, Medical College of Pennsylvania Department of Emergency
Medicine, Philadelphia 19129, USA.
SOURCE
Academic emergency medicine : official journal of the Society for Academic
Emergency Medicine (1994) 1:1 (47-53). Date of Publication: 1994 Jan-Feb
ISSN
1069-6563
ABSTRACT
OBJECTIVE: To determine the prevalence of substance use and alcohol abuse
among emergency medicine residents. METHOD: The study instrument was an
anonymous, self-report survey that assessed the use of 13 substances and
included the CAGE questions for measuring alcohol abuse. The survey was
administered to emergency medicine residents at the time of the American
Board of Emergency Medicine's annual In-Service Examination. RESULTS:
Alcohol was the substance most commonly used by emergency medicine residents
for nonmedical reasons. Using the CAGE score, 4.9% of residents were
classified as alcoholic and another 7.6% as suspect for alcoholism, rates
similar to those for housestaff of all specialties as reported in earlier
studies. Instruction related to physician impairment during training in
their emergency medicine residency was reported by only 36% of the
respondents. CONCLUSIONS: Emergency medicine residents report a low rate of
illicit substance use and do not appear to misuse alcohol differently than
other housestaff. Interpretation of these results must be tempered with the
potential for underreporting that may occur with a voluntary self-report
survey of a sensitive nature.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
drinking behavior (epidemiology)
emergency medicine
medical education
EMTREE MEDICAL INDEX TERMS
adult
alcoholism (epidemiology)
article
human
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7621153 (http://www.ncbi.nlm.nih.gov/pubmed/7621153)
PUI
L125092594
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1866
TITLE
Training medical students in smoking-cessation counseling
AUTHOR NAMES
Coultas D.B.
Klecan D.A.
Whitten R.M.
Obenshain S.S.
Rubin R.H.
Wiese W.H.
Wilson B.E.
Woodall G.W.
Stidley C.A.
AUTHOR ADDRESSES
(Coultas D.B.; Klecan D.A.; Whitten R.M.; Obenshain S.S.; Rubin R.H.; Wiese
W.H.; Wilson B.E.; Woodall G.W.; Stidley C.A.) Epidemiology/Cancer Control
Program, New Mexico Univ. School of Medicine, 900 Camino de Salud,
Albuquerque, NM 87131, United States.
CORRESPONDENCE ADDRESS
D.B. Coultas, Epidemiology/Cancer Control Program, New Mexico Univ. School
of Medicine, 900 Camino de Salud, Albuquerque, NM 87131, United States.
SOURCE
Academic Medicine (1994) 69:10 SUPPL. (S48-S50). Date of Publication: 1994
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
patient counseling
smoking cessation
EMTREE MEDICAL INDEX TERMS
cigarette smoking
conference paper
doctor patient relation
medical education
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1994336746
MEDLINE PMID
7916826 (http://www.ncbi.nlm.nih.gov/pubmed/7916826)
PUI
L24336488
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1867
TITLE
State-university program in North Carolina honored for exemplary
collaboration.
AUTHOR ADDRESSES
SOURCE
Hospital & community psychiatry (1994) 45:1 (70-71). Date of Publication:
Jan 1994
ISSN
0022-1597
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
awards and prizes
medical education
mental disease (rehabilitation)
patient care
psychiatry
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
hospital
human
mental hospital
multimodality cancer therapy
research
standard
teaching hospital
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8125466 (http://www.ncbi.nlm.nih.gov/pubmed/8125466)
PUI
L24872303
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1868
TITLE
Drug-related death - An update
AUTHOR NAMES
Puschel K.
AUTHOR ADDRESSES
(Puschel K.) Institut fur Rechtszmedizin, Universitat Hamburg, Butenfeld 34,
Hamburg 22529, Germany.
CORRESPONDENCE ADDRESS
K. Puschel, Institut fur Rechtszmedizin, Universitat Hamburg, Butenfeld 34,
Hamburg 22529, Germany.
SOURCE
Forensic Science International (1993) 62:1-2 (121-128). Date of Publication:
1993
ISSN
0379-0738
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Some epidemiological, morphological and toxicological aspects from a
continuous prospective study of drug-related fatalities in Hamburg are
described. The lethal risk for intravenous drug addicts (IVDA) has increased
(1990: n = 136 drug-related fatalities in Hamburg; 1991: n = 184).
Infectious diseases are common. from the epidemiological point of view the
HIV-1 prevalence is decreasing; hepatitis C turned out to be a serious
medical problem for IVDA. The fatal course of the addiction is mostly caused
by heroin overdosage (sometimes in combination with ethylalcohol,
benzodiazepines and barbiturates); about 40% of the fatalities were
alcoholized (20% with a blood alcohol concentration of more than 1%).
EMTREE DRUG INDEX TERMS
diamorphine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
death
drug dependence (epidemiology)
Germany
EMTREE MEDICAL INDEX TERMS
alcohol consumption
cause of death
conference paper
female
hepatitis C (epidemiology)
human
Human immunodeficiency virus prevalence
infection (epidemiology)
intravenous drug administration
major clinical study
male
priority journal
risk factor
CAS REGISTRY NUMBERS
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993346554
MEDLINE PMID
8300023 (http://www.ncbi.nlm.nih.gov/pubmed/8300023)
PUI
L23346539
DOI
10.1016/0379-0738(93)90056-G
FULL TEXT LINK
http://dx.doi.org/10.1016/0379-0738(93)90056-G
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1869
TITLE
Training of residents and medical students in the diagnosis and treatment of
dual diagnosis patients
AUTHOR NAMES
Chappel J.N.
AUTHOR ADDRESSES
(Chappel J.N.) Dept. of Psychiatry/Behavioral Sci., Nevada University School
of Medicine, Reno, NV 89557-0046, United States.
CORRESPONDENCE ADDRESS
J.N. Chappel, Dept. of Psychiatry/Behavioral Sci., Nevada University School
of Medicine, Reno, NV 89557-0046, United States.
SOURCE
Journal of Psychoactive Drugs (1993) 25:4 (293-300). Date of Publication:
1993
ISSN
0279-1072
BOOK PUBLISHER
Haight-Ashbury Publications, 612 Clayton Street, San Francisco, United
States.
ABSTRACT
Treatment of dual diagnosis patients requires simultaneous treatment of the
addictive and the mental disorders. Available data suggest that this does
not happen often. In a survey of several psychiatric services, the unit
chiefs reported that dual diagnoses were underreported, no plans were
present for combined treatment, families were infrequently involved, and few
referrals were made for combined treatment. There is a need for competent,
experienced clinician teachers who have had positive experience with the
treatment of dual disorders. The training of addiction and mental health
professionals must include cooperation, understanding, and respect for each
other. Cross-training is needed in chemotherapy, psychotherapy, abstinence
from alcohol and other addictive drugs, 12-Step programs, spiritual issues,
and milieu therapy. Negative attitudes and ignorance must be overcome for
this training to take place. Faculty Fellow training programs have provided
a beginning in this direction, but have so far involved few professional
schools. Some examples of training with regard to referrals, prescribing,
and psychotherapy are given. The importance of supervised clinical
experience in treating dual diagnosis patients is emphasized. The provision
of this experience provides a challenge to specialists in addiction medicine
and addiction psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
medical student
residency education
EMTREE MEDICAL INDEX TERMS
abstinence
addiction (diagnosis, therapy)
behavior therapy
mental disease (diagnosis, therapy)
patient referral
physician attitude
prescription
psychotherapy
review
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994020664
MEDLINE PMID
8126601 (http://www.ncbi.nlm.nih.gov/pubmed/8126601)
PUI
L24013029
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1870
TITLE
The twin epidemics of substance use and HIV: A state-level response using a
train-the-trainer model
AUTHOR NAMES
Gabel L.L.
Pearsol J.A.
AUTHOR ADDRESSES
(Gabel L.L.; Pearsol J.A.) Department of Family Medicine, Research Center -
Area 300, 1314 Kinnear Road, Columbus, OH 43212, United States.
CORRESPONDENCE ADDRESS
L.L. Gabel, Department of Family Medicine, Research Center - Area 300, 1314
Kinnear Road, Columbus, OH 43212, United States.
SOURCE
Family Practice (1993) 10:4 (400-405). Date of Publication: 1993
ISSN
0263-2136
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Use of alcohol and drugs is highly correlated with acquiring the human
immunodeficiency virus (HIV), the precursor to developing an AIDS-related
condition. Today the USA faces not one but two epidemics, the twin epidemics
of substance use and HIV infection. A needs assessment in the state of Ohio
of the 300 state-supported drug treatment facilities confirmed a need for
HIV-related education and training of the 120 health care personnel,
physicians and nurses. Unique train-the-trainer programming was planned and
undertaken, including in the same training programme physician and nurse
participants dealing both with substance use and HIV/AIDS issues.
Significant differences were found in perceived levels of knowledge, and/or
attitudes, before and after programme sessions, regarding substance use,
HIV/AIDS, and related training issues. To reach all of Ohio's 120 drug
treatment facility physicians and nurses required a 2.75 person-hour per
trainee expenditure of professional resources.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Human immunodeficiency virus infection (epidemiology)
patient education
staff training
substance abuse
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome (epidemiology, prevention)
article
epidemic
health care personnel
human
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994065154
MEDLINE PMID
8168676 (http://www.ncbi.nlm.nih.gov/pubmed/8168676)
PUI
L24056279
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1871
TITLE
Clinicians' self-assessment: Questions and answers in substance abuse
treatment
AUTHOR NAMES
Hirsch R.
AUTHOR ADDRESSES
(Hirsch R.) Div. of Addiction Treatment Services, North Shore University
Hospital, Cornell University Medical College, Manhasset, NY, United States.
CORRESPONDENCE ADDRESS
R. Hirsch, Div. of Addiction Treatment Services, North Shore University
Hospital, Cornell University Medical College, Manhasset, NY, United States.
SOURCE
Journal of Substance Abuse Treatment (1993) 10:6 (595-597). Date of
Publication: 1993
ISSN
0740-5472
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
benzodiazepine derivative (drug therapy)
disulfiram (drug therapy)
hypnotic sedative agent
EMTREE DRUG INDEX TERMS
alprazolam
amphetamine derivative
barbituric acid derivative
cannabinol derivative
cocaine
diazepam
ethylene glycol
lorazepam
methadone
methanol
opiate
oxazepam
triazolam
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical medicine
drug dependence treatment
medical education
self examination
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction (diagnosis)
alcohol intoxication (diagnosis, etiology)
alcoholism (drug therapy, etiology)
analgesia
drug control
drug detoxification
drug withdrawal
human
methadone treatment
note
priority journal
withdrawal syndrome (drug therapy)
DRUG TRADE NAMES
antabuse
ativan
halcion
serax
valium
xanax
CAS REGISTRY NUMBERS
alcohol (64-17-5)
alprazolam (28981-97-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diazepam (439-14-5)
disulfiram (97-77-8)
ethylene glycol (107-21-1)
lorazepam (846-49-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
methanol (67-56-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxazepam (604-75-1)
triazolam (28911-01-5)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1994003065
PUI
L24006965
DOI
10.1016/0740-5472(93)90068-D
FULL TEXT LINK
http://dx.doi.org/10.1016/0740-5472(93)90068-D
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1872
TITLE
Tangential symbols: Using visual symbolization to teach pharmacological
principles of drug addiction to international audiences
AUTHOR NAMES
Giannini A.J.
AUTHOR ADDRESSES
(Giannini A.J.) 3040 Belmont Avenue, Youngstown, OH 44504, United States.
CORRESPONDENCE ADDRESS
A.J. Giannini, 3040 Belmont Avenue, Youngstown, OH 44504, United States.
SOURCE
Journal of Clinical Pharmacology (1993) 33:12 (1139-1146). Date of
Publication: 1993
ISSN
0091-2700
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
Visual art was used to teach the biopsychiatric model of addiction to
audiences in the Caribbean, Europe and Mideast. Art slides were tangentially
linked to slides of pharmacological data. Stylistically dense art was
processed by the intuitive right brain while spare notational
pharmacological data was processed by the intellectual (rationalistic) left
brain. Simultaneous presentation of these data enhanced attention and
retention. This teaching paradigm was based on the nonliterate methods
developed by Medieval architects and refined by Italian Renaissance
philosopher, Marsilio Ficino.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amphetamine derivative (pharmacology)
barbituric acid derivative (pharmacology)
cathinone (pharmacology)
diazepam (pharmacology)
ethchlorvynol (pharmacology)
methaqualone (pharmacology)
EMTREE DRUG INDEX TERMS
benzatropine (pharmacology)
bromocriptine (drug therapy)
cocaine (pharmacology)
codeine (pharmacology)
desipramine (drug therapy)
haloperidol (drug therapy)
ketamine (pharmacology)
lysergide (pharmacology)
mescaline (pharmacology)
morphine derivative (pharmacology)
naloxone (drug therapy)
phencyclidine (pharmacology)
physostigmine (drug therapy)
psilocybine (pharmacology)
stramonium
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (drug therapy, prevention)
medical education
EMTREE MEDICAL INDEX TERMS
article
drug classification
history of medicine
human
object relation
symbolism
teaching hospital
vision
CAS REGISTRY NUMBERS
benzatropine (86-13-5)
bromocriptine (25614-03-3)
cathinone (5265-18-9, 71031-15-7, 77271-59-1)
cocaine (50-36-2, 53-21-4, 5937-29-1)
codeine (76-57-3)
desipramine (50-47-5, 58-28-6)
diazepam (439-14-5)
ethchlorvynol (113-18-8)
haloperidol (52-86-8)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
lysergide (50-37-3)
mescaline (11006-96-5, 54-04-6, 832-92-8)
methaqualone (340-56-7, 72-44-6, 8056-67-5)
naloxone (357-08-4, 465-65-6)
phencyclidine (77-10-1, 956-90-1)
physostigmine (57-47-6, 64-47-1)
psilocybine (520-52-5)
stramonium (8063-18-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994027823
MEDLINE PMID
7510314 (http://www.ncbi.nlm.nih.gov/pubmed/7510314)
PUI
L24023677
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1873
TITLE
The definition of alcoholism
AUTHOR NAMES
Madden J.S.
AUTHOR ADDRESSES
(Madden J.S.) Alcohol and Drug Dependence Service, Countess of Chester
Hospital, Liverpool Road, Chester CH2 1BA, United Kingdom.
CORRESPONDENCE ADDRESS
J.S. Madden, Alcohol and Drug Dependence Service, Countess of Chester
Hospital, Liverpool Road, Chester CH2 1BA, United Kingdom.
SOURCE
Alcohol and Alcoholism (1993) 28:6 (617-620). Date of Publication: 1993
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Formulations of alcohol dependence are continuously refreshed, in line with
changing concepts and altered needs. Two new descriptions have been
prepared: the revised WHO criteria for substance use disorders and an
educative definition of alcoholism. The major sets of diagnostic criteria
provided by WHO and by the American Psychiatric Association are moving
closer together but have not solved all the semantic problems. More refined
assessments are also available to quicken fulfilment of the long-awaited
hope that treatments can be matched to patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, etiology)
syndrome delineation
EMTREE MEDICAL INDEX TERMS
behavior
physician
priority journal
short survey
substance abuse
symptom
world health organization
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994044592
MEDLINE PMID
8147971 (http://www.ncbi.nlm.nih.gov/pubmed/8147971)
PUI
L24037810
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1874
TITLE
Clients-characterization and catamnestic results of the addiction advisory
service (ABAM) of Hannover's medical school (MHH) psychiatric department: A
study of 500 patients in two-year period
ORIGINAL (NON-ENGLISH) TITLE
KLIENTEL UND KATAMNESTISCHE ERGEBNISSE DER ABHANGIGENAMBULANZ DER
MEDIZINISCHEN HOCHSCHULE HANNOVER: EINE UNTERSUCHUNG AN 500 PATIENTEN IN
EINEM ZWEIJAHRESZEITRAUM
AUTHOR NAMES
Schurtzmann W.
Hartmann U.
Gagel D.E.
Schafer D.
AUTHOR ADDRESSES
(Schurtzmann W.; Hartmann U.; Gagel D.E.; Schafer D.) Zentrum Psychologische
Medizin, Medizinische Hochschule, Konstanty-Gutschow-Str. 8, 30625 Hannover,
Germany.
CORRESPONDENCE ADDRESS
W. Schurtzmann, Zentrum Psychologische Medizin, Medizinische Hochschule,
Konstanty-Gutschow-Str. 8, 30625 Hannover, Germany.
SOURCE
Sucht (1993) 39:6 (399-423). Date of Publication: 1993
ISSN
0939-5911
ABSTRACT
ABAM is a special ambulatory surgery for people using alcohol, psychotropic
medication, drugs or having other addiction problems. It forms an integral
part of the department of 'Clinical Psychiatry' and offers comprehensive
advice, counseling, and referral to further treatment modalities. This study
consists of two components and was performed to characterize ABAM-patients
at first contact and at follow-up to develop hypotheses about
interdependencies between addiction and social conditions and to evaluate
the services provides. All 503 patients presenting to ABAM in an two-year
period were monitored and examined by a self-designed questionnaire (40
items) addressing relevant personal, addiction and treatment-related data.
Catamnesis was carried out approximately two years after the first
ABAM-contact. The follow-up questionnaire consisted of 22 items and gave
ample room for additional comments on the counseling situation and the
services provided by ABAM. 93% of the patients included in the two-year
survey presented with alcohol problems, 2/3 were male, mean age was 39
years. Results showed significant sex differences for items like education,
legal problems or suicidal behavior. In the follow-up study, the data of 139
patients could be analyzed (response rate: 60%). Prognostic variables
indicating an unfavorable course of addiction were: Unemployment, loss of
accommodation, debts, no steady partner or living alone, preference for
beer, relatives with addiction problems (especially mothers), intoxicated
appearance at ABAM, history of suicidal attempts. Data analyses revealed a
relationship between the social situation of the patients and the assessment
of the counseling situation. While almost 80% retrospectively judged the
service to be helpful, single living addicts gave more notes. Our results
suggest that the concept of ABAM could provide adequate counseling or
treatment for most of its patients. More emphases and flexible services with
easy access to withdrawal facilities are needed to meet the specific
problems of patients with unfavorable conditions or of special subgroups
like misusers of psychoactive medication. Effective monitoring and
evaluation are important prerequisites for assuring the quality of clinical
work.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
counseling
drug dependence
suicidal behavior
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
human relation
major clinical study
male
unemployment
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English, German
EMBASE ACCESSION NUMBER
1994037213
PUI
L24043523
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1875
TITLE
HIV screening and risk behaviour in psychoactive substance users
AUTHOR NAMES
Malhotra A.
Balaji M.
Basu D.
Mattoo S.K.
Varma V.K.
Sehgal S.
AUTHOR ADDRESSES
(Malhotra A.; Balaji M.; Basu D.; Mattoo S.K.; Varma V.K.; Sehgal S.) Drug
De-addiction and Treatment Ctr, Postgrad Inst Med Education and Res,
Chandigarh 160012, India.
CORRESPONDENCE ADDRESS
A. Malhotra, Drug De-addiction and Treatment Ctr, Postgrad Inst Med
Education and Res, Chandigarh 160012, India.
SOURCE
Indian Journal of Medical Research - Section A Infectious Diseases (1993)
97:NOV. (231-233). Date of Publication: 1993
ISSN
0019-5340
BOOK PUBLISHER
Indian Council of Medical Research, Ansari Nagar, P.O. Box 4911, New Delhi,
India.
ABSTRACT
Patients admitted to the Drug De-addiction and Treatment Centre,
Postgraduate Institute of Medical Education and Research, Chandigarh, were
screened for HIV antibodies. Out of 116 patients, 45 (39%) were injecting
drug users (IDUs), 29 (25%) were other drug users and 42 (36%) were primary
users of alcohol. One IDU was HIV seropositive (2.2% of the IDUs). Analysis
of HIV-related risk behaviour showed that the IDUs were at high risk,
because of needle sharing as also because or having multiple sex partners.
The potential for HIV infection in these persons practising high-risk
behaviour calls for timely preventive measures.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
Human immunodeficiency virus antibody (endogenous compound)
psychotropic agent
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
health behavior
Human immunodeficiency virus infection (diagnosis)
infection risk
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
female
human
India
major clinical study
male
needle
screening
sexual behavior
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994065442
MEDLINE PMID
8144203 (http://www.ncbi.nlm.nih.gov/pubmed/8144203)
PUI
L24056581
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1876
TITLE
Psychoactive substance use among American anesthesiologists: A 30-year
retrospective study
AUTHOR NAMES
Lutsky I.
Hopwood M.
Abram S.E.
Jacobson G.R.
Haddox J.D.
Kampine J.P.
AUTHOR ADDRESSES
(Lutsky I.; Hopwood M.; Abram S.E.; Jacobson G.R.; Haddox J.D.; Kampine
J.P.) Department of Comparative Medicine, Hebrew University School of
Medicine, Jerusalem 91010, Israel.
CORRESPONDENCE ADDRESS
I. Lutsky, Department of Comparative Medicine, Hebrew University School of
Medicine, Jerusalem 91010, Israel.
SOURCE
Canadian Journal of Anaesthesia (1993) 40:10 (915-921). Date of Publication:
1993
ISSN
0832-610X
BOOK PUBLISHER
Canadian Anaesthetists' Society, 1 Eglinton Avenue East, Suite 208, Toronto,
Canada.
ABSTRACT
The purpose of this study was to assess the cumulative incidence of
substance use among anesthesiologists during training and practice, the
effect of stress on drug use, and deterrent efficacy of institutional
prevention programmes. The 260 anesthesiologists who had trained at the
Medical College of Wisconsin between 1958-1988 were surveyed by mail
regarding psychoactive substance use. Analysis of 183 responses focused on
demographic and psychosocial factors. Substances used most frequently
included: alcohol (91.6%), marijuana (30.8%) and cocaine (9.4%). Twenty-nine
(15.8%) anesthesiologists were identified as being substance-dependent: 19
were alcohol-impaired; six were drug-impaired, and four were dependent on
both alcohol and drugs. Impairment was more prevalent in anesthesiologists
who had completed their training after 1975. Fifty-eight (32%)
anesthesiologists had used illicit drugs to 'get high'; 11 acknowledged
daily use for two weeks or more, with eight admitting dependency. Substance
abuse was more common in parents of impaired anesthesiologists (35.7%) than
in unimpaired colleagues (8.1%; P < 0.001). The divorce rate for impaired
anesthesiologists (24.1%) was greater than for unimpaired anesthesiologists
(5.2%; P < 0.001). Increased stress during training was not reflected by
increased substance use. Few recalled any drug counseling whatsoever.
Seventy percent assessed hospital drug control policies as fair or poor.
Younger respondents (born after 1951) were more critical of drug control
programmes than their older cohort. Incidents of substance abuse were
reported for both residents and faculty. Psychoactive substance abuse
remains a serious problem among anesthesiologists.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
social aspect
EMTREE MEDICAL INDEX TERMS
adult
article
female
health care
human
male
normal human
priority journal
risk factor
vocational education
EMBASE CLASSIFICATIONS
Anesthesiology (24)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
1993334417
MEDLINE PMID
8222029 (http://www.ncbi.nlm.nih.gov/pubmed/8222029)
PUI
L23334402
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1877
TITLE
A survey of whether medical and dental students are being taught to ask
their patients about smokeless tobacco use
AUTHOR NAMES
Ricer R.E.
Wohlwend J.R.
AUTHOR ADDRESSES
(Ricer R.E.; Wohlwend J.R.) 141 Health Professions Building, Eden and
Bethesda Avenues, Cincinnati, OH 45267-0587, United States.
CORRESPONDENCE ADDRESS
R.E. Ricer, 141 Health Professions Building, Eden and Bethesda Avenues,
Cincinnati, OH 45267-0587, United States.
SOURCE
Academic Medicine (1993) 68:10 (811). Date of Publication: 1993
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
smoking habit
tobacco
EMTREE MEDICAL INDEX TERMS
article
cigarette smoking
medical personnel
medical record
medical student
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1993313046
MEDLINE PMID
8397619 (http://www.ncbi.nlm.nih.gov/pubmed/8397619)
PUI
L23313031
DOI
10.1097/00001888-199310000-00024
FULL TEXT LINK
http://dx.doi.org/10.1097/00001888-199310000-00024
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1878
TITLE
Smoking habits: The prevention role of teachers and general practitioners
AUTHOR NAMES
Frydman M.
Lynn R.
AUTHOR ADDRESSES
(Frydman M.; Lynn R.) Department of Social Psychology, Faculty of
Psychopedagogic Sciences, University of Mons Hainaut, 20, Place du Parc,
B-7000 Mons, Belgium.
CORRESPONDENCE ADDRESS
M. Frydman, Department of Social Psychology, Faculty of Psychopedagogic
Sciences, University of Mons Hainaut, 20, Place du Parc, B-7000 Mons,
Belgium.
SOURCE
Journal of Environmental Pathology, Toxicology and Oncology (1993) 12:3
(161-165). Date of Publication: 1993
ISSN
0731-8898
BOOK PUBLISHER
Begell House Inc., 50 Cross Highway, Redding, United States.
ABSTRACT
Surveys carried out widely in French-speaking Belgium showed that the
frequency of nicotine addiction among teachers is not very different from
that of other job categories. Among physicians, the number of smokers-
although lower than average-is too high, especially among psychiatrists,
gynecologists, and, paradoxically, heart specialists. However, young doctors
usually do not smoke. The authors argue for a program aimed at making
teachers and general practitioners more aware of the problem of smoking.
This intervention may lend support to those trying to reach the general
public.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
EMTREE MEDICAL INDEX TERMS
adult
Belgium
controlled study
female
general practitioner
health promotion
human
major clinical study
male
medical specialist
preventive medicine
priority journal
review
smoking cessation
smoking habit
teacher
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993306274
MEDLINE PMID
8189370 (http://www.ncbi.nlm.nih.gov/pubmed/8189370)
PUI
L23306260
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1879
TITLE
Opening remarks to the 54th Scientific Meeting of the College on Problems of
Drug Dependence
AUTHOR NAMES
Killam Jr. K.F.
AUTHOR ADDRESSES
(Killam Jr. K.F.) Department of Pharmacology, School of Medicine, University
of California, Davis, CA, United States.
CORRESPONDENCE ADDRESS
K.F. Killam Jr., Department of Pharmacology, School of Medicine, University
of California, Davis, CA, United States.
SOURCE
NIDA Research Monograph Series (1993) :132 (1-2). Date of Publication: 1993
ISSN
1046-9516
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (prevention)
medical education
EMTREE MEDICAL INDEX TERMS
conference paper
scientific literature
substance abuse
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1993301583
PUI
L23301569
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1880
TITLE
Clinicians' self-assessment: Questions and answers in substance abuse
treatment
AUTHOR NAMES
Hirsch R.
AUTHOR ADDRESSES
(Hirsch R.) Div. of Addiction Treatment Services, North Shore University
Hospital, Cornell University Medical College, Manhasset, NY, United States.
CORRESPONDENCE ADDRESS
R. Hirsch, Div. of Addiction Treatment Services, North Shore University
Hospital, Cornell University Medical College, Manhasset, NY, United States.
SOURCE
Journal of Substance Abuse Treatment (1993) 10:5 (493-495). Date of
Publication: 1993
ISSN
0740-5472
EMTREE DRUG INDEX TERMS
alcohol (pharmacology)
disulfiram (drug therapy, pharmacology)
fentanyl derivative (pharmacology)
organic solvent
pethidine
phencyclidine (pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
drug dependence (drug therapy, therapy)
substance abuse
EMTREE MEDICAL INDEX TERMS
aggression
alcoholism (drug therapy, therapy)
detoxification
drug classification
note
self evaluation
DRUG TRADE NAMES
antabuse
demerol
CAS REGISTRY NUMBERS
alcohol (64-17-5)
disulfiram (97-77-8)
pethidine (28097-96-3, 50-13-5, 57-42-1)
phencyclidine (77-10-1, 956-90-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1993297104
PUI
L23297090
DOI
10.1016/0740-5472(93)90016-U
FULL TEXT LINK
http://dx.doi.org/10.1016/0740-5472(93)90016-U
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1881
TITLE
Smoking restrictions in medical schools in Japan
AUTHOR NAMES
Saito R.
Asano M.
Oshima A.
Minowa M.
AUTHOR ADDRESSES
(Saito R.; Asano M.; Oshima A.; Minowa M.) Kinula Health Center, Setagaya
City.
CORRESPONDENCE ADDRESS
R. Saito, Kinula Health Center, Setagaya City.
SOURCE
[Nippon kōshū eisei zasshi] Japanese journal of public health (1993) 40:10
(981-984). Date of Publication: Oct 1993
ISSN
0546-1766
ABSTRACT
The theme of the 6th WHO World Non-Smoking Day in 1993 was "Health services:
our window to a tobacco-free world". A survey of the public health
departments of all medical schools and universities was conducted in April,
1992 in order to investigate the state of smoking restrictions in those
departments responsible for training in health services. Responses were
received from 76 schools out of 80. The results were as follows: 1) In
school cafeteria: Smoking prohibited (17.8%), Separate smoking/non-smoking
areas (21.9%), Unrestricted smoking (60.3%), In student lounges: Smoking
prohibited (2.9%), Separate Smoking/non-smoking areas (7.1%), Unrestricted
smoking (90.0%), 2) The number of schools with tobacco vending machines: 59
schools (77.6%), 3) In medical faculty meetings: Smoking prohibited--32
schools (42.1%), Unrestricted smoking--22 schools (28.9%), No rules but no
smokers--22 schools (28.9%), A total of 54 schools (71.0%) have established
non-smoking meetings. 4) The number of school that give no attention to
raking students aware of smoking risks: 6 schools As a result of this
investigation, one national and one private medical school initiated
prohibition of smoking at medical faculty meetings. In order to stimulate
consciousness of the health hazards of smoking in future medical
professionals, freshmen orientation should be utilized for teaching about
the risks of both tobacco and "chug-a-lugging" of alcoholic beverages. In
addition, the elimination of tobacco vending machines from all medical
department area is strongly indicated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking (adverse drug reaction)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
human
Japan
questionnaire
risk
LANGUAGE OF ARTICLE
Japanese
MEDLINE PMID
8260745 (http://www.ncbi.nlm.nih.gov/pubmed/8260745)
PUI
L24842607
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1882
TITLE
The elephant in the waiting room: an alcoholism-awareness tool for medical
curricula.
AUTHOR NAMES
Smith C.S.
Phister J.
Lee D.K.
Kilfoyle M.
AUTHOR ADDRESSES
(Smith C.S.; Phister J.; Lee D.K.; Kilfoyle M.)
CORRESPONDENCE ADDRESS
C.S. Smith,
SOURCE
Academic medicine : journal of the Association of American Medical Colleges
(1993) 68:10 (783). Date of Publication: Oct 1993
ISSN
1040-2446
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
medical education
EMTREE MEDICAL INDEX TERMS
curriculum
human
letter
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8397612 (http://www.ncbi.nlm.nih.gov/pubmed/8397612)
PUI
L23934745
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1883
TITLE
Incidence of alcohol abuse in the parents of medical students
AUTHOR NAMES
Dilts S.L.
House Jr. R.M.
Arthur W.R.
Hurley M.E.
AUTHOR ADDRESSES
(Dilts S.L.; House Jr. R.M.; Arthur W.R.; Hurley M.E.) University of
California, San Diego, CA, United States.
CORRESPONDENCE ADDRESS
M.E. Hurley, University of California, San Diego, CA, United States.
SOURCE
Journal of American College Health (1993) 42:2 (82-84). Date of Publication:
1993
ISSN
0744-8481
BOOK PUBLISHER
Heldref Publications, 1319 Eighteenth Street NW, Washington, United States.
ABSTRACT
An anonymous self-report survey of the medical students at the University of
Colorado Health Sciences Center assessed how many of the students' parents
were alcohol abusers. The results indicated that 27% of the student body
were children of alcohol abusers, a rate twice that of the general
population. This finding has implications for teaching strategies, student
substance abuse, prevention efforts during the medical-school years, and
provision of appropriate programs through student health services.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
EMTREE MEDICAL INDEX TERMS
article
health service
human
medical student
parent
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993275344
MEDLINE PMID
8245323 (http://www.ncbi.nlm.nih.gov/pubmed/8245323)
PUI
L23275330
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1884
TITLE
Education of therapists and scientists in substance abuse in Sweden - An
European comparative experiment
ORIGINAL (NON-ENGLISH) TITLE
AUSBILDUNG VON SUCHTTHERAPEUTEN UND SUCHTFORSCHERN IN SCHWEDEN - VERSUCH
EINES EUROPAISCHEN VERGLEICHES
AUTHOR NAMES
Valverius P.
AUTHOR ADDRESSES
(Valverius P.) Alkoholdiagnostiska Laboratoriet, Psyk. Beroendekliniken, St.
Goran's Hospital, P.O. Box 12 557, S-102 29 Stockholm, Sweden.
CORRESPONDENCE ADDRESS
P. Valverius, Alkoholdiagnostiska Laboratoriet, Psyk. Beroendekliniken, St.
Goran's Hospital, P.O. Box 12 557, S-102 29 Stockholm, Sweden.
SOURCE
Sucht (1993) 39:2 (132-135). Date of Publication: 1993
ISSN
0939-5911
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
education
physician
EMTREE MEDICAL INDEX TERMS
conference paper
curriculum
human
normal human
science
Sweden
therapy
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1993185549
PUI
L23185535
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1885
TITLE
Evaluation of a faculty development program in substance abuse education
AUTHOR NAMES
Bigby J.
Barnes H.N.
AUTHOR ADDRESSES
(Bigby J.; Barnes H.N.) Division of General Medicine, Brigham and Women's
Hospital, 75 Francis Street, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
J. Bigby, Division of General Medicine, Brigham and Women's Hospital, 75
Francis Street, Boston, MA 02115, United States.
SOURCE
Journal of General Internal Medicine (1993) 8:6 (301-305). Date of
Publication: 1993
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
Objective: To determine whether a faculty development program was effective
in increasing clinical skills and the amount of substance abuse teaching of
individual general medical faculty. Design: Program participants were
evaluated with a structured assessment before and several months after
participating in a faculty development program in substance abuse education.
Participants: Eighty percent were general internal medicine faculty, who on
average devoted 25% of their time to teaching. The remainder of the
participants were family medicine, psychiatry, or other internal medicine
faculty and nonphysician teachers. Intervention: The participants attended a
learner-centered, largely experimental faculty development program in
substance abuse education to improve their clinical and teaching skills
relevant to substance abuse among patients in the general medical setting.
Measurements and main results: Eighty-six percent of the participants
completed the evaluation. The participants reported increased confidence in
their clinical skills in recognizing substance abuse, presenting the problem
to the patient, and referring the patient for treatment. The participants
also reported improved attitudes toward patients and increased teaching
about the management of the primary problem of substance abuse, but not at
the expense of teaching about medical complications. Conclusions: Clinically
oriented, interactive faculty development courses in substance abuse
education can contribute to increased confidence in clinical skills in
substance abuse as well as teaching about substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
substance abuse
teaching
EMTREE MEDICAL INDEX TERMS
article
attitude
diagnosis
female
human
male
medical education
medical specialist
skill
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993177856
MEDLINE PMID
8320573 (http://www.ncbi.nlm.nih.gov/pubmed/8320573)
PUI
L23177842
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1886
TITLE
Medical advice to consumers of excessive amounts of alcohol
ORIGINAL (NON-ENGLISH) TITLE
El consejo médico a los consumidores excesivos de alcohol.
AUTHOR NAMES
Aubà Llambrich J.
AUTHOR ADDRESSES
(Aubà Llambrich J.) Barcelonès Nord i Maresme, Institut Català de la Salut,
Badalona.
CORRESPONDENCE ADDRESS
J. Aubà Llambrich, Barcelonès Nord i Maresme, Institut Català de la Salut,
Badalona.
SOURCE
Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria
(1993) 12:3 (166-172). Date of Publication: 1993 Jul-Aug
ISSN
0212-6567
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
patient education
EMTREE MEDICAL INDEX TERMS
human
review
LANGUAGE OF ARTICLE
Spanish
MEDLINE PMID
8338910 (http://www.ncbi.nlm.nih.gov/pubmed/8338910)
PUI
L23834617
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1887
TITLE
Chemical dependency allegations and the Minnesota Board of Medical Practice.
AUTHOR NAMES
Halverson J.D.
Benson L.
AUTHOR ADDRESSES
(Halverson J.D.; Benson L.)
CORRESPONDENCE ADDRESS
J.D. Halverson,
SOURCE
Minnesota medicine (1993) 76:5 (27-28). Date of Publication: May 1993
ISSN
0026-556X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
certification
malpractice
substance abuse
EMTREE MEDICAL INDEX TERMS
article
human
legal aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8505917 (http://www.ncbi.nlm.nih.gov/pubmed/8505917)
PUI
L23901628
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1888
TITLE
Drug addiction: a subject of education for the practitioner?
ORIGINAL (NON-ENGLISH) TITLE
Toxicomanie: un sujet de formation pour le practicien?
AUTHOR NAMES
Bonard M.
AUTHOR ADDRESSES
(Bonard M.)
CORRESPONDENCE ADDRESS
M. Bonard,
SOURCE
Revue médicale de la Suisse romande (1993) 113:5 (343). Date of Publication:
May 1993
ISSN
0035-3655
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
article
education
human
LANGUAGE OF ARTICLE
French
MEDLINE PMID
8316716 (http://www.ncbi.nlm.nih.gov/pubmed/8316716)
PUI
L23907342
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1889
TITLE
Program of "Prevention and improvement of physicians in the field of drug
addiction" (PPMT program)
ORIGINAL (NON-ENGLISH) TITLE
Le programme "prévention et perfectionnement des médecins dans le domaine de
la toxicomanie" (programme PPMT).
AUTHOR NAMES
Bertschy G.
AUTHOR ADDRESSES
(Bertschy G.) Département universitaire psychiatrie adulte, Site de Cery,
Prilly.
CORRESPONDENCE ADDRESS
G. Bertschy, Département universitaire psychiatrie adulte, Site de Cery,
Prilly.
SOURCE
Revue médicale de la Suisse romande (1993) 113:5 (391-392). Date of
Publication: May 1993
ISSN
0035-3655
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
teaching
EMTREE MEDICAL INDEX TERMS
article
human
methodology
Switzerland
LANGUAGE OF ARTICLE
French
MEDLINE PMID
8316726 (http://www.ncbi.nlm.nih.gov/pubmed/8316726)
PUI
L23832484
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1890
TITLE
Conversation with Wilhelm Feuerlein
AUTHOR ADDRESSES
SOURCE
Addiction (1993) 88:1 (47-51). Date of Publication: 1993
ISSN
0965-2140
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
In this occasional series we record the views and personal experience of
people who have specially contributed to the evolution of ideas in the
journal's field of interest. Professor Wilhelm Feuerlein is a German
psychiatrist who pioneered alcohol problems treatment research in his
country and who has exerted a leading European influence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
alcohol withdrawal syndrome
conversation
Germany
history
hospital patient
human
note
outpatient department
psychiatrist
research
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993102095
MEDLINE PMID
8383556 (http://www.ncbi.nlm.nih.gov/pubmed/8383556)
PUI
L23102095
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1891
TITLE
Educational strategies for clinicians
AUTHOR NAMES
Davis A.K.
Parran Jr. T.V.
Graham A.V.
AUTHOR ADDRESSES
(Davis A.K.; Parran Jr. T.V.; Graham A.V.) AKD Consulting, 19819 Fifth
Avenue NW, Seattle, WA 98177, United States.
CORRESPONDENCE ADDRESS
A.K. Davis, AKD Consulting, 19819 Fifth Avenue NW, Seattle, WA 98177, United
States.
SOURCE
Primary Care - Clinics in Office Practice (1993) 20:1 (241-250). Date of
Publication: 1993
ISSN
0095-4543
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
The past decade has witnessed increased attention toward the incorporation
of substance abuse training into medical education. Many currently
practising primary care physicians, however, never received formal training
in substance abuse. They can now benefit from an array of recently developed
educational materials and training resources.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
primary medical care
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholism (diagnosis, rehabilitation)
curriculum
drug abuse
drug dependence (diagnosis, rehabilitation)
organization
review
role playing
skill
teaching
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993100727
MEDLINE PMID
8464945 (http://www.ncbi.nlm.nih.gov/pubmed/8464945)
PUI
L23100727
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1892
TITLE
Physician certification in addiction medicine 1986-1990: A four-year
experience
AUTHOR NAMES
Schnoll S.
Durburg J.
Griffin J.
Gitlow S.
Hunter R.B.
Sack J.
Stimmel B.
DeWit H.
Jara G.B.
AUTHOR ADDRESSES
(Schnoll S.; Durburg J.; Griffin J.; Gitlow S.; Hunter R.B.; Sack J.;
Stimmel B.; DeWit H.; Jara G.B.)
CORRESPONDENCE ADDRESS
S. Schnoll,
SOURCE
Journal of Addictive Diseases (1993) 12:1 (123-133). Date of Publication:
1993
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
certification
drug dependence (diagnosis, epidemiology, therapy)
physician
EMTREE MEDICAL INDEX TERMS
accreditation
alcoholism (diagnosis, epidemiology, therapy)
article
attitude
medical education
medical examination
medical society
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1993056815
MEDLINE PMID
8424964 (http://www.ncbi.nlm.nih.gov/pubmed/8424964)
PUI
L23056815
DOI
10.1300/J069v12n01_10
FULL TEXT LINK
http://dx.doi.org/10.1300/J069v12n01_10
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1893
TITLE
The effect of training staff in office-based smoking cessation counseling
AUTHOR NAMES
Leininger L.S.
Earp J.A.L.
AUTHOR ADDRESSES
(Leininger L.S.; Earp J.A.L.) Cancer Prevention Program, University of North
Carolina, Mason Farm Road, Chapel Hill, NC 27599-7300, United States.
CORRESPONDENCE ADDRESS
L.S. Leininger, Cancer Prevention Program, University of North Carolina,
Mason Farm Road, Chapel Hill, NC 27599-7300, United States.
SOURCE
Patient Education and Counseling (1993) 20:1 (17-25). Date of Publication:
1993
ISSN
0738-3991
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
A role for office staff members in smoking cessation counseling has recently
been recognized and encouraged. We studied the impact of physician-staff
team training in office-based smoking cessation counseling on staff members
in 35 practices in Raleigh, North Carolina. Staff members who attended an
educational meeting were compared with two groups: other staff members in
their practices who did not attend the meeting and staff in other practices
in which no one attended the meeting. Baseline attitudes toward and
participation in smoking cessation activities were not significantly
different among the three groups. Four months after the training, staff who
had personally attended the meeting reported greater involvement in
counseling activities than either of the two comparison groups. Attitudes
toward involvement in counseling activities did not change significantly
over the study period. Training staff members in office-based smoking
cessation counseling may be a useful step toward increasing staff
participation in these activities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
patient counseling
patient education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
human
medical personnel
normal human
priority journal
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993051739
MEDLINE PMID
8474944 (http://www.ncbi.nlm.nih.gov/pubmed/8474944)
PUI
L23051739
DOI
10.1016/0738-3991(93)90113-B
FULL TEXT LINK
http://dx.doi.org/10.1016/0738-3991(93)90113-B
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1894
TITLE
Alcoholism: a black hole in our medical training
ORIGINAL (NON-ENGLISH) TITLE
Alcoholismo: un agujero negro en nuestra formación médica.
AUTHOR NAMES
Manresa Presas J.M.
AUTHOR ADDRESSES
(Manresa Presas J.M.)
CORRESPONDENCE ADDRESS
J.M. Manresa Presas,
SOURCE
Medicina clínica (1993) 100:1 (22-23). Date of Publication: 9 Jan 1993
ISSN
0025-7753
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
medical education
EMTREE MEDICAL INDEX TERMS
female
human
male
note
LANGUAGE OF ARTICLE
Spanish
MEDLINE PMID
8429700 (http://www.ncbi.nlm.nih.gov/pubmed/8429700)
PUI
L23867933
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1895
TITLE
Medical education and substance abuse [8]
AUTHOR NAMES
Chapman M.J.
AUTHOR ADDRESSES
(Chapman M.J.) Toxicologiste Conseil, BP 19, F-69981 Jonage Cedex, France.
CORRESPONDENCE ADDRESS
M.J. Chapman, Toxicologiste Conseil, BP 19, F-69981 Jonage Cedex, France.
SOURCE
Journal of the Royal Society of Medicine (1992) 85:12 (774). Date of
Publication: 1992
ISSN
0141-0768
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
drug misuse
medical education
EMTREE MEDICAL INDEX TERMS
human
letter
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1992370788
PUI
L22370770
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1896
TITLE
Physicians' attitudes toward preventive care services: A seven-year
prospective cohort study
AUTHOR NAMES
Scott C.S.
Neighbor W.E.
Brock D.M.
AUTHOR ADDRESSES
(Scott C.S.; Neighbor W.E.; Brock D.M.) Department of Medical Education,
Univesity of Washington, Mail Stop 3C-45, Seattle, WA 98195, United States.
CORRESPONDENCE ADDRESS
C.S. Scott, Department of Medical Education, Univesity of Washington, Mail
Stop 3C-45, Seattle, WA 98195, United States.
SOURCE
American Journal of Preventive Medicine (1992) 8:4 (241-248). Date of
Publication: 1992
ISSN
0749-3797
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
We report results of a seven-year prospective cohort study of physicians'
attitudes about and intentions to provide 27 preventive care services in
their future practices. Respondents in the cohort were surveyed three times:
first, during orientation to medical school; second, during their third year
of medical school: and finally, following completion of their third-year of
residency training. The majority of preventive care services were viewed as
more important to clinical practice in primary care than in non-primary care
specialties. Positive attitudes toward preventive care services generally
persisted among both primary and non-primary care physicians. Respondents
expressed only fair to medium levels of confidence in the ability of
physicians in their specialty areas to provide any of the preventive
services examined. Respondents reported low levels of confidence in the
ability of primary care physicians to provide nutritional counseling, though
they ranked it as important. Respondents were fairly or moderately confident
in the ability of primary care physicians to provide counseling about
smoking cessation, health, AIDS education, and substance abuse. Participants
ranked smoking cessation counseling, health counseling, AIDS education,
cancer detection education, and substance abuse counseling and education as
very important. In general, physicians were less likely to plan on providing
preventive services than they were to expect their residency programs to
prepare most or all to provide the services. Findings document the need to
prepare physicians better to provide preventive services.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
preventive health service
preventive medicine
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome (prevention)
article
attitude
clinical practice
cohort analysis
counseling
health education
human
medical education
medical school
physician
primary medical care
prospective study
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993052008
MEDLINE PMID
1524861 (http://www.ncbi.nlm.nih.gov/pubmed/1524861)
PUI
L23052008
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1897
TITLE
Prevalence of smoking among the staff of the Medical Academy and the State
Clinical Hospital No. 1 in Gdańsk and among 5th-year medical students
ORIGINAL (NON-ENGLISH) TITLE
Rozpowszechnienie nałogu palenia tytoniu wśród pracowników Akademii
Medycznej i Państwowego Szpitala Klinicznego Nr 1 w Gdańsku oraz grupy
studentów V roku Wydziału Lekarskiego AMG.
AUTHOR NAMES
Siemińska A.
Dubaniewicz A.
AUTHOR ADDRESSES
(Siemińska A.; Dubaniewicz A.) Katedry i Kliniki Chorób Płuc i Gruźlicy
Akademii Medycznej, Gdańsku.
CORRESPONDENCE ADDRESS
A. Siemińska, Katedry i Kliniki Chorób Płuc i Gruźlicy Akademii Medycznej,
Gdańsku.
SOURCE
Pneumonologia i alergologia polska : organ Polskiego Towarzystwa
Ftyzjopneumonologicznego, Polskiego Towarzystwa Alergologicznego, i
Instytutu Gruźlicy i Chorób Płuc (1992) 60:1-2 (46-50). Date of Publication:
1992
ISSN
0867-7077
ABSTRACT
Addiction to smoking was assessed in workers of the Medical School, Central
Clinical Hospital in Gdańsk and 50 medical students basing on the results of
a simple questionnaire. 400 questionnaires were distributed. 287 were
returned. 79% of the responders were females. 61.3% of the questioned
subjects were smokers. 53.7% of the females were smokers, where as only 50%
of the males smoked. The highest percentage of smokers was found in the
group of orderlies, administrative workers and nurses (62-73%). Most of the
health workers acknowledged knowing about the harmful effect of tobacco
smoking. 95% believed that anti-smoking measures are inadequate in Poland.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
administrative personnel
hospital personnel
medical school
medical student
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
female
health education
human
male
Poland (epidemiology)
prevalence
psychological aspect
questionnaire
sex difference
standard
statistics
urban population
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
1290980 (http://www.ncbi.nlm.nih.gov/pubmed/1290980)
PUI
L23822774
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1898
TITLE
A national model of faculty development in addiction medicine
AUTHOR NAMES
Fleming M.
Clark K.
Davis A.
Brown R.
Finch J.
Henry R.
Sherwood R.
Politzer R.
AUTHOR ADDRESSES
(Fleming M.; Clark K.; Davis A.; Brown R.; Finch J.; Henry R.; Sherwood R.;
Politzer R.) Dept. of Family Medicine/Practice, Univ. of Wisconsin Medical
School, 777 South Mills, Madison, WI 53715, United States.
CORRESPONDENCE ADDRESS
M. Fleming, Dept. of Family Medicine/Practice, Univ. of Wisconsin Medical
School, 777 South Mills, Madison, WI 53715, United States.
SOURCE
Academic Medicine (1992) 67:10 (691-693). Date of Publication: 1992
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Increasing the number of faculty with expertise in addiction medicine is one
of the challenges facing the medical community in the 1990s. To meet this
challenge, the Society of Teachers of Family Medicine created a faculty
development course to increase the expertise of family practice faculty
involved in teaching residents. The authors describe the development,
implementation, and consequences of the five-day intensive course that was
taught to 165 participants at ten sites in 1990. The participants' self-
reporting before and three months after the course showed significant
increases in the numbers of participants who taught addiction medicine in
eight of 11 clinical situations. The authors conclude that the course
represents a model of faculty development in addiction medicine that is
applicable to other specialties and health professions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
family medicine
medical education
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
drug abuse
education program
female
health practitioner
human
male
model
normal human
primary medical care
priority journal
substance abuse
teaching
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992324654
MEDLINE PMID
1388535 (http://www.ncbi.nlm.nih.gov/pubmed/1388535)
PUI
L22324636
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1899
TITLE
Controlled substance dispensing and accountability in United States
anesthesiology residency programs
AUTHOR NAMES
Klein R.L.
Stevens W.C.
Kingston H.G.G.
AUTHOR ADDRESSES
(Klein R.L.; Stevens W.C.; Kingston H.G.G.) Department of Anesthesiology,
Oregon Health Sciences University, 3181 S.W. Sam Jackson Park Road,
Portland, OR 97201-3098, United States.
CORRESPONDENCE ADDRESS
R.L. Klein, Department of Anesthesiology, Oregon Health Sciences University,
3181 S.W. Sam Jackson Park Road, Portland, OR 97201-3098, United States.
SOURCE
Anesthesiology (1992) 77:4 (806-811). Date of Publication: 1992
ISSN
0003-3022
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Controlled substance dependence (CSD) among anesthesiology personnel,
particularly residents, has become a matter of increasing concern. Opinions
vary as to the effectiveness of controlled substances (CS) accountability in
deterring, identifying, or confirming CSD. A survey of program directors of
American anesthesiology training programs was conducted in the summer of
1990 to determine the level of CS dispensing and accountability within their
programs. The survey demonstrated that CS dispensing and accountability
varied considerably among programs, among hospitals associated with
individual programs, and within geographically distinct anesthesia delivery
areas within the separate hospitals. Nevertheless, most institutions were
moving toward improved methods of CS dispensing and providing more and
better CS accountability. The presence of significant CSD, particularly
among anesthesiology residents, was reconfirmed. We were unable to correlate
the level of accountability of CS with the incidence of CSD. It remains to
be seen to what extent CS accountability will continue to develop and
whether CSD prevalence will then be changed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
anesthetic agent (drug toxicity, pharmaceutics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesiology
drug dependence (epidemiology, etiology, prevention)
residency education
EMTREE MEDICAL INDEX TERMS
accounting
article
demography
drug abuse pattern
drug delivery system
human
pharmacy
priority journal
responsibility
United States
EMBASE CLASSIFICATIONS
Anesthesiology (24)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992313312
MEDLINE PMID
1416177 (http://www.ncbi.nlm.nih.gov/pubmed/1416177)
PUI
L22313294
DOI
10.1097/00000542-199210000-00026
FULL TEXT LINK
http://dx.doi.org/10.1097/00000542-199210000-00026
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1900
TITLE
Medical education and substance abuse
AUTHOR NAMES
Fenton G.W.
AUTHOR ADDRESSES
(Fenton G.W.) Ninewells Hospital, Dundee DD1 9SY, United Kingdom.
CORRESPONDENCE ADDRESS
G.W. Fenton, Ninewells Hospital, Dundee DD1 9SY, United Kingdom.
SOURCE
Journal of the Royal Society of Medicine (1992) 85:8 (435-436). Date of
Publication: 1992
ISSN
0141-0768
BOOK PUBLISHER
Royal Society of Medicine Press Ltd, P.O. Box 9002, London, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
editorial
human
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1992255947
MEDLINE PMID
1404183 (http://www.ncbi.nlm.nih.gov/pubmed/1404183)
PUI
L22255946
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1901
TITLE
Barriers to education about alcohol
AUTHOR NAMES
Paton A.
AUTHOR ADDRESSES
(Paton A.) Chilton Clinic, Warneford Hospital, Oxford OX3 7JX, United
Kingdom.
CORRESPONDENCE ADDRESS
A. Paton, Chilton Clinic, Warneford Hospital, Oxford OX3 7JX, United
Kingdom.
SOURCE
Journal of the Royal Society of Medicine (1992) 85:8 (476-478). Date of
Publication: 1992
ISSN
0141-0768
BOOK PUBLISHER
Royal Society of Medicine Press Ltd, P.O. Box 9002, London, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
alcoholism
medical documentation
medical education
EMTREE MEDICAL INDEX TERMS
human
physician
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1992255962
MEDLINE PMID
1404198 (http://www.ncbi.nlm.nih.gov/pubmed/1404198)
PUI
L22255961
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1902
TITLE
Increased substance abuse education.
AUTHOR NAMES
Baxley E.G.
Buehler J.R.
AUTHOR ADDRESSES
(Baxley E.G.; Buehler J.R.)
CORRESPONDENCE ADDRESS
E.G. Baxley,
SOURCE
Family medicine (1992) 24:7 (488). Date of Publication: 1992 Sep-Oct
ISSN
0742-3225
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
education
human
note
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1397820 (http://www.ncbi.nlm.nih.gov/pubmed/1397820)
PUI
L22970775
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1903
TITLE
Catch them young [2]
AUTHOR NAMES
Taylor M.C.
Napke E.
AUTHOR ADDRESSES
(Taylor M.C.; Napke E.)
SOURCE
CMAJ (1992) 147:1 (16-19). Date of Publication: 1992
ISSN
0820-3946
1488-2329 (electronic)
BOOK PUBLISHER
Canadian Medical Association, 1867 Alta Vista Drive, Ottawa, Canada.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
health care policy
malignant neoplasm (prevention)
medical education
EMTREE MEDICAL INDEX TERMS
behavior
Canada
human
letter
priority journal
tobacco
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1992247340
MEDLINE PMID
1393880 (http://www.ncbi.nlm.nih.gov/pubmed/1393880)
PUI
L22247339
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1904
TITLE
Quitting smoking: Reasons for quitting and predictors of cessation among
medical patients
AUTHOR NAMES
Duncan C.L.
Cummings S.R.
Hudes E.S.
Zahnd E.
Coates T.J.
AUTHOR ADDRESSES
(Duncan C.L.; Cummings S.R.; Hudes E.S.; Zahnd E.; Coates T.J.) Prevention
Sciences Group, 74 New Montgomery Street, San Francisco, CA 94105, United
States.
CORRESPONDENCE ADDRESS
C.L. Duncan, Prevention Sciences Group, 74 New Montgomery Street, San
Francisco, CA 94105, United States.
SOURCE
Journal of General Internal Medicine (1992) 7:4 (398-404). Date of
Publication: 1992
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
Objective: To describe why medical patients quit smoking and the methods
they use. Design: Cross-sectional and prospective cohort design. Patient
smokers were enrolled in a study of physician counseling about smoking. One
year later, 2,581 of the patients were asked about quit attempts and methods
used. Of those, 245 former smokers whose quitting had been biologically
validated were interviewed about why and how they had quit. Setting: Offices
of internists and family practitioners in private practice and a health
maintenance organization. Subjects: Consecutive sample of ambulatory
patients who smoked. Measurements and main results: Baseline questionnaires
included demographic data, smoking history, and symptoms and diagnoses
related to smoking. After one year, subjects were interviewed about smoking
status and methods used in attempting to quit. Cessation was confirmed by
biochemical testing. Those who had quit were asked about reasons for
quitting. Seventy- seven percent of successful quitters gave health-related
reasons for quitting and the quitters ranked 'harmful to health' as the most
important reason for quitting. In a multivariate analysis, those who had a
college education, who had social pressures to quit, and who had greater
confidence in being able to quit were more likely to have quit smoking one
year later, while those who smoked their first cigarette within 15 minutes
of awakening and who had more diagnoses related to smoking were less likely
to have quit smoking one year later. Participation in a treatment program
and having been counseled by a physician or nurse practitioner were
positively related to successful quitting, while use of filters or
mouthpieces was negatively related. Conclusions: Concerns about health are
the most common reason patients give for quitting, and addiction is the most
important barrier to quitting. Education, social pressure, provider advice,
and formal programs, but not over-the-counter devices, appear to increase
the chances that smokers will quit.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
human
major clinical study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992244707
MEDLINE PMID
1506945 (http://www.ncbi.nlm.nih.gov/pubmed/1506945)
PUI
L22244706
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1905
TITLE
Nicotine dependence and alcoholism epidemiology and treatment
AUTHOR NAMES
Bobo J.K.
AUTHOR ADDRESSES
(Bobo J.K.) Department of Epidemiology, University of Washington, Seattle,
WA 98195, United States.
CORRESPONDENCE ADDRESS
J.K. Bobo, Department of Epidemiology, University of Washington, Seattle, WA
98195, United States.
SOURCE
Journal of Psychoactive Drugs (1992) 24:2 (123-129). Date of Publication:
1992
ISSN
0279-1072
BOOK PUBLISHER
Haight-Ashbury Publications, 612 Clayton Street, San Francisco, United
States.
ABSTRACT
Nicotine dependence in alcohol-involved adults is a long-ignored treatment
problem. The absence of its discussion in the literature is difficult to
defend in light of medical and epidemiological data on the cost and
prevalence of this dual addiction. Most descriptive studies of alcohol
abusers published in the past 20 years have reported tobacco use rates of at
least 90%. There is a crucial need to educate treatment professionals and
their clients about the additional health risks associated with joint
nicotine dependence and alcoholism. Historically, certain barriers to active
intervention have existed in drug abuse treatment facilities, including (1)
concerns that urging clients to quit smoking might have an adverse effect on
their maintenance of sobriety, (2) a tendency to minimize the strength and
severity of nicotine addiction, (3) a lack of informative data on how best
to treat smoking in recovering alcoholics, and (4) financial issues related
to marketing and insurance compensation. Recent data obtained from
recovering alcoholics who have tried to quit smoking and anecdotal reports
from alcoholism treatment centers that have begun addressing nicotine
addiction are now challenging these barriers. Education, role modeling,
environmental control, and development of staff expertise can be
incorporated into standard alcoholism treatment programs to jointly treat
these paired addictions.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology)
drug dependence (epidemiology)
insurance
smoking
EMTREE MEDICAL INDEX TERMS
education
human
review
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992241205
MEDLINE PMID
1506997 (http://www.ncbi.nlm.nih.gov/pubmed/1506997)
PUI
L22241204
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1906
TITLE
Drug and alcohol medical education: Evaluation of a national programme
AUTHOR NAMES
Roche A.M.
AUTHOR ADDRESSES
(Roche A.M.) Early Intervention Unit, Centre for Drug and Alcohol Studies,
Royal Prince Alfred Hospital, Missenden Road, Camperdown, Sydney, Australia.
CORRESPONDENCE ADDRESS
A.M. Roche, Early Intervention Unit, Centre for Drug and Alcohol Studies,
Royal Prince Alfred Hospital, Missenden Road, Camperdown, Sydney, Australia.
SOURCE
British Journal of Addiction (1992) 87:7 (1041-1048). Date of Publication:
1992
ISSN
0952-0481
BOOK PUBLISHER
Carfax Publishing Company, 4 Park Square, Milton Park, Abingdon,
Oxfordshire, United Kingdom.
ABSTRACT
In recognition of inadequacies in drug and alcohol medical education, funds
were allocated to all Australian medical schools in 1988 to appoint
co-ordinators to develop and implement drug and alcohol curricula. This
programme was broadly modelled on the Career Teacher Programme successfully
implemented in North America in the 1970s and early 1980s. During 1989 all
but one of Australia's 10 medical schools made drug and alcohol co-ordinator
appointments. Appointees came from diverse backgrounds including general
practice, psychiatry, internal medicine, psychology and social work. The
present study is a process evaluation and forms the first examination of the
programme. Overall, findings indicated the programme to have achieved a 158%
increase in drug and alcohol teaching hours, a 383% increase in the number
of electives and a 109% increase in student places for electives. These
effects occurred even though the average duration of co-ordinators'
appointments was only 15 months. Implications of these recent developments
are discussed in terms of teaching strategies, clinical experience and the
inclusion of key educational issues such as early intervention.
Recommendations are made for a continuation of the programme and for future
outcome evaluation.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
drug use
medical education
EMTREE MEDICAL INDEX TERMS
article
Australia
curriculum
education program
medical school
priority journal
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French, Spanish
EMBASE ACCESSION NUMBER
1992216893
MEDLINE PMID
1643397 (http://www.ncbi.nlm.nih.gov/pubmed/1643397)
PUI
L22216892
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1907
TITLE
Experience with subinternship in psychiatry and drug abuse (discussion)
ORIGINAL (NON-ENGLISH) TITLE
Opyt subordinatury po psikhiatrii i narkologii (obsuzhdenie).
AUTHOR NAMES
Lebedev B.A.
Vanchakova N.P.
AUTHOR ADDRESSES
(Lebedev B.A.; Vanchakova N.P.)
CORRESPONDENCE ADDRESS
B.A. Lebedev,
SOURCE
Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia :
1952) (1992) 92:1 (l37-38). Date of Publication: 1992
ISSN
0044-4588
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, therapy)
clinical education
drug control
medical education
psychiatry
EMTREE MEDICAL INDEX TERMS
article
education
human
USSR
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
1319629 (http://www.ncbi.nlm.nih.gov/pubmed/1319629)
PUI
L22930534
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1908
TITLE
Corporate healthcare costs and smoke-free environments.
AUTHOR NAMES
Lesmes G.R.
AUTHOR ADDRESSES
(Lesmes G.R.) Center for Cardiovascular Research, Northeastern Illinois
University, Chicago 60625.
CORRESPONDENCE ADDRESS
G.R. Lesmes, Center for Cardiovascular Research, Northeastern Illinois
University, Chicago 60625.
SOURCE
The American journal of medicine (1992) 93:1 A (48S-54S). Date of
Publication: 15 Jul 1992
ISSN
0002-9343
ABSTRACT
Results from two studies were combined to assess potential market impact for
programs to reduce health risks, as well as to define how small businesses
can better control their healthcare operating expenses, widen their profit
margins, and increase their productivity. The most effective solutions
resulted from partnerships among the medical, business, and patient
communities for the joint implementation of intensive smoking-cessation
programs. In the first study, the chief executive officers of 1,100 small
businesses in the Chicago area were polled regarding their opinions on
healthcare costs. During the 4-year study period, 1986-1990, we observed a
significant increase in their recognition of the impact of employee smoking
on rising healthcare costs. From this study we identified three profile
attributes of small-business leaders. First, these leaders possess a weak
knowledge base regarding healthcare cost-containment methods; second, they
understand the magnitude of the impact-rising healthcare costs have on
corporate profitability; and third, they have a strong level of confidence
(85%) that lifestyle modification programs for their employees, such as
smoking cessation, can help control healthcare costs. In the second study we
found that smoking-cessation programs with physician involvement, addiction
assessment and treatment, and behavioral training and follow-up are
preferred by those who want to stop smoking. Such programs have also enjoyed
the highest level of sustained success.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care cost
indoor air pollution (prevention)
smoking (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS
article
drug effect
economics
environmental health
human
leadership
productivity
risk factor
smoking cessation
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1497004 (http://www.ncbi.nlm.nih.gov/pubmed/1497004)
PUI
L22953254
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1909
TITLE
Impact of a substance abuse curriculum on primary care physicians' attitudes
AUTHOR NAMES
Vakkur M.
Broadhead W.E.
Andolsek K.M.
Magruder K.
AUTHOR ADDRESSES
(Vakkur M.; Broadhead W.E.; Andolsek K.M.; Magruder K.) 5639 Chapel Hill
Road, Durham, NC 27707, United States.
CORRESPONDENCE ADDRESS
M. Vakkur, 5639 Chapel Hill Road, Durham, NC 27707, United States.
SOURCE
Academic Medicine (1992) 67:6 (414). Date of Publication: 1992
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
physician attitude
substance abuse
EMTREE MEDICAL INDEX TERMS
age
alcoholics anonymous
article
doctor patient relation
family medicine
human
morality
primary medical care
priority journal
sex difference
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1992202188
MEDLINE PMID
1596346 (http://www.ncbi.nlm.nih.gov/pubmed/1596346)
PUI
L22202187
DOI
10.1097/00001888-199206000-00019
FULL TEXT LINK
http://dx.doi.org/10.1097/00001888-199206000-00019
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1910
TITLE
Buprenorphine: An alternative to methadone for heroin dependence treatment
AUTHOR NAMES
Resnick R.B.
Galanter M.
Pycha C.
Cohen A.
Grandison P.
Flood N.
AUTHOR ADDRESSES
(Resnick R.B.; Galanter M.; Pycha C.; Cohen A.; Grandison P.; Flood N.)
Department of Psychiatry, New York University Medical Center, 550 First
Avenue, New York, NY 10016, United States.
CORRESPONDENCE ADDRESS
R.B. Resnick, Department of Psychiatry, New York University Medical Center,
550 First Avenue, New York, NY 10016, United States.
SOURCE
Psychopharmacology Bulletin (1992) 28:1 (109-113). Date of Publication: 1992
ISSN
0048-5764
BOOK PUBLISHER
National Institute on Drug Abuse, 6001 Executive Boulevard. Room 5213,
Bethesda, United States.
ABSTRACT
Eighty-five heroin addicts who were unwilling to receive methadone
maintenance or enter therapeutic communities were assessed, single-blind,
for the lowest sublingual dose of buprenorphine that blocked heroin craving
(8.0 mg max). All doses were administered daily under observation. After
maintenance for 4 to 12 weeks, abstinent subjects (confirmed by urine drug
screens) entered a double-blind discontinuation trial and were randomly
assigned to receive dose reductions (10% twice weekly for 5 weeks to zero
dose, then placebo for 2 weeks) or a stable dose for 7 weeks. Subjects were
terminated from discontinuation if heroin was used or they had increased
craving/symptoms. Subjects completed the trial if they did not use heroin
and had no increase in craving/symptoms. A wide dose range (1.5-8.0 mg/day)
was effective in reducing heroin craving and use. Of 73 subjects who
received buprenorphine for 4 to 52 weeks, 40 had no prior treatment, despite
high levels (mean $/day heroin = 70.5 ± 94.7) and many years (mean years =
10.7 ± 8.6) of dependence. Subjects who received dose reductions developed
abstinence symptoms, low energy most commonly, associated with drug-seeking
behavior. Discontinuation trial outcome (n = 51) shows a highly significant
difference between 29 subjects who received dose reductions (28 terminated,
1 completed) and 22 subjects who received no dose reductions (3 terminated;
19 completed) (chi-square = 36.08; p < .00001). The findings suggest that
buprenorphine could be an important medication for reducing demand for
heroin by many heroin addicts who remain outside the present health-care
system. Establishing buprenorphine treatment programs that are independent
of methadone maintenance programs, conducted by physicians who have received
training and subspecialty certification in addiction medicine, would
minimize health risks to the general public and maximize its acceptance as a
treatment modality.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug dose, drug therapy)
diamorphine (drug toxicity)
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
heroin dependence (drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
dose response
drug withdrawal
health hazard
human
major clinical study
methadone treatment
sublingual drug administration
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992181743
MEDLINE PMID
1609035 (http://www.ncbi.nlm.nih.gov/pubmed/1609035)
PUI
L22181742
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1911
TITLE
Creating a substance abuse network in family medicine: Lessons learned
AUTHOR NAMES
Davis A.K.
Graham A.V.
Coggan P.G.
Finch J.N.
Fleming M.F.
Brown R.L.
Sherwood R.A.
Henry R.
Schulz J.
AUTHOR ADDRESSES
(Davis A.K.; Graham A.V.; Coggan P.G.; Finch J.N.; Fleming M.F.; Brown R.L.;
Sherwood R.A.; Henry R.; Schulz J.) AKD Consulting, 430 NW 180th Street,
Seattle, WA 98177, United States.
CORRESPONDENCE ADDRESS
A.K. Davis, AKD Consulting, 430 NW 180th Street, Seattle, WA 98177, United
States.
SOURCE
Family Medicine (1992) 24:4 (299-302). Date of Publication: 1992
ISSN
0742-3225
BOOK PUBLISHER
Society of Teachers of Family Medicine, Ste 540, Leawood, United States.
ABSTRACT
Family practice was one of several primary care specialties awarded federal
contracts in 1985 to survey substance abuse training needs. Family medicine
has since excelled in creating a viable substance abuse network. Key events
were the sponsorship of a fellowship program, the formation of the Society
of Teachers of Family Medicine (STFM) Substance Abuse Working Group, and the
working group's pursuit of externally funded projects. Tangible measures of
the network's success include collective funding exceeding $7.3 million, an
increase in the number of substance abuse activities at annual STFM
conferences, and a nearly four-fold growth in the group's membership and
collaborative publications. Key factors underlying the vitality of the
network that may be generalizable include: 1) initial emphasis on training
family physician faculty; 2) making optimal use of the existing
administrative channels within STFM; 3) acquisition of external funding; 4)
some continuity of core persons working together; 5) active networking
within and outside family medicine; and 6) promotion of individual success.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
family medicine
health care organization
health program
primary medical care
EMTREE MEDICAL INDEX TERMS
article
human
medical education
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992172549
MEDLINE PMID
1601241 (http://www.ncbi.nlm.nih.gov/pubmed/1601241)
PUI
L22172548
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1912
TITLE
Training obstetric and family practice residents to give smoking cessation
advice during prenatal care
AUTHOR NAMES
Secker-Walker R.H.
Solomon L.J.
Flynn B.S.
LePage S.S.
Crammond J.E.
Worden J.K.
Mead P.B.
AUTHOR ADDRESSES
(Secker-Walker R.H.; Solomon L.J.; Flynn B.S.; LePage S.S.; Crammond J.E.;
Worden J.K.; Mead P.B.) 235 Rowell Building, University of Vermont,
Burlington, VT 05405, United States.
CORRESPONDENCE ADDRESS
R.H. Secker-Walker, 235 Rowell Building, University of Vermont, Burlington,
VT 05405, United States.
SOURCE
American Journal of Obstetrics and Gynecology (1992) 166:5 (1356-1363). Date
of Publication: 1992
ISSN
0002-9378
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
Objective: Our objective was to determine the effectiveness of training
obstetric and family practice residents to provide smoking cessation advice.
Study design: The effectiveness of the trained residents' advice was
assessed from exit interviews of pregnant smokers taking part in a
randomized, controlled trial of smoking cessation advice. Exit interview
responses were compared by χ(2) analysis. Results: Training resulted in
significant changes in the advice provided by the residents, with greater
emphasis on gaining a commitment to smoking behavior change, but not in the
average time providing the advice, approximately 3 minutes. Adherence to the
protocol was maintained at 80%. Significantly more women who received the
brief structured advice agreed to stop smoking (54%) or cut down their
cigarette consumption (28%) compared with women in the control group (14%
and 6%, respectively), p = 0.0001. Conclusion: The structured advice
consistently provided by the trained residents was effective in gaining
commitments from pregnant smokers to change their smoking behavior.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
prenatal care
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
human
human experiment
pregnancy
priority journal
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992164025
MEDLINE PMID
1595791 (http://www.ncbi.nlm.nih.gov/pubmed/1595791)
PUI
L22164024
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1913
TITLE
Appropriate management of chemical dependency in emergency medicine
residents
AUTHOR NAMES
Steffen P.D.
Dailey R.H.
AUTHOR ADDRESSES
(Steffen P.D.; Dailey R.H.) Department of Emergency Medicine, Mt Zion
Medical Center, University of California, PO Box 7921, San Francisco, CA
94120, United States.
CORRESPONDENCE ADDRESS
P.D. Steffen, Department of Emergency Medicine, Mt Zion Medical Center,
University of California, PO Box 7921, San Francisco, CA 94120, United
States.
SOURCE
Annals of Emergency Medicine (1992) 21:5 (559-564). Date of Publication:
1992
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
When chemical dependency is suspected in an emergency medicine resident
physician, prompt and appropriate action must be taken to ensure the best
possible outcome for all involved. Although residency program accreditation
requires that program directors be able to appropriately deal with a
chemically dependent resident, few programs have a formal policy in place,
and little if any information exists for the formulation of such a policy.
Presented here is a discussion of the disease of chemical dependency and how
it affects emergency medicine residents, along with practical
recommendations for appropriate management.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (diagnosis, etiology, rehabilitation)
residency education
resident
EMTREE MEDICAL INDEX TERMS
behavior disorder (etiology)
drug detoxification
emergency medicine
heredity
human
incidence
mental stress
priority journal
review
substance abuse
treatment planning
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992164973
MEDLINE PMID
1570914 (http://www.ncbi.nlm.nih.gov/pubmed/1570914)
PUI
L22164972
DOI
10.1016/S0196-0644(05)82525-9
FULL TEXT LINK
http://dx.doi.org/10.1016/S0196-0644(05)82525-9
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1914
TITLE
Evaluation of a model curriculum on substance abuse at The Johns Hopkins
University School of Medicine
AUTHOR NAMES
Gopalan R.
Santora P.
Stokes E.J.
Moore R.D.
Levine D.M.
AUTHOR ADDRESSES
(Gopalan R.; Santora P.; Stokes E.J.; Moore R.D.; Levine D.M.) 1830 E.
Monument St., Baltimore, MD 21205, United States.
CORRESPONDENCE ADDRESS
R. Gopalan, 1830 E. Monument St., Baltimore, MD 21205, United States.
SOURCE
Academic Medicine (1992) 67:4 (260-266). Date of Publication: 1992
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Beginning in 1985, The Johns Hopkins University School of Medicine developed
a model curriculum on alcohol abuse to enhance the education of medical
students in issues related to the abuse of alcohol and other drugs. By 1987,
preclinical courses (given in years one and two) reflected the goals of the
curriculum; however, integration of the curriculum into the clinical courses
(given in years three and four) was only partially successful. This paper
reports on nine annual surveys of students (the classes of 1989-1992) that
were conducted from 1987 to 1990 to measure the effects of the curriculum,
using previously validated instruments to record the students' knowledge,
attitudes, beliefs in role responsibility, and confidence in clinical
skills. Significant improvements occurred in the students' attitudes,
beliefs in role responsibility, and confidence in skills during their
preclinical years. These positive changes were stronger, and better
sustained during the clinical years, in students who participated in special
programs or elective courses focusing on substance abuse; the positive
changes were not always sustained in other students. The authors suggest
that enhanced experiential sessions, elective programs, and greater emphasis
during the clinical years on issues relating to substance abuse are
necessary for maintaining the desirable educational outcomes of a substance
abuse management curriculum, and that an intensive program against a
backdrop of curriculum reform is a useful model.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical school
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
article
attitude
awareness
drug abuse
early diagnosis
medical education
medical student
patient care
priority journal
responsibility
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992156266
MEDLINE PMID
1558600 (http://www.ncbi.nlm.nih.gov/pubmed/1558600)
PUI
L22156265
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1915
TITLE
Addiction can take many forms, experts warn MDs at conference
AUTHOR NAMES
Katz S.
AUTHOR ADDRESSES
(Katz S.)
SOURCE
Canadian Medical Association Journal (1992) 146:5 (755-757). Date of
Publication: 1992
ISSN
0820-3946
BOOK PUBLISHER
Canadian Association of Radiologists, 1740 boul.Cote-Vertu Blvd, St-Laurent,
Canada.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
codeine (drug therapy)
diazepam (drug therapy)
oxycodone (drug therapy)
paracetamol (drug therapy)
pethidine (drug therapy)
EMTREE DRUG INDEX TERMS
acetylsalicylic acid plus oxycodone plus oxycodone terephthalate
fentanyl (pharmacology)
hydromorphone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcohol abuse
drug abuse
medical education
EMTREE MEDICAL INDEX TERMS
Canada
human
intramuscular drug administration
note
oral drug administration
physician
priority journal
DRUG TRADE NAMES
demerol
dilaudid
percodan
CAS REGISTRY NUMBERS
codeine (76-57-3)
diazepam (439-14-5)
fentanyl (437-38-7)
hydromorphone (466-99-9, 71-68-1)
oxycodone (124-90-3, 76-42-6)
paracetamol (103-90-2)
percodan (64336-56-7)
pethidine (28097-96-3, 50-13-5, 57-42-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1992134586
MEDLINE PMID
1562950 (http://www.ncbi.nlm.nih.gov/pubmed/1562950)
PUI
L22134585
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1916
TITLE
Smoking habits and attitudes of medical students towards smoking and
antismoking campaigns in nine Asian countries
AUTHOR NAMES
Tessier J.F.
Freour P.
Belougne D.
Crofton J.
AUTHOR ADDRESSES
(Tessier J.F.; Freour P.; Belougne D.; Crofton J.) Universite de Bordeaux
II, Bordeaux, France.
CORRESPONDENCE ADDRESS
J.F. Tessier, Universite de Bordeaux II, Bordeaux, France.
SOURCE
International Journal of Epidemiology (1992) 21:2 (298-304). Date of
Publication: 1992
ISSN
0300-5771
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
As part of a world survey of the habits, knowledge and attitudes of medical
students regarding tobacco we report a study in 15 medical schools from nine
Asian countries. Some 1646 first year and 1587 final year students were
included, of whom 59% were male. The prevalence of daily smoking in males
was 4% in first year and 11% in final year; of occasional smoking 18% and
24% respectively, both with considerable variations between countries. The
rates were very low in women. Male exsmokers varied from 3% to 24% in
different centres. Overall, 33% of smokers had made a serious attempt to
quit; 44% expected to have succeeded within 5 years. Over 80% of non- or
exsmokers, but only 60% of smokers, thought smoking was harmful to health.
There was gross underestimation of tobacco's causal role in a number of
important diseases, e.g. coronary artery disease, peripheral vascular
disease, emphysema, bladder cancer and neonatal mortality. There were
notable defects both in training and in motivation to counsel smoking
patients. There was only partial knowledge of legislative and other measures
to discourage smoking, e.g. only 44% of final year students (26% of smokers)
thought increased taxation an important measure. In knowledge and attitudes
there was little difference between the sexes, but in most aspects smokers
had notably lower scores.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
health promotion
medical student
smoking habit
EMTREE MEDICAL INDEX TERMS
adult
article
Asia
female
health hazard
human
law
major clinical study
male
motivation
patient counseling
priority journal
smoking cessation
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992134269
MEDLINE PMID
1428484 (http://www.ncbi.nlm.nih.gov/pubmed/1428484)
PUI
L22134268
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1917
TITLE
Physicians and nurses are being trained in smoking cessation support within
primary health care
ORIGINAL (NON-ENGLISH) TITLE
Läkare och sjuksköterskor utbildas i rökslutarstöd inom primärvården.
AUTHOR NAMES
Gilljam H.
Post A.
AUTHOR ADDRESSES
(Gilljam H.; Post A.) Lung-medicinska kliniken, Huddinge sjukhus.
CORRESPONDENCE ADDRESS
H. Gilljam, Lung-medicinska kliniken, Huddinge sjukhus.
SOURCE
Läkartidningen (1992) 89:19 (1697-1699). Date of Publication: 6 May 1992
ISSN
0023-7205
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
nursing education
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
economics
human
methodology
primary health care
psychological aspect
statistics
Sweden
LANGUAGE OF ARTICLE
Swedish
MEDLINE PMID
1579040 (http://www.ncbi.nlm.nih.gov/pubmed/1579040)
PUI
L22846626
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1918
TITLE
Pain and addiction: An urgent need for change in nursing education
AUTHOR NAMES
Ferrell B.R.
McCaffery M.
Rhiner M.
AUTHOR ADDRESSES
(Ferrell B.R.; McCaffery M.; Rhiner M.)
SOURCE
Journal of Pain and Symptom Management (1992) 7:2 (117-124). Date of
Publication: 1992
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Lack of education of health care professionals, including nurses, is
frequently cited as a major reason for undertreatment of patients with pain.
A reason for undertreatment of pain with opioid analgesics is the irrational
fear of creating opioid addiction. To characterize the information nurses
receive in their basic education that could contribute to misinformation
about this issue, the authors reviewed 14 nursing textbooks, published since
1985, including 8 pharmacology texts and 6 medical surgical texts. An
analysis of content revealed that only one textbook correctly stated the
definition of opioid addiction and its likelihood following use of opioid
analgesics for pain control. Almost all of the texts used confusing
terminology, and some erroneously promoted the fear of addiction when
opioids are used for pain relief. A simple solution to this problem is to
encourage nursing educators to use the American Pain Society publication
'Guidelines for Analgesic Use' until textbooks have the opportunity to
incorporate correct information.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse
vocational education
EMTREE MEDICAL INDEX TERMS
article
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992125354
MEDLINE PMID
1573285 (http://www.ncbi.nlm.nih.gov/pubmed/1573285)
PUI
L22125353
DOI
10.1016/0885-3924(92)90123-Y
FULL TEXT LINK
http://dx.doi.org/10.1016/0885-3924(92)90123-Y
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1919
TITLE
Rationale for maintenance pharmacotherapy of opiate dependence.
AUTHOR NAMES
Kreek M.J.
AUTHOR ADDRESSES
(Kreek M.J.) Rockefeller University, New York, New York 10021.
CORRESPONDENCE ADDRESS
M.J. Kreek, Rockefeller University, New York, New York 10021.
SOURCE
Research publications - Association for Research in Nervous and Mental
Disease (1992) 70 (205-230). Date of Publication: 1992
ISSN
0091-7443
ABSTRACT
At this time, 27 years after the initial studies on development of methadone
for the maintenance treatment of opiate addiction were begun, it has been
shown that [table; see text] methadone meets most criteria for a
pharmacologic agent for chronic treatment of an addiction. It is effective
after oral dosing: it has a long biological half-life in humans, it causes
minimal side effects when used in chronic treatment, and it has no true
toxic effects or serious side effects. Also methadone has been shown to be
very effective when appropriately used in programs which combine
pharmacotherapy with the best elements of "drug free" treatment, that is,
counseling and psychological support. In addition to pharmacological
treatment, there should be access to, if not on-site, medical and behavioral
care as needed, as well as linkage to resources for various aspects of
rehabilitation. At this time many of the actions, as well as the specific
sites of action, and mechanisms of actions of methadone as used in chronic
treatment of opiate addiction have been defined by scientific
experimentation, both at the preclinical and clinical levels. It is known
that methadone prevents abstinence symptoms, prevents drug hunger or
craving, blocks euphorogenic effects of other opiates, and prevents relapse
to illicit use of opiates. It is known that the site of action of methadone
is at specific opioid receptors. Research to date suggests that there is no
demonstrable down-regulation or up-regulation of opioid receptors during
chronic opioid agonist perfusion, although chronic administration of the
opioid antagonist naltrexone does appear to up-regulate opioid receptors.
Clinical studies show that chronic use of methadone allows normalization of
release and peripheral levels of one of the classes of endogenous opioids,
beta-endorphin, and the related peptides derived from POMC released and
processed from the anterior pituitary in humans. Also levels of
beta-endorphin in cerebrospinal fluid become normal during chronic
maintenance treatment, reflecting apparently normal processing and release
of beta-endorphin at brain or hypothalamic sites of POMC production.
Available data from studies of beta-endorphin indicate that there is a
[table; see text] normalization, rather than disruption, of the endogenous
opioid system in general during steady state administration of methadone, as
contrasted with intermittent dosing and then abrupt withdrawal of
short-acting opiates such as heroin. Although there is still much to be
learned about the neurobiology of opiate addiction, at this time we do know
a great deal about the effects of opiates and opioids.(ABSTRACT TRUNCATED AT
400 WORDS)
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone (drug therapy)
EMTREE DRUG INDEX TERMS
agents interacting with transmitter, hormone or drug receptors
neurotransmitter receptor
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction (rehabilitation)
substance abuse (rehabilitation)
EMTREE MEDICAL INDEX TERMS
brain
drug effect
heroin dependence (rehabilitation)
human
multimodality cancer therapy
pathophysiology
physiology
psychological aspect
review
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1346939 (http://www.ncbi.nlm.nih.gov/pubmed/1346939)
PUI
L22885499
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1920
TITLE
Patients who drink too much: Where are their doctors?
AUTHOR NAMES
Delbanco T.L.
AUTHOR ADDRESSES
(Delbanco T.L.) Gen. Med./Primary Care Div., Beth Israel Hospital, 330
Brookline Ave, Boston, MA 02215, United States.
CORRESPONDENCE ADDRESS
T.L. Delbanco, Gen. Med./Primary Care Div., Beth Israel Hospital, 330
Brookline Ave, Boston, MA 02215, United States.
SOURCE
Journal of the American Medical Association (1992) 267:5 (702-703). Date of
Publication: 1992
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
alcoholism
medical education
physician
EMTREE MEDICAL INDEX TERMS
adult
editorial
human
priority journal
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1992091915
MEDLINE PMID
1731140 (http://www.ncbi.nlm.nih.gov/pubmed/1731140)
PUI
L22091914
DOI
10.1001/jama.267.5.702
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.267.5.702
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1921
TITLE
Alcohol and other substance abuse and impairment among physicians in
residency training
AUTHOR NAMES
Aach R.D.
Girard D.E.
Humphrey H.
McCue J.D.
Reuben D.B.
Smith J.W.
Wallenstein L.
Ginsburg J.
AUTHOR ADDRESSES
(Aach R.D.; Girard D.E.; Humphrey H.; McCue J.D.; Reuben D.B.; Smith J.W.;
Wallenstein L.; Ginsburg J.) APDIM, 700 Thirteenth Street, NW, Washington,
DC 20005, United States.
CORRESPONDENCE ADDRESS
D. Daley, APDIM, 700 Thirteenth Street, NW, Washington, DC 20005, United
States.
SOURCE
Annals of Internal Medicine (1992) 116:3 (245-254). Date of Publication:
1992
ISSN
0003-4819
BOOK PUBLISHER
American College of Physicians, 190 N. Indenpence Mall West, Philadelphia,
United States.
ABSTRACT
Substance abuse and impairment are serious societal problems. Physicians
have historically had high rates of substance abuse, which has been viewed
as an occupational hazard. Most authorities agree that the rate of
alcoholism among practicing physicians is similar to that among control
populations and that the rates of other substance abuse are greater,
although some studies have shown no difference. Data about substance abuse
among residents in training are limited but suggest that the use of
benzodiazopines is greater than that among aged-matched peers, whereas the
use of alcohol is similar between the two groups. Medical institutions,
including those with teaching programs, have legal and ethical
responsibilities concerning substance abuse among current and future
physicians. Many training programs, however, do not provide educational
programs on this subject, do not have faculty trained in substance abuse
medicine, and do not have a formal system to address the problem of
residents who are suspected or known to be substance abusers. This position
paper examines the extent of substance abuse, including alcohol abuse, among
physicians in residency training. It outlines approaches to the problem and
delineates responsibilities of institutions and residency program directors.
Recommendations are made to establish an informational program and a clearly
defined, organized process to address the problems of substance abuse among
residents. Careful and humane approaches can be used to identify and treat
residents with substance abuse problems and thus allowing them to complete
their training as competent and drug-free professionals.
EMTREE DRUG INDEX TERMS
benzodiazepine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
physician
residency education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
documentation
health program
human
medical staff
patient referral
policy
priority journal
psychological aspect
rehabilitation
screening
social aspect
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992074489
MEDLINE PMID
1728207 (http://www.ncbi.nlm.nih.gov/pubmed/1728207)
PUI
L22074488
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1922
TITLE
Shifts in problem drinking during a life transition: Adaptation to medical
school training
AUTHOR NAMES
Richman J.A.
Flaherty J.A.
Pyskoty C.
AUTHOR ADDRESSES
(Richman J.A.; Flaherty J.A.; Pyskoty C.) Department of Psychiatry,
University of Illinois at Chicago, 912 South Wood Street, Chicago, IL 60612
CORRESPONDENCE ADDRESS
Department of Psychiatry, University of Illinois at Chicago, 912 South Wood
Street, Chicago, IL 60612
SOURCE
Journal of Studies on Alcohol (1992) 53:1 (17-24). Date of Publication: 1992
ISSN
0096-882X
BOOK PUBLISHER
Alcohol Research Documentation Inc., New Brunswick, United States.
ABSTRACT
This study addresses the course of alcohol-related problems in future
physicians from the perspectives of occupational stress versus selection and
life-span developmental frameworks. A cohort of medical students was
surveyed at medical school entrance and during the early fall of the second
training year. Self-report questionnaires assessed: alcohol-related problems
(using a modified time-linked version of the MAST), pretraining psychosocial
and psychopathological characteristics and experiences (symptomatic
distress, motivations for drinking, personality attributes/deficits,
familial history of problem drinking, family disruption and earlier parental
bonding) and medical-training characteristics (perceived stressors and
levels of social support). On the basis of MAST scores, respondents
manifested the following drinking patterns: consistent nonproblem drinking
(67.4%), problem exit or remission during medical training (19.4%), problem
entrance or onset during medical training (6.3%) and problem chronicity
involving problems before and during medical training (6.9%). Female
students were overrepresented in the consistent nonproblem group. The major
predictors of Time 2 problem onset and chronicity as opposed to problem
remission involved pretraining factors: familial history of alcohol
problems, Time 1 symptomatic distress and escape motives for drinking.
Future reports will depict the prevalence and etiology of problem drinking
manifested during the clinical portion of medical training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
alcoholism
EMTREE MEDICAL INDEX TERMS
adult
article
drinking behavior
female
human
male
medical education
medical school
United States
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992050709
MEDLINE PMID
1556853 (http://www.ncbi.nlm.nih.gov/pubmed/1556853)
PUI
L22050709
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1923
TITLE
Rehabilitation Professionals' Knowledge and Attitudes about Substance Abuse
Issues
AUTHOR NAMES
Kiley D.J.
Heinemann A.W.
Doll M.
Shade-Zeldow Y.
Roth E.
Yarkony G.
AUTHOR ADDRESSES
(Kiley D.J.; Heinemann A.W.; Roth E.; Yarkony G.) Rehabilitation Institute
of Chicago, Chicago, United States.
(Doll M.) Fond Du Lac, United States.
(Shade-Zeldow Y.) Chicago Neurosurgical Center, Chicago, United States.
SOURCE
NeuroRehabilitation (1992) 2:1 (35-44). Date of Publication: 1992
ISSN
1878-6448 (electronic)
1053-8135
BOOK PUBLISHER
IOS Press, Nieuwe Hemweg 6B, Amsterdam, Netherlands.
ABSTRACT
Rehabilitation professionals were surveyed regarding their knowledge of
substance abuse, attitudes regarding patients' substance use, and referral
practices for patients with substance abuse problems. A 47-item survey was
completed by 1,211 professionals (37% response rate) after two follow-up
attempts. Respondents suspected that 29% of their patients with traumatic
injuries had substance abuse problems. Thirty percent reported that there
was routine screening for alcohol and drug problems at their facilities.
Fifty percent reported that substance abuse education was available for
staff; 59% reported the presence of patient education regarding substance
abuse. Although 79% reported that their facilities had referral procedures
for patients with substance abuse problems, only 44% reported making
referrals. Patients were referred most often to Alcoholics Anonymous. The
results suggest the need for education regarding substance abuse assessment
and treatment, facility policies, and referral procedures.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
professional knowledge
rehabilitation
substance abuse
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
article
clinical practice
health education
hopelessness
hospital policy
human
infection risk
patient education
patient referral
physician
substance use
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20170386889
PUI
L616491728
DOI
10.3233/NRE-1992-2106
FULL TEXT LINK
http://dx.doi.org/10.3233/NRE-1992-2106
COPYRIGHT
Copyright 2017 Elsevier B.V., All rights reserved.
RECORD 1924
TITLE
Undergraduate alcohol education.
AUTHOR NAMES
Ritson E.B.
AUTHOR ADDRESSES
(Ritson E.B.)
CORRESPONDENCE ADDRESS
E.B. Ritson,
SOURCE
Alcohol and alcoholism (Oxford, Oxfordshire) (1991) 26:3 (273-275). Date of
Publication: 1991
ISSN
0735-0414
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication, prevention)
health personnel attitude
medical education
EMTREE MEDICAL INDEX TERMS
curriculum
editorial
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1930359 (http://www.ncbi.nlm.nih.gov/pubmed/1930359)
PUI
L21877962
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1925
TITLE
Filling the knowledge gap: A continuing medical education course on
prescribing drugs with abuse potential
AUTHOR NAMES
Horvatich P.K.
Schnoll S.H.
AUTHOR ADDRESSES
(Horvatich P.K.; Schnoll S.H.) Substance Abuse Medicine Div., Medical
College of Virginia, Virginia Commonwealth Univ., Richmond, VA 23298-0109,
United States.
CORRESPONDENCE ADDRESS
P.K. Horvatich, Substance Abuse Medicine Div., Medical College of Virginia,
Virginia Commonwealth Univ., Richmond, VA 23298-0109, United States.
SOURCE
New York State Journal of Medicine (1991) 91:11 SUPPL. (40S-42S). Date of
Publication: 1991
ISSN
0028-7628
BOOK PUBLISHER
Medical Society of the State of New York, 420 Lakeville Road, P.O. Box 5404,
Lake Success, United States.
ABSTRACT
Learning the components of the task of writing a prescription is not the
same as learning when to prescribe what drug, in which quantity, dose, and
frequency; how to counsel the patient about taking the drug; what to look
for while monitoring the patient; and particularly, in the case of
controlled drugs, what to do if a patient abuses a medication. Education
about prescribing drugs with abuse potential is very limited in medical
school, and little exists in the way of continuing medical education. We
have designed a two-day continuing medical education course for primary care
practitioners that blends a variety of learning experiences and incorporates
innovative approaches. This program emphasizes active participation, even
within a traditional large group format. Computerized clinical case
simulation activities call on participants to draw on their own medical
practice experience, and to apply newly acquired knowledge to solve clinical
problems before they leave the classroom. The pilot test of the program
reinforced how powerful teaching can be when it is led by credible, skillful
experts interacting with individuals face-to-face and when it is
complemented by small group discussion. Plans for dissemination of this
program are under way.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical education
postgraduate education
prescription
EMTREE MEDICAL INDEX TERMS
computer simulation
conference paper
drug dependence
general practitioner
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991332839
MEDLINE PMID
1771058 (http://www.ncbi.nlm.nih.gov/pubmed/1771058)
PUI
L21332145
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1926
TITLE
Educational approaches to prescribing practices and substance abuse
AUTHOR NAMES
Chappel J.N.
AUTHOR ADDRESSES
(Chappel J.N.)
SOURCE
Journal of Psychoactive Drugs (1991) 23:4 (359-363). Date of Publication:
1991
ISSN
0279-1072
BOOK PUBLISHER
Haight-Ashbury Publications, 612 Clayton Street, San Francisco, United
States.
ABSTRACT
The history of medical education in treating and prescribing for addictive
disorders is primarily one of omission. This began to change in the 1970s,
leading to positive developments in medical education; however, much still
remains to be done. Training in writing prescriptions should cover four
areas: (1) prescribing to prevent addiction; (2) prescribing for alcohol or
other drug dependent patients; (3) prescribing for withdrawal from alcohol
or other drugs; and (4) prescribing for patients in recovery from alcohol or
other drug addiction. Other areas of importance to medical education are
inappropriate prescribing practices, self-prescribing, and prescribing for
dual diagnosis patients. Physicians need to know how to avoid becoming
duped, dated, impaired or 'script doctors.' The educational techniques used
in attaining these goals emphasize adult, or andragogical, education,
sequencing curricula over the years of medical school and residency
training, utilizing a variety of instructional techniques, and evaluating
the results after each educational unit. The use of clinical vignettes,
patient management problems and simulated patients is recommended.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug withdrawal
education
prescription
substance abuse
EMTREE MEDICAL INDEX TERMS
human
review
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992114740
MEDLINE PMID
1813608 (http://www.ncbi.nlm.nih.gov/pubmed/1813608)
PUI
L22114739
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1927
TITLE
Clinical interventions in tobacco control: A National Cancer Institute
training program for physicians
AUTHOR NAMES
Manley M.
Epps R.P.
Husten C.
Glynn T.
Shopland D.
AUTHOR ADDRESSES
(Manley M.; Epps R.P.; Husten C.; Glynn T.; Shopland D.) National Cancer
Institute, 9000 Rockville Pike, Bethesda, MD 20892, United States.
CORRESPONDENCE ADDRESS
M. Manley, National Cancer Institute, 9000 Rockville Pike, Bethesda, MD
20892, United States.
SOURCE
Journal of the American Medical Association (1991) 266:22 (3172-3173). Date
of Publication: 1991
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
lung cancer (prevention)
medical education
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
health program
human
physician
priority journal
United States
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1992033928
MEDLINE PMID
1956107 (http://www.ncbi.nlm.nih.gov/pubmed/1956107)
PUI
L22033928
DOI
10.1001/jama.266.22.3172
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.266.22.3172
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1928
TITLE
The effects of combining education and enforcement to reduce tobacco sales
to minors: A study of four northern California communities
AUTHOR NAMES
Feighery E.
Altman D.G.
Shaffer G.
AUTHOR ADDRESSES
(Feighery E.; Altman D.G.; Shaffer G.) Disease Prevention Res. Center,
Stanford University, School of Medicine, 1000 Welch Rd, Palo Alto, CA 94303,
United States.
CORRESPONDENCE ADDRESS
E. Feighery, Disease Prevention Res. Center, Stanford University, School of
Medicine, 1000 Welch Rd, Palo Alto, CA 94303, United States.
SOURCE
Journal of the American Medical Association (1991) 266:22 (3168-3171). Date
of Publication: 1991
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Objective. - To examine the effects of a community education and law
enforcement intervention on illegal tobacco sales to minors. Design. - A 2-
year, before and after trial with retail stores as the unit of analysis.
Setting. - Implementation occurred in four suburban California communities
with populations of 25 000 to 100 000. Participants. - All the retail stores
in one intervention community and half the retail stores, randomly selected,
in the other three intervention communities (n = 169) were visited by minors
aged 14 to 16 years with the intent to purchase tobacco. Intervention. -
Ongoing community and merchant education and four law enforcement operations
were conducted. Main Outcome Measures. - Over-the-counter and vending
machine sales of tobacco to minors were the primary outcomes. Results. -
Among a cohort of stores visited by minors at the pretest (n = 104) in June
1988, 71% sold tobacco over the counter and 92% sold tobacco through vending
machines. At posttest 2 in May 1990, 24% sold tobacco over the counter and
93% sold tobacco through vending machines. Of the 31 stores issued
citations, 16 were followed into the courts where the fines were dismissed
or reduced. Conclusions. - Education alone had a limited effect on reducing
illegal tobacco sales to minors. It did promote community support for more
aggressive enforcement strategies. Education plus enforcement decreased
significantly over-the-counter sales; vending machine sales were unaffected
by these interventions. The lack of support at the judicial level may temper
the effectiveness of enforcement. Legislative remedies addressing judicial
obstacles and vending machine sales are needed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
advertising
cigarette smoking
law enforcement
lung cancer (prevention)
medical education
medicolegal aspect
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
human
priority journal
United States
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992033927
MEDLINE PMID
1956106 (http://www.ncbi.nlm.nih.gov/pubmed/1956106)
PUI
L22033927
DOI
10.1001/jama.266.22.3168
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.266.22.3168
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1929
TITLE
The pace of the certification of scientific personnel with higher
qualifications in the specialties of psychiatry, drug abuse and medical
psychology (based on data from the Supreme Certification Commission of the
USSR for 1989)
ORIGINAL (NON-ENGLISH) TITLE
O khode attestatsii nauchnykh kadrov vysshei kvalifikatsii po
spetsial'nostiam "Psikhiatriia", "Narkologiia" i "Meditsinskaia
psikhologiia" (po materialam VAK SSSR za 1989 g.).
AUTHOR NAMES
Loseva T.M.
Tiganov A.S.
AUTHOR ADDRESSES
(Loseva T.M.; Tiganov A.S.)
CORRESPONDENCE ADDRESS
T.M. Loseva,
SOURCE
Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia :
1952) (1991) 91:11 (139-141). Date of Publication: 1991
ISSN
0044-4588
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
certification
medical psychology
medicine
psychiatry
EMTREE MEDICAL INDEX TERMS
article
human
scientific literature
statistics
USSR
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
1666213 (http://www.ncbi.nlm.nih.gov/pubmed/1666213)
PUI
L22897398
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1930
TITLE
The inadequacy of using means to compare medical costs of smokers and
nonsmokers
AUTHOR NAMES
Lynch W.D.
Teitelbaum H.S.
Main D.S.
AUTHOR ADDRESSES
(Lynch W.D.; Teitelbaum H.S.; Main D.S.) University of Colorado Health
Sciences Center, Center for Studies in Family Medicine, 1180 Clermont St.,
Denver, CO 80220
CORRESPONDENCE ADDRESS
University of Colorado Health Sciences Center, Center for Studies in Family
Medicine, 1180 Clermont St., Denver, CO 80220
SOURCE
American Journal of Health Promotion (1991) 6:2 (123-128). Date of
Publication: 1991
ISSN
0890-1171
BOOK PUBLISHER
American Journal of Health Promotion, 1120 Chester Avenue, Suite 470,
Cleveland, United States.
ABSTRACT
The costs associated with health risks have become a primary focus in the
field of health promotion. Unfortunately, the nature and quality of medical
cost data are not ideal for simple comparisons of health risk groups. Most
health promotion professionals have had little or no training on how to
interpret cost data and are thus unaware of the limitations and problems
inherent in cost comparisons. This report illustrates the problems
encountered when using cost data, using examples from a medical claims
dataset. Specifically, the potential errors that result from comparing group
means are shown. A set of alternatives for practitioners and researchers to
consider when comparing costs for different groups are offered.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cost control
health care cost
health promotion
risk assessment
smoking
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
controlled study
human
male
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992018605
MEDLINE PMID
10148686 (http://www.ncbi.nlm.nih.gov/pubmed/10148686)
PUI
L22018605
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1931
TITLE
How can we combat excess mortality in Harlem: A one day survey of substance
abuse in adult general care
AUTHOR NAMES
Cohen M.A.A.
Aladjem A.
Horton A.
Lima J.
Palacios A.
Hernandez I.
Lefer J.
Mehta P.
AUTHOR ADDRESSES
(Cohen M.A.A.; Aladjem A.; Horton A.; Lima J.; Palacios A.; Hernandez I.;
Lefer J.; Mehta P.) 220 West 93rd Street, New York, NY 10025
CORRESPONDENCE ADDRESS
220 West 93rd Street, New York, NY 10025
SOURCE
International Journal of Psychiatry in Medicine (1991) 21:4 (369-378). Date
of Publication: 1991
ISSN
0091-2174
BOOK PUBLISHER
Baywood Publishing Co. Inc., 26 Austin Avenue, P.O. Box 337, Amityville,
United States.
ABSTRACT
Our hypothesis was that a one-day survey of all patients hospitalized on
Adult General Care would demonstrate a need for expanded addiction services
in a municipal teaching hospital in East Harlem. We interviewed 276 patients
in Adult General Care on February 16, 1990 to assess whether they abused
drugs or alcohol or were hospitalized for reasons related to substance use.
Of the 276 patients interviewed, 18 percent used alcohol alone, 14 percent
used drugs alone, 17 percent used both drugs and alcohol and 2 percent were
hospitalized for reasons related to substance use. One hundred forty or 51
percent of all patients were admitted because of substance use and its
sequelae or as a result of violence associated with the buying or selling of
drugs. The percentage was highest on one medical floor where 89 percent of
the patients were substance users and on medical floors in general where the
average was 60 percent. Forty patients or 14 percent were known to be HIV
seropositive. Given the high mortality in Harlem, the results of our one-day
survey indicate a need for expanded addiction services.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
hospitalization
Human immunodeficiency virus infection
mortality
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
major clinical study
male
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992078885
MEDLINE PMID
1774127 (http://www.ncbi.nlm.nih.gov/pubmed/1774127)
PUI
L22078884
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1932
TITLE
Pre-employment drug testing of housestaff physicians at a large urban
hospital
AUTHOR NAMES
Lewy R.M.
AUTHOR ADDRESSES
(Lewy R.M.) Columbia-Presbyterian Medical Center, Presbyterian Hospital, 622
West 168th Street, New York, NY 10032
CORRESPONDENCE ADDRESS
Columbia-Presbyterian Medical Center, Presbyterian Hospital, 622 West 168th
Street, New York, NY 10032
SOURCE
Academic Medicine (1991) 66:10 (618-619). Date of Publication: 1991
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
In an effort to address drug use and abuse among physicians beginning their
graduate medical education, The Presbyterian Hospital at
Columbia-Presbyterian Medical Center began a pre-employment drug testing
program for housestaff physicians in 1987. Between 1987 and 1990, each of
the 791 housestaff physicians beginning training at the hospital received a
pre-employment urine toxicology examination. Despite the limitations of
pre-employment drug testing, the program did identify two physicians who
tested positive for illegal drugs. Based upon their test results and
individual clinical evaluations, both physicians were denied a clinical
appointment at the hospital. Their clinical training was temporarily
interrupted while they received indicated treatment. The author suggests the
main value of the program is to provide a focus for addressing issues
related to substance abuse during graduate medical education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
drug surveillance program
hospital physician
medical education
occupational exposure
residency education
EMTREE MEDICAL INDEX TERMS
article
human
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991317880
MEDLINE PMID
1910406 (http://www.ncbi.nlm.nih.gov/pubmed/1910406)
PUI
L21317186
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1933
TITLE
Integrating substance abuse education in the medical student curriculum
AUTHOR NAMES
Burger M.C.
Spickard W.A.
AUTHOR ADDRESSES
(Burger M.C.; Spickard W.A.) Department of Psychiatry, Vanderbilt
University, Nashville, TN 37232-5464, United States.
CORRESPONDENCE ADDRESS
M.C. Burger, Department of Psychiatry, Vanderbilt University, Nashville, TN
37232-5464, United States.
SOURCE
American Journal of the Medical Sciences (1991) 302:3 (181-184). Date of
Publication: 1991
ISSN
0002-9629
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Physicians miss the diagnosis of substance abuse in significant numbers of
patients, partly because of a lack of education about identifying and
treating those patients. This article describes an attempt to integrate
substance abuse into the curriculum of a traditionally organized medical
school. Faculty selection, determination of the skills and knowledge needed,
and methods for enriching the curriculum to include substance abuse are
described. Problems encountered during the project, benefits of implementing
the curriculum changes, and recommendations for other medical schools
choosing to implement such a program also are provided.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical education
EMTREE MEDICAL INDEX TERMS
conference paper
human
medical school
priority journal
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991301345
MEDLINE PMID
1928229 (http://www.ncbi.nlm.nih.gov/pubmed/1928229)
PUI
L21300651
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1934
TITLE
Morphine: Myths, morality and economics
AUTHOR NAMES
Doyle D.
AUTHOR ADDRESSES
(Doyle D.) St Columba's Hospice, Edinburgh, United Kingdom.
CORRESPONDENCE ADDRESS
D. Doyle, St Columba's Hospice, Edinburgh, United Kingdom.
SOURCE
Postgraduate Medical Journal (1991) 67:SUPPL. 2 (S70+S71+S72+S73+). Date of
Publication: 1991
ISSN
0032-5473
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
ABSTRACT
It is a tragedy that morphine is scarcely available for between 1.3 and 2.5
billion people whilst 3.5 million cancer patients suffer needlessly. In only
10 countries is its consumption rising, in many more only codeine
consumption shows an increase, and in many areas even in the Western world
prescribing is grossly limited, fears of psychological addiction persist,
professional education of doctors and nurses in analgesia remains minimal
and too much importance is attached to expensive sophisticated methods of
administration. Doctors have a professional and a moral responsibility to
press for improved morphine availability in the most useful and economical
forms worldwide.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
morphine (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug administration
EMTREE MEDICAL INDEX TERMS
addiction (side effect)
analgesia
cancer pain (drug therapy)
chronic pain (drug therapy)
conference paper
constipation (side effect)
cost effectiveness analysis
drug tolerance
geographic distribution
human
morality
nausea (side effect)
oral drug administration
pain (drug therapy)
priority journal
respiration depression (side effect)
responsibility
sedation
subcutaneous drug administration
sweating
vocational education
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
EMBASE CLASSIFICATIONS
Cancer (16)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991271666
MEDLINE PMID
1758820 (http://www.ncbi.nlm.nih.gov/pubmed/1758820)
PUI
L21270972
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1935
TITLE
Residents' diagnosis of alcohol abuse in the ambulatory-care clinic
AUTHOR NAMES
Wayland M.T.
Hardwicke M.B.
AUTHOR ADDRESSES
(Wayland M.T.; Hardwicke M.B.) Division of Biomedical Investigations, St.
John Hospital and Medical Center, 22101 Moross Road, Detroit, MI 48236-2172
CORRESPONDENCE ADDRESS
Division of Biomedical Investigations, St. John Hospital and Medical Center,
22101 Moross Road, Detroit, MI 48236-2172
SOURCE
Academic Medicine (1991) 66:7 (426). Date of Publication: 1991
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, therapy)
ambulatory care
education program
medical education
residency education
EMTREE MEDICAL INDEX TERMS
human
note
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1991226887
MEDLINE PMID
2059276 (http://www.ncbi.nlm.nih.gov/pubmed/2059276)
PUI
L21227575
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1936
TITLE
Structural characteristics of alcohol prevention in occupational medical
care
ORIGINAL (NON-ENGLISH) TITLE
Strukturmerkmale der Alkoholprävention in der betriebsärztlichen Betreuung.
AUTHOR NAMES
Ott-Gerlach G.
AUTHOR ADDRESSES
(Ott-Gerlach G.)
CORRESPONDENCE ADDRESS
G. Ott-Gerlach,
SOURCE
Das Offentliche Gesundheitswesen (1991) 53 Suppl 1 (25-31). Date of
Publication: Aug 1991
ISSN
0029-8573
ABSTRACT
Company doctors or industrial health officers are involved in alcohol
prevention in different ways. The measures to be taken range from direct aid
to alcohol-dependent employees to educational work directed at the employees
as a whole. It often transpires that this preventive range of action is a
highly sensitive area within the doctor's medical activism the company. For
example, measures to be taken within the framework of an agreement between
management and labour may negatively affect the atmosphere of confidence
between doctor and workers. The article also points out how important it is
for honorary addiction helpers in a company to be supported by the company
doctor in their task.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
health education
occupational disease (prevention, rehabilitation)
occupational health service
physician attitude
EMTREE MEDICAL INDEX TERMS
article
human
LANGUAGE OF ARTICLE
German
MEDLINE PMID
1835774 (http://www.ncbi.nlm.nih.gov/pubmed/1835774)
PUI
L22832657
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1937
TITLE
Preventing alcohol problems: The challenge for medical education [7]
AUTHOR NAMES
Hajela R.
AUTHOR ADDRESSES
(Hajela R.) 122-1929 Russell Rd., Ottawa, Ont.
CORRESPONDENCE ADDRESS
122-1929 Russell Rd., Ottawa, Ont.
SOURCE
Canadian Medical Association Journal (1991) 144:11 (1388). Date of
Publication: 1991
ISSN
0820-3946
BOOK PUBLISHER
Canadian Association of Radiologists, 1740 boul.Cote-Vertu Blvd, St-Laurent,
Canada.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
education
general practitioner
prevention
EMTREE MEDICAL INDEX TERMS
human
letter
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1991203031
MEDLINE PMID
1823121 (http://www.ncbi.nlm.nih.gov/pubmed/1823121)
PUI
L21203719
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1938
TITLE
Postgraduate medical fellowship training in alcoholism and drug abuse:
National consensus standards
AUTHOR NAMES
Galanter M.
Kaufman E.
Schnoll S.
Burns J.
AUTHOR ADDRESSES
(Galanter M.; Kaufman E.; Schnoll S.; Burns J.) Department of Psychiatry,
New York University School of Medicine, New York, NY 10016
CORRESPONDENCE ADDRESS
Department of Psychiatry, New York University School of Medicine, New York,
NY 10016
SOURCE
American Journal of Drug and Alcohol Abuse (1991) 17:1 (1-12). Date of
Publication: 1991
ISSN
0095-2990
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
This paper describes the historical background of the Consensus Standards
for Postgraduate Medical Fellowships in Alcoholism and Drug Abuse, developed
for the American Academy of Psychiatrists in Alcoholism and Addictions and
the Association for Medical Education and Research in Substance Abuse. These
standards were prepared by a National Advisory Committee of the Center for
Medical Fellowships in Alcoholism and Drug Abuse, which includes 23 leading
figures in academic medical training in the addiction field. The standards
define general information, facilities and resources, the educational
program, and the specific knowledge and skills appropriate to fellowship
training. The standards were designed to provide a model for optimal
training for residency affiliated fellowships to be used by faculty,
trainees, and organizations setting training standards.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
EMTREE MEDICAL INDEX TERMS
adult
human
normal human
postgraduate education
priority journal
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991141744
MEDLINE PMID
2038979 (http://www.ncbi.nlm.nih.gov/pubmed/2038979)
PUI
L21141741
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1939
TITLE
The role of general medical practitioners in tobacco control programmes: A
study in Bombay, India
AUTHOR NAMES
Notani P.N.
AUTHOR ADDRESSES
(Notani P.N.) Epidemiology Unit, Cancer Research Institute, TMC, Bombay
400012
CORRESPONDENCE ADDRESS
Epidemiology Unit, Cancer Research Institute, TMC, Bombay 400012
SOURCE
Health Education Research (1991) 6:1 (121-124). Date of Publication: 1991
ISSN
0268-1153
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
health education
mastication
physician attitude
smoking habit
tobacco
EMTREE MEDICAL INDEX TERMS
article
female
human
India
male
normal human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1991117628
MEDLINE PMID
10148729 (http://www.ncbi.nlm.nih.gov/pubmed/10148729)
PUI
L21117627
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1940
TITLE
Substance abuse by anesthesiology residents
AUTHOR NAMES
Lutsky I.
Abram S.E.
Jacobson G.R.
Hopwood M.
Kampine J.P.
AUTHOR ADDRESSES
(Lutsky I.; Abram S.E.; Jacobson G.R.; Hopwood M.; Kampine J.P.) Department
of Anesthesiology, Medical College of Wisconsin, 8700 W. Wisconsin Avenue,
Milwaukee, WI 53226, United States.
CORRESPONDENCE ADDRESS
J.P. Kampine, Department of Anesthesiology, Medical College of Wisconsin,
8700 W. Wisconsin Avenue, Milwaukee, WI 53226, United States.
SOURCE
Academic Medicine (1991) 66:3 (164-166). Date of Publication: 1991
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
A 1989 cross-sectional substance abuse survey of 260 former anesthesiology
residents of the Medical College of Wisconsin (MCW) during the previous 30
years yielded 183 responses (70.3%). Over three-fourths (77.2%) of those who
responded reported that they had used alcohol when they were residents;
20.0% had used marijuana; and 15.7% had used cocaine. Forty-three of the 178
respondents had used unprescribed psychoactive drugs. Twenty-nine (15.8%)
had been self-admitted problematic substance abusers during their
residencies: 23, alcohol dependent and six, drug dependent; among the latter
were four with a dual (alcohol and drug) dependency. More than 85%
considered the drug policy information available during their residencies
had been inadequate; institutional drug-control policies were rated
'fair-to-poor' by more than 70%. Thirty-five of the residents had observed
their teachers using alcohol and/or other drugs to the detriment of their
teaching; approximately one-third of these infractions had gone unreported.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesiology
drug abuse
residency education
EMTREE MEDICAL INDEX TERMS
article
human
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991121461
MEDLINE PMID
1997028 (http://www.ncbi.nlm.nih.gov/pubmed/1997028)
PUI
L21121460
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1941
TITLE
Physician's effectiveness in assessing risk for human immunodeficiency virus
infection
AUTHOR NAMES
Ferguson K.J.
Stapleton J.T.
Helms C.M.
AUTHOR ADDRESSES
(Ferguson K.J.; Stapleton J.T.; Helms C.M.) University of Iowa, College of
Medicine, Iowa City, IA 52242, United States.
CORRESPONDENCE ADDRESS
C.M. Helms, University of Iowa, College of Medicine, Iowa City, IA 52242,
United States.
SOURCE
Archives of Internal Medicine (1991) 151:3 (561-564). Date of Publication:
1991
ISSN
0003-9926
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
An American Medical Association committee recently recommended that
physicians routinely screen patients for behaviors that put patients at risk
for human immunodeficiency virus infection, yet there is evidence that this
screening does not occur routinely. Faculty, fellows, and residents at a
teaching hospital in a midwestern state with a low prevalence of acquired
immunodeficiency syndrome were surveyed regarding their experience in
screening for human immunodeficiency virus, their training related to
substance abuse and human sexuality, and their confidence and ease in
addressing such topics with their patients. Results indicated that only 11%
routinely screened patients for high-risk behaviors. While most physicians
had received training in human sexuality, most had not received training in
substance abuse screening. Those trained felt more confident in addressing
substance abuse and human sexuality and felt more comfortable in caring for
patients known to be infected with human immunodeficiency virus. A concerted
effort to encourage human immunodeficiency virus risk assessment by
physicians is needed. This should include training opportunities in
screening and counseling patients about sexual activities and substance
abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
high risk patient
Human immunodeficiency virus infection
physician attitude
EMTREE MEDICAL INDEX TERMS
article
human
mass screening
medical education
patient counseling
priority journal
risk assessment
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991118710
MEDLINE PMID
2001138 (http://www.ncbi.nlm.nih.gov/pubmed/2001138)
PUI
L21118709
DOI
10.1001/archinte.151.3.561
FULL TEXT LINK
http://dx.doi.org/10.1001/archinte.151.3.561
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1942
TITLE
Substance use rates among medical students and resident physicians.
AUTHOR NAMES
Westermeyer J.
AUTHOR ADDRESSES
(Westermeyer J.)
CORRESPONDENCE ADDRESS
J. Westermeyer,
SOURCE
JAMA : the journal of the American Medical Association (1991) 265:16
(2110-2111). Date of Publication: 24 Apr 1991
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
medical education
medical student
EMTREE MEDICAL INDEX TERMS
adult
human
malpractice
note
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2013931 (http://www.ncbi.nlm.nih.gov/pubmed/2013931)
PUI
L21814719
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1943
TITLE
Smoking policies in health science schools
AUTHOR NAMES
Rogers B.
AUTHOR ADDRESSES
(Rogers B.) Occupational Health Nursing Program, School of Public Health
CB7400 University of North Carolina, Chapel Hill, NC 27599-7400
CORRESPONDENCE ADDRESS
Occupational Health Nursing Program, School of Public Health CB7400
University of North Carolina, Chapel Hill, NC 27599-7400
SOURCE
Public Health Nursing (1991) 8:1 (27-32). Date of Publication: 1991
ISSN
0737-1209
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
medical education
EMTREE MEDICAL INDEX TERMS
human
medical school
review
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1991097396
MEDLINE PMID
2023853 (http://www.ncbi.nlm.nih.gov/pubmed/2023853)
PUI
L21097395
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1944
TITLE
Can residents be trained to counsel patients about quitting smoking? Results
from a randomized trial
AUTHOR NAMES
Strecher V.J.
O'Malley M.S.
Villagra V.G.
Campbell E.E.
Gonzalez J.J.
Irons T.G.
Kenney R.D.
Turner R.C.
Rogers C.S.
Lyles M.F.
White S.T.
Sanchez C.J.
Stritter F.T.
Fletcher S.W.
AUTHOR ADDRESSES
(Strecher V.J.; O'Malley M.S.; Villagra V.G.; Campbell E.E.; Gonzalez J.J.;
Irons T.G.; Kenney R.D.; Turner R.C.; Rogers C.S.; Lyles M.F.; White S.T.;
Sanchez C.J.; Stritter F.T.; Fletcher S.W.) Department of Health Behavior
and Education, 325 Rosenau Hall CB#7400, University of North Carolina at
Chapel Hill, Chapel Hill, NC 27599-7400
CORRESPONDENCE ADDRESS
Department of Health Behavior and Education, 325 Rosenau Hall CB#7400,
University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7400
SOURCE
Journal of General Internal Medicine (1991) 6:1 (9-17). Date of Publication:
1991
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
Study objective: To evaluate the effectiveness of two teaching interventions
to increase residents' performance of smoking cessation counseling. Design:
Randomized controlled factorial trial. Setting: Eleven residency programs,
in internal medicine (six), family medicine (three), and pediatrics (two).
Programs were located in three university medical centers and four
university-affiliated community hospitals. Participants: 261 residents who
saw ambulatory care patients at least one half-day per week, and 937
returning patients aged 17 to 75 years who reported having smoked five or
more cigarettes in the preceding seven days. Of the 937, 843 were eligible
for follow-up, and 659 (78%) were interviewed by phone at six months.
Interventions: Two interventions (tutorial and prompt) and four groups. The
tutorial was a two-hour educational program in minimal-contact smoking
cessation counseling for residents. The prompt was a chart-based reminder to
assist physician counseling. One group of residents received the tutorial;
one, the prompt; and one, both. A fourth group received no intervention.
Measurement and results: Six months after the intervention, physician
self-reports showed that residents in the tutorial + prompt and
tutorial-only groups had used more counseling techniques (1.5-1.9) than had
prompt-only or control residents (0.9). Residents in all three intervention
groups advised more patients to quit smoking (76-79%) than did control group
residents (69%). The tutorial had more effect on counseling practices than
did the prompt. Physician confidence, perceived preparedness, and perceived
success followed similar patterns. Exit interviews with 937 patients
corroborated physician self-reports of counseling practices. Six months
later, self-reported and biochemically verified patient quitting rates for
residents in the three intervention groups (self-reported: 5.3-8.2%;
biochemically verified: 3.4-5.7%) were higher than those for residents in
the control group (self-reported: 5.2%; biochemically verified: 1.7%),
though the differences were not statistically significant. Conclusion: A
simple and feasible educational intervention can increase residents' smoking
cessation counseling.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
counseling
human
medical education
resident
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991073095
MEDLINE PMID
1999752 (http://www.ncbi.nlm.nih.gov/pubmed/1999752)
PUI
L21073094
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1945
TITLE
Inclusion of alcoholism and drug abuse content in curricula of varied health
care professions.
AUTHOR NAMES
Long P.
Gelfand G.
McGill D.
AUTHOR ADDRESSES
(Long P.; Gelfand G.; McGill D.)
CORRESPONDENCE ADDRESS
P. Long,
SOURCE
The Journal of the New York State Nurses' Association (1991) 22:1 (9-12).
Date of Publication: Mar 1991
ISSN
0028-7644
ABSTRACT
Alcoholism and drug abuse are prevalent health problems in the United
States. Practitioners in nursing, medicine, and dentistry need to be
cognizant of the insidious signs of chemical dependency. A descriptive
survey using a researcher-designed questionnaire yielded a sample which
consisted of 11 medical schools, 2 dental schools, 25 baccalaureate and
higher degree nursing programs, and 38 associate degree nursing programs.
The survey findings indicated that the curricula for nursing, medicine, and
dentistry were inadequate in chemical dependency content. This survey
evidenced the need for a stronger educational effort addressing both
knowledge of alcoholism/drug abuse and impaired professional practice in the
curricula of the health professional programs examined.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
curriculum
dental education
medical education
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
medical school
questionnaire
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1941272 (http://www.ncbi.nlm.nih.gov/pubmed/1941272)
PUI
L21874353
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1946
TITLE
Various forms of the anti-nicotine propaganda (work experience of the Mozyr
health center)
ORIGINAL (NON-ENGLISH) TITLE
Nekotorye formy antinikotinovoi propagandy (opyt raboty Mozyrskogo tsentra
zdorov'ia).
AUTHOR NAMES
Shevchuk A.G.
Kosenko E.V.
Shapiro S.M.
AUTHOR ADDRESSES
(Shevchuk A.G.; Kosenko E.V.; Shapiro S.M.)
CORRESPONDENCE ADDRESS
A.G. Shevchuk,
SOURCE
Gigiena i sanitariia (1991) :3 (77-79). Date of Publication: Mar 1991
ISSN
0016-9900
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
audiovisual equipment
health education
health service
medical education
occupational health service
propaganda
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Belarus
female
human
male
organization and management
urban population
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
1715835 (http://www.ncbi.nlm.nih.gov/pubmed/1715835)
PUI
L21766610
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1947
TITLE
'Crack' use by American middle-class adolescent polydrug abusers
AUTHOR NAMES
Schwartz R.H.
Luxenberg M.G.
Hoffmann N.G.
AUTHOR ADDRESSES
(Schwartz R.H.; Luxenberg M.G.; Hoffmann N.G.) Department of Pediatrics,
Fairfax Hospital, Falls Church, VA
CORRESPONDENCE ADDRESS
R.H. Schwartz, 410 Maple Avenue West, Vienna, VA 22180, United States.
SOURCE
Journal of Pediatrics (1991) 118:1 (150-155). Date of Publication: 1991
ISSN
0022-3476
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
A 77-item questionnaire on cocaine and 'crack' use patterns, and on the
addictive, medical, and criminal consequences of such use, was completed by
464 largely white, middle-class, suburban, teenage drug abusers registered
in seven geographically disparate outpatient treatment facilities. Of the
130 (28%) who smoked crack, 87 (67%) were designated as 'experimenters' (use
of crack 1 to 9 times); 20 (15%) were in an intermediate group (smoked crack
10 to 50 times); and 23 (18%) were heavy users (smoked crack more than 50
times). Sixty percent of heavy users progressed from initiation of crack use
to its use at least once a week in less than 3 months. Almost 50% of the 87
experimenters and nearly all the 23 heavy users recalled preoccupation with
thoughts of crack, rapid loss of the ability to modulate their use of the
drug, and rapid development of pharmacologic tolerance. Suspiciousness,
mistrust, and depressed mood were associated with the increasing use of
crack. Seizures occurred in none of those who used cocaine by snorting it
intranasally (without ever smoking crack), in contrast to 1% of the
experimenters and 9% of the 43 respondents who had smoked crack at least 10
times. Seven percent of the 87 experimenters versus almost one fourth of the
43 who smoked crack more frequently had injected cocaine intravenously. The
use of crack by middle-class adolescents is associated with rapid addiction
and with serious behavioral and medical complications.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
EMTREE MEDICAL INDEX TERMS
adolescent
article
behavior disorder
complication
drug effect
human
normal human
priority journal
symptomatology
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991050002
MEDLINE PMID
1986085 (http://www.ncbi.nlm.nih.gov/pubmed/1986085)
PUI
L21050001
DOI
10.1016/S0022-3476(05)81871-2
FULL TEXT LINK
http://dx.doi.org/10.1016/S0022-3476(05)81871-2
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1948
TITLE
Substance abuse education: an essential supplement to medical school's
curriculum.
AUTHOR NAMES
Uva J.L.
AUTHOR ADDRESSES
(Uva J.L.)
CORRESPONDENCE ADDRESS
J.L. Uva,
SOURCE
Ohio medicine : journal of the Ohio State Medical Association (1991) 87:2
(75-76). Date of Publication: Feb 1991
ISSN
0892-2454
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2000211 (http://www.ncbi.nlm.nih.gov/pubmed/2000211)
PUI
L21804565
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1949
TITLE
Substance abuse education. Physician/lawyer teams in schools complement MSMS
efforts.
AUTHOR NAMES
Skutar C.
AUTHOR ADDRESSES
(Skutar C.)
CORRESPONDENCE ADDRESS
C. Skutar,
SOURCE
Michigan medicine (1991) 90:2 (14-18). Date of Publication: Feb 1991
ISSN
0026-2293
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
physician
school health service
EMTREE MEDICAL INDEX TERMS
article
child
human
manpower
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2014009 (http://www.ncbi.nlm.nih.gov/pubmed/2014009)
PUI
L21814854
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1950
TITLE
Teaching about substance abuse in medical school
AUTHOR NAMES
Waller J.A.
Casey R.
AUTHOR ADDRESSES
(Waller J.A.; Casey R.) Department of Medicine, Mansfield House, University
of Vermont, Burlington, VT 05405
CORRESPONDENCE ADDRESS
Department of Medicine, Mansfield House, University of Vermont, Burlington,
VT 05405
SOURCE
British Journal of Addiction (1990) 85:11 (1451-1455). Date of Publication:
1990
ISSN
0952-0481
BOOK PUBLISHER
Carfax Publishing Company, 4 Park Square, Milton Park, Abingdon,
Oxfordshire, United Kingdom.
ABSTRACT
Physicians often fail to diagnose and treat (or treat properly) alcoholism
and other chemical dependence in patients. This failure may result from
inadequate training, a sense of futility about effectiveness of treatment,
belief that this is a social problem rather than disease or denial because
the physician him/herself is from a family with substance abuse. A survey of
81 first year medical students identified six (7%) with past or present
patterns suggesting abuse of alcohol or other drugs, five (6%) reporting
both personal and immediate family abuse patterns, and 25 (31%) who reported
such patterns in parents, grandparents or siblings. Students who are adult
children of alcoholics (ACOAs) often need emotional suport while learning
about alcoholism and its treatment. Medical school training about substance
abuse must take these needs into consideration and provide services approved
by, but insulated from, the dean's office to help students cope with effects
of personal or family substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
coping behavior
drug abuse
family
medical student
teaching
EMTREE MEDICAL INDEX TERMS
adult
article
education
human
major clinical study
normal human
priority journal
psychological aspect
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990386964
MEDLINE PMID
2285841 (http://www.ncbi.nlm.nih.gov/pubmed/2285841)
PUI
L20377634
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1951
TITLE
Recommended core educational guidelines on alcoholism and substance abuse
for family practice residents
AUTHOR ADDRESSES
CORRESPONDENCE ADDRESS
AAFP's Order Department, 8880 Ward Pkwy., Kansas City, MO 64114, United
States.
SOURCE
American Family Physician (1990) 42:5 (1437-1438). Date of Publication: 1990
ISSN
0002-838X
BOOK PUBLISHER
American Academy of Family Physicians, 11400 Tomahawk Creek Parkway, Suite
440, Leawood, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
drug abuse
patient education
EMTREE MEDICAL INDEX TERMS
education
general practice
human
note
priority journal
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1990377798
MEDLINE PMID
2239643 (http://www.ncbi.nlm.nih.gov/pubmed/2239643)
PUI
L20371887
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1952
TITLE
When use turns into abuse
AUTHOR NAMES
Spiro H.M.
AUTHOR ADDRESSES
(Spiro H.M.)
SOURCE
Drug Therapy (1990) 20:10 (24+27+86). Date of Publication: 1990
ISSN
0001-7094
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
medical school
physician
EMTREE MEDICAL INDEX TERMS
article
education
human
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1990373236
PUI
L20367325
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1953
TITLE
The development of medical education on alcohol- and drug-related problems
at the University of Toronto
AUTHOR NAMES
Rankin J.G.
AUTHOR ADDRESSES
(Rankin J.G.) Addiction Research Foundation, 33 Russell St., Toronto, Ont.
M5S 2S1, Canada.
CORRESPONDENCE ADDRESS
J.G. Rankin, Addiction Research Foundation, 33 Russell St., Toronto, Ont.
M5S 2S1, Canada.
SOURCE
Canadian Medical Association Journal (1990) 143:10 (1083-1091). Date of
Publication: 1990
ISSN
0820-3946
BOOK PUBLISHER
Canadian Association of Radiologists, 1740 boul.Cote-Vertu Blvd, St-Laurent,
Canada.
ABSTRACT
Medical education on alcohol- and drug-related problems at the University of
Toronto covers undergraduate, residency and graduate programs, a result of
collaboration since 1959 between the university and the Addiction Research
Foundation of Ontario. An undergraduate core curriculum, developed in the
early 1970s, is offered in year 2; it has been supplemented by electives,
selectives and comprehensive clinics. The undergraduate program is rated
highly by students; since 1978, 3024 have completed the core program.
Residency training started in 1974 and is available through electives
lasting from 1 to 12 months in internal medicine, psychiatry, and family and
community medicine. To date, 370 residents have completed one of these
electives; 129 have completed graduate programs in which their theses
concerned alcohol- and drug-related topics, and there have been an
additional 13 research and postdoctoral fellows. Despite the progress, there
is still a need to improve and expand the undergraduate and residency
programs and to develop an effective program of continuing medical
education. The goals should be to ensure that, as far as possible, all
medical graduates from the University of Toronto have the knowledge,
attitudes, skills and behaviours needed to contribute effectively to the
prevention and treatment of alcohol- and drug-related problems in their
chosen field of practice and to avoid problems from their personal use of
alcohol and other drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug dependence
medical education
EMTREE MEDICAL INDEX TERMS
article
Canada
human
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991020370
MEDLINE PMID
2224677 (http://www.ncbi.nlm.nih.gov/pubmed/2224677)
PUI
L21020370
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1954
TITLE
Changes in the profile of teaching psychiatry and narcotism to medical
students
ORIGINAL (NON-ENGLISH) TITLE
Ob izmenenii profilia prepodavaniia psikhiatrii i narkologii studentam
lechebnykh spetsial'nostei.
AUTHOR NAMES
Shcherbina E.A.
Komissarova R.A.
AUTHOR ADDRESSES
(Shcherbina E.A.; Komissarova R.A.)
CORRESPONDENCE ADDRESS
E.A. Shcherbina,
SOURCE
Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia :
1952) (1990) 90:9 (127). Date of Publication: 1990
ISSN
0044-4588
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug control
medical education
medicine
opiate addiction
psychiatry
teaching
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
human
methodology
psychological aspect
USSR
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
2176030 (http://www.ncbi.nlm.nih.gov/pubmed/2176030)
PUI
L21778132
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1955
TITLE
Medical education for alcohol and other drug abuse in the United States
AUTHOR NAMES
Lewis D.C.
AUTHOR ADDRESSES
(Lewis D.C.) Ctr Alcohol/Addiction Studies, Brown University, Box G,
Providence, RI 02912, United States.
CORRESPONDENCE ADDRESS
D.C. Lewis, Ctr Alcohol/Addiction Studies, Brown University, Box G,
Providence, RI 02912, United States.
SOURCE
Canadian Medical Association Journal (1990) 143:10 (1091-1096). Date of
Publication: 1990
ISSN
0820-3946
BOOK PUBLISHER
Canadian Association of Radiologists, 1740 boul.Cote-Vertu Blvd, St-Laurent,
Canada.
ABSTRACT
Initiatives by individuals, private foundations and government have led to
improvements in the United States in medical education dealing with alcohol
and drug-related problems. Progress has been made, particularly in the past
5 years, in developing new medical school curricula and in faculty
development. Greater activity by national professional organizations has
helped raise the priority of training in alcohol- and drug-related areas for
undergraduate and postgraduate medical education. As an example, Project
ADEPT (Alcohol and Drug Education for Physician Training in primary care) at
Brown University in Providence, Rhode Island, is described. The importance
of positive and motivated faculty role models and of skills training is
emphasized.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug dependence
medical education
EMTREE MEDICAL INDEX TERMS
human
priority journal
review
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991020371
MEDLINE PMID
2224678 (http://www.ncbi.nlm.nih.gov/pubmed/2224678)
PUI
L21020371
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1956
TITLE
An agenda for action
AUTHOR NAMES
Ashley M.J.
Brewster J.M.
Chow Y.-C.
Rankin J.G.
Single E.
Skinner H.A.
AUTHOR ADDRESSES
(Ashley M.J.; Brewster J.M.; Chow Y.-C.; Rankin J.G.; Single E.; Skinner
H.A.) Dept Preventive Med/Biostat, University of Toronto, McMurrich
Building, Toronto, Ont. M5S 1A8, Canada.
CORRESPONDENCE ADDRESS
M.J. Ashley, Dept Preventive Med/Biostat, University of Toronto, McMurrich
Building, Toronto, Ont. M5S 1A8, Canada.
SOURCE
Canadian Medical Association Journal (1990) 143:10 (1097-1098). Date of
Publication: 1990
ISSN
0820-3946
BOOK PUBLISHER
Canadian Association of Radiologists, 1740 boul.Cote-Vertu Blvd, St-Laurent,
Canada.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug dependence
health care
medical education
EMTREE MEDICAL INDEX TERMS
human
note
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1991020372
MEDLINE PMID
2224679 (http://www.ncbi.nlm.nih.gov/pubmed/2224679)
PUI
L21020372
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1957
TITLE
Report of the 'Workshop on Training on AIDS and Drug Abuse for Health and
Welfare Personnel' organized by the WHO, Budapest, 26-29 November 1990
AUTHOR NAMES
Rittmannsberger H.
AUTHOR ADDRESSES
(Rittmannsberger H.) Wagner-Jauregg-Krankenhaus, Wagner-Jauregg-Weg 15, 4020
Linz
CORRESPONDENCE ADDRESS
Wagner-Jauregg-Krankenhaus, Wagner-Jauregg-Weg 15, 4020 Linz
SOURCE
Wiener Zeitschrift fur Suchtforschung (1990) 13:3-4 (51-55). Date of
Publication: 1990
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
drug abuse
training
EMTREE MEDICAL INDEX TERMS
adult
conference paper
human
medical personnel
normal human
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1991118466
PUI
L21118465
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1958
TITLE
Contributions to a social conditioning model of cocaine recovery
AUTHOR NAMES
McAuliffe W.E.
Albert J.
Cordill-London G.
McGarraghy T.K.
AUTHOR ADDRESSES
(McAuliffe W.E.; Albert J.; Cordill-London G.; McGarraghy T.K.) Department
of Psychiatry, Harvard Medical School, Cambridge Hospital, Cambridge, MA
02139
CORRESPONDENCE ADDRESS
Department of Psychiatry, Harvard Medical School, Cambridge Hospital,
Cambridge, MA 02139
SOURCE
International Journal of the Addictions (1990/1991) 25:9-10 A (1141-1177).
Date of Publication: 1990
ISSN
0020-773X
BOOK PUBLISHER
Marcel Dekker Inc., 270 Madison Avenue, New York, United States.
ABSTRACT
This article describes recent developments in a theory of recovery from drug
addiction and in the adaptation of Recovery Training and Self Help (RTSH) to
cocaine addiction. RTSH is an example of a new element of treatment known as
''relapse prevention'' (RP), which is an application of the discovery that
addiction follows the laws of operant conditioning. We learned, however,
that to understand and to treat cocaine addiction, we had to expand upon the
conditioning paradigm to include a sociological analysis of the deviant
lifestyle from which cocaine addiction stems. The theory presented here
postulates three stages of recovery from cocaine addiction. Cocaine addicts
can recover as outpatients by (1) initially building ''walls'' against drug
triggers and supplies, (2) extinguishing addiction in the protective
community of recovering persons, and (3) gradually lowering the walls and
expanding beyond the recovering community to function more fully in
conventional society. We have developed an outpatient group treatment system
based on this recovery model. The Cocaine Recovery System includes a
month-long cessation program, followed by a six-month recovery program, and
active participation in the recovering community. A professional and a
recovering person colead both the cessation and recovery programs, which
feature Recovery Training sessions designed to help cocaine addicts achieve
treatment goals and avoid or cope with threats to recovery. Clients in the
recovery program also meet weekly for a support session, a weekend
recreational activity, and individual counseling. The program also
encourages group members to attend 12-step fellowship meetings. Clients
achieve difficult lifestyle changes by taking a series of ''commitment
steps,'' which increasingly engage the clients in a recovering lifestyle and
make relapse more difficult.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
conditioning
drug dependence
group therapy
lifestyle
relapse
training
EMTREE MEDICAL INDEX TERMS
article
human
prevention
self help
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991320461
MEDLINE PMID
1966681 (http://www.ncbi.nlm.nih.gov/pubmed/1966681)
PUI
L21319767
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1959
TITLE
Preventing alcohol problems: The challenge for medical education.
Proceedings of a national conference, Niagra-on-the-Lake, October 16-17,
1989
AUTHOR NAMES
Ashley M.J.
Brewster J.M.
Chow Y.-C.
Rankin J.G.
Single E.
Skinner H.A.
AUTHOR ADDRESSES
(Ashley M.J.; Brewster J.M.; Chow Y.-C.; Rankin J.G.; Single E.; Skinner
H.A.) Dept Preventive Med/Biostatist, Faculty of Medicine, University of
Toronto, McMurrich Building, Toronto, Ont. M5S 1A8, Canada.
CORRESPONDENCE ADDRESS
M.J. Ashley, Dept Preventive Med/Biostatist, Faculty of Medicine, University
of Toronto, McMurrich Building, Toronto, Ont. M5S 1A8, Canada.
SOURCE
Canadian Medical Association Journal (1990) 143:10 (1041-1042). Date of
Publication: 1990
ISSN
0820-3946
BOOK PUBLISHER
Canadian Association of Radiologists, 1740 boul.Cote-Vertu Blvd, St-Laurent,
Canada.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
health care
medical education
EMTREE MEDICAL INDEX TERMS
Canada
conference paper
human
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1991020363
MEDLINE PMID
1977509 (http://www.ncbi.nlm.nih.gov/pubmed/1977509)
PUI
L21020363
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1960
TITLE
The role of medical schools in the prevention of alcohol-related problems
AUTHOR NAMES
Negrete J.C.
AUTHOR ADDRESSES
(Negrete J.C.) Alcohol/Drug Dependency Unit, Montreal General Hospital, 1650
Cedar Ave., Montreal, PQ H3G 1A4, Canada.
CORRESPONDENCE ADDRESS
J.C. Negrete, Alcohol/Drug Dependency Unit, Montreal General Hospital, 1650
Cedar Ave., Montreal, PQ H3G 1A4, Canada.
SOURCE
Canadian Medical Association Journal (1990) 143:10 (1048-1053). Date of
Publication: 1990
ISSN
0820-3946
BOOK PUBLISHER
Canadian Association of Radiologists, 1740 boul.Cote-Vertu Blvd, St-Laurent,
Canada.
ABSTRACT
There is agreement that physicians can play a major role in the prevention
of alcohol problems among their patients and that medical schools should
prepare physicians for this role by teaching three major subject areas:
knowledge, attitudes and clinical skills. Despite this agreement and the
acknowledged high prevalence of alcohol problems in clinical populations,
medical school coverage of these problems is not proportional to their
importance. Barriers to adequate coverage of alcohol problems are
traditional attitudes, confusion as to whether such problems are ''medical''
and lack of adequate faculty role models. These problems could be remedied
by encouragement and training of interested faculty members, establishment
of substance abuse centres in university medical schools, integration of
alcohol-related material with relevant topics in all departments and
inclusion of alcohol-related questions on medical qualifying exams.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
alcohol intoxication (etiology, prevention)
health care
medical education
medical school
EMTREE MEDICAL INDEX TERMS
article
attitude
Canada
human
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991020365
MEDLINE PMID
2224672 (http://www.ncbi.nlm.nih.gov/pubmed/2224672)
PUI
L21020365
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1961
TITLE
Substance abuse education in pediatrics
AUTHOR NAMES
Adger Jr. H.
McDonald E.M.
DeAngelis C.
AUTHOR ADDRESSES
(Adger Jr. H.; McDonald E.M.; DeAngelis C.) Johns Hopkins Hospital, Park
Bldg, 600 N Wolfe St, Baltimore, MD 21205, United States.
CORRESPONDENCE ADDRESS
H. Adger Jr., Johns Hopkins Hospital, Park Bldg, 600 N Wolfe St, Baltimore,
MD 21205, United States.
SOURCE
Pediatrics (1990) 86:4 (555-560). Date of Publication: 1990
ISSN
0031-4005
BOOK PUBLISHER
American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk
Grove Village, United States.
ABSTRACT
Historically, physicians have received little formal education related to
alcohol or other drug abuse and dependence. A survey of all pediatric
programs in the United States was conducted to assess the current status of
alcohol/drug education in pediatrics. At the medical student and residency
training levels, only 44% and 40% of programs, respectively, required any
formal instruction, and only 27% and 34%, respectively, offered an elective
for medical students or residents. Although most respondents endorsed the
inclusion of both required and elective alcohol and drug education in the
curriculum, few programs that did not include it already had a future plan
for it. Major impediments identified were curriculum time constraints (86%
medical student level, 68% resident level) and the lack of a qualified
instructor (55% medical student level, 50% resident level). The survey
results suggest a strong need for development of faculty and structured
alcohol and drug abuse educational plans specific to pediatrics.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
medical education
pediatrics
EMTREE MEDICAL INDEX TERMS
article
education
priority journal
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990343059
MEDLINE PMID
2216620 (http://www.ncbi.nlm.nih.gov/pubmed/2216620)
PUI
L20337148
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1962
TITLE
Alcohol-related problems of future physicians prior to medical training
AUTHOR NAMES
Richman J.A.
Flaherty J.A.
AUTHOR ADDRESSES
(Richman J.A.; Flaherty J.A.) Department of Psychiatry, University of
Illinois at Chicago, 912 South Wood Street, Chicago, IL 60612
CORRESPONDENCE ADDRESS
Department of Psychiatry, University of Illinois at Chicago, 912 South Wood
Street, Chicago, IL 60612
SOURCE
Journal of Studies on Alcohol (1990) 51:4 (296-300). Date of Publication:
1990
ISSN
0096-882X
BOOK PUBLISHER
Alcohol Research Documentation Inc., New Brunswick, United States.
ABSTRACT
Time 1 data are presented from an ongoing longitudinal study of drinking
patterns and problems of future physicians from medical school entrance
through 2.5 years of training. The data in this report address the
prevalence and psychosocial correlates of alcohol-related problems
experienced prior to medical school training. A group of 167 students (91%
of the cohort) was surveyed. Self-report questionnairs included:
alcohol-related problems (the MAST), earlier parent-child relationships,
personality characteristics (external locus of control, self-esteem,
dependency, masculinity-feminity), life events, social supports, motivations
for drinking and symptomatic distress. The male students manifested a higher
mean level of alcohol problems, and the sexes differed at the trend level
when the MAST was scored to distinguish ''problem'' from ''nonproblem''
drinkers (with 18.4% of the students reporting 5 or more problem points and
7.4% reporting 4 problem points). The significant correlates of alcohol
problems included: perceived lack of earlier maternal affectivity (for men)
and perceived lack of earlier paternal affectivity (for women), and lack of
emotional support (for men). Moreover, escape motives for men were the
motives most highly correlated with alcohol problems. Symptomatic distress
(anxiety and hostility) was significantly correlated with alcohol-related
problems in men but not women. Future reports will depict the psychosocial
experiences and alcohol-related problems manifested by this cohort during
medical training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
EMTREE MEDICAL INDEX TERMS
article
economic aspect
education
human
legal aspect
medical education
organization and management
physician
problem solving
psychological aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990330876
MEDLINE PMID
2359301 (http://www.ncbi.nlm.nih.gov/pubmed/2359301)
PUI
L20324965
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1963
TITLE
Early diagnosis of substance abuse: Evaluation of a course of
computer-assisted instruction
AUTHOR NAMES
Brown R.L.
Carlson B.L.
AUTHOR ADDRESSES
(Brown R.L.; Carlson B.L.) Department of Family Medicine, Jefferson Medical
College, Philadelphia, PA
CORRESPONDENCE ADDRESS
Department of Family Medicine, Jefferson Medical College, Philadelphia, PA
SOURCE
Medical Education (1990) 24:5 (438-446). Date of Publication: 1990
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
A computer-assisted, experiential course of instruction on early diagnosis
of substance abuse was developed and compared to three existing substance
abuse curricula for third-year medical students on family medicine
clerkships. The experimental course, requiring 2 hours of teacher contact,
consisted of three computer-assisted instruction modules, active discussion,
role play, opportunities for applying new knowlegde and clinical skills, and
modelling of clinical interest by a family doctor. The three comparison
educational programmes were a one-week immersion experience on a substance
abuse in-patient unit, 1-4 hours of lecture, and no formal teaching. For 6
months, all third-year medical students at Jefferson Medical College were
exposed to one of these courses, and to the same required readings on
substance abuse, on their required family medicine rotations at different
clerkship sites. They completed end-of-rotation questionnaires assessing
their knowledge, satisfaction with substance abuse teaching, and motivation
for continued learning. Groups were similar with regard to demographic
variables, academic performance, and previous curricular and
extra-curricular exposure to substance abuse. Despite a possible selection
bias favouring the immersion experience, the computer-assisted course
resulted in higher levels of knowlegde on early diagnosis, but similar
attitudes and satisfaction. The computer-assisted and immersion courses
produced more favourable outcomes than lecture-based teaching and no formal
teaching. Compared to no formal teaching, lecture did not produce measurable
effect. The results suggest that a computer-assisted, experiential substance
abuse course, based on relevant and practical goals, can efficiently augment
knowledge and motivation for further learning of third-year medical
students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
computer assisted diagnosis
drug abuse
early diagnosis
education program
health care personnel
medical student
EMTREE MEDICAL INDEX TERMS
article
computer analysis
education
human
methodology
theoretical study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990323125
MEDLINE PMID
2215297 (http://www.ncbi.nlm.nih.gov/pubmed/2215297)
PUI
L20317214
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1964
TITLE
Alcoholism and substance abuse teaching in child psychiatry residency
programs
AUTHOR NAMES
Steg J.A.
Mann L.S.
Schwartz R.H.
Wise T.N.
Bailey G.W.
AUTHOR ADDRESSES
(Steg J.A.; Mann L.S.; Schwartz R.H.; Wise T.N.; Bailey G.W.) Fairfax
Hospital, Department of Psychiatry, 3300 Gallows Road, Falls Church, VA
22046
CORRESPONDENCE ADDRESS
Fairfax Hospital, Department of Psychiatry, 3300 Gallows Road, Falls Church,
VA 22046
SOURCE
Journal of the American Academy of Child and Adolescent Psychiatry (1990)
29:5 (813-816). Date of Publication: 1990
ISSN
0890-8567
BOOK PUBLISHER
Lippincott Williams and Wilkins, 351 West Camden Street, Baltimore, United
States.
ABSTRACT
In order to determine the needs and goals of substance abuse teaching,
vis-a-vis child psychiatry training, a questionnaire was sent to the
training directors at every child psychiatry program accredited by the
Accreditation Council of Graduate Medical Examination. The results
demonstrated that most child psychiatry programs schedule at least some
didactic time specifically for substance abuse topics. However, only 59% of
the training directors felt that their fellows were adequately educated to
identify and at least initially manage a drug abusing adolescent.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
child psychiatry
drug abuse
medical education
EMTREE MEDICAL INDEX TERMS
child
conference paper
education
human
methodology
psychological aspect
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990317630
MEDLINE PMID
2228938 (http://www.ncbi.nlm.nih.gov/pubmed/2228938)
PUI
L20311719
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1965
TITLE
A model curriculum for substance abuse education in child and adolescent
psychiatry training programs
AUTHOR NAMES
Halikas J.A.
AUTHOR ADDRESSES
(Halikas J.A.) Department of Psychiatry, University of Minnesota, Box 393
Mayo Memorial Building, 420 Delaware Street S.E., Minneapolis, MN 55455
CORRESPONDENCE ADDRESS
Department of Psychiatry, University of Minnesota, Box 393 Mayo Memorial
Building, 420 Delaware Street S.E., Minneapolis, MN 55455
SOURCE
Journal of the American Academy of Child and Adolescent Psychiatry (1990)
29:5 (817-820). Date of Publication: 1990
ISSN
0890-8567
BOOK PUBLISHER
Lippincott Williams and Wilkins, 351 West Camden Street, Baltimore, United
States.
ABSTRACT
Child psychiatry training recognizes substance abuse as a problem requiring
an educational effort to provide fellows with adequate clinical skills to
manage these patients. The components of a substance abuse educational
module which may be integrated into existing child psychiatry fellowships
are presented, with a discussion of practical problems raised by the
expansion of child psychiatry into this neglected area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child psychiatry
drug abuse
medical education
EMTREE MEDICAL INDEX TERMS
adolescent
child
education
human
methodology
psychological aspect
short survey
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990317631
MEDLINE PMID
2228939 (http://www.ncbi.nlm.nih.gov/pubmed/2228939)
PUI
L20311720
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1966
TITLE
An evaluation of a physician training program on patient smoking cessation.
AUTHOR NAMES
Giovino G.A.
Cummings K.M.
Koenigsberg M.R.
Sciandra R.C.
AUTHOR ADDRESSES
(Giovino G.A.; Cummings K.M.; Koenigsberg M.R.; Sciandra R.C.) Roswell Park
Memorial Institute, Buffalo, New York 14263.
CORRESPONDENCE ADDRESS
G.A. Giovino, Roswell Park Memorial Institute, Buffalo, New York 14263.
SOURCE
Progress in clinical and biological research (1990) 339 (27-48). Date of
Publication: 1990
ISSN
0361-7742
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practice
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
education
evaluation study
female
follow up
human
male
medical education
middle aged
physician attitude
prognosis
treatment outcome
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2392425 (http://www.ncbi.nlm.nih.gov/pubmed/2392425)
PUI
L20866701
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1967
TITLE
A government survey and program of the medical society: tobacco policy in
the 1990's
ORIGINAL (NON-ENGLISH) TITLE
Statlig utredning och förbundsprogram: tobakspolitik för 1990-talet.
AUTHOR ADDRESSES
SOURCE
Läkartidningen (1990) 87:39 (3041-3042, 3047-3048). Date of Publication: 26
Sep 1990
ISSN
0023-7205
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care policy
health education
smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
article
human
indoor air pollution (prevention)
legal aspect
statistics
Sweden (epidemiology)
LANGUAGE OF ARTICLE
Swedish
MEDLINE PMID
2215016 (http://www.ncbi.nlm.nih.gov/pubmed/2215016)
PUI
L20770566
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1968
TITLE
Computer-assisted curriculum for medical students on early diagnosis of
substance abuse
AUTHOR NAMES
Brown R.L.
Byrne K.
AUTHOR ADDRESSES
(Brown R.L.; Byrne K.) Department of Family Medicine and Practice,
University of Wisconsin, 777 S.Mills, Madison, WI 53715
CORRESPONDENCE ADDRESS
Department of Family Medicine and Practice, University of Wisconsin, 777
S.Mills, Madison, WI 53715
SOURCE
Family Medicine (1990) 22:4 (288-292). Date of Publication: 1990
ISSN
0742-3225
BOOK PUBLISHER
Society of Teachers of Family Medicine, Ste 540, Leawood, United States.
ABSTRACT
A computer-assisted curriculum on early diagnosis of substance abuse was
developed for third-year medical students on their required family medicine
rotation. Three computer-assisted instruction modules on early diagnosis,
attitudes, and screening questionnaires were followed by two conferences: 1)
a discussion and review session, and 2) a tutorial and role playing on
engaging patients with substance abuse in treatment. Finally, students
identified an ambulatory patient at risk for substance abuse and performed
an evaluation. All 33 unselected students gave high ratings to all of the
learning activities and the entire curriculum. Almost all were satisfied
with the emphasis on substance abuse in their clerkship and expressed
motivation to learn more. Student acceptance of teaching on substance abuse
can be attained by a curriculum in which goals, objectives, and expectations
are delineated clearly; in which the content is clinically relevant; which
uses computerassisted instruction, role playing, and a clinical exercise to
stimulate problem-solving and skill development; in which conferences are
discussion oriented; and for which pretests are used to promote learner
receptivity.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
computer assisted diagnosis
drug abuse
early diagnosis
education program
medical education
EMTREE MEDICAL INDEX TERMS
article
computer analysis
education
human
methodology
normal human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990244988
MEDLINE PMID
2200732 (http://www.ncbi.nlm.nih.gov/pubmed/2200732)
PUI
L20239122
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1969
TITLE
An experiential training program and medical students' attitudes toward
patients with chemical dependency
AUTHOR NAMES
Oldham S.B.
Sipe F.
AUTHOR ADDRESSES
(Oldham S.B.; Sipe F.) USC School of Medicine, 2025 Zonal Avenue, Los
Angeles, CA 90033, United States.
CORRESPONDENCE ADDRESS
S.B. Oldham, USC School of Medicine, 2025 Zonal Avenue, Los Angeles, CA
90033, United States.
SOURCE
Academic Medicine (1990) 65:6 (421-422). Date of Publication: 1990
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
chemical interaction
medical education
medical student
EMTREE MEDICAL INDEX TERMS
education
human
note
priority journal
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1990199616
MEDLINE PMID
2372362 (http://www.ncbi.nlm.nih.gov/pubmed/2372362)
PUI
L20199258
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1970
TITLE
The ABCs of awareness: A multimodal approach to relapse prevention
intervention - The College Hill Medical Center Program
AUTHOR NAMES
Rioux D.
Van Meter W.
AUTHOR ADDRESSES
(Rioux D.; Van Meter W.) College Hill Medical Center, 329 East Brown Street,
East Stroudsburg, PA
CORRESPONDENCE ADDRESS
College Hill Medical Center, 329 East Brown Street, East Stroudsburg, PA
SOURCE
Journal of Substance Abuse Treatment (1990) 7:1 (61-63). Date of
Publication: 1990
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
drug dependence
medical education
relapse
EMTREE MEDICAL INDEX TERMS
education
female
human
male
note
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1990194926
MEDLINE PMID
2313772 (http://www.ncbi.nlm.nih.gov/pubmed/2313772)
PUI
L20194568
DOI
10.1016/0740-5472(95)90006-3
FULL TEXT LINK
http://dx.doi.org/10.1016/0740-5472(95)90006-3
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1971
TITLE
Consumption of alcohol and tobacco during pregnancy by health advisors. An
investigation of nurses, nurses' aides, physicians and school teachers
ORIGINAL (NON-ENGLISH) TITLE
Sundhedsrådgiveres brug af alkohol og tobak under graviditeten. En
undersøgelse af sygeplejersker, sygehjaelpere, laeger og skolelaerere.
AUTHOR NAMES
Frische J.G.
Pereira A Da C.
Olsen J.
Poulsen A.O.
Kirchheiner J.H.
AUTHOR ADDRESSES
(Frische J.G.; Pereira A Da C.; Olsen J.; Poulsen A.O.; Kirchheiner J.H.)
Institut for Samfundsmedicin, afdelingen for socialmedicin, Odense.
CORRESPONDENCE ADDRESS
J.G. Frische, Institut for Samfundsmedicin, afdelingen for socialmedicin,
Odense.
SOURCE
Ugeskrift for laeger (1990) 152:29 (2101-2104). Date of Publication: 16 Jul
1990
ISSN
0041-5782
ABSTRACT
Health staff and elementary school teachers are key persons in prophylactic
activity which is based on personal contact between the advisor and
recipient. It is conceivable that their own habits play a part in how
prophylactic information is distributed. This investigation describes how
groups such as these consume alcohol and tobacco during pregnancy. As part
of a local community experiment in which pregnant women in Odense
participated in an information campaign from April 1985 to April 1987,
information was collected concerning the habits of pregnant women until the
36th week of pregnancy. This information was collected in self-completed
questionnaires which were sent anonymously to the Department of Social
Medicine in Odense University. 87% out of the 13,815 pregnant women who
attended midwives' clinics from April 1984 to April 1987 in Odense and
Aalborg were included in the investigation. The following groups were
selected for further analysis: nurses (627 women), nursing aides (492
women), doctors (85 women) and school teachers (468 women) and the group of
office workers (1,136 women) was employed for comparison. The investigation
revealed that school teachers, doctors and nurses had higher average
consumption of alcohol during pregnancy than office workers. On the other
hand, these groups has fewer episodes with consumption of eight or more
drinks on a single occasion. Similarly, elementary school teachers, and the
health groups (with the exception of nursing aides) smoked less. This
investigation provided no evidence that these selected groups altered their
habits on account of the informative campaigns which were directed to all
pregnant women in the Odense region.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior
health education
pregnancy
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
comparative study
Denmark (epidemiology)
female
female physician
health personnel attitude
human
manpower
nurse
nursing assistant
psychological aspect
teaching
LANGUAGE OF ARTICLE
Danish
MEDLINE PMID
2399576 (http://www.ncbi.nlm.nih.gov/pubmed/2399576)
PUI
L20768868
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1972
TITLE
Success of reentry into anesthesiology training programs by residents with a
history of substance abuse
AUTHOR NAMES
Menk E.J.
Baumgarten R.K.
Kingsley C.P.
Culling R.D.
Middaugh R.
AUTHOR ADDRESSES
(Menk E.J.; Baumgarten R.K.; Kingsley C.P.; Culling R.D.; Middaugh R.)
Anesthesia/Operative Service, Brooke Army Medical Center, Fort Sam Houston,
TX 78234, United States.
CORRESPONDENCE ADDRESS
E.J. Menk, Anesthesia/Operative Service, Brooke Army Medical Center, Fort
Sam Houston, TX 78234, United States.
SOURCE
Journal of the American Medical Association (1990) 263:22 (3060-3062). Date
of Publication: 1990
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
To determine incidence and outcome of reentry into anesthesiology training
programs by residents with histories of substance abuse, a survey was sent
to the 159 US anesthesiology training programs. One hundred thirteen (71%)
responded, with 82 (73%) submitting at least one case report of substance
abuse. A total of 180 case reports were submitted, including 26 in which the
resident died as a result of substance abuse. The prevalence of substance
abuse among trainees was 2%. Sixty-one (74%) of the responding training
programs submitted a total of 113 case reports of resident reentry into
anesthesiology training. The success rate of reentry in the parenteral
opioid abuser group was 34% (27/79). The success rate of reentry for the
nonopioid abuser group was 70% (16/23). There were 14 cases of suicide or
lethal overdose among trainees who were allowed to reenter anesthesiology
training. Death as the initial relapse symptom occurred in 16% (13/79) of
the parenteral opioid abusers who were allowed to reenter anesthesiology
training. This study suggests that drug rehabilitation followed by
redirection into another specialty may be the most prudent course for the
anesthesiology trainee who abuses parenteral opioids.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesiology
drug abuse
medical student
resident
EMTREE MEDICAL INDEX TERMS
article
education
human
priority journal
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990181970
MEDLINE PMID
2342218 (http://www.ncbi.nlm.nih.gov/pubmed/2342218)
PUI
L20181612
DOI
10.1001/jama.263.22.3060
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.263.22.3060
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1973
TITLE
Does studying medicine influence smoking behaviour, opinions and/or
knowledge about smoking? - A survey conducted among medical students in the
first and last-but-one year of study
ORIGINAL (NON-ENGLISH) TITLE
VERANDERT DAS MEDIZINSTUDIUM VERHALTEN, MEINUNG UND WISSEN UBER DAS RAUCHEN?
- EINE UMFRAGE UNTER MEDIZINSTUDENTEN IM ERSTEN UND VORLETZTEN STUDIENJAHR
AUTHOR NAMES
Gillmann-Blum D.
Castillo-Hofer C.
Ferlinz R.
AUTHOR ADDRESSES
(Gillmann-Blum D.; Castillo-Hofer C.; Ferlinz R.) Universitatskliniken, III.
Medizinische Klinik, Schwerpunkt Pneumologie, Langenbeckstrasse 1, D-6500
Mainz, Germany.
CORRESPONDENCE ADDRESS
D. Gillmann-Blum, Universitatskliniken, III. Medizinische Klinik,
Schwerpunkt Pneumologie, Langenbeckstrasse 1, D-6500 Mainz, Germany.
SOURCE
Pneumologie, Sonderheft (1990) 44:1 (515-516). Date of Publication: 1990
ISSN
0934-8573
ABSTRACT
At the present time, the major effect of studying medicine is to promote the
students' knowledge about smoking and its injurious effects. The task of the
future doctors in informing patients of the dangers of smoking and counsel
them accordingly, receives too little attention. The students' own smoking
habits are in no way modified by their studies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
attitude
behavior
conference paper
education
human
priority journal
psychological aspect
smoking habit
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990179685
PUI
L20179327
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1974
TITLE
Attitudes, knowledge and methods of assistance used by general practitioners
in Novara in treating drug addicts. Study of 100 doctors
ORIGINAL (NON-ENGLISH) TITLE
Atteggiamenti, conoscenza e modalitàa assistenziali dei medici di base della
cittàa di Novara verso i soggetti tossicodipendenti. Studio su 100 medici.
AUTHOR NAMES
Furlan P.M.
Laguzzi S.
Rosa M.
Barboni S.
Roagna G.
Scarso G.
AUTHOR ADDRESSES
(Furlan P.M.; Laguzzi S.; Rosa M.; Barboni S.; Roagna G.; Scarso G.)
U.S.S.L. n. 34 - Ospedale San Luigi Gonzaga-Orbassano, Universitàa di
Torino.
CORRESPONDENCE ADDRESS
P.M. Furlan, U.S.S.L. n. 34 - Ospedale San Luigi Gonzaga-Orbassano,
Universitàa di Torino.
SOURCE
Minerva psichiatrica (1990) 31:3 (145-149). Date of Publication: 1990
Jul-Sep
ISSN
0374-9320
ABSTRACT
The study examines the relationship between the general practitioner and the
drug addict and aims to evaluate some aspects of the work of the health
service, above all with reference to the methods of assistance, attitudes
and knowledge relating to the problem of treating drug addicts. A
questionnaire was sent to 100 general practitioners in Novara; it consisted
of 15 questions relation to the doctor's opinion of the drug addict, the
methods and place of intervention, the doctor's judgement regarding his/her
own preparation and function, and the frequency of contact with drug
addicts. The findings show that the majority of doctors have a positive
attitude towards the problem, but that there is also a widespread feeling of
impotency, dislike, loneliness, disinformation, and in addiction a feeling
of educational inadequacy on the subject.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
EMTREE MEDICAL INDEX TERMS
article
general practice
health personnel attitude
human
Italy
LANGUAGE OF ARTICLE
Italian
MEDLINE PMID
2283947 (http://www.ncbi.nlm.nih.gov/pubmed/2283947)
PUI
L21745689
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1975
TITLE
Physician substance abuse: prevention through reeducation.
AUTHOR NAMES
O'Kane Martin K.
Mazmanian P.E.
AUTHOR ADDRESSES
(O'Kane Martin K.; Mazmanian P.E.) Virginia Commonwealth University,
Richmond 23298.
CORRESPONDENCE ADDRESS
K. O'Kane Martin, Virginia Commonwealth University, Richmond 23298.
SOURCE
The Journal of continuing education in the health professions (1990) 10:1
(35-46). Date of Publication: 1990
ISSN
0894-1912
ABSTRACT
Physicians may be far more likely than other professionals and the general
public to experience problems with drug and alcohol dependence. The
availability of drugs, difficulty of detection, reluctance to confront
addictive behaviors, unwillingness to admit weakness, and the lack of ways
to detect and manage impaired physicians exacerbate the complexities of
preventing and treating the problem. This literature review explores the
complicating factors and suggests that prevention can be enhanced through
medical education, candid disclosure of facts, acceptance, and understanding
of substance abuse as a medical disorder.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
malpractice
medical education
medical staff
EMTREE MEDICAL INDEX TERMS
article
health personnel attitude
human
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10170547 (http://www.ncbi.nlm.nih.gov/pubmed/10170547)
PUI
L20838626
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1976
TITLE
A mini-workshop to train medical students to use a patient-centered approach
to smoking cessation
AUTHOR NAMES
Allen S.S.
Bland C.J.
Dawson S.J.
AUTHOR ADDRESSES
(Allen S.S.; Bland C.J.; Dawson S.J.) Department of Family Practice and
Community Health, University of Minnesota, 516 Delaware Street, S.E., BOX
381 UMHC, Minneapolis, MN 55455
CORRESPONDENCE ADDRESS
Department of Family Practice and Community Health, University of Minnesota,
516 Delaware Street, S.E., BOX 381 UMHC, Minneapolis, MN 55455
SOURCE
American Journal of Preventive Medicine (1990) 6:1 (28-33). Date of
Publication: 1990
ISSN
0749-3797
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Leaders in preventive medicine and medical education have called for more
attention to preventive medicine in medical education curricula. This study
describes the implementation of a training program designed to introduce
preventive medicine skills into the medical school curriculum. The specific
issue addressed was smoking cessation. A two-hour workshop on the
patient-centered approach to smoking intervention was presented to medical
students during the family medicine rotation of the second-year clinical
medicine course sequence. Two of the four student groups in the family
medicine clinical rotation received the training and were afforded practice
opportunity with at least one smoking patient at the clinical site. The
other two groups went through the usual rotation with no special instruction
or clinical emphasis on preventive interventions. Second-year medical
students expressed positive perceptions of preventive medicine as assessed
by self-rating on attributes important to successful preventive practice.
These positive perceptions were retained by both groups after the clinical
experience. Students with the workshop training were more confident in their
smoking intervention skills and performed better overall on an objective
clinical evaluation of intervention skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
preventive medicine
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
education
human
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990166854
MEDLINE PMID
2340189 (http://www.ncbi.nlm.nih.gov/pubmed/2340189)
PUI
L20166496
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1977
TITLE
Medical counseling, nursing counseling, and nicotine chewing gum for smoking
cessation in primary care
ORIGINAL (NON-ENGLISH) TITLE
Consejo médico, consejo de enfermería y chicle de nicotina para dejar de
fumar en atención primaria.
AUTHOR NAMES
Nebot M.
Cabezas C.
Oller M.
Moreno F.
Rodrigo J.
Sardà T.
Mestres J.
Pitarch M.
AUTHOR ADDRESSES
(Nebot M.; Cabezas C.; Oller M.; Moreno F.; Rodrigo J.; Sardà T.; Mestres
J.; Pitarch M.) Institut Municipal de la Salut, Barcelona.
CORRESPONDENCE ADDRESS
M. Nebot, Institut Municipal de la Salut, Barcelona.
SOURCE
Medicina clínica (1990) 95:2 (57-61). Date of Publication: 9 Jun 1990
ISSN
0025-7753
ABSTRACT
The 2-month results of a study designed to compare the effectiveness of
three methods to encourage giving up smoking in primary health care are
reported: individualized medical counseling (minimal intervention),
counseling plus follow-up option by the nurse, and medical counseling plus
nicotine chewing gum. Overall 425 smokers between 15 and 65 years of age
were included in the study. In 349 of them (82%), short term follow-up was
carried out by phone interview. The proportion who declared to have given up
smoking, after adjustment for the estimated validity of the phone report of
smoking status, was 10, 9%, 10.8% and 11.1%, respectively, without
significant differences between the three groups. In the logistic regression
analysis, only the existence of concomitant disease and the anticipated
difficulty in giving up smoking appeared as predictive variables of
abstention. The implications of the results for the strategies to control
smoking are discussed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine (drug administration, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
health promotion
primary prevention
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
chewing gum
comparative study
evaluation study
general practitioner
human
manpower
methodology
middle aged
nurse
primary health care
CAS REGISTRY NUMBERS
nicotine (54-11-5)
LANGUAGE OF ARTICLE
Spanish
MEDLINE PMID
2250504 (http://www.ncbi.nlm.nih.gov/pubmed/2250504)
PUI
L21739727
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1978
TITLE
Smoking among young doctors in Hong Kong: A message to medical educators
AUTHOR NAMES
Cheng K.K.
Lam T.H.
AUTHOR ADDRESSES
(Cheng K.K.; Lam T.H.) Department of Community Medicine, University of Hong
Kong, Sassoon Road, Hong Kong
CORRESPONDENCE ADDRESS
Department of Community Medicine, University of Hong Kong, Sassoon Road,
Hong Kong
SOURCE
Medical Education (1990) 24:2 (158-163). Date of Publication: 1990
ISSN
0308-0110
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
A survey was conducted using a self-administered questionnaire to examine
the smoking habits, attitudes and practices of 151 doctors in their
pre-registration year. The response rate was 88%. Over 80% of the
respondents had never smoked. Less than 7% of the men smoked daily and none
of the women smoked. Despite a very low smoking rate among the respondents,
there were shortcomings in attitudes and practices. The study demonstrated
that even in a place like Hong Kong, where the social climate on smoking is
already changing in a healthy direction, significant deficiencies in our
graduates can still arise if teaching on smoking and its control is
undertaken in an uncoordinated manner. We argue that a spcific course on the
important aspects of smoking and health should be introduced into all
undergraduate curricula. This is of special importance in countries where
smoking is on the increase and where governmental actions on smoking control
are inadequate in comparison with the marketing effors of powerful
multinational tobacco companies. Considering the magnitude of smoking as a
global health problem, it is the very least that medical educators should do
in combating this pandemic.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
EMTREE MEDICAL INDEX TERMS
article
education
Hong Kong
human
organization and management
psychological aspect
public health
smoking
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990145103
MEDLINE PMID
2319974 (http://www.ncbi.nlm.nih.gov/pubmed/2319974)
PUI
L20144758
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1979
TITLE
Drug and alcohol medical education in Australia: On the map at last
AUTHOR NAMES
Roche A.M.
AUTHOR ADDRESSES
(Roche A.M.) NSW Medical Education Project on Alcohol and other Drugs, Royal
Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050
CORRESPONDENCE ADDRESS
NSW Medical Education Project on Alcohol and other Drugs, Royal Prince
Alfred Hospital, Missenden Road, Camperdown, NSW 2050
SOURCE
Medical Journal of Australia (1990) 152:9 (503). Date of Publication: 1990
ISSN
0025-729X
BOOK PUBLISHER
Australasian Medical Publishing Co. Ltd, Level 2, 26-32 Pyrmont Bridge Road,
Pyrmont, Australia.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
drug dependence
medical education
EMTREE MEDICAL INDEX TERMS
Australia
education
letter
organization and management
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1990143937
MEDLINE PMID
2381350 (http://www.ncbi.nlm.nih.gov/pubmed/2381350)
PUI
L20143592
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1980
TITLE
Teaching critical thinking in the context of substance abuse in a psychiatry
clerkship
AUTHOR NAMES
Regan-Smith M.G.
West D.A.
AUTHOR ADDRESSES
(Regan-Smith M.G.; West D.A.)
SOURCE
Academic Medicine (1990) 65:2 (89). Date of Publication: 1990
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clerkship
drug abuse
psychiatry
teaching
thinking
EMTREE MEDICAL INDEX TERMS
education
human
methodology
note
priority journal
psychological aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1990082157
MEDLINE PMID
2302305 (http://www.ncbi.nlm.nih.gov/pubmed/2302305)
PUI
L20081813
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1981
TITLE
Smoking cessation training for medicine residents (I:reply)
AUTHOR NAMES
Ockene J.K.
AUTHOR ADDRESSES
(Ockene J.K.)
SOURCE
Archives of Internal Medicine (1990) 150:1 (225). Date of Publication: 1990
ISSN
0003-9926
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical profession
medical student
resident
smoking cessation
EMTREE MEDICAL INDEX TERMS
education
letter
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1990085574
PUI
L20085230
DOI
10.1001/archinte.150.1.225
FULL TEXT LINK
http://dx.doi.org/10.1001/archinte.150.1.225
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1982
TITLE
Smoking cessation training for medicine residents (I)
AUTHOR NAMES
Villagra V.G.
Sidorov J.E.
Traugh D.
AUTHOR ADDRESSES
(Villagra V.G.; Sidorov J.E.; Traugh D.)
SOURCE
Archives of Internal Medicine (1990) 150:1 (225). Date of Publication: 1990
ISSN
0003-9926
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical profession
resident
smoking cessation
EMTREE MEDICAL INDEX TERMS
education
letter
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1990085573
MEDLINE PMID
2297293 (http://www.ncbi.nlm.nih.gov/pubmed/2297293)
PUI
L20085229
DOI
10.1001/archinte.150.1.225
FULL TEXT LINK
http://dx.doi.org/10.1001/archinte.150.1.225
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1983
TITLE
Education of medical students in substance abuse
ORIGINAL (NON-ENGLISH) TITLE
Rusmiddelundervisning for medisinstudenter.
AUTHOR NAMES
Kvamme J.M.
Fauske S.
AUTHOR ADDRESSES
(Kvamme J.M.; Fauske S.) Institutt for allmennmedisin, Bergen.
CORRESPONDENCE ADDRESS
J.M. Kvamme, Institutt for allmennmedisin, Bergen.
SOURCE
Tidsskrift for den Norske laegeforening (1990) 110:8 (970-972). Date of
Publication: 20 Mar 1990
ISSN
0029-2001
ABSTRACT
A substantial amount of resources available to the health services in Norway
are spent on alcohol- and drug-related disorders. Physicians play an
important role in preventing, diagnosing and treating these disorders. We
have reviewed the curricula used at our four Norwegian medical schools for
education in this field. The curricula are characterized by lack of
specified educational goals and are somewhat limited, seen in relation to
the extent of the alcohol- and drug-related problems. With reference to a
structured educational programme at Karolinska Sjukhuset, Stockholm, we
propose a new Norwegian model for alcohol- and drug related medical
education. This model focuses especially on early identification of problems
and intervention in harmful alcohol consumption.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
EMTREE MEDICAL INDEX TERMS
addiction
alcoholism
article
curriculum
human
Norway
LANGUAGE OF ARTICLE
Norwegian
MEDLINE PMID
2321229 (http://www.ncbi.nlm.nih.gov/pubmed/2321229)
PUI
L20817086
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1984
TITLE
Post-education in clinical problems of narcotics abuse
ORIGINAL (NON-ENGLISH) TITLE
Etterutdanning i kliniske rusmiddelproblemer.
AUTHOR NAMES
Fauske S.
AUTHOR ADDRESSES
(Fauske S.) Hjellestad-Klinikken.
CORRESPONDENCE ADDRESS
S. Fauske, Hjellestad-Klinikken.
SOURCE
Tidsskrift for den Norske laegeforening (1990) 110:8 (973-975). Date of
Publication: 20 Mar 1990
ISSN
0029-2001
ABSTRACT
Since 1985 the Hjellestad Clinic, in cooperation with the Norwegian
Directorate for the Prevention of Alcohol and Drug Problems, has offered
five 40 hour courses a year for primary health care workers in order to
provide them with the necessary knowledge dealing with drug- and
alcohol-related issues in the local community. The focus is on early
detection and simple intervention strategies. Since 1989 on we have offered
two additional courses on special topics such as family, drug and alcohol
problems, management of drug- and alcohol-related crises in the local
community etc. The article discusses a new speciality in the "treatment of
addictive behaviours".
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical medicine
medical education
EMTREE MEDICAL INDEX TERMS
alcoholism
article
education
Norway
LANGUAGE OF ARTICLE
Norwegian
MEDLINE PMID
2321230 (http://www.ncbi.nlm.nih.gov/pubmed/2321230)
PUI
L20817087
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1985
TITLE
Trends of tobacco smoking among physicians, journalists and teachers in
Bahrain.
AUTHOR NAMES
al-Khateeb M.
AUTHOR ADDRESSES
(al-Khateeb M.) Ministry of Health, State of Bahrain.
CORRESPONDENCE ADDRESS
M. al-Khateeb, Ministry of Health, State of Bahrain.
SOURCE
Hygie (1990) 9:1 (13-15). Date of Publication: Mar 1990
ISSN
0751-7149
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
physician
publishing
smoking (epidemiology)
teaching
EMTREE MEDICAL INDEX TERMS
adult
article
Bahrain (epidemiology)
female
human
male
middle aged
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2335356 (http://www.ncbi.nlm.nih.gov/pubmed/2335356)
PUI
L20832965
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1986
TITLE
Counseling medical patients about cigarette smoking: a comparison of the
impact of training on nurse practitioners and physicians.
AUTHOR NAMES
Zahnd E.G.
Coates T.J.
Richard R.J.
Cummings S.R.
AUTHOR ADDRESSES
(Zahnd E.G.; Coates T.J.; Richard R.J.; Cummings S.R.) Division of General
Internal Medicine, University of California, San Francisco.
CORRESPONDENCE ADDRESS
E.G. Zahnd, Division of General Internal Medicine, University of California,
San Francisco.
SOURCE
The Nurse practitioner (1990) 15:3 (10-13, 17-18). Date of Publication: Mar
1990
ISSN
0361-1817
ABSTRACT
Health providers believe that eliminating smoking is an important health
promotion goal, but physicians and nurse practitioners may differ in the
implementation of that belief. To determine whether nurse practitioners or
physicians were more likely to counsel smokers to quit smoking, 12 internal
medicine nurse practitioners (100 percent female) and 40 internal medicine
physicians (30 percent female) were studied at four San Francisco Bay-area
Kaiser Permanente Medical Centers, both before and after training in
smoking-cessation counseling. In addition, exit phone surveys of at least 15
smokers per participant were completed as soon as possible following an
office visit to the participant (269 nurse practitioner patients; 948
physician patients). It was found that nurse practitioners discussed smoking
with patients more often than did physicians (64 percent vs. 50 percent; p
less than 0.001), asked patients more often whether they were interested in
quitting (49 percent vs. 40 percent; p less than 0.01), distributed more
smoking-cessation literature to patients (37 percent vs. 25 percent; p less
than 0.001) and made more follow-up appointments about smoking (36 percent
vs. 19 percent; p less than 0.001). These differences in counseling behavior
between the two groups were not explained by differences in patient
characteristics of the two groups. The authors concluded that, given the
same training, nurse practitioners are more likely to counsel smokers about
quitting than are physicians.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
counseling
nurse practitioner
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
education
female
human
male
methodology
middle aged
patient education
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2314676 (http://www.ncbi.nlm.nih.gov/pubmed/2314676)
PUI
L20820805
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1987
TITLE
Educational factors in substance abuse for physicians.
AUTHOR NAMES
Johnson N.P.
Lindsay A.B.
Tumblin M.
AUTHOR ADDRESSES
(Johnson N.P.; Lindsay A.B.; Tumblin M.) Department of Neuropsychiatry and
Behavioral Science, School of Medicine, University of South Carolina,
Columbia 29208.
CORRESPONDENCE ADDRESS
N.P. Johnson, Department of Neuropsychiatry and Behavioral Science, School
of Medicine, University of South Carolina, Columbia 29208.
SOURCE
Journal of the South Carolina Medical Association (1975) (1990) 86:1
(64-65). Date of Publication: Jan 1990
ISSN
0038-3139
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
medical education
EMTREE MEDICAL INDEX TERMS
article
clinical competence
curriculum
health personnel attitude
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2308284 (http://www.ncbi.nlm.nih.gov/pubmed/2308284)
PUI
L20806749
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1988
TITLE
Role of medical personnel of therapeutic-preventive establishments in
antialcoholic campaign
ORIGINAL (NON-ENGLISH) TITLE
Rol' meditsinskikh rabotnikov lechebno-profilakticheskikh uchrezhdeniǐ v
antialkogol'noǐ propagande.
AUTHOR NAMES
Purina E.A.
Lozovskaia A.S.
AUTHOR ADDRESSES
(Purina E.A.; Lozovskaia A.S.)
CORRESPONDENCE ADDRESS
E.A. Purina,
SOURCE
Sovetskoe zdravookhranenie / Ministerstvo zdravookhraneniia SSSR (1989) :9
(38-41). Date of Publication: 1989
ISSN
0038-5239
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
health care manpower
health education
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
middle aged
questionnaire
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
2814645 (http://www.ncbi.nlm.nih.gov/pubmed/2814645)
PUI
L19508208
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1989
TITLE
Medical and psychosocial effects of methadone substitution in HIV-infected
drug-dependents
ORIGINAL (NON-ENGLISH) TITLE
MEDIZINISCHE UND PSYCHOSOZIALE EFFEKTE DER METHADON-SUBSTITUTION
HIV-INFIZIERTER DROGENABHANGIGER
AUTHOR NAMES
Walger P.
Baumgart P.
Wilke G.
Kupfer U.
Eiff V.M.
Dorst K.G.
AUTHOR ADDRESSES
(Walger P.; Baumgart P.; Wilke G.; Kupfer U.; Eiff V.M.; Dorst K.G.)
Medizinische Poliklinik der Universitat Munster, 4400 Munster
CORRESPONDENCE ADDRESS
Medizinische Poliklinik der Universitat Munster, 4400 Munster
SOURCE
PPmP Psychotherapie Psychosomatik Medizinische Psychologie (1989) 39:11
(381-389). Date of Publication: 1989
ISSN
0173-7937
BOOK PUBLISHER
Georg Thieme Verlag, Rudigerstrasse 14, Stuttgart, Germany.
ABSTRACT
After an average observation time of 12 months, we can confirm that
methadone substitution on an outpatient basis has proved significantly
useful for a majority of chronically intravenously opiate-dependent
HIV-infected patients of the stages CDC IV or WR 3-6 if methadone is given
under controlled conditions, the improvement consisting in an amelioration
of certain medical and psychosocial parameters. In 25 out of 30 patients
methadone substitution resulted in termination of the previously existing
intravenous heroin addiction. In the further course of treatment one of
these 25 patients could then be induced to undergo a methadone withdrawal
course followed by long-term withdrawal therapy. Since the patients were no
longer dependent on heroin, they were no longer compelled to procure it
under all circumstances, so that crime and prostitution connected with the
pressure to obtain heroin by all means were now superfluous. This provided
the most important prerequisites for medical and social care for the
patients. The decisive factors determining the effectivity of substitution
and hence a successful stabilisation are the integration of the patient in a
network of care including the family doctor, outpatient HIV care by a
relevant clinic, drug advice centre of AIDS help, and a Public Health
Office. This also guarantees that the patients act responsibly in respect of
their AIDS infection. In very few patients the permanent success of the
treatment was at high risk due to unsatisfactory social care, lack of social
security measures, progression of the underlying disease, a too low
methadone dosage level, and partnership conflicts.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
diamorphine
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
criminal behavior
drug dependence (drug therapy)
Human immunodeficiency virus
maintenance therapy
prostitution
EMTREE MEDICAL INDEX TERMS
adult
clinical article
human
priority journal
psychological aspect
CAS REGISTRY NUMBERS
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989275607
MEDLINE PMID
2587688 (http://www.ncbi.nlm.nih.gov/pubmed/2587688)
PUI
L19275561
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1990
TITLE
Cancer control and lifestyle medicine
AUTHOR NAMES
Wynder E.L.
AUTHOR ADDRESSES
(Wynder E.L.) American Health Foundation, New York, NY 10017
CORRESPONDENCE ADDRESS
American Health Foundation, New York, NY 10017
SOURCE
Present and furure of indoor air quality: proceedings of the Brussels
Conference. ICS860 (1989) (3-13). Date of Publication: 1989
CONFERENCE NAME
The Brussels Conference
CONFERENCE DATE
1989-02-14 to 1989-02-16
CONFERENCE EDITORS
Bieva C.J.
Courtois Y.
Govaerts M.
ISBN
0444811346
9780444811349
BOOK PUBLISHER
Elsevier Science Publishers B.V.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer incidence
cancer mortality
health education
nutrition
smoking
EMTREE MEDICAL INDEX TERMS
book
education
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1989272455
PUI
L19272409
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1991
TITLE
Substance abuse education in residency training programs in emergency
medicine
AUTHOR NAMES
Taliaferro E.H.
Rund D.A.
Brown C.G.
Goldfrank L.R.
Jorden R.C.
Ling L.J.
Gallery M.E.
AUTHOR ADDRESSES
(Taliaferro E.H.; Rund D.A.; Brown C.G.; Goldfrank L.R.; Jorden R.C.; Ling
L.J.; Gallery M.E.) American College, of Emergency Physicians, PO Box
619911, Dallas, TX 75261-9911, United States.
CORRESPONDENCE ADDRESS
M.E. Gallery, American College, of Emergency Physicians, PO Box 619911,
Dallas, TX 75261-9911, United States.
SOURCE
Annals of Emergency Medicine (1989) 18:12 (1344-1347). Date of Publication:
1989
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
The emergency department is the focal point for many social ills, not the
least of which is substance abuse. We conducted a study to determine to what
degree substance abuse education is taught in emergency medicine residency
training programs. A set of educational objectives was developed by a task
force composed of representatives of the American College of Emergency
Physicians, the Society of Teachers of Emergency Medicine, and the
University Association for Emergency Medicine. A questionnaire then was sent
to the directors of all emergency medicine residency programs accredited by
the Accreditation Council for Graduate Medical Education to determine the
degree to which those objectives are covered in residency training. A 62%
response rate was achieved. The data revealed that such topics as narcotic
prescription law, patterns of risk, and issues pertaining to substance abuse
by physicians were covered by fewer than half of the programs responding.
Respondents were generally satisfied with the adequacy of training of
residents and faculty in the area of substance abuse: however, they were
dissatisfied with the adequacy of available training materials.
Recommendations for changes in graduate curriculum as well as avenues for
further research are provided.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
emergency medicine
resident
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
education
human
priority journal
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990014970
MEDLINE PMID
2589703 (http://www.ncbi.nlm.nih.gov/pubmed/2589703)
PUI
L20014626
DOI
10.1016/S0196-0644(89)80273-2
FULL TEXT LINK
http://dx.doi.org/10.1016/S0196-0644(89)80273-2
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1992
TITLE
Training physicians about smoking cessation: A controled trial in private
practices
AUTHOR NAMES
Cummings S.R.
Richard R.J.
Duncan C.L.
Hansen B.
Martin R.V.
Gerbert B.
Coates T.J.
AUTHOR ADDRESSES
(Cummings S.R.; Richard R.J.; Duncan C.L.; Hansen B.; Martin R.V.; Gerbert
B.; Coates T.J.) Division of General Internal Medicine, Department of
Medicine, University of California, San Francisco, CA 94143
CORRESPONDENCE ADDRESS
Division of General Internal Medicine, Department of Medicine, University of
California, San Francisco, CA 94143
SOURCE
Journal of General Internal Medicine (1989) 4:6 (482-489). Date of
Publication: 1989
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
Study objective: To test the hypotheses that physicians in private practice
who receive a continuing education program (entitled 'Quit for Life') about
how to counsel smokers to quit would counsel smokers more effectively and
have higher rates of long-term smoking cessation among their patients.
Design: Randomized trial with blinded assessment of principal outcomes.
Setting: Private practices of internal medicine and family practice.
Subjects: Forty-four physicians randomly assigned to receive training (24)
or serve as controls (20) and consecutive samples of smokers visiting each
physician (19.6 patients per experimental and 22.3 per control physician).
Physicians received three hours of training about how to help smokers quit.
Physicians and their office staffs were also given self-help booklets to
distribute to smokers and were urged to use a system of stickers on charts
as reminders to counsel smokers about quitting. Measurements and main
results: Based on telephone interviews with patients, physicians in the
experimental group were more likely to discuss smoking with patients who
smoked (64% vs. 44%), spent more time counseling smokers about quitting (7.5
vs. 5.2 minutes), helped more smokers set dates to quit smoking (29% vs. 5%
of smokers), gave out more self-help booklets (37% vs. 9%), and were more
likely to make a follow-up appointment about quitting smoking (19% vs. 11%
of those counseled) than physicians in the control group. One year later,
the rates of biochemically confirmed, long-term (≥ 9 months) abstinence from
smoking were similar among patients in the experimental (3.2%) and control
(2.5%) groups (95% confidence interval for the 0.7% difference: -1.7 to
+3.1%). Conclusions: The authors conclude that this continuing education
program substantially changed the way physicians counseled smokers, but had
little or no impact on rates of long-term smoking cessation among their
patients. There is a need for more effective strategies to help physicians
help their patients to quit smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
doctor patient relation
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
education
human
patient counseling
psychological aspect
theoretical study
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990022325
MEDLINE PMID
2685206 (http://www.ncbi.nlm.nih.gov/pubmed/2685206)
PUI
L20021981
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1993
TITLE
The doctor, the pharmacist, the patient, and the placebo, or you're not my
mother, doctor
AUTHOR NAMES
Nielsen J.R.
AUTHOR ADDRESSES
(Nielsen J.R.) School of Pharmacy, University of California Medical Center,
University of California, San Francisco, CA
CORRESPONDENCE ADDRESS
School of Pharmacy, University of California Medical Center, University of
California, San Francisco, CA
SOURCE
Food Drug Cosmetic Law Journal (1989) 44:6 (639-657). Date of Publication:
1989
ISSN
0015-6361
BOOK PUBLISHER
Food and Drug Law Institute, 1000 Vermont Avenue N.W., Suite 1200,
Washington, United States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
placebo
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cost
drug dependence
drug marketing
law
medical education
prescription
EMTREE MEDICAL INDEX TERMS
article
economic aspect
education
human
legal aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1990082801
MEDLINE PMID
11659226 (http://www.ncbi.nlm.nih.gov/pubmed/11659226)
PUI
L20082457
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1994
TITLE
Continuous education of physicians and alcohol
AUTHOR NAMES
Salerno M.T.
Amendola A.
De Marco V.
Grimaldi A.
Trione T.
Carrieri V.
Altomare E.
Palasciano G.
Albano O.
AUTHOR ADDRESSES
(Salerno M.T.; Amendola A.; De Marco V.; Grimaldi A.; Trione T.; Carrieri
V.; Altomare E.; Palasciano G.; Albano O.) Institute of Clinical Medicine I,
University of Bari, Bari
CORRESPONDENCE ADDRESS
Institute of Clinical Medicine I, University of Bari, Bari
SOURCE
Alcoholism (1989) 25:1-2 (29-34). Date of Publication: 1989
ISSN
0002-502X
ABSTRACT
The traditional Continuing Medical Education (CME) courses in the field of
alcohol related problems usually are centered on conferences, lectures and
round tables. These traditional educational methods do not solve the health
community problems. However, the new educational methods provide a very
useful strategy in prevention, diagnosis and therapy of alcohol related
problems. This methodology on the basis of many positive experiences
performed in many countries and also in Italy, is developed through four
steps: health needs identification; educational objectives definition;
teaching-learning programs planning; evaluation methods planning.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
conference paper
education
human
Italy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990021890
PUI
L20021546
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1995
TITLE
A 12-step treatment approach for Marijuana (Cannabis) dependence
AUTHOR NAMES
Miller N.S.
Gold M.S.
Pottash A.C.
AUTHOR ADDRESSES
(Miller N.S.; Gold M.S.; Pottash A.C.) New York Hospital/Cornell Medical
Center, White Plains, NY
CORRESPONDENCE ADDRESS
New York Hospital/Cornell Medical Center, White Plains, NY
SOURCE
Journal of Substance Abuse Treatment (1989) 6:4 (241-250). Date of
Publication: 1989
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Marijuana (Cannabis) dependence (addiction) is a disorder for which
treatment is essential and relatively sophisticated. A basic assumption in
the treatment model is that marijuana addiction involves pathological
processes in the physical, mental (cognitive), and emotional (mood) states
of the addicted individual. These pathological processes constitute a
disease entity that is diagnosable, treatable, and has a predictable course.
One approach for the treatment of marijuana addiction involves physicians,
psychologists, counselors, and social workers who treat the disease of
marijuana addiction. We present this approach to treatment of marijuana
addiction as representative of a popular method but not as the only modality
available.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognition
drug dependence (therapy)
emotion
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
human
psychological aspect
treatment planning
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990025657
MEDLINE PMID
2687482 (http://www.ncbi.nlm.nih.gov/pubmed/2687482)
PUI
L20025313
DOI
10.1016/0740-5472(89)90048-2
FULL TEXT LINK
http://dx.doi.org/10.1016/0740-5472(89)90048-2
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1996
TITLE
Nicotine dependence and alcoholism epidemiology and treatment
AUTHOR NAMES
Bobo J.K.
AUTHOR ADDRESSES
(Bobo J.K.) Department of Epidemiology, SC-36, University of Washington,
Seattle, WA 98195
CORRESPONDENCE ADDRESS
Department of Epidemiology, SC-36, University of Washington, Seattle, WA
98195
SOURCE
Journal of Psychoactive Drugs (1989) 21:3 (323-329). Date of Publication:
1989
ISSN
0279-1072
BOOK PUBLISHER
Haight-Ashbury Publications, 612 Clayton Street, San Francisco, United
States.
ABSTRACT
Nicotine dependence in alcohol-involved adults is a long-ignored treatment
problem. The absence of its discussion in the literature is difficult to
defend in light of medical and epidemiological data on the cost and
prevalence of this dual addiction. Most descriptive studies of alcohol
abusers published in the past 20 years have reported tobacco use rates of at
least 90%. There is a crucial need to educate treatment professionals and
their clients about the additional health risks associated with joint
nicotine dependence and alcoholism. Historically, certain barriers to active
intervention have existed in drug abuse treatment facilities, including (1)
concerns that urging clients to quit smoking might have an adverse effect on
their maintenance of sobriety, (2) a tendency to minimize the strength and
severity of nicotine addiction, (3) a lack of informative data on how best
to treat smoking in recovering alcoholics, and (4) financial issues related
to marketing and insurance compensation. Recent data obtained from
recovering alcoholics who have tried to quit smoking and anecdotal reports
from alcoholism treatment centers that have begun addressing nicotine
addiction are now challenging these barriers. Education, role modeling,
environmental control, and development of staff expertise can be incorporate
into standard alcoholism treatment programs to jointly treat these paired
addictions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
smoking
EMTREE MEDICAL INDEX TERMS
economic aspect
education
human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989255742
MEDLINE PMID
2681630 (http://www.ncbi.nlm.nih.gov/pubmed/2681630)
PUI
L19255696
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1997
TITLE
School tobacco policy: a medical perspective.
AUTHOR NAMES
DiFranza J.R.
AUTHOR ADDRESSES
(DiFranza J.R.) Family Practice Residency Program, University of
Massachusetts Medical Center, Fitchburg 01420.
CORRESPONDENCE ADDRESS
J.R. DiFranza, Family Practice Residency Program, University of
Massachusetts Medical Center, Fitchburg 01420.
SOURCE
The Journal of school health (1989) 59:9 (398-400). Date of Publication: Nov
1989
ISSN
0022-4391
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
school
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
health education
human
methodology
parent
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2607754 (http://www.ncbi.nlm.nih.gov/pubmed/2607754)
PUI
L20787422
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1998
TITLE
Six-year follow-up of the first Waterloo school smoking prevention trial
AUTHOR NAMES
Flay B.R.
Koepke D.
Thomson S.J.
Santi S.
Best J.A.
Brown K.S.
AUTHOR ADDRESSES
(Flay B.R.; Koepke D.; Thomson S.J.; Santi S.; Best J.A.; Brown K.S.)
Prevention Research Center, University of Illinois, Chicago, IL 60680
CORRESPONDENCE ADDRESS
Prevention Research Center, University of Illinois, Chicago, IL 60680
SOURCE
American Journal of Public Health (1989) 79:10 (1371-1376). Date of
Publication: 1989
ISSN
0090-0036
BOOK PUBLISHER
American Public Health Association Inc., 800 I Street NW, Washington, United
States.
ABSTRACT
This paper reports six-year follow-up data from the first large-scale
randomized trial of the social influences approach to smoking prevention. In
1979, 22 schools were randomly assigned to program or control conditions.
Students in program schools received a social influences curriculum in six
core and two maintenance sessions in grade 6, two booster sessions in grade
7, and one booster session in grade 8. All students were assessed at pretest
(T1), immediate posttest (T2), end of grade 6 (T3), beginning and end of
grade 7 (T4 and T5), end of grade 8 (T6), and grades 11 and 12 (T7 and T8).
Ninety percent of study students were relocated and data obtained from over
80 percent of them at T8. Program effects on experimental smoking observed
in grades 7 and 8 had completely decayed by T8, six years after the
beginning of the program. Grade 6 smoking experience and social risk were
each strong predictors of T8 smoking behavior. Subjects who had left school
were smoking at more than twice the rate of subjects still in high school
(grade 12) at T8. We discuss implications of the results.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
medical education
smoking
EMTREE MEDICAL INDEX TERMS
education
epidemiology
female
follow up
human
human experiment
male
prevention
priority journal
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989239178
MEDLINE PMID
2782505 (http://www.ncbi.nlm.nih.gov/pubmed/2782505)
PUI
L19239136
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1999
TITLE
Alcohol research at the Hjellestad Clinic
AUTHOR NAMES
Laberg J.C.
Fauske S.
Loberg T.
AUTHOR ADDRESSES
(Laberg J.C.; Fauske S.; Loberg T.) The Hjellestad Clinic, Research
Department, N-5066 Hjellestad
CORRESPONDENCE ADDRESS
The Hjellestad Clinic, Research Department, N-5066 Hjellestad
SOURCE
British Journal of Addiction (1989) 84:9 (999-1009). Date of Publication:
1989
ISSN
0952-0481
BOOK PUBLISHER
Carfax Publishing Company, 4 Park Square, Milton Park, Abingdon,
Oxfordshire, United Kingdom.
ABSTRACT
Treatment and research efforts at the Hjellestad Clinic are based on a
biobehavioural model of the addictions. The treatment program encompasses
life-style changes and relapse prevention, and extensive assessment for the
purpose of the treatment choices. The clinic is treating nearly 1500
patients a year. Psychological and medical research projects have included
experimental drinking studies, psychopharmacological and biomedical studies,
treatment evaluations, studies of neuropsychological assessment, studies of
personality subtypes, studies of violence related to alcohol and drugs, and
investigations of women alcoholics. A new research laboratory houses and
experimental bar, and state-of-the-art facilities for psychophysiological
and neuropsychological testing. The Hjellestad Clinic is the only Norwegian
centre for clinical and experimental research on the addictions from a
psycho-physiological as well as behavioral and cognitive perspective. In
addition, a national educational program offers theoretical and practical
training for professionals and paraprofessionals in the addictions in
co-operation with the University of Bergen. Training in the addictions and
internships for psychology students at the University of Bergen is provided
at the Clinic. The centre has established connections with centres in
Scandinavia, England, Canada and the U.S., through visiting scholars and
study trips. (The centre has an especially strong liaison with the Rutgers
Center of Alcohol Studies.)
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
lifestyle
personality
violence
EMTREE MEDICAL INDEX TERMS
human
Norway
priority journal
research
short survey
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989232393
MEDLINE PMID
2676031 (http://www.ncbi.nlm.nih.gov/pubmed/2676031)
PUI
L19232351
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2000
TITLE
The medical profession has achieved a major change in its smoking behaviour;
How might undergraduate medical education achieve a similar change in
doctors' drinking habits?
AUTHOR NAMES
Talbot K.
AUTHOR ADDRESSES
(Talbot K.) Dean's Office, Charing Cross and Westminster Medical School,
London W6 8RP
CORRESPONDENCE ADDRESS
Dean's Office, Charing Cross and Westminster Medical School, London W6 8RP
SOURCE
Alcohol and Alcoholism (1989) 24:4 (339-345). Date of Publication: 1989
ISSN
0309-1635
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
medical student
physician
smoking
EMTREE MEDICAL INDEX TERMS
adult
clinical article
human
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1989226192
MEDLINE PMID
2789524 (http://www.ncbi.nlm.nih.gov/pubmed/2789524)
PUI
L19226150
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2001
TITLE
Attitudes to alcoholism in a Sydney teaching hospital
AUTHOR NAMES
Jurd S.
Lee M.
AUTHOR ADDRESSES
(Jurd S.; Lee M.) Alcohol and Drug Consultation/Liaison Service, Royal North
Shore Hospital, St Leonards, NSW 2065
CORRESPONDENCE ADDRESS
Alcohol and Drug Consultation/Liaison Service, Royal North Shore Hospital,
St Leonards, NSW 2065
SOURCE
Medical Journal of Australia (1989) 151:3 (153-157). Date of Publication:
1989
ISSN
0025-729X
BOOK PUBLISHER
Australasian Medical Publishing Co. Ltd, Level 2, 26-32 Pyrmont Bridge Road,
Pyrmont, Australia.
ABSTRACT
The physical and psychosocial tolls that are attributable to alcohol are
well-documented. However, our community has been slow to respond to this
serious problem. A survey of attitudes to alcoholism at a Sydney teaching
hospital found an acceptance of the disease model and an acknowledgement of
alcohol as Australia's main problem drug. The vast majority of respondents
felt that the National Campaign against Drug Abuse had paid inadequate
attention to alcohol.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
social adaptation
EMTREE MEDICAL INDEX TERMS
Australia
education
hospital
human
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989193836
MEDLINE PMID
2755375 (http://www.ncbi.nlm.nih.gov/pubmed/2755375)
PUI
L19193794
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2002
TITLE
Training physicians in counseling about smoking cessation. A randomized
trial of the 'Quit for Life' program
AUTHOR NAMES
Cummings S.R.
Coater T.J.
Richard R.J.
Hansen B.
Zahnd E.G.
VanderMartin R.
Duncan C.
Gerbert B.
Martin A.
Stein M.J.
AUTHOR ADDRESSES
(Cummings S.R.; Coater T.J.; Richard R.J.; Hansen B.; Zahnd E.G.;
VanderMartin R.; Duncan C.; Gerbert B.; Martin A.; Stein M.J.) University of
California, San Francisco, CA 94143
CORRESPONDENCE ADDRESS
University of California, San Francisco, CA 94143
SOURCE
Annals of Internal Medicine (1989) 110:8 (640-647). Date of Publication:
1989
ISSN
0003-4819
BOOK PUBLISHER
American College of Physicians, 190 N. Indenpence Mall West, Philadelphia,
United States.
ABSTRACT
Study Objective: To test whether physicians who receive a continuing
education program ('Quit for Life') about how to counsel smokers to quit
would counsel smokers more effectively and have higher rates of long-term
smoking cessation among their patients who smoke. Design: Randomized trial
with blinded assessment of principal outcomes. Setting: Four health
maintenance organization medical centers in northern California. Subjects:
Eighty-one internists assigned by blinded randomization to receive training
(40) or serve as controls (41). Consecutive samples of smokers visiting each
physician (mean, 25.6 patients per experimental and 25.2 per control
physician). Interventions: Internists received 3 hours of training about how
to help smokers quit. Physicians and their office staff also were given
self-help booklets to distribute free to smokers and were urged to use a
system of stickers on charts to remind physicians to counsel smokers about
quitting. Measurements and Main Results: On the basis of telephone
interviews with patients after visiting the physician, we determined that
internists who attended the Quit for Life program discussed smoking with
more patients who smoked, spent more time counseling them about smoking,
helped more patients set dates to quit smoking, gave out more self-help
booklets, and made more follow-up appointments to discuss smoking than did
internists in the control group. One year later, the rate of biochemically
confirmed, long-term (≥ 9 months) abstinence from smoking was 1% higher
among all patients of trained internists than among patients of controls
(95% CI, -0.1% to +2.3%), and 2.2% (+0.2% to +4.3%) higher among the
patients who most wanted to quit smoking. Conclusions: This continuing
education program substantially changed the way physicians counseled
smokers. As a result, a few more patients who wanted to quit smoking
achieved long-term abstinence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
internist
smoking cessation
EMTREE MEDICAL INDEX TERMS
counseling
education
human
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989105152
MEDLINE PMID
2930094 (http://www.ncbi.nlm.nih.gov/pubmed/2930094)
PUI
L19105113
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2003
TITLE
Undergraduate training in substance abuse in the United Kingdom
AUTHOR NAMES
Glass I.B.
AUTHOR ADDRESSES
(Glass I.B.) Addiction Research Unit, Institute of Psychiatry, London SE5
8AF
CORRESPONDENCE ADDRESS
Addiction Research Unit, Institute of Psychiatry, London SE5 8AF
SOURCE
British Journal of Addiction (1989) 84:2 (197-202). Date of Publication:
1989
ISSN
0952-0481
BOOK PUBLISHER
Carfax Publishing Company, 4 Park Square, Milton Park, Abingdon,
Oxfordshire, United Kingdom.
ABSTRACT
During 1987 thirteen departments in each of 28 medical schools were surveyed
about the training their undergraduate medical students received in
substance abuse. There was a 70% response rate, and of the departments that
responded, 54% provided formal teaching (lectures, seminars, symposia), on
average 14 hours over the 5 year training. Forty-three per cent of the major
clinical specialities provided clinical exposure to addiction problems, but
only 21% of clinical and non-clinical departments ensured that students were
examined on the topic. There is a need to focus teaching in addiction
behaviour either by co-ordinated effort over all departments, or by
integration within departments. It is pressing to review and revise the
medical curriculum because of the escalation of substance abuse, the need
for resources, the pivotal role of the medical profession and the relation
of drug abuse to the acquired immunodeficiency syndrome. The development of
a 'core' curriculum which demarcates key topics, and which encompasses and
links pre-clinical training and clinical training in addiction behaviour
would be valuable.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
vocational education
EMTREE MEDICAL INDEX TERMS
adult
education
female
human
human experiment
male
organization and management
priority journal
undergraduate education
United Kingdom
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989104899
MEDLINE PMID
2720184 (http://www.ncbi.nlm.nih.gov/pubmed/2720184)
PUI
L19104860
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2004
TITLE
New mandatory course in alcohol and drug dependence for medical students at
The Karolinska Institute
AUTHOR NAMES
Toraker P.
Rydberg U.S.
AUTHOR ADDRESSES
(Toraker P.; Rydberg U.S.) The Karolinska Institute, Department of
Psychiatry, Huddinge University Hospital, S-141 86 Huddinge
CORRESPONDENCE ADDRESS
The Karolinska Institute, Department of Psychiatry, Huddinge University
Hospital, S-141 86 Huddinge
SOURCE
Advances in Alcohol and Substance Abuse (1989) 8:1 (55-66). Date of
Publication: 1989
ISSN
0270-3106
ABSTRACT
Traditionally, instruction concerning alcohol and drug dependence has been
significant in medical schools. The Karolinska Institute in Stockholm,
Sweden, decided to introduce a special course starting in the academic year
of 1983-84. It is given 4 times a year and is of a comprehensive nature. It
comprises 2 weeks, 1 week of lectures and 1 week of clinical training and is
followed by a separate examination. The first 7 courses from the fall of
1983 to the spring of 1985 are described and evaluated here. Evidently, the
new course is much appreciated by the students and there is also a marked
shift in opinion towards a more positive attitude in coping with these
problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
vocational education
EMTREE MEDICAL INDEX TERMS
adult
education
female
human
human experiment
male
organization and management
Sweden
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989100479
MEDLINE PMID
2711914 (http://www.ncbi.nlm.nih.gov/pubmed/2711914)
PUI
L19100440
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2005
TITLE
Alcoholics Anonymous in medical school education
AUTHOR NAMES
Karnitschnig A.
AUTHOR ADDRESSES
(Karnitschnig A.) Department of Family and Community Medicine, Eastern
Virginia Medical School, Norfolk, VA
CORRESPONDENCE ADDRESS
Department of Family and Community Medicine, Eastern Virginia Medical
School, Norfolk, VA
SOURCE
Family Medicine (1989) 21:2 (146-147). Date of Publication: 1989
ISSN
0742-3225
BOOK PUBLISHER
Society of Teachers of Family Medicine, Ste 540, Leawood, United States.
ABSTRACT
The Department of Family and Community Medicine at Eastern Virginia Medical
School has implemented a program introducing second-year medical students to
Alcoholics Anonymous. This report reflects the results of the students'
experience. All students felt they would be able to use Alcoholics Anonymous
more effectively in caring for their patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education program
family medicine
medical education
EMTREE MEDICAL INDEX TERMS
education
human
methodology
normal human
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989097040
MEDLINE PMID
2925031 (http://www.ncbi.nlm.nih.gov/pubmed/2925031)
PUI
L19097001
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2006
TITLE
Doctors hear Koop on AIDS, tobacco issues.
AUTHOR ADDRESSES
SOURCE
Texas medicine (1989) 85:5 (16). Date of Publication: May 1989
ISSN
0040-4470
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
medical education
smoking (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS
article
disease transmission
human
risk factor
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2734703 (http://www.ncbi.nlm.nih.gov/pubmed/2734703)
PUI
L19439003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2007
TITLE
A randomized trial of physician training for smoking cessation
AUTHOR NAMES
Lindsay E.A.
Wilson D.M.
Best J.A.
Willms D.G.
Singer J.
Gilbert J.R.
Taylor D.W.
AUTHOR ADDRESSES
(Lindsay E.A.; Wilson D.M.; Best J.A.; Willms D.G.; Singer J.; Gilbert J.R.;
Taylor D.W.) Department of Family Medicine, McMaster University Medical
Centre, Hamilton, Ont.
CORRESPONDENCE ADDRESS
Department of Family Medicine, McMaster University Medical Centre, Hamilton,
Ont.
SOURCE
American Journal of Health Promotion (1989) 3:3 (11-18). Date of
Publication: 1989
ISSN
0890-1171
ABSTRACT
This randomized controlled trial investigated the effects of a smoking
cessation workshop on physician practices and on patients' smoking behavior.
Eighty-three community family physicians were randomly allocated by practice
to either 1) a Usual Care condition, 2) a group in which physicians were not
trained but were asked to address smoking cessation with specific patients,
or 3) a condition which included physician training as well as printed
resources and in which specific patients were identified as smokers. The
intervention taught to the physicians through a four hour training workshop
included providing advice about stopping smoking, the setting of a date for
stopping, the offer of nicotine gum, take-home materials, and the offer of
follow-up visits. The intervention was described, demonstrated, and the
physicians practiced with simulated patients. The outcome of the
intervention was assessed in terms of physician behavior and patient smoking
behavior. Exit interviews with patients demonstrated that patients of
trained physicians did not differ from patients of untrained physicians on
how willing they were to try to stop smoking nor on their receptiveness to
nicotine gum. However, there was a small but statistically significant
difference favoring the patients from the trained physician group who
successfully stopped smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
patient education
postgraduate education
smoking cessation
EMTREE MEDICAL INDEX TERMS
clinical trial
controlled study
education
human
methodology
normal human
psychological aspect
randomized controlled trial
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989075459
PUI
L19075420
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2008
TITLE
Substance abuse education during internal medicine training
AUTHOR NAMES
Bigby J.
AUTHOR ADDRESSES
(Bigby J.) National Institute on Alcohol Abuse and Alcoholism, Rockville, MD
20857
CORRESPONDENCE ADDRESS
National Institute on Alcohol Abuse and Alcoholism, Rockville, MD 20857
SOURCE
Journal of General Internal Medicine (1989) 4:1 (74-76). Date of
Publication: 1989
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
clinical practice
editorial
education
human
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1989049511
MEDLINE PMID
2915278 (http://www.ncbi.nlm.nih.gov/pubmed/2915278)
PUI
L19049510
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2009
TITLE
Review of the effectiveness of medical counseling in quitting smoking in
primary care
ORIGINAL (NON-ENGLISH) TITLE
Revisión de la efectividad del consejo médico para dejar de fumar en
atención primaria.
AUTHOR NAMES
Nebot Adell M.
Soler Vila M.
AUTHOR ADDRESSES
(Nebot Adell M.; Soler Vila M.)
CORRESPONDENCE ADDRESS
M. Nebot Adell,
SOURCE
Revista clínica española (1989) 184:5 (260-264). Date of Publication: Mar
1989
ISSN
0014-2565
ABSTRACT
After recognizing smoking habit as a relevant problem in our media, the
complex implications of this type of lifestyle are commented. After revising
the main obstacles for achieving primary health care preventive measures not
only for the patient, who frequently looks for a "treatment", but also for
the professional who generally desires immediate therapeutic success, we
describe the evolution of medical advice as a treatment for controlling
smoking habit. Studies done on this topic during the last 20 years have made
possible the identification of the basic factors associated with the success
of this procedure, such as complementing medical advice with graphic
support, establishing a date for dropping the habit, programming follow-up
visits, individualization of risks and the use of alternative resources such
as nicotine chewing gum. We conclude that intervention of primary health
care professionals is usefull and necessary and using the information
available is a good way to start.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient education
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
attitude to health
evaluation study
human
lifestyle
methodology
primary health care
review
LANGUAGE OF ARTICLE
Spanish
MEDLINE PMID
2672150 (http://www.ncbi.nlm.nih.gov/pubmed/2672150)
PUI
L19488376
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2010
TITLE
The management of opiate abuse: Learning from other addictions
AUTHOR NAMES
Brewer C.
AUTHOR ADDRESSES
(Brewer C.) Substance Abuse Treatment Programs, Stapleford Tawney RM4 1SR
CORRESPONDENCE ADDRESS
Substance Abuse Treatment Programs, Stapleford Tawney RM4 1SR
SOURCE
Journal of Drug Issues (1988) 18:4 (679-697). Date of Publication: 1988
ISSN
0022-0426
ABSTRACT
Similarities between the addictions suggest that much may be learned about
the management of opiate abuse from a study of the problems and results of
treatment in other types of compulsive or addictive behavior. Medical
methods of treatment, notably methadone, laevo-alpha acetyl methadole,
naltrexone and random urine screening, may make a useful contribution to
improvements in the outcome of mandatory programs when combined with close
supervision, and a rapid and predictable response to lack of compliance.
Some important features of a model treatment program are suggested.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
EMTREE MEDICAL INDEX TERMS
addiction
human
intravenous drug administration
legal aspect
management
normal human
oral drug administration
organization and management
preliminary communication
psychological aspect
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988268937
PUI
L18268933
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2011
TITLE
Substance use and the resident physician: a national study.
AUTHOR NAMES
Conard S.E.
Hughes P.
Baldwin D.
Achenbach K.
Sheehan D.
AUTHOR ADDRESSES
(Conard S.E.; Hughes P.; Baldwin D.; Achenbach K.; Sheehan D.) St. Paul
Family Practice Center, Dallas, Tx.
CORRESPONDENCE ADDRESS
S.E. Conard, St. Paul Family Practice Center, Dallas, Tx.
SOURCE
Research in medical education : proceedings of the ... annual Conference.
Conference on Research in Medical Education (1988) 27 (256-261). Date of
Publication: 1988
ABSTRACT
A national study of substance use and abuse among resident physicians
indicates that except for tranquilizers and barbiturates most illicit use of
drugs began prior to medical school and residency. Relatively few residents
were aware of substance abuse policies or educational programs in their
institutions.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
malpractice
medical education
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
education
human
medicine
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3265295 (http://www.ncbi.nlm.nih.gov/pubmed/3265295)
PUI
L19365740
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2012
TITLE
Substance use and abuse among senior medical students in 23 medical schools.
AUTHOR NAMES
Baldwin Jr. D.C.
Conard S.
Hughes P.
Achenbach K.E.
Sheehan D.V.
AUTHOR ADDRESSES
(Baldwin Jr. D.C.; Conard S.; Hughes P.; Achenbach K.E.; Sheehan D.V.)
Office of Education Research, American Medical Association, Chicago, IL
60610.
CORRESPONDENCE ADDRESS
D.C. Baldwin, Office of Education Research, American Medical Association,
Chicago, IL 60610.
SOURCE
Research in medical education : proceedings of the ... annual Conference.
Conference on Research in Medical Education (1988) 27 (262-267). Date of
Publication: 1988
ABSTRACT
The current study represents the first large-scale study of substance use
and abuse among 2,046 senior medical students at 23 nationally distributed
medical schools. With the exception of alcohol and tranquilizers, medical
students use less of all such substances than do age-related cohorts from
the general population.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
malpractice
medical education
EMTREE MEDICAL INDEX TERMS
alcoholism (epidemiology)
article
cross-sectional study
female
human
male
smoking (epidemiology)
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3265296 (http://www.ncbi.nlm.nih.gov/pubmed/3265296)
PUI
L19365741
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2013
TITLE
Medical teachers' opinion on various sources of information related to
smoking control (data from a questionnaire survey)
ORIGINAL (NON-ENGLISH) TITLE
Mnenie prepodavateleǐ meditsinskogo instituta o razlichnykh istochnikakh
informatsii po bo'rbe s kureniem (po dannym anketnogo oprosa).
AUTHOR NAMES
Kiselev V.I.
AUTHOR ADDRESSES
(Kiselev V.I.)
CORRESPONDENCE ADDRESS
V.I. Kiselev,
SOURCE
Sovetskoe zdravookhranenie / Ministerstvo zdravookhraneniia SSSR (1988) :12
(25-28). Date of Publication: 1988
ISSN
0038-5239
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
information service
mass medium
medical school
public opinion
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
female
human
male
organization and management
questionnaire
Russian Federation
standard
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
3255180 (http://www.ncbi.nlm.nih.gov/pubmed/3255180)
PUI
L19466426
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2014
TITLE
Prevalence of smoking among faculty members of the medical institute
ORIGINAL (NON-ENGLISH) TITLE
Rasprostranenie kureniia sredi professorsko-prepodavatel'skogo sostava
meditsinskogo instituta.
AUTHOR NAMES
Kiselev V.I.
AUTHOR ADDRESSES
(Kiselev V.I.)
CORRESPONDENCE ADDRESS
V.I. Kiselev,
SOURCE
Sovetskoe zdravookhranenie / Ministerstvo zdravookhraneniia SSSR (1988) :11
(32-34). Date of Publication: 1988
ISSN
0038-5239
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
comparative study
cross-sectional study
female
human
male
questionnaire
Russian Federation
sex difference
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
3266371 (http://www.ncbi.nlm.nih.gov/pubmed/3266371)
PUI
L19409696
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2015
TITLE
The university and the training of professionals to deal with drug
dependencies
ORIGINAL (NON-ENGLISH) TITLE
La universidad y la formación de profesionales en drogodependencias.
AUTHOR NAMES
Fernández P.L.
AUTHOR ADDRESSES
(Fernández P.L.)
CORRESPONDENCE ADDRESS
P.L. Fernández,
SOURCE
Anales de la Real Academia Nacional de Medicina (1988) 105:4 (415-430). Date
of Publication: 1988
ISSN
0034-0634
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
medical education
sociology
EMTREE MEDICAL INDEX TERMS
article
education
human
Spain
LANGUAGE OF ARTICLE
Spanish
MEDLINE PMID
3252741 (http://www.ncbi.nlm.nih.gov/pubmed/3252741)
PUI
L19450841
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2016
TITLE
Substance abuse units taught by four specialties in medical schools and
residency programs
AUTHOR NAMES
Davis A.K.
Cotter F.
Czechowicz D.
AUTHOR ADDRESSES
(Davis A.K.; Cotter F.; Czechowicz D.) Substance Abuse Faculty Development
Program of the Society of Teachers of Family Medicine, Kansas City, MO
CORRESPONDENCE ADDRESS
Substance Abuse Faculty Development Program of the Society of Teachers of
Family Medicine, Kansas City, MO
SOURCE
Journal of Medical Education (1988) 63:10 (739-746). Date of Publication:
1988
ISSN
0022-2577
BOOK PUBLISHER
Association of American Medical Colleges, 2450 N Street, NW, Washington,
United States.
ABSTRACT
Four medical specialty organizations conducted a survery of 294 departments
in 98 medical schools and 1,124 residency programs to identify the number
and type of curriculum units on substance abuse offered by these
specialties. A curriculum unit was defined as a formal block of teaching on
substance abuse. A total of 251 (85 percent) of the medical school
departments and 828 (74 percent) of the residency programs responded. Of
those, 175 (70 percent) of the medical school departments and 479 (58
percent) of the residency programs reported offering at least one curriculum
unit on substance abuse. There was considerable variation among the four
specialties in the number and percentage of departments or programs
reporting such units. Overall, a majority of the units addressed both
alcohol and other drugs, were required, and included a clinical component.
Evaluations of content and teaching strategies are needed to examine the
quality and adequacy of substance abuse training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical school
residency education
teaching
EMTREE MEDICAL INDEX TERMS
education
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988250868
MEDLINE PMID
3172153 (http://www.ncbi.nlm.nih.gov/pubmed/3172153)
PUI
L18250864
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2017
TITLE
Substance use by fourth-year students at 13 U.S. medical schools
AUTHOR NAMES
Conard S.
Hughes P.
deWitt Jr. C.B.
Achenbach K.E.
Sheehan D.V.
AUTHOR ADDRESSES
(Conard S.; Hughes P.; deWitt Jr. C.B.; Achenbach K.E.; Sheehan D.V.) Center
for the Study of Impaired Professionals, University of South Florida, Tampa
CORRESPONDENCE ADDRESS
Center for the Study of Impaired Professionals, University of South Florida,
Tampa
SOURCE
Journal of Medical Education (1988) 63:10 (747-758). Date of Publication:
1988
ISSN
0022-2577
BOOK PUBLISHER
Association of American Medical Colleges, 2450 N Street, NW, Washington,
United States.
ABSTRACT
Fourth-year medical students at 13 medical schools in different regions of
the United States received an anonymous questionnaire designed to examine
their current and prior use of 11 substances and their attitudes toward
substance use among physicians. Of 1,427 questionnaires distributed, 41
percent were returned. The questionnaire and distribution method were
derived from an ongoing survey on drug use in order to permit comparison of
the medical students with a national sample of age- and sex-matched cohorts.
The rates of substance use during the 30 days preceding receipt of the
questionnaire were: alcohol, 87.8 percent; marijuana, 17.3 percent;
cigarettes, 9.0 percent; cocaine, 5.6 percent; heroin, 0.0 percent; other
opiates, 0.9 percent; LSD, 0.2 percent; other psychedelics, 0.5 percent;
barbiturates, 0.5 percent; tranquilizers, 2.2 percent; and amphetamines, 1.2
percent. Compared with their age and sex cohorts nationally, the medical
students reported less use of marijuana, cocaine, cigarettes, LSD,
barbiturates, and amphetamines. However, their use of other opiates was
approximately the same and their use of tranquilizers and alcohol was
slightly higher than that of the other cohorts. Data on their sources of
knowledge about drug abuse indicate the need for greater attention to this
issue in the medical curriculum.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
cocaine
diamorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
medical student
EMTREE MEDICAL INDEX TERMS
normal human
priority journal
United States
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988250869
MEDLINE PMID
3172154 (http://www.ncbi.nlm.nih.gov/pubmed/3172154)
PUI
L18250865
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2018
TITLE
The alcohol-abusing patient: A challenge to the profession
AUTHOR NAMES
Bowen O.R.
Sammons J.H.
AUTHOR ADDRESSES
(Bowen O.R.; Sammons J.H.)
SOURCE
Journal of the American Medical Association (1988) 260:15 (2267-2270). Date
of Publication: 1988
ISSN
0098-7484
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
As early as 1973, the Macy Foundation report emphasized that 'Education in
the treatment and prevention of drug abuse should not be limited to the
structured curricula of schools of medicine and public health, but must be
extended through post-graduate courses and other forms of continuing
education to provide permanent channels of education for both practicing
physicians and the biomedical research establishment'. This goal remains a
guidepost. While many of the barriers to physician involvement in prevention
and early identification of alcohol and other drug abuse have been
recognized, eliminating them remains a formidable task. The availability of
physicians who are role models for coping effectively with the problems of
patients who abuse alcohol and other drugs also is essential. Audiovisual
programs, brief classroom instruction, and visits to treatment facilities
are not enough; day-to-day contact with clinical staff who are experienced
in dealing with alcohol and other drug abuse is vital if programs are to
have real impact. Specialty groups and medical school departments need to
systematically incorporate training in prevention and treatment into the
content of each of their areas and to address every level of medical
training: medical students, house staff, and practicing physicians.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health care organization
health care policy
health education
medical education
patient education
EMTREE MEDICAL INDEX TERMS
education
human
organization and management
priority journal
short survey
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988242685
MEDLINE PMID
3050167 (http://www.ncbi.nlm.nih.gov/pubmed/3050167)
PUI
L18242681
DOI
10.1001/jama.260.15.2267
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.260.15.2267
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2019
TITLE
Physicians need better training on prescribing nicotine gum: study.
AUTHOR ADDRESSES
SOURCE
Boletín de la Asociación Médica de Puerto Rico (1988) 80:11 (445-446). Date
of Publication: Nov 1988
ISSN
0004-4849
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine (drug administration, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chewing gum
clinical practice
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
human
CAS REGISTRY NUMBERS
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3219169 (http://www.ncbi.nlm.nih.gov/pubmed/3219169)
PUI
L19366182
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2020
TITLE
Substance abuse among medical trainees: Current problems and evolving
resources
AUTHOR NAMES
Westermeyer J.
AUTHOR ADDRESSES
(Westermeyer J.) Alcohol-Drug Treatment Program, University of Minnesota,
Minneapolis, MN 55455
CORRESPONDENCE ADDRESS
Alcohol-Drug Treatment Program, University of Minnesota, Minneapolis, MN
55455
SOURCE
American Journal of Drug and Alcohol Abuse (1988) 14:3 (393-404). Date of
Publication: 1988
ISSN
0095-2990
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
Substance abuse among medical students and residents, while not new, has
increased in frequency, appears earlier, and is more apt to involve illicit
drugs. In addition to these pathological changes, certain mental health
resources for medical students have declined (although there is considerable
variability from one location to another). These changes have stimulated
certain innovative approaches to such problems. Both these recent problems
as well as recent responses for dealing with them are presented.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical student
EMTREE MEDICAL INDEX TERMS
adult
education
female
human
male
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988214899
MEDLINE PMID
3189259 (http://www.ncbi.nlm.nih.gov/pubmed/3189259)
PUI
L18214899
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2021
TITLE
Substance abuse policies and programs at U.S. medical schools.
AUTHOR NAMES
Rowley B.D.
Baldwin Jr. D.C.
AUTHOR ADDRESSES
(Rowley B.D.; Baldwin Jr. D.C.) Office of Education Research, American
Medical Association, Chicago, Illinois.
CORRESPONDENCE ADDRESS
B.D. Rowley, Office of Education Research, American Medical Association,
Chicago, Illinois.
SOURCE
Journal of medical education (1988) 63:10 (759-761). Date of Publication:
Oct 1988
ISSN
0022-2577
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, therapy)
health care policy
medical school
EMTREE MEDICAL INDEX TERMS
article
health service
human
organization and management
Puerto Rico
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3172155 (http://www.ncbi.nlm.nih.gov/pubmed/3172155)
PUI
L18805306
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2022
TITLE
Medical students hold anti-tobacco art contest for kids.
AUTHOR ADDRESSES
SOURCE
Wisconsin medical journal (1988) 87:10 (31). Date of Publication: Oct 1988
ISSN
0043-6542
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
smoking (prevention)
student
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
human
methodology
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3232399 (http://www.ncbi.nlm.nih.gov/pubmed/3232399)
PUI
L19386013
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2023
TITLE
Pharmacist involvement in a chemical-dependency rehabilitation program.
AUTHOR NAMES
Haynes M.
AUTHOR ADDRESSES
(Haynes M.) CareUnit Hospital of Kirkland, WA 98034.
CORRESPONDENCE ADDRESS
M. Haynes, CareUnit Hospital of Kirkland, WA 98034.
SOURCE
American journal of hospital pharmacy (1988) 45:10 (2099-2101). Date of
Publication: Oct 1988
ISSN
0002-9289
ABSTRACT
Pharmacist involvement in a small hospital for the treatment and
rehabilitation of patients with chemical dependency is described. The
pharmacist's primary responsibilities include provision of pharmaceutical
services to meet the medical needs of patients during detoxification;
development of detoxification protocols for management of withdrawal from
drugs of abuse; education of patients and their families, other clinical
staff members, and pharmacy students about the pathophysiology of addiction,
treatment options, and the foundations of recovery; medication and addiction
counseling; and multidisciplinary team support of recovery. To successfully
fulfill this complex role, the pharmacist must have specialized education on
alcoholism and addiction, develop good communications skills, and learn the
dynamics of recovery support groups. The pharmacist employed at this
hospital spends about 70% of her time with pharmaceutical services and 30%
with counseling services. A pharmacist working in a chemical-dependency
rehabilitation program has a unique opportunity to affect positively the
physical and emotional health of the recovering individual by taking on
responsibilities beyond those traditionally associated with pharmacy
practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
hospital pharmacy
patient care
pharmacist
EMTREE MEDICAL INDEX TERMS
article
education
hospital bed capacity
human
patient education
pharmacy student
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3228081 (http://www.ncbi.nlm.nih.gov/pubmed/3228081)
PUI
L19379601
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2024
TITLE
A resident's training program for the development of smoking intervention
skills
AUTHOR NAMES
Ockene J.K.
Quirk M.E.
Goldberg R.J.
Kristeller J.L.
Donnelly G.
Kalan K.L.
Gould B.
Greene H.L.
Harrison-Atlas R.
Pease J.
Pickens S.
Williams J.W.
AUTHOR ADDRESSES
(Ockene J.K.; Quirk M.E.; Goldberg R.J.; Kristeller J.L.; Donnelly G.; Kalan
K.L.; Gould B.; Greene H.L.; Harrison-Atlas R.; Pease J.; Pickens S.;
Williams J.W.) Division of Preventive and Behavioral Medicine, University of
Massachusetts Medical School, Worcester, MA 01655
CORRESPONDENCE ADDRESS
Division of Preventive and Behavioral Medicine, University of Massachusetts
Medical School, Worcester, MA 01655
SOURCE
Archives of Internal Medicine (1988) 148:5 (1039-1045). Date of Publication:
1988
ISSN
0003-9926
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
This article describes the results of a three-hour training program that
teaches residents a patient-centered counseling approach to smoking
cessation, emphasizing questioning and exploring feelings, rather than
providing information. Fifty internal medicine and family practice residents
affiliated with a university medical center were assessed before and after
training using questionnaires and videotape documenting changes in their
knowledge about smoking, attitudes concerning intervention, and intervention
skills. The residents showed a significant increase in knowledge and
perceived themselves as having significantly more influence on their
patients who smoke after completion of the training program. Counselling
skills improved significantly in the use of questions and exploring feelings
as judged by blind evaluation of videotapes. The results of this three-hour
training program suggest that physicians in training are responsive to the
teaching of specialized skills deemed important for promoting health
behavior changes in their patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health behavior
smoking
EMTREE MEDICAL INDEX TERMS
attitude
clinical article
education
epidemiology
human
prevention
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988159079
MEDLINE PMID
3365074 (http://www.ncbi.nlm.nih.gov/pubmed/3365074)
PUI
L18159079
DOI
10.1001/archinte.148.5.1039
FULL TEXT LINK
http://dx.doi.org/10.1001/archinte.148.5.1039
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2025
TITLE
Evaluation of a continuing medical education program for primary care
physicians on the management of alcoholism
AUTHOR NAMES
Brown R.L.
AUTHOR ADDRESSES
(Brown R.L.) Department of Family Medicine, Jefferson Medical College,
Thomas Jefferson University, Philadelphia, PA
CORRESPONDENCE ADDRESS
Department of Family Medicine, Jefferson Medical College, Thomas Jefferson
University, Philadelphia, PA
SOURCE
Journal of Medical Education (1988) 63:6 (482-484). Date of Publication:
1988
ISSN
0022-2577
BOOK PUBLISHER
Association of American Medical Colleges, 2450 N Street, NW, Washington,
United States.
ABSTRACT
Alcoholism and alcohol abuse are major public health problems that
physicians often do not diagnose or treat effectively. Yet there have been
no recent reports of continuing medical education (CME) programs directed at
these deficiencies. The purpose of this study is to determine whether a
specific CME program would measurably improve the diagnosis and treatment of
alcoholism by primary care physicians.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education program
medical education
postgraduate education
primary health care
EMTREE MEDICAL INDEX TERMS
adult
education
family medicine
human
internal medicine
methodology
normal human
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988150699
MEDLINE PMID
3286871 (http://www.ncbi.nlm.nih.gov/pubmed/3286871)
PUI
L18150699
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2026
TITLE
Alcohol and drug taking among medical students at a Nigerian university
campus: Part 2. sociodemographic factors of etiologic significance
AUTHOR NAMES
Ihezue U.H.
AUTHOR ADDRESSES
(Ihezue U.H.) Department of Psychological Medicine, College of Medicine,
University of Nigeria, Enugu
CORRESPONDENCE ADDRESS
Department of Psychological Medicine, College of Medicine, University of
Nigeria, Enugu
SOURCE
Journal of the National Medical Association (1988) 80:2 (191-195). Date of
Publication: 1988
ISSN
0027-9684
BOOK PUBLISHER
National Medical Association, 1012 Tenth Street NW, Washington, United
States.
ABSTRACT
In a survey of Nigerian undergraduate medical students, alcohol and drug
users were classified as frequent users, casual users, and nonusers. Place
of residence during session and family structure recorded no significant
contribution to the development of substance abuse. Male sex, poor
performance on examinations, drug taking among close friends and peers, and
a family background of lower socioeconomic status emerged as
sociodemographic factors correlating positively with the presence of
substance abuse. Health education, controlled distribution of drugs and
alcohol, stringent regulatory provisions against their use, and a permanent
Commission on Substance Abuse with full judicial powers are suggested as
measures that may help control the abuse of psychoactive substances and the
hazard they pose to public health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
medical student
EMTREE MEDICAL INDEX TERMS
adult
demography
economic aspect
education
ethnic or racial aspects
etiology
human
Nigeria
normal human
prevention
psychological aspect
sex difference
social aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988137974
MEDLINE PMID
3241308 (http://www.ncbi.nlm.nih.gov/pubmed/3241308)
PUI
L18137974
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2027
TITLE
Prevalence of smoking and its motivation among students of 2 institutions of
higher learning in Bialystok
ORIGINAL (NON-ENGLISH) TITLE
Rozpowszechnienie i motywacja palenia tytoniu wśród studentów dwóch wyzszych
uczelni Białegostoku.
AUTHOR NAMES
Fabczak J.
Kowal E.
AUTHOR ADDRESSES
(Fabczak J.; Kowal E.)
CORRESPONDENCE ADDRESS
J. Fabczak,
SOURCE
Pneumonologia polska (1988) 56:6 (273-277). Date of Publication: Jun 1988
ISSN
0376-4761
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
motivation
smoking (epidemiology)
student
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
cross-sectional study
engineering
female
human
male
medical student
Poland
psychological aspect
LANGUAGE OF ARTICLE
Polish
MEDLINE PMID
3265785 (http://www.ncbi.nlm.nih.gov/pubmed/3265785)
PUI
L19377985
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2028
TITLE
A survey on the prevalence of alcoholism among the faculty and house staff
of an academic teaching hospital.
AUTHOR NAMES
Siegel B.J.
Fitzgerald F.T.
AUTHOR ADDRESSES
(Siegel B.J.; Fitzgerald F.T.)
CORRESPONDENCE ADDRESS
B.J. Siegel,
SOURCE
The Western journal of medicine (1988) 148:5 (593-595). Date of Publication:
May 1988
ISSN
0093-0415
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
hospital personnel
medical school
teaching hospital
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
female
human
male
manpower
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3262952 (http://www.ncbi.nlm.nih.gov/pubmed/3262952)
PUI
L18810657
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2029
TITLE
Alcoholism training in a family medicine residency
AUTHOR NAMES
Confusione M.
Leonard K.
Jaffe A.
AUTHOR ADDRESSES
(Confusione M.; Leonard K.; Jaffe A.) State University of New York,
Department of Family Medicine, Stony Brook, NY 11790
CORRESPONDENCE ADDRESS
State University of New York, Department of Family Medicine, Stony Brook, NY
11790
SOURCE
Journal of Substance Abuse Treatment (1988) 5:1 (19-22). Date of
Publication: 1988
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The literature in alcoholism education for the health professions reveals
that despite some strides in the development of training programs, both
medical students and practicing physicians exhibit negative attitudes toward
alcoholics that may adversely affect the care offered to these patients.
This paper presents a program of alcoholism identification and management
training for family practice residents which has been developed to
supplement an existing drug abuse treatment program. Residents spend four
half-day sessions engaged in seminars, outpatient experiences, and inpatient
rotations under the direction of a clinical psychologist specializing in
substance abuse and under the direction of the medical staff of a voluntary
hospital well-known as a center of alcoholism treatment. Training activities
include participation in group therapy sessions with alcoholic patients,
interviewing patients in the early stages of rehabilitation, participation
in an adolescent alcoholism treatment program and attendance in seminars on
the prevention, identification, and treatment of alcoholism. Residents'
evaluations of the experience reveal overall satisfaction with the program
and their roles in its conduct, but they indicate a need for more active
roles in the hands-on management of emergency cases.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
vocational education
EMTREE MEDICAL INDEX TERMS
education
female
general practice
human
human experiment
male
organization and management
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988090166
MEDLINE PMID
3361622 (http://www.ncbi.nlm.nih.gov/pubmed/3361622)
PUI
L18090166
DOI
10.1016/0740-5472(88)90033-5
FULL TEXT LINK
http://dx.doi.org/10.1016/0740-5472(88)90033-5
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2030
TITLE
Alcoholism education.
AUTHOR NAMES
Siegel B.J.
Fitzgerald F.T.
AUTHOR ADDRESSES
(Siegel B.J.; Fitzgerald F.T.)
CORRESPONDENCE ADDRESS
B.J. Siegel,
SOURCE
Journal of medical education (1988) 63:3 (204). Date of Publication: Mar
1988
ISSN
0022-2577
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholics anonymous
alcoholism (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
human
letter
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3346898 (http://www.ncbi.nlm.nih.gov/pubmed/3346898)
PUI
L18714819
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2031
TITLE
University of Alabama School of Medicine. Policy on impaired students and
faculty with special reference to substance abuse.
AUTHOR NAMES
Pittman Jr. J.A.
Scott C.W.
AUTHOR ADDRESSES
(Pittman Jr. J.A.; Scott C.W.)
CORRESPONDENCE ADDRESS
J.A. Pittman,
SOURCE
The Alabama journal of medical sciences (1988) 25:1 (84-90). Date of
Publication: Jan 1988
ISSN
0002-4252
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
management
medical school
medical student
EMTREE MEDICAL INDEX TERMS
article
human
organization and management
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3344930 (http://www.ncbi.nlm.nih.gov/pubmed/3344930)
PUI
L18712254
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2032
TITLE
Substance use, eating behaviors, and social impairment of medical students
AUTHOR NAMES
Herzog D.B.
Borus J.F.
Hamburg P.
Ott I.L.
Concus A.
AUTHOR ADDRESSES
(Herzog D.B.; Borus J.F.; Hamburg P.; Ott I.L.; Concus A.) Eating Disorders
Unit, Massachusetts General Hospital, Boston, MA
CORRESPONDENCE ADDRESS
Eating Disorders Unit, Massachusetts General Hospital, Boston, MA
SOURCE
Journal of Medical Education (1987) 62:8 (651-657). Date of Publication:
1987
ISSN
0022-2577
BOOK PUBLISHER
Association of American Medical Colleges, 2450 N Street, NW, Washington,
United States.
ABSTRACT
Self-report instruments assessing substance use, eating behaviors, social
adjustment, and depression were distributed to all 329 first- and
second-year medical students at a private northeastern university.
Two-hundred students (61 percent) completed the questionnaires. Thirty-five
students (17.5 percent) were found to be at risk for substance (alcohol and
psychoactive drugs) abuse, of whom 13 were found to be at high risk.
Thirty-three students (16.5 percent) were found to be at risk for an eating
disorder, of whom only one was at high risk. Risk for eating disorders was
greater for the female students, but risk for substance abuse was not
related to gender. Psychosocial impairment and depression were associated
with risk for either eating disorders or substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression
feeding behavior
medical student
social adaptation
substance abuse
EMTREE MEDICAL INDEX TERMS
education
etiology
human
psychological aspect
social aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987210121
MEDLINE PMID
3475473 (http://www.ncbi.nlm.nih.gov/pubmed/3475473)
PUI
L17142621
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2033
TITLE
The impact of a continuing education package for smoking cessation on
physicians' clinical behavior and patient smoking.
AUTHOR NAMES
Lindsay-McIntyre E.
Wilson D.
Best J.A.
Gilbert J.R.
Taylor W.
Willms D.
Singer J.
AUTHOR ADDRESSES
(Lindsay-McIntyre E.; Wilson D.; Best J.A.; Gilbert J.R.; Taylor W.; Willms
D.; Singer J.) McMaster University, Hamilton, Ontario, Canada.
CORRESPONDENCE ADDRESS
E. Lindsay-McIntyre, McMaster University, Hamilton, Ontario, Canada.
SOURCE
Research in medical education : proceedings of the ... annual Conference.
Conference on Research in Medical Education (1987) 26 (14-19). Date of
Publication: 1987
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
medical education
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
education
human
physician attitude
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3454577 (http://www.ncbi.nlm.nih.gov/pubmed/3454577)
PUI
L18786048
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2034
TITLE
Determinants of smoking cessation among physicians and teachers from
northeastern Italy
AUTHOR NAMES
Serraino D.
Talamini R.
Franceschi S.
AUTHOR ADDRESSES
(Serraino D.; Talamini R.; Franceschi S.) Servizio di Epidemiologia, Centro
di Riferimento Oncologico, 33081 Aviano
CORRESPONDENCE ADDRESS
Servizio di Epidemiologia, Centro di Riferimento Oncologico, 33081 Aviano
SOURCE
Revue d'Epidemiologie et de Sante Publique (1987) 35:5 (393-400). Date of
Publication: 1987
ISSN
0398-7620
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France.
ABSTRACT
Determinants of smoking cessation among 909 physicians and teachers from the
Northeast of Italy were investigated between March and November 1985. Men
were heavier smokers than women and showed a larger cessation rate (46% of
men and 32% of women who had ever smoked were ex-smokers). The stronger
determinants of smoking cessation turned out to be a high number of
cigarettes smoked per day, and (especially for men) a relatively old age.
From the study, it appears that smoking cessation in Italy is not motivated
by disease prevention considerations but is the result of disease-linked
symptoms. Antismoking campaigns should, therefore, more strongly emphasize
the advantages (especially short-term ones) of quitting smoking while one is
still well. For their exemplar role, physicians and teachers are on the
front line of antismoking action: convincing them to stop smoking is, thus,
an obvious priority.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
physician
smoking cessation
teacher
EMTREE MEDICAL INDEX TERMS
education
geographic distribution
human
Italy
normal human
prevention
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
French
EMBASE ACCESSION NUMBER
1987235250
MEDLINE PMID
3432709 (http://www.ncbi.nlm.nih.gov/pubmed/3432709)
PUI
L17167750
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2035
TITLE
Attitudes and smoking habits of physicians at the Lagos University Teaching
Hospital
AUTHOR NAMES
Bandele E.O.
Osadiaye J.A.
AUTHOR ADDRESSES
(Bandele E.O.; Osadiaye J.A.) Respiratory Unit, College of Medicine of the
University of Lagos, Lagos
CORRESPONDENCE ADDRESS
Respiratory Unit, College of Medicine of the University of Lagos, Lagos
SOURCE
Journal of the National Medical Association (1987) 79:4 (430-432). Date of
Publication: 1987
ISSN
0027-9684
BOOK PUBLISHER
National Medical Association, 1012 Tenth Street NW, Washington, United
States.
ABSTRACT
The attitudes and smoking habits of 333 doctors at the Lagos University
Teaching Hospital were studied. Sixty eight percent were nonsmokers, while
24 percent were currently smoking, and 8 percent were ex-smokers. Surgeons
(26 percent) and obstetricians and gynecologists (24 percent) accounted for
most of the current smokers. The majority of doctors in Lagos were well
informed on the health risks of smoking, but an insufficient number of them
are currently giving advice on smoking cessation to their patients. There is
a need to further educate doctors in Lagos on the important role physicians
can play in smoking-cessation efforts.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
physician
smoking
EMTREE MEDICAL INDEX TERMS
ethnic or racial aspects
human
human experiment
Nigeria
normal human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988055052
MEDLINE PMID
3586041 (http://www.ncbi.nlm.nih.gov/pubmed/3586041)
PUI
L18055052
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2036
TITLE
Alcohol and drug abuse research center Harvard Medical School-McLean
Hospital: Activities during 1986
AUTHOR NAMES
Mendelson J.H.
AUTHOR ADDRESSES
(Mendelson J.H.) Harvard Medical School-McLean Hospital, Belmont, MA
CORRESPONDENCE ADDRESS
Harvard Medical School-McLean Hospital, Belmont, MA
SOURCE
British Journal of Addiction (1987) 82:11 (1191-1202). Date of Publication:
1987
ISSN
0952-0481
BOOK PUBLISHER
Carfax Publishing Company, 4 Park Square, Milton Park, Abingdon,
Oxfordshire, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
behavior
biochemistry
drug dependence
education
epidemiology
menstrual cycle
sociology
EMTREE MEDICAL INDEX TERMS
clinical article
human
psychological aspect
research
sex
short survey
United States
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1988004538
MEDLINE PMID
3480737 (http://www.ncbi.nlm.nih.gov/pubmed/3480737)
PUI
L18004538
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2037
TITLE
Symposium: Substance use and abuse among medical students.
AUTHOR ADDRESSES
SOURCE
Research in medical education : proceedings of the ... annual Conference.
Conference on Research in Medical Education (1987) 26 (275-282). Date of
Publication: 1987
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
medical student
EMTREE MEDICAL INDEX TERMS
human
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3331511 (http://www.ncbi.nlm.nih.gov/pubmed/3331511)
PUI
L18786069
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2038
TITLE
Smoking habits of final-year Galician medical students
AUTHOR NAMES
Gestal-Otero J.J.
Montes-Martinez A.
AUTHOR ADDRESSES
(Gestal-Otero J.J.; Montes-Martinez A.) Departamento de Medicina Preventiva
y Social, Facultad de Medicina, Santiago de Compostela
CORRESPONDENCE ADDRESS
Departamento de Medicina Preventiva y Social, Facultad de Medicina, Santiago
de Compostela
SOURCE
Revue d'Epidemiologie et de Sante Publique (1987) 35:5 (386-392). Date of
Publication: 1987
ISSN
0398-7620
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France.
ABSTRACT
Smoking habits among final-year Galician medical students have been studied
using a questionnaire complying with the recommendations of the W.H.O. and
the U.I.C.C. Aspects reported include the prevalence of the smoking habit,
the characteristics of smoker, drug and habit, and health problems
attributed to smoking. The prevalence rate was high (61.9%); average
consumption by smokers was 16 cigarettes/day; most smokers smoked cigarettes
with medium-to-high nicotine and medium-to-low tar contents; and the
proportion of ex-smokers was small. Smokers were found to be well aware of
the dangers of smoking, and their failure to relinquish the habit is
attributed to lack of social support. The role of Medical Faculties in the
fight against smoking is discussed, and it is suggested that priority should
be given to anti-smoking campaigns among secondary school students (14-17
year-olds) and university undergraduates, since 60% of smokers acquired the
habit during the former period and 21% during the latter.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
epidemiology
health education
medical student
smoking
smoking cessation
tobacco
EMTREE MEDICAL INDEX TERMS
article
education
geographic distribution
human
normal human
prevention
review
Spain
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
French
EMBASE ACCESSION NUMBER
1987235249
MEDLINE PMID
3432708 (http://www.ncbi.nlm.nih.gov/pubmed/3432708)
PUI
L17167749
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2039
TITLE
Smoking and bronchial carcinoma: socio-medical conclusions
ORIGINAL (NON-ENGLISH) TITLE
Rauchen und Bronchuskarzinom: sozialmedizinische Schlussfolgerungen.
AUTHOR NAMES
Kunze M.
AUTHOR ADDRESSES
(Kunze M.)
CORRESPONDENCE ADDRESS
M. Kunze,
SOURCE
Österreichische Krankenpflegezeitschrift (1987) 40 (277-278). Date of
Publication: Nov 1987
ISSN
0303-4461
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS
article
Austria
human
LANGUAGE OF ARTICLE
German
MEDLINE PMID
3696715 (http://www.ncbi.nlm.nih.gov/pubmed/3696715)
PUI
L18685325
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2040
TITLE
Alcohol and medical education.
AUTHOR NAMES
Roche A.
Saunders J.B.
AUTHOR ADDRESSES
(Roche A.; Saunders J.B.)
CORRESPONDENCE ADDRESS
A. Roche,
SOURCE
Lancet (1987) 2:8566 (1028). Date of Publication: 31 Oct 1987
ISSN
0140-6736
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health personnel attitude
medical education
EMTREE MEDICAL INDEX TERMS
Australia
human
letter
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2889936 (http://www.ncbi.nlm.nih.gov/pubmed/2889936)
PUI
L17814218
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2041
TITLE
A contribution to the conception of cardiological rehabilitation in
rehabilitation medicine
AUTHOR NAMES
Stolz I.
Pisa Z.
AUTHOR ADDRESSES
(Stolz I.; Pisa Z.) Institut Klinicke a Experimentalni Mediciny, 146 22
Praha 4-Krc
CORRESPONDENCE ADDRESS
Institut Klinicke a Experimentalni Mediciny, 146 22 Praha 4-Krc
SOURCE
Rehabilitacia (1987) 20:SUPPL. 34 (30-36). Date of Publication: 1987
ISSN
0375-0922
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
heart rehabilitation
independence
ischemic heart disease
physical education
smoking
spa treatment
work resumption
EMTREE MEDICAL INDEX TERMS
age
cardiovascular system
economic aspect
education
heart
human
prevention
psychological aspect
short survey
social aspect
therapy
LANGUAGE OF ARTICLE
Czech
LANGUAGE OF SUMMARY
English, German, French, Russian
EMBASE ACCESSION NUMBER
1987192650
PUI
L17125150
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2042
TITLE
Use of psychoactive substances by residents.
AUTHOR NAMES
Maddux J.F.
Timmerman I.M.
Costello R.M.
AUTHOR ADDRESSES
(Maddux J.F.; Timmerman I.M.; Costello R.M.) Department of Psychiatry,
University of Texas Health Science Center at San Antonio.
CORRESPONDENCE ADDRESS
J.F. Maddux, Department of Psychiatry, University of Texas Health Science
Center at San Antonio.
SOURCE
Journal of medical education (1987) 62:10 (852-854). Date of Publication:
Oct 1987
ISSN
0022-2577
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
medical education
physician
EMTREE MEDICAL INDEX TERMS
article
female
human
male
psychological aspect
United States
university hospital
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3656387 (http://www.ncbi.nlm.nih.gov/pubmed/3656387)
PUI
L17811514
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2043
TITLE
Substance abuse education in schools of nursing: a national survey.
AUTHOR NAMES
Hoffman A.L.
Heinemann M.E.
AUTHOR ADDRESSES
(Hoffman A.L.; Heinemann M.E.) School of Nursing, Department of Psychosocial
Nursing, University of Washington, Seattle.
CORRESPONDENCE ADDRESS
A.L. Hoffman, School of Nursing, Department of Psychosocial Nursing,
University of Washington, Seattle.
SOURCE
The Journal of nursing education (1987) 26:7 (282-287). Date of Publication:
Sep 1987
ISSN
0148-4834
ABSTRACT
A concern whether the expansion of knowledge in substance abuse nursing and
the contemporary prevalence of substance use disorders had influenced
current educational offerings in schools of nursing provided an impetus for
this national survey. The purpose of the study was to obtain information
about current curricular offerings in substance abuse by schools of nursing.
A total of 1,035 questionnaires were mailed to schools of nursing.
Respondents included 336 schools representing a 36% return rate. The sample
included 154 baccalaureate (46%), 126 associate degree (38%), and 56 diploma
(17%) programs. All but one state (Alaska) of the U.S. were part of the
sample. The questionnaire used for this study was adapted from one developed
for a survey of alcohol and drug abuse content taught in medical schools
(Pokorney & Solomon, 1983). Modifications were limited to placing questions
in a nursing context. All responding schools included substance abuse in
curricular offerings with the largest number (N = 192; 57%) reporting the
teaching of alcohol and drug content in a combined manner. The number of
required hours of instruction reported most frequently was one to five (N =
242; 72%), which did not differ significantly for the three types of
programs. The relatively small number of required hours of instruction would
seem disproportionate to the scope and prevalence of substance abuse
problems present in patient populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2822872 (http://www.ncbi.nlm.nih.gov/pubmed/2822872)
PUI
L17809897
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2044
TITLE
Alcohol and adolescence
AUTHOR NAMES
Rogers P.D.
Harris J.
Jarmuskewicz J.
AUTHOR ADDRESSES
(Rogers P.D.; Harris J.; Jarmuskewicz J.) Department of Pediatrics,
Northeast Ohio University, Cleveland, OH
CORRESPONDENCE ADDRESS
Department of Pediatrics, Northeast Ohio University, Cleveland, OH
SOURCE
Pediatric Clinics of North America (1987) 34:2 (289-303). Date of
Publication: 1987
ISSN
0031-3955
ABSTRACT
The traditional image of the alcoholic is not relevant for the adolescent
alcoholic. The adolescent alcoholic subject has usually not been drinking as
long as the adult alcoholic. An adolescent rarely has any positive physical
findings of alcohol abuse. Because of the rapid metabolism and excretion of
alcohol, urine drug screening for alcohol is not worthwhile. Adolescent
alcoholism is a diagnosis that is made on the patient's history alone. The
patient often lies; this is often true of the adolescent who is dependent on
other drugs. The adolescent alcoholic believes that he or she can 'stop
drinking anytime I want to'. These teenagers continue to drink and probably
use other drugs, despite the adverse consequences they experience because of
their alcohol and other drug use. When talking to parents, remember that a
teenager can be using alcohol for a long time before the parents have any
idea their child is abusing alcohol. Pertinent screening questions asked of
the teenager and the parents should be problem oriented. The teenager's
alcohol and drug use history should be taken when alone with the child.
Answers from the adolescent concerning frequency and quantity of use should
be suspect. Some pediatricians believe that if the child is given a written
questionnaire, he or she may feel less threatened and be more honest. The
Chemical Abuse Treatment Outcome Registry has shown some interesting data
about teenagers admitted to inpatient treatment for chemical dependency.
Most smoke cigarettes daily, do not go to church or synagogue regularly,
have multiple sex partners and do not use birth control, have problems at
home and school, and have friends who use alcohol and other drugs regularly.
Parents should be asked about such issues as grades in school and their
child's friends. Is your child's mood changing? Is he or she becoming
increasingly belligerent at home or school? Are there more arguments at
home? Is your child spending more time alone? Is he or she showing signs of
fatigue? Does any one else in the family drink too much? Has the child ever
run away? Are there problems with the law? Has your child seemed depressed?
Have you found any drug paraphernalia? The teenager should be asked, how
often do you drink? Do you ever drink alone, in the morning or during the
day? Do you ever drink liquor? Have you ever forgotten what you did while
you were drinking? Does either of your parents drink too much? Do you ever
skip school? How are your grades this year compared to last year? Do any of
your friends drink or use drugs regularly? How many cigarettes do you smoke
per day? How are you getting along with your parents? How many sex partners
have you had in the past 6 months? Do you use birth control? Absence of
positive factors such as attendance at church or synagogue or lack of
participation in sports or extracurricular activities should be duly noted.
If the clinician suspects that the child is abusing alcohol, a urine drug
screen may be done because the adolescent may be abusing other drugs as
well. The drugs to be screened include marijuana, cocaine, phencyclidine,
opiates, amphetamines, and benzodiazepenes. A negative urine drug screen
does not eliminate the possibility of alcohol and drug abuse. The diagnosis
of alcohol dependence in an adolescent can be very difficult for a physician
who has had little or no training in the area of adolescent substance abuse.
If the clinician suspects that an adolescent patient is abusing drugs or
alcohol, the child should be referred to a facility that specializes in
adolescent chemical dependency. Most successful treatment programs for
adolescent chemical dependency are based on the 'Twelve Steps' set forth by
Alcoholics Anonymous. Adolescents are taught that sobriety can not be
achieved without abstinence from all mood-altering chemicals. John Wallace
defines sobriety as a complex, subtle, multidimensional state in which
aspects of the chemically dependent personality and life-style are no longer
evident. Sobriety, as opposed to abstinence, is in effect a change of
consciousness, a heightened spiritual awareness in which elements of
serenity, contentment, acceptance, gratitude, and joyfulness are evident. It
is unlikely that any chemically dependent adolescent can maintain sobriety
without involvement in a recovery program such as that instituted by
Alcoholics Anonymous.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
psychology
EMTREE MEDICAL INDEX TERMS
adolescent
behavior
diagnosis
heredity
human
human cell
inheritance
intoxication
priority journal
psychological aspect
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987151151
MEDLINE PMID
3550652 (http://www.ncbi.nlm.nih.gov/pubmed/3550652)
PUI
L17083651
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2045
TITLE
What doctors know about alcoholism.
AUTHOR ADDRESSES
SOURCE
Lancet (1987) 2:8552 (196). Date of Publication: 25 Jul 1987
ISSN
0140-6736
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
physician
EMTREE MEDICAL INDEX TERMS
editorial
human
standard
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2885647 (http://www.ncbi.nlm.nih.gov/pubmed/2885647)
PUI
L17752079
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2046
TITLE
Effect of a course on students' attitudes toward substance abuse and its
treatment
AUTHOR NAMES
Chappel J.N.
Veach T.L.
AUTHOR ADDRESSES
(Chappel J.N.; Veach T.L.) Department of Psychiatry and Behavioral Sciences,
University of Nevada School of Medicine, Reno, NV
CORRESPONDENCE ADDRESS
Department of Psychiatry and Behavioral Sciences, University of Nevada
School of Medicine, Reno, NV
SOURCE
Journal of Medical Education (1987) 62:5 (394-400). Date of Publication:
1987
ISSN
0022-2577
ABSTRACT
From 1978 through 1982, pretests and posttests of second-year medical
students' attitudes toward substance abuse and its treatment showed that
positive attitude change could be achieved during a substance abuse course.
When the course was scheduled in competition with demanding basic science
courses, however, the studient's attitudes did not become as positive as or
became more negative than when the course was part of a less demanding
schedule. The course used lectures and reading assignments to provide
information on substance abuse and used patient contact to change attitudes
toward substance abusers and treatment. Emphasis was placed on patient
management problems and small-group discussions. The changes in the
students' attitudes are assumed by the authors to be positive, but the link
between these attitudes and good clinical practice has not been
demonstrated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical education
student attitude
EMTREE MEDICAL INDEX TERMS
education
priority journal
treatment
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987141480
MEDLINE PMID
3573018 (http://www.ncbi.nlm.nih.gov/pubmed/3573018)
PUI
L17073980
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2047
TITLE
The effect of an inpatient chemical dependency rotation on residents'
clinical behavior.
AUTHOR NAMES
Mulry J.T.
Brewer M.L.
Spencer D.L.
AUTHOR ADDRESSES
(Mulry J.T.; Brewer M.L.; Spencer D.L.)
CORRESPONDENCE ADDRESS
J.T. Mulry,
SOURCE
Family medicine (1987) 19:4 (276-280). Date of Publication: 1987 Jul-Aug
ISSN
0742-3225
ABSTRACT
The effect of a rotation in a chemical dependency unit on subsequent
resident diagnoses in the family practice clinic was investigated by clinic
audit. A significant increase in diagnoses of alcoholism (56 vs. 18, P less
than .05) and chemical dependency (114 vs. 49, P less than .001) was found
in the year following initiation of the rotation. An inpatient rotation
immediately increases resident recognition of addictive illness in the model
clinic.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
clinical competence
general practice
medical education
EMTREE MEDICAL INDEX TERMS
article
clinical audit
education
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3622974 (http://www.ncbi.nlm.nih.gov/pubmed/3622974)
PUI
L17787628
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2048
TITLE
Psychiatric issues of adolescent chemical dependence
AUTHOR NAMES
Morrison M.A.
Smith Q.T.
AUTHOR ADDRESSES
(Morrison M.A.; Smith Q.T.) Adolescent Chemical Dependence Program,
Ridgeview Institute, Smyrna, GA 30080
CORRESPONDENCE ADDRESS
Adolescent Chemical Dependence Program, Ridgeview Institute, Smyrna, GA
30080
SOURCE
Pediatric Clinics of North America (1987) 34:2 (461-480). Date of
Publication: 1987
ISSN
0031-3955
ABSTRACT
A plan to solve the problem of adolescent substance abuse and addiction
needs to focus on several areas: education, demonstration, cooperation,
prevention, intervention, habilitation, treatment, and recovery. Possibly
the most important aspect of solving the problem of chemical abuse is
related to widespread change in attitudes and perceptions, and increased
awareness of chemical dependence. Programs to inform the community, school,
students, parents, and health professionals provide the means of such
change. Facts about alcohol and drug abuse can be taught so that substance
abuse can be clearly perceived as an unacceptable means of coping with life.
It is crucial that health professionals, parents, and adolescents understand
chemical dependence not only as a chronic and progressive disease, but more
importantly as a treatable disease. Early and accurate diagnosis lead to
increased success of intervention and treatment. Many symptoms of certain
drugs in adolescents can be easily misdiagnosed for psychiatric illness.
Treating the observed symptom may be quite different from treating the drug
abuse. Polydrug abuse in the adolescent further complicates the clinical
picture, especially when the treating physician is unaware of the drug abuse
habit of the patient. In addition, the younger the age that a person is
exposed to the chemical, the more susceptible that person is to a
psychiatric reaction. The early stages of adolescent drug abuse also may be
missed because behavioral changes may be attributed incorrectly to the
normal maturation process that occurs during adolescence. For these reasons,
drug abuse testing (i.e., urine drug screening) is essential to provide the
proper treatment for the diagnosed condition. Pediatricians particularly are
in a position to address substance abuse/dependence prevention from a
developmental perspective. Pediatricians and other primary health care
providers can play a significant role in informing and educating the family
and community about alcohol and drug problems. Parents, students, schools,
law enforcement officials, and others may turn to physicians for assistance.
Physicians must be aware of community resources such as substance abuse
prevention and treatment programs, parent action groups, self-help groups,
and community mobilized efforts to combat chemical abuse and dependence.
Pediatricians, as well as other health care professionals, must always
consider psychactive drug use by adolescents as possible causes of general
health or emotional problems, such as poor appetite, insomnia, problem
behavior, academic underachievement, and loss of energy and motivation.
Early diagnosis and intervention with youth can result in enormous benefits
for the lives of the youth, families, and society.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
EMTREE MEDICAL INDEX TERMS
adolescent
diagnosis
human
intoxication
priority journal
psychiatry
psychological aspect
therapy
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987123292
MEDLINE PMID
3550660 (http://www.ncbi.nlm.nih.gov/pubmed/3550660)
PUI
L17055792
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2049
TITLE
A review of medical education in alcohol and other drug abuse.
AUTHOR NAMES
Lewis D.C.
Niven R.G.
Czechowicz D.
Trumble J.G.
AUTHOR ADDRESSES
(Lewis D.C.; Niven R.G.; Czechowicz D.; Trumble J.G.)
CORRESPONDENCE ADDRESS
D.C. Lewis,
SOURCE
JAMA : the journal of the American Medical Association (1987) 257:21
(2945-2948). Date of Publication: 5 Jun 1987
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
alcoholism (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
article
forecasting
health personnel attitude
history
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3553640 (http://www.ncbi.nlm.nih.gov/pubmed/3553640)
PUI
L17723953
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2050
TITLE
Role of institutes for advanced training in raising physician competence in
narcology
ORIGINAL (NON-ENGLISH) TITLE
Rol' institutov usovershenstvovaniia v povyshenii kvalifikatsii vrachei po
voprosam narkologii.
AUTHOR NAMES
Simbirtsev S.A.
Bederova N.A.
AUTHOR ADDRESSES
(Simbirtsev S.A.; Bederova N.A.)
CORRESPONDENCE ADDRESS
S.A. Simbirtsev,
SOURCE
Sovetskoe zdravookhranenie / Ministerstvo zdravookhraneniia SSSR (1987) :2
(40-44). Date of Publication: 1987
ISSN
0038-5239
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
medical education
psychiatry
EMTREE MEDICAL INDEX TERMS
article
education
human
medical school
USSR
LANGUAGE OF ARTICLE
Russian
MEDLINE PMID
3563631 (http://www.ncbi.nlm.nih.gov/pubmed/3563631)
PUI
L17715463
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2051
TITLE
Recognition of alcoholism and substance abuse in primary care patients
AUTHOR NAMES
Coulehan J.L.
Zettler-Segal M.
Block M.
AUTHOR ADDRESSES
(Coulehan J.L.; Zettler-Segal M.; Block M.) Department of Community
Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261
CORRESPONDENCE ADDRESS
Department of Community Medicine, University of Pittsburgh School of
Medicine, Pittsburgh, PA 15261
SOURCE
Archives of Internal Medicine (1987) 147:2 (349-352). Date of Publication:
1987
ISSN
0003-9926
ABSTRACT
Alcohol and other substance abuse are frequently seen in primary medical
practice but are underdiagnosed. Forty-two (14%) of 294 adult primary care
patients suffered from alcohol or other substance abuse, as diagnosed by a
structured psychiatric interview. Primary care physicians identified 17
(40%) of these patients, as well as another patient identified during a
six-month follow-up period, as having a substance abuse problem at initial
clinical evaluation. Clinically identified substance abusers were older,
more likely to be married, and more often used multiple drugs. They more
frequently had antisocial personality disorders, while patients not
clinically recognized were often depressed. Logistic regression analysis
indicated that the presence of antisocial personality, the absence of a
coexisting depressive disorder, and better social functioning scores were
the factors most strongly associated with clinical recognition. The study
suggests clinical judgement issues, which may be useful to physicians in
training to improve their recognition and treatment of substance abuse
disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
antisocial behavior
depression
primary medical care
EMTREE MEDICAL INDEX TERMS
diagnosis
human
intoxication
priority journal
psychiatric interview
psychological aspect
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987107760
MEDLINE PMID
3813755 (http://www.ncbi.nlm.nih.gov/pubmed/3813755)
PUI
L17040260
DOI
10.1001/archinte.147.2.349
FULL TEXT LINK
http://dx.doi.org/10.1001/archinte.147.2.349
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2052
TITLE
Smoking among Yale Medical School faculty
AUTHOR NAMES
Legnini M.W.
Claus E.B.
AUTHOR ADDRESSES
(Legnini M.W.; Claus E.B.) Department of Epidemiology and Public Health,
Yale University School of Medicine, New Haven, CT 06510
CORRESPONDENCE ADDRESS
Department of Epidemiology and Public Health, Yale University School of
Medicine, New Haven, CT 06510
SOURCE
Yale Journal of Biology and Medicine (1987) 60:1 (9-18). Date of
Publication: 1987
ISSN
0044-0086
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
medical school
medical student
EMTREE MEDICAL INDEX TERMS
adult
diagnosis
epidemiology
human
human experiment
intoxication
United States
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987081720
MEDLINE PMID
3564549 (http://www.ncbi.nlm.nih.gov/pubmed/3564549)
PUI
L17014220
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2053
TITLE
Smoking counseling practices of recently trained family physicians
AUTHOR NAMES
Goldstein B.
Fischer P.M.
Richards Jr. J.W.
AUTHOR ADDRESSES
(Goldstein B.; Fischer P.M.; Richards Jr. J.W.) Department of Family
Medicine, Medical College of Georgia, Augusta, GA 30912
CORRESPONDENCE ADDRESS
Department of Family Medicine, Medical College of Georgia, Augusta, GA 30912
SOURCE
Journal of Family Practice (1987) 24:2 (195-197). Date of Publication: 1987
ISSN
0094-3509
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
general practitioner
health promotion
smoking
training
EMTREE MEDICAL INDEX TERMS
counseling
education
intoxication
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987078620
MEDLINE PMID
3806030 (http://www.ncbi.nlm.nih.gov/pubmed/3806030)
PUI
L17011120
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2054
TITLE
Survey of attitudes among three specialties in a teaching hospital toward
alcoholics
AUTHOR NAMES
Bander K.W.
Goldman D.S.
Schwartz M.A.
AUTHOR ADDRESSES
(Bander K.W.; Goldman D.S.; Schwartz M.A.) Department of Psychiatry, St.
Vincent's Hospital and Medical Center of New York, New York, NY
CORRESPONDENCE ADDRESS
Department of Psychiatry, St. Vincent's Hospital and Medical Center of New
York, New York, NY
SOURCE
Journal of Medical Education (1987) 62:1 (17-24). Date of Publication: 1987
ISSN
0022-2577
ABSTRACT
Although physicians are typically 'gatekeepers' for the diagnosis and
treatment of alcoholism, a lack of specific alcoholism training and negative
attitudes toward alcoholics can establish formidable barriers to recognition
and treatment of the condition. In the study reported here, the authors
examined differences in attitudes toward and knowledge of alcoholism among
physicians in three specialties. A questionnaire pertaining to alcoholism
and alcoholics was mailed to 385 internists, surgeons, and psychiatrists at
a teaching hospital. Half received a version concerning male alcoholics, and
half received one concerning female alcoholics; the versions were identical
except for the gender of the alcoholic referred to in the questionnaire.
Fifty-three percent returned the questionnaire, and their responses showed
that these physicians viewed male and female alcoholics similarly. Overall,
the respondents considered them treatable but maintained negative
perceptions of their personalities. The psychiatrists held the most positive
views of the treatability of alcoholism and the most negative views of
alcoholics' personalities, whereas the surgeons held the most positive views
of alcoholics' personalities and the most negative views of treatability.
The internists, surgeons, and psychiatrists reported significant differences
in the adequacy of their education on alcoholism. These findings are
discussed in terms of continuing education in alcoholism treatment for
physicians.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
postgraduate education
EMTREE MEDICAL INDEX TERMS
attitude
central nervous system
education
geographic distribution
human
normal human
physician
priority journal
psychological aspect
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987050192
MEDLINE PMID
3795240 (http://www.ncbi.nlm.nih.gov/pubmed/3795240)
PUI
L17218337
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2055
TITLE
Education programs on smoking prevention and smoking cessation for students
and housestaff in U.S. medical schools.
AUTHOR NAMES
Horton J.
AUTHOR ADDRESSES
(Horton J.)
CORRESPONDENCE ADDRESS
J. Horton,
SOURCE
Cancer detection and prevention (1986) 9:5-6 (417-420). Date of Publication:
1986
ISSN
0361-090X
ABSTRACT
To determine the extent and characteristics of educational programs relating
to smoking in U.S. medical schools, surveys of educational curricula were
performed in 1983 and 1984. The first survey showed that 34% of medical
schools had no course offerings on smoking for medical students, and very
few addressed smoking prevention and smoking cessation. In the following
year, the percentage of schools with curriculum courses on smoking
prevention and smoking cessation had risen to 64% and 56%, respectively.
Planned education programs for housestaff, however, were present in only 30%
and 25% of medical school-affiliated programs. Only one housestaff program
(5%) was present in the group of medical schools that had no educational
programs on smoking prevention or cessation for its medical students. More
emphasis on education regarding smoking prevention and smoking cessation in
U.S. medical schools and in housestaff training programs is required.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
Canada
curriculum
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3779702 (http://www.ncbi.nlm.nih.gov/pubmed/3779702)
PUI
L17661048
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2056
TITLE
Doctors' double standards on alcohol
AUTHOR NAMES
Adshead F.
Clare A.W.
AUTHOR ADDRESSES
(Adshead F.; Clare A.W.) St Bartholomew's Hospital Medical College, London
EC1A 7BE
CORRESPONDENCE ADDRESS
St Bartholomew's Hospital Medical College, London EC1A 7BE
SOURCE
British Medical Journal (1986) 293:6562 (1590-1591). Date of Publication:
1986
ISSN
0959-8146
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drinking behavior
drug abuse
general practitioner
medical school
EMTREE MEDICAL INDEX TERMS
editorial
human
intoxication
priority journal
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987037093
MEDLINE PMID
3101934 (http://www.ncbi.nlm.nih.gov/pubmed/3101934)
PUI
L17205238
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2057
TITLE
Alcohol - A balanced view
AUTHOR ADDRESSES
SOURCE
Royal College of General Practitioners - Reports from General Practice
(1986) No. 24 (1-57). Date of Publication: 1986
ABSTRACT
Alcohol has great social and economic significance in society and a full
understanding of its role cannot be based upon any purely medical model.
Harms arise from the use of alcohol and the risk of these harms is related
most directly to the level of consumption of each individual; this, in turn,
is closely linked with the overall consumption in the whole community. The
greater part of the total harm in the community arises within the group that
drinks 'moderately', that is to say, has a weekly consumption of between
21-50 units (men) and 16-35 units (women). A major opportunity is afforded
to general practitioners to inform the public and every patient about these
facts and to assist every individual to reduce consumption appropriately.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
disability
education
health care policy
medical education
postgraduate education
risk factor
EMTREE MEDICAL INDEX TERMS
central nervous system
geographic distribution
human
organization and management
prevention
psychological aspect
short survey
social aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987121065
PUI
L17053565
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2058
TITLE
The Sidney Cohen lectureship in drug abuse medicine
AUTHOR NAMES
Goldstein A.
AUTHOR ADDRESSES
(Goldstein A.) Addiction Research Foundation, Palo Alto, CA
CORRESPONDENCE ADDRESS
Addiction Research Foundation, Palo Alto, CA
SOURCE
Journal of Substance Abuse Treatment (1986) 3:3 (157-161). Date of
Publication: 1986
ISSN
0740-5472
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
EMTREE MEDICAL INDEX TERMS
animal experiment
brain
central nervous system
etiology
human
human experiment
intoxication
nonhuman
organization and management
pathogenesis
psychological aspect
review
short survey
social aspect
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987046612
MEDLINE PMID
3806728 (http://www.ncbi.nlm.nih.gov/pubmed/3806728)
PUI
L17214757
DOI
10.1016/0740-5472(86)90016-4
FULL TEXT LINK
http://dx.doi.org/10.1016/0740-5472(86)90016-4
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2059
TITLE
Drug abuse in oral and maxillofacial training programs
AUTHOR NAMES
Rosenberg M.
AUTHOR ADDRESSES
(Rosenberg M.) Department of Anesthesia, New England Medical Center, Boston,
MA 02111
CORRESPONDENCE ADDRESS
Department of Anesthesia, New England Medical Center, Boston, MA 02111
SOURCE
Journal of Oral and Maxillofacial Surgery (1986) 44:6 (458-462). Date of
Publication: 1986
ISSN
0278-2391
ABSTRACT
Concern about drug dependence in other medical specialties involving
constant exposure to anesthetic and sedative drugs prompted a survey of oral
and maxillofacial surgery programs. One hundred sixteen programs were
surveyed; 78.5% responded, and 51% of the responding programs reported at
least one suspected incident of drug dependence. Twenty-six confirmed cases
were reported. Meperidine and fentanyl were the most frequently abused
substances. Behavioral changes and information supplied by co-workers were
the most frequent reasons for confrontation of residents suspected of drug
abuse by superiors. Detailed follow-up information was often sketchy and
unavailable. Drug abuse may be more common than usually thought in oral and
maxillofacial surgery programs and on the same level as that observed in
anesthesia training programs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
diazepam
fentanyl
ketamine
morphine
nitrous oxide
pethidine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesist
drug abuse
surgeon
EMTREE MEDICAL INDEX TERMS
central nervous system
clinical article
diagnosis
epidemiology
human
inhalational drug administration
intramuscular drug administration
mouth
oral drug administration
physician
priority journal
United States
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
diazepam (439-14-5)
fentanyl (437-38-7)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
morphine (52-26-6, 57-27-2)
nitrous oxide (10024-97-2)
pethidine (28097-96-3, 50-13-5, 57-42-1)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Otorhinolaryngology (11)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1986215594
MEDLINE PMID
3457928 (http://www.ncbi.nlm.nih.gov/pubmed/3457928)
PUI
L16046533
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2060
TITLE
Learning to deal with drug-dependent patients: One physician's reflections
AUTHOR NAMES
Grosser N.
AUTHOR ADDRESSES
(Grosser N.) Drug Therapy Program, Clinical Institute, Addiction Research
Foundation, Toronto, Ont. M5S 2S1
CORRESPONDENCE ADDRESS
Drug Therapy Program, Clinical Institute, Addiction Research Foundation,
Toronto, Ont. M5S 2S1
SOURCE
Canadian Medical Association Journal (1986) 135:1 (23-26). Date of
Publication: 1986
ISSN
0820-3946
ABSTRACT
Physicians with a contemporary education may not be adequately trained to
deal effectively with drug-dependent patients. This paper details the
problems that one physician encountered with such individuals in his
practice. A retraining program was set up in which he received basic
education in drug dependence and became involved in individual counselling
with drug abusers and in research studies on alcoholism and drug abuse.
Physicians must exercise caution when prescribing medications that are
potentially addictive. They must have a responsible attitude in their care
of drug-dependent patients. The assessment and treatment of such patients
should be carried out only by a multidisciplinary team of health care
professionals. These principles are best inculcated by the proper exposure
of medical students to substance-abuse problems and by the availability of
appropriate courses and studies in this area to practising physicains.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
drug dependence
medical education
EMTREE MEDICAL INDEX TERMS
clinical article
diagnosis
education
human
intoxication
prescription
priority journal
therapy
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
French
EMBASE ACCESSION NUMBER
1986192366
MEDLINE PMID
3719482 (http://www.ncbi.nlm.nih.gov/pubmed/3719482)
PUI
L16068305
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2061
TITLE
A division of substance abuse medicine in a teaching hospital
AUTHOR NAMES
Lerner W.D.
Forbes R.O.
Merlin S.I.
Barr M.A.
AUTHOR ADDRESSES
(Lerner W.D.; Forbes R.O.; Merlin S.I.; Barr M.A.) Department of Medicine,
Virginia Commonwealth University Medical College, Richmond, VA
CORRESPONDENCE ADDRESS
Department of Medicine, Virginia Commonwealth University Medical College,
Richmond, VA
SOURCE
Journal of Medical Education (1986) 61:7 (606-608). Date of Publication:
1986
ISSN
0022-2577
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical education
medical school
teaching
EMTREE MEDICAL INDEX TERMS
education
human
intoxication
manpower
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1986180059
MEDLINE PMID
3723576 (http://www.ncbi.nlm.nih.gov/pubmed/3723576)
PUI
L16055998
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2062
TITLE
A survey of physicians' views and practices on patient education for smoking
cessation
AUTHOR NAMES
Rimer B.K.
Strecher V.J.
Keintz M.K.
Engstrom P.F.
AUTHOR ADDRESSES
(Rimer B.K.; Strecher V.J.; Keintz M.K.; Engstrom P.F.) Cancer Control
Program, Fox Chase Cancer Center, Philadelphia, PA 19111
CORRESPONDENCE ADDRESS
Cancer Control Program, Fox Chase Cancer Center, Philadelphia, PA 19111
SOURCE
Preventive Medicine (1986) 15:1 (92-98). Date of Publication: 1986
ISSN
0091-7435
ABSTRACT
A two-wave panel survey of physicians in southeastern Pennsylvania assessed
the smoking intervention strategies physicians use with their patients,
their intention to prescribe nicotine chewing gum (Nicorette), and their
subsequent prescribing of Nicorette. The most frequently employed health
education strategies were counseling, counseling in combination with written
materials or referral, and recommendation to stop smoking, with significant
differences among specialty groups. Most of the responding physicians (87%)
were aware of nicotine chewing gum; of those aware, 71% reported an
intention to prescribe it for their patients who smoke. Physicians'
prescription patterns differed by specialty: family practitioners were most
inclined to prescribe Nicorette. Forty-seven percent of physicians had no
follow-up data on the patients for whom they had prescribed Nicorette. The
survey data reported here demonstrate that physicians are willing to adopt a
new smoking cessation practice. The challenge is to incorporate this
practice into a cost-effective smoking cessation intervention which can be
integrated into the routine of patient care.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
physician
smoking cessation
EMTREE MEDICAL INDEX TERMS
human
human experiment
intoxication
medical practice
organization and management
priority journal
therapy
United States
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1986158493
MEDLINE PMID
3714663 (http://www.ncbi.nlm.nih.gov/pubmed/3714663)
PUI
L16079432
DOI
10.1016/0091-7435(86)90039-3
FULL TEXT LINK
http://dx.doi.org/10.1016/0091-7435(86)90039-3
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2063
TITLE
The 1985 Dent memorial lecture. 'I need heroin'. Thirty years' experience of
drug dependence and of the medical challenges at local, national,
international and political level. What next?
AUTHOR NAMES
Connell P.H.
AUTHOR ADDRESSES
(Connell P.H.)
CORRESPONDENCE ADDRESS
P.H. Connell,
SOURCE
British journal of addiction (1986) 81:4 (461-472). Date of Publication: Aug
1986
ISSN
0952-0481
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
EMTREE MEDICAL INDEX TERMS
article
drug legislation
history
human
national health service
psychological aspect
United Kingdom
world health organization
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3530292 (http://www.ncbi.nlm.nih.gov/pubmed/3530292)
PUI
L16757107
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2064
TITLE
A review of the medical standards for civilian airmen. Synopsis of a
two-year study
AUTHOR NAMES
Engelberg A.L.
Gibbons H.L.
Doege T.C.
AUTHOR ADDRESSES
(Engelberg A.L.; Gibbons H.L.; Doege T.C.) Department of Public Health
Policy, American Medical Association, Chicago, IL 60610
CORRESPONDENCE ADDRESS
Department of Public Health Policy, American Medical Association, Chicago,
IL 60610
SOURCE
Journal of the American Medical Association (1986) 255:12 (1589-1599). Date
of Publication: 1986
ISSN
0098-7484
ABSTRACT
This article summarizes the report of a comprehensive review by the American
Medical Association (AMA) of the medical standards for civilian airmen. The
present standards were promulgated by the Federal Aviation Administration in
1959; the alcoholism and cardiovascular standards were revised in 1982. The
AMA report recommends new or revised standards for cardiovascular, mental
and behavioral, visual, endocrine, respiratory, hematological, hearing and
equilibrium, musculoskeletal, and nervous system disorders. It also provides
guidance for the medical certification of airmen with conditions not covered
specifically by the standards and recommends a new medical history and
examination for use by aviation medical examiners. Risk factors for the
development of sudden incapacitating disease, such as coronary heart disease
and stroke, receive special attention. Final standards will be developed by
the Federal Aviation Administration.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aerospace medicine
airplane pilot
alcoholism
certification
pilot
EMTREE MEDICAL INDEX TERMS
adult
clinical article
diagnosis
etiology
human
priority journal
EMBASE CLASSIFICATIONS
Occupational Health and Industrial Medicine (35)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1986111541
MEDLINE PMID
3951095 (http://www.ncbi.nlm.nih.gov/pubmed/3951095)
PUI
L16167480
DOI
10.1001/jama.255.12.1589
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.255.12.1589
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2065
TITLE
Alcohol abuse, other drug abuse, and mental disorders in medical practice.
Prevalence, costs, recognition, and treatment
AUTHOR NAMES
Kamerow D.B.
Pincus H.A.
Macdonald D.I.
AUTHOR ADDRESSES
(Kamerow D.B.; Pincus H.A.; Macdonald D.I.) Division of Biometry and Applied
Sciences, National Institute of Mental Health, Rockville, MD 20857
CORRESPONDENCE ADDRESS
Division of Biometry and Applied Sciences, National Institute of Mental
Health, Rockville, MD 20857
SOURCE
Journal of the American Medical Association (1986) 255:15 (2054-2057). Date
of Publication: 1986
ISSN
0098-7484
ABSTRACT
Millions of Americans suffer and die of alcohol abuse, other drug abuse, and
mental disorders that go undiagnosed and untreated. Studies showing that up
to 19% of the US adult population have these disorders also have found that
only one fifth of those affected have sought help for them in the previous
six months. Many of these persons have disorders that are treatable with
modern medications and therapy. Because more than half of all persons with
these disorders obtain all of their care from the general medical sector, a
great potential exists in primary care for prevention, detection, treatment,
and referral of these patients. Primary care physicians, however, have not
been very successful at diagnosing and treating substance abuse and mental
disorders because of inadequate training, patients; attitudes, and the
constraints of the health care system. Recommendations to improve this
situation include continued research, improved physician education, and
increased emphasis on care of these disorders by organized medicine.
Although tobacco use is also a major health problem, data relating to
nicotine addiction were not included in this report.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
mental disease
EMTREE MEDICAL INDEX TERMS
adult
central nervous system
cost
economic aspect
heredity
human
intoxication
prevalence
priority journal
psychological aspect
recognition
social aspect
therapy
EMBASE CLASSIFICATIONS
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1986111553
MEDLINE PMID
3959288 (http://www.ncbi.nlm.nih.gov/pubmed/3959288)
PUI
L16167492
DOI
10.1001/jama.255.15.2054
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.255.15.2054
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2066
TITLE
Evaluation of a program to teach medical students about alcoholism
AUTHOR NAMES
Siegal H.A.
Markert R.J.
Vojtech D.L.
AUTHOR ADDRESSES
(Siegal H.A.; Markert R.J.; Vojtech D.L.) Department of Medicine in Society,
Wright State University School of Medicine, Dayton, OH
CORRESPONDENCE ADDRESS
Department of Medicine in Society, Wright State University School of
Medicine, Dayton, OH
SOURCE
Journal of Medical Education (1986) 61:1 (67-69). Date of Publication: 1986
ISSN
0022-2577
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
medical education
medical student
EMTREE MEDICAL INDEX TERMS
education
geographic distribution
human
priority journal
short survey
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1986092546
MEDLINE PMID
3941426 (http://www.ncbi.nlm.nih.gov/pubmed/3941426)
PUI
L16148485
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2067
TITLE
Teaching alcoholism and substance abuse: a medical malfeasance?
AUTHOR NAMES
Barefoot S.W.
AUTHOR ADDRESSES
(Barefoot S.W.)
CORRESPONDENCE ADDRESS
S.W. Barefoot,
SOURCE
North Carolina medical journal (1986) 47:4 (209-211). Date of Publication:
Apr 1986
ISSN
0029-2559
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
psychiatry
public health
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3459029 (http://www.ncbi.nlm.nih.gov/pubmed/3459029)
PUI
L16712287
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2068
TITLE
The impact of shared medical records on smoking awareness and behavior in
ambulatory care.
AUTHOR NAMES
Bronson D.L.
O'Meara K.
AUTHOR ADDRESSES
(Bronson D.L.; O'Meara K.)
CORRESPONDENCE ADDRESS
D.L. Bronson,
SOURCE
Journal of general internal medicine : official journal of the Society for
Research and Education in Primary Care Internal Medicine (1986) 1:1 (34-37).
Date of Publication: 1986 Jan-Feb
ISSN
0884-8734
ABSTRACT
In a randomized controlled trial of sharing medical records with ambulatory
adults as part of periodic health examinations, 193 patients (experimental
group; 37 smokers) received copies of their medical records while 208
patients (control group; 50 smokers) did not. Awareness of smoking as a
health problem and smoking behavior were assessed two weeks and six months
later. At two weeks, 46% of experimental group smokers indicated that
smoking was a major health problem, compared with 21% of the control group
(p less than 0.02), and 43% of the experimental group had quit or reduced
smoking, compared with 20% of the control group (p less than 0.02). At six
months smoking problem awareness was not significantly different (33%
experimental group vs. 14% control group, p = NS), but 65% of the
experimental group had quit or reduced compared with 29% of the control
group (p less than 0.04). Sharing medical records with smokers after
periodic health examinations is effective in enhancing patient awareness of
smoking as a health problem and beginning the process of changing smoking
behavior.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doctor patient relation
medical record
patient education
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
clinical trial
female
follow up
human
male
randomized controlled trial
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3772566 (http://www.ncbi.nlm.nih.gov/pubmed/3772566)
PUI
L16781344
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2069
TITLE
Substance-abuse education in medical school: Past, present, and future
AUTHOR NAMES
Helwick S.A.
AUTHOR ADDRESSES
(Helwick S.A.) Department of Family Medicine, Louisiana State University
School of Medicine, New Orleans, LA
CORRESPONDENCE ADDRESS
Department of Family Medicine, Louisiana State University School of
Medicine, New Orleans, LA
SOURCE
Journal of Medical Education (1985) 60:9 (707-711). Date of Publication:
1985
ISSN
0022-2577
ABSTRACT
In this article, the author presents an overview of substance-abuse
education in U.S. medical schools. In the early 1970s, two nationwide
conferences prompted an awareness of the need for improved medical education
in substance abuse. The Council on Mental Health and the Committee on
Alcohol and Drug Dependency, both of the American Medical Association,
presented general guidelines for a curriculum in substance abuse. During the
same era, the federal government sponsored a career teacher training program
in drug abuse and alcoholism, and private foundation funding supported
educational endeavors that resulted in long-term materials for teaching in
medical schools. Three current programs that are improving drug-abuse
education are described. These developments are good examples of efforts
that should be considered for any medical school curriculum. Goals for the
future should include some attempt to modify the institutions, both medical
schools and hospitals, where patterns leading to physician impairment may
develop.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
drug abuse
medical education
EMTREE MEDICAL INDEX TERMS
central nervous system
education
human
intoxication
medical school
normal human
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985239076
MEDLINE PMID
4032445 (http://www.ncbi.nlm.nih.gov/pubmed/4032445)
PUI
L15239526
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2070
TITLE
Views of medical students and residents on education in alcohol and drug
abuse
AUTHOR NAMES
Fassler D.
AUTHOR ADDRESSES
(Fassler D.) Department of Psychiatry at the Medical Center Hospital of
Vermont, Burlington, VT
CORRESPONDENCE ADDRESS
Department of Psychiatry at the Medical Center Hospital of Vermont,
Burlington, VT
SOURCE
Journal of Medical Education (1985) 60:7 (562-564). Date of Publication:
1985
ISSN
0022-2577
ABSTRACT
A recent survey by the American Medical Association found that over 90
percent of U.S. practicing physicians consider alcohol abuse to be a major
national problem. Yet fewer than 28 percent felt competent to treat
alcoholism. In the present study, the author addresses medical students' and
residents' ideas about alcoholism and the extent of their educational
exposure to this topic. As part of the process of assessing educational
interest in the proposed facility, a questionnaire was distributed by the
author in January of 1984 to all 172 house officers of the hospital and all
96 members of the third-year class in the College of Medicine. The survbey
was returned by 38 residents, representing a response rate of 22 percent.
Among residents, the median estimate of medical school exposure to the
treatment of substance abuse problems was 20 curriculum hours. Thirty-seven
percent estimated that fewer than 10 hours were devoted to the subject.
During the residency, the median estimated educational exposure to these
issues was 2 hours, with 34 percent of the respondents indicating no
exposure to the topic.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical education
medical student
EMTREE MEDICAL INDEX TERMS
addiction
education
human
methodology
normal human
priority journal
short survey
therapy
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985232720
MEDLINE PMID
4009673 (http://www.ncbi.nlm.nih.gov/pubmed/4009673)
PUI
L15233170
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2071
TITLE
The underemphasis on smoking in medical education
AUTHOR NAMES
Ginzel K.H.
AUTHOR ADDRESSES
(Ginzel K.H.) Department of Pharmacology and Interdisciplinary Toxicology,
University of Arkansas for Medical Sciences, Little Rock, AR 72201
CORRESPONDENCE ADDRESS
Department of Pharmacology and Interdisciplinary Toxicology, University of
Arkansas for Medical Sciences, Little Rock, AR 72201
SOURCE
New York State Journal of Medicine (1985) 85:7 (299-301). Date of
Publication: 1985
ISSN
0028-7628
ABSTRACT
Wynder has expressed concern about 'the general apathy of the medical and
scientific professions toward tobacco related issues', a sentiment echoed by
others. Since cigarette smoking is the leading preventable cause of disease,
disability, and death, this apathy is a serious matter. What is its origin?
Is the exposure of the student in the health professions to the tobacco
issue inadequate? How does it compare to the coverage of alcohol-related
problems and drug abuse? The unfortunate exemption of tobacco from the Food
and Drug Act of 1906 and its subsequent revisions and extensions detracts
from the fact that tobacco is not less dependence-producing than other
addictive drugs. The same is true for alcohol. As a preliminary probe, the
following analysis focuses on a regular constituent of every medical school
curriculum - the pharmacology course - which deals exclusively with drugs
and traditionally covers the topic of substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
medical education
smoking
textbook
EMTREE MEDICAL INDEX TERMS
education
human
intoxication
priority journal
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Toxicology (52)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1986004181
MEDLINE PMID
3862986 (http://www.ncbi.nlm.nih.gov/pubmed/3862986)
PUI
L16240120
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2072
TITLE
Teaching of alcoholism in Chilean medical schools: a curriculum survey
ORIGINAL (NON-ENGLISH) TITLE
Enseñanza sobre alcoholismo en las escuelas de medicina Chilenas: una
encuesta curricular.
AUTHOR NAMES
Florenzano R.
Pemjean A.
Orpinas P.
Feuerhake O.
Fuentealba C.
Valdés M.
Manzi J.
AUTHOR ADDRESSES
(Florenzano R.; Pemjean A.; Orpinas P.; Feuerhake O.; Fuentealba C.; Valdés
M.; Manzi J.)
CORRESPONDENCE ADDRESS
R. Florenzano,
SOURCE
Revista médica de Chile (1985) 113:12 (1188-1193). Date of Publication: Dec
1985
ISSN
0034-9887
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
article
Chile
human
LANGUAGE OF ARTICLE
Spanish
MEDLINE PMID
3837303 (http://www.ncbi.nlm.nih.gov/pubmed/3837303)
PUI
L16739795
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2073
TITLE
The Weekend Intervention Program at Wright State University School of
Medicine, Dayton, Ohio
AUTHOR NAMES
Siegal H.A.
Moore D.C.
AUTHOR ADDRESSES
(Siegal H.A.; Moore D.C.) Wright State University School of Medicine,
Dayton, OH
CORRESPONDENCE ADDRESS
Wright State University School of Medicine, Dayton, OH
SOURCE
Journal of Substance Abuse Treatment (1985) 2:4 (233-237). Date of
Publication: 1985
ISSN
0740-5472
ABSTRACT
Within the intervention/treatment community, the challenge is to identify
the early stage substance abuser and provide appropriate services to
interrupt the progress of the condition. A new medical school in Dayton,
Ohio is proving that this is both possible and effective. Its Weekend
Intervention Program (WIP) is demonstrating that a conviction for drunk
driving can be an ideal occasion for problem identification and the movie
into treatment. The program is also proving that as Marty Mann said it's the
way 'to get to the people who get to the people,' by serving as a superb
site for medical and other professional education in the area of substance
abuse identification, intervention and treatment. As a new medical school
committed to the education of primary care physicians and one which uses the
community hospitals rather than a university-operated hospital for its
clinical training, it is very attuned to the needs of the community at
large. Following its larger educational theme, it developed an approach to
treating the drunk driver through an interdisciplinary effort which unites
the area's courts and substance abuse treatment progrms and agencies. Since
the fall of 1978, the weekend intervention program has provided assessment
and intervention for over 10,000 offenders. Now all medical students
graduating from Wright State receive first-hand experience with those
suffering from alcohol and drug problems. As primary care practitioners
these will be among the most prevalent health concerns they will face in
their practices.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
secondary prevention
EMTREE MEDICAL INDEX TERMS
clinical article
human
intoxication
organization and management
staff
therapy
United States
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1986128132
MEDLINE PMID
3834105 (http://www.ncbi.nlm.nih.gov/pubmed/3834105)
PUI
L16139071
DOI
10.1016/0740-5472(85)90007-8
FULL TEXT LINK
http://dx.doi.org/10.1016/0740-5472(85)90007-8
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2074
TITLE
The drug addict as chronic patient.
AUTHOR NAMES
Lucas J.J.
Loutsch E.
Frances R.J.
AUTHOR ADDRESSES
(Lucas J.J.; Loutsch E.; Frances R.J.) Cornell University Medical College,
White Plains, New York.
CORRESPONDENCE ADDRESS
J.J. Lucas, Cornell University Medical College, White Plains, New York.
SOURCE
Psychiatric medicine (1985) 3:4 (427-444). Date of Publication: 1985
ISSN
0732-0868
ABSTRACT
From the above discussion, it is clear that the chronic drug addict is in
need of a careful diagnostic work-up, a team approach, a highly
sophisticated model of illness, and treatment targeted to his or her special
needs. . Given the high prevalence and social costs of addictions, it is
obvious that increased support for training and research, prevention, and
treatment is needed within psychiatry and medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, therapy)
EMTREE MEDICAL INDEX TERMS
adolescent
aged
chronic disease
cognitive defect (complication)
disabled person
ethics
human
mental disease (complication)
psychological aspect
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2963353 (http://www.ncbi.nlm.nih.gov/pubmed/2963353)
PUI
L18700949
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2075
TITLE
Australian College of Paediatrics. Policy statement: Smoking.
AUTHOR ADDRESSES
SOURCE
Australian paediatric journal (1985) 21:4 (235). Date of Publication: Nov
1985
ISSN
0004-993X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
indoor air pollution (prevention)
medical school
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
article
Australia
child
education
female
human
infant
pediatrics
practice guideline
pregnancy
preschool child
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4091764 (http://www.ncbi.nlm.nih.gov/pubmed/4091764)
PUI
L16668371
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2076
TITLE
Postgraduate certification in alcohol and drug dependence.
AUTHOR NAMES
Galanter M.
AUTHOR ADDRESSES
(Galanter M.)
CORRESPONDENCE ADDRESS
M. Galanter,
SOURCE
Alcoholism, clinical and experimental research (1985) 9:5 (387-389). Date of
Publication: 1985 Sep-Oct
ISSN
0145-6008
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
certification
medical education
medicine
EMTREE MEDICAL INDEX TERMS
article
human
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3904501 (http://www.ncbi.nlm.nih.gov/pubmed/3904501)
PUI
L15736919
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2077
TITLE
Deaths of drug addicts in the United Kingdom 1967-81
AUTHOR NAMES
Ghodse A.H.
Sheehan M.
Taylor C.
Edwards G.
AUTHOR ADDRESSES
(Ghodse A.H.; Sheehan M.; Taylor C.; Edwards G.) Drug Dependence Treatment
and Alcohol Research Unit, St. George's Hospital, London SW17 0RE
CORRESPONDENCE ADDRESS
Drug Dependence Treatment and Alcohol Research Unit, St. George's Hospital,
London SW17 0RE
SOURCE
British Medical Journal (1985) 290:6466 (425-428). Date of Publication: 1985
ISSN
0959-8146
ABSTRACT
A search of the Home Office index of notified drug addicts identified 1499
deaths during 1967-81, of which 226 (15%) were of therapeutic addicts - that
is, patients who had become addicted during medical treatment with a
notifiable drug - and 1273 (85%) were of non-therapeutic addicts. The crude
mortality fell from 23.5/1000/year for the period 1968-70 to 18.4/1000/year
for 1978-80. Altogether 415 addicts aged under 50 at notification died after
1972, which was 16 times the number of deaths expected in a population with
a similar age and sex composition. A more detailed examination of the
cohorts of addicts notified each year showed little variation between them
in the first two years of follow up. Nineteen addicts (1.6%) had died by 31
December of the year of their notification and 39 (3.3%) one year later.
These figures may be an indication of the clinical course of addiction. Most
deaths of non-therapeutic addicts in which a drug was implicated (939 cases
(74%)) were due to medically prescribed drugs - barbiturates at first and
later opiates such as dipipanone hydrochloride and dextromoramide. Heroin
was implicated in only 65 (7%) of these deaths. The Home Office index is a
valuable source for identifying drugs of abuse and serious problems of
addiction. The fact that prescribed drugs are causing the death of so many
addicts demands a response from the medical profession.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
EMTREE MEDICAL INDEX TERMS
adult
central nervous system
death
fatality
human
intoxication
prescription
priority journal
United Kingdom
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985130969
MEDLINE PMID
3918614 (http://www.ncbi.nlm.nih.gov/pubmed/3918614)
PUI
L15080969
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2078
TITLE
Course and outcome of drug abuse and medical and social conditions in
selected young drug abusers
AUTHOR NAMES
Benson G.
AUTHOR ADDRESSES
(Benson G.) Department of Psychiatry, Sahlgren's Hospital, S-413 45
Gothenburg
CORRESPONDENCE ADDRESS
Department of Psychiatry, Sahlgren's Hospital, S-413 45 Gothenburg
SOURCE
Acta Psychiatrica Scandinavica (1985) 71:1 (48-66). Date of Publication:
1985
ISSN
0001-690X
ABSTRACT
The course and outcome of drug abuse and medical and social conditions were
investigated by following - in some aspects for up to 10 years - selected
groups of young drug abusers who had had contact with health care and social
welfare authorities in Gothenburg at the end of the 1960's. The follow-up
was carried out by studying different registers and through interviews. The
abusers were compared with a control group matched in terms of sex, age and
daily sickness allowance. Abuse of cannabis predominated (2:1) over heavier
drugs (primarily central stimulants i.v.) in the out-patient materials,
while the reverse was the case in the in-patient material. About 40% of the
drug users were interviewed and judged to be representative of their groups.
After 4-6 years, 36-49% of the males and 23-48% of the females in the
different materials were found registered as drug abusers; 22-38% of the men
and 11-19% of the women were found after 8-10 years. According to the
interviews, drug abuse persisted in 56-71% of the men and 26-60% of the
women after 4-6 years and in 44-69% of the men and 13-36% of the women after
7-9 years. Abuse of cannabis persisted more often than abuse of heavier
drugs, and had a lower mortality. Between 40 and 55% of drug abuse in the
out-patient material, as well as among males in the social welfare material,
was hidden during the follow-up period. The hidden abuse involved primarily
cannabis; abuse of heavier drugs was generally known to the health care or
social welfare authorities. Repeated or lengthy sick leave was more common
than in the control group. In-patient adult psychiatric treatment was common
among those in the health care material, although 40% of those in the social
welfare material had also received such treatment. A diagnosis of drug abuse
clearly predominated. Treatment of hepatitis was noted for 30-40%. More than
90% of drug abusers were registered with the social welfare authorities
compared with less than half of the controls. Possession of driving licence
was less common and the males had less often completed basic military
training. The majority of those not registered for drug abuse after 4-6
years were employed or studying, and had considerably less need for social
welfare and sick leave than those who were registered. Social conditions
were worse among heavy drug abusers than among cannabis abusers. Only few
who had given up their abuse gave care as a reason. Negative prognostic
factors were: deviations from the normal course of education, repeated
truancy among men, and at least one alcoholic parent among women, intensive
drug abuse and abuse of solvents and alcohol. Cannabis abusers had a less
heavy load of background factors than abusers of heavier drugs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
car driving
drug abuse
hepatitis
EMTREE MEDICAL INDEX TERMS
adolescent
central nervous system
clinical article
controlled study
human
liver
priority journal
social aspect
social welfare
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985035542
MEDLINE PMID
3871549 (http://www.ncbi.nlm.nih.gov/pubmed/3871549)
PUI
L15185542
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2079
TITLE
Impediments to alcohol education
AUTHOR NAMES
Kinney J.
Price T.R.P.
Bergen B.J.
AUTHOR ADDRESSES
(Kinney J.; Price T.R.P.; Bergen B.J.) Department of Psychiatry, Dartmouth
Medical School, Hannover, NH 03755
CORRESPONDENCE ADDRESS
Department of Psychiatry, Dartmouth Medical School, Hannover, NH 03755
SOURCE
Journal of Studies on Alcohol (1984) 45:5 (453-459). Date of Publication:
1984
ISSN
0096-882X
ABSTRACT
Two major forces mitigate against alcoholism education within the medical
school curriculum. One relates to the structure and organization of academic
medicine with its emphasis on disease states and pathophysiology;
sophisticated and technologically complex diagnostic and treatment
modalities; and an acute illness, cure-oriented focus rather than a chronic
illness, adaptation approach to illness. The second constellation of factors
relates to the alcoholism field's failure to identify with other issues in
medical education that similarly challenge the Flexnerian curriculum; the
lack of conceptual basis for defining the physician-alcoholism specialist in
relation to other medical disciplines; the clinical treatment field's
competing craft and professional orientations; and the absence of a
scientific vocabulary suited to the existing biopsychosocial paradigms. It
is suggested that these impediments could be overcome if the alcoholism
field defined the model for managing chronic illness that is implicit in
alcoholism treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
adult
central nervous system
education
human
normal human
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1984249783
MEDLINE PMID
6503291 (http://www.ncbi.nlm.nih.gov/pubmed/6503291)
PUI
L14024939
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2080
TITLE
Alcohol, substance use, and other risk-factors of impairment in a sample of
physicians-in-training
AUTHOR NAMES
McAuliffe W.E.
Rohman M.
Wechsler H.
AUTHOR ADDRESSES
(McAuliffe W.E.; Rohman M.; Wechsler H.) Department of Behavioral Sciences,
Harvard University School of Public Health, Boston, MA 02115
CORRESPONDENCE ADDRESS
Department of Behavioral Sciences, Harvard University School of Public
Health, Boston, MA 02115
SOURCE
Advances in Alcohol and Substance Abuse (1984) 4:2 (67-87). Date of
Publication: 1984
ISSN
0270-3106
ABSTRACT
This article examines survey data on alcohol and drug use, stress and other
risk factors of impairment in nonclinical samples of physicians and medical
students. Previously unpublished data on a sample of physicians-in-training
showed they were healthy non-smokers, experiencing many feelings of job
stress, but were generally light drinkers and suffered few adverse effects
of drinking. Young physicians and medical students were not very different
from comparable non-physician populations in their use of recreational and
therapeutic drugs, although the medical professionals had slightly below
average use rates. Regression analyses found that recreational drug use and
drinking stemmed mainly from sensation seeking, whereas therapeutic drug use
was stress-related.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
internship
medical student
stress
EMTREE MEDICAL INDEX TERMS
central nervous system
diagnosis
education
human
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985030115
MEDLINE PMID
6524508 (http://www.ncbi.nlm.nih.gov/pubmed/6524508)
PUI
L15180115
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2081
TITLE
Early detection and outpatient management of alcoholism: A curriculum for
medical residents
AUTHOR NAMES
Barnes H.N.
O'Neill S.F.
Aronson M.D.
Delbanco T.L.
AUTHOR ADDRESSES
(Barnes H.N.; O'Neill S.F.; Aronson M.D.; Delbanco T.L.)
Commonwealth-Harvard Alcohol Research and Teaching Program, Harvard Medical
School, Boston, MA
CORRESPONDENCE ADDRESS
Commonwealth-Harvard Alcohol Research and Teaching Program, Harvard Medical
School, Boston, MA
SOURCE
Journal of Medical Education (1984) 59:11 I (904-906). Date of Publication:
1984
ISSN
0022-2577
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
central nervous system
curriculum
education
human
normal human
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985019628
MEDLINE PMID
6492111 (http://www.ncbi.nlm.nih.gov/pubmed/6492111)
PUI
L15219628
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2082
TITLE
Alcohol education and the medical student
AUTHOR NAMES
Clare A.W.
AUTHOR ADDRESSES
(Clare A.W.) Department of Psychological Medicine, St. Bartholomew's
Hospital Medical College, London EC1
CORRESPONDENCE ADDRESS
Department of Psychological Medicine, St. Bartholomew's Hospital Medical
College, London EC1
SOURCE
Alcohol and Alcoholism (1984) 19:4 (291-296). Date of Publication: 1984
ISSN
0735-0414
ABSTRACT
The development of a more sophisticated aetiological model of alcohol abuse
and dependence has certain advantages when it comes to teaching medical
students about the subject. The move away from a simplistic, unicausal model
of disease coincides with more sophisticated notions of disease in medicine
in general and alcoholism in particular can now be seen as a paradigm for
many disorders. While the new model implicitly recognises the important role
of non-medical professionals in the detection and management of
alcohol-related problems, the protean manifestations of alcohol in general
and specialised medical settings demands that tomorrow's doctors have an
appropriately sophisticated model of the disorders and the abilities and
skills necessary for its detection and management.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education
medical student
EMTREE MEDICAL INDEX TERMS
adult
central nervous system
human
normal human
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985090333
MEDLINE PMID
6532465 (http://www.ncbi.nlm.nih.gov/pubmed/6532465)
PUI
L15140333
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2083
TITLE
An approach to alcoholism in a University Medical Center Complex
AUTHOR NAMES
Spickard W.A.
Tucker P.J.
AUTHOR ADDRESSES
(Spickard W.A.; Tucker P.J.) Division of General Internal Medicine,
Vanderbilt University Medical School, Nashville, TN
CORRESPONDENCE ADDRESS
Division of General Internal Medicine, Vanderbilt University Medical School,
Nashville, TN
SOURCE
Journal of the American Medical Association (1984) 252:14 (1894-1897). Date
of Publication: 1984
ISSN
0098-7484
ABSTRACT
We developed a three-part approach to the problem of alcoholism among the
employees and faculty of the Vanderbilt University and Medical Center. This
included (1) identification of faculty and staff with problem drinking, (2)
guidance of those identified for rehabilitation, and (3) an educational
program for students. Forty university employees (37 staff and three
faculty) with problem drinking were identified and referred for
rehabilitation. The principles of employee assistance used successfully in
industry were applied in this employee group. The 65% 'job rehabilitation'
rate is comparable with that achieved in industrial employee assistance
programs. Identification and rehabilitation of faculty in the university
required special approaches. The educational program for students as part of
the medical school elective curriculum was attended by most of the first-
and second-year medical students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
guidance
rehabilitation
EMTREE MEDICAL INDEX TERMS
adult
central nervous system
human
intoxication
student
therapy
university
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1984226996
MEDLINE PMID
6471320 (http://www.ncbi.nlm.nih.gov/pubmed/6471320)
PUI
L14002152
DOI
10.1001/jama.252.14.1894
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.252.14.1894
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2084
TITLE
Smoking draws fire at yet another medical facility.
AUTHOR NAMES
Check W.A.
AUTHOR ADDRESSES
(Check W.A.)
CORRESPONDENCE ADDRESS
W.A. Check,
SOURCE
JAMA : the journal of the American Medical Association (1984) 252:20 (2802).
Date of Publication: 1984 Nov 23-30
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
commercial phenomena
human
plant
tobacco
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6492355 (http://www.ncbi.nlm.nih.gov/pubmed/6492355)
PUI
L14811525
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2085
TITLE
Alcoholism curriculum development: An examination of the process
AUTHOR NAMES
Coggan P.G.
Davis A.K.
Hadac R.
AUTHOR ADDRESSES
(Coggan P.G.; Davis A.K.; Hadac R.) Department of Family Medicine,
University of Washington, Seattle, WA 98195
CORRESPONDENCE ADDRESS
Department of Family Medicine, University of Washington, Seattle, WA 98195
SOURCE
Journal of Family Practice (1984) 19:4 (527-532). Date of Publication: 1984
ISSN
0094-3509
ABSTRACT
Alcoholism is one of several topics that may be integrated into family
medicine clerkship teaching. This article focuses on the process of
curriculum development in alcoholism. The process is traced from its
beginnings in a third-year clerkship to its integration into the medical
school curriculum and other areas of medical education. Strengths and
pitfalls in this project are discussed. Enlisting community support and
field testing newly developed strategies are emphasized as successful
methods. Less successful in this project, though equally important, are
faculty development and long-term evaluation. Recommendations for curriculum
development in similar projects are made.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education program
family medicine
medical education
EMTREE MEDICAL INDEX TERMS
central nervous system
curriculum
education
geographic distribution
human
prevention
psychological aspect
short survey
therapy
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1984216848
MEDLINE PMID
6481322 (http://www.ncbi.nlm.nih.gov/pubmed/6481322)
PUI
L14041901
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2086
TITLE
Report on damage to health induced by drugs and their use. Study of a group
of medical students and pre-graduate medical interns
ORIGINAL (NON-ENGLISH) TITLE
La información sobre el daño a la salud producido por las drogas y su uso.
Estudio en un grupo de estudiantes de medicina y médicos internos de
pregrado.
AUTHOR NAMES
Bustamante Montes L.P.
AUTHOR ADDRESSES
(Bustamante Montes L.P.)
CORRESPONDENCE ADDRESS
L.P. Bustamante Montes,
SOURCE
Salud pública de México (1984) 26:6 (553-560). Date of Publication: 1984
Nov-Dec
ISSN
0036-3634
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, epidemiology)
health education
medical education
medical student
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
Mexico
LANGUAGE OF ARTICLE
Spanish
MEDLINE PMID
6515465 (http://www.ncbi.nlm.nih.gov/pubmed/6515465)
PUI
L15626816
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2087
TITLE
Learning to treat those with alcohol problems.
AUTHOR NAMES
Simmons K.
AUTHOR ADDRESSES
(Simmons K.)
CORRESPONDENCE ADDRESS
K. Simmons,
SOURCE
JAMA : the journal of the American Medical Association (1984) 252:14
(1830-1831, 1835). Date of Publication: 12 Oct 1984
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6471307 (http://www.ncbi.nlm.nih.gov/pubmed/6471307)
PUI
L14792850
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2088
TITLE
Smoking habits among the teachers of a medical teaching institute
ORIGINAL (NON-ENGLISH) TITLE
L'habitude de fumer chez les enseignants d'un institut superieur
d'enseignement medical.
AUTHOR NAMES
Ionescu C.
Mihaescu T.
Mihaescu P.
AUTHOR ADDRESSES
(Ionescu C.; Mihaescu T.; Mihaescu P.)
CORRESPONDENCE ADDRESS
C. Ionescu,
SOURCE
Revista medico-chirurgicala a Societaţii de Medici ş̧i Naturaliş̧ti din
Iaş̧i (1984) 88:4 (639-648). Date of Publication: 1984 Oct-Dec
ISSN
0300-8738
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
smoking (prevention)
teaching
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
comparative study
female
human
male
manpower
middle aged
questionnaire
Romania
LANGUAGE OF ARTICLE
French
MEDLINE PMID
6537630 (http://www.ncbi.nlm.nih.gov/pubmed/6537630)
PUI
L15712926
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2089
TITLE
Fellowship in Chemical Dependency University of Minnesota Hospitals and
Clinics.
AUTHOR NAMES
Westermeyer J.
AUTHOR ADDRESSES
(Westermeyer J.)
CORRESPONDENCE ADDRESS
J. Westermeyer,
SOURCE
Minnesota medicine (1984) 67:9 (519-520). Date of Publication: Sep 1984
ISSN
0026-556X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
medical education
EMTREE MEDICAL INDEX TERMS
article
human
United States
university hospital
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6493177 (http://www.ncbi.nlm.nih.gov/pubmed/6493177)
PUI
L14812480
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2090
TITLE
Alcoholism: education and treatment.
AUTHOR ADDRESSES
SOURCE
Canadian Medical Association journal (1984) 131:2 (98-99). Date of
Publication: 15 Jul 1984
ISSN
0008-4409
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
Canada
curriculum
human
letter
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6744159 (http://www.ncbi.nlm.nih.gov/pubmed/6744159)
PUI
L14779798
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2091
TITLE
How can we teach students about alcoholism?
AUTHOR NAMES
Korcok M.
AUTHOR ADDRESSES
(Korcok M.)
SOURCE
Canadian Medical Association Journal (1984) 130:3 (305-308). Date of
Publication: 1984
ISSN
0820-3946
ABSTRACT
Though alcoholism ranks as one of North America's top causes of death and
disability and, according to various survey, contributes to the health
problems of approximately one third of acute/general hospital patients, the
teaching about alcoholism to Canadian medical students remains very much a
peripheral affair. This is so despite the gains made in the past decade to
upgrade alcoholism treatment, and to lessen the perception of this disease
as primarily an affliction of skid-row drunks. Where such teaching is
included in undergraduate curricula, it's generally subsumed in a broader
course - manifestations of psychiatry, gastroenterology or neurology. It's
rarely taught as a discrete component, with blocks of lecture time or
clinical teaching dedicated to 'alcoholism' per se. (There are some
internship of residency programs that do allow specialization in alcoholism
and chemical dependency - the best example. But that's primarily concerned
with postgraduate study and doesn't reflect intimately on the core curricula
of doctors-training.) To many treatment professionals, doctors among them,
the lack of such education is a glaring medical school deficit, a blatant
reminder of how much stigma still exists about alcoholism - even among
professionals who see the manifestations of the disease every day, and
perhaps don't even recognize it for what it is.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
abuse
education
human
normal human
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1984061578
MEDLINE PMID
6692216 (http://www.ncbi.nlm.nih.gov/pubmed/6692216)
PUI
L14186630
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2092
TITLE
Alcoholism in medical school curricula.
AUTHOR NAMES
Sobol I.
AUTHOR ADDRESSES
(Sobol I.)
CORRESPONDENCE ADDRESS
I. Sobol,
SOURCE
Canadian Medical Association journal (1984) 130:4 (340). Date of
Publication: 15 Feb 1984
ISSN
0008-4409
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
Canada
human
letter
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6692220 (http://www.ncbi.nlm.nih.gov/pubmed/6692220)
PUI
L14708763
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2093
TITLE
Postgraduate substance abuse teaching. Cognitive knowledge before and long
after a required course
AUTHOR NAMES
Cushman Jr. P.
AUTHOR ADDRESSES
(Cushman Jr. P.) Subst. Abuse, McGuire Veterans Hosp., Richmond, VA 23249
CORRESPONDENCE ADDRESS
Subst. Abuse, McGuire Veterans Hosp., Richmond, VA 23249
SOURCE
Journal of Psychoactive Drugs (1983) 15:3 (221-223). Date of Publication:
1983
ISSN
0279-1072
ABSTRACT
The Medical College of Wisconsin recognized a need for instruction in its
Family Practice Residency Program specifically focused on alcoholism and
substance abuse. This author, a recipient of a Career Teacher Award, helped
devise and instruct such a course. It was of interest to assess those who
took the course both before and after the instructional period. This article
describes the course itself and presents some data regarding cognitive
information before, immediately after and again several months after
completion of the course.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
education
teaching
EMTREE MEDICAL INDEX TERMS
human
short survey
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983253057
MEDLINE PMID
6631593 (http://www.ncbi.nlm.nih.gov/pubmed/6631593)
PUI
L13022057
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2094
TITLE
Evaluating alcoholism and drug abuse knowledge in medical education: A
collaborative project
AUTHOR NAMES
Griffin Jr. J.B.
Hill I.K.
Jones J.J.
AUTHOR ADDRESSES
(Griffin Jr. J.B.; Hill I.K.; Jones J.J.) Emory University School of
Medicine, Atlanta, GA
CORRESPONDENCE ADDRESS
Emory University School of Medicine, Atlanta, GA
SOURCE
Journal of Medical Education (1983) 58:11 (859-863). Date of Publication:
1983
ISSN
0022-2577
ABSTRACT
A series of six modular examinations, each representing a substance abuse
problem, were developed by a National Institute on Drug Abuse task force
working with consultants from the National Board of Medical Examiners
(NBME). Each examination contained a patient management problem and
multiple-choice questions. The examinations were administered to 629 third-
and fourth-year U.S. medical students, and the results indicated that
students performed less well in this area than on the traditional content of
the NBME examinations. Students performed better on items related to
pharmacologic effects of drugs of abuse. Alcoholics Anonymous, and the
treatment of delirium tremens. Students did less well on items related to
metabolic and biochemical areas; emergency room treatment of drug-overdosed,
comatose patients; and legal issues in substance abuse. As a result of these
data, a syllabus explaining each item in the available modules was
developed, score-reporting to participating schools was modified, and the
modules were shortened. Implications for medical education in substance
abuse are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
medical education
EMTREE MEDICAL INDEX TERMS
central nervous system
education
geographic distribution
human
normal human
short survey
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1984000109
MEDLINE PMID
6631924 (http://www.ncbi.nlm.nih.gov/pubmed/6631924)
PUI
L14225161
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2095
TITLE
Health education in the general practice consultation: doctors' advice on
diet, alcohol and smoking.
AUTHOR NAMES
Boulton M.G.
Williams A.
AUTHOR ADDRESSES
(Boulton M.G.; Williams A.)
CORRESPONDENCE ADDRESS
M.G. Boulton,
SOURCE
Health education journal (1983) 42:2 (57-63). Date of Publication: 1983
ISSN
0017-8969
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practice
health education
EMTREE MEDICAL INDEX TERMS
article
diet
drinking behavior
human
smoking
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10264318 (http://www.ncbi.nlm.nih.gov/pubmed/10264318)
PUI
L14686428
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2096
TITLE
Preventing adolescent substance abuse through drug education
AUTHOR NAMES
Moskowitz J.M.
AUTHOR ADDRESSES
(Moskowitz J.M.) Pacific Institute for Research and Evaluation, Napa, CA
94559
CORRESPONDENCE ADDRESS
Pacific Institute for Research and Evaluation, Napa, CA 94559
SOURCE
NIDA Research Monograph Series (1983) NO. 47 (233-249). Date of Publication:
1983
ISSN
1046-9516
ABSTRACT
The belief that education can solve social problems has been longstanding
despite a lack of supportive evidence. This belief is based on the
assumptions that social problems are caused by the maladaptive behavior of
individuals, and that such behavior can be infleunced by education. The
public schools are considered a logical setting for primary prevention
because their major goal is education, and they service a young population
that is relatively problem-free. The present paper examines the efficacy of
drug education as a preventive solution to the problem of substance abuse.
The substances of interest include alcohol and cigarettes as well as
psychoactive drugs taken for non-medical reasons.
EMTREE DRUG INDEX TERMS
alcohol
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
drug abuse
drug education
EMTREE MEDICAL INDEX TERMS
adolescent
education
history
human
intoxication
normal human
prevention
short survey
smoking
theoretical study
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985220353
MEDLINE PMID
6419117 (http://www.ncbi.nlm.nih.gov/pubmed/6419117)
PUI
L15020353
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2097
TITLE
Professional education: Changing roles of universities
AUTHOR NAMES
Harris Jr. R.L.
AUTHOR ADDRESSES
(Harris Jr. R.L.) Department of Environmental Engineering, University of
North Carolina, Chapel Hill, NC 27514
CORRESPONDENCE ADDRESS
Department of Environmental Engineering, University of North Carolina,
Chapel Hill, NC 27514
SOURCE
American Industrial Hygiene Association Journal (1983) 44:12 (A-29-A-34).
Date of Publication: 1983
ISSN
1529-8663
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
industrial hygiene
medical education
smoking
EMTREE MEDICAL INDEX TERMS
education
human
organization and management
prevention
EMBASE CLASSIFICATIONS
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1984052383
PUI
L14177435
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2098
TITLE
Increasing physicians' antismoking influence by applying an inexpensive
feedback technique
AUTHOR NAMES
Ewart C.K.
Li V.C.
Coates T.J.
AUTHOR ADDRESSES
(Ewart C.K.; Li V.C.; Coates T.J.) Johns Hopkins Univ. Sch. Hyg. Public
Health, Baltimore, MD
CORRESPONDENCE ADDRESS
Johns Hopkins Univ. Sch. Hyg. Public Health, Baltimore, MD
SOURCE
Journal of Medical Education (1983) 58:6 (468-473). Date of Publication:
1983
ISSN
0022-2577
ABSTRACT
Continuing medical education that ignores motivational and environmental
determinations of continued skill use will have little impact. Physicians
who were trained to give antismoking advice to patients did so effectively
soon after training, but their performance deteriorated during the next nine
months. A subsequent study showed that antismoking effectiveness is
maintained for extended periods if advice-giving rates are monitored monthly
and physicians receive immediate corrective feedback whenever their
performance declines.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
medical education
smoking
smoking cessation
EMTREE MEDICAL INDEX TERMS
education
feedback system
human
patient
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983180347
MEDLINE PMID
6854609 (http://www.ncbi.nlm.nih.gov/pubmed/6854609)
PUI
L13055504
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2099
TITLE
Alcoholism education in the medical curriculum
AUTHOR NAMES
Mendelson J.H.
Mello N.K.
AUTHOR ADDRESSES
(Mendelson J.H.; Mello N.K.) Harvard Med. Sch., McLean Hosp., Belmont, MA
CORRESPONDENCE ADDRESS
Harvard Med. Sch., McLean Hosp., Belmont, MA
SOURCE
Journal of Medical Education (1983) 58:5 (430-431). Date of Publication:
1983
ISSN
0022-2577
ABSTRACT
Medical students' exposure to questions and issues about alcoholism
facilitates critical thinking and has value for many areas of medicine.
Among these areas are patient motivation and compliance; denial of illness;
the roles of stress, society, and culture in the causation and perpetuation
of disease; and a host of other substantive factors which impact upon
medical practice. Finally, but certainly not least important, the course
provides the student with an introduction to patient-oriented clinical
issues which include acquisition of interviewing skills, sensitivity,
attention to detail, and perception of subtle symptoms and signs. The course
also helps medical students develop awareness of factors which can impede
good medical practice such as stigmatization and stereotyping of the
alcoholic or any other patient.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
central nervous system
education
human
normal human
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983161968
MEDLINE PMID
6854601 (http://www.ncbi.nlm.nih.gov/pubmed/6854601)
PUI
L13093118
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2100
TITLE
A statewide evaluation of a communication and parenting skills program
AUTHOR NAMES
Klein M.A.
Swisher J.D.
AUTHOR ADDRESSES
(Klein M.A.; Swisher J.D.) Dep. Educ. Psychol., Univ. Wisconsin-Milwaukee,
Milwaukee, WI 53201
CORRESPONDENCE ADDRESS
Dep. Educ. Psychol., Univ. Wisconsin-Milwaukee, Milwaukee, WI 53201
SOURCE
Journal of Drug Education (1983) 13:1 (73-82). Date of Publication: 1983
ISSN
0047-2379
ABSTRACT
This study evaluated, through a state training network the Communication and
Parenting Skills (CAPS) substance abuse education program. The program
includes: parental modeling of positive attitudes and behaviors and
effective communication. Ten instructors, located throughout the
Commonwealth of Pennsylvania, each conducted two CAPS courses - one serving
as an experimental course, the other as a control. The procedure followed
for this project was a post-test only design. Comparative data revealed that
the marital status and years in present residence for the two groups were
very similar. The control group averaged one-half year more of education and
one-half child less per family. Results from the Sensitivity to Children
Index indicated a significant acquisition and utilization of constructive
responses by participants in the experimental condition.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family
health education
health program
parent
EMTREE MEDICAL INDEX TERMS
child
education
geographic distribution
human
interpersonal communication
methodology
normal human
prevention
psychological aspect
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983151095
PUI
L13082245
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2101
TITLE
Teaching medical students about substance abuse in a weekend intervention
program
AUTHOR NAMES
Siegal H.
Rudisill J.R.
AUTHOR ADDRESSES
(Siegal H.; Rudisill J.R.) Dep. Med. Soc., Wright State Univ. Sch. Med.,
Dayton, OH
CORRESPONDENCE ADDRESS
Dep. Med. Soc., Wright State Univ. Sch. Med., Dayton, OH
SOURCE
Journal of Medical Education (1983) 58:4 (322-327). Date of Publication:
1983
ISSN
0022-2577
ABSTRACT
The authors of this article describe a new approach, called the Weekend
Intervention Program, used to teach about alcoholism and substance abuse.
The new program makes it possible for medical students to see the process of
treatment and intervention unfold. The program places medical students under
professional supervision in close, intense contact with drug and alcohol
abusers. The program strongly reinforces the instruction presented in both
basic science and clinical courses. More than 100 students have participated
in the program, and they report it to be an intensely rewarding, valuable
experience. The program requires no new resources and is cost-effective.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
medical education
EMTREE MEDICAL INDEX TERMS
education
human
normal human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983133826
MEDLINE PMID
6834410 (http://www.ncbi.nlm.nih.gov/pubmed/6834410)
PUI
L13122976
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2102
TITLE
A follow-up survey of drug abuse and alcoholism teaching in medical schools
AUTHOR NAMES
Pokorny A.D.
Solomon J.
AUTHOR ADDRESSES
(Pokorny A.D.; Solomon J.) Dep. Psychiatry, Baylor Coll. Med., Houston, TX
CORRESPONDENCE ADDRESS
Dep. Psychiatry, Baylor Coll. Med., Houston, TX
SOURCE
Journal of Medical Education (1983) 58:4 (316-321). Date of Publication:
1983
ISSN
0022-2577
ABSTRACT
The authors sent a questionnaire regarding the teaching of drug abuse and
alcoholism to a stratified random sample of 40 U.S. medical schools, and 35
provided usable replies. The findings are summarized and are contrasted with
replies received five years earlier from the same schools. During these five
years, there were notable improvements in the teaching of these topics, as
reflected by increases in required teaching hours, percentage of total
required hours, number of elective courses offered, and number of affiliated
clinical programs. The effect of the presence of a career teacher in the
addictions is also evaluated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
medical education
EMTREE MEDICAL INDEX TERMS
education
human
normal human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983133825
MEDLINE PMID
6834409 (http://www.ncbi.nlm.nih.gov/pubmed/6834409)
PUI
L13122975
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2103
TITLE
A case of addiction to buprenorphin
ORIGINAL (NON-ENGLISH) TITLE
EIN FALL VON SEKUNDARER BUPRENORPHIN (TEMGESIC®)-ABHANGIGKEIT
AUTHOR NAMES
Benos J.
AUTHOR ADDRESSES
(Benos J.) Bezirksklin. Hochstadt, D-8621 Hochstadt a. Main
CORRESPONDENCE ADDRESS
Bezirksklin. Hochstadt, D-8621 Hochstadt a. Main
SOURCE
Nervenarzt (1983) 54:5 (259-261). Date of Publication: 1983
ISSN
0028-2804
ABSTRACT
An account is given of the case of a man aged 23 years, who, in the course
of his heroin addiction had his attention called by friends in the drug
scene to the new analgetic Buprenorphin (Temgesic), a semi-synthetic
derivative, and thereafter became an addict of this substance. The
preparation was put on the illicit drug market as doctors had prescribed it
for the 'cure' of heroin addiction or of its withdrawal symptoms. It is,
however, quite unsuitable for this purpose, just as morphine was found to be
when used for the treatment of opium addiction.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine
chlordiazepoxide
clorazepate
diamorphine
diazepam
naloxone
opiate
pentazocine
tilidine
EMTREE DRUG INDEX TERMS
clorazepate dipotassium
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
adverse drug reaction
drug dependence
drug therapy
EMTREE MEDICAL INDEX TERMS
case report
central nervous system
human
intoxication
intravenous drug administration
therapy
DRUG TRADE NAMES
librium
temgesic
tranxilium
valium
valoron
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
chlordiazepoxide (438-41-5, 58-25-3)
clorazepate (20432-69-3, 23887-31-2)
clorazepate dipotassium (57109-90-7)
diamorphine (1502-95-0, 561-27-3)
diazepam (439-14-5)
naloxone (357-08-4, 465-65-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
pentazocine (359-83-1, 64024-15-3)
tilidine (20380-58-9, 27107-79-5)
EMBASE CLASSIFICATIONS
Adverse Reactions Titles (38)
Drug Literature Index (37)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1983134044
MEDLINE PMID
6866170 (http://www.ncbi.nlm.nih.gov/pubmed/6866170)
PUI
L13123194
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2104
TITLE
Alcohol education for family practice residents.
AUTHOR NAMES
Montgomery F.A.
AUTHOR ADDRESSES
(Montgomery F.A.)
CORRESPONDENCE ADDRESS
F.A. Montgomery,
SOURCE
The Journal of family practice (1983) 16:2 (223-224). Date of Publication:
Feb 1983
ISSN
0094-3509
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
general practice
medical education
EMTREE MEDICAL INDEX TERMS
education
human
letter
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6822790 (http://www.ncbi.nlm.nih.gov/pubmed/6822790)
PUI
L13642336
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2105
TITLE
Training health professionals in substance abuse: A review
AUTHOR NAMES
Ewan C.E.
Whaite A.
AUTHOR ADDRESSES
(Ewan C.E.; Whaite A.) Univ. New South Wales, Kensington, NSW 2033
CORRESPONDENCE ADDRESS
Univ. New South Wales, Kensington, NSW 2033
SOURCE
International Journal of the Addictions (1982) 17:7 (1211-1229). Date of
Publication: 1982
ISSN
0020-773X
ABSTRACT
Alcohol- and drug-related problems are a major component of the work of
health professionals. Most professionals are inadequately trained to handle
the problems they will confront in this field. The need for training in
aspects of substance abuse is widely accepted. This paper is a review of
reports of such training programs in English-speaking countries. The
programs have been reviewed in four categories: (1) courses for
practitioners and teachers of health professionals, (2) courses for medical
students, (3) courses for nurses and nursing students, and (4) courses for
other health professionals. Many programs have achieved their objectives,
but documentation for many of them is insufficient to provide guidance for
future program development. In general, knowledge gain is easily
demonstrated, but changes in attitudes and skills require special conditions
in training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
health care
medical personnel
EMTREE MEDICAL INDEX TERMS
education
human
normal human
short survey
therapy
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983007149
MEDLINE PMID
6757156 (http://www.ncbi.nlm.nih.gov/pubmed/6757156)
PUI
L13233299
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2106
TITLE
Future caregivers' views on alcoholism treatment. A poor prognosis
AUTHOR NAMES
Wechsler H.
Rohman M.
AUTHOR ADDRESSES
(Wechsler H.; Rohman M.) Med. Found. Inc., Boston, MA 02116
CORRESPONDENCE ADDRESS
Med. Found. Inc., Boston, MA 02116
SOURCE
Journal of Studies on Alcohol (1982) 43:9 (939-955). Date of Publication:
1982
ISSN
0096-882X
ABSTRACT
Few students preparing for careers in medicine, nursing, social work, or
counseling are interested in devoting their professional time to the care of
problem drinkers; this reluctance to become involved in the treatment of
alcohol problems is related to prognostic pessimism and negative assessments
of existing therapeutic resources for alcoholism treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health care
medical education
EMTREE MEDICAL INDEX TERMS
adult
central nervous system
human
normal human
United States
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983116779
MEDLINE PMID
7166961 (http://www.ncbi.nlm.nih.gov/pubmed/7166961)
PUI
L13163929
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2107
TITLE
Changes in the smoking behaviour, knowledge and opinion of medical students,
1972-1981
AUTHOR NAMES
Knopf Elkind A.
AUTHOR ADDRESSES
(Knopf Elkind A.) Dep. Epidemiol., Univ. Hosp. South Manchester, Manchester
M2O 9BX
CORRESPONDENCE ADDRESS
Dep. Epidemiol., Univ. Hosp. South Manchester, Manchester M2O 9BX
SOURCE
Social Science and Medicine (1982) 16:24 (2137-2143). Date of Publication:
1982
ISSN
0277-9536
ABSTRACT
To examine changes in medical students' smoking behaviour, knowledge and
opinion over the last decade, a survey first conducted at the University of
Manchester Medical School in 1972 was repeated in 1981. A postal
questionnaire was sent to 1163 students, of whom 1112 (96%) replied. A
substantial decline in cigarette smoking among medical students has
occurred. This largely follows trends in the general population, medical
education itself having made little contribution to the change. In 1972, 29%
of students were cigarette smokers compared with 17% in 1981. The fall in
cigarette smoking was more marked among men students rather than women,
older rather than younger students, clinical rather than pre-clinical
students. Cigarette consumption had also decreased as had the use of cigars
and pipes among male students. The decline was already evident prior to
students beginning their medical studies. A smaller expansion of smoking
experience at medical school had occurred among the 1981 students, but, as
in 1972, those who took up smoking or increased their consumption exceeded
those who gave up or cut down. In 1981 the likelihood of taking up smoking
or becoming a regular smoker at medical school was somewhat greater for
women students than for men, although the numbers concerned were small. The
survey reconfirmed the importance of the social environmental in smoking
behaviour. Modest changes had occurred in knowledge and opinion about
smoking. Both the accuracy and scope of knowledge of students about the
health hazards increased between 1972 and 1981, particularly among clinical
students, who remained considerably better informed than their pre-clinical
colleagues. As in 1972, knowledge had little impact on smoking behaviour. By
1981 nine out of ten students regarded smoking as a major risk to health,
both clinical students and smokers being more likely to take this view than
in 1972. Almost all students, irrespective of their smoking behaviour, found
the evidence linking smoking to serious illness to some extent convincing,
and by 1981 a somewhat greater proportion, 60%, found it very convincing,
the tendency to do so increasing as they progressed through their course.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior
education
medical student
smoking
EMTREE MEDICAL INDEX TERMS
geographic distribution
human
normal human
psychological aspect
short survey
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983076003
MEDLINE PMID
7157044 (http://www.ncbi.nlm.nih.gov/pubmed/7157044)
PUI
L13182153
DOI
10.1016/0277-9536(82)90263-5
FULL TEXT LINK
http://dx.doi.org/10.1016/0277-9536(82)90263-5
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2108
TITLE
Drug abuse training as part of a family medicine clerkship
AUTHOR NAMES
Confusione M.
Jaffe A.
Rosen M.G.
AUTHOR ADDRESSES
(Confusione M.; Jaffe A.; Rosen M.G.) Dept. Fam. Med., State Univ. New York,
Stony Brook, NY
CORRESPONDENCE ADDRESS
Dept. Fam. Med., State Univ. New York, Stony Brook, NY
SOURCE
Journal of Medical Education (1982) 57:5 (409-411). Date of Publication:
1982
ISSN
0022-2577
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
family medicine
medical education
EMTREE MEDICAL INDEX TERMS
addiction
geographic distribution
normal human
psychological aspect
short survey
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1982214619
MEDLINE PMID
7200147 (http://www.ncbi.nlm.nih.gov/pubmed/7200147)
PUI
L12066733
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2109
TITLE
Substance abuse, public health and the pediatrician
AUTHOR NAMES
Monopolis S.
Savage C.
AUTHOR ADDRESSES
(Monopolis S.; Savage C.) Psychiatr. Serv., VA Med. Cent., Baltimore, MD
CORRESPONDENCE ADDRESS
Psychiatr. Serv., VA Med. Cent., Baltimore, MD
SOURCE
Paediatrician (1982) 11:3-4 (178-196). Date of Publication: 1982
ABSTRACT
Substance abuse is a major public health problem affecting increasing
numbers of children and adolescents. It is important to consider the various
etiologic factors and the detrimental effects on individuals and social
welfare. Intervention refers to early diagnosis, treatment, rehabilitation,
and resocialization, as well as prevention, education, and alternatives. Its
effectiveness depends on: the recognition of the problem as biopsychosocial;
a humanistic/holistic approach; and collaboration of family, school, work,
etc., with the physician and the patient. Training in substance abuse will
prepare the pediatrician to meet his responsibilities as clinician, school
consultant, family counselor, public health worker, and community educator.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
cannabis derivative
cocaine
diamorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
drug dependence
education
preventive medicine
prophylaxis
public health
rehabilitation
EMTREE MEDICAL INDEX TERMS
adolescence
adolescent
central nervous system
child
prevention
psychological aspect
short survey
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis derivative (38458-58-1)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Drug Literature Index (37)
Clinical and Experimental Pharmacology (30)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1982191498
MEDLINE PMID
6979025 (http://www.ncbi.nlm.nih.gov/pubmed/6979025)
PUI
L12043612
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2110
TITLE
Medical school uncorks alcoholism education.
AUTHOR NAMES
González E.R.
AUTHOR ADDRESSES
(González E.R.)
CORRESPONDENCE ADDRESS
E.R. González,
SOURCE
JAMA : the journal of the American Medical Association (1982) 248:14
(1686-1688). Date of Publication: 8 Oct 1982
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical school
EMTREE MEDICAL INDEX TERMS
article
human
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7120584 (http://www.ncbi.nlm.nih.gov/pubmed/7120584)
PUI
L12681920
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2111
TITLE
Behavioural evaluation of fetal alcohol education for physicians
AUTHOR NAMES
Weiner L.
Rosett H.L.
Edelin K.C.
AUTHOR ADDRESSES
(Weiner L.; Rosett H.L.; Edelin K.C.) Dep. Psychiat., Boston Univ. Sch.
Med., Boston, MA 02165
CORRESPONDENCE ADDRESS
Dep. Psychiat., Boston Univ. Sch. Med., Boston, MA 02165
SOURCE
Alcoholism: Clinical and Experimental Research (1982) 6:2 (230-233). Date of
Publication: 1982
ISSN
0145-6008
ABSTRACT
Assessment of clinical behavior has been neglected in evaluating alcohol
training for professionals. Inclusion of a systematic drinking history in
patient charts provides a sensitive yet simple behavioural marker. At Boston
City Hospital, a Ten Question Drinking History (TQDH) was incorporated into
a prenatal intake procedure and used to monitor staff behaviour. Utilization
of the TQDH, measured for six time periods, ranged from 92% to 33%.
Obstetrical staff was more likely to complete the TQDH when the alcoholism
research staff was visible in the clinic and readily available for
consultation and referral.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education program
medical education
pregnancy
EMTREE MEDICAL INDEX TERMS
central nervous system
geographic distribution
prevention
psychological aspect
short survey
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1982147169
MEDLINE PMID
7048976 (http://www.ncbi.nlm.nih.gov/pubmed/7048976)
PUI
L12123243
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2112
TITLE
Anti-smoking education in Oxfordshire general practices
AUTHOR NAMES
Jamrozik K.
Fowler G.
AUTHOR ADDRESSES
(Jamrozik K.; Fowler G.) Dep. Community Med. Gen. Pract., Univ. Oxford
CORRESPONDENCE ADDRESS
Dep. Community Med. Gen. Pract., Univ. Oxford
SOURCE
Journal of the Royal College of General Practitioners (1982) 32:236
(179-183). Date of Publication: 1982
ISSN
0035-8797
ABSTRACT
A postal questionnaire survey of 360 Oxfordshire general practitioners and
health visitors on the subject of anti-smoking education was conducted in
May-June 1980. Two mailings produced a response rate of 87 per cent.
Involvement in anti-smoking education was felt to be more relevant for the
doctors than for the health visitors. Health visitors thought that health
education officers had a major role to play; they were also more likely than
doctors to use literature as an aid in counselling smokers. In general, the
mass media were not thought to be effective in helping individual smokers to
give up the habit. Both doctors and health visitors were in favour of their
professional organizations exerting pressure on Parliament, but only one
respondent had ever written to an MP about smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
health education
health visitor
smoking
EMTREE MEDICAL INDEX TERMS
methodology
prevention
questionnaire
theoretical study
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1982142674
MEDLINE PMID
7086752 (http://www.ncbi.nlm.nih.gov/pubmed/7086752)
PUI
L12118748
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2113
TITLE
Measures against drug abuse by young people
ORIGINAL (NON-ENGLISH) TITLE
MOYENS DE LUTTE CONTRE LA CONSOMMATION ABUSIVE DE MEDICAMENTS PARMI LA
JEUNESSE. PROPOSITIONS DES MEDECINS VAUDOIS ET DISCUSSION
AUTHOR NAMES
Martin J.
Siegrist A.
AUTHOR ADDRESSES
(Martin J.; Siegrist A.) Serv. Sante Publ., Canton Vaud, 1005 Lausanne
CORRESPONDENCE ADDRESS
Serv. Sante Publ., Canton Vaud, 1005 Lausanne
SOURCE
Revue Medicale de la Suisse Romande (1982) 102:1 (67-77). Date of
Publication: 1982
ISSN
0035-3655
ABSTRACT
An enquiry among physicians of the Canton of Vaud concerning drug abuse by
young people included the question how the problem should be handled. Of the
466 respondents (49.2%), 201 offered suggestions. These could be divided
into three groups: 46% proposed restrictive measures (prohibition,
restriction, control) at several levels (physicians, pharmacists, public,
media), 23% urged improved motivation and awareness of various groups
concerning their educative role in this respect (especially physicians,
teachers, media and parents), while 24% agreed on the necessity of providing
more information and educative material. Several emphasized that in their
view addiction is just one manifestation of a global social problem. The
possibilities and limitations of various methods of combating drug abuse are
discussed in the light of the situation in Switzerland and other countries.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
drug abuse
EMTREE MEDICAL INDEX TERMS
adolescent
central nervous system
methodology
prevention
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
French
EMBASE ACCESSION NUMBER
1982132178
MEDLINE PMID
7071444 (http://www.ncbi.nlm.nih.gov/pubmed/7071444)
PUI
L12108252
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2114
TITLE
Training in drug abuse in a family medicine residency.
AUTHOR NAMES
Confusione M.
Jaffe A.
Rosen M.G.
AUTHOR ADDRESSES
(Confusione M.; Jaffe A.; Rosen M.G.)
CORRESPONDENCE ADDRESS
M. Confusione,
SOURCE
The Journal of family practice (1982) 15:1 (189-190). Date of Publication:
Jul 1982
ISSN
0094-3509
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
article
curriculum
drug detoxification
education
human
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7086379 (http://www.ncbi.nlm.nih.gov/pubmed/7086379)
PUI
L12659450
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2115
TITLE
Alcoholism education.
AUTHOR NAMES
Sedlacek D.A.
AUTHOR ADDRESSES
(Sedlacek D.A.)
CORRESPONDENCE ADDRESS
D.A. Sedlacek,
SOURCE
Journal of medical education (1982) 57:5 (428). Date of Publication: May
1982
ISSN
0022-2577
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
human
letter
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7069773 (http://www.ncbi.nlm.nih.gov/pubmed/7069773)
PUI
L12626835
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2116
TITLE
Smoking and drinking by middle-aged British men: Effects of social class and
town of residence
AUTHOR NAMES
Cummins R.O.
Shaper A.G.
Walker M.
Wale C.J.
AUTHOR ADDRESSES
(Cummins R.O.; Shaper A.G.; Walker M.; Wale C.J.) Dept. Clin. Epidemiol.
Gen. Pract., Roy. Free Hosp. Sch. Med., London NW3 2QG
CORRESPONDENCE ADDRESS
Dept. Clin. Epidemiol. Gen. Pract., Roy. Free Hosp. Sch. Med., London NW3
2QG
SOURCE
British Medical Journal (1981) 283:6305 (1497-1502). Date of Publication:
1981
ISSN
0959-8146
ABSTRACT
In 7735 men aged 40-59, selected at random from general practices in 24
towns throughout Britain, pronounced differences were noted in the
prevalences of smoking and drinking between the social classes. Social class
differences also existed for frequency and quantity of drinking, type of
beverage, and several aspects of smoking behaviour. Increasing amounts of
smoking were associated with higher prevalences of moderate to heavy
drinking, particularly in daily rather than weekend drinkers. Between
drinking groups, however, the relation with smoking was more U-shaped, with
light and heavy drinkers smoking more than moderate drinkers. The lowest
rates of moderate to heavy smoking were observed in frequent light drinkers,
particularly in the non-manual workers. The proportion of moderate to heavy
drinkers was no higher among ex-cigarette smokers than among current
smokers. When the data were examined by town of residence social class
differences persisted. Controlling for social class still showed pronounced
differences between towns in both smoking and drinking behaviour. These data
confirm that town of residence and social class have independent effects on
smoking and drinking behaviour. The established regional and social class
differences in cardiovascular disease may be due in part to the independent
influences of town and social class on smoking and drinking behaviour.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking
socioeconomics
EMTREE MEDICAL INDEX TERMS
epidemiology
geographic distribution
normal human
United Kingdom
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Internal Medicine (6)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1982011728
MEDLINE PMID
6799040 (http://www.ncbi.nlm.nih.gov/pubmed/6799040)
PUI
L12235777
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2117
TITLE
Teaching alcoholism to family medicine students.
AUTHOR NAMES
Coggan P.
Davis A.
Rogers J.
AUTHOR ADDRESSES
(Coggan P.; Davis A.; Rogers J.)
CORRESPONDENCE ADDRESS
P. Coggan,
SOURCE
The Journal of family practice (1981) 13:7 (1025-1028). Date of Publication:
Dec 1981
ISSN
0094-3509
ABSTRACT
Alcoholism is a major health problem in the United States, yet it has not
received high priority in medical education. Although it affects many
patients who attend the offices of family physicians, it frequently remains
unrecognized. It is therefore an appropriate topic for a family medicine
course and has been integrated into a third year clerkship at the University
of Washington. Students are taught basic diagnostic and management skills by
sensitizing them to the magnitude of the problem and addressing some
professional attitudinal blocks. history taking skills emphasizing early
recognition and intervention are stressed, and the role of community
resources in treatment is demonstrated through discussion and site visits.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, therapy)
general practice
medical education
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
anamnesis
article
community care
curriculum
education
female
health personnel attitude
human
male
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7310352 (http://www.ncbi.nlm.nih.gov/pubmed/7310352)
PUI
L12585289
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2118
TITLE
Addiction in military environment. Toxic hazards and prophylactic factors
with particular consideration of education, training and qualification of
military cadres
ORIGINAL (NON-ENGLISH) TITLE
TOSSICODIPENDENZE IN AMBITO MILITARE: MOMENTI CAUSALI E FATTORI DI
PREVENZIONE IN PARTICOLARE RELATIVI AD ATTIVITA EDUCATIVO-FORMATIVE E
QUALIFICAZIONE DEI QUADRI
AUTHOR NAMES
D'Antino E.
AUTHOR ADDRESSES
(D'Antino E.) Ist. Med. Leg. AM A. Di Loreto, Roma
CORRESPONDENCE ADDRESS
Ist. Med. Leg. AM A. Di Loreto, Roma
SOURCE
Rivista di Medicina Aeronautica e Spaziale (1981) 44:1-2 (117-138). Date of
Publication: 1981
ISSN
0035-631X
ABSTRACT
After taking into account the main causes underlying the current
maladjustment of young people, as well as the problems related to addiction,
especially in the armed forces, the author defines in this environment
different prophylactic factors focusing on the activation of various
initiatives flowing together along these lines, namely: qualitative
adaptation and integration of higher ranking military officers with
specialists in psychology and sociology; a better selection, vocational
guidance and personnel management; the establishment of socializing centres
within military units; the enhancement of the relations between military
institutions and the world of school, family and work; the sociological and
sanitary education, preventive medicine and mental health; the counseling of
psycho-paedagogic advisory groups and departments of mental health for
military personnel, etc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
army
drug dependence
EMTREE MEDICAL INDEX TERMS
adult
central nervous system
education
geographic distribution
human
normal human
prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
Italian
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
1983000923
PUI
L13227073
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2119
TITLE
Evaluating the usability of a Spanish language drug and substance abuse
education program
AUTHOR NAMES
Toohey J.V.
Valenzuela G.J.
Dezelsky T.L.
AUTHOR ADDRESSES
(Toohey J.V.; Valenzuela G.J.; Dezelsky T.L.) Dept. Hlth Sci., Arizona State
Univ., Tempe, AZ 85281
CORRESPONDENCE ADDRESS
Dept. Hlth Sci., Arizona State Univ., Tempe, AZ 85281
SOURCE
Journal of Drug Education (1981) 11:2 (179-184). Date of Publication: 1981
ISSN
0047-2379
ABSTRACT
This project in developing and evaluating a Spanish language drug and
substance abuse education prgram was divided into three phases. Phase one
and two: developing a student activity booklet and instructors manual was
funded by the Partners of the Americas, Washington, D.C. Phase three: the
usability evaluation of the program was funded by the Faculty
Grant-In-Aid-Program of Arizona State University, Tempe, Arizona.
Traditional value gaming strategies used in the United States with success
were those adpapted for this Spanish language program. A pilot study was
conduced at a juvenile residence in Acapulco, Guerrero, Mexico, with
followup programs in Oaxaca, Oaxaca, Mexico. The usability evaluation of the
program took place in Acapulco, Guerrero, Mexico, during the Summer of 1980.
The usable evaluation indicated that Spanish speaking agencies could utilize
both the student guide and instructors manual as a tool for drug education
with their own staff conducting the program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
health education
EMTREE MEDICAL INDEX TERMS
central nervous system
ethnic or racial aspects
prevention
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1981210528
PUI
L11050325
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2120
TITLE
Postgraduate substance abuse teaching: cognitive knowledge before and after
a required course.
AUTHOR NAMES
Cushman Jr. P.
AUTHOR ADDRESSES
(Cushman Jr. P.)
CORRESPONDENCE ADDRESS
P. Cushman,
SOURCE
Journal of medical education (1981) 56:10 (866-867). Date of Publication:
Oct 1981
ISSN
0022-2577
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
article
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7288856 (http://www.ncbi.nlm.nih.gov/pubmed/7288856)
PUI
L11651749
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2121
TITLE
Health education and preventive medicine
ORIGINAL (NON-ENGLISH) TITLE
GESUNDHEITSERZIEHUNG UND PRAVENTIVMEDIZIN
AUTHOR NAMES
Biener K.
AUTHOR ADDRESSES
(Biener K.) Inst. Sozial- Prav. Med., Univ. 8006 Zurich
CORRESPONDENCE ADDRESS
Inst. Sozial- Prav. Med., Univ. 8006 Zurich
SOURCE
Offentliche Gesundheitswesen (1981) 43:1 (40-47). Date of Publication: 1981
ISSN
0029-8573
ABSTRACT
The effectiveness of brief, medium-duration and prolonged health education
programs was studied. After a single intensive effort against smoking by
women, 34% said they wanted to stop and 56% to smoke less, but after 3
months, 73% were found to have gone on smoking. Campaigns to keep
adolescents from smoking, lasting one to four years, were distinctly more
successful.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking
EMTREE MEDICAL INDEX TERMS
adolescent
prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1981125637
MEDLINE PMID
6451846 (http://www.ncbi.nlm.nih.gov/pubmed/6451846)
PUI
L11157424
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2122
TITLE
Role of the medical profession in health education of the public, especially
young people
ORIGINAL (NON-ENGLISH) TITLE
DIE ROLLE DES ARZTES BEI DER GESUNDHEITSERZIEHUNG DER BEVOLKERUNG
INSBESONDERE BEI JUGENDLICHEN
AUTHOR NAMES
Goldberg J.
AUTHOR ADDRESSES
(Goldberg J.) Poliklin. Abt. Lungenkrankh. TBC, Funktionseinh.
Kreiskrankenh., Kreispoliklin., 1330 Schwedt
CORRESPONDENCE ADDRESS
Poliklin. Abt. Lungenkrankh. TBC, Funktionseinh. Kreiskrankenh.,
Kreispoliklin., 1330 Schwedt
SOURCE
Zeitschrift fur Arztliche Fortbildung (1981) 75:2 (76-77). Date of
Publication: 1981
ISSN
0044-2178
ABSTRACT
This paper stresses the importance of the physician's part in educating the
population, and especially the young, to healthier ways of life. Special
reference is made to attempts to persuade young people to refrain from
smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
juvenile
physician
smoking
EMTREE MEDICAL INDEX TERMS
adolescent
geographic distribution
German Democratic Republic
prevention
psychological aspect
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1981094244
MEDLINE PMID
7222788 (http://www.ncbi.nlm.nih.gov/pubmed/7222788)
PUI
L11190031
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2123
TITLE
150-year-old medical opinion on smoking
ORIGINAL (NON-ENGLISH) TITLE
150 éves orvosi vélemény a dohányzásról.
AUTHOR NAMES
Frankl J.
AUTHOR ADDRESSES
(Frankl J.)
CORRESPONDENCE ADDRESS
J. Frankl,
SOURCE
Orvosi hetilap (1980) 121:50 (3078-3079). Date of Publication: 14 Dec 1980
ISSN
0030-6002
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking
EMTREE MEDICAL INDEX TERMS
article
history
human
Hungary
LANGUAGE OF ARTICLE
Hungarian
MEDLINE PMID
7012748 (http://www.ncbi.nlm.nih.gov/pubmed/7012748)
PUI
L11580723
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2124
TITLE
Smoking during pregnancy- pregnancy. national survey on the curricula in
medical, nursing, and physiotherapy schools in Canada
AUTHOR NAMES
Choi-Lao A.T.H.
McRae B.C.
Hastie K.D.
AUTHOR ADDRESSES
(Choi-Lao A.T.H.; McRae B.C.; Hastie K.D.) Sch. Nursing, Fac. Hlth Sci.,
Univ. Ottawa, Ontario K1N 6N5
CORRESPONDENCE ADDRESS
Sch. Nursing, Fac. Hlth Sci., Univ. Ottawa, Ontario K1N 6N5
SOURCE
Canadian Journal of Public Health (1980) 71:6 (407-411). Date of
Publication: 1980
ISSN
0008-4263
ABSTRACT
It has been well documented that maternal smoking during pregnancy has
adverse effects on the developing fetus. There is also evidence that an
increasing number of Canadian women of child-bearing age are smoking and
that those who already smoke are smoking more heavily. The prevention and
lessening of the effects of maternal smoking represent a sizable problem for
health care professionals. As there is some evidence that health care
professionals are not being adequately prepared in this area, a national
survey was undertaken to evaluate the curricula on maternal smoking during
pregnancy in all medical, nursing, and physiotherapy schools in Canada. The
results indicate that although smoking education is felt important by the
academic staff, little emphasis is being given to this topic in the
curricula. Based on the findings, recommendations for possible improvement
of the curricula are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education program
pregnancy
smoking
EMTREE MEDICAL INDEX TERMS
Canada
geographic distribution
medical education
methodology
nursing
physiotherapy
prevention
short survey
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Obstetrics and Gynecology (10)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
French
EMBASE ACCESSION NUMBER
1981086952
MEDLINE PMID
7225982 (http://www.ncbi.nlm.nih.gov/pubmed/7225982)
PUI
L11182739
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2125
TITLE
Instructing medical students on alcoholism: what to teach with limited time
AUTHOR NAMES
Nocks J.J.
AUTHOR ADDRESSES
(Nocks J.J.) West Haven VA Med. Cent., New Haven, Conn.
CORRESPONDENCE ADDRESS
West Haven VA Med. Cent., New Haven, Conn.
SOURCE
Journal of Medical Education (1980) 55:10 (858-864). Date of Publication:
1980
ISSN
0022-2577
ABSTRACT
Alcoholism in a major health problem which demands a place in the curriculum
of medical schools. Yet many schools find there is more to teach than there
is time available, especially since students now elect a significant portion
of their educational experiences. The author reviews the literature on
physicians' attitudes toward alcoholism, the possible reasons for these
feelings, and attempts by other to change them through teaching. He
concludes that when confronted with limited time in the medical school
curriculum to teach on alcoholism, it may be best to emphasize discussion of
the various issues related to physicians' attitudes. The author describes a
six-hour course devoted to alcoholism in which this is done in a
nonthreatening, smallgroup setting, with apparently positive results.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
medical student
EMTREE MEDICAL INDEX TERMS
central nervous system
geographic distribution
methodology
normal human
psychological aspect
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1981049179
MEDLINE PMID
7420394 (http://www.ncbi.nlm.nih.gov/pubmed/7420394)
PUI
L11208966
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2126
TITLE
Fifteen lectures on drug-addiction
ORIGINAL (NON-ENGLISH) TITLE
QUINDICI LEZIONI SULLA DROGA
AUTHOR NAMES
Cugurra F.
AUTHOR ADDRESSES
(Cugurra F.) Cat. Base Farmacol., Fac. Med. Chirurg., Univ. Genova 16132
CORRESPONDENCE ADDRESS
Cat. Base Farmacol., Fac. Med. Chirurg., Univ. Genova 16132
SOURCE
(1980) (1-365). Date of Publication: 1980
ABSTRACT
This series of papers examines the various stages of drug addiction and
treatment with particular reference to the drug problem in Italy. Individual
papers cover the major drug types on a pharmaceutical basis and include
evaluation of tobacco and alcohol. The incompatability of alcohol with other
drugs and the effects of alcohol on the brain are also reported. Three
papers on cannabis record medical and toxic effects and report the
widespread use of this drug. Amphetamines and anorexigenic drugs and
problems with cocaine are also reported. The hallucinogenic drugs LSD and
mescaline are discussed with some less common types of hallucinogens. Opiate
addiction and the biochemical mechanisms thought to be involved with this
are presented. The report of medical treatment includes the detoxification
process of the addict and government programmes for issuing drugs. The
possibility of addiction to hypnotics, tranquillisers and analogous drugs is
also reported.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
anorexigenic agent
cannabis
cocaine
opiate
psychedelic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
therapy
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
Italy
legal aspect
review
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Italian
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1981077535
PUI
L11173322
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2127
TITLE
Teaching drug promotion abuses to health profession students
AUTHOR NAMES
Palmisano P.
Edelstein J.
AUTHOR ADDRESSES
(Palmisano P.; Edelstein J.) Univ. Alabama Sch. Med., Birmingham, Ala.
CORRESPONDENCE ADDRESS
Univ. Alabama Sch. Med., Birmingham, Ala.
SOURCE
Journal of Medical Education (1980) 55:5 (453-455). Date of Publication:
1980
ISSN
0022-2577
ABSTRACT
Over the past 10 years a series of seminars on prescription drug promotion
have been conducted for medical students, dental students, and pediatric
residents at the University of Alabama Medical Center by one of the authors
(PP). More recently, these seminars have been incorporated into both the
core curriculum and continuing education programs for family planning nurse
practitioners in a California pilot program through which they are trained
and certified to prescribe formulary drugs and devices. The format is
designed to dramatize the practitioner-media interaction with particular
emphasis on potential conflicts of interest. A special attitude pretest was
recently introduced as a teaching instrument. The purpose of this
communication is to outline the seminar content with special stress on the
remarkable results of the attitude pretest.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
paramedical education
EMTREE MEDICAL INDEX TERMS
economic aspect
methodology
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1980221793
MEDLINE PMID
7381888 (http://www.ncbi.nlm.nih.gov/pubmed/7381888)
PUI
L10000593
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2128
TITLE
Reflections on training programs for female drug abusers
AUTHOR NAMES
Ramsey M.
AUTHOR ADDRESSES
(Ramsey M.) Counsel. Personnel Serv. Dept., Trenton State Coll., Trenton,
N.J.
CORRESPONDENCE ADDRESS
Counsel. Personnel Serv. Dept., Trenton State Coll., Trenton, N.J.
SOURCE
Contemporary Drug Problems (1980) 9:2 (217-225). Date of Publication: 1980
ISSN
0091-4509
ABSTRACT
Multifaceted oppression of the female drug abuser must be dispelled through
the creation of a uniquely different treatment experience. Such a
therapeutic program will differ markedly from traditional male-oriented
treatment communities. It must be all-female in resident composition to
assure open communication without sexually stereotyped reactions that tend
to emerge in mixed-sex gatherings. It will require a female director, and a
mostly female staff so as to afford women female leadership role models.
This social training is not customary in traditional, male-oriented drug
treatment programs; it goes beyond placing responsibility on the individual
for her problems, and attacks the social and political correlates of female
drug addiction in an attempt to remediate through training specific to these
correlates.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
health education
health program
vocational education
EMTREE MEDICAL INDEX TERMS
central nervous system
geographic distribution
methodology
psychological aspect
sex difference
short survey
therapy
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1981223067
PUI
L11062863
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2129
TITLE
Clinical fellowships in substance abuse: A new curriculum strategy
AUTHOR NAMES
Keeley K.A.
Galanter M.
Millman R.
Jackson G.
AUTHOR ADDRESSES
(Keeley K.A.; Galanter M.; Millman R.; Jackson G.) Career Teacher Cent.,
Dept. Psychiat., Downstate Med. Sch., Brooklyn, N.Y. 11203
CORRESPONDENCE ADDRESS
Career Teacher Cent., Dept. Psychiat., Downstate Med. Sch., Brooklyn, N.Y.
11203
SOURCE
American Journal of Drug and Alcohol Abuse (1980) 7:1 (49-56). Date of
Publication: 1980
ISSN
0095-2990
ABSTRACT
Recognizing the effectiveness of substance abuse treatment is made easier
when there is a steady supply of newly trained medical professionals who are
competent in this speciality. University-based substance abuse treatment
facilities have a clear obligation to educate such professionals. This
article shows how three different medical colleges were able to establish
new clinical fellowships in substance abuse so that teaching activities
could be fostered at preexisting treatment sites. Fellowship activities
varied from one place to the next, but at all three schools important
momentum was generated on behalf of substance abuse education. These
experiances provide models for those academicians and administrators who
face the task of integrating educational and service delivery missions in
the substance abuse field.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
education
EMTREE MEDICAL INDEX TERMS
methodology
prevention
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1980192561
MEDLINE PMID
7435482 (http://www.ncbi.nlm.nih.gov/pubmed/7435482)
PUI
L10034179
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2130
TITLE
Medical education and alcoholism.
AUTHOR NAMES
Whitfield C.L.
AUTHOR ADDRESSES
(Whitfield C.L.)
CORRESPONDENCE ADDRESS
C.L. Whitfield,
SOURCE
Maryland state medical journal (1980) 29:10 (77-83). Date of Publication:
Oct 1980
ISSN
0025-4363
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
malpractice
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7464251 (http://www.ncbi.nlm.nih.gov/pubmed/7464251)
PUI
L11556614
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2131
TITLE
Treating the impaired physician: the hospital's role.
AUTHOR NAMES
Flynn J.R.
AUTHOR ADDRESSES
(Flynn J.R.)
CORRESPONDENCE ADDRESS
J.R. Flynn,
SOURCE
Hospital progress (1980) 61:3 (44-47). Date of Publication: Mar 1980
ISSN
0018-5817
ABSTRACT
Hospitals are partners with physicians in dealing with staff physicians'
alcohol and substance abuse. Education and vigilance protect patients and
the medical profession alike, and legal sanctions support hospitals'
involvement in structured treatment and prevention programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
alcoholism (diagnosis, therapy)
hospital management
medical staff
EMTREE MEDICAL INDEX TERMS
article
clinical competence
education
health education
human
legal aspect
physician
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10316938 (http://www.ncbi.nlm.nih.gov/pubmed/10316938)
PUI
L10518909
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2132
TITLE
Alcoholism and the medical curriculum.
AUTHOR NAMES
Aronson S.M.
AUTHOR ADDRESSES
(Aronson S.M.)
CORRESPONDENCE ADDRESS
S.M. Aronson,
SOURCE
Rhode Island medical journal (1980) 63:1-2 (11-12). Date of Publication:
1980 Jan-Feb
ISSN
0363-7913
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
article
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6928322 (http://www.ncbi.nlm.nih.gov/pubmed/6928322)
PUI
L10524122
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2133
TITLE
Continuing medical education in substance abuse, a follow-up study.
AUTHOR NAMES
Liepman M.R.
Gilbert S.S.
AUTHOR ADDRESSES
(Liepman M.R.; Gilbert S.S.)
CORRESPONDENCE ADDRESS
M.R. Liepman,
SOURCE
Currents in alcoholism (1979) 6 (137-155). Date of Publication: 1979
ISSN
0161-8504
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
alcoholism (diagnosis)
medical education
EMTREE MEDICAL INDEX TERMS
article
follow up
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
520045 (http://www.ncbi.nlm.nih.gov/pubmed/520045)
PUI
L10509203
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2134
TITLE
Smoking habits of doctors and health education in the armed forces
ORIGINAL (NON-ENGLISH) TITLE
INDAGINE SULL'ABITUDINE AL FUMO DI TABACCO FRA GLI ALLIEVI UFFICIALI MEDICI:
PREMESSA AD UN PROGRAMMA DI EDUCAZIONE SANITARIA NELLE FF.AA.
AUTHOR NAMES
Bernini A.
Marmo F.
Bianchi G.
AUTHOR ADDRESSES
(Bernini A.; Marmo F.; Bianchi G.) Sc. Sanita Milit., Roma
CORRESPONDENCE ADDRESS
Sc. Sanita Milit., Roma
SOURCE
Giornale di Medicina Militare (1979) 129:4-6 (463-469). Date of Publication:
1979
ABSTRACT
An inquiry has been made on the smoking habits of a random number of 1000
doctors attending the A.U.C. courses of the 'Scuola di Sanita Militare' and
their opinion on smoking related to health. The authors proved that the
majority of the A.U.C. doctors cannot operate as qualified health workers in
the anti-smoking campaign, and they mention some actions presently possible
to restrain the damage caused by smoking in the Forces.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
army
health education
military medicine
smoking
EMTREE MEDICAL INDEX TERMS
prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Italian
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
1980152080
PUI
L10119666
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2135
TITLE
Smoking among the staff of a medical school
AUTHOR NAMES
Elkind A.K.
AUTHOR ADDRESSES
(Elkind A.K.) Dept. Soc. Res., Univ. Hosp. South Manchester, Christie Hosp.,
Manchester
CORRESPONDENCE ADDRESS
Dept. Soc. Res., Univ. Hosp. South Manchester, Christie Hosp., Manchester
SOURCE
Medical Education (1979) 13:3 (163-171). Date of Publication: 1979
ISSN
0308-0110
ABSTRACT
A postal questionnaire sent to the staff of Manchester Medical School (n =
483, response 86%) examined their smoking behaviour and views about smoking
in relation to their students, thus completing the picture provided by
earlier studies of smoking among the students. Twelve percent of the staff
were regular cigarette smokers and 32% smokers of all forms of tobacco, age
being the characteristic with most influence on smoking rates. Long-term
health risks and expense were the main reasons for trying to give up
cigarettes, whereas the need to set an example, in particular to students,
was not stressed. A minority smoked when teaching, but fewer smoked when
with students than with their colleagues. A quarter allowed students to
smoke during teaching sessions; more than half thought students should be
offered no persuasion about smoking; and four out of ten considered that
staff smoking does not deter students from giving up. Degree of contact with
students and qualifications had some influence on these views, but age was
more important. Smokers were no more likely to permit smoking during
teaching but were less likely to value persuasion or to think staff smoking
deters students from giving up. The ambivalent picture of staff behaviour
and views as seen by the students in the earlier studies was confirmed by
this examination of the staff themselves, whose importance as role models
was highlighted in the discussion.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
hospital personnel
medical school
smoking
EMTREE MEDICAL INDEX TERMS
normal human
psychological aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1980040321
MEDLINE PMID
481294 (http://www.ncbi.nlm.nih.gov/pubmed/481294)
PUI
L10196643
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2136
TITLE
Non medical use of drugs amongst school and college students
AUTHOR NAMES
Varma V.K.
Dang R.
AUTHOR ADDRESSES
(Varma V.K.; Dang R.) Dept. Psychiat., Postgrad. Inst. Med. Educ. Res.,
Chandigarh
CORRESPONDENCE ADDRESS
Dept. Psychiat., Postgrad. Inst. Med. Educ. Res., Chandigarh
SOURCE
Indian Journal of Psychiatry (1979) 21:3 (228-234). Date of Publication:
1979
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse pattern
school
student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
central nervous system
epidemiology
geographic distribution
major clinical study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1982113262
PUI
L12151311
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2137
TITLE
A survey of smoking in institutions that educate health professionals.
AUTHOR NAMES
Cohen F.L.
AUTHOR ADDRESSES
(Cohen F.L.)
CORRESPONDENCE ADDRESS
F.L. Cohen,
SOURCE
Public health reports (Washington, D.C. : 1974) (1979) 94:6 (544-552). Date
of Publication: 1979 Nov-Dec
ISSN
0033-3549
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical profession
smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
female
health education
human
male
medical personnel
middle aged
United States
university
LANGUAGE OF ARTICLE
English
MEDLINE PMID
515340 (http://www.ncbi.nlm.nih.gov/pubmed/515340)
PUI
L10503520
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2138
TITLE
Medical and social work student perceptions of deviant conditions:
descriptive label, cause and help source
AUTHOR NAMES
Kurtz R.A.
AUTHOR ADDRESSES
(Kurtz R.A.) Dept. Commun. Med. Behav. Sci., Fac. Med., Kuwait Univ., Kuwait
CORRESPONDENCE ADDRESS
Dept. Commun. Med. Behav. Sci., Fac. Med., Kuwait Univ., Kuwait
SOURCE
Medical Education (1978) 12:4 (306-313). Date of Publication: 1978
ISSN
0308-0110
ABSTRACT
The focus of this paper is on medical and social work student perceptions of
the descriptive label, cause and treatment source for seven conditions:
mental illness, mental subnormality, alcoholism, drug addiction,
homosexuality, unmarried pregnancy and venereal disease. Responses to
questionnaire items were examined to ascertain whether there were
differentials by career choice (medicine and social work) and by class year
(first and final year). The students indicated that the seven deviancies
should be described as sick or handicapping conditions, that causes are
social and psychological, and that treatment should be given by private and
social sources. When reference to medical aspects of the conditions is made,
the students select psychiatric rather than general medical options. Both
medical and social work students tended to choose neutral, rather than
negative and stigmatizing terms of reference for the conditions. While
students in the different school years made similar responses overall,
multiple responses were much more frequent among those preparing for social
work rather than medical careers and among students in their final year of
schooling.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
homosexuality
medical education
mental deficiency
mental disease
pregnancy
questionnaire
sexually transmitted disease
single parent
social worker
student
EMTREE MEDICAL INDEX TERMS
central nervous system
geographic distribution
Kuwait
methodology
normal human
psychological aspect
short survey
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978401825
MEDLINE PMID
672704 (http://www.ncbi.nlm.nih.gov/pubmed/672704)
PUI
L8396217
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2139
TITLE
Drug abuse and alcoholism teaching in U.S. medical and osteopathic schools
AUTHOR NAMES
Pokorny A.
Putman P.
Fryer J.
AUTHOR ADDRESSES
(Pokorny A.; Putman P.; Fryer J.) Dept. Psychiat., Baylor Coll. Med.,
Houston, Tex.
CORRESPONDENCE ADDRESS
Dept. Psychiat., Baylor Coll. Med., Houston, Tex.
SOURCE
Journal of Medical Education (1978) 53:10 (816-824). Date of Publication:
1978
ISSN
0022-2577
ABSTRACT
This is a report of the principal findings of a survey of drug abuse and
alcoholism teaching in U.S. medical and osteopathic schools. It was found
that required teaching activities during all four years of medical school
averaged 25.7 hours, with a range of 0 to 126. The proportion of the total
required hours devoted to substance abuse was 0.0 to 3.1 percent, with a
mean of 0.6 percent. Schools also differed widely in the number and type of
electives offered in drug abuse and alcoholism, as well as in number of
clinical assignments available. Findings in osteopathic schools were
generally similar. Two factors which were significantly related to the
number of required hours were the presence of a career teacher in the
addictions and the size of the school.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
medical education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1980219446
MEDLINE PMID
581388 (http://www.ncbi.nlm.nih.gov/pubmed/581388)
PUI
L10061046
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2140
TITLE
Prevalence and dynamics of the overweight in the sample of the adult
inhabitants of Cracow. Part II. Overweight by education, history of
residence and smoking habit
AUTHOR NAMES
Wojtyniak B.
Gorynski P.
AUTHOR ADDRESSES
(Wojtyniak B.; Gorynski P.) Zak. Statyst. Med. Panstw., Zak. Hig., Warszawa
CORRESPONDENCE ADDRESS
Zak. Statyst. Med. Panstw., Zak. Hig., Warszawa
SOURCE
Przeglad Lekarski (1978) 35:8 (683-688). Date of Publication: 1978
ISSN
0033-2240
ABSTRACT
Impact of social conditions on overweight in 1293 females and 965 males
living in Cracow was studied. These persons were examined twice in 1968 and
1973. To define their overweight the Broc index with the Ries adjustment was
applied. It has been stated that the frequency of overweight and its
dynamics are connected with education, in a different way as far as males
and females are concerned. In females, higher education categories
correspond to lower frequencies of obesity whereas in males rather converse
regularity (dependence) has been observed. The frequency of obesity was
lower in non-smokers as compared with smokers, and the probability of the
occurrence of the overweight was the highest in persons who gave up smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
obesity
smoking
EMTREE MEDICAL INDEX TERMS
epidemiology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
LANGUAGE OF ARTICLE
Polish
LANGUAGE OF SUMMARY
English, Russian
EMBASE ACCESSION NUMBER
1979038561
MEDLINE PMID
715251 (http://www.ncbi.nlm.nih.gov/pubmed/715251)
PUI
L9038379
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2141
TITLE
Training techniques for physicians in the diagnosis and treatment of
amphetamine abuse
AUTHOR NAMES
Chappel J.N.
Smith D.E.
Buxton M.
AUTHOR ADDRESSES
(Chappel J.N.; Smith D.E.; Buxton M.) Dept. Psychiat., Sch. Med. Sci., Univ.
Nevada, Reno, Nev. 89507
CORRESPONDENCE ADDRESS
Dept. Psychiat., Sch. Med. Sci., Univ. Nevada, Reno, Nev. 89507
SOURCE
Journal of Psychedelic Drugs (1978) 10:4 (393-397). Date of Publication:
1978
ISSN
0022-393X
ABSTRACT
Educational methods are described which de-emphasize the traditional lecture
model to focus on both active participation and clinical problem solving.
Videotaped physician/patient interactions and small groups discussions of
related clinical problems are described as practical applications of these
two principles. When applied to medical students these methods have resulted
in changed expressions of attitudes in the direction of attitudes which
characterize clinicians experienced in treating alcohol, amphetamine and
other drug abusing patients. It is suggested that similar results could be
obtained through the application of these methods with practicing physicians
in continuing medical education.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
physician
training
EMTREE MEDICAL INDEX TERMS
diagnosis
doctor patient relation
drug therapy
methodology
therapy
CAS REGISTRY NUMBERS
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1979172744
PUI
L9172270
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2142
TITLE
Chemical dependency education within medical schools: Supervised clinical
experience
AUTHOR NAMES
Harris I.B.
Westermeyer J.
AUTHOR ADDRESSES
(Harris I.B.; Westermeyer J.) Dept. Psychiat., Univ. Minnesota Med. Sch.,
Minneapolis, Minn. 55455
CORRESPONDENCE ADDRESS
Dept. Psychiat., Univ. Minnesota Med. Sch., Minneapolis, Minn. 55455
SOURCE
American Journal of Drug and Alcohol Abuse (1978) 5:1 (59-74). Date of
Publication: 1978
ISSN
0095-2990
ABSTRACT
Physicians can play a significant role in chemical dependency, including
early identification and intervention, referral to treatment resources,
patient and community education, and responsible prescribing practices. Some
medical schools have begun to provide instruction in the psychology,
pharmacology, and physical pathology of chemical dependency; yet surveys
indicate that few offer supervised clinical experience with chemically
dependent patients. At the University of Minnesota Medical School, chemical
dependency treatment centers are used to provide supervised clinical
tutorials for all second year students as part of a coordinated chemical
dependency curriculum. The authors describe the development, goals,
organization, instructional approaches, and assessment of these tutorials.
It is argued that chemical dependency treatment centers are a valuable
resource in the education of medical students, as well as other
professionals, if used with a view to their assets and limitations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
education
EMTREE MEDICAL INDEX TERMS
United States
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1979001200
MEDLINE PMID
696707 (http://www.ncbi.nlm.nih.gov/pubmed/696707)
PUI
L9001193
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2143
TITLE
An update on medical education in alcohol and drug abuse
AUTHOR NAMES
Solomon J.
Davis D.I.
AUTHOR ADDRESSES
(Solomon J.; Davis D.I.) Career Teacher Cent., State Univ. New York,
Downstate Med. Cent., Brooklyn, N.Y.
CORRESPONDENCE ADDRESS
Career Teacher Cent., State Univ. New York, Downstate Med. Cent., Brooklyn,
N.Y.
SOURCE
Journal of Medical Education (1978) 53:7 (604-605). Date of Publication:
1978
ISSN
0022-2577
ABSTRACT
Currently, teaching aids to enable faculty to meet these objectives are in
the process of being developed. These include guides to teaching materials,
suggested methods of evaluating attitudes and attitudinal change, and
knowledge evaluation questions similar to those which are being developed by
a group of career teachers working with the National Board of Medical
Examiners for inclusion in the NBME examinations.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
education
university
EMTREE MEDICAL INDEX TERMS
prevention
short survey
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1980220340
MEDLINE PMID
671505 (http://www.ncbi.nlm.nih.gov/pubmed/671505)
PUI
L10061939
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2144
TITLE
Professional knowledge on the subject of drug addiction. First results of a
survey
ORIGINAL (NON-ENGLISH) TITLE
LE CONOSCENZE PROFESSIONALI NEL CAMPO DELLE TOSSICOMANIE: PRIMI RISULTATI DI
UN'INDAGINE STATISTICA
AUTHOR NAMES
Pulcinelli M.
Mannaioni P.F.
Zerbetto R.
AUTHOR ADDRESSES
(Pulcinelli M.; Mannaioni P.F.; Zerbetto R.) Ist. Tossicol., Univ. Firenze
CORRESPONDENCE ADDRESS
Ist. Tossicol., Univ. Firenze
SOURCE
Giornale di Medicina Militare (1978) 128:1-2 (1-9). Date of Publication:
1978
ABSTRACT
The purpose of this contribution is the statistical evaluation of the degree
of knowledge of young Italian physicians of drug addiction and its clinical,
legal and preventive features. First results show a lack of information on
the care of addicts resulting from the inadequate structure of university
courses. The authors remark that many young physicians are interested in
acquisition of professional knowledge about the subject.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
medical education
physician
EMTREE MEDICAL INDEX TERMS
geographic distribution
Italy
prevention
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
Italian
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
1978394045
PUI
L8388788
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2145
TITLE
A medical resident in Ponape
AUTHOR NAMES
Nelsen A.C.
AUTHOR ADDRESSES
(Nelsen A.C.) 1340 Kainui Drive, Kailua, Haw. 96734
CORRESPONDENCE ADDRESS
1340 Kainui Drive, Kailua, Haw. 96734
SOURCE
Western Journal of Medicine (1978) 128:5 (453-458). Date of Publication:
1978
ISSN
0093-0415
ABSTRACT
The University of Hawaii has an elective two-month primary care rotation in
Ponape, in the Eastern Caroline Islands, for senior medical residents. Many
diagnostic and therapeutic situations provide unusual challenges because of
the tropical environment and the paucity of medical facilities. Parasitoses,
tuberculosis and trauma are common, leprosy still occurs, and certain
diseases, such as cholelithiasis and coronary artery disease, have a low
incidence, reflecting the socioeconomic conditions. The local intoxicant,
sakau, seems to be responsible for dermatologic, pulmonary, and possibly
hepatic and neurologic disorders. The rotation has proved to be a worthwhile
educational experience for residents and a benefit to the people of Ponape.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
dapsone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cholelithiasis
drug dependence
drug therapy
heart muscle ischemia
leprosy
medical education
rheumatic disease
sakau
tuberculosis
EMTREE MEDICAL INDEX TERMS
geographic distribution
therapy
United States
CAS REGISTRY NUMBERS
dapsone (80-08-0)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978363794
MEDLINE PMID
664646 (http://www.ncbi.nlm.nih.gov/pubmed/664646)
PUI
L8359842
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2146
TITLE
Unprofessional physicians - some correlative data
AUTHOR NAMES
Hadley G.G.
Chrispens J.E.
AUTHOR ADDRESSES
(Hadley G.G.; Chrispens J.E.) Loma Linda Univ. Sch. Med., Loma Linda, Calif.
92354
CORRESPONDENCE ADDRESS
Loma Linda Univ. Sch. Med., Loma Linda, Calif. 92354
SOURCE
Western Journal of Medicine (1978) 128:1 (85-88). Date of Publication: 1978
ISSN
0093-0415
ABSTRACT
In the background of those physicians who have problems in medical practice
serious enough to attract attention by the licensing body, there are factors
that apparently can help predict such behavior. As a candidate for medical
school the applicant more likely to have future problems has the following
profile: older than the average applicant with a lower grade point average;
more likely to have used tobacco; did not receive a baccalaureate degree; no
military service; turned in a sloppy handwritten application form; and
received a less than ideal character reference by the college from which
applying. Furthermore, after admission to medical school the person more
prone to future problems tends to be a poorer student than his peers and to
receive a poorer rating in his first postgraduate year. The Loma Linda
University graduate who has had such problems is also more likely to have
settled in Southern California and to be in general practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
family
medical education
physician
quality control
smoking
EMTREE MEDICAL INDEX TERMS
geographic distribution
normal human
psychological aspect
short survey
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978350339
MEDLINE PMID
625977 (http://www.ncbi.nlm.nih.gov/pubmed/625977)
PUI
L8346533
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2147
TITLE
A preliminary study in medical anthropology in Brunei, Borneo
AUTHOR NAMES
Wolf S.
Wolf T.D.
AUTHOR ADDRESSES
(Wolf S.; Wolf T.D.) Mar. Biomed. Inst., Univ. Texas Med. Branch, Galveston,
Tex.
CORRESPONDENCE ADDRESS
Mar. Biomed. Inst., Univ. Texas Med. Branch, Galveston, Tex.
SOURCE
Pavlovian Journal of Biological Science (1978) 13:1 (42-54). Date of
Publication: 1978
ISSN
0093-2213
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
oil
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiovascular disease
child parent relation
chronic respiratory tract disease
cultural anthropology
education
goiter
infection
intestine parasite
malignant neoplasm
nutritional status
parasitosis
protein deficiency
rural area
smoking
social structure
EMTREE MEDICAL INDEX TERMS
economic aspect
geographic distribution
Indonesia
invertebrate
microorganism
normal human
psychological aspect
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978340839
MEDLINE PMID
565915 (http://www.ncbi.nlm.nih.gov/pubmed/565915)
PUI
L8337124
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2148
TITLE
The bent twig: Psychiatry and medical education
AUTHOR NAMES
Klein H.
Mumford E.
AUTHOR ADDRESSES
(Klein H.; Mumford E.) Dept. Psychiat., Columbia Univ. Coll. Phys. Surg.,
New York, N.Y. 10028
CORRESPONDENCE ADDRESS
Dept. Psychiat., Columbia Univ. Coll. Phys. Surg., New York, N.Y. 10028
SOURCE
American Journal of Psychiatry (1978) 135:3 (320-324). Date of Publication:
1978
ISSN
0002-953X
ABSTRACT
The authors note that an increase in psychiatry's involvement in the
selection and education of medical school students, which historically has
been limited and problematic, would benefit both the discipline and the
profession in general. There is evidence indicating the need to pay
attention to personal attributes in medical education, particularly in light
of the incidence of problems in physicians (e.g., addiction, alcoholism, and
suicide) that fall within psychiatry's area of expertise. Active
participation by psychiatry in medical education might also help combat the
cynicism that seems to develop during training and might contribute to
consideration of ethical issues and to the fostering of emotional maturity.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
education
medical student
psychiatry
suicide
EMTREE MEDICAL INDEX TERMS
central nervous system
United States
EMBASE CLASSIFICATIONS
Psychiatry (32)
Health Policy, Economics and Management (36)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978299405
MEDLINE PMID
626221 (http://www.ncbi.nlm.nih.gov/pubmed/626221)
PUI
L8296269
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2149
TITLE
Substance abuse attitude changes in medical students
AUTHOR NAMES
Chappel J.N.
Jordan R.D.
Treadway B.J.
Miller P.R.
AUTHOR ADDRESSES
(Chappel J.N.; Jordan R.D.; Treadway B.J.; Miller P.R.) Div. Behav. Sci.,
Sch. Med. Sci., Univ. Nevada, Reno, Nev. 89507
CORRESPONDENCE ADDRESS
Div. Behav. Sci., Sch. Med. Sci., Univ. Nevada, Reno, Nev. 89507
SOURCE
American Journal of Psychiatry (1977) 134:4 (379-384). Date of Publication:
1977
ISSN
0002-953X
ABSTRACT
The authors describe a course in substance abuse given to sophomore medical
students with the intention of positively influencing their attitudes toward
substance abusing patients and their treatment. Clinical problem solving and
small group discussion were emphasized in addition to field trips. By
pretest and posttest measures, significant positive changes were obtained in
student attitudes: they reported feeling less upset when they encountered
alcoholics, 'hard' drug abusers, 'soft' drug abusers, compulsive smokers,
and obese overeaters as well as having a more positive view of the
physician's role in the treatment of substance dependence. Personal
experience with alcohol and other drugs was shown to have an influence on
attitude changes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
attitude
drug abuse
health education
medical student
obesity
smoking
EMTREE MEDICAL INDEX TERMS
intoxication
major clinical study
methodology
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978068449
MEDLINE PMID
842723 (http://www.ncbi.nlm.nih.gov/pubmed/842723)
PUI
L8067898
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2150
TITLE
Physician drug addiction. A challenge to medical educators
AUTHOR NAMES
Borsay M.A.
Leff A.M.
AUTHOR ADDRESSES
(Borsay M.A.; Leff A.M.) Dept. Environm. Hlth Int. Med., Univ. Cincinnati
Coll. Med., Cincinnati, Ohio
CORRESPONDENCE ADDRESS
Dept. Environm. Hlth Int. Med., Univ. Cincinnati Coll. Med., Cincinnati,
Ohio
SOURCE
Ohio State Medical Journal (1977) 73:11 (740-742). Date of Publication: 1977
ISSN
0030-1124
ABSTRACT
In review, the 3 essential ingredients of drug addiction are personality
factors, availability of drugs, and stress. There is a need for more
research to develop better screening techniques for identifying
nonintellectual characteristics of medical school applicants. Better
screening may reduce the potential number of addicts in the physician
population. In addition, medical educators must take a closer look at
reducing stress situations in medical education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
education
information
personality
stress
EMTREE MEDICAL INDEX TERMS
etiology
intoxication
prevention
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978216917
MEDLINE PMID
927771 (http://www.ncbi.nlm.nih.gov/pubmed/927771)
PUI
L8215594
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2151
TITLE
An alcohol and drug abuse minimester model in a medical school
AUTHOR NAMES
O'Donnell J.J.
AUTHOR ADDRESSES
(O'Donnell J.J.) Dept. Psychiat., Univ. Maryland Sch. Med., Baltimore, Md.
21201
CORRESPONDENCE ADDRESS
Dept. Psychiat., Univ. Maryland Sch. Med., Baltimore, Md. 21201
SOURCE
Maryland State Medical Journal (1977) 26:12 (31-32). Date of Publication:
1977
ABSTRACT
The Alcohol and Drug Abuse Educational Program in the University of Maryland
Medical School started in 1970 and has continued ever since. One of the
objectives has been to introduce or reinforce alcohol and drug abuse content
in the regular medical school curriculum. As a result, the students receive
approximately 16 hours of alcohol and drug abuse material through the first
three years of their medical school career. The program has made electives
available to the students which especially emphasize the clinical skills and
involvement with direct patient care. The clinical facilities have been
extensively used in these electives. The newest elective has been developed
during the minimesters in the medical school.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
education
student
EMTREE MEDICAL INDEX TERMS
methodology
prevention
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978232400
MEDLINE PMID
562958 (http://www.ncbi.nlm.nih.gov/pubmed/562958)
PUI
L8230425
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2152
TITLE
Rising health care costs: another perspective
AUTHOR NAMES
Norbeck T.B.
AUTHOR ADDRESSES
(Norbeck T.B.) 106 Francis St., Providence, R.I. 02903
CORRESPONDENCE ADDRESS
106 Francis St., Providence, R.I. 02903
SOURCE
Rhode Island Medical Journal (1977) 60:7 (343-352+367-368). Date of
Publication: 1977
ISSN
0035-4627
ABSTRACT
The 'health care costs crisis' is not a medical care crisis, nor is it
attributable to physicians' incomes. In fact, an arbitrary reduction of all
physicians' incomes by a robust 20 per cent would effect a saving in our
total national health bill of only slightly more than 3 per cent. An
analysis of American demography indicates that an inordinate proportion of
the health care dollar is spent on our elderly. Yet the percentage of the
aging population is rising. We can assume that senior citizens will account
for an even greater share of the overall cost burden in the future.
Certainly we cannot deny them the care and dignity that they deserve for
their contributions in making this country the greatest in the world.
Everyone in some medically related endeavor is very concerned about the
costs of medical care. All of our anxiety about financing, however, will not
stop or even abate inflation, the development of new technology, or the
ever-rising demand for medical services. The increased number of accidents,
many of them avoidable, has added a heavy cost burden to the health care
system. Perhaps the most important point of all is that by exercising more,
not smoking, and eating and drinking less the American people could effect a
greater reduction in health care expenditures than by anything medicine can
do. If we are to agree on the need to place a lid on rising health costs
wherever possible without compromising patient care, the American public
must do its part. A change in life-style is obligatory.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
accident
aging
cardiovascular disease
demography
environmental health
feeding behavior
health economics
hospital service
housing
malignant neoplasm
medical education
mortality
prevention
smoking
social status
EMTREE MEDICAL INDEX TERMS
age
epidemiology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978161244
MEDLINE PMID
268005 (http://www.ncbi.nlm.nih.gov/pubmed/268005)
PUI
L8160668
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2153
TITLE
Youth and drugs
ORIGINAL (NON-ENGLISH) TITLE
'JUGEND UND SUCHT'
AUTHOR ADDRESSES
SOURCE
Deutsche Apotheker Zeitung (1977) 117:33 (1348). Date of Publication: 1977
ISSN
0011-9857
ABSTRACT
'Youth and Addiction' was the theme of the annual scientific and practical
conference of the German Bureau of the Anti Addiction campaign held on
October 17th to 20th 1977 in Mainz. In it the prophylactic measures and the
possibilities in the various spheres of young persons were dealt with and
also the influencing on the motivation of those not willing to accept
therapy, that is to say, the persuasion exerted by the family, doctor,
counselling centres, and the judges of the youth courts, examined. Also the
therapeutic possibilities in penal institutions were considered. During the
conference those interested in a medium market (films, series of slides,
teaching units etc) gave a general panoramic review of the educational work.
Information is available from the Anti Addiction Office (Deutsche
Hauptstelle gegen die Suchgefahren, Bahnhofstrasse 2, 4700 Mainz).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
juvenile
EMTREE MEDICAL INDEX TERMS
child
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1978155014
PUI
L8154446
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2154
TITLE
Involvement with alcoholism in general practice: a letter to medical
students from a family doctor
AUTHOR NAMES
Acres D.I.
AUTHOR ADDRESSES
(Acres D.I.)
SOURCE
British Journal on Alcohol and Alcoholism (1977) 12:2 (52-56). Date of
Publication: 1977
ISSN
0309-1635
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
general practice
medical education
EMTREE MEDICAL INDEX TERMS
major clinical study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978147976
PUI
L8147408
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2155
TITLE
Training the staff of a drug addiction treatment facility: A case study of
Hogar De Encuentro
AUTHOR NAMES
Sorensen A.A.
Leske M.C.
AUTHOR ADDRESSES
(Sorensen A.A.; Leske M.C.) Univ. Rochester Sch. Med. Dent., Rochester, N.Y.
CORRESPONDENCE ADDRESS
Univ. Rochester Sch. Med. Dent., Rochester, N.Y.
SOURCE
Journal of Drug Education (1977) 7:1 (81-98). Date of Publication: 1977
ISSN
0047-2379
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
medical education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978090841
PUI
L8090274
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2156
TITLE
Cancer and cancer research in New Jersey
AUTHOR NAMES
Coriell L.L.
AUTHOR ADDRESSES
(Coriell L.L.) Inst. Med. Res., Camden, N.J.
CORRESPONDENCE ADDRESS
Inst. Med. Res., Camden, N.J.
SOURCE
Journal of the Medical Society of New Jersey (1977) 74:4 (355-364). Date of
Publication: 1977
ISSN
0025-7524
ABSTRACT
New Jersey has the highest cancer death rate in the nation for many of the
most frequently fatal types of cancer and yet it has qualified for
relatively little of the federal funds for cancer research and control made
available since the Conquest of Cancer Act was passed in 1971. This report
examines the reasons for this and concludes that New Jersey lags because it
has provided relatively little encouragement for cancer research in any of
its institutions. Consequently there are few competent research teams in New
Jersey to apply for federal funds.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
administration
cancer research
cost benefit analysis
health economics
health program
manpower
medical care
medical education
mortality
smoking
statistics
tax
EMTREE MEDICAL INDEX TERMS
epidemiology
fatality
major clinical study
prevention
theoretical study
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cancer (16)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978074239
MEDLINE PMID
265413 (http://www.ncbi.nlm.nih.gov/pubmed/265413)
PUI
L8073687
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2157
TITLE
The medical school admissions committee: a preventive psychiatry
responsibility
AUTHOR NAMES
Scheiber S.C.
AUTHOR ADDRESSES
(Scheiber S.C.) Dept. Psychiat., Coll. Med., Univ. Arizona, Tucson, Ariz.
85724
CORRESPONDENCE ADDRESS
Dept. Psychiat., Coll. Med., Univ. Arizona, Tucson, Ariz. 85724
SOURCE
Psychiatric Forum (1976) 6:1 (16-21). Date of Publication: 1976
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
affective neurosis
alcoholism
drug dependence
medical school
EMTREE MEDICAL INDEX TERMS
major clinical study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977152466
PUI
L7152327
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2158
TITLE
Psychiatric training for emergency medicine residents on a multidisciplinary
team
AUTHOR NAMES
Spitz L.
Blum H.T.
Gale M.S.
Beck S.
AUTHOR ADDRESSES
(Spitz L.; Blum H.T.; Gale M.S.; Beck S.) Psychiat. Emerg. Serv., Cincinnati
Gen. Hosp., Cincinnati, Ohio
CORRESPONDENCE ADDRESS
Psychiat. Emerg. Serv., Cincinnati Gen. Hosp., Cincinnati, Ohio
SOURCE
Journal of the American College of Emergency Physicians and the Univ. Ass.
for Emergency Med. Services (1976) 5:9 (694-697). Date of Publication: 1976
ABSTRACT
The Cincinnati General Hospital Emergency Department has a training program
for emergency medicine residents on a multidisciplinary emergency psychiatry
team. This essential training should occur in the emergency department
setting rather than in psychiatric inpatient units of state hospital
settings. There are advantages and disadvantages to this arrangement.
Nonmedical members of the emergency psychiatry team train and support
emergency medicine residents in a multidisciplinary approach to treatment.
Some observations are made about how the emergency medicine residents deal
with emotionally disturbed patients. Finally, 80% of emergency medicine
residents responded to a questionnaire on their reactions to the
multidisciplinary emergency psychiatry team.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
emergency medicine
hallucination
medical education
paranoia
psychiatry
psychosis
psychosomatics
training
EMTREE MEDICAL INDEX TERMS
major clinical study
methodology
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977156102
MEDLINE PMID
1018396 (http://www.ncbi.nlm.nih.gov/pubmed/1018396)
PUI
L7155961
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2159
TITLE
The inclusion of drug abuse preventive education in the medical school
curriculum in developing countries
AUTHOR NAMES
Jayasuriya D.C.
AUTHOR ADDRESSES
(Jayasuriya D.C.)
SOURCE
Ceylon Medical Journal (1976) 21:4 (251-256). Date of Publication: 1976
ISSN
0009-0875
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
developing country
drug abuse
education
medical school
prevention
EMTREE MEDICAL INDEX TERMS
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978228067
PUI
L8226256
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2160
TITLE
Report of the Eighty first Session, Canberra, October, 1975
AUTHOR ADDRESSES
SOURCE
NAT.HLTH MRC SPEC.REP.SER. (1976) No. 81. Date of Publication: 1976
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antibiotic agent
food additive
hormone
pesticide
poison
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acupuncture
Aedes aegypti
agriculture
alcoholism
child health care
communicable disease
dental health
environmental health
health economics
health program
indigenous people
maternal welfare
medical education
medical research
mental health
microbiology
nursing
nutritional health
occupational health
radiation
smoking
standardization
statistics
traffic injury
EMTREE MEDICAL INDEX TERMS
arthropod
child
injury
microorganism
prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977186242
PUI
L7186073
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2161
TITLE
The epidemiological approach to drug abuse: its relevance to the teaching of
future professionals
AUTHOR NAMES
Newman R.G.
AUTHOR ADDRESSES
(Newman R.G.) Beth Israel Med. Cent., New York, N.Y. 10003
CORRESPONDENCE ADDRESS
Beth Israel Med. Cent., New York, N.Y. 10003
SOURCE
American Journal of Drug and Alcohol Abuse (1976) 3:3 (439-446). Date of
Publication: 1976
ISSN
0095-2990
ABSTRACT
In most areas of the medical curriculum it is far more important to teach
students the approach to problems, rather than to encourage rote learning of
the specific diagnostic and therapeutic regimen indicated in every
conceivable circumstance. This is especially true in the field of substance
abuse, in part because there simply are no clear cut answers which can be
universally applied. Nevertheless, dogmatism has been all too common in the
teaching as well as the treatment of addiction, and there is a general
tendency to view the problem simplistically and to advocate a specific
modality as the solution. Teaching new professionals to apply the holistic
perspective of the epidemiologist will enhance the likelihood of
establishing realistic program goals, and adopting a comprehensive, balanced
approach.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
drug dependence
education program
epidemiology
medical education
EMTREE MEDICAL INDEX TERMS
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977193059
MEDLINE PMID
1032756 (http://www.ncbi.nlm.nih.gov/pubmed/1032756)
PUI
L7192872
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2162
TITLE
Training the medical student in alcoholism therapy.
AUTHOR NAMES
Gross G.A.
AUTHOR ADDRESSES
(Gross G.A.)
CORRESPONDENCE ADDRESS
G.A. Gross,
SOURCE
Annals of the New York Academy of Sciences (1976) 273 (433-435). Date of
Publication: 1976
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
article
hospital subdivisions and components
human
rehabilitation center
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1072372 (http://www.ncbi.nlm.nih.gov/pubmed/1072372)
PUI
L7551355
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2163
TITLE
Alcoholism an occupational hazard for doctors
AUTHOR NAMES
Glatt M.M.
AUTHOR ADDRESSES
(Glatt M.M.) St Bernard's Hosp., Southall
CORRESPONDENCE ADDRESS
St Bernard's Hosp., Southall
SOURCE
J.ALCOHOL. (1976) 11:3 (85-91). Date of Publication: 1976
ABSTRACT
Doctors, in spite of their special 'image' and perhaps partly arising from
their special 'role strain', are not only not immune from the temptations of
alcohol misuse and the development of alcoholism but they often seem to be
particularly vulnerable. The neglect of undergraduate education in this
field therefore urgently should be replaced by adequate specific training,
which should pay ample dividends not only in minimising the risk of
alcoholism developing in the ranks of doctors themselves but should also
prove of the greatest benefit to their patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
amphetamine
barbituric acid
chlorodyne
glutethimide
pethidine
EMTREE DRUG INDEX TERMS
unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
medical education
medical personnel
occupational accident
physician
EMTREE MEDICAL INDEX TERMS
major clinical study
DRUG TRADE NAMES
chlorodyne
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
barbituric acid (6191-25-9, 67-52-7)
glutethimide (77-21-4)
pethidine (28097-96-3, 50-13-5, 57-42-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977201087
PUI
L7200866
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2164
TITLE
Mental health services in Eastern Mediterranean countries
AUTHOR NAMES
Baasher T.A.
AUTHOR ADDRESSES
(Baasher T.A.)
SOURCE
World Health Organization Chronicle (1976) 30:6 (234-239). Date of
Publication: 1976
ABSTRACT
Rapid socioeconomic and cultural changes in recent years in many countries
of the Eastern Mediterranean Region of the World Health Organization have
produced and are producing an increase in mental health problems with which
the services both traditional and modern are at present quite inadequate to
deal. The following article is a condensed version of a paper presented at
Subcommittee A of the WHO Regional Committee for the Eastern Mediterranean
in September 1975. It is based mainly on data collected from 20 countries in
response to a questionnaire and verified by visits to 12 countries. The term
mental health services, as used here, refers to preventive, treatment, and
rehabilitative services for all psychiatric disorders including mental
retardation and drug dependence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
community care
cultural anthropology
drug dependence
health care manpower
health education
law
medical education
mental deficiency
mental disease
mental health service
socioeconomics
world health organization
EMTREE MEDICAL INDEX TERMS
geographic distribution
legal aspect
mental health care
mental health center
primary prevention
public health service
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977098574
MEDLINE PMID
936597 (http://www.ncbi.nlm.nih.gov/pubmed/936597)
PUI
L7098537
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2165
TITLE
Physicians and alcoholics: modifying behavior and attitudes of family
practice residents
AUTHOR NAMES
Fisher J.V.
Fisher J.C.
Mason R.L.
AUTHOR ADDRESSES
(Fisher J.V.; Fisher J.C.; Mason R.L.) Dept. Family Pract., Med. Univ. South
Carolina, Charleston, S.C. 29401
CORRESPONDENCE ADDRESS
Dept. Family Pract., Med. Univ. South Carolina, Charleston, S.C. 29401
SOURCE
Journal of Studies on Alcohol (1976) 37:11 (1686-1693). Date of Publication:
1976
ISSN
0096-882X
ABSTRACT
On completion of an alcoholism education course, family practice residents
exhibited significant cognitive and affective learning as evidenced by
increases in factual knowledge about alcoholism and improved attitudes
toward alcoholic patients. Diagnostic patterns were also improved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
attitude
behavior
diagnosis
education program
general practitioner
health education
medical education
postgraduate education
EMTREE MEDICAL INDEX TERMS
methodology
normal human
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977213027
MEDLINE PMID
1003983 (http://www.ncbi.nlm.nih.gov/pubmed/1003983)
PUI
L7212730
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2166
TITLE
Alcoholism education in the undergraduate curriculum
AUTHOR NAMES
Thierman T.
Kern J.C.
Paul S.R.
AUTHOR ADDRESSES
(Thierman T.; Kern J.C.; Paul S.R.) Nassau County Dept. Drug Alcohol
Addict., Nassau County, N.Y.
CORRESPONDENCE ADDRESS
Nassau County Dept. Drug Alcohol Addict., Nassau County, N.Y.
SOURCE
Journal of Drug Education (1976) 6:2 (153-164). Date of Publication: 1976
ISSN
0047-2379
ABSTRACT
There is an absence of alcoholism education in the College and University
undergraduate and graduate curriculum. This lack continues to breed
ignorance and misconceptions regarding alcohol and the alcoholic. To remedy
this situation the authors constructed a curriculum for a Mini Mester course
in alcoholism at an area College. This paper describes the establishment of
liaison between a publicly financed alcoholism treatment facility and an
area College; development of curriculum and evaluation of results. It is
concluded that there is a need for such curriculum and that the public and
private sector can cooperate in it's establishment and execution.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
medical student
EMTREE MEDICAL INDEX TERMS
major clinical study
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977105458
PUI
L7105414
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2167
TITLE
Alcoholism
AUTHOR ADDRESSES
SOURCE
Royal Society of Health Journal (1976) 96:4 (148). Date of Publication: 1976
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
methodology
prevention
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Internal Medicine (6)
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977139491
MEDLINE PMID
967979 (http://www.ncbi.nlm.nih.gov/pubmed/967979)
PUI
L7139416
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2168
TITLE
Studies in preventive medicine of 10 years on drug problems of youth
ORIGINAL (NON-ENGLISH) TITLE
10 JAHRE PRAVENTIVMEDIZINISCHE STUDIEN ZUM DROGENPROBLEM DER JUGEND
AUTHOR NAMES
Biener K.
AUTHOR ADDRESSES
(Biener K.) Inst. Soz. Prav. Med., Univ. Zurich
CORRESPONDENCE ADDRESS
Inst. Soz. Prav. Med., Univ. Zurich
SOURCE
Medizinische Welt (1976) 27:19 (908-911). Date of Publication: 1976
ISSN
0025-8512
ABSTRACT
The results of a number of surveys among adolescents between the age of 14
and 21 are presented. Specific attention received the following subjects:
the connection between cigarette and drug consumption; and between sports
activities and drug consumption; the motives for the use of drugs in general
and for one time use and changes in consumption behavior, the attitude
towards prohibition and the effectiveness of education. The author concludes
that strong measures should be taken against the importation and trade of
drugs. Persons using drugs, especially adolescents whose motive is mainly
curiosity, should not be punished, but educated and treated. Parent
education is also seen as important, as well as longterm education in
schools, as part of the curriculum or as part of a general school health
education program.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
cannabis
lysergide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
drug dependence
education
information
juvenile
sport
tobacco
EMTREE MEDICAL INDEX TERMS
forensic medicine
intoxication
prevention
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
lysergide (50-37-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1977096669
PUI
L7096633
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2169
TITLE
A study of the smoking habits of medical and non medical university staff
AUTHOR NAMES
Herity B.A.
Bourke G.J.
Wilson Davis K.
AUTHOR ADDRESSES
(Herity B.A.; Bourke G.J.; Wilson Davis K.) Dept. Soc. Prev. Med., Univ.
Coll., Dublin
CORRESPONDENCE ADDRESS
Dept. Soc. Prev. Med., Univ. Coll., Dublin
SOURCE
Irish Medical Journal (1976) 69:7 (163-166). Date of Publication: 1976
ISSN
0332-3102
ABSTRACT
The smoking habits of medical and non medical academic staff of University
College, Dublin, were ascertained by questionnaire. Analysis of results was
confined to male staff because of the small number of women medical staff.
The results show no significant differences between the two groups for mean
cigarette consumption nor in the proportion of current or ex smokers, but
the non medical staff had a higher proportion of non smokers. The influence
on smoking behaviour of authoritative or professional opinion about the
relationship between smoking and health was similar in both groups, although
the medical staff had more detailed knowledge of the associated hazards to
health. The smoking habits of both groups of university staff were compared
with those of men of 20 years and older in the general population; each
university staff group had a lower proportion of current and ex smokers, and
the non medical staff had a lower proportion of non smokers, than the
general population group. Cigarette smoking was less common and pipe and
cigar smoking more common in both university staff groups than in men of 20
years and older in the general population. These findings are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
age
cigarette smoking
habit
medical personnel
medical staff
pipe smoking
questionnaire
smoking
university
EMTREE MEDICAL INDEX TERMS
normal human
university hospital
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
Internal Medicine (6)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977054100
PUI
L7054078
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2170
TITLE
Smoking and medical speciality
ORIGINAL (NON-ENGLISH) TITLE
RAUCHEN UND ARZTLICHE SPEZIALITAT
AUTHOR NAMES
Wieltschnig E.
Gsell O.
Abelin Th.
AUTHOR ADDRESSES
(Wieltschnig E.; Gsell O.; Abelin Th.) Inst. Sozial Prav. Med., Univ. Bern
CORRESPONDENCE ADDRESS
Inst. Sozial Prav. Med., Univ. Bern
SOURCE
Sozial- und Praventivmedizin (1976) 21:5 (227-228). Date of Publication:
1976
ISSN
0303-8408
ABSTRACT
Smoking habits and smoking advisory practices of male practicing physicians
in Switzerland were analyzed by medical speciality. After correction for age
differences, pneumologists, ear, nose and throat specialists, pediatricians
and internists smoke significantly less than the total group of physicians;
on the other hand, psychiatrists have quit smoking less often than the
medical profession as a whole. Giving advice on smoking to male patients
follows a similar pattern. Gynaecologists give less regularly advice on
smoking to pregnant women than do internists and general practitioners. The
implications of these findings are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
physician
smoking
EMTREE MEDICAL INDEX TERMS
prevention
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Psychiatry (32)
Internal Medicine (6)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1977188923
MEDLINE PMID
997994 (http://www.ncbi.nlm.nih.gov/pubmed/997994)
PUI
L7188754
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2171
TITLE
Fatal nephropathies following analgesic abuse in Switzerland
ORIGINAL (NON-ENGLISH) TITLE
TODLICHE NIERENERKRANKUNGEN ALS FOLGE DES SCHMERZ MITTELMISSBRAUCHS IN DER
SCHWEIZ
AUTHOR NAMES
Velvart J.
Lorent J.P.
Gujer H.R.
AUTHOR ADDRESSES
(Velvart J.; Lorent J.P.; Gujer H.R.) Schweiz. Toxikol. Informat. Zent.,
Univ. Zurich
CORRESPONDENCE ADDRESS
Schweiz. Toxikol. Informat. Zent., Univ. Zurich
SOURCE
Sozial- und Praventivmedizin (1976) 21:1 (25-29). Date of Publication: 1976
ISSN
0303-8408
ABSTRACT
As part of an investigation into death by poisoning in Switzerland the
authors were able to examine the register of deaths at the Swiss Federal
Bureau of Statistics. All the medical reports which named analgesic
nephropathy as being the basic illness and the main cause of death have been
taken into consideration in this work. 331 deaths occurred in the five year
period 1967-1971, and were studied as closely as the documents allowed. The
earliest cases of death arose in the thirties, the maximum number however
occurring between the age of 60 and 70. Between the onset of kidney damage
and the actual death a period of about 10 years elapses. The ratio of women
to men is almost 2.8:1. The occurrence is particularly frequent among
childless hosewives. The victims are people of widely different occupations
and social classes. Analgesic nephropathy resulting from addiction and
leading to death is most frequently encountered among the population of the
cities, and the German Swiss Cantons, as well as among Protestants. The
shocking number of 331 deaths in five years (in 1973 there were a further 79
cases) bears witness to the need for adequate preventive measures.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adverse drug reaction
age
analgesic nephropathy
demography
drug control
drug dependence
faith
fatality
kidney disease
sex differentiation
social status
EMTREE MEDICAL INDEX TERMS
intoxication
oral drug administration
sex difference
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Adverse Reactions Titles (38)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Clinical and Experimental Pharmacology (30)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1977022984
MEDLINE PMID
9752 (http://www.ncbi.nlm.nih.gov/pubmed/9752)
PUI
L7022973
DOI
10.1007/BF01994373
FULL TEXT LINK
http://dx.doi.org/10.1007/BF01994373
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2172
TITLE
Physicians and alcoholics. The effect of medical training on attitudes
toward alcoholics
AUTHOR NAMES
Fisher J.C.
Mason R.L.
Keeley K.A.
Fisher J.V.
AUTHOR ADDRESSES
(Fisher J.C.; Mason R.L.; Keeley K.A.; Fisher J.V.) Dept. Psychiat., Med.
Univ. South Carolina, Charleston, S.C.
CORRESPONDENCE ADDRESS
Dept. Psychiat., Med. Univ. South Carolina, Charleston, S.C.
SOURCE
J.STUD.ALCOHOL. (1975) 36:7 (949-955). Date of Publication: 1975
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
attitude
medical education
medical staff
student
EMTREE MEDICAL INDEX TERMS
major clinical study
methodology
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976124180
MEDLINE PMID
240074 (http://www.ncbi.nlm.nih.gov/pubmed/240074)
PUI
L6124119
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2173
TITLE
Alcoholism education: early development and coordination at a new medical
school
AUTHOR NAMES
Whitfield C.L.
AUTHOR ADDRESSES
(Whitfield C.L.) Div. Hematol. Oncol., Dept. Med., South. Illinois Univ.
Sch. Med., Springfield, Ill.
CORRESPONDENCE ADDRESS
Div. Hematol. Oncol., Dept. Med., South. Illinois Univ. Sch. Med.,
Springfield, Ill.
SOURCE
Maryland State Medical Journal (1975) 24:9 (87-90). Date of Publication:
1975
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health education
medical school
EMTREE MEDICAL INDEX TERMS
intoxication
methodology
prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976140392
MEDLINE PMID
1165657 (http://www.ncbi.nlm.nih.gov/pubmed/1165657)
PUI
L6140330
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2174
TITLE
Alcohol education in the medical curriculum
AUTHOR ADDRESSES
SOURCE
J.ALCOHOL. (1975) 10:3 (89-90). Date of Publication: 1975
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
education
medical education
medical student
EMTREE MEDICAL INDEX TERMS
major clinical study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976168859
PUI
L6168786
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2175
TITLE
Understanding alcoholism: a test for use in medical education
AUTHOR NAMES
Weinberg J.R.
Morse R.M.
AUTHOR ADDRESSES
(Weinberg J.R.; Morse R.M.) Dept. Psychiat., Univ. Minnesota Med. Sch.,
Minneapolis, Minn.
CORRESPONDENCE ADDRESS
Dept. Psychiat., Univ. Minnesota Med. Sch., Minneapolis, Minn.
SOURCE
Journal of Medical Education (1975) 50:10 (978-979). Date of Publication:
1975
ISSN
0022-2577
ABSTRACT
The described test is thought to be a useful yet uncomplicated way of
introducing alcoholism to medical students. Although not a substitute for
eventual clinical experience in this area, the test directly exposes many
controversial aspects of alcoholism to the student at a time when his
attitudes toward this disorder are being shaped.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education
medical education
medical student
EMTREE MEDICAL INDEX TERMS
methodology
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976151569
MEDLINE PMID
1159767 (http://www.ncbi.nlm.nih.gov/pubmed/1159767)
PUI
L6151501
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2176
TITLE
The problems involved in the teaching of alcoholgy to medical students
ORIGINAL (NON-ENGLISH) TITLE
PROBLEMES POSES PAR L'ENSEIGNEMENT DE L'ALCOOLOGIE AUX ETUDIANTS EN MEDECINE
AUTHOR NAMES
Zourbas J.
AUTHOR ADDRESSES
(Zourbas J.) Fac. Med., CHU, Rennes
CORRESPONDENCE ADDRESS
Fac. Med., CHU, Rennes
SOURCE
Ouest Medical (1975) 28:13 (933-935). Date of Publication: 1975
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
medical student
teaching
EMTREE MEDICAL INDEX TERMS
major clinical study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
French
EMBASE ACCESSION NUMBER
1976102093
PUI
L6102034
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2177
TITLE
The problems involved in the teaching of alcohology to medical students
ORIGINAL (NON-ENGLISH) TITLE
PROBLEMES POSES PAR L'ENSEIGNEMENT DE L'ALCOOLOGIE AUX ETUDIANTS EN MEDECINE
AUTHOR NAMES
Ferrant J.P.
Martin J.C.
Bernot J.L.
AUTHOR ADDRESSES
(Ferrant J.P.; Martin J.C.; Bernot J.L.) Cent. Louis Sevestre, La Membrolle
CORRESPONDENCE ADDRESS
Cent. Louis Sevestre, La Membrolle
SOURCE
Ouest Medical (1975) 28:13 (937-938). Date of Publication: 1975
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
medical student
teaching
EMTREE MEDICAL INDEX TERMS
major clinical study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
French
EMBASE ACCESSION NUMBER
1976102094
PUI
L6102035
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2178
TITLE
On undergraduate education: alcoholism education in a medical school. III
AUTHOR NAMES
Bosma W.G.A.
AUTHOR ADDRESSES
(Bosma W.G.A.) Div. Alcoh. Drug Abuse, Univ. Maryland Hosp., Baltimore, Md.
CORRESPONDENCE ADDRESS
Div. Alcoh. Drug Abuse, Univ. Maryland Hosp., Baltimore, Md.
SOURCE
Rhode Island Medical Journal (1975) 58:9 (391-392+403). Date of Publication:
1975
ISSN
0035-4627
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976161850
PUI
L6161781
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2179
TITLE
On graduate education: alcoholism instruction in Graduate Medical Education.
IV
AUTHOR NAMES
Williams K.H.
AUTHOR ADDRESSES
(Williams K.H.) Univ. Pittsburgh, Pa.
CORRESPONDENCE ADDRESS
Univ. Pittsburgh, Pa.
SOURCE
Rhode Island Medical Journal (1975) 58:9 (393-95+404-05). Date of
Publication: 1975
ISSN
0035-4627
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
intoxication
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976161851
PUI
L6161782
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2180
TITLE
Alcoholism and drug dependence: a survey of general practitioners' opinions
AUTHOR NAMES
Reynolds I.
AUTHOR ADDRESSES
(Reynolds I.) Div. Hlth Serv. Res., Hlth Comm. New South Wales, Sydney
CORRESPONDENCE ADDRESS
Div. Hlth Serv. Res., Hlth Comm. New South Wales, Sydney
SOURCE
Medical Journal of Australia (1975) 1:6 (167-169). Date of Publication: 1975
ISSN
0025-729X
ABSTRACT
The findings of a survey of a random sample of one quarter of the general
practitioners in the Sydney metropolitan area indicated that education of
medical students, general practitiones and the public in the areas of
alcoholism, drug dependence and social and emotional problems would be of
help in terms of prevention, early detection and referral. It was also
apparent that the public health authorities must take the bulk of the
responsibility for the present treatment of alcoholism and opiate addiction
and that more easily accessible and well publicized treatment facilities
were required.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
diamorphine
methadone
morphine
opiate
pethidine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
adverse drug reaction
alcoholism
drug dependence
education
epidemiology
general practitioner
government
health care delivery
health care need
health education
medical education
medical student
mental health
primary prevention
professional responsibility
social problem
EMTREE MEDICAL INDEX TERMS
intoxication
outpatient care
outpatient department
prevention
public health service
CAS REGISTRY NUMBERS
alcohol (64-17-5)
diamorphine (1502-95-0, 561-27-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
pethidine (28097-96-3, 50-13-5, 57-42-1)
EMBASE CLASSIFICATIONS
Adverse Reactions Titles (38)
Drug Literature Index (37)
Health Policy, Economics and Management (36)
Psychiatry (32)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976041570
MEDLINE PMID
1128389 (http://www.ncbi.nlm.nih.gov/pubmed/1128389)
PUI
L6041565
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2181
TITLE
Education for drug abuse and alcoholism.
AUTHOR NAMES
Vansel N.A.
AUTHOR ADDRESSES
(Vansel N.A.)
CORRESPONDENCE ADDRESS
N.A. Vansel,
SOURCE
Arizona medicine (1975) 32:12 (950-951). Date of Publication: Dec 1975
ISSN
0004-1556
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1217989 (http://www.ncbi.nlm.nih.gov/pubmed/1217989)
PUI
L6520358
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2182
TITLE
A training program in bioanalytical toxicology
AUTHOR NAMES
Kochhar M.M.
Needham L.L.
AUTHOR ADDRESSES
(Kochhar M.M.; Needham L.L.) Drug Abuse Screen. Prog., Sch. Pharm., Auburn
Univ., Auburn, Ala.
CORRESPONDENCE ADDRESS
Drug Abuse Screen. Prog., Sch. Pharm., Auburn Univ., Auburn, Ala.
SOURCE
Clinical Toxicology (1975) 8:3 (333-336). Date of Publication: 1975
ISSN
0009-9309
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug analysis
drug dependence
drug intoxication
education program
medical education
toxicology
training
EMTREE MEDICAL INDEX TERMS
methodology
EMBASE CLASSIFICATIONS
Clinical and Experimental Pharmacology (30)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976156503
MEDLINE PMID
1236782 (http://www.ncbi.nlm.nih.gov/pubmed/1236782)
PUI
L6156435
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2183
TITLE
The impact of specialized training in alcoholism on management level
professionals
AUTHOR NAMES
Waring M.L.
AUTHOR ADDRESSES
(Waring M.L.) Sch. Soc. Work, Florida State Univ., Tallahassee, Fla. 32306
CORRESPONDENCE ADDRESS
Sch. Soc. Work, Florida State Univ., Tallahassee, Fla. 32306
SOURCE
J.STUD.ALCOHOL (1975) 36:3 (406-415). Date of Publication: 1975
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health education
medical education
nurse
social worker
EMTREE MEDICAL INDEX TERMS
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976089763
MEDLINE PMID
235684 (http://www.ncbi.nlm.nih.gov/pubmed/235684)
PUI
L6089758
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2184
TITLE
Simulations in drug training
AUTHOR NAMES
Mandel H.R.
AUTHOR ADDRESSES
(Mandel H.R.) Connecticut Ment. Hlth Cent., Dept. Psychiat., Yale Univ., New
Haven, Conn.
CORRESPONDENCE ADDRESS
Connecticut Ment. Hlth Cent., Dept. Psychiat., Yale Univ., New Haven, Conn.
SOURCE
American Journal of Drug and Alcohol Abuse (1975) 2:2 (215-230). Date of
Publication: 1975
ISSN
0095-2990
ABSTRACT
A simulation over a five day period allowing clinicians to become patients
and apply what they experience is presented as a vehicle from which
important learning can take place to help clinicians function better within
clinical work environments. The simulation gave clinical trainers and
trainees in the drug field mutually shared experiences that were understood
and applied to real work situations through discussions, lectures, and
presentations. Clinicians had the opportunity to understand how therapeutic
structures affect individuals through experiencing the structures as
recipients of service.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
medical education
model
physician
training
EMTREE MEDICAL INDEX TERMS
major clinical study
methodology
therapy
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Internal Medicine (6)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977122262
MEDLINE PMID
1211380 (http://www.ncbi.nlm.nih.gov/pubmed/1211380)
PUI
L7122209
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2185
TITLE
New trends in the training of therapists in drug addiction
ORIGINAL (NON-ENGLISH) TITLE
L'EVOLUTION DE LA FORMATION DU THERAPEUTE EN TOXICOMANIE
AUTHOR NAMES
Vamos P.
Devlin J.J.
AUTHOR ADDRESSES
(Vamos P.; Devlin J.J.) 3418 Drummond St., Montreal
CORRESPONDENCE ADDRESS
3418 Drummond St., Montreal
SOURCE
Toxicomanies (1975) 8:4 (273-279). Date of Publication: 1975
ISSN
0041-0098
ABSTRACT
In veiw of the too frequent failure of the professional therapist, former
drug addicts have set up their own therapy groups, which operate more or
less along the same lines as Alcoholics Anonymous. The results achieved may
be ascribed to the drive and cohesion of these groups which are made up of
drug addicts. The members share an emotional involvement in an atmosphere of
concern and mutual respect. These groups, led by former addicts, have been
created without professional help and with no theoretical basis. The group
leaders, semi professional by virtue of their having undergone the
experience of drug addiction, do, however, feel the need for
multidisciplinary collaboration which would include the assistance of the
true professional. However, in order to be able to work successfully within
these groups, the traditionalist professionals should complement their
academic training with practical work based on real situations, in the
course of apprenticeship within the therapy group. This is the only way for
professionals to obliterate the image they have created and to recover the
freshness of approach too often lost during professional training. The ex
addict therapist, on the other hand, would benefit from the knowledge of the
professional. This would enable them to work efficiently together in a
climate of mutual understanding, trust and respect.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health education
medical education
rehabilitation
EMTREE MEDICAL INDEX TERMS
methodology
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
French
EMBASE ACCESSION NUMBER
1977026263
PUI
L7026252
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2186
TITLE
Brown University Alcoholism Conference: Introduction
AUTHOR NAMES
Adams L.C.
Aronson S.M.
AUTHOR ADDRESSES
(Adams L.C.; Aronson S.M.) Brown Univ., Providence, R.I. 02912
CORRESPONDENCE ADDRESS
Brown Univ., Providence, R.I. 02912
SOURCE
Rhode Island Medical Journal (1975) 58:9 (387-388). Date of Publication:
1975
ISSN
0035-4627
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976161848
PUI
L6161779
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2187
TITLE
Keynote address: how future physicians must see the alcoholic. II
AUTHOR NAMES
Todd M.C.
AUTHOR ADDRESSES
(Todd M.C.) Amer. Med. Ass., Chicago, Ill. 60610
CORRESPONDENCE ADDRESS
Amer. Med. Ass., Chicago, Ill. 60610
SOURCE
Rhode Island Medical Journal (1975) 58:9 (389-390+401). Date of Publication:
1975
ISSN
0035-4627
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976161849
PUI
L6161780
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2188
TITLE
Perspectives on adolescent medicine: concepts and program design
AUTHOR NAMES
Cohen M.I.
Litt I.F.
Schonberg S.K.
AUTHOR ADDRESSES
(Cohen M.I.; Litt I.F.; Schonberg S.K.) Div. Adolesc. Med., Dept. Ped.,
Montefiore Hosp., Bronx, N.Y.
CORRESPONDENCE ADDRESS
Div. Adolesc. Med., Dept. Ped., Montefiore Hosp., Bronx, N.Y.
SOURCE
Acta Paediatrica Scandinavica (1975) 64:Sup.256 (9-18). Date of Publication:
1975
ISSN
0001-656X
ABSTRACT
The concepts and goals of a program in adolescent medicine should include
development of a capability to focus on current health needs of youth in a
variety of settings; to plan clinical services to meet those needs with the
flexibility necessary to respond to changing future requirements; and to
deliver service within such a context while simultaneously creating a milieu
conducive to education and investigation into the very process and
definition of adolescence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
curriculum
drug dependence
medicine
outpatient department
public health service
school health service
EMTREE MEDICAL INDEX TERMS
child
therapy
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977109788
PUI
L7109738
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2189
TITLE
Implications for medical practice of an acceptable concept of alcoholism
AUTHOR NAMES
Davies D.L.
AUTHOR ADDRESSES
(Davies D.L.) Alcohol Educ. Cent., Maudsley Hosp., London
CORRESPONDENCE ADDRESS
Alcohol Educ. Cent., Maudsley Hosp., London
SOURCE
Irish Journal of Medical Science (1975) 144:6 sup (49-57). Date of
Publication: 1975
ISSN
0021-1265
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug therapy
education
medical practice
EMTREE MEDICAL INDEX TERMS
intoxication
therapy
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976085936
MEDLINE PMID
1140924 (http://www.ncbi.nlm.nih.gov/pubmed/1140924)
PUI
L6085931
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2190
TITLE
Neuropsychological deficits in 'primary' and 'secondary' non medical drug
users
AUTHOR NAMES
Trites R.
AUTHOR ADDRESSES
(Trites R.) Dept. Psychol., Univ. Ottawa
CORRESPONDENCE ADDRESS
Dept. Psychol., Univ. Ottawa
SOURCE
Canadian Psychiatric Association Journal (1975) 20:5 (351-357). Date of
Publication: 1975
ABSTRACT
An extensive neuropsychological test battery, specifically designed to
investigate brain behavior relationships, was administered to two groups of
multiple drug users. The 'primary' group consisted of subjects referred
fundamentally on account of drug abuse problems. The 'secondary' group was
referred principally for neurological reasons, but during history taking
they reported drug use. Fifty patients, in all, were examined. Results
showed that people who have received psychiatric care for drug abuse and who
had started using drugs at an earlier age ('primary' group) and fewer
adaptive resources and limited psychometric and academic achievement skills.
This effect cannot be attributed to personality differences. Both groups had
noticeably greater difficulties on motor tests, fine manipulative skills,
and Halstead's Impairment Index when compared with a normal control group
matched for age and sex.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amphetamine
cannabis
cocaine
lysergide
mescaline
opiate
psilocybine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
academic achievement
adaptation
clinical study
drug dependence
mental test
personality
psychometry
EMTREE MEDICAL INDEX TERMS
diagnosis
intoxication
major clinical study
CAS REGISTRY NUMBERS
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
lysergide (50-37-3)
mescaline (11006-96-5, 54-04-6, 832-92-8)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
psilocybine (520-52-5)
EMBASE CLASSIFICATIONS
Adverse Reactions Titles (38)
Drug Literature Index (37)
Psychiatry (32)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976150262
MEDLINE PMID
1182648 (http://www.ncbi.nlm.nih.gov/pubmed/1182648)
PUI
L6150194
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2191
TITLE
Alcohol and the liver: an attempt to consider the topic in medical
sociological terms
ORIGINAL (NON-ENGLISH) TITLE
VERSUCH EINER SOZIALMEDIZINISCHEN BETRACHTUNG ZUM THEMA ALKOHOL UND LEBER
AUTHOR NAMES
Luchmann A.
AUTHOR ADDRESSES
(Luchmann A.) Sanat., LVA Rheinland Pfalz Leber Stoffwechselkrankh., Bad
Salzig
CORRESPONDENCE ADDRESS
Sanat., LVA Rheinland Pfalz Leber Stoffwechselkrankh., Bad Salzig
SOURCE
Arbeitsmedizin Sozialmedizin Praventivmedizin (1975) 10:7 (133-136). Date of
Publication: 1975
ISSN
0300-581X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
gastrointestinal disease
health education
hospital
liver disease
EMTREE MEDICAL INDEX TERMS
diagnosis
intoxication
methodology
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
Psychiatry (32)
Gastroenterology (48)
Internal Medicine (6)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1976112935
PUI
L6112874
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2192
TITLE
Deaddiction of smokers. A task for the entire medical staff
ORIGINAL (NON-ENGLISH) TITLE
RAUCHERENTWOHNUNG. EINE AUFGABE FUR DAS GESAMTE MEDIZINISCHE PERSONAL
AUTHOR NAMES
Gastrin G.
Ramstrom L.
AUTHOR ADDRESSES
(Gastrin G.; Ramstrom L.) Univ. Helsinki
CORRESPONDENCE ADDRESS
Univ. Helsinki
SOURCE
International Journal of Health Education (1975) 18:1 (34-38). Date of
Publication: 1975
ISSN
1368-1222
ABSTRACT
Current efforts in the field of deaddiction of smokers in the USA, the
Scandinavian countries and the GFR are outlined. Special organisations such
as the American National Clearing House for Smoking and Health were set up
in Scandinavian countries, with the exception of Finland. The results of the
antismoking campaign in the USA, which reduced the amount of smokers by 25%,
are mentioned to organise and support similar activities in Finland. The
material used for deaddiction, such as a Smokers Self Testing Kit, is
reviewed. A brochure composed by the authors in the form of a deaddiction
diary focuses on the short term positive consequences which can be monitored
from day to day. In the diary, the smoker must follow his own deaddiction
symptoms, both positive and negative ones, which can mean an important
therapeutic activity itself. (18 references).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
prophylaxis
self help
smoking
tobacco
EMTREE MEDICAL INDEX TERMS
intoxication
prevention
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1976029693
PUI
L6029692
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2193
TITLE
The New Jersey Medical School Narcotics Case Register: methodology and
summary of first four years of operation.
AUTHOR NAMES
Lavenhar M.A.
Sheffet A.
Du Val H.
Louria D.B.
AUTHOR ADDRESSES
(Lavenhar M.A.; Sheffet A.; Du Val H.; Louria D.B.)
CORRESPONDENCE ADDRESS
M.A. Lavenhar,
SOURCE
Addictive diseases (1975) 1:4 (513-527). Date of Publication: 1975
ISSN
0094-0267
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
medical school
register
EMTREE MEDICAL INDEX TERMS
ambulatory care
article
drug legislation
ethnic group
evaluation study
female
human
male
mental hospital
residential care
sex difference
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1163354 (http://www.ncbi.nlm.nih.gov/pubmed/1163354)
PUI
L5561031
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2194
TITLE
III. Brown University Alcoholism Conference: On undergraduate education:
alcoholism in a medical school.
AUTHOR NAMES
Bosma W.G.
AUTHOR ADDRESSES
(Bosma W.G.)
CORRESPONDENCE ADDRESS
W.G. Bosma,
SOURCE
R.I. medical journal (1975) 58:9 (391-392 403). Date of Publication: Sep
1975
ISSN
0360-067X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
127375 (http://www.ncbi.nlm.nih.gov/pubmed/127375)
PUI
L6469849
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2195
TITLE
IV. Brown University Alcoholism Conference: On graduate education:
alcoholism instruction in graduate medical education.
AUTHOR NAMES
Williams K.H.
AUTHOR ADDRESSES
(Williams K.H.)
CORRESPONDENCE ADDRESS
K.H. Williams,
SOURCE
R.I. medical journal (1975) 58:9 (393-395, 404-405). Date of Publication:
Sep 1975
ISSN
0360-067X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
127376 (http://www.ncbi.nlm.nih.gov/pubmed/127376)
PUI
L6469850
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2196
TITLE
I. Brown University Alcoholism Conference: Introduction.
AUTHOR NAMES
Adams L.C.
Aronson S.M.
AUTHOR ADDRESSES
(Adams L.C.; Aronson S.M.)
CORRESPONDENCE ADDRESS
L.C. Adams,
SOURCE
R.I. medical journal (1975) 58:9 (387-388). Date of Publication: Sep 1975
ISSN
0360-067X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
article
human
medical school
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
127373 (http://www.ncbi.nlm.nih.gov/pubmed/127373)
PUI
L6469847
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2197
TITLE
V. Brown University Alcoholism Conference: A summary of the discussions.
AUTHOR NAMES
Galletti P.M.
AUTHOR ADDRESSES
(Galletti P.M.)
CORRESPONDENCE ADDRESS
P.M. Galletti,
SOURCE
R.I. medical journal (1975) 58:9 (396-397, 405). Date of Publication: Sep
1975
ISSN
0360-067X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
127377 (http://www.ncbi.nlm.nih.gov/pubmed/127377)
PUI
L6469851
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2198
TITLE
Smoking inhibition in continuing education meetings
ORIGINAL (NON-ENGLISH) TITLE
Rauchverbot bei Fortbildungs-veranstaltungen
AUTHOR NAMES
Martens
AUTHOR ADDRESSES
(Martens)
CORRESPONDENCE ADDRESS
Martens,
SOURCE
Deutsche medizinische Wochenschrift (1946) (1975) 100:27 (1481-1482). Date
of Publication: 4 Jul 1975
ISSN
0012-0472
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
article
German Federal Republic
jurisprudence
LANGUAGE OF ARTICLE
German
MEDLINE PMID
1132362 (http://www.ncbi.nlm.nih.gov/pubmed/1132362)
PUI
L5509831
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2199
TITLE
Smoking prohibition during courses on radiation protection according to the
legislation on radiation. Decision of the Schleswig-Holstein administrative
court from September 20, 1974--10A111/74
ORIGINAL (NON-ENGLISH) TITLE
Rauchverbot bei Veranstaltungen über den Strahlenschutz nach der
Röntgenverordnung. Urteil des Schleswig-Holsteinischen Verwaltungsgerichts
vom 20. September 1974-10 A 111/74
AUTHOR NAMES
Pohl H.
AUTHOR ADDRESSES
(Pohl H.)
CORRESPONDENCE ADDRESS
H. Pohl,
SOURCE
Zahnärztliche Mitteilungen (1975) 65:12 (595-596). Date of Publication: 16
Jun 1975
ISSN
0044-1643
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
smoking
EMTREE MEDICAL INDEX TERMS
air pollution
article
German Federal Republic
law
radiation protection
LANGUAGE OF ARTICLE
German
MEDLINE PMID
1060282 (http://www.ncbi.nlm.nih.gov/pubmed/1060282)
PUI
L6485477
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2200
TITLE
Prohibition of smoking during courses of continuing medical education
ORIGINAL (NON-ENGLISH) TITLE
Rauchverbot bei Fortbildungsveranstaltungen
AUTHOR ADDRESSES
SOURCE
Medizinische Monatsschrift (1975) 29:3 (141-142). Date of Publication: Mar
1975
ISSN
0025-8474
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
medicolegal aspect
smoking
EMTREE MEDICAL INDEX TERMS
article
German Federal Republic
LANGUAGE OF ARTICLE
German
MEDLINE PMID
1124066 (http://www.ncbi.nlm.nih.gov/pubmed/1124066)
PUI
L5494834
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2201
TITLE
Effect of medical education on smoking behavior
AUTHOR NAMES
Knopf A.
Wakefield J.
AUTHOR ADDRESSES
(Knopf A.; Wakefield J.) Dept. Soc. Res., Univ. Hosp. South Manchester
CORRESPONDENCE ADDRESS
Dept. Soc. Res., Univ. Hosp. South Manchester
SOURCE
British Journal of Preventive and Social Medicine (1974) 28:4 (246-251).
Date of Publication: 1974
ABSTRACT
At Manchester University medical students (n = 658) had more knowledge than
law students (n = 245) about the hazards of smoking, were more convinced by
the relevant evidence, and assessed the risk to health more highly. However,
there was no significant difference in their smoking behavior. Among medical
students 61% were nonsmokers, 10% ex smokers, and 29% smokers, of whom three
fifths smoked regularly. During their training they were more likely to
start smoking than to give it up, and more likely to increase their
consumption than decrease it. Expansion of smoking occurred especially in
the early yr of the course, whereas the main increase in knowledge was in
the clinical period. Students' knowledge and their opinion of the evidence
were related to their stage of education, whereas their assessment of the
risk was linked with their smoking behavior. Expansion of smoking at medical
chool may be forestalled by providing information about the hazards as early
as possible, although some smokers will continue the habit irrespective of
knowledge.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
medical student
smoking
student
university
EMTREE MEDICAL INDEX TERMS
intoxication
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975169523
MEDLINE PMID
4455343 (http://www.ncbi.nlm.nih.gov/pubmed/4455343)
PUI
L5169438
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2202
TITLE
Training models for drug abuse prevention: recommendations for the future
AUTHOR NAMES
Shute R.E.
Swisher J.D.
AUTHOR ADDRESSES
(Shute R.E.; Swisher J.D.) Addict. Prev. Lab., Dept. Counselor Educ.,
Pennsylvania State Univ., University Park, Pa.
CORRESPONDENCE ADDRESS
Addict. Prev. Lab., Dept. Counselor Educ., Pennsylvania State Univ.,
University Park, Pa.
SOURCE
Journal of Drug Education (1974) 4:2 (169-178). Date of Publication: 1974
ISSN
0047-2379
ABSTRACT
Why do drug educators conduct training programs for school, community, and
agency personnel? If the ultimate goal is to produce a cadre of skilled
trainees who will be effective in primary prevention ventures, then one
should be quite disappointed. This article describes and provides examples
of the three major training modalities currently in vogue. The strengths and
weaknesses of each are examined and then integrated to build a recommended
model for future training efforts.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health education
medical education
nurse training
nursing education
primary prevention
school health service
student
teacher
training
EMTREE MEDICAL INDEX TERMS
child
dentist
general practitioner
medical specialist
midwife
model
nursing
paramedical profession
pharmacist
physician assistant
prevention
social worker
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975132536
PUI
L5132456
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2203
TITLE
Primary care in the academic medical centers: a report of a survey by the
AAMC
AUTHOR NAMES
Schroeder S.A.
Werner S.M.
Piemme T.E.
AUTHOR ADDRESSES
(Schroeder S.A.; Werner S.M.; Piemme T.E.) Dept. Med., George Washington
Univ. Med. Sch., Washington, D.C.
CORRESPONDENCE ADDRESS
Dept. Med., George Washington Univ. Med. Sch., Washington, D.C.
SOURCE
Journal of Medical Education (1974) 49:9 (823-833). Date of Publication:
1974
ISSN
0022-2577
ABSTRACT
This report contains a summary of the responses to a survey questionnaire
which was sent to all academic medical centers in the United States in April
1973 concerning programs in health services delivery and primary care
education. The questionnaire dealt with five majors areas: ambulatory care
teaching, prepaid medical care, new health practitioner education, graduate
training in primary care, general issues, including programs in emergency
care, alcoholism and drug abuse, health care research, and health care
management and manpower. The survey demonstrates intense activity in the
development of primary care programs within the academic medical centers
over the past few years. The great variations in degree of program
development, the disparate modes of governance of primary care programs and
the frequency of requests for assistance in program development all support
the impression that primary care education at the academic medical centers
is in a period of transition.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
emergency
family
health education
management
medical care
medical center
medical research
medical school
postgraduate education
primary health care
public health service
questionnaire
teaching hospital
university hospital
EMTREE MEDICAL INDEX TERMS
classification
prevention
statistics
therapy
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975109735
MEDLINE PMID
4153009 (http://www.ncbi.nlm.nih.gov/pubmed/4153009)
PUI
L5109656
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2204
TITLE
Intervention study on a campaign against the smoking, alcohol and drug
habits in young people, with particular reference to preventive sport
medicine
ORIGINAL (NON-ENGLISH) TITLE
INTERVENTIONSSTUDIE ZUR BEEINFLUSSBARKEIT JUGENDLICHER IM GENUSSMITTEL- UND
DROGENKONSUM UNTER BESONDERER BERUCKSICHTIGUNG DER PRAVENTIVEN SPORTMEDIZIN
AUTHOR NAMES
Biener K.
AUTHOR ADDRESSES
(Biener K.) Inst. Soz. Prav. Med., Univ. Zurich
CORRESPONDENCE ADDRESS
Inst. Soz. Prav. Med., Univ. Zurich
SOURCE
SCHWEIZ.MED.WSCHR. (1974) 104:19 (700-704). Date of Publication: 1974
ABSTRACT
An intervention study to influence usage of drugs, cigarettes and alcohol
was carried out among 1155 high school students in Lucerne (Switzerland).
Cigarette smoking decreased nonsignificantly from 25.4 to 21.9% 6 mth after
the campaign. The proportion of students who had experience with drugs
increased from 8.8 to 10.6% (not significant). The desire to use drugs,
however, decreased from 24 to 16% after 2 wk and, significantly, to 11%
after 6 mth.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
epidemiology
health education
occupational health
preventive medicine
prophylaxis
smoking
sport
sports medicine
tobacco
EMTREE MEDICAL INDEX TERMS
article
intoxication
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1975010070
MEDLINE PMID
4831000 (http://www.ncbi.nlm.nih.gov/pubmed/4831000)
PUI
L5010068
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2205
TITLE
Drug abuse training and education: the physician
AUTHOR NAMES
Einstein S.
AUTHOR ADDRESSES
(Einstein S.) Dept. Publ. Hlth, Commun. Med., New Jersey Coll. Med. Dent.,
Newark, N.J.
CORRESPONDENCE ADDRESS
Dept. Publ. Hlth, Commun. Med., New Jersey Coll. Med. Dent., Newark, N.J.
SOURCE
International Journal of the Addictions (1974) 9:1 (81-99). Date of
Publication: 1974
ISSN
0020-773X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community
drug dependence
education
training
EMTREE MEDICAL INDEX TERMS
prevention
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975076372
MEDLINE PMID
4412869 (http://www.ncbi.nlm.nih.gov/pubmed/4412869)
PUI
L5076301
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2206
TITLE
Report on legislation
AUTHOR ADDRESSES
SOURCE
Illinois Medical Journal (1974) 146:3 (197-198+224). Date of Publication:
1974
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health program
law
medical school
mental health service
public health service
EMTREE MEDICAL INDEX TERMS
legal aspect
prevention
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975123798
PUI
L5123718
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2207
TITLE
The Alcohol Rehabilitation Unit, National Naval Medical Center, Bethesda
AUTHOR NAMES
Glass G.S.
AUTHOR ADDRESSES
(Glass G.S.) Dept. Psychiat., Nat. Nav. Med. Cent., Bethesda, Md. 20014
CORRESPONDENCE ADDRESS
Dept. Psychiat., Nat. Nav. Med. Cent., Bethesda, Md. 20014
SOURCE
Military Medicine (1974) 139:6 (486-488). Date of Publication: 1974
ISSN
0026-4075
ABSTRACT
The Alcohol Rehabilitation Unit, Bethesda, combines 7 aspects in a
multifaceted approach. Primary effort has been given to the inpatient unit
and appears to have some success, insofar as no patient has been readmitted,
although many return biweekly for followup. Current plans are for more
detailed outpatient programs but, because of staffing difficulties, these
have not as yet been provided.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health education
medical center
rehabilitation
sailor
EMTREE MEDICAL INDEX TERMS
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975076664
PUI
L5076593
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2208
TITLE
Skid row and inner city alcoholics. A comparison of drinking patterns and
medical problems
AUTHOR NAMES
Feldman J.
Su W.H.
Kaley M.M.
Kissin B.
AUTHOR ADDRESSES
(Feldman J.; Su W.H.; Kaley M.M.; Kissin B.) Dept. Environm. Med. Commun.
Hlth, Downstate Med. Cent., State Univ. New York, Brooklyn, N.Y. 11203
CORRESPONDENCE ADDRESS
Dept. Environm. Med. Commun. Hlth, Downstate Med. Cent., State Univ. New
York, Brooklyn, N.Y. 11203
SOURCE
QUART.J.STUD.ALCOHOL (1974) 35:2 A (565-576). Date of Publication: 1974
ABSTRACT
Skid Row (a district of a town or city frequented by alcoholics) alcoholics
were older than inner city alcoholics, had less education, fewer were Blacks
and more were periodic drinkers and drank beer and wine. Both groups were in
poor health.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
beer
education
race
Western Hemisphere
wine
EMTREE MEDICAL INDEX TERMS
ethnic or racial aspects
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975053988
MEDLINE PMID
4139730 (http://www.ncbi.nlm.nih.gov/pubmed/4139730)
PUI
L5053922
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2209
TITLE
Smoking cessation activities. A task for every member of the medical
profession (Swedish)
AUTHOR NAMES
Gastrin G.
Ramstrom L.M.
AUTHOR ADDRESSES
(Gastrin G.; Ramstrom L.M.) NTS, Nat. Foren. Upplysn. Tobakens
Skadeverkningar, Stockholm
CORRESPONDENCE ADDRESS
NTS, Nat. Foren. Upplysn. Tobakens Skadeverkningar, Stockholm
SOURCE
Lakartidningen (1974) 71:35 (3138-3139). Date of Publication: 1974
ISSN
0023-7205
ABSTRACT
There are data indicating that the medical profession could most efficiently
contribute to smoking control efforts by including smoking cessation
counseling in the daily work as part of every contact with a smoker. This
task will be made easier by a new type of leaflet that has just been
published in Sweden and Finland. This leaflet should be handed over to
smokers who have been advised to stop. It contains information on smoking
cessation and a 'stop smoking diary'. It has recently been distributed to
health personnel in Sweden as an enclosure to a letter on smoking control
from the National Board of Health and Welfare. (16 references.)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
physician
smoking
EMTREE MEDICAL INDEX TERMS
methodology
prevention
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
Swedish
EMBASE ACCESSION NUMBER
1975102684
PUI
L5102606
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2210
TITLE
The Collaborative Medical Group 'Smoking and Health': signposts in the fight
against tobacco
ORIGINAL (NON-ENGLISH) TITLE
DER ARZTLICHE ARBEITSKREIS RAUCHEN UND GESUNDHEIT: WEGWEISER IM KAMPF GEGEN
DAS RAUCHEN
AUTHOR NAMES
Schmidt F.
Portheine F.
AUTHOR ADDRESSES
(Schmidt F.; Portheine F.) Arztl. Arbeitskreis Rauchen Gesundh. e. V.,
Mannheim
CORRESPONDENCE ADDRESS
Arztl. Arbeitskreis Rauchen Gesundh. e. V., Mannheim
SOURCE
Zeitschrift fur Allgemeinmedizin (1974) 50:13 (622-627). Date of
Publication: 1974
ISSN
0937-6801
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking
EMTREE MEDICAL INDEX TERMS
intoxication
methodology
prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
German
EMBASE ACCESSION NUMBER
1975016168
MEDLINE PMID
4846249 (http://www.ncbi.nlm.nih.gov/pubmed/4846249)
PUI
L5016164
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2211
TITLE
Tobacco smoking and educational achievement
ORIGINAL (NON-ENGLISH) TITLE
Tobaksrökning och studieframgång
AUTHOR NAMES
Timisjärvi J.
Järvensivu P.
Hirvonen L.
AUTHOR ADDRESSES
(Timisjärvi J.; Järvensivu P.; Hirvonen L.)
CORRESPONDENCE ADDRESS
J. Timisjärvi,
SOURCE
Nordisk medicin (1974) 89:8 (252). Date of Publication: Oct 1974
ISSN
0029-1420
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
smoking (epidemiology)
student
EMTREE MEDICAL INDEX TERMS
article
female
Finland
human
male
medical student
LANGUAGE OF ARTICLE
Swedish
MEDLINE PMID
4457830 (http://www.ncbi.nlm.nih.gov/pubmed/4457830)
PUI
L5495511
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2212
TITLE
The development of a curriculum in drug dependency
AUTHOR NAMES
Stimmel B.
AUTHOR ADDRESSES
(Stimmel B.) Mt Sinai Sch. Med., City Univ. New York, N.Y.
CORRESPONDENCE ADDRESS
Mt Sinai Sch. Med., City Univ. New York, N.Y.
SOURCE
Journal of Medical Education (1974) 49:2 (158-162). Date of Publication:
1974
ISSN
0022-2577
ABSTRACT
An integrated interdepartmental curriculum in drug dependency that runs
throughout the four years of medical education is described. The curriculum
provides the student with a 'core' body of knowledge which is considered
essential for all physicians in training as well as multiple opportunities
to take electives during which time areas of interest may be explored in
depth. The use of the interdisciplinary approach enables the student to
realize better the pervasiveness of the problem, and it allows for an
orderly sequence of scheduling in the medical curriculum without the
necessity of creating additional block teaching time.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
economic aspect
medical education
medical student
EMTREE MEDICAL INDEX TERMS
general practitioner
medical specialist
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974182501
MEDLINE PMID
4855584 (http://www.ncbi.nlm.nih.gov/pubmed/4855584)
PUI
L4182409
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2213
TITLE
How rising food costs affect the low income family
AUTHOR NAMES
Beamish E.
AUTHOR ADDRESSES
(Beamish E.) Nutrit. Serv., Metrop. Toronto Dept. Soc. Serv., Toronto
CORRESPONDENCE ADDRESS
Nutrit. Serv., Metrop. Toronto Dept. Soc. Serv., Toronto
SOURCE
Hospital Administration in Canada (1974) 16:3 (68-70). Date of Publication:
1974
ISSN
0018-554X
ABSTRACT
Good nutrition as a form of preventive medicine is an area in which many
hospitals, especially through educational efforts of the dietary department,
could become increasingly involved. Although it is theoretically possible
for a family on social assistance to have a nutritionally adequate diet on
the money provided for food, in many cases this does not happen - for lack
of interest in or ignorance about cooking, diversion of funds to other
purposes, and many other reasons. The author describes a series of classes
on topics such as nutrition, meal planning, shopping tips, child
development, drug addiction, legal aid, etc. The classes are coordinated by
a public health nurse, and include a hospital nutritionist as a resource
person.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
economic aspect
EMTREE MEDICAL INDEX TERMS
general hospital
hospital
prevention
primary prevention
teaching hospital
university hospital
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974214975
PUI
L4214864
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2214
TITLE
The role of a medical school in methadone maintenance.
AUTHOR NAMES
Stimmel B.
AUTHOR ADDRESSES
(Stimmel B.)
CORRESPONDENCE ADDRESS
B. Stimmel,
SOURCE
Proceedings. National Conference on Methadone Treatment (1973) 1 (220-224).
Date of Publication: 1973
ISSN
0360-263X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
heroin dependence (drug therapy)
medical school
rehabilitation center
EMTREE MEDICAL INDEX TERMS
addiction
article
human
manpower
organization and management
United States
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4808151 (http://www.ncbi.nlm.nih.gov/pubmed/4808151)
PUI
L5469694
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2215
TITLE
A brief exposition of the problem and some tentative solutions
AUTHOR NAMES
Kunin C.M.
Tupasi T.
Craig W.A.
AUTHOR ADDRESSES
(Kunin C.M.; Tupasi T.; Craig W.A.) Madison VA Hosp., Madison, Wis.
CORRESPONDENCE ADDRESS
Madison VA Hosp., Madison, Wis.
SOURCE
Annals of Internal Medicine (1973) 79:4 (555-560). Date of Publication: 1973
ISSN
0003-4819
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antibiotic agent
carbenicillin
cefalexin
cephalosporin
chloramphenicol
gentamicin
lincomycin
penicillin G
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bacterial superinfection
drug control
drug dependence
medical education
pharmacology
CAS REGISTRY NUMBERS
carbenicillin (17230-86-3, 4697-36-3, 4800-94-6)
cefalexin (15686-71-2, 23325-78-2)
cephalosporin (11111-12-9)
chloramphenicol (134-90-7, 2787-09-9, 56-75-7)
gentamicin (1392-48-9, 1403-66-3, 1405-41-0)
lincomycin (154-21-2, 7179-49-9, 859-18-7)
penicillin G (1406-05-9, 61-33-6)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Adverse Reactions Titles (38)
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974091452
MEDLINE PMID
4795880 (http://www.ncbi.nlm.nih.gov/pubmed/4795880)
PUI
L4091378
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 2216
TITLE
Alcoholism and its relation to health care
AUTHOR NAMES
McCoy G.H.
AUTHOR ADDRESSES
(McCoy G.H.) City Univ. New York, Baruch Coll., New York, N.Y.
CORRESPONDENCE ADDRESS
City Univ. New York, Baruch Coll., New York, N.Y.
SOURCE
Abstracts of Hospital Management Studies (1973) 10:2 (10733HE:109p). Date of
Publication: 1973
ABSTRACT
The author outlines the seriousness of the alcoholism problem in the United
States and indicates that lack of concern by health care professionals has
allowed the problem to continue to increase in society. The report includes:
an overview of the problems of alcoholism and forms and methods of
rehabilitation; description of alcoholism as a disease including causes and
effects, diagnosis, and definitions; discussion of the social factors of
alcoholism; an examination of treatment and rehabilitation of the alcoholic
and the role of health facilities; and the author's recommendations for
solution to the problem. Among the recommendations are that education and
training of health care professionals is of prime importance since present
facilities are not adequate to treat all of the afflicted and that more
programs developed after the Alcoholics Anonymous model are needed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
economic aspect
medical education
paramedical education
preventive medicine
public health service
rehabilitation
social medicine
EMTREE MEDICAL INDEX TERMS
prevention
primary prevention
secondary prevention
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974131810
PUI
L4131727
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2217
TITLE
The active role of schools in mental health as seen in retrospect and
prospect
AUTHOR NAMES
Sellery C.M.
AUTHOR ADDRESSES
(Sellery C.M.) Hlth Educ. Serv., Los Angeles City Sch., Los Angeles, Calif.
CORRESPONDENCE ADDRESS
Hlth Educ. Serv., Los Angeles City Sch., Los Angeles, Calif.
SOURCE
J.SCH.HLTH (1973) 43:7 (455-457). Date of Publication: 1973
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health education
medical education
mental health
school
school hygiene
EMTREE MEDICAL INDEX TERMS
child
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pediatrics and Pediatric Surgery (7)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974099211
MEDLINE PMID
4583460 (http://www.ncbi.nlm.nih.gov/pubmed/4583460)
PUI
L4099136
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 2218
TITLE
Involvement of medicine residents in a drug treatment program--an
educational experience.
AUTHOR NAMES
Carbeck R.B.
AUTHOR ADDRESSES
(Carbeck R.B.)
CORRESPONDENCE ADDRESS
R.B. Carbeck,
SOURCE
Michigan medicine (1973) 72:12 (277-278). Date of Publication: Apr 1973
ISSN
0026-2293
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
article
doctor patient relation
human
rehabilitation center
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4735172 (http://www.ncbi.nlm.nih.gov/pubmed/4735172)
PUI
L93334935
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2219
TITLE
First do no harm.
AUTHOR NAMES
Kurzman M.G.
AUTHOR ADDRESSES
(Kurzman M.G.)
CORRESPONDENCE ADDRESS
M.G. Kurzman,
SOURCE
Minnesota medicine (1973) 56:3 (217). Date of Publication: Mar 1973
ISSN
0026-556X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4734617 (http://www.ncbi.nlm.nih.gov/pubmed/4734617)
PUI
L93314699
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2220
TITLE
The role of the county medical society in the community drug abuse problem.
AUTHOR NAMES
Lehman D.J.
AUTHOR ADDRESSES
(Lehman D.J.)
CORRESPONDENCE ADDRESS
D.J. Lehman,
SOURCE
JFMA, the Journal of the Florida Medical Association. Florida Medical
Association (1973) 60:2 (37-38). Date of Publication: Feb 1973
ISSN
0091-6757
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health education
medical society
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4734558 (http://www.ncbi.nlm.nih.gov/pubmed/4734558)
PUI
L93311456
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2221
TITLE
Educational problems related to the topic Nicotine, alcohol, narcotic drug
ORIGINAL (NON-ENGLISH) TITLE
Erziehungsprobleme zum thema nikotin, alkohol, rauschgigft
AUTHOR NAMES
Sohnius R.
AUTHOR ADDRESSES
(Sohnius R.) Siemens AG, Karlsruhe.
CORRESPONDENCE ADDRESS
R. Sohnius, Siemens AG, Karlsruhe.
SOURCE
Arbeitsmed. Sozialmed. Arbeitshyg. (1972) 7:11 (314-317). Date of
Publication: 1972
ABSTRACT
The occupational physician is also charged with the general education of
adults as well as of adolescents with regard to hygiene. Two kinds of
preventive hygiene must be distinguished: passive hygiene, which submits a
patient to a certain medical treatment with the patients agreement; and
active hygiene, which requires that the patipnt proceeds according to the
instructions m the physician. The abusive consumption of tobacco, alcohol,
coffee, etc., as well as the use of drugs, can only be fought against by
active hygiene. It should be mandatory that neither a cardiac or circulatory
disturbance be submitted to medical treatment without nicotine abstinence,
nor a hepatic disturbance without alcohol abstinence. The environmental
pollution of the intimate sphere of pregnant women should not be tolerated.
Information abuul drugs should bii given with more care and objectivity.
Young people have a critical mind and take contradictory opinions of the
adults as un argument.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
narcotic agent
nicotine
EMTREE MEDICAL INDEX TERMS
abstinence
adolescent
adult
alcohol abstinence
coffee
drug dependence
education
health education
hygiene
ischemia
occupational physician
patient
physician
pollution
pregnant woman
smoking
therapy
tobacco
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
German
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008891375
PUI
L293149593
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2222
TITLE
Health education of patients in the field of social psychiatry, notably
alcoholics
AUTHOR NAMES
Hudolin V.
Bano N.
Gabelic I.
AUTHOR ADDRESSES
(Hudolin V.; Bano N.; Gabelic I.) Psychiat. Dept., Dr. M. Strojanvic Hosp.,
Zagreb, Croatia.
()
CORRESPONDENCE ADDRESS
V. Hudolin, Psychiat. Dept., Dr. M. Strojanvic Hosp., Zagreb, Croatia.
SOURCE
International Journal of Social Psychiatry (1972) 18:3 (157-170). Date of
Publication: 1972
ISSN
0020-7640
ABSTRACT
In this paper the authors exhibit the experiences they have gained in
working with alcoholics. Alcoholism, as a most important socio psychiatric
problem, makes its appearance in circa 15I of adult males. Out of the total
number of males presenting themselves before medical commissions for
assessment of the degree of their disablement in Croatia, 15° are
alcoholics. Based on these data a programme of control of alcoholism had
been set up, which is based on a great number (130 in Croatia) of local
programmes in which besides alcoholics members of professional teams (e.g.
psychiatrist, general practioner, social worker, nurse) are included. In the
framework of such a plan a systematic health education of patients and
members of their families is being performed. Special attention ought to be
paid to investigating on the efficiency of health education as a part of a
complex health protection, on the role of individual members of the
therapeutic team concerned with health education, as 11ell as on the
influence of the health education of patients on the general health culture
and education of personnel engaged in health education. In this way it would
be feasible to obtain data on the influence of health education of patients
upon the prevention of alcoholism in a general population. The authors are
fully aware that the mechanisms of evaluation and scientific work ought
automatically to be included into every therapeutic and rehabilitation
programme in the domain of social psychiatry, and especially in the sphere
of alcoholism, drug addiction and geriatry, so that special studies should
be devoted to discovering the best methods of evaluation of health
education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health education
patient
social psychiatry
EMTREE MEDICAL INDEX TERMS
adult
Croatia
disability
drug dependence
education
geriatrics
health
male
medical service
nurse
personnel
population
prevention
prophylaxis
psychiatrist
rehabilitation
social worker
Yugoslavia
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008891651
PUI
L293149869
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2223
TITLE
Medical student use of marijuana, alcohol, and cigarettes: A study of four
schools
AUTHOR NAMES
Lipp M.
Tinklenberg J.
Benson S.
AUTHOR ADDRESSES
(Lipp M.; Tinklenberg J.; Benson S.) Dept. Psychiat., Stanford Med. Cent.,
Stanford, CA, United States.
CORRESPONDENCE ADDRESS
M. Lipp, Dept. Psychiat., Stanford Med. Cent., Stanford, CA, United States.
SOURCE
International Journal of the Addictions (1972) 7:1 (141-152). Date of
Publication: 1972
ISSN
0020-773X
ABSTRACT
Four medical schools of different geographical regions were surveyed with
regard to students past, present, and projected use of marijuana. Results
show that experience with marijuana varies from 17 to 70% of students, that
of marijuana is highly correlated with the school a student attends, his use
of cigarettes, and the amount of alcohol that drinks. More students can be
expected to use marijuana if legal sanctions are relaxed or if
practitioners; that reveals marijuana to be no more toxic than alcohol. No
such increase is predicted if marijuana is found to be comparable to
cigarettes in long term effects. In view of the gap between medical student
practice and medicines official position on marijuana, the authors urge that
the medical community discuss the subject of marijuana use openly, focusing
particularly on how cannabis affects our health and that of our patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cigarette smoking
medical student
school
EMTREE MEDICAL INDEX TERMS
community
health
medical school
patient
physician
smoking
student
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007408621
PUI
L293046443
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2224
TITLE
Occupational therapy in the mental health field
AUTHOR NAMES
Trider M.F.
Reg O.T.
AUTHOR ADDRESSES
(Trider M.F.; Reg O.T.)
SOURCE
Canad. Ment. Hlth. (1972) 20:5 (24-28). Date of Publication: 1972
ABSTRACT
Occupational therapy in the mental health field has travelled a long way
from its professional beginnings. It is turning its attention to methods of
preventing psychosocial and physical dysfunction, to the effects of
environmental stress, and to consideration of the types of adaptive skills
that will be required of mankind in order to survive the effects of possible
future shock so clearly described by Toffler. At the same time practitioners
are applying their current theory and practice in the many locales where the
evidence indicates the presence of psychosocial dysfunction: in community
programs, in schools, nursing homes, business and industry, as well as the
more familiar institutions - the psychiatric hospital, the mental
retardation unit and hospital schools, day care unit, therapeutic community,
and addiction treatment centre. As it learns to subject its hypotheses to
more rigorous testing it is increasingly emphasizing both basic and applied
research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental health
occupational therapy
EMTREE MEDICAL INDEX TERMS
addiction
applied research
commercial phenomena
community program
day care
environmental stress
hospital
hypothesis
industry
mental deficiency
mental health care
mental hospital
nursing education
nursing home
physician
school
skill
therapeutic community
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008950591
PUI
L293161571
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2225
TITLE
Exposure of nurse anesthetists to halothane
ORIGINAL (NON-ENGLISH) TITLE
Halotan exposition hos narkosskoterskor
AUTHOR NAMES
Gotell P.
Stahl R.
AUTHOR ADDRESSES
(Gotell P.; Stahl R.) Yrkesmed. Klin., Reg. Sjukh., Orebro, Sweden.
CORRESPONDENCE ADDRESS
P. Gotell, Yrkesmed. Klin., Reg. Sjukh., Orebro, Sweden.
SOURCE
Lakartidningen (1972) 69:52 (6179-6183). Date of Publication: 1972
ISSN
0023-7205
ABSTRACT
During the last few years, the problem of the chronic exposure to halothane
of personnel trained in anesthesiology has arisen. Teratogenic effects,
addiction to halothane (all anesthetic gases) and liver damage have been
described, but more common symptoms are fatigue, headache, tiredness,
irritability, etc. In order to study the halothane problem', a technical and
medical investigation was performed. It seems possible to conclude that a
nurse anesthetist may be exposed to about two 'patient doses' of halothane
per year (25,000-30,000 ppm hours). However, it is easy to eliminate the
halothane exposure (all anesthetic gases) by connecting an excess gas
evacuation unit to the anesthetic machine. With this equipment at work, the
authors found that about 90% of the halothane in the nurse anesthetists
breathing zone was eliminated.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
halothane
EMTREE DRUG INDEX TERMS
anesthetic agent
anesthetic gas
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
exposure
nurse anesthetist
EMTREE MEDICAL INDEX TERMS
addiction
anesthesiology
breathing
exhaust gas
fatigue
gas
headache
irritability
liver injury
long term exposure
machine
nurse
patient
personnel
Sweden
teratogenesis
CAS REGISTRY NUMBERS
halothane (151-67-7, 66524-48-9)
LANGUAGE OF ARTICLE
Swedish
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008745479
PUI
L293115487
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2226
TITLE
I. Obligatory continuing education for all college graduate cadres in public
and social health care facilities 1972. Selective subjects for physicians,
dentists and pharmacists. Drug abuse and iatrogenic diseases (liver, kidney,
blood). Iatrogenic liver diseases
ORIGINAL (NON-ENGLISH) TITLE
I. Obligatorische Fortbildung für alle Hochschulkader in den Einrichtungen
des Gesundheits- und Sozialwesens 1972. Wahlthema Nr. 2 für Arzte, Zahnärzte
und Apotheker. Arzneimittelabusus und iatrogene Krankheiten (Leber, Nieren,
Blut). Iatrogene Leberschädigungen.
AUTHOR NAMES
Stein W.
AUTHOR ADDRESSES
(Stein W.)
CORRESPONDENCE ADDRESS
W. Stein,
SOURCE
Zeitschrift für ärztliche Fortbildung (1972) 66:13 (653-654). Date of
Publication: 1 Jul 1972
ISSN
0044-2178
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
iatrogenic disease
liver disease (etiology)
EMTREE MEDICAL INDEX TERMS
addiction (complication)
article
chemically induced disorder
dental education
drug hypersensitivity
drug therapy (adverse drug reaction)
education
German Democratic Republic
human
medical education
national health service
toxic hepatitis (etiology)
LANGUAGE OF ARTICLE
German
MEDLINE PMID
4636962 (http://www.ncbi.nlm.nih.gov/pubmed/4636962)
PUI
L93289920
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2227
TITLE
Training the physician in alcoholism therapy.
AUTHOR NAMES
Mayer J.
Myerson D.J.
AUTHOR ADDRESSES
(Mayer J.; Myerson D.J.)
CORRESPONDENCE ADDRESS
J. Mayer,
SOURCE
Journal of medical education (1972) 47:4 (296-297). Date of Publication: Apr
1972
ISSN
0022-2577
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
medical education
EMTREE MEDICAL INDEX TERMS
article
health personnel attitude
human
psychiatry
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5057143 (http://www.ncbi.nlm.nih.gov/pubmed/5057143)
PUI
L92505055
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2228
TITLE
Medical school education on abuse of alcohol and other psychoactive drugs.
AUTHOR ADDRESSES
SOURCE
JAMA : the journal of the American Medical Association (1972) 219:13
(1746-1749). Date of Publication: 27 Mar 1972
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, etiology)
alcoholism (epidemiology, etiology)
medical education
EMTREE MEDICAL INDEX TERMS
article
attitude to health
curriculum
drug control
drug interaction
drug legislation
education
human
interpersonal communication
pharmacology
theoretical model
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5067240 (http://www.ncbi.nlm.nih.gov/pubmed/5067240)
PUI
L92417284
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2229
TITLE
Education about drug abuse in medical schools.
AUTHOR ADDRESSES
SOURCE
JAMA : the journal of the American Medical Association (1972) 219:13 (1757).
Date of Publication: 27 Mar 1972
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
EMTREE MEDICAL INDEX TERMS
alcoholism
article
drug legislation
human
medical society
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5067243 (http://www.ncbi.nlm.nih.gov/pubmed/5067243)
PUI
L92417287
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2230
TITLE
Training in drug addiction control
ORIGINAL (NON-ENGLISH) TITLE
Formation pour le contrôle des toxicomanes.
AUTHOR NAMES
Besteman K.J.
AUTHOR ADDRESSES
(Besteman K.J.)
CORRESPONDENCE ADDRESS
K.J. Besteman,
SOURCE
Bulletin de la Société des sciences médicales du Grand-Duché de Luxembourg
(1972) 109:1 (51-57). Date of Publication: Mar 1972
ISSN
0037-9247
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health education
medical education
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
French
MEDLINE PMID
5056097 (http://www.ncbi.nlm.nih.gov/pubmed/5056097)
PUI
L92502992
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2231
TITLE
Interdisciplinary alcoholism education for medical and paramedical personnel
AUTHOR NAMES
Reading A.J.
Brown T.C.
AUTHOR ADDRESSES
(Reading A.J.; Brown T.C.) Dept. Med. Psychiat., Johns Hopkins Univ., Sch.
Med., Baltimore, MD, United States.
CORRESPONDENCE ADDRESS
A.J. Reading, Dept. Med. Psychiat., Johns Hopkins Univ., Sch. Med.,
Baltimore, MD, United States.
SOURCE
Maryland Medical Journal (1971) 20:3 (85-88). Date of Publication: 1971
ISSN
0025-4363
ABSTRACT
Alcoholism presents a twofold challenge to the medical profession. There is
certainly a pressing need to extend the frontiers of the basic understanding
of alcoholism. Equally urgent, however, is the need to translate the
knowledge that is already available into effective treatment programs. Both
of these areas, until very recently, have been greatly neglected by
traditional medicine. If one is to deal effectively with the problem of
alcoholism, one can no longer afford to neglect either area. This article
focuses on the second area by describing an attempt to introduce currently
available knowledge and techniques into an ongoing health care system.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education
paramedical personnel
EMTREE MEDICAL INDEX TERMS
health care system
medical profession
traditional medicine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009000948
PUI
L291126357
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2232
TITLE
The program at Mount Sinai School of Medicine and implications for teaching
alcoholic liver disease.
AUTHOR NAMES
Popper H.
AUTHOR ADDRESSES
(Popper H.)
CORRESPONDENCE ADDRESS
H. Popper,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (39-42). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication, epidemiology)
liver cirrhosis (diagnosis, epidemiology, etiology, prevention)
medical school
teaching hospital
EMTREE MEDICAL INDEX TERMS
article
curriculum
Europe
human
liver disease (therapy)
medical education
socioeconomics
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282652 (http://www.ncbi.nlm.nih.gov/pubmed/5282652)
PUI
L91407665
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2233
TITLE
Professional training on alcoholism. Workshop 4: changing student and
faculty attitudes toward alcoholic patients.
AUTHOR NAMES
Ewing J.
AUTHOR ADDRESSES
(Ewing J.)
CORRESPONDENCE ADDRESS
J. Ewing,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (87-91). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
health personnel attitude
medical education
medical school
medical student
EMTREE MEDICAL INDEX TERMS
article
health service
human
patient care
public relations
research
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282663 (http://www.ncbi.nlm.nih.gov/pubmed/5282663)
PUI
L91407677
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2234
TITLE
Luncheon address: medical education and the problem of alcoholism.
AUTHOR NAMES
Willard W.R.
AUTHOR ADDRESSES
(Willard W.R.)
CORRESPONDENCE ADDRESS
W.R. Willard,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (17-22). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
teaching
EMTREE MEDICAL INDEX TERMS
article
community care
education
financial management
health care
health care delivery
health personnel attitude
human
medical profession
medical school
medical student
organization and management
perception
philosophy
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282647 (http://www.ncbi.nlm.nih.gov/pubmed/5282647)
PUI
L91407659
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2235
TITLE
The program at the University of Tennessee College of Medicine.
AUTHOR NAMES
Knott D.H.
AUTHOR ADDRESSES
(Knott D.H.)
CORRESPONDENCE ADDRESS
D.H. Knott,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (35-38). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE DRUG INDEX TERMS
alcohol (pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
medical school
teaching hospital
EMTREE MEDICAL INDEX TERMS
article
curriculum
health care
health personnel attitude
human
medical education
medical student
social psychology
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282651 (http://www.ncbi.nlm.nih.gov/pubmed/5282651)
PUI
L91407664
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2236
TITLE
The alcoholism program at Yale-New Haven Medical Center.
AUTHOR NAMES
Williams K.
AUTHOR ADDRESSES
(Williams K.)
CORRESPONDENCE ADDRESS
K. Williams,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (28-31). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication, rehabilitation, therapy)
medical school
teaching hospital
EMTREE MEDICAL INDEX TERMS
article
community care
emergency health service
health care
health care planning
health service
human
medical education
patient referral
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282649 (http://www.ncbi.nlm.nih.gov/pubmed/5282649)
PUI
L91407662
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2237
TITLE
The medical student's view of alcoholism education.
AUTHOR NAMES
Jessee W.F.
AUTHOR ADDRESSES
(Jessee W.F.)
CORRESPONDENCE ADDRESS
W.F. Jessee,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (24-27). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
health personnel attitude
medical education
medical student
social problem
EMTREE MEDICAL INDEX TERMS
article
curriculum
financial management
health care
health care cost
health care planning
health service
human
medical school
medical society
social medicine
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4996707 (http://www.ncbi.nlm.nih.gov/pubmed/4996707)
PUI
L91407661
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2238
TITLE
Alcoholism training in medical schools: some pedagogical and attitudinal
issues.
AUTHOR NAMES
Mendelson J.H.
Hyde A.P.
AUTHOR ADDRESSES
(Mendelson J.H.; Hyde A.P.)
CORRESPONDENCE ADDRESS
J.H. Mendelson,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (66-69). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health personnel attitude
medical education
teaching
EMTREE MEDICAL INDEX TERMS
article
curriculum
financial management
health care
health care quality
human
organization and management
procedures
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282659 (http://www.ncbi.nlm.nih.gov/pubmed/5282659)
PUI
L91407673
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2239
TITLE
The program at Howard University.
AUTHOR NAMES
Coles D.L.
AUTHOR ADDRESSES
(Coles D.L.)
CORRESPONDENCE ADDRESS
D.L. Coles,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (32-34). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
medical school
EMTREE MEDICAL INDEX TERMS
article
behavioral science
curriculum
education
financial management
health care
health care organization
health care planning
human
organization and management
teaching hospital
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282650 (http://www.ncbi.nlm.nih.gov/pubmed/5282650)
PUI
L91407663
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2240
TITLE
Research training in alcoholism.
AUTHOR NAMES
Harris R.T.
McIsaac W.M.
Fabre L.F.
AUTHOR ADDRESSES
(Harris R.T.; McIsaac W.M.; Fabre L.F.)
CORRESPONDENCE ADDRESS
R.T. Harris,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (43-47). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE DRUG INDEX TERMS
alcohol (pharmacology)
aldosterone
carbon
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
medical education
research
EMTREE MEDICAL INDEX TERMS
animal
article
behavior
central nervous system
curriculum
disease model
drug effect
female
glucose blood level
gonad
Haplorhini
human
hypothalamus
male
mental disease
metabolism
mouse
pathophysiology
secretion (process)
withdrawal syndrome
CAS REGISTRY NUMBERS
alcohol (64-17-5)
aldosterone (52-39-1, 6251-69-0)
carbon (7440-44-0)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4996708 (http://www.ncbi.nlm.nih.gov/pubmed/4996708)
PUI
L91407667
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2241
TITLE
Professional training on alcoholism. Preface.
AUTHOR NAMES
Sutton J.Y.
AUTHOR ADDRESSES
(Sutton J.Y.)
CORRESPONDENCE ADDRESS
J.Y. Sutton,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (3). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
curriculum
medical education
medical profession
research
EMTREE MEDICAL INDEX TERMS
article
education
female
human
male
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282653 (http://www.ncbi.nlm.nih.gov/pubmed/5282653)
PUI
L91407666
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2242
TITLE
Professional training on alcoholism. Workshop 2: stated course in alcoholism
vs. other methods incorporating alcoholism into the curriculum.
AUTHOR NAMES
Fine E.
AUTHOR ADDRESSES
(Fine E.)
CORRESPONDENCE ADDRESS
E. Fine,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (75-81). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
medical education
teaching
EMTREE MEDICAL INDEX TERMS
anamnesis
article
health education
health personnel attitude
health service
human
medical school
procedures
speech
time
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282661 (http://www.ncbi.nlm.nih.gov/pubmed/5282661)
PUI
L91407675
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2243
TITLE
Professional training on alcoholism. Workshop 3: the use of clinical
materials.
AUTHOR NAMES
Chafetz M.
AUTHOR ADDRESSES
(Chafetz M.)
CORRESPONDENCE ADDRESS
M. Chafetz,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (82-86). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication, therapy)
doctor patient relation
medical education
teaching
EMTREE MEDICAL INDEX TERMS
article
crisis intervention
emergency health service
follow up
health care
health personnel attitude
health service
human
medical school
patient care
procedures
psychotherapy
remission
therapeutic community
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282662 (http://www.ncbi.nlm.nih.gov/pubmed/5282662)
PUI
L91407676
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2244
TITLE
Professional training on alcoholism. Introduction.
AUTHOR NAMES
Seixas F.A.
AUTHOR ADDRESSES
(Seixas F.A.)
CORRESPONDENCE ADDRESS
F.A. Seixas,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (4-6). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
medical education
medical profession
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
health care manpower
health care planning
human
medical school
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282655 (http://www.ncbi.nlm.nih.gov/pubmed/5282655)
PUI
L91407669
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2245
TITLE
Medical students and smoking.
AUTHOR NAMES
Anderson J.
AUTHOR ADDRESSES
(Anderson J.)
CORRESPONDENCE ADDRESS
J. Anderson,
SOURCE
British medical journal (1970) 4:5727 (120). Date of Publication: 10 Oct
1970
ISSN
0007-1447
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
medical student
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
human
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5471766 (http://www.ncbi.nlm.nih.gov/pubmed/5471766)
PUI
L90491431
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2246
TITLE
Alcoholism curricula: how professionals are trained.
AUTHOR NAMES
Einstein S.
Wolfson E.
AUTHOR ADDRESSES
(Einstein S.; Wolfson E.)
CORRESPONDENCE ADDRESS
S. Einstein,
SOURCE
The International journal of the addictions (1970) 5:2 (295-312). Date of
Publication: Jun 1970
ISSN
0020-773X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
education
jurisprudence
medical education
nursing education
psychology
social work
EMTREE MEDICAL INDEX TERMS
article
human
procedures
publication
teaching
time
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5535634 (http://www.ncbi.nlm.nih.gov/pubmed/5535634)
PUI
L92349499
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2247
TITLE
Newark, narcotics, and the medical school.
AUTHOR NAMES
Wolfson E.A.
AUTHOR ADDRESSES
(Wolfson E.A.)
CORRESPONDENCE ADDRESS
E.A. Wolfson,
SOURCE
The Journal of the Medical Society of New Jersey (1970) 67:5 (207-210). Date
of Publication: May 1970
ISSN
0025-7524
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
medical school
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5270560 (http://www.ncbi.nlm.nih.gov/pubmed/5270560)
PUI
L90425475
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2248
TITLE
Medical education and a community approach to alcoholism.
AUTHOR NAMES
Seixas F.A.
AUTHOR ADDRESSES
(Seixas F.A.)
CORRESPONDENCE ADDRESS
F.A. Seixas,
SOURCE
Rhode Island medical journal (1970) 53:4 (191-193 passim). Date of
Publication: Apr 1970
ISSN
0035-4627
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health care
medical education
EMTREE MEDICAL INDEX TERMS
article
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5269668 (http://www.ncbi.nlm.nih.gov/pubmed/5269668)
PUI
L90411757
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2249
TITLE
The role of a medical society in a drug abuse program.
AUTHOR NAMES
Baron C.
AUTHOR ADDRESSES
(Baron C.)
CORRESPONDENCE ADDRESS
C. Baron,
SOURCE
The Journal of the Kentucky Medical Association (1970) 68:2 (113-114). Date
of Publication: Feb 1970
ISSN
0023-0294
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health education
medical society
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5412070 (http://www.ncbi.nlm.nih.gov/pubmed/5412070)
PUI
L90315424
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2250
TITLE
Correspondence
AUTHOR NAMES
Palmer R.F.
AUTHOR ADDRESSES
(Palmer R.F.) Departments of Pharmacology, Medicine University, Florida
College of Medicine, United States.
CORRESPONDENCE ADDRESS
R.F. Palmer, Departments of Pharmacology, Medicine University, Florida
College of Medicine, United States.
SOURCE
Clinical Pharmacology and Therapeutics (1969) 10:3 (417-418). Date of
Publication: 1 May 1969
ISSN
1532-6535 (electronic)
0009-9236
BOOK PUBLISHER
Nature Publishing Group, Houndmills, Basingstoke, Hampshire, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse
medical education
EMTREE MEDICAL INDEX TERMS
clinical pharmacology
clinical research
dose response
drug distribution
drug metabolism
enzyme inhibition
human
letter
medical student
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160021536
PUI
L607463652
DOI
10.1002/cpt1969103416
FULL TEXT LINK
http://dx.doi.org/10.1002/cpt1969103416
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 2251
TITLE
Drug misuse and physician education
AUTHOR NAMES
Palmer R.F.
AUTHOR ADDRESSES
(Palmer R.F.) Department of Pharmacology and Therapeutics, J. Hillis Miller
Health Center, University of Florida, College of Medicine, Gainesville,
United States.
CORRESPONDENCE ADDRESS
R.F. Palmer, Department of Pharmacology and Therapeutics, J. Hillis Miller
Health Center, University of Florida, College of Medicine, Gainesville,
United States.
SOURCE
Clinical Pharmacology and Therapeutics (1969) 10:1 (1-4). Date of
Publication: 1 Jan 1969
ISSN
1532-6535 (electronic)
0009-9236
BOOK PUBLISHER
Nature Publishing Group, Houndmills, Basingstoke, Hampshire, United Kingdom.
ABSTRACT
There is little doubt that drugs, old and new, have reduced morbidity and
mortality rates and continue to do so. It is dis-concerting, however, to
find that improper medication, polypharmacy, and adverse drug reactions are
increasing to the point where drugs, either because of their pharmacologic
effects, side reactions, or economic impact on the family unit, constitute
what is approaching a national health problem. 2 In some reported series,
adverse reactions occurred in 14 per cent of hospitalized patients and 7 per
cent of these reactions were fatal or life-threatening. 4 In 5 per cent of
admissions to a general hospital, drug reactions were a major factor leading
to hospitalization.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical education
drug misuse
physician
EMTREE MEDICAL INDEX TERMS
housestaff
human
medical school
medical staff
pharmacology
postgraduate education
priority journal
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160017436
PUI
L607463592
DOI
10.1002/cpt19691011
FULL TEXT LINK
http://dx.doi.org/10.1002/cpt19691011
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 2252
TITLE
Drug misuse and physician education.
AUTHOR NAMES
Palmer R.F.
AUTHOR ADDRESSES
(Palmer R.F.)
CORRESPONDENCE ADDRESS
R.F. Palmer,
SOURCE
Clinical pharmacology and therapeutics (1969) 10:1 (1-4). Date of
Publication: 1969 Jan-Feb
ISSN
0009-9236
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
pharmacology
toxicology
EMTREE MEDICAL INDEX TERMS
article
education
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5812738 (http://www.ncbi.nlm.nih.gov/pubmed/5812738)
PUI
L89057009
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2253
TITLE
Smoking patterns and specialty training of Oregon physicians
AUTHOR NAMES
Weitman M.
Meighan S.S.
AUTHOR ADDRESSES
(Weitman M.; Meighan S.S.) Portland State Coll., Portland, OR, United
States.
CORRESPONDENCE ADDRESS
M. Weitman, Portland State Coll., Portland, OR, United States.
SOURCE
Cancer (1967) 20:6 (974-982). Date of Publication: 1967
ISSN
0008-543X
ABSTRACT
The effects of the current anti-smoking campaign on the smoking habits of
physicians were studied specifically as related to (1) probable level of
familiarity with pathology imputed to smoking as estimated from type of
specialty practice, and (2) probable amount of exposure to the campaign as
estimated by rural-urban site of practice. A precoded questionnaire was
mailed to all members of the Oregon Medical Association residing in Oregon
in May, 1964; 1790 (90%) usable, completed questionnaires were obtained. The
type of medical specialty practice was found to be related to present
smoking habit, mention of smoking as a cause of cancer, the number of
illnesses attributed to smoking and the frequency and recency of cessation
of smoking; the type of medical practice is not related to the degree of
hazard ascribed to smoking or to the stated reason for stopping smoking. The
geographic location of an Oregon physician's medical practice is not related
to these variables. These and other reported findings suggest that
anti-smoking campaigns, by themselves, may produce marked changes in the
smoking habits of some individuals but these represent only a rather small
minority of the population. To attain more widespread reduction in smoking
it will be necessary to employ a broad and diversified array of approaches.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
physician
smoking
United States
EMTREE MEDICAL INDEX TERMS
exposure
general aspects of disease
geography
hazard
malignant neoplasm
medical practice
medicine
pathology
population
questionnaire
smoking cessation
smoking habit
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008129775
PUI
L287093317
DOI
10.1002/1097-0142(196706)20:6<974::AID-CNCR2820200607>3.0.CO;2-U
FULL TEXT LINK
http://dx.doi.org/10.1002/1097-0142(196706)20:6<974::AID-CNCR2820200607>3.0.CO;2-U
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2254
TITLE
Smoking patterns and specialty training of oregon physicians
AUTHOR NAMES
Weitman M.
Meighan S.S.
AUTHOR ADDRESSES
(Weitman M.; Meighan S.S.) Portland State Coll., Portland, Ore.
CORRESPONDENCE ADDRESS
M. Weitman, Portland State Coll., Portland, Ore.
SOURCE
Cancer (1967) 20:6 (974-982). Date of Publication: 1967
ISSN
0008-543X
ABSTRACT
The effects of the current anti-smoking campaign on the smoking habits of
physicians were studied specifically as related to (1) probable level of
familiarity with pathology imputed to smoking as estixnated from type of
specialty practice, and (2) probable amount of exposure to the campaign as
estimated by rural-urban site of practice. A pre-coded questionnaire was
mailed to all members of the Oregon Medical Association residing in Oregon
in May, 1964; 1, 790 (90%) usable, completed questionnaires were obtained.
The type of medical specialty practice was found to be related to present
smoking habit, mention of smoking as a cause of cancer, the number of
illnesses attributed to smoking and the frequency and recency of cessation
of smoking; the type of medical practice is not related to the degree of
hazard ascribed to smoking or to the stated reason for stopping smoking. The
geographic location of an Oregon physician's medical practice is not related
to these variables. These and other reported findings suggest that
anti-smoking campaigns, by themselves, may produce marked changes in the
smoking habits of some individuals but these represent only a rather small
minority of the population. To attain more widespread reduction in smoking
it will be necessary to employ a broad and diversified array of approaches.
(16, 15, 17).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
physician
smoking
United States
EMTREE MEDICAL INDEX TERMS
exposure
general aspects of disease
geography
hazard
malignant neoplasm
medical practice
medicine
pathology
population
questionnaire
smoking cessation
smoking habit
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007802462
PUI
L288029857
DOI
10.1002/1097-0142(196706)20:6<974::AID-CNCR2820200607>3.0.CO;2-U
FULL TEXT LINK
http://dx.doi.org/10.1002/1097-0142(196706)20:6<974::AID-CNCR2820200607>3.0.CO;2-U
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2255
TITLE
The physician and the cigarette. Education concerning dangers of smoking
essential to render habit socially unacceptable.
AUTHOR NAMES
Browning R.H.
AUTHOR ADDRESSES
(Browning R.H.)
CORRESPONDENCE ADDRESS
R.H. Browning,
SOURCE
Rhode Island medical journal (1967) 50:11 (753-756). Date of Publication:
Nov 1967
ISSN
0035-4627
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking
EMTREE MEDICAL INDEX TERMS
article
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5234973 (http://www.ncbi.nlm.nih.gov/pubmed/5234973)
PUI
L88018055
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2256
TITLE
A case of purgative addiction demonstrated at the postgraduate medical
school of london
AUTHOR ADDRESSES
SOURCE
British medical Journal (1857) (1966) 1:5499 (1344-1348). Date of
Publication: 1966
ISSN
0007-1447
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
laxative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical school
United Kingdom
EMTREE MEDICAL INDEX TERMS
electrolyte disturbance
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2008624472
PUI
L286116845
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2257
TITLE
Problem drinkers on the psychiatric service of a municipal general hospital.
their relevance to programs of education, training and research
AUTHOR NAMES
Lief V.F.
AUTHOR ADDRESSES
(Lief V.F.)
SOURCE
International Journal of the Addictions (1966) 1:1 (42-49). Date of
Publication: 1966
ISSN
0020-773X
ABSTRACT
Experiences were gathered in a community mental health program on problem
drinking and in the psychiatric service of the Metropolitan Hospital in the
East Harlem area of New York City. The staff members belong to the
disciplines of psychiatry, sociology, clinical psychology, public health
nursing and social work. A complete case history of all problem drinkers
coming to their attention is taken in minute detail and discussed in stafi
meetings. The program brought into perspective that there are still many
gaps in the treatment of alcohoLs;cs, an important one being the lack of
after-care. In the traditional municipal hospital the early stages of
alcoholism are often missed, and when the patient approaches the stereotype
of 'the alcoholic' the attitude of the hospital staff often still represents
the old punitive moralistic view of alcoholism. If the patient is
sufficiently deteriorated he will mostly be institutionalized. A 3-month
survey of admissions to a 50-bed acute intensive psychiatric treatment unit
in psychiatry showed that about 50% of the male and 33% of the female
patients had been admitted for reasons directly or significantly related to
alcohol Of the total, 14% were sent to state hospitals, but of the remaining
86% more than half were discharged with only medical advice. Some of the
conclusions are: There is a need for new techniques in early detection. By
the nature of general hospitals in our society they are inadequate to deal
fully with alcoholism, as a social problem; a new kind of continuity of care
for the alcohol patient is needed There is a need for new teaching methods
to help in developing new attitudes among care giving agencies, hospitals,
physicians and the community in understanding and treating alcoholism.
Alcoholism is related to social pathology and must be seen within the
context of the social environment. Bonnema Wezep (N, 2c, 17).
EMTREE DRUG INDEX TERMS
alcohol
alcohol derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education
general hospital
mental health service
EMTREE MEDICAL INDEX TERMS
aftercare
antisocial personality disorder
clinical psychology
community
community health nursing
community mental health
drinking
female
health program
hospital
hospital personnel
male
patient
patient care
physician
psychiatric treatment
psychiatry
public hospital
social environment
social problem
social work
society
sociology
stereotypy
teaching
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007563277
PUI
L287029353
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2258
TITLE
Three-phase treatment program for alcohol addiction
AUTHOR NAMES
Bell R.G.
AUTHOR ADDRESSES
(Bell R.G.) 15 Horsham Ave, Willowdale, Ont., Canada.
CORRESPONDENCE ADDRESS
R.G. Bell, 15 Horsham Ave, Willowdale, Ont., Canada.
SOURCE
Texas State journal of medicine (1965) 61:2 (118-123). Date of Publication:
1965
ISSN
0096-7165
ABSTRACT
It should be possible for all who encounter the addict at any stage of his
complex progressive disability to know clearly what the first step in
treatment should be. Furthermore, with the adequate instruction in
addictions indicated by the nature of their work, they should also
appreciate their possible contribution to the second and third phases of
treatment. Community team work will need to be developed to an unprecedented
degree if something better than the present 'revolving-door' situation in
our jails and hospitals is to be realized. In any community team effort, the
physician should become the quarterback. Addiction is primarily a health
problem, and only secondarily a legal, social, or moral one. If the primary
disability is corrected, the secondary problems disappear.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
EMTREE MEDICAL INDEX TERMS
addiction
community
disability
drug dependence
health
hospital
morality
physician
prison
teamwork
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007306269
PUI
L286022951
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2259
TITLE
DRUG TOXICITY IN GENERAL PRACTICE.
AUTHOR NAMES
Barber G.
AUTHOR ADDRESSES
(Barber G.)
CORRESPONDENCE ADDRESS
G. Barber,
SOURCE
The Practitioner (1965) 194 (111-119). Date of Publication: Jan 1965
ISSN
0032-6518
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antibiotic agent
antiinfective agent
steroid
vasodilator agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
antibiotic resistance
congenital malformation
drug dependence
drug hypersensitivity
EDUCATION, MEDICAL, POSTGRADUATE
general practice
hematologic disease
medical education
national health service
psychopharmacology
TOXICOLOGIC REPORT
toxicology
EMTREE MEDICAL INDEX TERMS
article
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14259677 (http://www.ncbi.nlm.nih.gov/pubmed/14259677)
PUI
L81723268
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2260
TITLE
A CIGARETTE INFORMATION PROGRAM.
AUTHOR NAMES
Watne A.L.
Montgomery R.L.
Pettit W.W.
AUTHOR ADDRESSES
(Watne A.L.; Montgomery R.L.; Pettit W.W.)
CORRESPONDENCE ADDRESS
A.L. Watne,
SOURCE
JAMA : the journal of the American Medical Association (1964) 188 (872-874).
Date of Publication: 8 Jun 1964
ISSN
0098-7484
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiovascular disease
health education
lung disease
lung tumor
medical school
smoking
student
United States
EMTREE MEDICAL INDEX TERMS
article
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14132555 (http://www.ncbi.nlm.nih.gov/pubmed/14132555)
PUI
L80758842
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2261
TITLE
The effect of tobacco smoking on the course of chronic bronchitis
AUTHOR NAMES
Campbell A.H.
Elder N.G.
AUTHOR ADDRESSES
(Campbell A.H.; Elder N.G.) Repair Iat. Dept., Melbourne.
CORRESPONDENCE ADDRESS
A.H. Campbell, Repair Iat. Dept., Melbourne.
SOURCE
Medical Journal of Australia (1963) 50:1 (9-12). Date of Publication: 1963
ISSN
0025-729X
ABSTRACT
Chronic bronchitics continuing to smoke were compared with those who no
longer smoked. The two groups were quite similar apart from the smoking
habits, and the subsequent inferior progress of the smokers during a
six-months period can be attributed to the difference in smoking habits. The
smokers had more exacerbations, lost more time from work and spent more time
in bed than the non-smokers. They had more visits to their medical
practitioners, and they reported less favourably on the progress of their
general condition, the nature of their cough and the amount of sputum
produced. Of a second group of 18 patients with chronic productive cough who
had ceased smoking for some years, 10 reported that sputum production had
ceased and three reported considerable reduction of sputum. It is concluded
that cigarette smoking is an important factor in maintaining or aggravating
established chronic bronchitis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic bronchitis
smoking
EMTREE MEDICAL INDEX TERMS
cigarette smoking
coughing
general condition
patient
physician
smoke
smoking habit
sputum
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007595328
PUI
L280975133
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2262
TITLE
ALCOHOLISM: A COMMUNITY AND MEDICAL RESPONSIBILITY.
AUTHOR NAMES
Moore R.A.
AUTHOR ADDRESSES
(Moore R.A.)
CORRESPONDENCE ADDRESS
R.A. Moore,
SOURCE
Medical times (1963) 91 (1143-1148). Date of Publication: Dec 1963
ISSN
0025-7583
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health education
EMTREE MEDICAL INDEX TERMS
article
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14102960 (http://www.ncbi.nlm.nih.gov/pubmed/14102960)
PUI
L80725838
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2263
TITLE
Smoking habits of medical and non-medical university staff. Changes since
R.C.P. report.
AUTHOR NAMES
Lynch G.W.
AUTHOR ADDRESSES
(Lynch G.W.)
CORRESPONDENCE ADDRESS
G.W. Lynch,
SOURCE
British medical journal (1963) 1:5334 (852-855). Date of Publication: 30 Mar
1963
ISSN
0007-1447
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking
EMTREE MEDICAL INDEX TERMS
article
LANGUAGE OF ARTICLE
English
MEDLINE PMID
13931923 (http://www.ncbi.nlm.nih.gov/pubmed/13931923)
PUI
L80636377
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2264
TITLE
Alcoholism as a topic of teaching in the undergraduate medical curriculum.
AUTHOR NAMES
Hirsh J.
AUTHOR ADDRESSES
(Hirsh J.)
CORRESPONDENCE ADDRESS
J. Hirsh,
SOURCE
Quarterly journal of studies on alcohol (1961) 22 (135-142). Date of
Publication: Mar 1961
ISSN
0033-5649
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
article
LANGUAGE OF ARTICLE
English
MEDLINE PMID
13714626 (http://www.ncbi.nlm.nih.gov/pubmed/13714626)
PUI
L80465881
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2265
TITLE
The alcoholism training program at the University of Washington School of
Medicine
AUTHOR NAMES
Jackson J.K.
Mykut M.
Burr R.C.
Fagan R.J.
AUTHOR ADDRESSES
(Jackson J.K.; Mykut M.; Burr R.C.; Fagan R.J.)
SOURCE
Quarterly journal of studies on alcohol (1960) 21 (298-313). Date of
Publication: 1 Jun 1960
ISSN
0033-5649
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
hospital
medicine
outpatient department
school
EMTREE MEDICAL INDEX TERMS
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14406301 (http://www.ncbi.nlm.nih.gov/pubmed/14406301)
PUI
L608955785
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 2266
TITLE
Theory and practice in teaching medical students in an alcoholism clinic.
AUTHOR NAMES
Clifford B.J.
AUTHOR ADDRESSES
(Clifford B.J.)
CORRESPONDENCE ADDRESS
B.J. Clifford,
SOURCE
Quarterly journal of studies on alcohol (1959) 20:2 (346-351). Date of
Publication: Jun 1959
ISSN
0033-5649
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
medical education
EMTREE MEDICAL INDEX TERMS
article
LANGUAGE OF ARTICLE
English
MEDLINE PMID
13668050 (http://www.ncbi.nlm.nih.gov/pubmed/13668050)
PUI
L80310034
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2267
TITLE
Drug addiction and its management
AUTHOR NAMES
Steele G.D.F.
AUTHOR ADDRESSES
(Steele G.D.F.) Runwell Hosp., Wickford, Essex.
CORRESPONDENCE ADDRESS
Runwell Hosp., Wickford, Essex.
SOURCE
British journal of clinical practice (1957) 11:3 (188-192). Date of
Publication: 1957
ISSN
0007-0947
ABSTRACT
The general features of drug addiction are discussed in relation to
presenting signs and symptoms, with evidence of personality disorders.
Though primarily concerned with drugs other than alcohol, which is regarded
as habit-forming, the author considers that similar considerations apply to
alcoholism. It is doubtful whether the term 'cure' is ever applicable.
Information about the extent of drug addiction in Great Britain is probably
inadequate. Rapid withdrawal of the drug of addiction is favoured whenever
possible, with supportive treatment including sedation and modified insulin
therapy later. The most crucial phase occurs after the patient leaves the
security of the hospital. It is suggested that doctors should cooperate more
with social workers in follow-up of patients, that there should be more
public education on the dangers of addiction, and scrupulous care in the
prescription of addiction-producing drugs.
EMTREE DRUG INDEX TERMS
alcohol
corticotropin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
EMTREE MEDICAL INDEX TERMS
addiction
alcoholism
education
follow up
general aspects of disease
habit
hospital
insulin treatment
patient
personality disorder
physical disease by body function
physician
plant leaf
prescription
sedation
social worker
United Kingdom
CAS REGISTRY NUMBERS
corticotropin (11136-52-0, 9002-60-2, 9061-27-2)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007474860
PUI
L280861428
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2268
TITLE
Barbiturate addiction simulating spontaneous hyperinsulinism
AUTHOR NAMES
Hunter R.A.
Greenberg H.P.
AUTHOR ADDRESSES
(Hunter R.A.; Greenberg H.P.) Dept. of Psychol. Med., York Clin., Guy's
Hosp., London.
CORRESPONDENCE ADDRESS
R.A. Hunter, Dept. of Psychol. Med., York Clin., Guy's Hosp., London.
SOURCE
Lancet (1954) 267:2 (58-62). Date of Publication: 1954
ISSN
0140-6736
ABSTRACT
Addiction to drugs of the barbiturate class is becoming more common.
Patients may come for consultation with puzzling symptoms, often of a type
for which barbiturates are prescribed, and conceal from the examining
physician their habitual excessive use of barbiturates. Three cases are
described in which apparent spontaneous hyperinsulinism was associated with
the taking of 20-30 grains of barbiturates daily.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
barbituric acid derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
hyperinsulinism
EMTREE MEDICAL INDEX TERMS
consultation
grain
patient
physician
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007216801
PUI
L280608954
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2269
TITLE
The physician and alcoholism.
AUTHOR NAMES
Block M.A.
AUTHOR ADDRESSES
(Block M.A.)
CORRESPONDENCE ADDRESS
M.A. Block,
SOURCE
American practitioner and digest of treatment (1953) 4:10 (694-699). Date of
Publication: Oct 1953
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
ALCOHOLISM/prevention and control
medical education
EMTREE MEDICAL INDEX TERMS
article
LANGUAGE OF ARTICLE
English
MEDLINE PMID
13092408 (http://www.ncbi.nlm.nih.gov/pubmed/13092408)
PUI
L81038792
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 2270
TITLE
Problems of alcoholism as related to health education in the secondary
schools. A panel discussion
AUTHOR NAMES
Block M.A.
Duttweiler D.C.
Milich O.
Potter M.G.
Monnier D.C.
AUTHOR ADDRESSES
(Block M.A.; Duttweiler D.C.; Milich O.; Potter M.G.; Monnier D.C.) Univ. of
Buffalo, Cleveland Hill High School, Amer. Med. Ass. and Western New York
Committee for Education on Alcoholism, Buffalo.
CORRESPONDENCE ADDRESS
M.A. Block, Univ. of Buffalo, Cleveland Hill High School, Amer. Med. Ass.
and Western New York Committee for Education on Alcoholism, Buffalo.
SOURCE
Quarterly journal of studies on alcohol (1951) 12:3 (495-516). Date of
Publication: 1951
ISSN
0033-5649
ABSTRACT
Alcoholism and social drinking are discussed by 2 physicians and 3
educational experts. Speakers and audience agree, that it would be desirable
to make teenagers familiar with the dangers of drinking alcohol. The
educational experts report their observations with youngsters in classes
where 'education on the use and abuse of alcohol had already been
established.
EMTREE DRUG INDEX TERMS
alcohol
corticotropin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health education
high school
EMTREE MEDICAL INDEX TERMS
abuse
adolescent
drinking
drinking behavior
education
physician
CAS REGISTRY NUMBERS
corticotropin (11136-52-0, 9002-60-2, 9061-27-2)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008854147
PUI
L281540737
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 2271
TITLE
The second Kelynack memorial lecture. Problems of drug addiction in South
America
AUTHOR NAMES
Wolff P.O.
AUTHOR ADDRESSES
(Wolff P.O.)
SOURCE
British Journal of Addiction (1949) 46:2 (66-78). Date of Publication: 1949
ISSN
0952-0481
ABSTRACT
The problem of coca-addiction in Latin America is one of medical and social
importance. The chronic use of coca leaves leads to physical and mental
disturbances. The criminality, backwardness and poverty of the Indian
population are ascribed in large measure to this habit. This evil must be
fought, but little is to be expected from compulsive measures. The procedure
must be gradual and aiming at reduction of the cultivation of this plant,
eradication of the superstitious belief in the magic powers of coca leaves
and improvement of social conditions. The second serious problem is that of
marihuana. Special emphasis is placed on its influence in causing
criminality, partly through the increased suggestibility which it produces
and partly through the increase of aggressivity and abolition of
inhibitions. Addiction to marihuana is no longer confined to Latin America
but has spread over both American continents.
EMTREE DRUG INDEX TERMS
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
South America
EMTREE MEDICAL INDEX TERMS
addiction
aggressiveness
coca
criminal behavior
habit
Indian
magic
mental disease
plant
population
poverty
social status
South and Central America
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007062719
PUI
L280463048
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.